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Black Swan

Causal Labs

Real-World Evidence
and Causal Inference
at the frontier of
Artificial Intelligence.

Purpose-built solutions at the intersection of AI and real-world evidence science, from strategy and training to bespoke tooling, rigorous, regulatory-ready, and practitioner-led.

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Why the Black Swan

Rare events reshape everything

In probability theory, a Black Swan is an event that is rare, carries extreme and often unpredictable impact, and is only rationalized in hindsight.

Moments like the public emergence of large language models show how quickly foundational assumptions can shift, accelerating change across science and medicine in ways few fully anticipated.

It only takes a single observation, a single event, to shatter certainty.

In science and medicine, the most consequential insights often follow this same pattern. They are hidden in messy, real-world data, invisible to conventional methods, and transformative once revealed.

Large Language Models

Large Language Models
as a Black Swan Event

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Black Swan Event

Large Language Models

The emergence of large language models overturned long-held assumptions about what machines could do with language, reasoning, and scientific data. Practically overnight, workflows across evidence generation, literature review, and data curation were forced to adapt to an entirely new reality.

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COVID-19 Pandemic

COVID-19 Pandemic
as a Black Swan Event

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Black Swan Event

COVID-19 Pandemic

A novel pathogen reshaped global health systems in weeks, not years. The pandemic compressed decades of regulatory evolution into months, forcing real-world evidence and adaptive trial designs from the periphery to the center of decision-making.

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Our Mission

Black Swan Causal Labs exists to find
the signals that change practice

We apply AI and causal inference to surface evidence hidden in real-world data, so better decisions reach patients sooner. Our work spans strategy, tooling, and training across the full evidence lifecycle.

What We Offer

AI & RWE Strategy Consulting

Advisory services at the intersection of artificial intelligence, real-world evidence, and causal inference to help organizations design rigorous, regulatory-ready evidence programs.

Bespoke AI Tool Development

Purpose-built AI tools that streamline real-world data curation, analysis pipelines, and evidence generation workflows, tailored to your therapeutic area and data environment.

Causal Inference & Study Design

Expert guidance on observational study design, target trial emulation, and advanced causal methods to extract defensible insights from complex data.

Custom Training & Enablement

Tailored workshops and training programs on AI fluency, RWE methodology, causal inference, and the regulatory landscape, for teams at every level.

Regulatory & Policy Support

Navigating the evolving guidance from FDA, EMA, and ICH on the use of AI and real-world data in regulatory decision-making.

AI Tools Built for
Practitioners, by Practitioners

A hand-sketched directed acyclic graph on paper, resting on a desk #CAUSALINFERENCE

DAG Studio

A browser-based DAG editor and MCP server for pharmacoepidemiology and real-world evidence. Backdoor paths, adjustment sets, and identifiability checks, computed locally.

Read more v0.1.0
#COMINGSOON

In Active Development

A second purpose-built tool for pharmacoepidemiology and real-world evidence teams is in active development. Details to follow.

In progress

Latest Thinking

AI Agents and Idiot Sandwiches
Agent Architecture for RWE
New

AI Agents and
Idiot Sandwiches

A note on agent architecture for RWE teams. Why one agent doing everything cooks like a stressed-out home cook, and what the brigade model offers instead.

Every Study Is on the Causal Ladder
Causal Inference in Practice
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Every Study Is on
the Causal Ladder

Pearl's ladder gives us a way to read any paper with one question first: which rung is this research question on, and does the design have the equipment to answer it?

AI & Pharmacoepidemiology
AI & Pharmacoepidemiology
Coming Soon

AI & Pharmaco­epidemiology

Where large language models meet real-world evidence, and where the hype ends and the hard methodological questions begin.

Regulatory Readiness
Regulatory Readiness
Coming Soon

Regulatory
Readiness

What FDA, EMA, and ICH guidance actually means for teams building AI-assisted RWE. Documentation, accountability, and what regulators want to see.

RWE Study Design
RWE Study Design
Coming Soon

RWE Study
Design

Target trial emulation, covariate selection, and the choices that make or break a pharmacoepi study, before you touch the data.

Advance Real World Evidence
Together.

Whether you're exploring a consulting engagement, a research collaboration, or an industry partnership, we'd like to hear about your work.

Based In Los Angeles, California
Focus Pharmacoepidemiology & Real-World Evidence
Entity Black Swan Causal Labs, LLC