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October 27, 2025
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Episode 34, “Digital Googols”

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In this episode of "In the Interim…", Dr. Scott Berry examines the concept of “digital twins” in clinical trials. He details how simulation of clinical trials is a direct analog of digital twin methodology, allowing for the in-silico modeling of the physical trial conduct, enrollment, dropouts, and patient outcomes under varied assumptions.

Episode 34 of "In the Interim…" explores digital twins in clinical trials with Dr. Scott Berry’s perspective.

He details how in-silico trial simulations function as a digital twin of clinical studies, supporting complex trial design decisions and scenario analysis. The conversation examines “AI-powered” patient-level prediction models, finding that many are repackaged covariate adjustments rather than breakthroughs.

Scott highlights concern about proprietary, opaque modeling, stressing that credibility in clinical evidence relies on transparent, replicable methodology and open access to data. Model-based counterfactuals has great potential—but only if transparency and verification remain central.

Listen for a thorough assessment of digital twins in clinical research.

https://www.berryconsultants.com/resource/34-digital-googols

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