arXiv Computation and Language

TrialAtlas: Multi-Agent Research Organization for Clinical Trial Design and Optimization

arXiv AI
Sep 2

Towards AI-Assisted Clinical Trial Matching: Practical Considerations, Multicenter Evaluation, and Real-World Deployment

arXiv:2609.01202v1 Announce Type: cross Abstract: Clinical trials are essential for advancing cancer care and drug development, but many fail because of insufficient patient enrollment. While there i...

By Yin Fang, Qiao Jin, Shubo Tian, Lauren He, Maya Geer, Noor Naffakh, Ryan Huu-Tuan Nguyen, Zifeng Wang, Jimeng Sun, Charalampos S. Floudas, James L. Gulley, Kamilia Moalem, Catarina Martins Maia, Amanda Nottke, Juan W. Valle, Melinda Bachini, Lourdes Rocha-Nussbaum, Kari Ramage, Nikita Curry, Megan Barnes, Mandy Mansaray, Darlene Gabeau, Craig E. Grossman, Heath Skinner, Michael Burczynski, NIH-TrialBench Consortium, Zhiyong Lu
arXiv AI
Sep 15

ClinicalReTrial: Clinical Trial Redesign with Self-Evolving Agents

ClinicalReTrial is a multi‑agent AI system that treats clinical trial protocol optimization as an iterative redesign problem on textual documents. It combines failure diagnosis, safety‑aware modifications, and candidate evaluation within a closed‑loop, reward‑driven framework, using a predictive model as a simulation environment for low‑cost, dense feedback. The system achieves a 56.7% conversion of failed protocols to predicted successes, with a 7.4% average success probability increase at a negligible cost, and its redesign patterns align with real‑world expert changes.

By Sixue Xing, Kerui Wu, Xuanye Xia, Haoyu He, Meng Jiang, Jintai Chen, Tianfan Fu
arXiv Computation and Language
Sep 14

From Bench-to-Bedside: A Review of Clinical Trials in Drug Discovery and Development

arXiv:2412.09378v4 Announce Type: replace-cross Abstract: Clinical trials bridge basic research and clinical application, serving as essential steps in drug development. This review examines clinical...

By Tianyang Wang, Ming Liu, Benji Peng, Xinyuan Song, Charles Zhang, Xintian Sun, Qian Niu, Junyu Liu, Silin Chen, Keyu Chen, Ming Li, Pohsun Feng, Ziqian Bi, Yunze Wang, Yichao Zhang, Cheng Fei, Lawrence K. Q. Yan, Ziyuan Qin, Riyang Bao, Zekun Jiang
arXiv AI
Aug 19

GxP-Agent: Process-DAG Topology for Reliable Clinical Trial Programming with LLM Agents

GxP-Agent is a multi‑agent system that transforms clinical trial protocols into CDISC‑compliant datasets by encoding the regulatory workflow as a directed acyclic graph (DAG). Each node in the DAG represents a domain‑specific task executed by a worker agent with specialized skill context, validation gates, and conditional retry logic. On the CDISC‑Bench benchmark, GxP-Agent with Claude Sonnet 4.6 achieved a perfect 100 % structural match for 49 variables across 254 records, outperforming single‑agent and flat multi‑agent baselines and enabling weaker models like GPT‑4.1 to reach 59.2 % under the same DAG.

By Jaime Yan
arXiv AI
Jun 30

An AI agent for treatment reasoning over a biomedical tool universe

arXiv:2606. 28692v1 Announce Type: new Abstract: Treatment reasoning underpins every therapeutic decision, integrating disease context, comorbidities, medications, contraindications, and evolving biomedical knowledge to select an appropriate therapy.

By Shanghua Gao, Ayush Noori, Richard Zhu, Curtis Ginder, Zhenglun Kong, Xiaorui Su, Justin Kauffman, Benjamin S. Glicksberg, Joshua Lampert, Ankit Sakhuja, Ashwin Sawant, ATHENA-R1 Evaluation Consortium, David A. Clifton, Noa Dagan, Ran Balicer, Marinka Zitnik
arXiv AI
Jun 30

LUMEN: Cost-Transparent Multi-Agent Pipeline for Automated Systematic Review and Meta-Analysis

arXiv:2606. 28362v1 Announce Type: cross Abstract: Systematic reviews and meta-analyses (SR/MA) remain the gold standard for evidence synthesis, yet completing one typically requires 67 weeks and substantial expert effort.

By Yen-Hsun Huang (Department of Education, Taipei Veterans General Hospital, Taipei, Taiwan), Yu-Shiou Lin (Department of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan)
arXiv AI
Sep 15

ClinAgent: A ReAct-Based Agent for Conversational Access to Clinical Trial Information

ClinAgent is a conversational system that uses a ReAct-based LLM agent to retrieve and synthesize clinical trial information from multiple sources such as ClinicalTrials.gov, PubMed, and a local dataset. The agent iteratively reasons over user queries, selects appropriate tools, and refines its actions to provide grounded, up-to-date responses in natural language across multi-turn interactions. Evaluation across three phases shows that DeepSeek (thinking mode) excels in planning quality while Gemini 3.0 Flash delivers the highest overall performance and expert ratings, demonstrating the promise of agentic AI for improving clinical trial data access.

By Antonino Vaccarella, Riccardo Cantini, Domenico Talia, Paolo Trunfio, Marianna Talia, Rosamaria Lappano, Marcello Maggiolini