Matching Patients to Clinical Trials with Large Language Models
Not on the map. Why?
Abstract (arXiv)
Patient recruitment is challenging for clinical trials. We introduce TrialGPT, an end-to-end framework for zero-shot patient-to-trial matching with large language models. TrialGPT comprises three modules: it first performs large-scale filtering to retrieve candidate trials (TrialGPT-Retrieval); then predicts criterion-level patient eligibility (TrialGPT-Matching); and finally generates trial-level scores (TrialGPT-Ranking). We evaluate TrialGPT on three cohorts of 183 synthetic patients with over 75,000 trial annotations. TrialGPT-Retrieval can recall over 90% of relevant trials using less than 6% of the initial collection. Manual evaluations on 1,015 patient-criterion pairs show that TrialGPT-Matching achieves an accuracy of 87.3% with faithful explanations, close to the expert performance. The TrialGPT-Ranking scores are highly correlated with human judgments and outperform the best-competing models by 43.8% in ranking and excluding trials. Furthermore, our user study reveals that TrialGPT can reduce the screening time by 42.6% in patient recruitment. Overall, these results have demonstrated promising opportunities for patient-to-trial matching with TrialGPT.
Key facts. Cited by 69 papers in the map (data through 14 Oct 2026). Builds on 27 of its 60 references that are in the map. First posted on arXiv 27 Jul 2023.
Builds on
27 of 60 references.
References · 27
- 2017Attention Is All You Needcited by 60,361
- 2023GPT-4 Technical Reportcited by 18,396
- 2022Chain-of-Thought Prompting Elicits Reasoning in Large Language Modelscited by 12,459
- 2022Self-Consistency Improves Chain of Thought Reasoning in Language Modelscited by 5,708
- 2017A Broad-Coverage Challenge Corpus for Sentence Understanding through Inferencecited by 2,682
- 2019BioBERT: a pre-trained biomedical language representation model for biomedical text miningcited by 1,947
- 2015A large annotated corpus for learning natural language inferencecited by 1,847
- 2022Large Language Models Encode Clinical Knowledgecited by 1,830
- 2023PaLM 2 Technical Reportcited by 1,162
- 2017SemEval-2017 Task 1: Semantic Textual Similarity - Multilingual and Cross-lingual Focused Evaluationcited by 1,001
- 2023Capabilities of GPT-4 on Medical Challenge Problemscited by 638
- 2023Towards Expert-Level Medical Question Answering with Large Language Modelscited by 384
15 more
- 2020Self-Alignment Pretraining for Biomedical Entity Representationscited by 237
- 2022LinkBERT: Pretraining Language Models with Document Linkscited by 211
- 2022Can large language models reason about medical questions?cited by 194
- 2023MedCPT: Contrastive Pre-trained Transformers with Large-scale PubMed Search Logs for Zero-shot Biomedical Information Retrievalcited by 185
- 2018Lessons from Natural Language Inference in the Clinical Domaincited by 151
- 2023Opportunities and Challenges for ChatGPT and Large Language Models in Biomedicine and Healthcited by 118
- 2023GeneGPT: Augmenting Large Language Models with Domain Tools for Improved Access to Biomedical Informationcited by 117
- 2021SciFive: a text-to-text transformer model for biomedical literaturecited by 99
- 2021Biomedical Question Answering: A Survey of Approaches and Challengescited by 46
- 2020COMPOSE: Cross-Modal Pseudo-Siamese Network for Patient Trial Matchingcited by 37
- 2023Large Language Models for Healthcare Data Augmentation: An Example on Patient-Trial Matchingcited by 30
- 2022SciNLI: A Corpus for Natural Language Inference on Scientific Textcited by 27
- 2023AutoTrial: Prompting Language Models for Clinical Trial Designcited by 11
- 2020Predicting Clinical Trial Results by Implicit Evidence Integrationcited by 6
- 2023Utilizing ChatGPT to Enhance Clinical Trial Enrollmentcited by 4
Built on by
Citing papers per year: 2023: 6; 2024: 24; 2025: 24; 2026: 15.
69 papers.
