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Case study

Mapping EGFR resistance-bypass mechanisms across the oncology graph

Which resistance-implicated targets for EGFR therapy are under-developed?

Tools exercised:resistance_bypass_map
Reproduce in your client

The question

Operator-authored prose pending

EGFR TKI resistance as an R&D problem: the third-generation osimertinib bypass tracks are mostly known, but the under-developed nodes (NRG1 fusions, splice-related effectors) move slowly between literature and pipelines — operator writes this section as long-form prose, ~150–250 words, footnoted, slow. Scaffold only.

Strategic context

Operator-authored prose pending

osimertinib's market position, the clinical sequencing reality, which bypass tracks each major pharma has internalised, where the gap is — operator writes this section as long-form prose, ~150–250 words, footnoted, slow. Scaffold only.

The Mosaic-derived answer

Operator-authored prose pending

interpret the figure: MET dominates (correct, expected); AXL is mid-tier and partly explored; NRG1 is the under-served third tier with strong literature signal but no clinical compound — operator writes this section as long-form prose, ~150–250 words, footnoted, slow. Scaffold only.

Figure 1 — illustrative. Same shape as a live tool response, fixture values until the operator captures a live run.
Fig 1. mosaic_resistance_bypass_map(EGFR) — bypass candidates ranked by drugability gap. Literature-mined resistance co-mentions are the primary signal, with STRING PPI extended partners (e.g. STK11) appearing below the literature tier.

The graph reasoning, step by step

Operator-authored prose pending

resistance_relations edges from a deterministic keyword pass → bypass-target aggregation → drugability_gap composite (evidence × confidence ÷ patent count) → STRING augmentation for PPI-only bypass tier — operator writes this section as long-form prose, ~150–250 words, footnoted, slow. Scaffold only.

Implications

Operator-authored prose pending

portfolio implications: a small-team play is on NRG1 / HER3 fusion biology; the MET space is too crowded for new entrants but ripe for combination partnerships — operator writes this section as long-form prose, ~150–250 words, footnoted, slow. Scaffold only.

Limitations & honesty

Operator-authored prose pending

resistance edges are keyword-mined (GLiREL has no resistance edge type yet); confidence is paper-level not assertion-level; indication filter is reserved (paper-indication links aren't modelled) — operator writes this section as long-form prose, ~150–250 words, footnoted, slow. Scaffold only.

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