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Rutgers RWJMS ·School of Public Health

How a medicine feels is evidence.

Abanoub J. Armanious, M.S.

PharmacoepidemiologistNeuropsychiatry ResearcherFounder

In my field, what a drug does in a trial counts as data, and what it does to a person counts as anecdote. My work refuses that split. I hold what people live through to the standard we give the biology, until the experience itself carries the weight of evidence.

§ 01Method

coded

0

"7 hours of natural sleep with no side effects."Minimal or No Side Effects
"I fell asleep right away."Quick Onset of Sleep
"I feel so rested and calm the next day."No Next Day Somnolence
"I slept like a baby."General Gain in Sleep Quality
"Could not move or talk for minutes off and on."Paralysis
"One 5 mgs pill, and that's it. Never again."Discontinued or Plan to Discontinue
"I do wake up to pee and go back to sleep pretty well."Frequent Awakenings
"I have very vivid dreams and talk in my sleep."Vivid Dreams
"Absolutely no side effects."Minimal or No Side Effects
"Slept comfortably through the night."General Gain in Sleep Quality
"I do feel groggy in the morning."Next Day Somnolence
"I am able to fall asleep ok but I find I'm waking up around 3am."Short Duration
"Dayvigo is the only sleep med that ever gave me nightmares."Nightmares
"Tried it last night for the first time. I got absolutely no sleep."No Improvement in Sleep
"I have finally gotten sleep."General Gain in Sleep Quality
1 / 10
"After 90 min sleep I awakened with horror as I hallucinated crazy scary dream. Felt paralyzed to move. Wanted to scream and could not make a sound."
Paralysis
8 / 10
"I never wake up and feel groggy or in a fog."
No Next Day Somnolence
1 / 10
"Been on it for a week now and I'm still waking up 4 to 6 times a night."
Frequent Awakenings
10 / 10
"It immediately made me fall asleep within 20 minutes."
Quick Onset of Sleep
10 / 10
"It feels like I am sleeping naturally like I did once upon a time!"
General Gain in Sleep Quality

Behind each line is a real person, and reading them this closely is how their experience turns into knowledge.

Then they settle into order, by the rating each author left.
1rating10

marks a low rating

  • No Improvement in Sleep
  • Paralysis
  • Nightmares
  • Discontinued or Plan to Discontinue

marks a high rating

  • General Gain in Sleep Quality
  • Minimal or No Side Effects
  • No Next Day Somnolence
  • Quick Onset of Sleep

Apart, each is a story. Together, read the same way, they become a finding.

Lemborexant reviews, by the rating their authors left. Low ratings tracked sleep that did not improve and nights of paralysis and nightmares.

§ 02Application

One method, pointed at one question after another.

Perceived Effectiveness, Tolerability, and Discontinuation of Lemborexant in Real-World Use: Evidence from Online Patient Reports (article page)

Sleep Med. · 2026 · view ↗

Sleep paralysis most set apart the people who quit or considered quitting.

Patient Perceptions of Ozempic (Semaglutide) for Weight Loss (article page)

JMIR · 2026 · view ↗

Satisfaction tracked results, not the side effects along the way.

Patient Perceptions of Lisdexamfetamine as a Treatment for Binge Eating Disorder (article page)

Psychiatry Res. Comm. · 2024 · view ↗

A morning drug for a problem that typically comes at night, paid for in lost sleep.

↳ Scaling the work

Then I built the instrument the method needed.

Reading every review by hand does not scale, and pasting a transcript into a chatbot is not science. So I spent two years building pakhom, an R package that runs this same reading at a scale no coder could, and holds it to the standard a reviewer would. It keeps what makes hand-coding trustworthy and a chatbot throws away.

Coptic · "eagle"

pakhom is the Coptic name of Saint Pachomius the Great, the Egyptian who wrote the first rule that made a shared practice reproducible in the fourth century. I am Coptic, and the package writes the rules that make this kind of analysis reproducible.

AN R PACKAGE · PAPER IN PREP

Full publication record on Google Scholar and ORCID.

§ 03Translation

Translation runs the other way, too.

Upstream, I turn what patients live through into evidence, and that evidence keeps surfacing the same unmet needs. At the bench it runs the other way, from a molecule toward a medicine. I take the gaps those studies expose to the compounds built to close them, characterizing how a candidate behaves in the brain and in behavior, then helping build the case that it could reach patients. Two compounds trace that arc.

Patent pending
JA212A candidate for binge eating disorder
Preclinical · in development

The first compound ran through my undergraduate years. JA212 is the James Lab's small-molecule candidate for binge eating disorder. I characterized it, then set out to prove it could reach patients.

