rarediseasehedge ← AlmanacCandidatesCard listFunnelAudit

Funnel A candidate-discovery run

_Generated by pipeline/rdh_diff.py in 26s. Data snapshot: UNII 4Aug2026 · Drugs@FDA 12 Oct 2026 · Orange Book 12 Oct 2026 · EMA 12 Oct 2026 · Health Canada 12 Oct 2026 · Swissmedic 12 Oct 2026 · PMDA 12 Oct 2026 · GSRS relationship graph._

What this is: active substances approved by a foreign regulator whose active moiety is absent from the entire US approval record — i.e. the population A1 (never approved in the US) that § 360ff makes PRV-eligible. This is a screening list, not a clearance; downstream filters (505(b)(1) fileability, rare-pediatric evidence, FTO, orphan-exclusivity conflict) still apply. The matcher is measured, not asserted: python3 pipeline/test_accuracy.py --real replays labeled known-answer drugs through this exact code path.

Funnel

StageCount
Foreign substance rows ingested18,107
Resolved to a UNII6,493
Unresolved to a UNII (cannot be diffed; dropped)11,614
— EMA375 of 2,304 rows (16%)
— EU national (Art57)7,914 of 11,892 rows (67%)
— Health Canada221 of 702 rows (31%)
— PMDA-JP232 of 234 rows (99%)
— Swissmedic2,872 of 2,975 rows (97%)
Unique moieties, resolved3,061
Dropped — moiety already approved in US2,027
— via string/UNII variant match1,878
— via GSRS relationship graph (prodrug/conjugate/synonym-island)149
Dropped — biologic/vaccine/mixture (not a repurposing candidate)420
Needs human review — cannot be settled by data on hand9
Small-molecule, never-US637
— unnamed (excipient/antiseptic/reagent/vet — appendix CSV)267
— named, but no authorisation in any register loaded here (dossier-only)32
Funnel A candidates — named drug (INN or USAN), genuinely approved abroad338
— INN-designated334
— flagged orphan by a foreign regulator2
— approved in >1 foreign regulator22

US exclusion set

How to read this

The orphan-flagged, multi-regulator, INN candidates are the highest-value rows: an INN exists (mature molecule), more than one stringent regulator approved it (real drug, real dossier), and at least one called it orphan (already in rare-disease territory). Start manual review there.

Top orphan-flagged candidates

UNIINameForeign sourcesINN
HB6PN45W4JIDEBENONEEMAEU national (Art57)Y
K824X25AYALERIGLITAZONEEMAY

Dossier-only — named, never-US, and no authorisation in any register loaded here (funnelA_dossier_only.csv)

These moieties reached a stringent regulator but the application was withdrawn, refused, or sits at opinion stage in every register this pipeline loads. They are not foreign approvals on this evidence and must never be counted as such. Two cautions, in opposite directions:

