#ImmunotherapyAI
Discover COMPASS: a new AI model processing tumor transcriptomes to predict immunotherapy outcomes across all cancers! #ImmunotherapyAI PMID:42399673, Nat Med 2026, @NatureMedicine @Harvard https://doi.org/10.1038/s41591-026-04502-7 #Medsky #Pharmsky #RNA #ASHG #ESHG 🧪
Generalizable AI predicts immunotherapy outcomes across cancers and treatments | Nature Medicine
Immune checkpoint inhibitors (ICIs) are a standard treatment across cancers, yet most patients do not respond, and existing biomarkers generalize poorly across tumor types and therapies. Here we present COMPASS, a pan-cancer foundation model that predicts immunotherapy response from bulk tumor transcriptomes using a concept bottleneck transformer. COMPASS encodes gene expression through 44 biologically grounded immune concepts representing immune cell states, tumor−microenvironment interaction and signaling pathways. Trained on 10,184 tumors across 33 cancer types, COMPASS achieves better average performance than 22 methods across 16 clinical cohorts spanning seven cancers and six ICIs, improving accuracy by 8.5% and area under the precision-recall curve by 15.7% on average across cohorts. COMPASS generalizes to cancer types and treatments not represented during fine-tuning and may inform indication selection and patient stratification. In survival analyses, patients classified by COMP
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October 19, 2026 at 4:00 AM