  1. The thesis

    My award-winning honors thesis followed JA212 through a rodent model of binge eating, where it reduced the behavior without the off-target effects that limit the drugs in use today.

    George H. Cook honors thesis · 2023

  2. The venture

    EXEDO, the venture built around the compound, won the High-Performance Grand Prize and the Genentech-sponsored DEI Award at a final pitch showcase in Philadelphia.

    Nucleate Activator · 2023 ↗
  3. The case

    As an Entrepreneurial Lead, I ran over a hundred interviews with clinicians, patients, and payers to map where a drug like this fits and where current options fail. The bench work continues today.

    NSF I-Corps · 2022-2023

5-(4-tert-butylphenyl)-1-methyl-3-(pyrrolidin-1-ylmethyl)-1H-1,2,4-triazoleKi 7.5 nM · >100× selective · oral · brain-penetrant
PW507 · TNX-4900A selective sigma-1 receptor antagonist
Licensed to Tonix Pharmaceuticals

The second I met at the bench. PW507 is a triazole-based sigma-1 receptor antagonist, and I led the preclinical behavioral studies investigating its effects on reward and appetite. It has now been licensed for the clinic.

  1. The record

    I co-authored the peer-reviewed review of the sigma-1 receptor as a target across runaway reward, from drugs to food. It is the groundwork PW507 was built on.

    Addiction Neuroscience · 2023 ↗
  2. The behavior

    As first author, I characterized PW507 in rodent models of binge-like eating, where it reduced the behavior and the motivation to seek out palatable food.

    Work presented at ACNP, IBNS, SfN, and NSF LSAMP

  3. The validation

    In December 2025, Rutgers licensed PW507 to Tonix Pharmaceuticals, now advancing toward the clinic as TNX-4900. Vanishingly few compounds ever make that leap.

    Rutgers · December 2025 ↗
§ 04Service

Present for

0

I have not only studied what people go through. I was the first responder when it became a crisis.

In a university residential community, I supervised resident assistants and carried the on-call phone, trained and trauma-informed to respond to suicidal crises, psychosis, and overdose. The department named me its Graduate Intern of the Year in 2025.

On the worst nights, the students in my care were never alone. Someone ready was always in the room.

The same steadiness reaches past that room.

A nonprofit I run, for children three continents away that no dataset counts.

Save the Children of the Developing World

92¢ of every dollar reaches the programs

Every name here links to the work itself.

§ 05About
"Public health is, at its core, an act of translation"
Abanoub J. Armanious
Pl. iAbanoub J. Armanious. Portrait, 2026.

I am a first-generation college graduate. My work keeps returning to the gap between how a treatment reads in the data and how it feels to live through, and to the people that gap overlooks. I notice it because I grew up inside one.

  1. 2026 - M.S. EpidemiologyGPA 3.98 · ΔΩ Inductee

    Rutgers School of Public Health

    Pharmacoepidemiology Concentration; thesis titled, 'Factors associated with ADHD medication switching intent: A cross-sectional mixed-methods analysis with Shapley value decomposition.' Advised by Greta A. Bushnell, PhD, MSPH.

  2. 2023 - B.S. Public Healthcum laude

    Rutgers University - New Brunswick

    Double major in Cell Biology & Neuroscience, minor in Religion; honors thesis titled 'JA212: A novel preclinical-stage pharmaceutical for binge eating disorder.' Advised by Morgan H. James, PhD.

The public record

Most research at my stage never leaves the journal. Mine did, twice.

Both of my studies on Ozempic and Vyvanse, the only drug FDA-approved for binge eating disorder, reached the national press.

The full press archive →
Pl. iiONNJ · Mornings with Ken RosatoBroadcast · Feb 25, 2026 · a seven-time Emmy winner's show

Written to be read, not cited.

All my writing →
Recognition

Rutgers School of Public Health

21st Century Scholar Distinction

2025

Rutgers SPH, first M.S. recipient

IBNS Travel Award

2025

International Behavioral Neuroscience Society

Trainee Professional Development Award

2023

Society for Neuroscience

Roy DeBoer Outstanding Senior Award

2023

Cook Community Alumni Association

Outstanding Senior Thesis Award

2023

George H. Cook Scholars Program

Excellence in Research Award

2023

Garden State-LSAMP

Contact

How a medicine feels to the person taking it is evidence, not anecdote. Everything I do follows from that.

If this is the kind of work you care about, I'd like to hear from you.

armaniousabanoub@gmail.com

Abanoub J. Armanious

© 2026

NYC Metropolitan Area

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