Opportunity summary
Score6.0Public score shown from the verified overall while the stale axis breakdown refreshesThis canonical paper page includes Commercialization Proof and Related Resources.
ARXIV:2604.08849 · CLINICAL TRIAL MATCHING · SUBMITTED 13 APR · 20:25 UTC · FRESHNESS STALE
ARXIV:2604.08849CLINICAL TRIAL MATCHINGSUBMITTED 13 APR · 20:25 UTCFRESHNESS STALECyrus Zhou · Yufei Jin · Yilin Xu · Yu-Chiang Wang · Chieh-Ju Chao · Monica S. Lam · arXiv
SatIR is a scalable constraint-satisfaction method for clinical trial matching that uses LLMs to improve recall and interpretability over existing techniques.
Opportunity summary
Pain SatIR is a scalable constraint-satisfaction method for clinical trial matching that uses LLMs to improve recall and interpretability over existing techniques.
Evidence 0 refs | 3 sources | 50% coverage
Blocker Evidence unverified
SatIR is a scalable constraint-satisfaction method for clinical trial matching that uses LLMs to improve recall and interpretability over existing techniques. Existing retrieval techniques, largely based on keyword and embedding-similarity matching between patient profiles…
Clinical trials are central to evidence-based medicine, yet many struggle to meet enrollment targets, despite the availability of over half a million trials listed on ClinicalTrials.gov, which attracts approximately two million users monthly. Existing…
ScienceToStartup currently rates this 6.0/10 on the public viability pass. It retrieves 32%-72% more relevant-and-eligible trials per patient, improves recall over the union of useful trials by 22-38 points, and serves more patients with…
Clinical Trial Matching moved forward this cycle; last verified April 2026. Public score 6.0/10.
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Score6.0Public score shown from the verified overall while the stale axis breakdown refreshesAnalysis summary
SatIR is a scalable constraint-satisfaction method for clinical trial matching that uses LLMs to improve recall and interpretability over existing techniques.
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Paper Pack
10.48550/arXiv.2604.08849SatIR is a scalable constraint-satisfaction method for clinical trial matching that uses LLMs to improve recall and interpretability over existing techniques.
Abstract
Clinical trials are central to evidence-based medicine, yet many struggle to meet enrollment targets, despite the availability of over half a million trials listed on ClinicalTrials.gov, which attracts approximately two million users monthly. Existing retrieval techniques, largely based on keyword and embedding-similarity matching between patient profiles and eligibility criteria, often struggle with low recall, low precision, and limited interpretability due to complex constraints. We propose SatIR, a scalable clinical trial retrieval method based on constraint satisfaction, enabling high-precision and interpretable matching of patients to relevant trials. Our approach uses formal methods -- Satisfiability Modulo Theories (SMT) and relational algebra -- to efficiently represent and match key constraints from clinical trials and patient records. Beyond leveraging established medical ontologies and conceptual models, we use Large Language Models (LLMs) to convert informal reasoning regarding ambiguity, implicit clinical assumptions, and incomplete patient records into explicit, precise, controllable, and interpretable formal constraints. Evaluated on 59 patients and 3,621 trials, SatIR outperforms TrialGPT on all three evaluated retrieval objectives. It retrieves 32%-72% more relevant-and-eligible trials per patient, improves recall over the union of useful trials by 22-38 points, and serves more patients with at least one useful trial. Retrieval is fast, requiring 2.95 seconds per patient over 3,621 trials. These results show that SatIR is scalable, effective, and interpretable.
Source availability
PDF linkedThe paper record includes a public PDF URL.
Extraction status
Parse run linkedA document parse run is attached to this paper.
Proof status
unverified0 refs; 3 sources; 50% coverage.
What was readable
Derived fallback: Estimated from adjacent evidence; not verified from source.
Viability
Time to MVP
Commercial
Export
Preparing verified analysis
Dimensions overall score 6.0
PROBLEM
SatIR is a scalable constraint-satisfaction method for clinical trial matching that uses LLMs to improve recall and interpretability over existing techniques. Existing retrieval techniques, largely based on keyword and embedding-similarity matching between patient profiles and e...
METHOD
Clinical trials are central to evidence-based medicine, yet many struggle to meet enrollment targets, despite the availability of over half a million trials listed on ClinicalTrials.gov, which attracts approximately two million users monthly. Existing retrieval techniques, large...
RESULT
ScienceToStartup currently rates this 6.0/10 on the public viability pass. It retrieves 32%-72% more relevant-and-eligible trials per patient, improves recall over the union of useful trials by 22-38 points, and serves more patients with at least one useful trial.
WHY NOW
Clinical Trial Matching moved forward this cycle; last verified April 2026. Public score 6.0/10.
Abstract-backed public claims while anchored extraction refreshes.
SatIR is a scalable constraint-satisfaction method for clinical trial matching that uses LLMs to improve recall and interpretability over existing techniques. Existing retrieval techniques, largely based on keyword and embedding-similarity matching between patient profiles and eligibility criteria, often struggle with low recall, low precision, and limited interpretability due to complex constraints.
