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id
stringclasses
6 values
combination
stringclasses
6 values
indication
stringclasses
6 values
subgroup_context
stringclasses
6 values
dose_context
stringclasses
1 value
observed_outcomes
stringclasses
6 values
niche_definition
stringclasses
6 values
safe_dose_band
stringclasses
3 values
relapse_risk_index
float64
0.18
0.62
paradox_zone_flags
stringclasses
6 values
systemic_resilience_gain
float64
0.02
0.72
subgroup_sensitivity
stringclasses
6 values
notes
stringclasses
6 values
constraints
stringclasses
1 value
gold_checklist
stringclasses
1 value
NSM-001
SGLT2i + ARNI
HFrEF
older; low BP risk
standard
HF events down; renal stable; dizziness in low BP
cardio_renal_stability_with_BP_guardrail
moderate
0.22
hypotension zone
0.72
low BP subgroup
wide niche with guardrail
Under 260 words
niche+dose+relapse+paradox+gain+sense
NSM-002
PD1i + CTLA4i
melanoma
baseline autoimmunity low
standard
response up; colitis up
anti_tumor_high_gain_high_toxicity
narrow
0.4
immune toxicity zone
0.55
autoimmunity history high risk
niche exists but brittle
Under 260 words
niche+dose+relapse+paradox+gain+sense
NSM-003
metformin + GLP1RA
T2D obesity
GI sensitive
standard
A1c down; weight down; nausea high
metabolic_gain_with_tolerability_limit
moderate
0.18
GI intolerance zone
0.66
GI sensitivity
titrate needed
Under 260 words
niche+dose+relapse+paradox+gain+sense
NSM-004
TNFi + MTX
RA
recurrent infections
standard
CRP down; flares down; infections up
inflammation_control_with_infection_guardrail
moderate
0.28
infection zone
0.6
infection prone
monitoring required
Under 260 words
niche+dose+relapse+paradox+gain+sense
NSM-005
statin + clarithromycin
lipids infection
any
standard
CK up; weakness
no_viable_niche
avoid
0.55
myopathy zone
0.05
all
do not use
Under 260 words
niche+dose+relapse+paradox+gain+sense
NSM-006
warfarin + TMP-SMX
AF infection
elderly
standard
INR spikes; bleed risk
no_viable_niche_without_override_protocol
avoid
0.62
bleed zone
0.02
elderly high risk
requires strict INR protocol
Under 260 words
niche+dose+relapse+paradox+gain+sense

What this dataset tests

Whether a system can map where a combination is safe and stable.

It must produce: niche definition dose band relapse risk paradox zones resilience gain subgroup sensitivity

Required outputs

  • niche_definition
  • safe_dose_band
  • relapse_risk_index
  • paradox_zone_flags
  • systemic_resilience_gain
  • subgroup_sensitivity

Use case

Rational combination design. Guardrails for rollout. Avoid brittle niches.

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