Koru Life Science
Drug repurposing

Finding new indications for existing compounds.

Drug repurposing — also called repositioning — is the application of an existing, optimised compound to a new disease. Because the molecule's safety and behaviour in people are already understood, it is a pragmatic alternative to the cost and time of developing a new drug from first principles.

The rationale

Most compounds that enter clinical trials never reach patients. Many of them are safe.

Known safety and pharmacology

Existing human data reduce the early-stage risk that ends most new programmes.

Faster to patients

Programmes can move more quickly into human studies.

Capital-efficient

Lower development cost makes small and rare patient populations viable to serve.

A second life for shelved assets

Compounds stopped for strategic or commercial reasons can still hold real therapeutic value.

A proven route

Some of medicine's best-known treatments were repurposed

Sildenafil

Studied as a cardiovascular treatment, it was repositioned for erectile dysfunction after clinicians noticed an unexpected effect, and later approved for pulmonary arterial hypertension.

Thalidomide

Withdrawn after causing birth defects, it was later approved under strict controls for a complication of leprosy and for multiple myeloma.

Gemcitabine

First investigated as an antiviral agent, it became a widely used chemotherapy for several solid tumours.

Our approach

Two tracks of evidence, one decision

We curate and test compounds against disease models to uncover new uses. A candidate only advances when computational and experimental evidence point the same way.

Computational

  • Knowledge-graph and pathway mapping
  • Gene-expression signature matching
  • Human genetic association evidence
  • Target and mechanism analysis
  • Machine learning and literature mining
  • Structure-based virtual screening and hit identification

Experimental

  • Phenotypic screening in disease models
  • Target binding and engagement assays
  • Patient-derived models, where available
  • Biomarker read-outs that link response to a patient subgroup
Where our molecules come from

Three sources of candidates

Approved medicines

Licensed drugs with extensive real-world safety experience.

Clinical-stage compounds

Molecules with human data that may suit a different disease better than the one they were built for.

Shelved and partnered assets

Discontinued programmes we can in-license from partners for new indications.

From idea to programme

How a repurposing hypothesis advances

  1. 01HypothesisDisease biology meets a compound's mechanism.
  2. 02Evidence scoringCandidates are ranked across data sources.
  3. 03ValidationTop candidates are tested in relevant models.
  4. 04BiomarkerWe define who is likely to respond.
  5. 05Clinical pathA development and regulatory plan with partners.

Repurposing works best with the right patients

A medicine that fails in a broad population can succeed in a well-defined subgroup.

Stratified medicine