From Gamble to Science: How to Achieve 100% Accuracy in Predicting Drug Repurposing Success

For decades, drug repurposing has been the great promise of pharmaceutical development as a  faster, cheaper, and safer path to new therapies. Yet in practice, it has remained a high-stakes gamble, often driven by serendipitous luck, limited data, and disconnected evidence.

What if you could replace that gamble with a predictable, data-driven science?

At Basil Systems, we set out to answer that question. We developed a new methodology that integrates the most powerful — yet typically siloed — data assets in pharma: global labels, submissions, clinical studies, pharmacovigilance, and other data.

We then conducted a landmark retrospective study, applying our integrated AI platform to off-patent drugs to see if we could identify their successful label expansions before they happened, using only the data available at the time.

The results were a breakthrough. Our integrated approach delivered:

  • 100% accuracy in identifying the approved new indication within the top 3 candidates
  • A 4x improvement in predictive accuracy compared to traditional, siloed pharmacovigilance analysis (100% vs. 24%)


This isn’t a coincidence; it’s the result of a systematic framework that triangulates evidence to find real signals in the noise. By harmonizing these disparate datasets, we built a reproducible engine for identifying high-confidence therapeutic opportunities, effectively de-risking the entire repurposing lifecycle.

Now, we are making the full results of this research available.

Dive Deeper into the Data

For a complete overview of the study design, temporal controls, statistical analysis, and methodology, download the full research paper. This is for the leaders who want to see the numbers and understand the science behind the innovation:

Request the Research Paper

See the Strategy in Action


To explore how this methodology translates into product, commercial, translational science, and regulatory strategy, watch our on-demand webinar, "From Asset to Blockbuster: The New Blueprint for Drug Repurposing." We explore how this framework empowers teams to validate new market opportunities, build a data-driven business case, and prioritize the most defensible label expansion pathways:

Access On-Demand Webinar

The pharmaceutical industry has vast volumes of data. It’s time to use it to build a better, more predictable drug repurposing pipeline, and this research provides a new path forward. If you would like to learn how to leverage our methodology at your organization, schedule a conversation and demo with the Basil team today.

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