Sort:
By area:
- 2023A Survey of Large Language Models in Medicine: Progress, Application, and Challengecited by 124
- 2024MedCalc-Bench: Evaluating Large Language Models for Medical Calculationscited by 70
- 2024Improving Retrieval-Augmented Generation in Medicine with Iterative Follow-up Questionscited by 54
- 2024Zero-Shot Clinical Trial Patient Matching with LLMscited by 35
- 2024AI Hallucinations: A Misnomer Worth Clarifyingcited by 34
- 2025BIOMEDICA: An Open Biomedical Image-Caption Archive, Dataset, and Vision-Language Models Derived from Scientific Literaturecited by 34
- 2024Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicinecited by 31
- 2024Unmasking and Quantifying Racial Bias of Large Language Models in Medical Report Generationcited by 31
- 2024Large Language Models in Drug Discovery and Development: From Disease Mechanisms to Clinical Trialscited by 24
- 2024Mitigating the Risk of Health Inequity Exacerbated by Large Language Modelscited by 21
- 2023Distilling Large Language Models for Matching Patients to Clinical Trialscited by 16
- 2024Adversarial Attacks on Large Language Models in Medicinecited by 10
38 more
- 2024Panacea: A foundation model for clinical trial search, summarization, design, and recruitmentcited by 10
- 2023Ask Again, Then Fail: Large Language Models' Vacillations in Judgmentcited by 8
- 2023Large Language Models Illuminate a Progressive Pathway to Artificial Healthcare Assistant: A Reviewcited by 8
- 2024A Perspective for Adapting Generalist AI to Specialized Medical AI Applications and Their Challengescited by 8
- 2023TRIALSCOPE: A Unifying Causal Framework for Scaling Real-World Evidence Generation with Biomedical Language Modelscited by 7
- 2023BioLORD-2023: Semantic Textual Representations Fusing LLM and Clinical Knowledge Graph Insightscited by 7
- 2025A Collection of Innovations in Medical AI for patient records in 2024cited by 7
- 2025Survey: Multi-Armed Bandits Meet Large Language Modelscited by 7
- 2024From RAGs to riches: Utilizing large language models to write documents for clinical trialscited by 6
- 2025RadOnc-GPT: An Autonomous LLM Agent for Real-Time Patient Outcomes Labeling at Scalecited by 5
- 2024PRISM: Patient Records Interpretation for Semantic Clinical Trial Matching using Large Language Modelscited by 4
- 2024Beyond Multiple-Choice Accuracy: Real-World Challenges of Implementing Large Language Models in Healthcarecited by 4
- 2025A Novel Ophthalmic Benchmark for Evaluating Multimodal Large Language Models with Fundus Photographs and OCT Imagescited by 4
- 2024Entry-level guide to the use of large language models for medical researchcited by 3
- 2024ACR: A Benchmark for Automatic Cohort Retrievalcited by 2
- 2024Can Large Language Models Replace Data Scientists in Biomedical Research?cited by 2
- 2025LLM-Match: An Open-Sourced Patient Matching Model Based on Large Language Models and Retrieval-Augmented Generationcited by 2
- 2025Real-world validation of a multimodal LLM-powered pipeline for High-Accuracy Clinical Trial Patient Matching leveraging EHR datacited by 2
- 2025Evaluation of Causal Reasoning for Large Language Models in Contextualized Clinical Scenarios of Laboratory Test Interpretationcited by 2
- 2026Med-V1: Small Language Models for Zero-shot and Scalable Biomedical Evidence Attributioncited by 2
- 2026Jev in Medicine: A Benchmark Evaluationcited by 2
- 2024CTBench: A Comprehensive Benchmark for Evaluating Language Model Capabilities in Clinical Trial Designcited by 1
- 2024Generative AI for Health Technology Assessment: Opportunities, Challenges, and Policy Considerationscited by 1
- 2025OphthBench: A Comprehensive Benchmark for Evaluating Large Language Models in Chinese Ophthalmologycited by 1
