[synthesis.]Internal

Regulatory intelligence — not medical or legal advice.

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Data refresh

Runs once per app session in the background and keeps existing data if source APIs are unavailable.

Annotation style
Ask · OpenAI

Requires OPENAI_API_KEY on the server. Heuristics always run first.

Ingested into Drug Repo

These feeds populate Postgres (`DrugProduct`, sponsors, canonical rollups). Coverage depends on what you run locally (`npm run ingest`, DailyMed jobs, etc.).

  • Structured drug labeling (SPL) from NIH DailyMed — primary path for rich indication and packaging text in the local catalog when that pipeline is enabled.

  • BLA / biologic product metadata (CSV export or normalized extracts) used to seed and reconcile biologic rows and canonical keys.

  • Optional Purple Book–style or sponsor-normalized CSV ingests for controlled corpora and demos.

Live regulatory & label APIs

Ask can query these at request time (networked). Authenticated keys improve throughput where vendors allow it.

  • Public FDA drug labeling API (SPL-backed JSON). Used for live label discovery, infusion/rare-disease baselines, and optional enrichment during ingest — not the only regulatory surface in the product.

  • Application-centric regulatory metadata (submissions, marketed product rows) surfaced in diligence panels where configured.

Evidence & literature (Ask / diligence)

Parallel retrieval for trials and publications; complements catalog and label rows.

  • Trial registry links and metadata for landscape-style Ask turns and drug diligence sections.

  • Biomedical literature citations used in evidence bundles and conversational follow-ups.

  • Europe PMCEvidence

    Full-text aware literature layer alongside PubMed for broader retrieval.

  • OpenAlexEvidence

    Open scholarly graph for works, institutions, and concepts when the evidence router includes it.

  • SEC EDGAREvidence

    Public company filings used for commercial / filings–focused Ask modes.

Research skills (ToolUniverse)

Separate skill portals call ToolUniverse’s tool library (1000+ scientific tools). Those integrations are documented per skill; this table is the core Synthesis corpus only.

  • Optional MCP / SDK-backed tools for deep research workflows — orthogonal to the Drug Repo ingest list above.

ToolUniverse skills wired to [synthesis.]

These Cursor skills live under .cursor/skills/. [synthesis.] lists them here; execution happens in Cursor via MCP (uvx tooluniverse) or Python jobs.

Clinical guidelines
tooluniverse-clinical-guidelines
Upstream skill ↗

Evidence-based guideline retrieval for indication framing and “what is ideal therapy for X?” style questions.

Surfaces: Ask · Drug detail
Example Cursor prompt
Using clinical guidelines skills, summarize first-line systemic therapy options for moderate-to-severe plaque psoriasis in adults.

---

What do major guidelines recommend for induction therapy in biologic-naive Crohn’s disease?
Clinical trial design
tooluniverse-clinical-trial-design
Upstream skill ↗

Critique endpoints, eligibility, and statistical strength; pairs with ClinicalTrials.gov context for whether data support claims.

Surfaces: Ask · Trial matches · Drug detail
Example Cursor prompt
For NCT03066778, comment on whether the primary endpoint and sample size are adequate to support a label-expansion narrative.

---

Compare standard-of-care control arms used in recent Phase 3 trials for this indication.
Clinical trial matching
tooluniverse-clinical-trial-matching
Upstream skill ↗

Reverse-style trial discovery and pipeline identification (sponsors, interventions, status windows).

Surfaces: Ask · Catalog · Trial matches
Example Cursor prompt
Find actively recruiting trials that include both infliximab-exposed and biologic-naive arms for ulcerative colitis.

---

Map competitor trials for the same MOA class as this asset and flag overlapping inclusion criteria.
Disease research
tooluniverse-disease-research
Upstream skill ↗

Disease-level mechanistic and epidemiologic context to complement FDA label rows in the catalog.

Surfaces: Ask · Drug detail
Example Cursor prompt
Summarize disease burden, standard-of-care biologics, and residual unmet need for hidradenitis suppurativa.
Drug–drug interactions
tooluniverse-drug-drug-interaction
Upstream skill ↗

DDI checks especially important for polypharmacy in infusion centers and perioperative pathways.

Surfaces: Ask · Drug detail
Example Cursor prompt
Assess major interaction risks between infliximab and commonly co-prescribed small-molecule immunosuppressants.
Drug repurposing
tooluniverse-drug-repurposing
Upstream skill ↗

Hypothesis generation for off-label / new-indication expansion (common in autoimmune and rare disease BD).

Surfaces: Ask · Engineering / expansion
Example Cursor prompt
Given mechanism X, outline repurposing hypotheses supported by real-world usage patterns and genetic evidence.
Drug research
tooluniverse-drug-research
Upstream skill ↗

Broad drug intelligence (targets, class, development history) layered on top of catalog rows.

Surfaces: Ask · Catalog · Drug detail
Example Cursor prompt
Produce a structured drug profile for vedolizumab: class, MOA, major indications, and key safety boxed warnings.
Drug target validation
tooluniverse-drug-target-validation
Upstream skill ↗

Target-level evidence triangulation (genetics, dependency, tractability) for BD / target review sessions.

Surfaces: Ask · Engineering / expansion · Drug detail
Example Cursor prompt
Summarize genetic and functional evidence supporting TNF as a target in this indication.
Literature deep research
tooluniverse-literature-deep-research
Upstream skill ↗

Multi-source literature synthesis with citations — default backstop for any complex scientific question.

