Hydroxocobalamin

Evidence Level: L5 Predicted Indications: 50

Quick Overview

Item Value
Drug Name Hydroxocobalamin
DrugBank ID DB00200
Brand Names (EU) Cyanokit
Evidence Level L5
Predicted Indications 50
Top Prediction Score 99.23%

Approved Indication (EMA)

Treatment of known or suspected cyanide poisoning. Cyanokit is to be administered together with appropriate decontamination and supportive measures.


Predicted New Indications

TxGNN model predictions for potential drug repurposing:

Rank Indication Score Source
1 esophageal varices without bleeding 99.23% DL
2 esophageal varices with bleeding 99.23% DL
3 varicose disease 98.89% DL
4 immune-mediated necrotizing myopathy 98.69% DL
5 antisynthetase syndrome 98.64% DL
6 focal myositis 98.56% DL
7 inflammatory myopathy with abundant macrophages 98.46% DL
8 idiopathic eosinophilic myositis 98.46% DL
9 vitamin deficiency disorder 98.44% DL
10 congenital prothrombin deficiency 98.32% DL
11 biotin metabolic disease 98.07% DL
12 osteogenesis imperfecta-retinopathy-seizures-intellectual disability syndrome 97.15% DL
13 C1 inhibitor deficiency 96.92% DL
14 maternally-inherited mitochondrial myopathy 96.68% DL
15 vitamin B12 deficiency 96.66% DL
16 maternally-inherited mitochondrial dystonia 96.63% DL
17 primary optic atrophy 96.51% DL
18 hypophosphatasia 96.46% DL
19 serpinopathy with toxic serpin polymerization 96.28% DL
20 Steel syndrome 95.98% 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.