The recurring sources of unreliability
- A thin or narrow comparison group: too few comparable past drugs, or all of them from one disease area or era.
- A mismatch between training drugs and the candidate: a different chemical family, mechanism, or patient population.
- A shifting measurement: candidate properties recorded with different assays, instruments, or standards than the training data.
- A non-representative history: the record contains only drugs that were actually tested, so it inherits the blind spots of earlier human choices.
A score produced from a thin comparison group looks exactly like one produced from a rich one. The output carries no warning about the quality of the evidence behind it, so that context has to be checked separately.