LIFTED: Multimodal Clinical Trial Outcome Prediction via Large Language Models and Mixture-of-Experts

Wenhao Zheng, Liaoyaqi Wang, Dongshen Peng, Hongxia Xu, Yun Li, Hongtu Zhu, Tianfan Fu, Huaxiu Yao


Abstract
Clinical trials are pivotal yet costly processes, often spanning multiple years and requiring substantial expenses, motivating predictive models to identify likely-to-fail drugs early and save resources. Recent approaches leverage deep learning to integrate multimodal data for clinical outcome prediction; however, they rely heavily on manually designed modality-specific encoders, limiting their adaptability to new modalities and ability to effectively share information across modalities. To address these challenges, we propose a multimodal mixture-of-experts (LIFTED) framework. Specifically, LIFTED transforms modality-specific data into natural language descriptions, encoded via unified, noise-resilient encoders. A sparse Mixture-of-Experts mechanism then identifies shared patterns across modalities, extracting consistent representations. Finally, another mixture-of-experts module dynamically integrates these modality representations, emphasizing critical information. Experiments show that LIFTED significantly outperforms baseline methods in predicting clinical trial outcomes across all phases, highlighting the effectiveness of our proposed approach.
Anthology ID:
2025.findings-emnlp.396
Volume:
Findings of the Association for Computational Linguistics: EMNLP 2025
Month:
November
Year:
2025
Address:
Suzhou, China
Editors:
Christos Christodoulopoulos, Tanmoy Chakraborty, Carolyn Rose, Violet Peng
Venue:
Findings
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
7503–7517
Language:
URL:
https://preview.aclanthology.org/ingest-luhme/2025.findings-emnlp.396/
DOI:
10.18653/v1/2025.findings-emnlp.396
Bibkey:
Cite (ACL):
Wenhao Zheng, Liaoyaqi Wang, Dongshen Peng, Hongxia Xu, Yun Li, Hongtu Zhu, Tianfan Fu, and Huaxiu Yao. 2025. LIFTED: Multimodal Clinical Trial Outcome Prediction via Large Language Models and Mixture-of-Experts. In Findings of the Association for Computational Linguistics: EMNLP 2025, pages 7503–7517, Suzhou, China. Association for Computational Linguistics.
Cite (Informal):
LIFTED: Multimodal Clinical Trial Outcome Prediction via Large Language Models and Mixture-of-Experts (Zheng et al., Findings 2025)
Copy Citation:
PDF:
https://preview.aclanthology.org/ingest-luhme/2025.findings-emnlp.396.pdf
Checklist:
 2025.findings-emnlp.396.checklist.pdf