{"title":"A collaborative large language model for drug analysis.","authors":"Hongjian Zhou,Fenglin Liu,Jinge Wu,Wenjun Zhang,Guowei Huang,Lei Clifton,David Eyre,Haochen Luo,Fengyuan Liu,Kim Branson,Patrick Schwab,Xian Wu,Yefeng Zheng,Anshul Thakur,David A Clifton","doi":"10.1038/s41551-025-01471-z","DOIUrl":null,"url":null,"abstract":"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.","PeriodicalId":19063,"journal":{"name":"Nature Biomedical Engineering","volume":"7 1","pages":""},"PeriodicalIF":26.8000,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nature Biomedical Engineering","FirstCategoryId":"5","ListUrlMain":"https://doi.org/10.1038/s41551-025-01471-z","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENGINEERING, BIOMEDICAL","Score":null,"Total":0}
引用次数: 0
Abstract
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.
期刊介绍:
Nature Biomedical Engineering is an online-only monthly journal that was launched in January 2017. It aims to publish original research, reviews, and commentary focusing on applied biomedicine and health technology. The journal targets a diverse audience, including life scientists who are involved in developing experimental or computational systems and methods to enhance our understanding of human physiology. It also covers biomedical researchers and engineers who are engaged in designing or optimizing therapies, assays, devices, or procedures for diagnosing or treating diseases. Additionally, clinicians, who make use of research outputs to evaluate patient health or administer therapy in various clinical settings and healthcare contexts, are also part of the target audience.