{ "updated": "2026-09-04", "pipeline": "ChEMBL activity + drug max_phase join (repurpose_screen.py)", "pchembl_cutoff": 6.0, "note": "Approved drugs (max_phase 4) with measured potency (pchembl>=6) against a novel endometriosis target. Hypothesis-generation only; direction of effect requires mechanism review.", "per_target": { "ABCC4": { "chembl": "CHEMBL1743128", "potent_actives": 2, "candidates": [] }, "ACKR3": { "chembl": "CHEMBL2010631", "potent_actives": 82, "candidates": [] }, "ACVR1B": { "chembl": "CHEMBL5310", "potent_actives": 84, "candidates": [ { "molecule": "CHEMBL601719", "name": "CHEMBL601719", "pchembl": 6.07, "phase": 4.0 }, { "molecule": "CHEMBL2028663", "name": "CHEMBL2028663", "pchembl": 6.22, "phase": 4.0 } ] }, "AOC3": { "chembl": "CHEMBL3265", "potent_actives": 7, "candidates": [] }, "CCR6": { "chembl": "CHEMBL4423", "potent_actives": 67, "candidates": [] }, "CCR8": { "chembl": "CHEMBL4596", "potent_actives": 92, "candidates": [] }, "CMKLR1": { "chembl": "CHEMBL3540", "potent_actives": 73, "candidates": [] }, "CX3CR1": { "chembl": "CHEMBL4843", "potent_actives": 62, "candidates": [] }, "ENTPD1": { "chembl": "CHEMBL2766", "potent_actives": 0, "candidates": [] }, "ENTPD2": { "chembl": "CHEMBL5049", "potent_actives": 0, "candidates": [] }, "F2RL1": { "chembl": "CHEMBL5963", "potent_actives": 61, "candidates": [] }, "FKBP4": { "chembl": "CHEMBL4050", "potent_actives": 16, "candidates": [ { "molecule": "CHEMBL160", "name": "CHEMBL160", "pchembl": 7.8, "phase": 4.0 }, { "molecule": "CHEMBL413", "name": "CHEMBL413", "pchembl": 8.38, "phase": 4.0 }, { "molecule": "CHEMBL269732", "name": "CHEMBL269732", "pchembl": 7.64, "phase": 4.0 } ] }, "FPR1": { "chembl": "CHEMBL3359", "potent_actives": 69, "candidates": [] }, "FPR2": { "chembl": "CHEMBL4227", "potent_actives": 86, "candidates": [] }, "GPER1": { "chembl": "CHEMBL5872", "potent_actives": 87, "candidates": [ { "molecule": "CHEMBL135", "name": "CHEMBL135", "pchembl": 9.52, "phase": 4.0 } ] }, "GPX4": { "chembl": "CHEMBL4295754", "potent_actives": 31, "candidates": [] }, "HPGD": { "chembl": "CHEMBL1293255", "potent_actives": 94, "candidates": [] }, "HTRA1": { "chembl": "CHEMBL4523419", "potent_actives": 100, "candidates": [] }, "ILK": { "chembl": "CHEMBL5247", "potent_actives": 100, "candidates": [] }, "KLRK1": { "chembl": "CHEMBL5483005", "potent_actives": 20, "candidates": [] }, "METTL3": { "chembl": "CHEMBL4106140", "potent_actives": 100, "candidates": [] }, "MRGPRX2": { "chembl": "CHEMBL5849", "potent_actives": 22, "candidates": [ { "molecule": "CHEMBL1200490", "name": "CHEMBL1200490", "pchembl": 6.21, "phase": 4.0 } ] }, "NGFR": { "chembl": "CHEMBL4762", "potent_actives": 1, "candidates": [] }, "PDK3": { "chembl": "CHEMBL3893", "potent_actives": 23, "candidates": [] }, "PFKFB3": { "chembl": "CHEMBL2331053", "potent_actives": 93, "candidates": [] }, "PLAUR": { "chembl": "CHEMBL4883", "potent_actives": 16, "candidates": [] }, "S1PR2": { "chembl": "CHEMBL2955", "potent_actives": 76, "candidates": [] }, "S1PR3": { "chembl": "CHEMBL3892", "potent_actives": 87, "candidates": [] }, "SLC7A11": { "chembl": "CHEMBL1075149", "potent_actives": 17, "candidates": [ { "molecule": "CHEMBL421", "name": "CHEMBL421", "pchembl": 6.8, "phase": 4.0 } ] }, "SLCO2A1": { "chembl": "CHEMBL2073680", "potent_actives": 25, "candidates": [ { "molecule": "CHEMBL815", "name": "CHEMBL815", "pchembl": 7.35, "phase": 4.0 } ] }, "SPHK1": { "chembl": "CHEMBL4394", "potent_actives": 86, "candidates": [] }, "SUCNR1": { "chembl": "CHEMBL2150838", "potent_actives": 74, "candidates": [] }, "TPSAB1": { "chembl": "CHEMBL2617", "potent_actives": 96, "candidates": [] }, "TRPM3": { "chembl": "CHEMBL3559708", "potent_actives": 0, "candidates": [] }, "YAP1": { "chembl": "CHEMBL3334415", "potent_actives": 17, "candidates": [] } }, "candidates": [ { "target": "ACVR1B", "target_chembl": "CHEMBL5310", "molecule": "CHEMBL601719", "name": "Crizotinib", "pchembl": 6.07, "phase": 4.0, "status": "watchlist", "status_detail": "WATCHLIST \u2014 LOW: real ACVR1B/activin\u2192aromatase mechanism; cancer-TKI fertility/off-target baggage makes drug fit poor.", "validation_ref": "https://raw.githubusercontent.com/wckdboy/openendo/main/docs/research/evidence/m3-validation.md" }, { "target": "ACVR1B", "target_chembl": "CHEMBL5310", "molecule": "CHEMBL2028663", "name": "Dabrafenib", "pchembl": 