Will a drug designed with significant contribution from an AlphaFold-like system pass a Phase I trial by end of 2025?
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Jan 1
68%
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3

Definitions and Criteria [please read carefully]:

1. "AlphaFold-like system"

An AI system that uses deep learning to predict protein structures or design novel proteins with accuracy comparable to or exceeding AlphaFold 2. This includes AlphaProteo or similar tools from any company, not just DeepMind.

2. Significant Contribution:

The AI system must have played a crucial role in the drug's design, as evidenced by at least one of the following:

a) Explicit confirmation in a paper (whether peer-reviewed or published as a pre-print).

b) Official statement from the drug developer citing the AI system's importance.

c) Patent filing citing the AI tool as critical to the drug's development.

3. Passing Phase I Trials:

The drug must complete Phase I trials in humans with results indicating acceptable safety and tolerability, as reported by the drug developer or regulatory authority.

4. Commercial Potential:

The drug is likely to have significant commercial value if it's eventually approved by medical authorities. Significant commercial value is defined as at least $1 billion in projected lifetime revenue. This number would be estimated based off the company's own projections, or based off the lifetime revenue of previous generation drugs in the same category.

5. Eligible Jurisdictions:

Phase I trials must be conducted and completed in one or more of the following jurisdictions:

- United States or Canada

- Any EU Member, UK, Norway, Switzerland or Iceland

- Australia or New Zealand

- Japan

Other jurisdictions will only be accepted if there's widespread consensus among Western scientists of their Phase I trial being trustworthy.

6. Public Disclosure:

Information confirming all the above criteria must be publicly available through official sources (regulatory filings, company announcements, or scientific publications) by January 31, 2026.

Market Details:

- Betting closes: Dec 31, 2025

- Resolution date: Jan 31, 2026 (to account for 2025 data being published with a delay)

Resolution Criteria:

Yes: There is clear, publicly available evidence that a drug meeting ALL of the above criteria has passed Phase I trials, with the last day of the trial occurring no later than December 31, 2025.

No: No clear, publicly available evidence of any drug meeting ALL of the above criteria, or if no such drug has completed Phase I trials by December 31, 2025.

Question was inspired by this EY tweet:

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gpt-5.1-pro giving me 60% now on this one: https://imgur.com/a/dN6YKc1

"GB-0895 is an investigational, subcutaneously administered anti–thymic stromal lymphopoietin (TSLP) antibody engineered with generative AI for the treatment of multiple respiratory diseases."

"GB-0895 was designed with Generate:Biomedicines’ generative biology platform, which integrates proprietary machine-learning models with high-throughput experimentation."
https://generatebiomedicines.com/media-center/generatebiomedicines-to-present-phase-1-results

Moved directly to phase 3 clinical trials.

https://www.prnewswire.com/news-releases/generatebiomedicines-to-initiate-global-phase-3-studies-of-gb-0895-a-long-acting-anti-tslp-antibody-for-severe-asthma-engineered-with-ai-302628189.html



Commercial potential: existing competitor Tezspire

generates almost $1bn annual revenue.

@spiderduckpig did they skip phase 2?

@Dulaman Looks like they did, phase 1 had good efficacy

@spiderduckpig isn't stage 1 supposed to be just for safety and not biomarker?

@Dulaman Yes, but the ~80 patients from phase 1 apparently had good enough efficacy results already that they didn't need the phase 2 small-scale efficacy trials

@spiderduckpig are they doing things in phase 3 to figure out optimal dosage?

@spiderduckpig Looks like it fulfills the market criteria. It easily passes the first 4 using sources mentioned by 6. Leaving only criterion 5. Was the Ph 1 trial conducted in one of the eligible countries? Neither the company website, the slide deck, nor the news article give details of the trial.

sold Ṁ324 YES

My only concern is that the Ph1 trial doesn’t technically end until May 2027. The fact that early results were promising enough to start the Ph3 trial so quickly doesn’t mean that the Ph1 trial has actually “completed”.

@eapache I'd argue that the drug has met the market description's criteria of:

" The drug must complete Phase I trials in humans with results indicating acceptable safety and tolerability, as reported by the drug developer or regulatory authority."

If the phase 1 trial results have been safe enough to give the go-ahead for large-scale testing in phase 3, the phase 1 trials have essentially done that. Conversely, if phase 1 trials didn't satisfy those criteria and they already started phase 3, that would be pretty concerning.

@spiderduckpig It’s met the spirit for sure. Has it met the letter of “must complete Phase I trials”? Not so clear, and I don’t know if the market creator is more of a spirit or letter kind of person.

gpt-5-pro gives me 8% on this one: https://imgur.com/a/8GwgMtm

A vaccine against malaria is now in stage 2 clinical trials, targeting the protein Pfs48/45. AlphaFold 2 was involved in determining the structure of that protein (paper, DeepMind publicity blog).

I could not find a direct attribution chain linking the final vaccine to AlphaFold on a cursory search though.

ChatGPT says 3-5 years from protein design to the *start* of Phase 1 clinical trials.

@EliezerYudkowsky complete side question; what heuristics do you use to decide whether to rely on an answer from ChatGPT to this sort of question ?

AlphaFold 2 was released in 2020, so that timeline allows clinical trials by 2025.

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