A Knowledge Graph–Driven Multimodal Framework for Drug–Disease Association Prediction

Abstract

Drug repurposing represents a cost-effective strategy to identify novel therapeutic applications for existing pharmaceuticals, circumventing the protracted timelines of traditional drug discovery. While knowledge graph (KG) based methods excel at integrating heterogeneous biomedical data, they often struggle to harmonize high-level domain knowledge with fine-grained molecular mechanisms. We propose KGDDA, a multimodal framework designed for drug–disease association prediction that synergistically integrates KGs with medical ontologies. By leveraging an attention-driven fusion mechanism, KGDDA dynamically merges contextual topological embeddings with ontology-derived priors, enabling the adaptive capture of intricate drug–disease interactions. Extensive evaluations on two benchmark datasets demonstrate that KGDDA consistently outperforms state-of-the-art baselines in both predictive accuracy and generalization. Furthermore, case studies on head and neck cancer and small cell lung cancer validate KGDDA’s ability to provide actionable mechanistic insights, highlighting its potential to accelerate therapeutic discovery and precision medicine.