Editor’s note: February is Black History Month—a time for us to come together to celebrate the diverse set of experiences, perspectives and identities that make up the Black experience. Over the next few weeks, we will highlight Black-led startups and how they use Google Cloud to grow their businesses. Today’s feature highlights Acclinate and its founders, Del and Tiffany. 

As patients, as caregivers, and as parents taking our own children to the doctor, we want recommended medications to be safe and effective. It’s a right everyone deserves.

It’s known that certain medications don’t work in the same way in all populations. For example, Albuterol, a medication often prescribed for asthma, is less effective in 67% of all Puerto Ricans and 47% of Black Americans. These problems—which can have deadly consequences—result from historically limited diversity in pharmaceutical clinical trials. 

We founded our startup Acclinate to integrate culture and technology to achieve more inclusive clinical research. Help pharmaceutical companies and healthcare organizations access and engage communities of color so research is more inclusive.

Bridging the health equity gap by building trust

It’s important that health research organizations access and engage communities of color so their efforts reflect all the people they serve. Take a disease like diabetes, which affects a significantly higher proportion of Black Americans. When you look at even recent clinical trials for diabetic drugs, the representation of Black Americans among participants is only in the low single digits, despite comprising 13 percent of the U.S. population and more than 40 percent of diabetes patients in this country. Industry leaders have been aware of the lack of diversity issue, but some have chosen to ignore it or brush it aside. The biggest problem, in our opinion, is that there have been no penalties for not achieving higher diversity figures in clinical trials, and only minor financial repercussions to pharma/biotech companies when their treatments either do not work across all groups once approved, or there is a lack of uptake by all groups due to the lack of testing in those groups. The lack of clinical trial diversity has adversely impacted the reputation of the industry and the ability to recruit diverse populations in the future. 

Acclinate integrates culture and technology to promote diverse patient representation in medical research. Our approach is not transactional. We build trust through our  #NOWINCLUDED community, which is an ongoing, ever-expanding digital platform that educates and engages with communities of color on health issues.

#NOWINCLUDED includes a website app, and social media presence where members can learn information about diseases, particularly those with greater negative impacts on people of color, such as cancer, diabetes, and cardiovascular diseases. Members can share stories and ask questions. By providing access to trusted resources about these health issues and the latest clinical research, we empower Black people to take control of their health and consider  participating in research that is shaping the future of healthcare.  

For healthcare-related organizations, we offer the opportunity to better understand the attitudes, aspirations, and unmet needs of underrepresented minority communities. Data from #NOWINCLUDED feeds our HIPAA-compliant SaaS platform, e-DICT™ (Enhanced Diversity in Clinical Trials), which uses predictive analytics and machine learning to identify individuals matching the requirements and most likely to be receptive to participation in a particular clinical trial.

Acclinate scales its platform with Google Cloud

We rely on Google Cloud services, including Vertex AI, to know whom to ask, when to ask, and how to ask for clinical trial participation. With Vertex AI, we enjoy a unified platform for developing our artificial intelligence models, including tools for preparing and storing our datasets. We can easily train and compare models using AutoML, which requires minimal ML expertise or effort with its intuitive graphical interface. This allows us to leverage more than ten ordinal and categorical data points to determine in real time a community member’s likelihood to enroll, which we call our Participation Probability Index (PPI). Our models evolve in an iterative process the more we interact with, and learn about, our community members.

We follow the pay-per-use Google Cloud Platform architecture model using serverless technology, which helps reduce infrastructure management costs and lets us focus on product development and engaging with communities across the U.S.

CloudSQL, a fully managed relational database service, integrates easily with BigQuery so we can glean insights for our clients in real time, all with Google Cloud’s robust security, governance, and reliability controls. Virtual Private Cloud (VPC) gives us scalable and flexible networking for our cloud-based resources and services. We also use Identity and Access Management (IAM) to simplify oversight of Google Cloud resource permissions for different user groups and roles, with appropriate security protections. 

API Gateway manages our APIs using Cloud Functions, which both use consumption-based pricing, plus give our developers consistent and highly secure access to our services through a well-defined REST API. We use Memorystore for Redis to reduce platform latency. This is done with a fully managed service powered by the Redis in-memory data store, which builds application caches for fast data access. All of this comes together to provide an outstanding experience for our platform’s users and contributors.

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Expanding influence with the Google for Startups Accelerator for Black Founders

Three months of one-on-one Google support and mentorship as part of the most recent Google for Startups Accelerator : Black Founders cohort not only helped us build our product, but also helped us earn external credibility. People use Google every day, so whether we’re trying to engage in conversations with industry experts or with somebody in a rural community, it is helpful to have the buy-in of a globally-recognized brand as we take on a historically difficult, systemic issue with challenges around trust. Getting access to the products, best practices, and people we need to build and grow through the Accelerator program has been priceless. For example, working with the Google AdWords team helped us generate important traffic from people interested in learning more about #NOWINCLUDED or sharing their story with us. Jason Scott, who leads the Google for Startups Accelerator: Black Founders program, is still connecting us to people in his network and identifying key opportunities for us months after the program wrapped. He continues to demonstrate that he is invested in seeing us succeed. 