- 2025Enhancing Hepatopathy Clinical Trial Efficiency: A Secure, Large Language Model-Powered Pre-Screening Pipelinecited by 1
- 2025Systematic Literature Review on Clinical Trial Eligibility Matchingcited by 1
- 2025The potential role of AI agents in transforming nuclear medicine research and cancer management in Indiacited by 1
- 2025Recommending Clinical Trials for Online Patient Cases using Artificial Intelligencecited by 1
- 2025Aligning Large Language Models with Healthcare Stakeholders: A Pathway to Trustworthy AI Integrationcited by 1
- 2025TrialMatchAI: An End-to-End AI-powered Clinical Trial Recommendation System to Streamline Patient-to-Trial Matchingcited by 1
- 2025Diagnosing our datasets: How does my language model learn clinical information?cited by 1
- 2025Developing Large Language Models for Clinical Research Using One Million Clinical Trialscited by 1
- 2025Content-based 3D Image Retrieval and a ColBERT-inspired Re-ranking for Tumor Flagging and Stagingcited by 1
- 2025A Study of Large Language Models for Patient Information Extraction: Model Architecture, Fine-Tuning Strategy, and Multi-task Instruction Tuningcited by 1
- 2026Agentic AI in Healthcare & Medicine: A Seven-Dimensional Taxonomy for Empirical Evaluation of LLM-based Agentscited by 1
- 2024HeCiX: Integrating Knowledge Graphs and Large Language Models for Biomedical Researchcited by 0
- 2024Novel Development of LLM Driven mCODE Data Model for Improved Clinical Trial Matching to Enable Standardization and Interoperability in Oncology Researchcited by 0
- 2024Can Artificial Intelligence Generate Quality Research Topics Reflecting Patient Concerns?cited by 0
50 most cited of 69 All 69 (JSON)
- 2026Answering clinicians' questions over trial evidence tables with verifiable, feedback-driven language models1 Oct 2026
- 2026Jev in Medicine: A Benchmark Evaluation27 Sep 2026
- 2026TrialAtlas: Multi-Agent Research Organization for Clinical Trial Design and Optimization18 Sep 2026
- 2026ClinAgent: A ReAct-Based Agent for Conversational Access to Clinical Trial Information12 Sep 2026
- 2026Towards AI-Assisted Clinical Trial Matching: Practical Considerations, Multicenter Evaluation, and Real-World Deployment1 Sep 2026
- 2026Learning Clinical-Trial Strategy: Offline Policy Training for Decision Agents4 Aug 2026
- 2026Trajectory-Aware Retrieval Agents for Temporal Decision- Making7 Jul 2026
- 2026Neurosymbolic Clinical Trial Matching via LLM-Driven Abduction and Logical Verification18 Jun 2026
- 2026The Daily Dose: Workflow-Integrated Large Language Model Automation for Clinical Summarization and Trial Identification in Radiation Oncology25 May 2026
- 2026A Knowledge-Injection Framework for Zero-Shot Adaptation of LLMs to Delirium Prediction14 May 2026
- 2026BioResearcher: Scenario-Guided Multi-Agent for Translational Medicine7 May 2026
- 2026Eligibility-Aware Evidence Synthesis: An Agentic Framework for Clinical Trial Meta-Analysis3 Apr 2026
38 more
- 2026TimeTox: An LLM-Based Pipeline for Automated Extraction of Time Toxicity from Clinical Trial Protocols22 Mar 2026
- 2026Med-V1: Small Language Models for Zero-shot and Scalable Biomedical Evidence Attribution5 Mar 2026
- 2026Agentic AI in Healthcare & Medicine: A Seven-Dimensional Taxonomy for Empirical Evaluation of LLM-based Agents4 Feb 2026
- 2025MMCTOP: A Multimodal Textualization and Mixture-of-Experts Framework for Clinical Trial Outcome Prediction26 Dec 2025
- 2025Toward an AI Reasoning-Enabled System for Patient-Clinical Trial Matching8 Dec 2025
- 2025AI-assisted workflow enables rapid, high-fidelity breast cancer clinical trial eligibility prescreening7 Nov 2025
- 2025RadOnc-GPT: An Autonomous LLM Agent for Real-Time Patient Outcomes Labeling at Scale29 Sep 2025
- 2025Evaluation of Causal Reasoning for Large Language Models in Contextualized Clinical Scenarios of Laboratory Test Interpretation19 Sep 2025
