Understanding Agentic AI: Features and Distinctions
Agentic AI autonomously takes actions, decisions, and adapts continuously without needing human intervention, enabling goal-driven behavior.
It operates proactively, setting goals and planning steps to accomplish complex tasks independently in dynamic environments.
This form of AI blends reasoning, learning, and collaboration among multiple specialized agents for sophisticated problem-solving.
Definition and Key Characteristics of Agentic AI
Agentic AI is an advanced AI that acts independently to achieve goals, planning, executing, and adapting actions without ongoing human control.
Key traits include autonomy, goal orientation, adaptability, planning, collaboration, and domain expertise, allowing proactive and intelligent behavior.
Differences Between Agentic AI and Traditional/Generative AI
Traditional generative AI creates content based on data patterns reactively, while agentic AI autonomously pursues goals with planning and decision-making.
Generative AI relies on prompts and is creative within learned bounds, whereas agentic AI self-initiates tasks and adapts strategies dynamically.
Components and Autonomous Capabilities
Agentic AI integrates perception, reasoning, memory, planning, action execution, and learning modules to function independently in complex tasks.
These components enable the AI to sense environments, plan multi-step workflows, act without intervention, and improve via continuous learning.
FDA’s Motivations for Adopting Agentic AI
The FDA adopts agentic AI to improve regulatory task efficiency by automating complex workflows while ensuring human oversight.
This move is aimed at addressing increased demands amidst staffing constraints and enhancing decision quality in drug and device review.
Agentic AI supports multi-step processes, enabling the FDA to modernize operations without compromising public health standards.
Addressing Workforce Reductions and Workflow Bottlenecks
In 2025, the FDA faced significant workforce cuts, delaying reviews due to fewer staff and increasing procedural bottlenecks.
These cuts caused longer review times, reduced inspection capacity, and lowered regulatory guidance availability, straining operations.
Enhancing Operational Efficiency and Review Accuracy
The FDA deployed AI tools like Elsa, which accelerates protocol reviews and automates routine tasks, improving staff efficiency.
AI helps FDA scientists focus on complex analyses, potentially increasing review accuracy and speeding regulatory decision-making.
Building on Previous AI Deployments and Ensuring Data Security
Previously, the FDA piloted AI-assisted scientific reviews and adopted Elsa, now used by over 70% of staff voluntarily.
All AI runs in a secure GovCloud environment, ensuring no training on user or industry data, protecting sensitive regulatory information.
Strategic Goals Behind AI Integration in Regulatory Processes
The FDA aims to modernize workflows with AI to shorten review timelines, boost scientific quality, and maintain strict safety standards.
It also seeks to develop governance, workforce training, and continual AI performance evaluation to support sustained innovation.
Tasks Supported by FDA’s Agentic AI Systems
The FDA uses agentic AI tools to assist and accelerate workflows in premarket reviews and other regulatory tasks, enhancing efficiency and decision accuracy.
These AI agents perform defined steps under human oversight, integrating outputs to support complex scientific reviews and organizational tasks.
Agentic AI improves regulatory workflows by automating multi-step processes, aiding staff in managing increasing workload demands effectively.
Premarket Reviews, Meeting and Workflow Management
Agentic AI aids premarket reviews by facilitating evaluation of AI-enabled devices through established pathways with enhanced protocol validation.
AI supports meeting management and workflow coordination, streamlining scientific assessments and reducing review times for regulatory staff.
Post-market Surveillance, Inspections, and Compliance Activities
The FDA mandates robust post-market surveillance plans for AI devices, using agentic AI to monitor device performance and manage algorithm updates.
Agentic AI helps track compliance and inspections by analyzing real-world data, identifying risks, and ensuring ongoing safety throughout the product lifecycle.
Administrative Workflows and Future Expansion Plans
Agentic AI streamlines administrative tasks like document handling and report generation, enhancing staff productivity and operational efficiency.
The FDA plans to expand agentic AI use through challenges encouraging innovative AI workflow solutions, aiming for broader integration by 2026.
Ensuring Safety and Oversight in AI-Assisted Regulatory Decisions
The FDA mandates that all AI-generated outputs used in regulatory decisions are reviewed and validated by human experts before any action is taken.
A risk-based credibility framework guides the FDA in assessing AI models, ensuring they are robust and appropriate for their specific context of use.
Continuous monitoring and transparency are essential to maintain model performance and trust throughout the AI lifecycle in regulatory processes.
Human Validation and Risk-Based Credibility Assessments
Human-in-the-loop validation is required: AI assists but does not replace human judgment in regulatory decisions ensuring safety and accuracy.
The FDA applies a seven-step risk-based process to verify AI credibility, tailoring validation efforts to the model’s intended regulatory use.
Security Protocols and Limiting AI Autonomy to Supportive Roles
FDA’s security protocols embed risk management and cybersecurity from design through post-market to protect AI integrity and data confidentiality.
The agency restricts AI autonomy, requiring rigorous validation and oversight to keep AI as a supportive tool, with final decisions reserved for humans.
Future Implications of Agentic AI in Pharma and Regulatory Science
Agentic AI will enable autonomous regulatory document generation, streamlining submissions with improved compliance and speed.
Real-time regulatory monitoring by AI ensures dynamic adaptation to global policy changes, maintaining strategic alignment proactively.
Enhanced benefit-risk modeling and multi-step workflow support will boost decision-making agility in drug development and oversight.





