Drug-drug interactions pose a significant challenge in clinical pharmacology, with severe class imbalance among interaction types limiting the effectiveness of predictive models. Common interactions dominate datasets, while rare but critical interactions remain underrepre-sented, leading to poor model performance on infrequent cases. Existing methods often treat DDI prediction as a binary problem, ignoring class-specific nuances and exacerbating bias toward frequent interactions. To address this, we propose a framework combining Generative Flow Networks (GFlowNet) with Variational Graph Autoencoders (VGAE) to generate synthetic samples for rare classes, improving model balance and generate effective and novel DDI pairs. Our approach enhances predictive performance across interaction types, ensuring better clinical reliability.

The extraction of pharmacological knowledge from regulatory documents has become a key focus in biomedical natural language processing, with applications ranging from adverse event monitoring to AI-assisted clinical decision support. However, research in this field has predominantly relied on English-language corpora such as DrugBank, leaving a significant gap in resources tailored to other healthcare systems. To address this limitation, we introduce DART (Drug Annotation from Regulatory Texts), the first structured corpus of Italian Summaries of Product Characteristics derived from the official repository of the Italian Medicines Agency (AIFA). The dataset was built through a reproducible pipeline encompassing web-scale document retrieval, semantic segmentation of regulatory sections, and clinical summarization using a few-shot-tuned large language model with low-temperature decoding. DART provides structured information on key pharmacological domains such as indications, adverse drug reactions, and drug-drug interactions. To validate its utility, we implemented an LLM-based drug interaction checker that leverages the dataset to infer clinically meaningful interactions. Experimental results show that instruction-tuned LLMs can accurately infer potential interactions and their clinical implications when grounded in the structured textual fields of DART. We publicly release our code on GitHub: https://github.com/PRAISELab-PicusLab/DART.

Subgraph-based methods have proven to be effective and interpretable in predicting drug-drug interactions (DDIs), which are essential for medical practice and drug development. Subgraph selection and encoding are critical stages in these methods, yet customizing these components remains underexplored due to the high cost of manual adjustments.

Understanding the interaction between different drugs (drug-drug interaction or DDI) is critical for ensuring patient safety and optimizing therapeutic outcomes. Existing DDI datasets primarily focus on textual information, overlooking multimodal data that reflect complex drug mechanisms. In this paper, we (1) introduce MUDI, a large-scale Multimodal biomedical dataset for Understanding pharmacodynamic Drug-drug Interactions, and (2) benchmark learning methods to study it. In brief, MUDI provides a comprehensive multimodal representation of drugs by combining pharmacological text, chemical formulas, molecular structure graphs, and images across 310,532 annotated drug pairs labeled as Synergism, Antagonism, or New Effect. Crucially, to effectively evaluate machine-learning based generalization, MUDI consists of unseen drug pairs in the test set. We evaluate benchmark models using both late fusion voting and intermediate fusion strategies. All data, annotations, evaluation scripts, and baselines are released under an open research license.

It is well known that traditional drug discovery is costly, time-consuming, and with high failure rates [1]. To streamline the process of drug discovery and mitigate resource-intensive laboratory work, significant research has been dedicated to the development of computational methods. Existing literature provides some comprehensive reviews on deep learning approaches in drug discovery [2, 3, 4, 5]. In this review, we focus on the development and applications of Graph Neural Networks (GNNs) on three related areas of computational drug development, namely, Molecule Generation, Molecular Property Prediction, and Drug-Drug Interaction Prediction, which not only receive increasing attention but also show promising results. We will summarize some most recent developments in these research areas and focus on computational advances published since 2021.

Accurately predicting drug-drug interactions (DDIs) is crucial for pharmaceutical research and clinical safety. Recent deep learning models often suffer from high computational costs and limited generalization across datasets. In this study, we investigate a simpler yet effective approach using molecular representations such as Morgan fingerprints (MFPS), graph-based embeddings from graph convolutional networks (GCNs), and transformer-derived embeddings from MoLFormer integrated into a straightforward neural network. We benchmark our implementation on DrugBank DDI splits and a drug-drug affinity (DDA) dataset from the Food and Drug Administration. MFPS along with MoLFormer and GCN representations achieve competitive performance across tasks, even in the more challenging leak-proof split, highlighting the sufficiency of simple molecular representations. Moreover, we are able to identify key molecular motifs and structural patterns relevant to drug interactions via gradient-based analyses using the representations under study. Despite these results, dataset limitations such as insufficient chemical diversity, limited dataset size, and inconsistent labeling impact robust evaluation and challenge the need for more complex approaches. Our work provides a meaningful baseline and emphasizes the need for better dataset curation and progressive complexity scaling.

