Why some AI projects in pharma show measurable results while others stall comes down to trust. In an interview with Pharmaceutical Executive, Parth Khanna, co-founder and CEO of ACTO, frames trust as the product of two necessary conditions: compliance and capability. When either is missing, users stop relying on the system and the project fails to deliver business value.
Khanna's formulation is practical: a capable AI that isn't compliant risks going "off script" and producing responses that can't be used in regulated contexts. A highly compliant system that lacks capability becomes a time sink — it refuses to answer or provides only boilerplate, and people stop using it. Both outcomes destroy the human confidence needed for adoption.
This approach has operational implications. Instead of starting with a general-purpose model and adding compliance filters afterward, design the agent around the role first: map the responsibilities, common interactions, red lines, and documentation expectations. That role map then informs data access, retrieval priors, response templates, and guardrails. The result is an agent that answers questions usefully while minimizing regulatory risk.
Khanna also ties this to digital health solutions more broadly. Digital health platforms collect larger datasets and create opportunities to extract actionable insights. When those platforms incorporate role-aware AI, the insights become more usable: the AI can tailor outputs to how people actually work and the decisions they need to make. The combination of more data plus role-aware interpretation is where Khanna sees substantial business impact.
Three practical takeaways for pharma teams planning AI deployments:
- Start with the user role. Spend time documenting role responsibilities and real-world interactions before specifying model behavior.
- Design compliance and capability together. Build systems so that compliance constraints are not bolted on after capability is implemented, and ensure capability is sufficient for users to trust the tool.
- Use digital health data thoughtfully. Larger datasets matter only when the AI can translate them into role-specific, actionable guidance.