- Before
- Spends the first week on each target searching and reading, before she can judge a single risk.
- Now
- Starts from scored liabilities with every source passage one click away, and spends her time accepting, re-scoring and signing.
One target, from request to a signed assessment
SRK9 is a kinase target for rheumatoid arthritis, with an oral small molecule, NWB-5521, heading for the October 22 portfolio committee. A new request, NLRP15 for gout, arrives the same morning. Here is the day, screen by screen, in the working solution.
- 01Morning
Every target, and where SRK9 could hurt
Dr. Lena Ortiz · Discovery toxicologistLena opens the solution: 4 assessments wait for her review and the committee packs close October 15. The body map shows SRK9’s on-target risk by organ system: 10 liabilities from 16 key sources, with serious infections and embryo-fetal lethality high, and brain, eyes, lungs, kidney and bone with no signal found.
“4 assessments wait for your review · portfolio committee packs close Oct 15”
- 02Requested
A new target, in three fields
Dr. Maya Chen · Immunology project leaderMaya’s request for NLRP15 in gout is waiting. Assessing it takes the target, the disease and the modality, here an oral small molecule. Six evidence agents start at once, and the draft lands with the toxicologist for review.
- 03Started
Six lines of evidence, read in parallel
Assessment planner and six evidence agentsHuman genetics reads 1,206 carriers, animal models 14 phenotypes, expression 42 tissues and 9 cell types, same-mechanism drugs 3 labels and 2,940 adverse event reports, pathway and off-target 38 pathway partners, and our own studies finds none yet, with the first rat study in January. Findings land as they are found, each tagged to an organ system and cited.
“Gout risk 31% lower among people with one broken copy — supports the target”
- 04Your review
Serious infections: four evidence lines agree
Dr. Lena Ortiz · Discovery toxicologistBack on SRK9, the liability reads Likely × Serious, high risk, agent confidence 93%. The evidence ladder shows 4 of 6 lines supporting it: children with no SRK9 have recurrent pyogenic infections, myeloid knockout mice cannot clear Listeria, the target is highest in neutrophils and monocytes, and a same-mechanism drug carries serious infections at 3.1 per 100 patient-years.
“People with one working copy are healthy, so partial inhibition may be tolerated.”
- 05One click
The passage behind the number
Dr. Lena Ortiz · Discovery toxicologistEach citation opens the source at the passage: here, a 2022 case series of six children from three families with homozygous loss-of-function variants. The lines the liability rests on are highlighted, and the screen lists every liability that cites the source.
“Neutrophil killing of Staphylococcus aureus was reduced to 35% of control.”
- 06Challenged
The weak evidence, called out
CriticMalignancy (class warning) rests on one source, the class boxed warning on a same-mechanism label, and human genetics argues against it. The critic says so. It also had the knockout heart defect weighed under embryo-fetal risk, because it is developmental, not an adult heart-rhythm finding. Both notes stay open for Lena’s judgement.
“Only one source supports this liability. The critic suggests keeping probability at Unlikely unless a mechanism is found.”
- 07Re-scored
Her score, with her reason on the record
Dr. Lena Ortiz · Discovery toxicologistLena moves malignancy from Unlikely to Remote on the 5 × 5 matrix. A re-score needs a reason, and the reason goes on the review record: a single class-label source, no excess among carriers, and no difference in the 5-year extension. A programme-stopping impact is never scored low, so it stays a medium risk.
- 08Planned
A de-risking plan tied to each liability
Risk scorerSeven studies are suggested, each linked to the liability it answers; four are in the plan, the longest 8 weeks, about $198k. They include a bone-marrow colony assay with human against rat cells, a stem-cell cardiomyocyte assay with an SRK8 counter-screen, a neutrophil killing assay in human blood and a rat embryo-fetal dose-range finder before Phase 2.
- 09Drafted
The TSA, in the house template
Report drafterSummary and recommendation, target and pathway, expression, human genetics, animal models, same-mechanism drugs, liability register, monitoring and de-risking plan, and species relevance and study design. Every statement carries a numbered citation, and the draft exports to Word or goes to the IND nonclinical overview as a draft section, references kept.
- 10Signed
Signed by the toxicologist, co-signed for high risks
Dr. Lena Ortiz, then Dr. Omar HaddadThe solution will not let Lena sign until she has reviewed both high risks. She keeps the recommendation, “Go with a de-risking plan”, and signs with her password. The meaning of the signature is recorded with it: approved by toxicologist. Because two high risks remain, Dr. Omar Haddad, head of discovery safety, co-signs, and the report goes into the committee pack.
“By signing I confirm I have reviewed the evidence and approve this target safety assessment.”