Rare Disease Drug Discovery

Rare diseases deserve
real drug candidates

PHYSIM produces pre-clinical Computational Disease Analysis (CDA) reports for rare disease foundations, orphan drug programs, and biotech companies. The same depth of analysis that billion-dollar indications get — delivered as a complete report, ready for your lab or your next grant cycle.

37T+
Computations
6,675
Diseases Mapped
97.8%
Concordance

The McCauley Convergence Cascade maps every disease as a structural failure architecture — identifying upstream control points, drug targets, and repurposable compounds across the full human genome. Deterministic. Not probabilistic.

Behind every rare disease is a family running out of time

There are over 7,000 known rare diseases. Collectively, they affect 400 million people worldwide — 30 million in the United States alone. Most are children. Most have no approved treatment. And for the families living with them, every month without progress is a month they don't get back.

A parent walks a hospital corridor holding their child's hand — the daily reality for rare disease families

For rare disease families, every hospital visit carries the weight of uncertainty — and the hope that someone, somewhere, is working on an answer.

5–7 years
Average time to diagnosis

A child with a rare disease will see an average of 7 specialists over 5–7 years before receiving a correct diagnosis. Some never do. Families describe this as the "diagnostic odyssey" — years of wrong answers, wrong treatments, and wrong hope.

95%
Have no FDA-approved treatment

Of 7,000+ rare diseases, fewer than 5% have any FDA-approved therapy. Parents become researchers. Foundations fund their own science. Families organize clinical trials. Not because they want to — because nobody else will.

50%
Are children

Half of all rare disease patients are children. Many conditions are degenerative. Families don't have the luxury of a 12-year drug development timeline. They need candidates now — or they watch their children decline waiting for a pipeline that may never arrive.

"Alone we are rare. Together we are strong."

— NORD (National Organization for Rare Disorders), founding motto

Rare diseases we have yet to investigate

Our computational engine has mapped over 6,675 disease architectures. Below is a fraction of the rare diseases already in our database — each one ready for a full CDA report. If you see your disease, we can investigate it.

