Polypharmacy, the concurrent use of multiple drugs to treat a single condition, is common in patients managing multiple or complex conditions. However, as more drugs are added to the treatment plan, the risk of adverse drug events (ADEs) rises rapidly. Many serious ADEs associated with polypharmacy only become known after the drugs are in use. It is impractical to test every possible drug combination during clinical trials. This issue is particularly prevalent among older adults with cardiovascular disease (CVD) where polypharmacy and ADEs are commonly observed. In this research, our primary objective was to identify key drug features to build and evaluate a model for modeling polypharmacy ADEs. Our secondary objective was to assess our model on a domain-specific case study. We developed a two-layer neural network that incorporated drug features such as molecular structure, drug-protein interactions, and mono drug side effects (DrIVeNN). We assessed DrIVeNN using publicly available side effect databases and determined Principal Component Analysis (PCA) with a variance threshold of 0.95 as the most effective feature selection method. DrIVeNN performed moderately better than state-of-the-art models like RESCAL, DEDICOM, DeepWalk, Decagon, DeepDDI, KGDDI, and KGNN in terms of AUROC for the drug-drug interaction prediction task. We also conducted a domain-specific case study centered on the treatment of cardiovascular disease (CVD). When the best performing model architecture was applied to the CVD treatment cohort, there was a significant increase in performance from the general model. We observed an average AUROC for CVD drug pair prediction increasing from 0.826 (general model) to 0.975 (CVD specific model). Our findings indicate the strong potential of domain-specific models for improving the accuracy of drug-drug interaction predictions.

该研究旨在鉴别多药联合应用不良药物事件的关键特征，并构建和评估预测多药联合应用不良事件的模型，结果显示针对心血管疾病的特定模型在药物相互作用预测中表现显著提高，证明了领域特定模型提高药物相互作用预测准确性的强大潜力。

药物交互向量神经网络：DrIVeNN