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Publishedgenerated 2026-05-29T18:05:09Z

sargramostim at DC capture / migration; surveillance gathering, addressing throughput drop

sargramostim (myeloid lineage support) acts at the DC capture / migration; surveillance gathering step of the cancer-immunity cycle. The failure mode is throughput drop: factory's rate of work falls. Fewer units produced per unit time. Bottleneck somewhere on the production line.

C2·I3
composite 0.41structural 0.40evidence 0.37novelty 0.50

What this is

The Living Scorecard is Encounter's open record of structural predictions. Each hypothesis names a candidate intervention, where in the cycle it is predicted to act, the failure mode it is predicted to address, and the evidence available when the prediction was made.

Predictions are locked with timestamps before they can be tested. Encounter generates them daily, many more than any one person can chase, so the field can see what the framework claims structurally, ahead of the data. Some will hold. Some will be refuted. Both stay on the page. The point is that each prediction is committed before the answer is known, so the data that arrives later can confirm or refute it.

Structural argument

At the DC capture / migration; surveillance gathering step of the cancer-immunity cycle (capacitor regime, position P2), sargramostim acts via myeloid lineage support. The failure mode is throughput drop: factory's rate of work falls. Fewer units produced per unit time. Bottleneck somewhere on the production line. The intervention's regime-type class lines up with the position's regime, and failure_throughput_drop belongs to that regime's failure set.

  • rule_r13 (required) — Combinatorial candidate is grounded in R13's position-to-state table, which determines which interventions are structurally addressable at which positions.

Substrate

Domain
domain_cellular_biology
Cycle
cycle_l4_canonical
Position(s)
position_p2
Failure modes
failure_throughput_drop

Evidence at generation

PubMed2 hits

"sargramostim" AND "cancer immunotherapy"

  • PMID 34484202 (2021) Front Immunol

    Sargramostim (rhu GM-CSF) as Cancer Therapy (Systematic Review) and An Immunomodulator. A Drug Before Its Time?

  • PMID 21609205 (2011) Cytotherapy

    Granulocyte-macrophage colony-stimulating factor increases the proportion of circulating dendritic cells after autologous but not after allogeneic hematopoietic stem cell transplantation.

ChEMBLNo mechanism match

Targets:

Not found in ChEMBL: sargramostim (GM-CSF)

ClinicalTrials.gov5 trials

sargramostim cancer immunotherapy

  • NCT05075122PHASE2 · UNKNOWN

    Head and Neck Squamous Cell Carcinoma

    Primary: Progression free survival rate

  • NCT00019084PHASE2 · COMPLETED

    Breast Cancer

  • NCT01909752PHASE2 · COMPLETED

    Carcinoma, Non-Small-Cell Lung

    Primary: Identify the regimen that produces the strongest antibody response

  • NCT00003199PHASE2 · COMPLETED

    Estrogen Receptor-negative Breast Cancer

    Primary: Event-free Survival

  • NCT02620865PHASE1,PHASE2 · COMPLETED

    Metastatic Pancreatic Adenocarcinoma

    Primary: Median Overall Survival (OS)

Status timeline

  • Draft2026-05-29T18:08:09Z

    Generated by combinatorial walker (v0.1.1; verb_target-aware, sub-regime failures). Awaiting operator review for the daily top-5 batch.

    by system

Tags

confidence:2impact:3generation:combinatorialnote:top5-batch