Public Health & Policy

Clinical Trials

Latest AI and machine learning research in clinical trials for healthcare professionals.

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Benchmarking foundation models for improving confounding control in target trial emulation

Machine learning models for causal inference aim to adjust for confounding factors that are associated with both an exposure and an outcome, creating a spurious biased association. But, these methods are rarely empirically evaluated to assess their success in mitigating such bias. Recent advances in knowledge representation, including both foundation models and knowledge graphs, could enrich these...

Checkup2Action: A Multimodal Clinical Check-up Report Dataset for Patient-Oriented Action Card Generation

Clinical check-up reports are multimodal documents that combine page layouts, tables, numerical biomarkers, abnormality flags, imaging findings, and domain-specific terminology. Such heterogeneous evidence is difficult for laypersons to interpret and translate into concrete follow-up actions. Although large language models show promise in medical summarisation and triage support, their ability to ...

May 12 2026 2605.11533v2
CAWI: Copula-Aligned Weight Initialization for Randomized Neural Networks

Randomized neural networks (RdNNs) enable efficient, backpropagation-free training by freezing randomly initialized input-to-hidden weights, which per...

May 12 2026 2605.12580v1
Digital Twins as Synthetic Controls in Single-Arm Trials

Single-arm trials are an important study design for evaluating drug efficacy and safety without enrolling patients into a control arm. Although they d...

May 12 2026 2605.12832v1
BioMADE: Predicting Torsades de Pointes from molecular structures through biologically informed representations

Drug-induced arrhythmias, particularly Torsades de Pointes (TdP), pose a significant risk to patient safety and can sometimes have life-threatening ou...

Metis: Learning to Jailbreak LLMs via Self-Evolving Metacognitive Policy Optimization

Red teaming is critical for uncovering vulnerabilities in Large Language Models (LLMs). While automated methods have improved scalability, existing ap...

May 11 2026 2605.10067v1
Prompt-engineering improves clinical safety of large language models for opioid equipotency conversion

Background: Large language models (LLMs) are increasingly used in medical education and clinical decision-making, but their reliability in high-risk m...

Cholinergic modulation of reinforcement learning and prefrontal value computations under uncertainty

The neuromodulator acetylcholine has been suggested to govern learning under uncertainty. Here, we investigated the role of muscarinic acetylcholine r...

Evaluating Explainability in Safety-Critical ATR Systems: Limitations of Post-Hoc Methods and Paths Toward Robust XAI

Explainable Artificial Intelligence (XAI) is increasingly rec ognized as essential for deploying machine learning systems in safety critical environme...

May 7 2026 2605.05748v1
Training-Free Probabilistic Time-Series Forecasting with Conformal Seasonal Pools

We propose Conformal Seasonal Pools (CSP), a training-free probabilistic time-series forecaster that mixes same-season empirical draws with signed res...

May 5 2026 2605.03789v1
Safety and accuracy follow different scaling laws in clinical large language models

Clinical LLMs are often scaled by increasing model size, context length, retrieval complexity, or inference-time compute, with the implicit expectatio...

May 5 2026 2605.04039v1
Improving Model Safety by Targeted Error Correction

The widespread adoption of machine learning in critical applications demands techniques to mitigate high-consequence errors. Our method utilizes a dua...

May 4 2026 2605.02544v1
Compositional Neural-Cyber-Physical System Verification in the Interactive Theorem Prover of Your Choice

Formal verification of neuro-symbolic cyber-physical systems, such as drones, medical devices and robots, is complicated. Neural components must be tr...

May 4 2026 2605.02790v2
Engaging Community and Healthcare Stakeholders in the Design of HIV Retesting Messages: Findings from Human-Centered Design Workshops in Kenya and Uganda

Frequent HIV testing, or "retesting," the practice of regular HIV testing following a negative test result, among persons at high risk of HIV exposure...

Jailbreaking Vision-Language Models Through the Visual Modality

The visual modality of vision-language models (VLMs) is an underexplored attack surface for bypassing safety alignment. We introduce four jailbreak at...

May 1 2026 2605.00583v1
ALEX: Automatic Language EXplanations for Interpreting Treatment Effects via Multi-Agents

Precision medicine requires understanding the underlying drivers of heterogeneous treatment responses. Although machine learning methods have shown pr...

AERO: An AI Agent for Adaptive Eligibility Refinement and Optimization of Clinical Trial Criteria in Real-World Trial Emulation

Randomized controlled trials (RCTs) provide high internal validity but often rely on restrictive eligibility criteria that limit generalizability and ...

Artificial Intelligence Agents in Mental Health: A Systematic Review and Meta Analysis

The rapid rise of large language models (LLMs) and foundation models has accelerated efforts to build artificial intelligence (AI) agents for mental h...

Detecting Clinical Discrepancies in Health Coaching Agents: A Dual-Stream Memory and Reconciliation Architecture

As Large Language Model (LLM) agents transition from single-session tools to persistent systems managing longitudinal healthcare journeys, their memor...

Apr 29 2026 2604.27045v1
A Sequential Multiple Assignment Randomized Trial Design with Response-Adaptive Tailoring Function

We present a novel sequential multiple assignment randomized trial (SMART) design that integrates response-adaptive randomization with tailoring funct...

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