Clinical trials are pivotal for developing new medical treatments, yet they typically pose some risks such as patient mortality, adverse events, and enrollment failure that waste immense efforts spanning over a decade. Applying artificial intelligence (AI) to forecast or simulate key events in clinical trials holds great potential for providing insights to guide trial designs. However, complex data collection and question definition requiring medical expertise and a deep understanding of trial designs have hindered the involvement of AI thus far. This paper tackles these challenges by presenting a comprehensive suite of meticulously curated AIready datasets covering multi-modal data (e.g., drug molecule, disease code, text, categorical/numerical features) and 8 crucial prediction challenges in clinical trial design, encompassing prediction of trial duration, patient dropout rate, serious adverse event, mortality rate, trial approval outcome, trial failure reason, drug dose finding, design of eligibility criteria. Furthermore, we provide basic validation methods for each task to ensure the datasets' usability and reliability. We anticipate that the availability of such open-access datasets will catalyze the development of advanced AI approaches for clinical trial design, ultimately advancing clinical trial research and accelerating medical solution development.

Mathematical problem solving is an important skill for Large Language Models (LLMs), both as an important capability and a proxy for a range of reasoning abilities. Existing benchmarks probe a diverse set of skills, but they yield aggregate accuracy metrics, obscuring specific abilities or weaknesses. Furthermore, they are difficult to extend with new problems, risking data contamination over time. To address these challenges, we propose MathCAMPS: a method to synthesize high-quality mathematical problems at scale, grounded on 44 fine-grained "standards" from the Mathematics Common Core (CC) Standard for K-8 grades. We encode each standard in a formal grammar, allowing us to sample diverse symbolic problems and their answers. We then use LLMs to realize the symbolic problems into word problems. We propose a cycle-consistency method for validating problem faithfulness. Finally, we derive follow-up questions from symbolic structures and convert them into follow-up word problems - a novel task of mathematical dialogue that probes for robustness in understanding. Experiments on 23 LLMs show surprising failures even in the strongest models (in particular when asked simple follow-up questions). Moreover, we evaluate training checkpoints of Pythia 12B on MathCAMPS, allowing us to analyze when particular mathematical skills develop during its training. Our framework enables the community to reproduce and extend our pipeline for a fraction of the typical cost of building new high-quality datasets.

Radiology Report Generation (RRG) has achieved significant progress with the advancements of multimodal generative models. However, the evaluation in the domain suffers from a lack of fair and robust metrics. We reveal that, high performance on RRG with existing lexical-based metrics (e.g. BLEU) might be more of a mirage - a model can get a high BLEU only by learning the template of reports. This has become an urgent problem for RRG due to the highly patternized nature of these reports. In this work, we un-intuitively approach this problem by proposing the Layman's RRG framework, a layman's terms-based dataset, evaluation and training framework that systematically improves RRG with day-to-day language. We first contribute the translated Layman's terms dataset. Building upon the dataset, we then propose a semantics-based evaluation method, which is proved to mitigate the inflated numbers of BLEU and provides fairer evaluation. Last, we show that training on the layman's terms dataset encourages models to focus on the semantics of the reports, as opposed to overfitting to learning the report templates. We reveal a promising scaling law between the number of training examples and semantics gain provided by our dataset, compared to the inverse pattern brought by the original formats. Our code is available at \url{https://github.com/hegehongcha/LaymanRRG}.

Drug-drug interactions (DDIs) can result in various pharmacological changes, which can be categorized into different classes known as DDI events (DDIEs). In recent years, previously unobserved/unseen DDIEs have been emerging, posing a new classification task when unseen classes have no labelled instances in the training stage, which is formulated as a zero-shot DDIE prediction (ZS-DDIE) task. However, existing computational methods are not directly applicable to ZS-DDIE, which has two primary challenges: obtaining suitable DDIE representations and handling the class imbalance issue. To overcome these challenges, we propose a novel method named ZeroDDI for the ZS-DDIE task. Specifically, we design a biological semantic enhanced DDIE representation learning module, which emphasizes the key biological semantics and distills discriminative molecular substructure-related semantics for DDIE representation learning. Furthermore, we propose a dual-modal uniform alignment strategy to distribute drug pair representations and DDIE semantic representations uniformly in a unit sphere and align the matched ones, which can mitigate the issue of class imbalance. Extensive experiments showed that ZeroDDI surpasses the baselines and indicate that it is a promising tool for detecting unseen DDIEs. Our code has been released in https://github.com/wzy-Sarah/ZeroDDI.

The recent emergence of Large Language Models (LLMs) has reshaped the landscape of natural language processing, ushering in a new era of computational linguistics. Bolstered by advancements in machine learning and deep neural networks, LLMs have garnered widespread attention for their remarkable ability to understand and generate human-like text. This transformative technology has revolutionized various applications, ranging from machine translation and sentiment analysis to chatbots and content generation. By leveraging vast amounts of text data and sophisticated algorithms, LLMs have demonstrated unparalleled proficiency in capturing linguistic nuances, contextual dependencies, and semantic meanings.

