DIA HEALTH ONE
Public research status · updated 4 November 2026

Confidence before
candidate count.

We separate published facts, reproduced computation and untested chemistry. The program has a defined four-compound experiment, but no synthesized Dia Health One candidate and no candidate-specific binding result.

Evidence ladder

What is actually established?

Evidence levels run from E0 concept to E6 preclinical candidate. A claim cannot inherit confidence from another molecule or another observable.

E5 · PUBLISHED FUNCTION

NNC2215 is glucose responsive.

Published receptor, cellular and animal studies establish glucose-responsive activity for NNC2215.

E5 · PUBLISHED LIABILITY

PaG makes NNC2215 non-viable.

Direct binding, receptor assays, pig-clamp data and modeling establish a clinically relevant PaG liability.

E2 · COMPUTATIONAL HYPOTHESIS

MC-Q1 identifies where to test.

The contact-versus-distal distinction survives denser geometric sampling. This does not predict affinity.

E0 · UNMEASURED

MC-Q1 glucose binding.

No material exists. Public methoxy-roof data are a negative prior, not confirmation.

E0 · UNMEASURED

MC-Q1 PaG selectivity.

No direct binding or calibrated prospective free-energy result exists.

E0 · UNBUILT

Working insulin candidate.

No MC-Q1 reporter switch or insulin conjugate has been synthesized or functionally tested.

Claim ledger

Current position.

“Unknown” is a program state. Each next gate is designed to replace one important unknown with a calibrated or measured result.

ClaimStatusCurrent evidenceResult needed
NNC2215 glucose responseHIGH CONFIDENCEPublished in-vitro and in-vivo dataUsed as benchmark, not as our candidate
PaG liabilityHIGH CONFIDENCEPaG binds NNC2215 more strongly than glucose and affects activity at clinically relevant exposureNew design must reject PaG and broader glucuronides
MC-Q1 local mechanismMODERATE / MODEL-DEPENDENTRigid geometry, 13,824-pose stress test and positional controlCalibrated host–guest free energy and direct binding
MC-Q1 synthesisNOT CONFIRMEDExact graph and provider-ready specificationAccepted route, regioisomer assignment, quote and material specification
MC-Q1 glucose retentionUNKNOWNNo measurement; methoxy carries a negative public priorSame-run glucose binding versus MC-P0
MC-Q1 PaG rejectionUNKNOWNNo direct resultKd(PaG)/Kd(glucose) ≥ 5, lower 95% bound >1
Reversible switchNOT BUILTSpecification onlyNon-insulin reporter, down-step reversibility, HSA and interferent panel
Functional insulinNOT BUILTNo conjugateHuman-cell signaling, potency, Emax, selectivity and PaG resistance
Minimum information package

Four molecules, one causal test.

The goal is not a large library. It is to distinguish contact-site chemistry from generic polarity and position-independent effects.

Parent
MC-P0Same-assay reference for glucose and PaG binding.
Primary hypothesis
MC-Q1Contact-site methoxy. Local polarity/electronic/solvation hypothesis—not a steric-block claim.
Positional control
MC-Q1DThe same methoxy edit at distal roof site A.
Constitutional control
MC-P3Contact-site hydroxymethyl; separates topology from generic polarity.
Compute-plan correction

Do not buy false precision.

Boltz-2 is not the affinity engine for this problem. Its documented affinity mode is for a small-molecule ligand against a protein target. GluHUT binding glucose or PaG is a synthetic host–guest system.

Boltz also does not accept concentration as a physical variable. Repeating predictions with labels such as 3, 5, 10 and 20 mM cannot create a Hill curve.

The corrected AWS plan first reproduces the public GluHUT explicit-solvent umbrella-sampling benchmark, then calibrates parent glucose-versus-PaG behavior, and only then compares MC-Q1 and controls prospectively.

Confidence-changing work

The next gates.

Every gate has a stop rule. More compute is not progress when the method or chemical object has not passed the preceding gate.

C1 · Reproduce public GluHUT analysis

Reanalyse deposited trajectories and regenerate published PMFs and uncertainty before generating new trajectories.

C2 · Validate chemistry and force field

Resolve exact parent graph, charges, nonstandard terms, protonation and PaG treatment.

C3 · Calibrate parent glucose versus PaG

Use multiple explicit-solvent paths. Require stable direction, overlap and uncertainty smaller than the effect.

C4 · Prospective candidate comparison

Without retuning, compare MC-P0, MC-Q1, MC-Q1D, MC-P3 and preferably MC-P1.

C5 · Provider acceptance

Obtain a written route, positional assignment, material specification, price and rights/data terms.

C6 · Direct binding

Use two orthogonal methods. This is the first gate capable of turning MC-Q1 into a measured hit.

Open records

Inspect the evidence.

The records expose decision logic, limitations and stop rules. Negative results remain part of the archive.