Pathway Convergence Enables Matching
Prediction
Rare diseases sharing >50% pathway overlap with common diseases will respond to drugs approved for those common diseases.
7,000+ rare diseases. 300 million patients. 95% have no approved treatment. But pathway convergence means drugs approved for common diseases may work for rare ones. These six hypotheses address systematic drug repurposing.
Rare diseases sharing >50% pathway overlap with common diseases will respond to drugs approved for those common diseases.
For any autoinflammatory disease with elevated IL-1/IL-6/TNF, the corresponding approved inhibitor will show clinical benefit regardless of the specific genetic cause.
JAK inhibitors will reduce interferon signatures and improve outcomes in all Type I interferonopathies, regardless of upstream genetic cause (STING, TREX1, ADAR, etc.).
mTOR pathway activation status will predict response to mTOR inhibitors across rare diseases, regardless of specific genetic cause.
Complement activation biomarkers will predict response to C5 inhibition across rare diseases beyond current indications.
Systematic repurposing dossiers will accelerate FDA acceptance of expanded access requests and orphan indications.