Drug-side effect research is vital for understanding adverse reactions arising in complex multi-drug therapies. However, the scarcity of higher-order datasets that capture the combinatorial effects of multiple drugs severely limits progress in this field. Existing resources such as TWOSIDES primarily focus on pairwise interactions. To fill this critical gap, we introduce HODDI, the first Higher-Order Drug-Drug Interaction Dataset, constructed from U.S. Food and Drug Administration (FDA) Adverse Event Reporting System (FAERS) records spanning the past decade, to advance computational pharmacovigilance. HODDI contains 109,744 records involving 2,506 unique drugs and 4,569 unique side effects, specifically curated to capture multi-drug interactions and their collective impact on adverse effects. Comprehensive statistical analyses demonstrate HODDI's extensive coverage and robust analytical metrics, making it a valuable resource for studying higher-order drug relationships. Evaluating HODDI with multiple models, we found that simple Multi-Layer Perceptron (MLP) can outperform graph models, while hypergraph models demonstrate superior performance in capturing complex multi-drug interactions, further validating HODDI's effectiveness. Our findings highlight the inherent value of higher-order information in drug-side effect prediction and position HODDI as a benchmark dataset for advancing research in pharmacovigilance, drug safety, and personalized medicine. The dataset and codes are available at https://github.com/TIML-Group/HODDI.

The increasing volume of drug combinations in modern therapeutic regimens needs reliable methods for predicting drug-drug interactions (DDIs). While Large Language Models (LLMs) have revolutionized various domains, their potential in pharmaceutical research, particularly in DDI prediction, remains largely unexplored. This study thoroughly investigates LLMs' capabilities in predicting DDIs by uniquely processing molecular structures (SMILES), target organisms, and gene interaction data as raw text input from the latest DrugBank dataset. We evaluated 18 different LLMs, including proprietary models (GPT-4, Claude, Gemini) and open-source variants (from 1.5B to 72B parameters), first assessing their zero-shot capabilities in DDI prediction. We then fine-tuned selected models (GPT-4, Phi-3.5 2.7B, Qwen-2.5 3B, Gemma-2 9B, and Deepseek R1 distilled Qwen 1.5B) to optimize their performance. Our comprehensive evaluation framework included validation across 13 external DDI datasets, comparing against traditional approaches such as l2-regularized logistic regression. Fine-tuned LLMs demonstrated superior performance, with Phi-3.5 2.7B achieving a sensitivity of 0.978 in DDI prediction, with an accuracy of 0.919 on balanced datasets (50% positive, 50% negative cases). This result represents an improvement over both zero-shot predictions and state-of-the-art machine-learning methods used for DDI prediction. Our analysis reveals that LLMs can effectively capture complex molecular interaction patterns and cases where drug pairs target common genes, making them valuable tools for practical applications in pharmaceutical research and clinical settings.

It is a common practice in modern medicine to prescribe multiple medications simultaneously to treat diseases. However, these medications could have adverse reactions between them, known as Drug-Drug Interactions (DDI), which have the potential to cause significant bodily injury and could even be fatal. Hence, it is essential to identify all the DDI events before prescribing multiple drugs to a patient. Most contemporary research for predicting DDI events relies on either information from Biomedical Knowledge graphs (KG) or drug SMILES, with very few managing to merge data from both to make predictions. While others use heuristic algorithms to extract features from SMILES and KGs, which are then fed into a Deep Learning framework to generate output. In this study, we propose a KG-integrated Transformer architecture to generate an end-to-end fully automated Machine Learning pipeline for predicting DDI events with high accuracy. The algorithm takes full-scale molecular SMILES sequences of a pair of drugs and a biomedical KG as input and predicts the interaction between the two drugs with high precision. The results show superior performance in two different benchmark datasets compared to existing state-of-the-art models especially when the test and training sets contain distinct sets of drug molecules. This demonstrates the strong generalization of the proposed model, indicating its potential for DDI event prediction for newly developed drugs. The model does not depend on heuristic models for generating embeddings and has a minimal number of hyperparameters, making it easy to use while demonstrating outstanding performance in low-data scenarios.