MixRx: Predicting Drug Combination Interactions with LLMs

Risha Surana, Cameron Saidock, Hugo Chacon
12/28/2025
q-bio.OTcs.AIcs.CL

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Abstract

MixRx uses Large Language Models (LLMs) to classify drug combination interactions as Additive, Synergistic, or Antagonistic, given a multi-drug patient history. We evaluate the performance of 4 models, GPT-2, Mistral Instruct 2.0, and the fine-tuned counterparts. Our results showed a potential for such an application, with the Mistral Instruct 2.0 Fine-Tuned model providing an average accuracy score on standard and perturbed datasets of 81.5%. This paper aims to further develop an upcoming area of research that evaluates if LLMs can be used for biological prediction tasks.

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Cite this paper

@article{surana2025mixrx,
  title  = {MixRx: Predicting Drug Combination Interactions with LLMs},
  author = {Risha Surana and Cameron Saidock and Hugo Chacon},
  year   = {2025},
  eprint = {2601.03277},
  archivePrefix = {arXiv},
  url    = {http://arxiv.org/abs/2601.03277v1}
}

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