Fentanyl

Evidence Level: L5 Predicted Indications: 50

Quick Overview

Item Value
Drug Name Fentanyl
DrugBank ID DB00813
Brand Names (EU) PecFent
Evidence Level L5
Predicted Indications 50
Top Prediction Score 99.46%

Approved Indication (EMA)

PecFent is indicated for the management of breakthrough pain in adults who are already receiving maintenance opioid therapy for chronic cancer pain. Breakthrough pain is a transitory exacerbation of pain that occurs on a background of otherwise controlled persistent pain. Patients receiving maintenance opioid therapy are those who are taking at least 60 mg of oral morphine daily, at least 25 micrograms of transdermal fentanyl per hour, at least 30 mg of oxycodone daily, at least 8 mg of oral hyd


Predicted New Indications

TxGNN model predictions for potential drug repurposing:

Rank Indication Score Source
1 nephrogenic syndrome of inappropriate antidiuresis 99.46% DL
2 Tourette syndrome 99.05% DL
3 trichotillomania 98.87% DL
4 myofascial pain syndrome 98.09% DL
5 migraine disorder 98.06% DL
6 manic bipolar affective disorder 97.73% DL
7 migraine with brainstem aura 97.71% DL
8 headache disorder 97.26% DL
9 methemoglobinemia 97.22% DL
10 idiopathic granulomatous myositis 97.04% DL
11 myositis fibrosa 97.04% DL
12 tendinitis 97.04% DL
13 fibromyalgia 96.82% DL
14 hypertrichosis (disease) 96.54% DL
15 trigeminal autonomic cephalalgia 96.42% DL
16 Ambras type hypertrichosis universalis congenita 96.35% DL
17 syndrome with a Dandy-Walker malformation as major feature 96.21% DL
18 inclusion body myositis 96.18% DL
19 restless legs syndrome 96.17% DL
20 malformation syndrome with odontal and/or periodontal component 96.12% DL

Showing top 20 of 50 predictions.


About TxGNN Predictions

Prediction Sources

Source Description
KG Knowledge Graph - Network topology-based associations
DL Deep Learning - Neural network score prediction

Evidence Levels

Level Definition
L1 Multiple Phase 3 RCTs / Systematic Reviews
L2 Single RCT or multiple Phase 2 trials
L3 Observational studies / Large case series
L4 Preclinical / Mechanistic / Case reports
L5 AI prediction only (current)

Clinical Validation Needed

Research Use Only: These predictions are computational hypotheses that require clinical validation. They should NOT be used for clinical decision-making.

Next Steps for Validation

  1. Literature Review: Search PubMed for existing evidence
  2. Clinical Trial Search: Check ClinicalTrials.gov for ongoing studies
  3. Mechanistic Analysis: Evaluate biological plausibility
  4. Preclinical Studies: Conduct in vitro/in vivo validation
  5. Clinical Trials: Design and conduct human studies

Data Access


Citation

If using this data, please cite:

@article{huang2023txgnn,
  title={A foundation model for clinician-centered drug repurposing},
  author={Huang, Kexin and others},
  journal={Nature Medicine},
  year={2023},
  doi={10.1038/s41591-023-02233-x}
}

Disclaimer: This report is for research purposes only and does not constitute medical advice. Drug repurposing predictions require rigorous clinical validation before any therapeutic application.

Copyright © 2026 EuTxGNN Project. For research purposes only. Not medical advice.