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The revolution of the bridge
between the pre-clinical trial and clinical trial
Problem
The revolution of the bridge
between the pre-clinical trial and clinical trial
Resource: Nature Biotechnology ( 2014 V.32 P.40-51), 2003 〜 2011
IND
Human Clinical Trial
Pre-Clinical Trial
(Discovery: cell, animal model)
NDA
Marketing
Tracking
Problems & Opportunity
The revolution of the bridge
between the pre-clinical trial and clinical trial
Resource: Nature Biotechnology ( 2014 V.32 P.40-51), 2003 〜 2011
$50 millionUP
per failure pre-clinical trial or
basic research
High Failure RateIt’s hard to predict the benefit
for patient
Global
36.7 billion $
The revolution of the bridge
between the pre-clinical trial and clinical trial
BloodPatient tumor tissue
tumor microenviroment
highly tumor heterogeneity
Solution
+
Commercial Kits Pre-Clinical Individual Care
Target
Consumers
Labs Pharmacy Company (with new
drugs)
Worth -Basic research
development
-Extended new research
fields
-anti-oncology
-anti-aging
-Decreasing mistakes
-Predictable & Survival
-Estimating before expensive
drugs or treatment-process
Potential
Income
$ *30 up $ *10 $ *10
Time Cost 15-20yrs 8-10yrs 8-10yrs
+
Who I’m
• 2.5yr with basic research in stem cell field on National Chung
Hsing University.
• over 3yrs+ with a pre-clinical medical team on National Cheng
Kung University Hospital.
• CEO at Na Yi Honey
Member
The revolution of the bridge
between the pre-clinical trial and clinical trial
The revolution of the bridge
between the pre-clinical trial and clinical trial
Mail: g099037002@mail.nchu.edu.tw Honey Cheng
3.5yrs 0.1 million $/1yr
verification & development
Including salary and wages/equipments/development/raw materials
2.5yrs 0.75 million $/1yr
- manufacturing set up
-marketing & BD
•Hospitals
•pharmaceutical raw materials
-FDA applying
3-4yr 4-6yr
2.5yrs 1.25 million $/1yr
-Lab research commercial kits
cost recovery
-IPO
6-8yr
2.5yrs 7.5 million $/1yr
-FDA approving-individual medical
-bonus
-Extended capital: global system
8-10yr Run-time

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Revolutionizing the bridge between pre-clinical and clinical trials

  • 1. The revolution of the bridge between the pre-clinical trial and clinical trial
  • 2. Problem The revolution of the bridge between the pre-clinical trial and clinical trial Resource: Nature Biotechnology ( 2014 V.32 P.40-51), 2003 〜 2011 IND Human Clinical Trial Pre-Clinical Trial (Discovery: cell, animal model) NDA Marketing Tracking
  • 3. Problems & Opportunity The revolution of the bridge between the pre-clinical trial and clinical trial Resource: Nature Biotechnology ( 2014 V.32 P.40-51), 2003 〜 2011 $50 millionUP per failure pre-clinical trial or basic research High Failure RateIt’s hard to predict the benefit for patient Global 36.7 billion $
  • 4. The revolution of the bridge between the pre-clinical trial and clinical trial BloodPatient tumor tissue tumor microenviroment highly tumor heterogeneity Solution
  • 5. + Commercial Kits Pre-Clinical Individual Care Target Consumers Labs Pharmacy Company (with new drugs) Worth -Basic research development -Extended new research fields -anti-oncology -anti-aging -Decreasing mistakes -Predictable & Survival -Estimating before expensive drugs or treatment-process Potential Income $ *30 up $ *10 $ *10 Time Cost 15-20yrs 8-10yrs 8-10yrs +
  • 6. Who I’m • 2.5yr with basic research in stem cell field on National Chung Hsing University. • over 3yrs+ with a pre-clinical medical team on National Cheng Kung University Hospital. • CEO at Na Yi Honey Member The revolution of the bridge between the pre-clinical trial and clinical trial
  • 7. The revolution of the bridge between the pre-clinical trial and clinical trial Mail: g099037002@mail.nchu.edu.tw Honey Cheng
  • 8. 3.5yrs 0.1 million $/1yr verification & development Including salary and wages/equipments/development/raw materials 2.5yrs 0.75 million $/1yr - manufacturing set up -marketing & BD •Hospitals •pharmaceutical raw materials -FDA applying 3-4yr 4-6yr 2.5yrs 1.25 million $/1yr -Lab research commercial kits cost recovery -IPO 6-8yr 2.5yrs 7.5 million $/1yr -FDA approving-individual medical -bonus -Extended capital: global system 8-10yr Run-time

