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.

Drug Discovery Today
|April 4, 2026
PubMed

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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