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Foundation models and AI agents in oncology drug discovery
Yashwardhan Ghanwatkar1, Pankaj Rajdeo2, Ram I Mahato1
1Department of Pharmaceutical Sciences, University of Nebraska Medical Center, Omaha, NE 68198, USA.
Abstract:
Oncology drug discovery remains limited by high attrition, slow experimental iteration and weak translation from preclinical models to clinical benefit. This review examines how AI is restructuring that process through three connected layers: biological foundation models that reduce uncertainty in molecular and cellular systems; generative design methods that improve candidate quality and compress medicinal chemistry cycles; and autonomous discovery platforms that integrate reasoning, experimentation and feedback. We analyze targeted protein degradation, emerging clinical validation and evolving regulatory frameworks; and argue that future progress will depend on causal inference, context generalization, interpretability and regulatory-grade evidence generation rather than model scale alone.
Insights
Artificial intelligence (AI) is revolutionizing oncology drug discovery by enhancing biological understanding and accelerating candidate design. Future progress hinges on AI
Area of Science:
- Oncology
- Drug Discovery
- Artificial Intelligence
Background:
- Oncology drug discovery faces challenges including high attrition rates, slow experimental cycles, and poor translation of preclinical findings to clinical outcomes.
- Current methods struggle with uncertainty in complex molecular and cellular systems, limiting the efficiency and success of developing new cancer treatments.
Purpose of the Study:
- To review how artificial intelligence (AI) is transforming oncology drug discovery.
- To examine the integration of AI across biological modeling, generative design, and autonomous platforms.
- To discuss the implications for targeted protein degradation, clinical validation, and regulatory pathways.
Main Methods:
- Review of AI applications in oncology drug discovery, focusing on three layers: biological foundation models, generative design, and autonomous discovery platforms.
- Analysis of targeted protein degradation strategies and their integration with AI.
- Examination of clinical validation and regulatory considerations for AI-driven drug discovery.
Main Results:
- AI enhances biological foundation models to reduce uncertainty in molecular and cellular systems.
- Generative design methods improve drug candidate quality and shorten medicinal chemistry timelines.
- Autonomous discovery platforms integrate reasoning, experimentation, and feedback for accelerated development.
Conclusions:
- AI is restructuring oncology drug discovery through advanced modeling, design, and autonomous platforms.
- Future advancements require focusing on causal inference, context generalization, interpretability, and regulatory-grade evidence, not just model scale.
- Targeted protein degradation and AI integration show promise for improved clinical translation.
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