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DrugReasoner: Interpretable Drug Approval Prediction with a Reasoning-augmented Language Model

DrugReasoner is an AI-powered system for predicting drug approval outcomes using reasoning-augmented Large Language Models (LLMs) and molecular feature analysis. By combining advanced machine learning with interpretable reasoning, DrugReasoner provides transparent predictions that can accelerate pharmaceutical research and development.

Abstract

Drug discovery is a complex and resource-intensive process, making early prediction of approval outcomes critical for optimizing research investments. While classical machine learning and deep learning methods have shown promise in drug approval prediction, their limited interpretability constraints their impact. Here, we present DrugReasoner, a reasoning-based large language model (LLM) built on the LLaMA architecture and fine-tuned with group relative policy optimization (GRPO) to predict the likelihood of small-molecule approval. DrugReasoner integrates molecular descriptors with comparative reasoning against structurally similar approved and unapproved compounds, generating predictions alongside step-by-step rationales and confidence scores. DrugReasoner achieved robust performance with an AUC of 0.732 and an F1 score of 0.729 on the validation set and 0.725 and 0.718 on the test set, respectively. These results outperformed conventional baselines, including logistic regression, support vector machine, and k-nearest neighbors and had competitive performance relative to XGBoost. On an external independent dataset, DrugReasoner outperformed both baseline and the recently developed ChemAP model, achieving an AUC of 0.728 and an F1-score of 0.774, while maintaining high precision and balanced sensitivity, demonstrating robustness in real-world scenarios. These findings demonstrate that DrugReasoner not only delivers competitive predictive accuracy but also enhances transparency through its reasoning outputs, thereby addressing a key bottleneck in AI-assisted drug discovery. This study highlights the potential of reasoning-augmented LLMs as interpretable and effective tools for pharmaceutical decision-making.

✨ Key Features

  • πŸ€– LLM-Powered Predictions: Utilizes fine-tuned Llama model for drug approval prediction
  • 🧬 Molecular Analysis: Advanced SMILES-based molecular structure analysis
  • πŸ” Interpretable Results: Clear reasoning behind predictions for better decision-making
  • πŸ“Š Similarity Analysis: Identifies similar approved/non-approved compounds for context
  • ⚑ Flexible Inference: Support for both single molecule and batch predictions

Model Details

  • Model Name: DrugReasoner
  • Training Paradigm: Group Relative Policy Optimization (GRPO)
  • Input: SMILES Structure
  • Output: Drug approval prediction + Rational of approval or unapproval + Confidence score
  • Training Libraries: Hugging Face’s transformers, Transformer Reinforcement Learning (TRL), and Parameter-efficient fine-tuning (PEFT)
  • Model Sources: meta-llama/Llama-3.1-8B-Instruct

How to Get Started with the Model

  • To use DrugReasoner, you must first request access to the base model Llama-3.1-8B-Instruct on Hugging Face by providing your contact information. Once access is granted, you can run DrugReasoner either through the command-line interface (CLI) or integrate it directly into your Python workflows.

Prerequisites

  • Python 3.8 or higher
  • CUDA-compatible GPU (recommended for training and inference)
  • Git

Setup Instructions

  1. Clone the repository

    git clone https://github.com/mohammad-gh009/DrugReasoner.git
    cd DrugReasoner
    
  2. Create and activate virtual environment

    Windows:

    cd src
    python -m venv myenv
    myenv\Scripts\activate
    

    Mac/Linux:

    cd src
    python -m venv myenv
    source myenv/bin/activate
    
  3. Install dependencies

    pip install -r requirements.txt
    
  4. Login to your Huggingface account You can use this instruction on how to make an account and this on how to get the token

    huggingface-cli login --token YOUR_TOKEN_HERE
    

πŸš€ How to use

Note: GPU is required for inference. If unavailable, use our Kaggle Notebook.

CLI Inference

python inference.py \
    --smiles "CC(C)CC1=CC=C(C=C1)C(C)C(=O)O" "CC1=CC=C(C=C1)C(=O)O" \
    --output results.csv \
    --top-k 9 \
    --top-p 0.9 \
    --max-length 4096 \
    --temperature 1.0

Python API Usage

from inference import DrugReasoner

predictor = DrugReasoner()

results = predictor.predict_molecules(
    smiles_list=["CC(C)CC1=CC=C(C=C1)C(C)C(=O)O"],
    save_path="results.csv",
    print_results=True,
    top_k=9,
    top_p=0.9,
    max_length=4096,
    temperature=1.0
)

πŸ“Š Dataset & Model

  • Dataset: Hugging Face Dataset
  • Model: Hugging Face Model

πŸ“ˆ Performance

DrugReasoner demonstrates superior performance compared to traditional baseline models across multiple evaluation metrics. Detailed performance comparisons are available in our paper.

Citation

If you use DrugReasoner in your research, please cite our work:

@misc{ghaffarzadehesfahani2025drugreasonerinterpretabledrugapproval,
      title={DrugReasoner: Interpretable Drug Approval Prediction with a Reasoning-augmented Language Model}, 
      author={Mohammadreza Ghaffarzadeh-Esfahani and Ali Motahharynia* and Nahid Yousefian and Navid Mazrouei and Jafar Ghaisari and Yousof Gheisari},
      year={2025},
      eprint={2508.18579},
      archivePrefix={arXiv},
      primaryClass={cs.LG},
      url={https://arxiv.org/abs/2508.18579}, 
}

πŸ“œ License

This project is licensed under the Apache License 2.0 - see the LICENSE file for details.


Accelerating drug discovery through AI-powered predictions

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