Evidence map›Paper›PMID 40715040›Full record

ArticleThe pharmacogenomics journal2025

Benchmarking large language models for replication of guideline-based PGx recommendations.

Mike Zack, Ioan Slobodchikov, Danil Stupichev, Alex Moore, David Sokolov, Igor Trifonov, Allan Gobbs

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In one paragraph

Article in The pharmacogenomics journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mike ZackPGxAI Inc., 330 E Charleston Rd, Palo Alto, CA, 94306, USA. mz@pgx.ai.ORCID 0000-0003-0607-4812
Ioan SlobodchikovPGxAI Inc., 330 E Charleston Rd, Palo Alto, CA, 94306, USA.
Danil StupichevPGxAI Inc., 330 E Charleston Rd, Palo Alto, CA, 94306, USA.
Alex MoorePGxAI Inc., 330 E Charleston Rd, Palo Alto, CA, 94306, USA.
David SokolovPGxAI Inc., 330 E Charleston Rd, Palo Alto, CA, 94306, USA.
Igor TrifonovPGxAI Inc., 330 E Charleston Rd, Palo Alto, CA, 94306, USA.
Allan GobbsPGxAI Inc., 330 E Charleston Rd, Palo Alto, CA, 94306, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We evaluated the ability of large language models (LLMs) to generate clinically accurate pharmacogenomic (PGx) recommendations aligned with CPIC guidelines. Using a benchmark of 599 curated gene-drug-phenotype scenarios, we compared five leading models, including GPT-4o and fine-tuned LLaMA variants, through both standard lexical metrics and a novel semantic evaluation framework (LLM Score) validated by expert review. General-purpose models frequently produced incomplete or unsafe outputs, while our domain-adapted model achieved superior performance, with an LLM Score of 0.92 and significantly faster inference speed. Results highlight the importance of fine-tuning and structured prompting over model scale alone. This work establishes a robust framework for evaluating PGx-specific LLMs and demonstrates the feasibility of safer, AI-driven personalized medicine.

Indexed as

BenchmarkingLanguagePharmacogeneticsPractice Guidelines as TopicPrecision MedicineHumansLarge Language Models

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.