“…[4,5] In the mid-term, the optimization of AD therapeutics requires the establishment of new postulates regarding (i) the costs of medicines (improvement in cost-effectiveness), (ii) the assessment of protocols for a multifactorial treatment (it is unlikely that a single drug will be powerful enough to slow down the disease progression in a complex disorder such as AD), (iii) the implementation of novel therapeutics addressing causative factors (identification of primary targets), (iv) the setting-up of pharmacogenomic strategies for drug development, (v) the incorporation of pharmacogenomics and pharmacoepigenomics into the clinical setting (epigenetic changes are potentially reversible with pharmacologic intervention), [12,13] and (vi) new regulations for the development of vaccines and/or other preventive strategies to treat susceptible patients in presymptomatic conditions. [4, 5,12,13,16] In our opinion, the incorporation of pharmacogenomics and pharmacoepigenomics into drug development in preclinical stages and in clinical trials would provide several benefits: (i) to identify candidate drugs for specific targets on a predictive basis (not relying on serendipity or trial-and-error assays); (ii) to reduce costs and time in preclinical studies; (iii) to identify candidate patients with the ideal genomic profile to receive a particular drug; (iv) to adapt the dose in over 90% of the cases according to the condition of CYP-related extensive, intermediate, poor, or ultra-rapid metabolizer (reducing the occurrence of direct side-effects in 30-50% of the cases); (v) to ensure drug penetration into the brain (drug transporter genotyping); (vi) to reduce drug interactions by 30-50%, avoiding the administration of inhibitors or inducers capable of modifying the normal enzymatic activity on a particular substrate (AD patients may take 6-10 drugs/day); (vii) to enhance efficacy and to reduce toxicity; and (viii) to eliminate the unnecessary costs (>30% of pharmaceutical global costs) derived from the consequences of inappropriate drug (or patient) selection and from the overmedication administered to mitigate adverse drug reactions. [4,5] Many different types of ICRs are available ( Figure 1) to facilitate proper decision-making in drug development for AD; however, promiscuity, redundancy, rigidity, conflict of interest, restricted accessibility, and sometimes, biased opinions, devaluate the potential utility of some cloud-based tools.…”