Surfaces: Ask · Drug detail · Catalog
Example Cursor prompt
What does recent literature say about switching between anti-TNF biologics in IBD after secondary loss of response?
Network pharmacology
tooluniverse-network-pharmacology
Upstream skill ↗

Polypharmacology / network views of drug action — useful for combination rationale and class effects.

Surfaces: Ask · Drug detail · Engineering / expansion
Example Cursor prompt
Outline network-level rationale for combining an anti-integrin with an anti-cytokine in refractory disease.
Pharmacovigilance
tooluniverse-pharmacovigilance
Upstream skill ↗

Safety signal exploration (FAERS-style questions, disproportionality concepts) alongside label text in [synthesis.].

Surfaces: Ask · Drug detail
Example Cursor prompt
Summarize known infusion reactions and postmarketing safety considerations for this monoclonal antibody class.
DevTU: Auto-discover APIs
devtu-auto-discover-apis
Upstream skill ↗

Systematic gap analysis + new API/tool proposals for expanding ToolUniverse coverage as this app grows.

Surfaces: Engineering / expansion
Example Cursor prompt
Identify gaps in ToolUniverse coverage for infusion-center formulary data sources and propose 3 candidate APIs.
ToolUniverse: install skills
tooluniverse-install-skills
Upstream skill ↗

Keeps the skill bundle current when upstream adds new workflows (pairs with DevTU expansion work).

Surfaces: Engineering / expansion
Example Cursor prompt
Refresh installed ToolUniverse skills in this repo and summarize what changed upstream.
ToolUniverse Python SDK
tooluniverse-sdk
Upstream skill ↗

For scripted pipelines (batch jobs, ETL, CI) calling tools via `ToolUniverse().run(...)` — not required for the Next.js UI.

Surfaces: Engineering / expansion
Example Cursor prompt
Sketch a Python script that batches PubMed + OpenTargets pulls for a list of BLA holders from a CSV.
Python SDK (item 14): Use the **tooluniverse-sdk** skill when you want server-side or batch automation (`pip install tooluniverse`, then `ToolUniverse().load_tools()`). The Next.js app stays Postgres + REST; heavy scientific tool execution continues in Cursor (MCP) or Python workers you add later.
Requested Tool Family Integration Board

Tracks requested ToolUniverse feature families and current integration posture for Ask/Drug Repo.

FDA Drug Labeling ToolsActive

Core label retrieval/intelligence path for Ask + Drug Repo enrichment.

Mapped: tooluniverse-drug-regulatory, tooluniverse-drug-research
Agentic ToolsActive

Router + agentic orchestration available; used for broad research workflows.

Mapped: tooluniverse, devtu-self-evolve
Arxiv / Biorxiv / MedrxivActive

Covered through literature aggregation workflows and citation synthesis.

Mapped: tooluniverse-literature-deep-research
CDC ToolsPlanned

Planned stronger CDC-specific routing in Ask evidence adapters.

Mapped: tooluniverse-disease-research
Clinical Guidelines ToolsActive

DailyMed class-search usage to be expanded in Ask ranking and filtering.

Mapped: tooluniverse-clinical-guidelines
ClinicalTrials.gov ToolsActive

Already integrated for trial landscape and matching flows.

Mapped: tooluniverse-clinical-trial-matching, tooluniverse-clinical-trial-design
DailyMed ToolsPlanned

Must-have deep integration target for Ask and canonical repo curation.

Mapped: tooluniverse-drug-regulatory
Disease Ontology Tools (suite)Planned

Next stage after ontology-lite scaffold; full mapping not yet enabled.

Mapped: tooluniverse-disease-research, tooluniverse-rare-disease-genomics
Drug Discovery AgentsActive

Available for target → candidate reasoning tracks.

Mapped: tooluniverse-binder-discovery, tooluniverse-drug-target-validation, tooluniverse-drug-repurposing
DrugCentral ToolsPlanned

Planned explicit source adapter wiring for DrugCentral-specific coverage.

Mapped: tooluniverse-drug-research
FDA OrangeBook ToolsActive

Regulatory status/generic availability flow already represented.

Mapped: tooluniverse-drug-regulatory
Tool_Finder_LLMPlanned

Planned explicit Ask hook for dynamic tool discovery routing.

Mapped: tooluniverse
Meta Analysis ToolsPlanned

Will support aggregate evidence synthesis workflows.

Mapped: tooluniverse-literature-deep-research, tooluniverse-statistical-modeling
NCBI Dataset ToolsActive

Accessible through ToolUniverse data retrieval stack.

Mapped: tooluniverse-data-wrangling, tooluniverse-sequence-retrieval
NCBI Gene ToolsActive

Gene-oriented lookup and interpretation workflows available.

Mapped: tooluniverse-gene-disease-association, tooluniverse-sequence-analysis
FDA approvals (Drugs@FDA)Active

Integrated with canonical ingest and regulatory lookup paths.

Mapped: tooluniverse-drug-regulatory
FDA drug labels (SPL)Active

Label ingestion + label-derived assertions are active.

Mapped: tooluniverse-drug-regulatory, tooluniverse-pharmacovigilance
FDA open data (general)Active

Now running in reliable throttled mode with key-backed canary validation.

Mapped: tooluniverse-drug-regulatory, tooluniverse-pharmacovigilance
Orphanet ToolsActive

Ready for rare-disease coverage expansion.

Mapped: tooluniverse-rare-disease-genomics, tooluniverse-rare-disease-diagnosis
PubMed ToolsActive

Literature pipelines already include PubMed-class evidence retrieval.

Mapped: tooluniverse-literature-deep-research
Expert Feedback ToolsTBD (remote)

Remote collaboration connector tracked as TBD for later sourcing/codelog follow-up.

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