- 2025A systematic review of trial-matching pipelines using large language models13 Sep 2025
- 2025A Study of Large Language Models for Patient Information Extraction: Model Architecture, Fine-Tuning Strategy, and Multi-task Instruction Tuning5 Sep 2025
- 2025Scalable Scientific Interest Profiling Using Large Language Models19 Aug 2025
- 2025Content-based 3D Image Retrieval and a ColBERT-inspired Re-ranking for Tumor Flagging and Staging23 Jul 2025
- 2025Developing Large Language Models for Clinical Research Using One Million Clinical Trials22 May 2025
- 2025Diagnosing our datasets: How does my language model learn clinical information?21 May 2025
- 2025Survey: Multi-Armed Bandits Meet Large Language Models19 May 2025
- 2025TrialMatchAI: An End-to-End AI-powered Clinical Trial Recommendation System to Streamline Patient-to-Trial Matching13 May 2025
- 2025Aligning Large Language Models with Healthcare Stakeholders: A Pathway to Trustworthy AI Integration2 May 2025
- 2025Recommending Clinical Trials for Online Patient Cases using Artificial Intelligence15 Apr 2025
- 2025Real-world validation of a multimodal LLM-powered pipeline for High-Accuracy Clinical Trial Patient Matching leveraging EHR data19 Mar 2025
- 2025LLM-Match: An Open-Sourced Patient Matching Model Based on Large Language Models and Retrieval-Augmented Generation17 Mar 2025
- 2025The potential role of AI agents in transforming nuclear medicine research and cancer management in India10 Mar 2025
- 2025A Novel Ophthalmic Benchmark for Evaluating Multimodal Large Language Models with Fundus Photographs and OCT Images10 Mar 2025
- 2025Systematic Literature Review on Clinical Trial Eligibility Matching2 Mar 2025
- 2025A Collection of Innovations in Medical AI for patient records in 202425 Feb 2025
- 2025Enhancing Hepatopathy Clinical Trial Efficiency: A Secure, Large Language Model-Powered Pre-Screening Pipeline25 Feb 2025
- 2025OphthBench: A Comprehensive Benchmark for Evaluating Large Language Models in Chinese Ophthalmology3 Feb 2025
- 2025BIOMEDICA: An Open Biomedical Image-Caption Archive, Dataset, and Vision-Language Models Derived from Scientific Literature13 Jan 2025
- 2024The use of large language models to enhance cancer clinical trial educational materials2 Dec 2024
- 2024Can artificial intelligence predict clinical trial outcomes?26 Nov 2024
- 2024Can Artificial Intelligence Generate Quality Research Topics Reflecting Patient Concerns?15 Nov 2024
- 2024A Perspective for Adapting Generalist AI to Specialized Medical AI Applications and Their Challenges28 Oct 2024
- 2024Can Large Language Models Replace Data Scientists in Biomedical Research?28 Oct 2024
- 2024Entry-level guide to the use of large language models for medical research24 Oct 2024
- 2024Beyond Multiple-Choice Accuracy: Real-World Challenges of Implementing Large Language Models in Healthcare24 Oct 2024
- 2024Novel Development of LLM Driven mCODE Data Model for Improved Clinical Trial Matching to Enable Standardization and Interoperability in Oncology Research18 Oct 2024
- 2024Mitigating the Risk of Health Inequity Exacerbated by Large Language Models7 Oct 2024
- 2024Large Language Models in Drug Discovery and Development: From Disease Mechanisms to Clinical Trials6 Sep 2024
- 2024Improving Retrieval-Augmented Generation in Medicine with Iterative Follow-up Questions1 Aug 2024
50 newest of 69 All 69 (JSON)
- 2026Agentic AI in Healthcare & Medicine: A Seven-Dimensional Taxonomy for Empirical Evaluation of LLM-based Agentscited by 1
- 2026BioResearcher: Scenario-Guided Multi-Agent for Translational Medicinecited by 0
- 2026Trajectory-Aware Retrieval Agents for Temporal Decision- Makingcited by 0
