Steven Thompson

Founder & CEO • NexTrial.ai

I build the activation infrastructure that clinical trials never had.

Founder & CEO of NexTrial.ai — compressing trial activation from 120 to 30 days across FDA, ANVISA, and CDSCO. Enterprise operator with $1.2B+ in delivered programs.

120 → 30 days
Trial activation compression
94%
First-submission approval rate
FDA · ANVISA · CDSCO
3 Active Jurisdictions
$250M+
Enterprise cost savings delivered

Trusted by industry leaders

ADM logo
NuBank logo
Takeda logo
Biogen logo
Indigo logo
NexTrial.ai logo
Proven. Not Promised.

Traction

120 → 30-45 days
58% compression in pilot
94%
First-submission approval (vs. 70-75% industry)
38% → 22%
Screen-fail reduction
26.8% → 19.4%
Dropout reduction
7.5 hrs/week
Returned to coordinators
$250M+
Cost savings across enterprise programs

Pilot data from 12 trials, US and India. DIA 2026 accepted presentation — Abstract ID 116114.

AI-Native by Design

NexTrial.ai doesn't just build AI for clinical trials — we run on it. My operations are powered by a coordinated team of AI agents handling competitive intelligence, investor research, regulatory monitoring, content production, and G&A workflows. This isn't aspiration — it's production infrastructure. A lean team moving at a pace that doesn't make sense to competitors still running on email and spreadsheets.

Featured Insight

Every Patient Is a Differential Equation

Every Patient Is a Differential Equation (And Your AI Can't Solve It)

From forensics to flight simulators: why patient matching must move from snapshots to simulations. Physics-informed trajectory modeling vs. pattern-matching — and why it matters for your clinical trials.

The Peloton Advantage

Why teams choose me to lead their transformation

Like cycling in formation, successful transformations require someone who knows when to pace, when to push, and how to keep everyone together through the climbs.

Compliance-First

Every system built for audit readiness. Governance isn't overhead—it's the foundation that enables speed.

Human-in-Loop

AI amplifies human expertise, never replaces it. Teams stay in control while systems handle the routine.

Finish-Line Focus

Programs that start strong but fade in execution. I orchestrate teams to cross the finish line together.

Available for Speaking

Book Steven for your next event

Keynotes on AI orchestration, compliance moats, and transformation leadership. Webinars and private briefings available.

The human behind the systems

When I'm not orchestrating clinical trials or ERP transformations, you'll find me on my bike, exploring the gravel roads of Ubatuba and São Paulo's urban landscape or planning my next cycling adventure.

Art and cycling teach the same lesson: progress happens in the spaces between effort and flow, structure and creativity, individual strength and collective momentum.

Steven Thompson professional portrait
Steven Thompson cycling