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How to speed up clinical trials

Brief

Works in Progress (video interview, 2026-04-22) features Ben and Saloni talking with Ruxandra Teslo about why drug development costs keep rising (Eroom's law) and what can be done. The conversation focuses on concrete reforms to make clinical trials faster and more abundant, explains the shift of early-phase trials to Australia, and critiques ethics board processes while emphasizing safety-preserving fixes.

Why it matters

Eroom's law: drug development is becoming more expensive over time in terms of output per dollar spent, despite major technological advances (video published 2026-04-22).

Key details

  • Ben and Saloni interview Ruxandra Teslo about practical fixes: reforming trial design and oversight, reasons many companies run early trials in Australia, and problems with ethics boards that slow trials without improving safety.
Source evidence

Drug development has never been more expensive, in terms of output per dollar spent.

This trend, called Eroom's law, is surprising, considering incredible technological advances.

Ben and Saloni talk to Ruxandra Teslo about why this has happened and what can be done about it.

How can we reform clinical trials to make them more efficient and abundant? Why are so many pharma companies moving early trials to Australia? What's wrong with ethics boards and how can we fix them without compromising on safety?

Channel: Works in Progress
Published: 2026-04-22
Video URL: https://www.youtube.com/watch?v=P8XhJuxyrVU