Medical Affairs and the new AI: The Emergence of Agentic Intelligence

Artificial intelligence has transformed from experimental pilots to an indispensable assistant for Medical Affairs teams. The past five years have seen industry rocket forward from text-based generative AI that authors scientific responses to fully agentic AI systems that independently triage incoming questions, populate and maintain knowledgebases, and coordinate the convergent workflows across disparate systems. This comprehensive blog details evolution and explains why the transition is important for Medical Information (MI) operations. [1][2][3]

The AI Evolution in Medical Affairs

A Decade of Rapid Change [4]

  • 2015-2019: Early machine-learning chatbots sort inquiries and auto-suggest from standard response letters.
  • 2020-2023: Large language models (LLMs) provide generative AI (Gen AI) for scientific content drafts, literature summarization, and virtual medical advisors.
  • 2024 and Beyond: Agentic AI which is a new class of autonomous “AI agents” that see context, plan multi-step tasks, act across systems, and don’t stop learning.

Why the Jump to Agentic AI Matters

Generative AI tackles discrete, text-heavy tasks, however, Medical Affairs requires end-to-end orchestration ranging from intake, classification, compliance, escalation, and insight generation. Agentic AI provides that autonomy by being policy-based with the ability to enact policies and to react in real-time to feedback. [5][6][7]

Generative AI in Medical Affairs (2019-2023)
Core Use Cases:

  1. Scientific Content Drafting: Large Language Models (LLMs) auto-generate standard response documents in seconds which can reduce writing time by 60-80%. [8][9][10][11]
  2. Rapid Literature Summaries: Generative AI does the reading for reviewers, summarizing 1,000s of papers into concise evidence tables, cutting review time 5-fold. [12][13]
  3. Virtual Medical Advisors: Chatbots provide on-the-spot responses to HCPs, improving first-contact resolution by 25%. [14][15][16]

Value Delivered:

  • Early adopter pharma companies reduced the average inquiry handling time by 35 percent.[17][18][19]
  • MI groups globally deliver productivity improvements like gaining 1.4 Full Time Employees allocated to an additional 10 agents.[20][21]

Lingering Pain Points:

  • Hallucinations & Compliance Risk: Large Language Models (LLMs) may invent fake references, where human verification still is required.
  • Manual Handoffs: You are still making staff click through Case Selection, Classification, routing, and Updates.
  • Static Learning: Generative AI gets better with more training, but with no real-time feedback from results.

Why Agentic AI?

Agentic AI is a set of independent software “agents” that work together to perceive data, reason, plan, act through APIs, and learn from experience, all with minimal human oversight.

Comparative Analysis of Generative AI and Agentic AI

Agentic AI in Medical Information Operations

1. Autonomous Inquiry Triage

Agentic AI agents learn to consume emails, pulling out intent and product metadata and then apply business rules to route inquiries into the right queue reducing manual sorting.

2. Compliance Protection

Draft responses are cross-referenced in real time with labeling, safety, and promotional codes by agents. Non-Complaint Sensitive language calls for immediate revision, minimizing review cycles.

3. Live Knowledgebase Updates

A label change or safety signal announcement is published, and an agent pushes updates to your content repository, archives old documents, and automatically notifies responsible persons.

4. Insight Generation & Analytics

Agents are also constantly clustering inquiry themes, identifying unmet information needs and surfacing Real World Evidence trends to Medical Affairs strategists, thus accelerating decision making.

Future Outlook: Converging Trends

Multimodal Agents

Next-gen supercomputing MI agents will “be listening” into voice calls and analyzing medical images, something that will lead even more to the automation of omnichannel MI support.

Personalized HCP Experiences

Agents can be customized to individual clinician preferences and local guidelines, which can enhance engagement.

Agent-to-Agent Ecosystems

Safety, regulatory, quality, and commercial agents will be working in unison, breaking down silos, and speeding up and capturing insights throughout the product lifecycle.

Conclusion

Medical Affairs is at an inflection point. While Generative AI demonstrated the ability for automated content creation, agentic AI advances the industry into fully autonomous, compliant, end-to-end processes. Pioneers already are experiencing faster inquiry resolution, sharper compliance, deeper insights, and freed-up staff time for high-value scientific relationships. Using a disciplined approach, data readiness, phased pilots, and robust governance, Medical Affairs leaders can weaponize
agentic AI to turn Medical Information from a responsive, reactive liability into a proactive, strategic asset.

Author
Vanaja Rani Movva
Associate Director – Product Management

References

1. https://pmc.ncbi.nlm.nih.gov/articles/PMC12202002/

2. https://www.drugdiscoverytrends.com/six-signs-ai-driven-drug-discovery-trends-pharma-industry/

3. https://pmc.ncbi.nlm.nih.gov/articles/PMC12092461/

4. https://pmc.ncbi.nlm.nih.gov/articles/PMC11473552/

5. https://www.mckinsey.com/industries/life-sciences/our-insights/generative-ai-in-the-pharmaceutical-industry-moving-from-hype-to-reality

6. https://www.mckinsey.com/capabilities/mckinsey-digital/our-insights/the-economic-potential-of-generative-ai-the-next-productivity-frontier

7. https://medicalaffairs.org/wp-content/uploads/2024/10/MAPS-Digital-Advanced-Analytics-Artificial-Intelligence-Report-2024.pdf

8. https://pmc.ncbi.nlm.nih.gov/articles/PMC11473552/

9. https://www.strategyand.pwc.com/de/en/industries/pharma-life-sciences/ai-healthcare-revolution.html

10. https://pmc.ncbi.nlm.nih.gov/articles/PMC11950693/

11. https://pubmed.ncbi.nlm.nih.gov/40080808/

12. https://ai.jmir.org/2025/1/e55277

13. https://healthtechmagazine.net/article/2025/05/what-is-agentic-ai-in-healthcare-perfcon

14. https://themsljournal.com/article/is-medical-affairs-about-to-become-obsolete-as-a-result-of-ai/

15. https://tecknoworks.com/wp-content/uploads/2025/02/Report-AI-Adoption-in-Drug-Development-Pharmacology-Industry.pdf

16. https://pmc.ncbi.nlm.nih.gov/articles/PMC8075483/

17. https://www.sciencedirect.com/science/article/pii/S2949953425000141

18. https://www.statista.com/statistics/1538057/ai-adoption-in-pharmaceutical-industry-by-area/

19. https://pmc.ncbi.nlm.nih.gov/articles/PMC8718376/

20. https://medtechintelligence.com/feature_article/advantages-of-workflow-automation-in-healthcare-minimizing-administrative-burden-and-enhancing-compliance/

21. https://journal.emwa.org/media/4967/mew-323-final-published-issue.pdf

Learn How We Can Optimize your Medical Affairs Programs