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Forbes - Healthcare

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Human Organ Chip Systems Reshape Drug Development
Dr. Tal Patalon, MD, LLB, MBA · 2026-05-02 · via Forbes - Healthcare
Cancer Chip

Cancer chip// Invasion in motion | Each of my stories includes an original artwork. Clicking on them will take you to their websites. I am grateful for all the collaborators, sharing their work.

@Dr. Donald Ingber

Medicine measures everything in time: the “golden hour” of trauma, the narrow window before tissue dies or the time to intervene in sepsis. In drug development, time is on a different scale. More than a decade can pass from bench to bedside, often consuming billions of dollars in research and development. For Dr. Donald Ingber, the founding director of Harvard’s Wyss Institute for Biologically Inspired Engineering, biological clocks are negotiable.

For more than a decade, Ingber’s lab has been building what he calls Human Organ Chips—a microscopic window to the activity inside human cells. “[These are] small, optically clear, devices the size of a thumb drive that contain hollow channels lined by living human cells and tissues, perfused dynamically with fluids and exposed to relevant physical cues, such as breathing motions in lung or peristalsis in intestine, which recreate organ-level structures and functions.”

The point is a safe and representative human beta site or a testing ground. The chips, Ingber says, “provide the ability to carry out human-relevant experiments analyzing the effects of drugs, toxins, pathogens and other environmental exposures without requiring human clinical studies.” This can accelerate preclinical drug development, help select the right patients for clinical trials and thereby increase success rate and reduce costs.

Lung on a chip// Keep Breathing | Each of my stories includes an original artwork. Clicking on them will take you to their websites. I am grateful for all the collaborators, sharing their work.

@Dr. Donald Ingber

That language held considerable weight in the past year. In April 2025, the FDA published its roadmap to reduce, refine or potentially replace animal testing in preclinical safety studies, naming organoids and organ-on-a-chip systems as a core new approach methodology. Three months later, the NIH announced it would no longer fund proposals that rely exclusively on animal data. Ingber also argues that if organ chips are created from the individual’s own cells, they could play a more significant role in personalizing medicine, by providing a “way to assess the effects of drugs on individual patients or defined populations.”

Yet, in a January 2026 paper in Cell Stem Cell, Ingber argued that despite the regulatory tailwind, organ chips have not yet been integrated into drug-development pipelines. The reason, he says, is more human than scientific. “The biggest bottleneck is human nature: people don’t like to change the way they do things,” Ingber tells me. “Toxicologists are particular averse to risk, and for good reasons. Also, the Organ Chips are currently low-throughput, expensive compared to other in vitro models (but not animals), and they require staff with different skills or existing staff to learn new ones.”

The economics, though, are starting to catch up. A 2022 study from his group estimated that a single validated liver-chip workflow could save the pharmaceutical industry $3 billion by replacing a single toxicity test. Just the tip of the iceberg. “[We estimate] savings of roughly $27 billion by preventing late-stage drug failures in clinical trials that would not be predicted by animal models.” And that, he notes, is just toxicology. “There would be additional savings from replacing animal models with human disease models and identify drug targets in a more human-relevant way.”

Given this potential, his team is working on multiple chip-related projects, from reproductive organs to lymph nodes to lung and intestine. When asked about his most futuristic project, Ingber says: “We are currently funded by ARPA-H to develop a Broad-Spectrum Therapeutic that stimulates the immune system to fight against a wide range of viral infections as well as many different types of cancer - this is a single drug.”

Some of Ingber's chips have left the planet. “In a NASA and BARDA funded project, we have created Bone Marrow Chips lined with individual ARTEMIS II astronauts' cells which recently flew around the Moon and back on the ARTEMIS II mission to demonstrate the usefulness of Organ Chips to study the effects of spaceflight-associated exposure to cosmic radiation and microgravity.” Why is this important? “[These chips] would likely be equally useful to protect healthy tissues in cancer patients receiving radiotherapy or during nuclear disasters as well as to reverse bone and muscle loss in bedridden and elderly patients,” he replies. But there is, of course, a direct effect for space medicine. “Man will not be able to travel to Mars without developing ways to protect against cosmic radiation, which can increase abruptly to lethal levels (e.g., with hard-to-predict solar flares). The effects of microgravity on bone loss, muscle wasting, and immune cell suppression are also major problems.”

Suspended Animation

A second arc of his work is about a different kind of clock entirely. Funded by DARPA and ARPA-H, his lab is developing drugs that can induce biostasis—what Ingber describes as “the process of slowing down biochemical, metabolic and physiological activities to place a cell, tissue, organ or whole organism in a state of 'suspended animation', much like what we see in animals that hibernate or undergo torpor.”

The idea is striking: a drug that can buy time. And it seems closer than ever. His AI-driven drug-repurposing platform, NemoCAD, has already identified a candidate that slows metabolism in pig hearts, as his team plans to move on to human hearts. “My hope is that the first trial for this biostasis drug will be for increasing functionality during surgical transplantation,” he says. If organ chips save time at the bench—collapsing a decade of preclinical testing into months, and telling us in advance who will respond—biostasis buys it at the bedside. Two ends of the same clock.

When asked what the future of global health research and development is, Ingber replied:, Ingber replied: “Based on the current actions of our government, I see leadership moving to China over the next 25 years. So look there to see the future in many ways.”

Surely, this technology will move fast. What I am waiting for is the moment organ chips stop being single thumb-drive devices and become systems—networks of a patient's own organs-on-a-chip, tested in parallel before a single pill is ever swallowed. A humanoid avatar of sorts, built from one's own cells. That is when drug development stops being a population science and becomes, finally, a personal one. The closer medicine gets to the individual, the heavier the ethical weight on the data that defines them. And no chip, however accurate, is morally agnostic.