Evidence should change the decision.
Adjust genetics, mechanism, cellular context, biomarkers and safety. The recommendation is deliberately revisable: the goal is to expose uncertainty and identify the next experiment with the highest decision value.
Make the reasoning explicit.
This is a research-programme simulation, not a clinical recommendation. It teaches how heterogeneous evidence can support GO, PAUSE, REDIRECT or STOP while remaining open to revision.
Evidence is promising but a decision-critical gap remains.
The weakest evidence layer currently limits confidence more than the stronger layers add it.
The 2017 single-first-author Molecular Cell study defined how poly-ADP-ribose releases ALC1 auto-inhibition, joining DNA-damage signalling, chromatin remodelling and oncology. That published mechanism forms part of the scientific lineage of later ALC1-focused therapeutic development — a real instance of the evidence-to-decision path this exercise models. Open the Molecular Cell study ↗