Joubert syndrome 30Li-Fraumeni syndromeCharcot-Marie-Tooth 2QDiamond-Blackfan anemia 3Ehlers-Danlos kyphoscoliotic 2Bietti crystalline dystrophyGaucher disease 3CRefsum diseaseKrabbe diseaseUsher syndrome 1FKoolen-De Vries syndromePontocerebellar hypoplasia 1BCornelia de Lange 2Noonan syndrome 13Muenke syndromeFucosidosisHermansky-Pudlak 2Kleefstra syndrome 2Kufor-Rakeb syndromeSeckel syndrome 5Xeroderma pigmentosum CPerrault syndrome 2Meier-Gorlin syndrome 2Dyskeratosis congenita 1 Joubert syndrome 30Li-Fraumeni syndromeCharcot-Marie-Tooth 2QDiamond-Blackfan anemia 3Ehlers-Danlos kyphoscoliotic 2Bietti crystalline dystrophyGaucher disease 3CRefsum diseaseKrabbe diseaseUsher syndrome 1FKoolen-De Vries syndromePontocerebellar hypoplasia 1BCornelia de Lange 2Noonan syndrome 13Muenke syndromeFucosidosisHermansky-Pudlak 2Kleefstra syndrome 2Kufor-Rakeb syndromeSeckel syndrome 5Xeroderma pigmentosum CPerrault syndrome 2Meier-Gorlin syndrome 2Dyskeratosis congenita 1
Spinocerebellar ataxia 15Cardiomyopathy, dilated 1FFRetinitis pigmentosa 81Ciliary dyskinesia 34Brugada syndrome 8Galactosemia 4Glycogen storage disease 12AtransferrinemiaAyme-Gripp syndromeCatel-Manzke syndromeEven-plus syndromeMiyoshi dystrophy 3Pleuropulmonary blastomaInterstitial lung disease 2Cutis laxa 1AAmyloidosis, hereditary 6Androgen insensitivityCone dystrophy 4Fundus albipunctatusSchwannomatosisWilms tumor 7Dystonia 6, torsionHemophagocytic lymphohistiocytosis 3Bone marrow failure 5 Spinocerebellar ataxia 15Cardiomyopathy, dilated 1FFRetinitis pigmentosa 81Ciliary dyskinesia 34Brugada syndrome 8Galactosemia 4Glycogen storage disease 12AtransferrinemiaAyme-Gripp syndromeCatel-Manzke syndromeEven-plus syndromeMiyoshi dystrophy 3Pleuropulmonary blastomaInterstitial lung disease 2Cutis laxa 1AAmyloidosis, hereditary 6Androgen insensitivityCone dystrophy 4Fundus albipunctatusSchwannomatosisWilms tumor 7Dystonia 6, torsionHemophagocytic lymphohistiocytosis 3Bone marrow failure 5
Epileptic encephalopathy 19Parkinsonism-dystonia 2Spastic paraplegia 18BMeckel syndrome 11Galloway-Mowat syndrome 2Periodic paralysis 1Spondylometaphyseal dysplasiaAmelogenesis imperfecta 4Congenital myopathy 10ADiarrhea 10Erythrocytosis, familial 4Immunodeficiency 39Corneal dystrophy, posterior 1Deafness, dystonia, cerebralLiver failure, infantileNeuropathy, sensory 1FVentricular septal defect 2Carnitine palmitoyltransferase 1ADistal myopathy, tibial onsetEl Hayek-Chahrour syndromeEpidermodysplasia verruciformis 2Short-rib thoracic dysplasia 16Arthrogryposis, renal, cholestasis 1Combined oxidative phosphorylation 55 Epileptic encephalopathy 19Parkinsonism-dystonia 2Spastic paraplegia 18BMeckel syndrome 11Galloway-Mowat syndrome 2Periodic paralysis 1Spondylometaphyseal dysplasiaAmelogenesis imperfecta 4Congenital myopathy 10ADiarrhea 10Erythrocytosis, familial 4Immunodeficiency 39Corneal dystrophy, posterior 1Deafness, dystonia, cerebralLiver failure, infantileNeuropathy, sensory 1FVentricular septal defect 2Carnitine palmitoyltransferase 1ADistal myopathy, tibial onsetEl Hayek-Chahrour syndromeEpidermodysplasia verruciformis 2Short-rib thoracic dysplasia 16Arthrogryposis, renal, cholestasis 1Combined oxidative phosphorylation 55
Bardet-Biedl syndrome 5Niemann-Pick disease C1Fanconi anemia D2ProgeriaRett syndromeCockayne syndrome BBloom syndromeAngelman syndromeMenkes diseaseLesch-Nyhan syndromeFabry diseasePompe diseaseMaple syrup urine disease 1BCongenital adrenal hyperplasiaFamilial Mediterranean feverTuberous sclerosis 2Myotonic dystrophy 1Friedreich ataxiaMarfan syndromePhenylketonuriaPrimary ciliary dyskinesia 3Epidermolysis bullosa simplex 1A Bardet-Biedl syndrome 5Niemann-Pick disease C1Fanconi anemia D2ProgeriaRett syndromeCockayne syndrome BBloom syndromeAngelman syndromeMenkes diseaseLesch-Nyhan syndromeFabry diseasePompe diseaseMaple syrup urine disease 1BCongenital adrenal hyperplasiaFamilial Mediterranean feverTuberous sclerosis 2Myotonic dystrophy 1Friedreich ataxiaMarfan syndromePhenylketonuriaPrimary ciliary dyskinesia 3Epidermolysis bullosa simplex 1A
Wilson diseasePelizaeus-Merzbacher diseaseZellweger syndrome 1Smith-Lemli-Opitz syndromeTay-Sachs diseaseCanavan diseaseAlexander diseaseAlport syndrome, X-linkedNorrie diseaseLowe syndromeCHARGE syndromeTreacher Collins syndrome 1Waardenburg syndrome 1Rubinstein-Taybi syndrome 1Coffin-Siris syndrome 1Kabuki syndrome 1Alagille syndrome 1Holt-Oram syndromeTimothy syndromeOndine syndromePallister-Hall syndromePfeiffer syndrome Wilson diseasePelizaeus-Merzbacher diseaseZellweger syndrome 1Smith-Lemli-Opitz syndromeTay-Sachs diseaseCanavan diseaseAlexander diseaseAlport syndrome, X-linkedNorrie diseaseLowe syndromeCHARGE syndromeTreacher Collins syndrome 1Waardenburg syndrome 1Rubinstein-Taybi syndrome 1Coffin-Siris syndrome 1Kabuki syndrome 1Alagille syndrome 1Holt-Oram syndromeTimothy syndromeOndine syndromePallister-Hall syndromePfeiffer syndrome

These are real diseases from our computational database — not a marketing list. Each one has a mapped gene cascade architecture ready for full CDA investigation.

