Three pharmaceutical giants staked structural claims inside AI labs over the past six weeks. The question their moves raise — who gets to govern what AI built for drug discovery actually becomes — is one that proxy season, now underway, may begin to answer. What the filings will show is uncertain. That they will eventually tell us something is not.
On April 15, Novartis CEO Vas Narasimhan was appointed to the board of Anthropic, the AI safety company structured as a Public Benefit Corporation whose Long-Term Benefit Trust appoints a majority of directors (ResultSense; Pharmaphorum). Narasimhan, a physician-scientist who has overseen development of more than 35 medicines, holds no disclosed equity in Anthropic and appears to be the first sitting pharmaceutical executive on a major AI lab's governing body. Whether his appointment carries any specific fiduciary duty for how Anthropic builds and deploys AI — and what that would require him to do or block — is not in any public filing. It will be, if anywhere, in the next proxy statement Anthropic files with the SEC. That document has not yet appeared.
The day before, April 14, Novo Nordisk signed an enterprise partnership with OpenAI covering research and development, manufacturing, and commercial operations, with pilot programs beginning immediately and full integration planned by the end of 2026 (Reuters). Novo Nordisk CEO Mike Doustdar, who took over in 2025 and subsequently cut 9,000 jobs, told Reuters the goal is to "supercharge" scientists, not replace them. No financial terms were disclosed. What OpenAI receives in exchange for embedding its models across every function of one of the world's largest drugmakers, and whether the deal includes any data governance rights, is not public.
On March 16, Roche said it operates the pharmaceutical industry's largest announced hybrid-cloud AI factory: 2,176 NVIDIA Blackwell GPUs on-premises, more than 3,500 total when combined with existing infrastructure, embedded across the entire value chain from discovery through manufacturing (Roche press release; NVIDIA blog). Genentech, its US research arm, already runs nearly 90 percent of its eligible small-molecule programs with AI integration. In one oncology program, AI helped design a degrader molecule 25 percent faster than traditional methods; in another, it delivered a backup drug candidate in seven months instead of more than two years.
Eli Lilly announced its own AI infrastructure play in January — a $1 billion, five-year co-innovation lab with NVIDIA at the JPMorgan Healthcare Conference — establishing the pattern before the other moves followed (DCAT Value Chain Insights).
The test case arrived April 16, when OpenAI released GPT-Rosalind, a reasoning model designed for biology and drug discovery, built alongside Amgen, Moderna, and Thermo Fisher. The model can reason across biological sequences, molecular structures, and experimental data in ways general-purpose AI cannot. Whether the pharma companies now embedded inside AI labs have any real influence over how models like Rosalind are developed — what data they train on, what safety constraints they carry — is the question proxy season will eventually answer. Right now, nobody outside those boardrooms knows.
What makes the governance question concrete is the fiduciary layer. Corporate directors have legal obligations to their companies and shareholders. A board seat at an AI lab doesn't automatically create AI oversight duties, but it does create a seat at the table where strategic decisions get made. Narasimhan's appointment is notable not because it signals a business deal — it doesn't, on its face — but because it puts a drug-industry insider into a governance role at the company building the kind of AI infrastructure that will shape what drug development looks like for years to come. What he does with that seat, and what he's required to do, is the part that matters. The proxy filing will be the first public document to say so explicitly. When it arrives, the story gets interesting.