Chloe
Evidence Intelligence and Knowledge Creation
Chloe leads the agents responsible for discovering, extracting, structuring, and synthesizing evidence.
Kesis & Sisters is building Nyx
Kesis & Sisters is building Nyx, where specialized agent teams create, interpret, govern, and maintain computable clinical knowledge. Applications are built from that knowledge.
The problem
Medical evidence is fragmented, context-dependent, and always changing. The hard work is turning it into structured knowledge that can be reviewed, maintained, and used safely across software applications.
Relevant evidence sits across publications, guidelines, standards, and data sources.
A result gains meaning only when population, setting, applicability, and uncertainty are understood.
Applications need traceable, versioned knowledge that can change without losing its history.
Meet Nyx
Nyx is an agent-native clinical knowledge organization. It is being developed around defined functions, responsibilities, handoffs, review, and lifecycle management.
From evidence to knowledge
Nyx is being built to turn medical evidence into governed, computable clinical knowledge. Applications express that knowledge for different users and decisions.
The Sisters
Chloe, Kesis, and Atro define three connected responsibilities in the organization being built. They are agent leaders, not human executives or decorative personas.
Evidence Intelligence and Knowledge Creation
Chloe leads the agents responsible for discovering, extracting, structuring, and synthesizing evidence.
Clinical Interpretation and Composition
Kesis leads the agents responsible for contextualizing evidence, assessing applicability, modelling outcomes, and composing clinical knowledge.
Knowledge Governance and Publication
Atro leads the agents responsible for validation, review orchestration, publication control, versioning, supersession, and retirement.
What we are testing
Kesis applications are being used to test how governed clinical knowledge developed through Nyx can support different users, clinical contexts, and decisions.
A clinician-facing application currently being used to test how governed clinical knowledge developed through Nyx can support complex kidney cancer decisions.
A clinician-facing application in clinical testing for gastrointestinal stromal tumour decision support.
A patient-facing application in testing, designed to express governed clinical knowledge in a form appropriate for patients.
Testing status does not imply commercial availability, regulatory validation, routine clinical deployment, or demonstrated clinical benefit.
See the applications
The company behind Nyx
Kesis & Sisters is the company building Nyx. Founder Dr. Henry Conter is a practising medical oncologist whose work spans oncology, health technology assessment, quantitative analysis, pharmaceutical strategy, and software.
That combination shapes the company’s central question: how can complex evidence become knowledge that remains clear enough to inspect, govern, and use in real decisions?
About Kesis & SistersInsights
Writing from the perspective of a working oncologist building systems for the decisions that remain difficult.
A 9,691-patient trial shows why better documentation, better decisions, and better outcomes require separate evidence.
Read insightI found OpenAI Build Week on Friday night, built Ariad by Tuesday, and learned why fast clinical products still need reliable medical knowledge.
Read insightAn Ontario oncologist discussed a treatment the system could not yet provide. That conversation matters for patients, clinical records, and funding decisions.
Read insightCollaborate
We are interested in clinical testing, research, application development, and strategic collaboration around agent-native clinical knowledge systems.