6.22, "phase": 4.0, "status": "watchlist", "status_detail": "WATCHLIST \u2014 LOW: real ACVR1B/activin\u2192aromatase mechanism; cancer-TKI fertility/off-target baggage makes drug fit poor.", "validation_ref": "https://raw.githubusercontent.com/wckdboy/openendo/main/docs/research/evidence/m3-validation.md" }, { "target": "FKBP4", "target_chembl": "CHEMBL4050", "molecule": "CHEMBL160", "name": "Cyclosporine", "pchembl": 7.8, "phase": 4.0, "status": "watchlist", "status_detail": "WATCHLIST: rat-model efficacy but chronic immunosuppression heavy for benign disease; ChEMBL FKBP4 hit = promiscuity (clinical pharmacology via FKBP12/calcineurin).", "validation_ref": "https://raw.githubusercontent.com/wckdboy/openendo/main/docs/research/evidence/m3-validation.md" }, { "target": "FKBP4", "target_chembl": "CHEMBL4050", "molecule": "CHEMBL413", "name": "Sirolimus (rapamycin)", "pchembl": 8.38, "phase": 4.0, "status": "top-tier", "status_detail": "TOP TIER: independent mTOR endometriosis evidence + chronic-use safety; FKBP4/FKBP52 engagement plausible (PR-chaperone hypothesis; Phase 1.0 docking rapamycin\u2192FKBP52 \u22126.38 vs FKBP12 \u22127.06, 2026-09-04).", "validation_ref": "https://raw.githubusercontent.com/wckdboy/openendo/main/docs/research/evidence/m3-validation.md" }, { "target": "FKBP4", "target_chembl": "CHEMBL4050", "molecule": "CHEMBL269732", "name": "Tacrolimus", "pchembl": 7.64, "phase": 4.0, "status": "watchlist", "status_detail": "WATCHLIST: rat-model efficacy but chronic immunosuppression/nephrotoxicity heavy for benign disease; FKBP4 hit = promiscuity (pharmacology via FKBP12/calcineurin).", "validation_ref": "https://raw.githubusercontent.com/wckdboy/openendo/main/docs/research/evidence/m3-validation.md" }, { "target": "GPER1", "target_chembl": "CHEMBL5872", "molecule": "CHEMBL135", "name": "Estradiol", "pchembl": 9.52, "phase": 4.0, "status": "wrong-direction", "status_detail": "WRONG DIRECTION \u2014 target-validating only: endogenous GPER agonist activating a proliferation-driving receptor in endometriosis.", "validation_ref": "https://raw.githubusercontent.com/wckdboy/openendo/main/docs/research/evidence/m3-validation.md" }, { "target": "MRGPRX2", "target_chembl": "CHEMBL5849", "molecule": "CHEMBL1200490", "name": "Cetrorelix", "pchembl": 6.21, "phase": 4.0, "status": "validated-axis", "status_detail": "VALIDATED AXIS \u2014 target-validating, not repurposing: measured MRGPRX2 agonism (pChEMBL 6.21/6.09) + already an endo treatment; MRGPRX2 antagonism is the drug-development lead. Docking deferred to Phase 2 (tool boundary).", "validation_ref": "https://raw.githubusercontent.com/wckdboy/openendo/main/docs/research/evidence/m3-validation.md" }, { "target": "SLC7A11", "target_chembl": "CHEMBL1075149", "molecule": "CHEMBL421", "name": "Sulfasalazine", "pchembl": 6.8, "phase": 4.0, "status": "watchlist", "status_detail": "WATCHLIST \u2014 LOW-MEDIUM: binds xCT as predicted (Phase 1.0 docking \u22128.52 vs native \u22129.35, 2026-09-04); direction resolved (lesion-cell ferroptosis induction therapeutic); selectivity/toxicity remain the blockers.", "validation_ref": "https://raw.githubusercontent.com/wckdboy/openendo/main/docs/research/evidence/m3-validation.md" }, { "target": "SLCO2A1", "target_chembl": "CHEMBL2073680", "molecule": "CHEMBL815", "name": "Dinoprostone (PGE2)", "pchembl": 7.35, "phase": 4.0, "status": "wrong-direction", "status_detail": "WRONG DIRECTION \u2014 target-validating only: dinoprostone IS PGE2; therapy would need SLCO2A1 blockade, not the agonist.", "validation_ref": "https://raw.githubusercontent.com/wckdboy/openendo/main/docs/research/evidence/m3-validation.md" } ], "validation": { "updated": "2026-09-04", "method": "M3 depth-check 9/9 (2026-09-02) \u2014 mechanism/evidence/safety/novelty + direction-of-effect review (ferroptosis-direction.md); Phase 1.0 docking + ADMET (2026-09-04); Phase 0.5 GEO lesion-expression corroboration (2026-09-03/04)", "shortlist_ref": "https://raw.githubusercontent.com/wckdboy/openendo/main/docs/research/evidence/m3-validation.md", "status_vocabulary": [ "top-tier", "watchlist", "validated-axis", "wrong-direction" ], "note": "status reflects the M3 validated shortlist; wrong-direction/validated-axis entries remain target-validating evidence, not repurposing candidates." } }