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ZENODO
Preprint . 2025
License: CC BY
Data sources: ZENODO
ZENODO
Preprint . 2025
License: CC BY
Data sources: Datacite
ZENODO
Preprint . 2025
License: CC BY
Data sources: Datacite
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Cost containment of global monoclonal antibody drugs and cancer clinical trials via LLM focused reasoning

Authors: Kawchak, Kevin;

Cost containment of global monoclonal antibody drugs and cancer clinical trials via LLM focused reasoning

Abstract

Expenses related to monoclonal antibody drugs worldwide and cancer clinical studies must be reduced in order to increase pharmaceutical industry efficiency. These financial opportunities can be assisted using state-of-the-art Large Language Models (LLMs) for focused report generation and advanced reasoning of solutions and forecasts that are based on authors’ original findings. Here, Claude 3.5 Sonnet utilized 45 articles totaling approximately 357,000 words to effectively generate 45 reports. OpenAI ChatGPT o3-mini processed 15 of the reports to obtain comprehensive monoclonal antibody (mAb) cost solutions and financial forecasts. This included a financial recommendation of mAb biosimilars for a 55.2 percent price per dose decrease vs. a bevacizumab biologic due to Japan financial incentives, as reported by Itoshima H. et al. The 30 additional reports were based on cancer clinical trial cost-effectiveness studies, with ChatGPT o3-mini reasoning to produce tables regarding economic strategies and projections. This included a "Total drug cost avoidance of "$92,662,609" over 10 years" when sponsored clinical trial participation was employed for solid tumors using various mAb therapies, as detailed by Carreras M. et al. 2024. The primary advantages of this comprehensive approach were 1) Efficient report generations by 3.5 Sonnet of nearly 25,000 words in 20 minutes, 2) ChatGPT o3-mini’s linear dependency prompt structure reduced narrative drift with structured outputs in less than 5 minutes, and 3) Ethical AI principles were strengthened: financial data was limited by rigorous prompts, yielding outputs that were highly traceable to source data using either LLM, as opposed to relying on the models’ training data.

Keywords

LLM reasoning, Cancer clinical trials, Prompt engineering, Monocolonal antibodies, Cost-effectiveness

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green