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Related Experiment Video

Updated: Jan 9, 2026

Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems
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Multi agent large language models for biomedical hypothesis generation in drug combination discovery.

Qidi Xu1, Claudio Soto2, Mohammad Shahnawaz2

  • 1McWilliams School of Biomedical Informatics, UTHealth Houston, Houston, TX 77030, US.

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|December 9, 2025
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This study introduces Coated-LLM, an AI framework for generating Alzheimer's disease therapeutic hypotheses in data-scarce scenarios. Coated-LLM successfully predicted effective drug combinations, validated in vitro.

Keywords:
Artificial intelligenceDrugsHealth sciencesMedicine

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Area of Science:

  • Artificial Intelligence
  • Biomedical Research
  • Pharmacology

Background:

  • Large language models (LLMs) show promise in scientific reasoning but struggle with hypothesis generation in data-scarce fields.
  • Predicting combinatorial therapies for complex diseases like Alzheimer's (AD) is challenging due to limited data.

Purpose of the Study:

  • To introduce Coated-LLM, an AI framework for predicting efficacious combinatorial therapies in data-scarce domains, using AD as a case study.
  • To leverage AI-driven scientific collaboration to overcome limitations in traditional data-driven prediction methods.

Main Methods:

  • Coated-LLM utilizes specialized LLM agents (Researcher, Reviewers, Moderator) for systematic hypothesis generation and evaluation.
  • In-context learning techniques are employed to enhance the AI's reasoning capabilities.
  • The framework was tested using Alzheimer's disease data, comparing its performance against traditional knowledge-based approaches.

Main Results:

  • Coated-LLM achieved higher accuracy (0.74) than traditional methods (0.52) in predicting therapeutic efficacy for Alzheimer's disease.
  • External validation further confirmed the framework's predictive power with an accuracy of 0.82.
  • A novel drug combination identified by Coated-LLM was experimentally validated to significantly reduce amyloid aggregation in vitro.

Conclusions:

  • Coated-LLM demonstrates a scalable approach for hypothesis generation in biomedical research, augmenting human scientific reasoning.
  • The AI framework shows significant potential for accelerating the discovery of novel therapeutic strategies for complex diseases like Alzheimer's.
  • This work highlights the capability of AI in addressing data scarcity challenges in scientific discovery.