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S3 (505(b)(2)+Orphan) · Orphan-eligible

Huntington's Disease

Library compounds whose LINCS consensus expression profiles most strongly anti-correlate one transcriptional signature associated with Huntington's Disease, after a cytotoxicity-alignment filter and clinical-maturity ranking. Compounds our structural screen flags are labelled below rather than hidden. This is a property of that signature, not of the disease. Computational and hypothesis-generating, pending wet-lab. Method & limits →

Not tested. Twenty-three indications in our corpus hold two independently derived signatures. Comparing the twelve top candidates from each: 14 pairs shared no compound, 6 shared one, 3 shared two — indistinguishable from the 3,173 pairs built from different indications, where 60.1% likewise share nothing (p = 0.92, two-sided). But in every one of those pairs one signature was far too shallow to measure anything, so that outcome was expected before the test was run. It is not evidence that the method fails; it is evidence that we never ran a test capable of succeeding. Treat the names below as leads from one measurement, not as candidates for the disease.

Top candidates preview

  1. 1palbociclib
  2. 2atracuriumSTRUCTURAL ALERT
  3. 3idarubicinSTRUCTURAL ALERT
  4. 4teniposide
  5. 5amsacrineSTRUCTURAL ALERT
  6. 6mitoxantroneSTRUCTURAL ALERT
  7. 7naltrexone
  8. 8topotecanSTRUCTURAL ALERT

Full candidate dossier — 146 cytotox-screened candidates

Quantified reversal ranking · per-candidate mechanistic rationale · ClinicalTrials.gov whitespace detail · S3 (505(b)(2)+Orphan) regulatory framing · structure-function intelligence.

What this ranking is built on. The expression signature behind this indication is human and shares 940 genes with the 978-gene LINCS landmark set, clearing the 300-gene floor below which our rankings stop being reproducible under resampling. Twenty-one of our other indications fail that floor. Six more are withheld for different reasons: four rest on mouse or rat signatures, and two carry a signature whose values point almost entirely one way, leaving nothing for a reversal score to oppose. The cross-species cases are described in the cross-species note. None of the twenty-seven is for sale at any price.

The one control we have passed. We permute a signature's values among its own genes — same genes, same depth, same distribution, disease content destroyed — and re-rank. Across six signatures the candidate list does not survive it: the median overlap with the real top twelve falls to zero of twelve. Of 60 individual draws, 9 recovered one compound and one recovered two — we report that rather than rounding it into “none”. The ranking tracks the disease measurement rather than the identity of the assayed genes. That is a specificity result, and it is the only control this method has passed.

What you are not buying. This is a computational hypothesis, pending wet-lab. We have not shown these candidates work, and we cannot yet show the list is reproducible across independent signatures of the same indication: 23 indications in our corpus hold two signatures each, and their top-twelve lists agree no more often than lists drawn from unrelated diseases (14 of 23 pairs share nothing; p = 0.92 against 3,173 different-indication pairs). One side of every one of those comparisons was too shallow to measure anything, so that result does not condemn the method — but it does mean the replication question is open, and you should price it accordingly.

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What we measured, and its limits →