# TheraAgent: Self-Improving Therapeutic Agent for Precise and Comprehensive Treatment Planning

arXiv: https://arxiv.org/abs/2605.05963 · HTML: https://mlsanity.com/paper/2605.05963/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Medical and scientific domain agents, one of 16 directions in LLM agents and tool use.
- Builds on 16 of its 42 references that are in the map.
- First posted on arXiv 7 May 2026.

## Placed in

- LLM agents and tool use / [Medical and scientific domain agents](https://mlsanity.com/agents/medical-and-scientific-domain-agents/)
- Synthetic data and self-improvement for LLMs / [Medical synthetic data and agents](https://mlsanity.com/synth/medical-synthetic-data-and-agents/)

## Builds on (most cited first, 16 of 16)

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- [GPT-4o System Card](https://mlsanity.com/paper/2410.21276/) (2024)
- [Gemini 2.5: Pushing the Frontier with Advanced Reasoning, Multimodality, Long Context, and Next Generation Agentic Capabilities](https://mlsanity.com/paper/2507.06261/) (2025)
- [OpenAI o1 System Card](https://mlsanity.com/paper/2412.16720/) (2024)
- [Kimi K2: Open Agentic Intelligence](https://mlsanity.com/paper/2507.20534/) (2025)
- [HealthBench: Evaluating Large Language Models Towards Improved Human Health](https://mlsanity.com/paper/2505.08775/) (2025)
- [Med42-v2: A Suite of Clinical LLMs](https://mlsanity.com/paper/2408.06142/) (2024)
- [TxAgent: An AI Agent for Therapeutic Reasoning Across a Universe of Tools](https://mlsanity.com/paper/2503.10970/) (2025)
- [Baichuan-M2: Scaling Medical Capability with Large Verifier System](https://mlsanity.com/paper/2509.02208/) (2025)
- [Real-World Doctor Agent with Proactive Consultation through Multi-Agent Reinforcement Learning](https://mlsanity.com/paper/2505.19630/) (2025)
- [CLIN-LLM: A Safety-Constrained Hybrid Framework for Clinical Diagnosis and Treatment Generation](https://mlsanity.com/paper/2510.22609/) (2025)
- [Developing an Artificial Intelligence Tool for Personalized Breast Cancer Treatment Plans based on the NCCN Guidelines](https://mlsanity.com/paper/2502.15698/) (2025)
- [Performance of Large Language Models in Supporting Medical Diagnosis and Treatment](https://mlsanity.com/paper/2504.10405/) (2025)
- [MedCritical: Enhancing Medical Reasoning in Small Language Models via Self-Collaborative Correction](https://mlsanity.com/paper/2509.23368/) (2025)
- [Large-scale automatic carbon ion treatment planning for head and neck cancers via parallel multi-agent reinforcement learning](https://mlsanity.com/paper/2511.02314/) (2025)

## Abstract (arXiv)

Formulating a treatment plan is inherently a complex reasoning and refinement task rather than a simple generation problem. However, existing large language models (LLMs) mainly rely on one-shot output without explicit verification, which may result in rough, incomplete, and potentially unsafe treatment plans. To address these limitations, we propose TheraAgent, an agentic framework that replaces one-shot generation with an iterative generate-judge-refine pipeline. By mirroring the actual reasoning process of human experts who iteratively revise treatment plans, our framework progressively transforms coarse and incomplete drafts into precise, comprehensive, and safer therapeutic regimens. To facilitate the critical judge component, we introduce TheraJudge, a treatment-specific evaluation module integrated into the inference loop to enforce clinical standards. Experiments show TheraAgent achieves state-of-the-art results on HealthBench, leading in Accuracy and Completeness. In expert evaluations, it attains an 86% win rate against physicians, with superior Targeting and Harm Control. Moreover, the highly agreement between TheraJudge and HealthBench evaluations confirms the reliability of our framework.