Our company has made great progress against our goals, in part thanks to receiving capital from the Google for Startups Black Founders Fund. We received $100K in non-dilutive funding along with Google Cloud credits, Google.org Ads grants, and hands-on support. We used the funds to pay for the transition and development costs associated with moving to Google Cloud. The Google support and accountability has been incredible. After receiving the Google for Startups Black Founders Fund award, we’ve gone on to raise another $1M and moved our cloud from Salesforce to Google Cloud. 

We also had the amazing opportunity to be selected as one of six companies to take part in a face-to-face web conference with Sundar Pichai, Google’s CEO. We were thrilled to hear him explain his vision around health equity and the role Google plays. Ultimately, for us, it’s not just about the funding we get, but we are also gratified to receive support from an entity that truly believes in addressing this issue. We know Google is aligned with our mission of health and racial equity. 

Championing diversity in clinical trials

Our 2022 looks bright. We expanded our presence to Washington, D.C. as part of the Johnson & Johnson Innovation JLABS ecosystem. We were also selected to take part in the BLUE KNIGHT initiative created between Johnson & Johnson Innovation and the Biomedical Advanced Research and Development Authority (BARDA) under the U.S. Department of Health and Human Services. 

Acclinate is also on track to have contracts with five of the top 25 largest biopharmaceutical companies in the U.S this year. They’ve taken note, as has the Food and Drug Administration (FDA), that the lack of diversity in clinical trials represents a significant health concern—to the extent that the FDA has provided strong guidance for pharmaceutical companies to  diversify their clinical trials. At the same time, the industry is also responding to pressure from communities of people of color to make equitable representation a priority.

Today, we are in the fortunate but challenging position to have significant inbound opportunities coming our way. In response, we continue to recruit and hire talented people to join our team. On the technology side, we are happy to be aligned with Google Cloud to have powerful cloud infrastructure that will scale with us, as well as high-caliber champions united in partnership. With people’s lives at stake, we are passionate in our commitment to helping ensure medications do what they are supposed to do: heal and improve the quality of life for everyone who takes them. 

Hear Acclinate cofounders Del Smith and Tiffany Whitlow chat with Google’s Head of Startup Developer Ecosystem Jason Scott and fellow Black Founders Fund recipient Bobby Bryant about building on Google Cloud in a recent Google for Startups Instagram Live. 

If you want to learn more about how Google Cloud can help your startup, visit our page here to get more information about our program, and sign up for our communications to get a look at our community activities, digital events, special offers, and more

Healthcare breakthroughs change the world and bring hope to humanity through scientific rigor, human insight, and compassion. We believe AI can contribute to this, with thoughtful collaboration between researchers, healthcare organizations and the broader ecosystem. 

Today, we’re sharing exciting progress on these initiatives, with the announcement of limited access to Google’s medical large language model, or LLM, called Med-PaLM 2. It will be available in coming weeks to a select group of Google Cloud customers for limited testing, to explore use cases and share feedback as we investigate safe, responsible, and meaningful ways to use this technology. 

Med-PaLM 2 harnesses the power of Google’s LLMs, aligned to the medical domain to more accurately and safely answer medical questions. As a result, Med-PaLM 2 was the first LLM to perform at an “expert” test-taker level performance on the MedQA dataset of US Medical Licensing Examination (USMLE)-style questions, reaching 85%+ accuracy, and it was the first AI system to reach a passing score on the MedMCQA dataset comprising Indian AIIMS and NEET medical examination questions, scoring 72.3%.

Industry-tailored LLMs like Med-PaLM 2 are part of a burgeoning family of generative AI technologies that have the potential to significantly enhance healthcare experiences. We’re looking forward to working with our customers to understand how Med-PaLM 2 might be used to facilitate rich, informative discussions, answer complex medical questions, and find insights in complicated and unstructured medical texts. They might also explore its utility to help draft short- and long-form responses and summarize documentation and insights from internal data sets and bodies of scientific knowledge.

Innovating responsibly with AI

Since last year, we’ve been researching and evaluating Med-PaLM and Med-PaLM 2, assessing it against multiple criteria — including scientific consensus, medical reasoning, knowledge recall, bias, and likelihood of possible harm — which were evaluated by clinicians and non-clinicians from a range of backgrounds and countries. 

Med-PaLM 2’s impressive performance on medical exam-style questions is a promising development, but we need to learn how this can be harnessed to benefit healthcare workers, researchers, administrators, and patients. In building Med-PaLM 2, we’ve been focused on safety, equity, and evaluations of unfair bias. Our limited access for select Google Cloud customers will be an important step in furthering these efforts, bringing in additional expertise across the healthcare and life sciences ecosystem. 

