Hospitals and pharma companies lose millions per year and advances in health research stagnates because not enough Canadians participate in clinical trials. Trialshub uses large language models (LLMs) to educate, engage and pre-screen populations at scale. On the operational side, Trialshub is developing the infrastructure layer for precision and adaptive DRUP-like trials in Canada ? helping repurpose underused molecules, match them to patients, and activating precision trials faster across academic hospitals.