UNIINameRegulator statusOrphanIndication
CEG1Q6OGU1BARDOXOLONE METHYLEMA: never authorisedYTreatment of chronic kidney disease
GKF8S4C432CATEQUENTINIBEMA: never authorisedYTreatment of synovial sarcoma or leiomyosarcoma.
6QFP76V7S7EPRODISATEEMA: never authorisedY
6JLQ8K35KKGOVORESTATEMA: never authorisedYTreatment of adults and children aged 2 years and older with a confirm
UJ0ZJ76DO9GUSPERIMUSEMA: never authorisedY
M59NC4E26PMASITINIBEMA: never authorisedYIn combination with riluzole for the treatment of adult patients with
Y76ID234HWPLITIDEPSINEMA: never authorisedYTreatment of multiple myeloma 
HD4TW8S2VKPRIDOPIDINEEMA: never authorisedYTreatment of Huntington's disease 
1578EUB98LRESMINOSTATEMA: never authorisedYTreatment of patients with advanced stage mycosis fungoides (MF) and S
H19C446XXBRUBITECANEMA: never authorisedY
DD5RBA1NKFANAMORELINEMA: never authorisedNTreatment of anorexia, cachexia or unintended weight loss in adult pat
9T210MMZ3FBLARCAMESINEEMA: never authorisedNTreatment of Alzheimer’s disease and dementia.
P7725I9V3ZCARISBAMATEEMA: never authorisedN
3B03KPM27LCASOPITANTEMA: never authorisedN
NQU9IPY4K9CEDIRANIBEMA: never authorisedNTreatment of platinum sensitive relapsed (PSR) ovarian cancer
958X4J301AFALDAPREVIREMA: never authorisedNTreatment of chronic genotype-1 hepatitis C virus (HCV) infection.
V72H9867WBGARENOXACINEMA: never authorisedN
908SY76S4GLAQUINIMODEMA: never authorisedNTreatment of multiple sclerosis
E0QN3D755OLISURIDEEMA: never authorisedN
YA84KI1VEWMOLNUPIRAVIREMA: never authorisedNTreatment of coronavirus disease 2019 (COVID-19).
8O74K609HNOBICETRAPIBEMA: never authorisedNTreatment of primary hypercholesterolaemia or mixed dyslipidaemia.
2M19539ERKOMECAMTIV MECARBILEMA: never authorisedNTreatment of adult patients with symptomatic chronic heart failure and
OS7097575KPARSACLISIBEMA: never authorisedNTreatment of marginal zone lymphoma
N0JWC7RO00POVORCITINIBEMA: never authorisedNTreatment of active moderate to severe hidradenitis suppurativa (acne
721809WQCPRUBOXISTAURINEMA: never authorisedN
AJS8S3P31HSATAVAPTANEMA: never authorisedN
8D7B37T28GSATRAPLATINEMA: never authorisedN
MNZ4OP95CFSENAPARIBEMA: never authorisedNMaintenance treatment of advanced epithelial high-grade ovarian, fallo
9U1ETH79CKSOLITHROMYCINEMA: never authorisedNTreatment of bacterial infections
B2K5L1L8S9SURUFATINIBEMA: never authorisedNTreatment of progressive neuroendocrine tumours
K6A90IIZ19VOSAROXINEMA: never authorisedNTreatment acute myeloid leukaemia
49HFB70472XIMELAGATRANEMA: never authorisedN

Needs human review (funnelA_review.csv)

These rows are neither kept nor dropped: the data on hand cannot settle them. Each carries the specific open question.

UNIINameOpen question
7A997Q53NRZOPICLONE, (R)-STEREO_US_PARTNER: ESZOPICLONE is US-approved (stereo-unii:UZX80K71OE); s.529 treatment of enantiomer/isomer pairs is unsettled and GSRS carries no stereo edge
BZ1R15MTK7LEVOMENTHOLSTEREO_US_PARTNER: MENTHOL is US-approved (stereo-unii:C6B1OE8P3W); s.529 treatment of enantiomer/isomer pairs is unsettled and GSRS carries no stereo edge for
671DKG7P5SDEXIBUPROFENSTEREO_US_PARTNER: IBUPROFEN is US-approved (stereo-unii:99W8H60N62); s.529 treatment of enantiomer/isomer pairs is unsettled and GSRS carries no stereo edge fo
6Y75Z4E8NSLEVOMETHADONESTEREO_US_RELATIVE: RACEMATE->ACTIVE ENANTIOMER -> Methadone is US-approved (gsrs-unii:S95RZH8AMH); s.529 treatment of enantiomer/racemate pairs is unsettled /
4MXU9LJS4QLEUCOVORIN SODIUMSTEREO_US_PARTNER: LEVOLEUCOVORIN SODIUM is US-approved (stereo-key:LEVOLEUCOVORIN SODIUM); s.529 treatment of enantiomer/isomer pairs is unsettled and GSRS car
K76S41V71XACETYLLEUCINESTEREO_US_PARTNER: LEVACETYLLEUCINE is US-approved (stereo-unii:E915HL7K2O); s.529 treatment of enantiomer/isomer pairs is unsettled and GSRS carries no stereo
U9VY0ZOK7ACARNITINE, (+)-STEREO_US_PARTNER: LEVOCARNITINE is US-approved (stereo-unii:0G389FZZ9M); s.529 treatment of enantiomer/isomer pairs is unsettled and GSRS carries no stereo edg
01Q0586BG1SORBITOL, L-STEREO_US_PARTNER: SORBITOL is US-approved (stereo-unii:506T60A25R); s.529 treatment of enantiomer/isomer pairs is unsettled and GSRS carries no stereo edge for
R6D2UI4FLSENCLOMIPHENESTEREO_US_PARTNER: CLOMIPHENE is US-approved (stereo-unii:1HRS458QU2); s.529 treatment of enantiomer/isomer pairs is unsettled and GSRS carries no stereo edge f

Known residual error classes (do not skip)