What’s more, when Google Cloud brings new AI advances to our products, our commitment is two-fold: to not only deliver transformative capabilities, but also ensure our technologies include proper protections for our organizations, their users, and society. To this end, our AI Principles, established in 2017, form a living constitution that guides our approach to building advanced technologies, conducting research, and drafting our product development policies. 

From AI to generative AI 

Google’s deep history in AI informs our work in generative AI technologies, which can find complex relationships in large sets of training data, then generalize from what they learn to create new data. Breakthroughs such as the Transformer have enabled LLMs and other large models to scale to billions of parameters, letting generative AI move beyond the limited pattern-spotting of earlier AIs and into the creation of novel expressions of content, from speech to scientific modeling. 

Google Cloud is committed to bringing to market products that are informed by our research efforts across Alphabet. In 2022, we introduced a deep integration between Google Cloud and Alphabet’s AI research organizations, which allows Vertex AI to run DeepMind’s groundbreaking protein structure prediction system, AlphaFold.

Much more is on the way. In one sense, generative AI is revolutionary. In another, it’s the familiar technology story of more and better computing creating new industries, from desktop publishing to the internet, social networks, mobile apps, and now, generative AI.

Building on AI leadership

Additionally, today we’re announcing a new AI-enabled Claims Acceleration Suite, designed to streamline processes for health insurance prior authorization and claims processing. The Claims Acceleration Suite helps both providers of insurance plans and healthcare to create operational efficiencies and reduce administrative burdens and costs by converting unstructured data into structured data that help experts make faster decisions and improve access to timely patient care. 

On the clinical side, last year we announced Medical Imaging Suite, an AI-assisted diagnosis technology being used by Hologic to improve cervical cancer diagnoses and Hackensack Meridian Health to predict metastasis in patients with prostate cancer. Elsewhere, Mayo Clinic and Google have collaborated on an AI algorithm to improve the care of head and neck cancers, and Google Health recently partnered with iCAD to improve breast cancer screening with AI.

From these examples and more, it’s clear that the healthcare industry has moved from testing AI to deploying it to improve workflows, solve business problems, and speed healing. With this in mind, we expect rapid interest in and uptake of generative AI technologies. Healthcare organizations are eager to learn about generative AI and how they can use it to make a real difference.

Looking ahead

The power of AI has reinforced Google Cloud’s commitment to privacy, security, and transparency. Our platforms are designed to be flexible, including data and model lineage capabilities, integrated security and identity management services, support for third-party models, choice and transparency on models and costs, integrated billing and entitlement support, and support across many languages. 

While we’ll have some innovations like Med-PaLM 2 that are tuned for healthcare, we also have products that are relevant across industries. Last month, we announced several generative AI capabilities coming to Google Cloud, including Generative AI support in Vertex AI and Generative AI App Builder, which are already being tested by a number of customers. Developers and businesses already use Vertex AI to build and deploy machine learning models and AI applications at scale, and we recently added Generative AI support in Vertex AI. This gives customers foundation models they can fine-tune with their own data, and the ability to deploy applications with this powerful new technology. We also launched Generative AI App Builder to help organizations build their own AI-powered chat interfaces and digital assistants in minutes or hours by connecting conversational AI flows with out-of-the-box search experiences and foundation models.

As AI proves its value, it’s likely there will be increased focus on high-quality data collection and curation in healthcare and life sciences. Improving the flow and unification of data across health care systems, referred to as data interoperability, is one of the most important building blocks to leveraging AI, and it helps organizations run more effectively, improve patient care, and helps people live healthier lives. We expect to continue our investments in technology, infrastructure, and data governance.

We’re committed to realizing the potential of this technology in healthcare. By working with a handful of trusted healthcare organizations early on, we’ll learn more about what can be achieved, and how this technology can safely advance. For all of us, the prospects are inspiring, humbling, and exciting. 

If you’re interested in exploring generative AI on Cloud, you can sign-up for our Trusted Tester program or reach out to your Google Cloud sales representative.

In 2013, long before the world was discussing clean energy and sustainable practices, two IIT Madras graduates — Swapnil Jain and Tarun Mehta — had an idea to develop India’s first-ever electrical scooter.

This was at a time when auto manufacturers were still focusing on fossil-fuel-driven vehicles and ‘eco-friendly’ mobility solutions were more a trendy alternative catering to a niche market.

The duo founded Ather Energy in 2013 and launched their first fully-electric scooter, the Ather S340, in Bengaluru in 2016. Since then, the company has released several new models into the market and is planning to expand to eight more cities by the end of the year.

To support the smooth running of their vehicles, lower costs, improve time to market, and create great customer experience, Ather turned to Google Cloud.

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