- 2026Learning Clinical-Trial Strategy: Offline Policy Training for Decision Agentscited by 0
- 2026ClinAgent: A ReAct-Based Agent for Conversational Access to Clinical Trial Informationcited by 0
- 2026ClinAgent: A ReAct-Based Agent for Conversational Access to Clinical Trial Information12 Sep 2026
- 2026Learning Clinical-Trial Strategy: Offline Policy Training for Decision Agents4 Aug 2026
- 2026Trajectory-Aware Retrieval Agents for Temporal Decision- Making7 Jul 2026
- 2026BioResearcher: Scenario-Guided Multi-Agent for Translational Medicine7 May 2026
- 2026Agentic AI in Healthcare & Medicine: A Seven-Dimensional Taxonomy for Empirical Evaluation of LLM-based Agents4 Feb 2026
- 2024Entry-level guide to the use of large language models for medical researchcited by 3
- 2025Evaluation of Causal Reasoning for Large Language Models in Contextualized Clinical Scenarios of Laboratory Test Interpretationcited by 2
- 2025Toward an AI Reasoning-Enabled System for Patient-Clinical Trial Matchingcited by 0
- 2025Toward an AI Reasoning-Enabled System for Patient-Clinical Trial Matching8 Dec 2025
- 2025Evaluation of Causal Reasoning for Large Language Models in Contextualized Clinical Scenarios of Laboratory Test Interpretation19 Sep 2025
- 2024Entry-level guide to the use of large language models for medical research24 Oct 2024
- 2023A Survey of Large Language Models in Medicine: Progress, Application, and Challengecited by 124
- 2024MedCalc-Bench: Evaluating Large Language Models for Medical Calculationscited by 70
- 2024Zero-Shot Clinical Trial Patient Matching with LLMscited by 35
- 2024AI Hallucinations: A Misnomer Worth Clarifyingcited by 34
- 2024Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicinecited by 31
- 2024Unmasking and Quantifying Racial Bias of Large Language Models in Medical Report Generationcited by 31
- 2024Large Language Models in Drug Discovery and Development: From Disease Mechanisms to Clinical Trialscited by 24
- 2024Mitigating the Risk of Health Inequity Exacerbated by Large Language Modelscited by 21
- 2023Distilling Large Language Models for Matching Patients to Clinical Trialscited by 16
- 2024Adversarial Attacks on Large Language Models in Medicinecited by 10
- 2024Panacea: A foundation model for clinical trial search, summarization, design, and recruitmentcited by 10
- 2023Ask Again, Then Fail: Large Language Models' Vacillations in Judgmentcited by 8
12 most cited of 55 All 55 (JSON)
- 2026Answering clinicians' questions over trial evidence tables with verifiable, feedback-driven language models1 Oct 2026
- 2026Jev in Medicine: A Benchmark Evaluation27 Sep 2026
- 2026TrialAtlas: Multi-Agent Research Organization for Clinical Trial Design and Optimization18 Sep 2026
- 2026Towards AI-Assisted Clinical Trial Matching: Practical Considerations, Multicenter Evaluation, and Real-World Deployment1 Sep 2026
- 2026Neurosymbolic Clinical Trial Matching via LLM-Driven Abduction and Logical Verification18 Jun 2026
- 2026The Daily Dose: Workflow-Integrated Large Language Model Automation for Clinical Summarization and Trial Identification in Radiation Oncology25 May 2026
- 2026A Knowledge-Injection Framework for Zero-Shot Adaptation of LLMs to Delirium Prediction14 May 2026
- 2026Eligibility-Aware Evidence Synthesis: An Agentic Framework for Clinical Trial Meta-Analysis3 Apr 2026
- 2026TimeTox: An LLM-Based Pipeline for Automated Extraction of Time Toxicity from Clinical Trial Protocols22 Mar 2026
- 2026Med-V1: Small Language Models for Zero-shot and Scalable Biomedical Evidence Attribution5 Mar 2026
- 2025AI-assisted workflow enables rapid, high-fidelity breast cancer clinical trial eligibility prescreening7 Nov 2025
- 2025RadOnc-GPT: An Autonomous LLM Agent for Real-Time Patient Outcomes Labeling at Scale29 Sep 2025
12 newest of 55 All 55 (JSON)