# Knowledge-Driven New Drug Recommendation

arXiv: https://arxiv.org/abs/2210.05572 · HTML: https://mlsanity.com/paper/2210.05572/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Builds on 30 of its 56 references that are in the map.
- First posted on arXiv 11 Oct 2022.

## Builds on (most cited first, 30 of 30)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [Model-Agnostic Meta-Learning for Fast Adaptation of Deep Networks](https://mlsanity.com/paper/1703.03400/) (2017)
- [Prototypical Networks for Few-shot Learning](https://mlsanity.com/paper/1703.05175/) (2017)
- [Matching Networks for One Shot Learning](https://mlsanity.com/paper/1606.04080/) (2016)
- [Learning to Compare: Relation Network for Few-Shot Learning](https://mlsanity.com/paper/1711.06025/) (2017)
- [On First-Order Meta-Learning Algorithms](https://mlsanity.com/paper/1803.02999/) (2018)
- [Publicly Available Clinical BERT Embeddings](https://mlsanity.com/paper/1904.03323/) (2019)
- [Meta-Learning with Latent Embedding Optimization](https://mlsanity.com/paper/1807.05960/) (2018)
- [TADAM: Task dependent adaptive metric for improved few-shot learning](https://mlsanity.com/paper/1805.10123/) (2018)
- [Med-BERT: pre-trained contextualized embeddings on large-scale structured electronic health records for disease prediction](https://mlsanity.com/paper/2005.12833/) (2020)
- [RETAIN: An Interpretable Predictive Model for Healthcare using Reverse Time Attention Mechanism](https://mlsanity.com/paper/1608.05745/) (2016)
- [Few-Shot Learning via Embedding Adaptation with Set-to-Set Functions](https://mlsanity.com/paper/1812.03664/) (2018)
- [BEHRT: Transformer for Electronic Health Records](https://mlsanity.com/paper/1907.09538/) (2019)
- [Modeling polypharmacy side effects with graph convolutional networks](https://mlsanity.com/paper/1802.00543/) (2018)
- [GRAM: Graph-based Attention Model for Healthcare Representation Learning](https://mlsanity.com/paper/1611.07012/) (2016)
- [Pre-training of Graph Augmented Transformers for Medication Recommendation](https://mlsanity.com/paper/1906.00346/) (2019)
- [MeLU: Meta-Learned User Preference Estimator for Cold-Start Recommendation](https://mlsanity.com/paper/1908.00413/) (2019)
- [Low Data Drug Discovery with One-shot Learning](https://mlsanity.com/paper/1611.03199/) (2016)
- [Learning the Graphical Structure of Electronic Health Records with Graph Convolutional Transformer](https://mlsanity.com/paper/1906.04716/) (2019)
- [GAMENet: Graph Augmented MEmory Networks for Recommending Medication Combination](https://mlsanity.com/paper/1809.01852/) (2018)
- [Improving Generalization in Meta-learning via Task Augmentation](https://mlsanity.com/paper/2007.13040/) (2020)
- [MAMO: Memory-Augmented Meta-Optimization for Cold-start Recommendation](https://mlsanity.com/paper/2007.03183/) (2020)
- [MetaPred: Meta-Learning for Clinical Risk Prediction with Limited Patient Electronic Health Records](https://mlsanity.com/paper/1905.03218/) (2019)
- [Task-adaptive Neural Process for User Cold-Start Recommendation](https://mlsanity.com/paper/2103.06137/) (2021)
- [Conditional Generation Net for Medication Recommendation](https://mlsanity.com/paper/2202.06588/) (2022)
- [Dual Memory Neural Computer for Asynchronous Two-view Sequential Learning](https://mlsanity.com/paper/1802.00662/) (2018)
- [Meta-learning with an Adaptive Task Scheduler](https://mlsanity.com/paper/2110.14057/) (2021)
- [SMR: Medical Knowledge Graph Embedding for Safe Medicine Recommendation](https://mlsanity.com/paper/1710.05980/) (2017)
- [MetaKG: Meta-learning on Knowledge Graph for Cold-start Recommendation](https://mlsanity.com/paper/2202.03851/) (2022)
- [Task Aligned Meta-learning based Augmented Graph for Cold-Start Recommendation](https://mlsanity.com/paper/2208.05716/) (2022)

## Built on by (most cited first, 2 of 2)

- [A Review on Knowledge Graphs for Healthcare: Resources, Applications, and Promises](https://mlsanity.com/paper/2306.04802/) (2023)
- [OntoMedRec: Logically-Pretrained Model-Agnostic Ontology Encoders for Medication Recommendation](https://mlsanity.com/paper/2401.15814/) (2024)

## Abstract (arXiv)

Drug recommendation assists doctors in prescribing personalized medications to patients based on their health conditions. Existing drug recommendation solutions adopt the supervised multi-label classification setup and only work with existing drugs with sufficient prescription data from many patients. However, newly approved drugs do not have much historical prescription data and cannot leverage existing drug recommendation methods. To address this, we formulate the new drug recommendation as a few-shot learning problem. Yet, directly applying existing few-shot learning algorithms faces two challenges: (1) complex relations among diseases and drugs and (2) numerous false-negative patients who were eligible but did not yet use the new drugs. To tackle these challenges, we propose EDGE, which can quickly adapt to the recommendation for a new drug with limited prescription data from a few support patients. EDGE maintains a drug-dependent multi-phenotype few-shot learner to bridge the gap between existing and new drugs. Specifically, EDGE leverages the drug ontology to link new drugs to existing drugs with similar treatment effects and learns ontology-based drug representations. Such drug representations are used to customize the metric space of the phenotype-driven patient representations, which are composed of a set of phenotypes capturing complex patient health status. Lastly, EDGE eliminates the false-negative supervision signal using an external drug-disease knowledge base. We evaluate EDGE on two real-world datasets: the public EHR data (MIMIC-IV) and private industrial claims data. Results show that EDGE achieves 7.3% improvement on the ROC-AUC score over the best baseline.