Reinforcement learning (RL) faces challenges in evaluating policy trajectories within intricate game tasks due to the difficulty in designing comprehensive and precise reward functions. This inherent difficulty curtails the broader application of RL within game environments characterized by diverse constraints. Preference-based reinforcement learning (PbRL) presents a pioneering framework that capitalizes on human preferences as pivotal reward signals, thereby circumventing the need for meticulous reward engineering. However, obtaining preference data from human experts is costly and inefficient, especially under conditions marked by complex constraints. To tackle this challenge, we propose a LLM-enabled automatic preference generation framework named LLM4PG , which harnesses the capabilities of large language models (LLMs) to abstract trajectories, rank preferences, and reconstruct reward functions to optimize conditioned policies. Experiments on tasks with complex language constraints demonstrated the effectiveness of our LLM-enabled reward functions, accelerating RL convergence and overcoming stagnation caused by slow or absent progress under original reward structures. This approach mitigates the reliance on specialized human knowledge and demonstrates the potential of LLMs to enhance RL's effectiveness in complex environments in the wild.

Large Language Models (LLMs) possess the remarkable capability to understand human instructions and generate high-quality text, enabling them to act as agents that simulate human behaviours. This capability allows LLMs to emulate human beings in a more advanced manner, beyond merely replicating simple human behaviours. However, there is a lack of exploring into leveraging LLMs to craft characters from several aspects. In this work, we introduce the Customisable Conversation Agent Framework, which employs LLMs to simulate real-world characters that can be freely customised according to different user preferences. The customisable framework is helpful for designing customisable characters and role-playing agents according to human's preferences. We first propose the SimsConv dataset, which comprises 68 different customised characters, 1,360 multi-turn role-playing dialogues, and encompasses 13,971 interaction dialogues in total. The characters are created from several real-world elements, such as career, aspiration, trait, and skill. Building on these foundations, we present SimsChat, a freely customisable role-playing agent. It incorporates different real-world scenes and topic-specific character interaction dialogues, simulating characters' life experiences in various scenarios and topic-specific interactions with specific emotions. Experimental results show that our proposed framework achieves desirable performance and provides helpful guideline for building better simulacra of human beings in the future. Our data and code are available at https://github.com/Bernard-Yang/SimsChat.

As opposed to evaluating computation and logic-based reasoning, current benchmarks for evaluating large language models (LLMs) in medicine are primarily focused on question-answering involving domain knowledge and descriptive reasoning. While such qualitative capabilities are vital to medical diagnosis, in real-world scenarios, doctors frequently use clinical calculators that follow quantitative equations and rule-based reasoning paradigms for evidence-based decision support. To this end, we propose MedCalc-Bench, a first-of-its-kind dataset focused on evaluating the medical calculation capability of LLMs. MedCalc-Bench contains an evaluation set of over 1000 manually reviewed instances from 55 different medical calculation tasks. Each instance in MedCalc-Bench consists of a patient note, a question requesting to compute a specific medical value, a ground truth answer, and a step-by-step explanation showing how the answer is obtained. While our evaluation results show the potential of LLMs in this area, none of them are effective enough for clinical settings. Common issues include extracting the incorrect entities, not using the correct equation or rules for a calculation task, or incorrectly performing the arithmetic for the computation. We hope our study highlights the quantitative knowledge and reasoning gaps in LLMs within medical settings, encouraging future improvements of LLMs for various clinical calculation tasks.

While recent advancements in commercial large language models (LM) have shown promising results in medical tasks, their closed-source nature poses significant privacy and security concerns, hindering their widespread use in the medical field. Despite efforts to create open-source models, their limited parameters often result in insufficient multi-step reasoning capabilities required for solving complex medical problems. To address this, we introduce Meerkat, a new family of medical AI systems ranging from 7 to 70 billion parameters. The models were trained using our new synthetic dataset consisting of high-quality chain-of-thought reasoning paths sourced from 18 medical textbooks, along with diverse instruction-following datasets. Our systems achieved remarkable accuracy across six medical benchmarks, surpassing the previous best models such as MediTron and BioMistral, and GPT-3.5 by a large margin. Notably, Meerkat-7B surpassed the passing threshold of the United States Medical Licensing Examination (USMLE) for the first time for a 7B-parameter model, while Meerkat-70B outperformed GPT-4 by an average of 1.3%. Additionally, Meerkat-70B correctly diagnosed 21 out of 38 complex clinical cases, outperforming humans' 13.8 and closely matching GPT-4's 21.8. Our systems offered more detailed free-form responses to clinical queries compared to existing small models, approaching the performance level of large commercial models. This significantly narrows the performance gap with large LMs, showcasing its effectiveness in addressing complex medical challenges.

The significant advancements in large language models (LLMs) give rise to a promising research direction, i.e., leveraging LLMs as recommenders (LLMRec). The efficacy of LLMRec arises from the open-world knowledge and reasoning capabilities inherent in LLMs. LLMRec acquires the recommendation capabilities through instruction tuning based on user interaction data. However, in order to protect user privacy and optimize utility, it is also crucial for LLMRec to intentionally forget specific user data, which is generally referred to as recommendation unlearning. In the era of LLMs, recommendation unlearning poses new challenges for LLMRec in terms of \textit{inefficiency} and \textit{ineffectiveness}. Existing unlearning methods require updating billions of parameters in LLMRec, which is costly and time-consuming. Besides, they always impact the model utility during the unlearning process. To this end, we propose \textbf{E2URec}, the first \underline{E}fficient and \underline{E}ffective \underline{U}nlearning method for LLM\underline{Rec}. Our proposed E2URec enhances the unlearning efficiency by updating only a few additional LoRA parameters, and improves the unlearning effectiveness by employing a teacher-student framework, where we maintain multiple teacher networks to guide the unlearning process. Extensive experiments show that E2URec outperforms state-of-the-art baselines on two real-world datasets. Specifically, E2URec can efficiently forget specific data without affecting recommendation performance. The source code is at \url{https://github.com/justarter/E2URec}.