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Peer-Reviewed Publication
Surgery2026;191109915.March 1, 2026Journal Article

Understanding unrealized trial enrollments following patient-to-trial matching with large language models.

Claire T Verhagen1, Grace Westerman2, Haley Heaviland2, Erin Lynch2, Olivia Brandenburg3, Jennifer Adams-Patton3, Regina Schwind4, Yongwoo David Seo5, Callisia N Clarke6, Ben George7, Anai N Kothari8
1Division of Surgical Oncology, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI. Electronic address: https://twitter.com/claireverhagen.
2Clinical Trials Office, Medical College of Wisconsin Cancer Center, Milwaukee, WI.
3Triomics Research, San Francisco, CA.
4Triomics Research, San Francisco, CA. Electronic address: https://twitter.com/gg_schwind.
5Division of Surgical Oncology, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI. Electronic address: https://twitter.com/DavidSeoMD.
6Division of Surgical Oncology, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI. Electronic address: https://twitter.com/DrCNClarke.
7Division of Hematology and Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI.
8Division of Surgical Oncology, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI. Electronic address: akothari@mcw.edu.

Abstract

BACKGROUND: Clinical trials are essential for advancing cancer care, but identifying eligible patients in surgical clinics can be challenging due to the manual and time-consuming enrollment process. Artificial intelligence tools, such as large language models, have the potential to automate aspects of clinical trial matching. This study identified reasons why patients did not enroll in a clinical…

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