by Bajpai Labs · Clinical simulation

Predict trial outcomes before Phase II begins.

ClinicalSim simulates PK/PD exposure, toxicity risk, and trial success probability so your team commits capital to the right dose and design, not a coin flip.

Simulation pipeline

  • PK/PD Model Build01Population PK · PBPK · exposure reconstruction from Phase I data
  • Outcome Simulation02Toxicity scoring · exposure-response · virtual trial Monte Carlo
  • Decision Package03Dose rankings · success probability · board-ready regulatory brief
PK/PD · Toxicity · Trial probability · 3–5 weeks
73–93%
Prediction accuracy
$2.4–16M
Capital preserved per program
3–5 wks
Typical delivery
The Problem

Phase II failures cost $20M+ and 18 months. Most were predictable.

$20–85M per pivotal trial

Phase II and Phase III programs commit massive capital before exposure-response and safety risk are quantified under real patient variability.

12–24 months lost

A failed Phase II restarts the clock on enrollment, regulatory strategy, and investor milestones. DILI holds average 14 months to resolution.

~50% Phase II failure rate

Half of Phase II programs fail on efficacy or safety. Standard power calculations do not model population mix, co-medications, or mechanism-based tox.

The Solution

A clinical simulation pipeline that quantifies risk before enrollment begins.

  1. 01

    Upload your clinical data

    Provide Phase I PK, preclinical tox, protocol draft, and target population criteria.

  2. 02

    Simulation engine runs

    Population PK/PD, PBPK exposure, toxicity models, and virtual trial Monte Carlo.

  3. 03

    Decision package delivered

    Ranked dose scenarios, success probability, and FDA-ready exposure-response brief.

Traditional
3 dose arms · $14M · 22 months
ClinicalSim
2 optimized arms · $11.8M · 15 months
Design choices

Built for phase transitions, not dashboards.

Every architectural choice in ClinicalSim serves one goal: give your team quantified go/no-go decisions before capital is committed.

01
Simulate before you enroll

Most teams commit Phase II capital on preclinical assumptions alone. ClinicalSim quantifies hepatotoxicity risk, dose-response, and trial success probability before the first patient is dosed.

02
Clinical-calibrated models

Predictions are calibrated against observed Phase II and Phase III outcomes, not just in silico benchmarks or power calculations.

03
Research rigor, regulatory speed

Population PK/PD and virtual trial methods from Bajpai Labs, delivered on clinical development timelines with FDA-ready documentation.

04
Direct line to leadership

You work with the pharmacometricians and simulation architects who built the platform, not a sales team relaying requirements to a black box.

Advanced features

The science behind the simulation.

Published pharmacometric methods composed with proprietary calibration from Bajpai Labs.

Population PK/PD modeling

NONMEM and Monolix population models linking exposure to efficacy and toxicity across genotype, age, and co-medication subgroups.

PBPK & organ exposure

Physiologically based pharmacokinetic simulation for hepatic, cardiac, and tumor tissue exposure under real-world dosing regimens.

Toxicity & DILI prediction

Mechanistic hepatotoxicity models integrating DILIrank liability, reactive metabolite risk, and cumulative exposure thresholds.

Virtual clinical trials

Monte Carlo simulation of 5,000 to 10,000 virtual trials to estimate success probability, sample size, and interim boundary performance.

Exposure-response modeling

Dose optimization via target occupancy, tumor growth inhibition, and biomarker response curves calibrated to Phase I/II data.

Trial success probability

Bayesian meta-analysis of published Phase III benchmarks to model biologic-experienced subpopulations and endpoint selection risk.

Methodology

Calibration Loop

Data integrationModel calibrationVirtual trialOutcome validation
Clinical-calibrated priors

Each model cycle incorporates published Phase III benchmarks and proprietary validation outcomes, not generic assumptions.

Interim data integration

Accumulating trial data updates success probability and dose recommendations without restarting from scratch.

Reducing false confidence

Sensitivity analysis and tornado charts expose the variables that actually drive trial failure, not just point estimates.

Why ClinicalSim

Pharmacometric rigor. Clinical development speed.

ClinicalSim combines population PK/PD expertise from Bajpai Labs with trial simulation depth that most biostatistics-only vendors lack.

  • Decision-grade probabilities

    Success probability, DILI risk, and dose rankings with confidence bounds. Not power calculations alone.

  • PK/PD + clinical expertise

    Cross-disciplinary team spanning pharmacometrics, toxicology, and clinical development strategy.

  • Regulatory-ready output

    FDA and EMA briefing addenda with exposure-response plots your regulatory team can submit directly.

  • Direct line to leadership

    You work with the simulation architects who built the models, not a sales team.

Simulation services

Four pipelines. One simulation engine.

From hepatotoxicity prediction through Phase III success probability, each service shares the same calibrated PK/PD infrastructure and senior pharmacometrics team.

All services
  1. 00

    Toxicity & DILI Prediction

    Safety · Phase transitionStart here

    Mechanistic hepatotoxicity simulation integrating PBPK exposure, DILIrank liability, and population co-medication profiles. Delivers go/no-go recommendation before Phase II enrollment.

    Engagements typically $125K–$350K per programSee capabilities
  2. 01

    PK/PD Dose Optimization

    Exposure-response · oncology

    Population PK/PD and tumor growth inhibition modeling to eliminate redundant dose arms and identify minimum efficacious exposure.

    Engagements typically $200K–$400K per programSee capabilities
  3. 02

    Trial Success Probability

    Virtual trial · biologics

    Monte Carlo virtual Phase III simulation with Bayesian meta-analysis for endpoint selection, sample size, and subpopulation response.

    Engagements typically $300K–$500K per programSee capabilities
  4. 03

    Adaptive Design Simulation

    Interim boundaries · enrichment

    Interim look optimization, futility boundaries, and enrichment strategy simulation for adaptive Phase II/III protocols.

    Engagements typically $250K–$450K per programSee capabilities

by Bajpai Labs

Ready to simulate before you enroll?

30-minute intro call with the Bajpai Labs team. No pitch deck, just a scoping conversation about your Phase II or Phase III decision.