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Related Experiment Video

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An agentic AI system for automated pharmacogenomic recommendation generation.

Mike Zack1, Anton Savinkov2, Danil Stupichev2

  • 1PGxAI Inc., Palo Alto, CA, USA. mz@pgx.ai.

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Summary

An AI system automates pharmacogenomic guideline creation, improving drug therapy recommendations. This agentic AI offers scalable, evidence-based decision support for personalized medicine.

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Area of Science:

  • Biomedical Informatics
  • Pharmacogenomics
  • Artificial Intelligence

Background:

  • Current pharmacogenomic guideline curation is manual, slow, and limited in scope.
  • Tailoring drug therapy requires genetic profile analysis, which is challenging with existing methods.

Purpose of the Study:

  • To develop an automated, scalable agentic AI system for generating pharmacogenomic recommendations.
  • To improve the efficiency and coverage of clinical pharmacogenomic guideline creation.

Main Methods:

  • Utilized large language models (LLMs) guided by structured evidence.
  • Developed a modular pipeline to process biomedical literature and FDA drug labels.
  • Extracted and aggregated clinically relevant entities to generate gene-drug recommendations.

Main Results:

  • Achieved high accuracy (91.9%) in extracting clinically relevant entities.
  • Generated phenotype-specific dosing recommendations for gene-drug pairs.
  • Expert evaluations showed the AI system outperformed leading LLM baselines in clarity and concordance.

Conclusions:

  • Agentic AI can automate end-to-end pharmacogenomic evidence synthesis.
  • This approach enables broader population coverage and faster guideline updates.
  • The system provides consistent and explainable decision support for personalized medicine.