Notas do Editor

  1. CLike 願景: 成為一個連結前臨床與臨床(人體)的革命性橋梁
  2. 這是一張新藥或新療程需要經FDA審核通過的流程圖. 前臨床為廣義探索與開發期, 主要利用動物模型或是細胞株做前期效果驗證, 之後才會進入IND(investigational new drug), 新藥人體試驗, 意即進入“臨床”試驗, 若能順利通過與符合相關市場FDA才有後續新藥上市跟追蹤.
  3. 在這樣的流程下, 首先目前癌症藥物遇到幾個大問題: 針對上市後追蹤, 雖然目前有基礎的療程指南, 並配合過去經驗, 但因每個病患的免疫力狀況/癌細胞狀態等等, 仍難以預測病人治療後的狀況, 而CLIKE提供的平台, 目標是能夠提高預測準確度, 還有在尚未治療前,能針對個別病患擬出最好的治療策略,也能在使用昂貴藥物前, 提供一個客觀結果,供病患與家屬做參考,目前個人化醫療預測市場約367億美金 ; 另一個問題, 即在癌症藥物開發上的囧境, 根據FDA資料, 癌藥成功開發約13%, 失敗高達87%, 且通常在上臨床後平均已投資約3到5千萬美金以上, 由於目前前臨床研究材料以同質性極高的細胞株進行試驗, 但實際上在臨床病人上的腫瘤帶有即高異質性; 與新藥研發人員討論相關議題, 目前仍然沒有能直接代表人體活體的生物平台供研究試驗與檢測, 所以基本上目前仍然要推到臨床試驗(就是要燒到那麼多錢)才有辦法真正驗證.
  4. 因此CLIKE將建立以病人個體經其將手術取得的腫瘤檢體與病人血液萃取物進行體外共培養, 並斟酌病人其如腫瘤缺氧狀況等進行病人癌症微環境模擬, 保持高度異質性與體內狀況相似度! 即可以針對病人體外共培養癌細胞進行不同藥物測試, 並預測跟擬定最適合或是最理想的療程方案. 開發過程會串連包含觀測基因/蛋白質等表達, 並與前臨床/臨床結果比較後做初步驗證. 我過去的工作與專業訓練經驗, 接觸從基礎/前臨床甚至到臨床, 比如已上市的藥品可以從臨床角度去開發不同的用途 (經典案例:威爾剛), 因此CLIKE解法就從臨床開始切入, 一般癌症仍需仰賴外科移除與配合藥物治療, 所以CLike第一步將需要取得病患手術後的檢體與當時的血液做成份分析, 並配合醫師當時收集的資訊(如腫瘤大小與位置; 缺氧與缺血等狀況)去設定病患個人化癌況微環境, 進一步維持檢體仍能高度表現異質性. 因為目前所有關於癌症研究與藥物研究都是使用”同質性”極高的癌細胞株, 所以這也是一部分再選擇藥物治療或是新藥開發上,會有很大的變異主原因.
  5. 在平台尚未被FDA接受前, 可同步以開發相關cocktail commercial kit耗材賣給相關研究的學術或是研究單位做為營收之一, 並同時推廣找尋新藥研發夥伴或是相關委外研發單位(CRO)合作使用CLIKE平台; 最終FDA審核認定CLIKE平台可作為醫療檢驗使用與商品化. 商業模式將這個平台做成不同實驗室耗材販售, 也可以與新藥公司合作開發, 也可以進入各大醫療院所檢驗體系, 幫助臨床排定個人化療程 開發可維持高度異質性的耗材商品供研究單位與醫療單位使用 協助新藥開發成功率與減少探索成本 針對病患設計個人化癌症療程 $ $ $ 療程/預後可預測化 使用昂貴藥物前的評估$
  6. 我是鄭涵妮, 有2.5年基礎研究與3.5年前臨床與臨床研究相關資歷, 同時有經營個人設計品牌 Na Yi Honey相關行銷品牌經驗, 個性不喜歡設限, 喜歡嘗試新路走走
  7. 革命尚未成功, 研發持續努力, 我是CLIKE團隊!