A collaborative large language model for drug analysis
Large language models (LLMs), such as ChatGPT, have substantially helped in understanding human inquiries and generating textual content with human-level fluency. However, directly using LLMs in healthcare applications faces several problems. LLMs are prone to produce hallucinations, or fluent content that appears reasonable and genuine but that is factually incorrect. Ideally, the source of the generated content should be easily traced for clinicians to evaluate. We propose a knowledge-grounded collaborative large language model, DrugGPT, to make accurate, evidence-based and faithful recommendations that can be used for clinical decisions. DrugGPT incorporates diverse clinical-standard knowledge bases and introduces a collaborative mechanism that adaptively analyses inquiries, captures relevant knowledge sources and aligns these inquiries and knowledge sources when dealing with different drugs. We evaluate the proposed DrugGPT on drug recommendation, dosage recommendation, identification of adverse reactions, identification of potential drug-drug interactions and answering general pharmacology questions. DrugGPT outperforms a wide range of existing LLMs and achieves state-of-the-art performance across all metrics with fewer parameters than generic LLMs.
Authors
- Patrick Schwab (ORCID: https://orcid.org/0000-0002-2868-7794)
- Anshul Thakur (ORCID: https://orcid.org/0000-0002-7006-1947)
- Hongjian Zhou (ORCID: https://orcid.org/0000-0002-2428-0559)
- Yefeng Zheng (ORCID: https://orcid.org/0000-0003-2195-2847)
- Lei Clifton (ORCID: https://orcid.org/0000-0001-5595-8468)
- David W. Eyre (ORCID: https://orcid.org/0000-0001-5095-6367)
- Guowei Huang (ORCID: https://orcid.org/0000-0002-0346-6303)
- Xian Wu (ORCID: https://orcid.org/0000-0003-1118-9710)
- Wenjun Zhang (ORCID: https://orcid.org/0000-0001-7973-8769)
- Fenglin Liu (ORCID: https://orcid.org/0000-0001-7715-5228)
- David A. Clifton
- Kim Branson
- Jinge Wu
- F. Liu
- Haochen Luo
Institutions
- GlaxoSmithKline (United Kingdom) (GB)
- Tencent (China) (CN)
- Open Data Institute (GB)
- Westlake University (CN)
- University of Oxford (GB)
- Nuffield Health (GB)
- Suzhou Research Institute (CN)
- Science Oxford (GB)
- University College London (GB)
Publication Details
- Journal
- Nature Biomedical Engineering
- Published
- 2025-09-23
- DOI
- https://doi.org/10.1038/s41551-025-01471-z
- Citations
- 6
- Primary Topic
- Machine Learning in Healthcare
- Type
- article
- Field-Weighted Citation Impact
- 14.89
Funders
- Wellcome Trust
- UK Research and Innovation
- National Institute for Health and Care Research
- Department of Health and Social Care
- Royal Academy of Engineering
- University of Oxford
- Oxford Health NHS Foundation Trust
- Engineering and Physical Sciences Research Council
- Clarendon Fund