See your disease? Let's investigate it →

Why rare diseases stay rare in drug development

It's not that the biology is unsolvable. It's that the system was never designed for them.

💰

Economics Don't Justify the Investment

A traditional drug development program costs $2B+ and takes 12–15 years. For a disease affecting 10,000 patients, the ROI calculation kills the program before it starts. Foundations are left to fund their own research — often with budgets under $5M.

🔬

Small Patient Populations = Small Data

AI-driven drug discovery relies on large datasets. Rare diseases have tiny patient cohorts — sometimes under 100 known cases worldwide. Statistical models fail. Machine learning has nothing to train on. The standard tools simply don't work here.

🧪

Limited Research Infrastructure

Most rare diseases have no animal models, no cell lines, and no established biomarkers. Researchers start from scratch — often at a single academic lab, funded by a parent-organized foundation, with no computational support.

⏱️

Time Is the Enemy

Many rare diseases are degenerative — particularly in children. Families can't wait for a 10-year pipeline. They need to know NOW: which genes matter most, which drugs might work, which pathways to pursue. Every month of wasted research is irreversible.

PHYSIM was built for this problem

Our engine doesn't need large patient datasets. It doesn't train on historical outcomes. It computes disease architecture from first principles — mapping every gene, every pathway, and every convergence point in the disease's structural failure cascade. Then it screens 3,127 FDA-approved compounds against that architecture.

Disease cascade architecture — gene pathways converging from disease origin to therapeutic targets

Visualization: Disease genes (red) cascade through pathway intermediaries (amber) to drug-targetable convergence points (teal).

37T+
Computations
Weeks
Not years
97.8%
Concordance

Who commissions a rare disease CDA report

We produce pre-clinical CDA reports for organizations that need computational answers before entering the lab.

🏥

Rare Disease Foundations

You have research grant budgets and a mission to find treatments. We narrow your drug candidates computationally — so every dollar you spend in the lab is aimed at the highest-probability targets.

"We have $2M in research grants — where should we aim them?"
🧪

Orphan Drug Biotech

You have a rare disease target but limited runway. We validate your hypothesis computationally before you burn capital in the lab — giving you data that strengthens your next raise.

"Can you prove our target before we spend $3M on wet lab?"
💊

Pharma R&D — Orphan Programs

You're evaluating rare disease indications for existing compounds. We screen your approved drugs against new disease architectures and identify repurposing candidates with existing safety data.

"Which of our approved drugs could work for this orphan indication?"
🎓

Academic / Grant-Funded Research

You need computational validation to strengthen grant applications or publications. We produce deterministic, citable findings that complement your wet lab data.

"I need computational evidence to strengthen my NIH application"

Every CDA report includes

A complete pre-clinical computational analysis delivered as a single, auditable document.

🧬

Full Gene Cascade Map

Every gene in the disease architecture ranked by structural criticality — from first cellular compromise through irreversible progression.

💊

FDA-Approved Compound Screen

Existing drugs computationally validated against the disease architecture. Repurposing candidates with established safety profiles.

🔬

Novel Pathway Discovery

Cross-disease convergence analysis surfacing pathways and targets the literature hasn't connected yet.

📋

Proof of Discovery

Cryptographically hashed computational receipt with null hypothesis testing and structural parity verification.

Your disease shouldn't have to wait

Whether you're a foundation director, a biotech founder, a researcher, or a parent who became a scientist — tell me the disease. I'll map its full architecture, screen every FDA-approved compound against it, and deliver a complete CDA report with drug targets, novel pathways, and safety profiles.

Start a Conversation →
Preston McCauley · preston@clearsightdesigns.com · Dallas, TX