Abstract-backed fallback claim; anchored extraction has not materialized a public claim row yet.
partial
Clinical trials are central to evidence-based medicine, yet many struggle to meet enrollment targets, despite the availability of over half a million trials listed on ClinicalTrials.gov, which attracts approximately two million users monthly. Existing retrieval techniques, largely based on keyword and embedding-similarity matching between patient profiles and eligibility criteria, often struggle with low recall, low precision, and limited interpretability due to complex constraints.
Abstract-backed fallback claim; anchored extraction has not materialized a public claim row yet.
partial
ScienceToStartup currently rates this 6.0/10 on the public viability pass. It retrieves 32%-72% more relevant-and-eligible trials per patient, improves recall over the union of useful trials by 22-38 points, and serves more patients with at least one useful trial.
Abstract-backed fallback claim; anchored extraction has not materialized a public claim row yet.
partial
Clinical Trial Matching moved forward this cycle; last verified April 2026. Public score 6.0/10.
Abstract-backed fallback claim; anchored extraction has not materialized a public claim row yet.
partial
Paper-native neighborhood for concepts, methods, materials, markets, and competitors. Missing lanes stay labeled instead of disappearing behind commercialization gates.
Concepts
Methods
Materials
Markets
Competitors
SatIR is a scalable constraint-satisfaction method for clinical trial matching that uses LLMs to improve recall and interpretability over existing techniques.
Segment
Clinical Trial Matching
Adoption evidence
No public code link in the paper record yet
Commercial read
6.0/10 public viability
Direct
Adjacent
Substitute
Unknown
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Hacker News
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Bluesky
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Reference metadata is not materialized in the public index yet. The source PDF remains the authority; cache refresh is optional.
CITED BY
No citing papers are indexed in the public S2S graph yet. This is an explicit zero-signal state, not a hidden lookup.
Foundation
Commercially relevant
Conflicting
Owned Distribution
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2/3 checks · 67%
Build Passport
Build passport pending - Proof Lab budget No verified cost estimate / $7.00 cap
status
missing
reason
passport_row_missing
proof status
unverified
cost/budget
No verified cost estimate
confidence low
next verification path
Build brief missing until Build Passport data exists.
Source missing: Build Passport payload.
Experiment plan missing until prototype path is available.
No prototype path attached.
Validation checklist missing until required assets, cost, and regulatory flags are verified.
No checklist artifact is attached to the Build Passport payload.
Derived signals show verified:false until source-backed receipts exist.
Evidence coverage
OpportunityKernel evidence_receipt
0 refs / 3 sources / 50% coverage
stale
Verify missing sources before using this as buyer proof. verified:false
Build readiness
BuildPassport EvidenceState
passport absent
stale
Run Proof Lab or inspect typed missing state. verified:false
Artifact maturity
GitHub and Hugging Face maturity payloads
No public artifact surface observed
stale
Open source artifacts or mark the gap as missing. verified:false
Technical feasibility
partial
Current read
Runnable path is not fully verified.
Evidence
No Build Passport payload attached.
Gaps
Next test
Run minimal reproduction from the Build Passport prototype path.
Market urgency
missing
Current read
Buyer urgency is not verified from source.
Evidence
0 references, 3 sources, 50% evidence coverage.
Gaps
Next test
Collect buyer interview, deployment evidence, or cited demand signal.
Buyer clarity
missing
Current read
No budget owner is verified for this paper.
Evidence
Build tab has no CRM, procurement, or operator source.
Gaps
Next test
Map target operator, economic buyer, and procurement trigger.
Defensibility
missing
Current read
Defensibility signals are missing.
Evidence
No defensibility receipt attached.
Gaps
Next test
Refresh defensibility bars with source receipts.
Integration burden
missing
Current read
No public implementation surface observed.
Evidence
No GitHub or Hugging Face payload attached.
Gaps
Next test
Write integration checklist from prototype path and target workflow.
Capital intensity
missing
Current read
No observed cost estimate is verified.
Evidence
Cost passport has no observed_usd value.
Gaps
Next test
Run cost passport or mark the cost field not applicable.
Regulatory load
missing
Current read
No regulatory classification is attached.
Evidence
Build Passport ledger does not include regulatory flags.
Gaps
Next test
Classify regulatory flags before commercialization planning.
No named scientific founder assigned.
Paper authors are not treated as operators without consent.
People
No named person assigned.
Gaps
Next verification path
Prototype owner missing.
Build Passport does not name an implementer.
People
No named person assigned.
Gaps
Next verification path
Operator workflow not sourced.
No buyer or workflow interview attached.
People
No named person assigned.
Gaps
Next verification path
No GTM owner verified.
No CRM or outreach source attached.
People
No named person assigned.
Gaps
Next verification path
Regulatory need unclassified.
No clinical or regulatory source attached.
People
No named person assigned.
Gaps
Next verification path
ARTIFACTS
No public artifacts yet.
DEFENSIBILITY
Defensibility and confidence evidence pending.
WATCHTOWER
No verified watchtower monitor rows yet.
FORESIGHT
No prediction yet — minted on next Foresight batch.
OPPORTUNITYKERNEL CHANGES SINCE LAST VIEW
No verified OpportunityKernel changes since the last view.
COMPETITIVE LANDSCAPE UPDATES
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RELATED PAPER UPDATES
No verified related paper changes yet.
SIGNAL CANVAS HISTORY AND DELTAS
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TIMELINE
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Score trend will appear after multiple data points.
BUZZ
Buzz trend pending.