Abstract. Repurposing drugs requires finding novel therapeutic indications compared to the ones for which they were already approved. This is an increasingly utilized strategy for finding novel medicines, one that capitalizes on previous investments while derisking clinical activities. This approach is of interest primarily because we continue to face significant gaps in the drug-target interactions matrix and to accumulate safety and efficacy data during clinical studies. Collecting and making publicly available as much data as possible on the target profile of drugs offer opportunities for drug repurposing, but may limit the commercial applications by patent applications. Certain clinical applications may be more feasible for repurposing than others because of marked differences in side effect tolerance. Other factors that ought to be considered when assessing drug repurposing opportunities include relevance to the disease in question and the intellectual property landscape. These activities go far beyond the identification of new targets for old drugs.KEY WORDS: drug repurposing; drug-target interactions; intellectual property; side effect tolerance; target identification.There are two major "unknown unknown" categories in drug discovery [1] that can be linked to the main reasons for failure in drug approval, namely safety and efficacy [2]. The first category is related to the toxicological and pharmacokinetic profiles of the new molecular entity (NME), and it is mainly addressed in phases I and IIa clinical trials, following multiple preclinical evaluations: these evaluate the therapeutic regimen (i.e., dose and frequency) and safety aspects concerned to the NME. The second category relates to the protein target and biological pathway that are subject to therapeutic interference, and it is indirectly linked to the clinical efficacy of the NME under investigation: in this case, the question being addressed is whether the NME-induced perturbation of the chosen (hypothesized) target or pathway leads to the desired clinical effect [3]. The uncertainty related to the unknown unknown aspect of discovery is often mitigated by eliminating some of the "unknown" elements: either the NME is well understood, i.e., an approved drug [4], or the target/pathway is well described, i.e., already successfully manipulated therapeutically [5]. Preferably, both "unknowns" have been addressed previously, with the expectation that derisking the discovery aspect may lead to a higher success rate.The unknown unknown strategy has been rewarding, as many blockbuster franchises have emerged following this recipe, e.g., histamine H2 antagonists, proton pump inhibitors, anticoagulant/antithrombotic therapy, or drugs to reduce hypercholesterolemia [6]. However, such drugs are the result of a long, high-cost, and high-risk optimization process, often subject to "fast followers," where first-in-class does not equate with the most financially rewarding NME [7]. In order to reduce time-to-market, as well as associated costs and risks, alternat...