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Personalized Medicine
       The technologies are here
 
       Are you ready to invest and help
                  patients?



Opportunity Analysis Project for the Stanford Technology Ventures Course 2012
                       Submitted by Team Neuropeptide
What is personalized medicine?

Personalized medicine is generally understood as the use of molecular
analysis to achieve optimal medical outcomes in the management of
patient’s disease or disease predisposition
(Based on the definition from the Personalized Medicine Coalition)



Our primary business objectives:
       i) Development of a comprehensive machine learning framework
  to identify molecular signatures in patients with the highest unmet
  medical needs i.e. oncology/cancer
       ii) Development of personalized medical treatments that might
  include targeted personalized drugs tailored to individual genetics
Patients with unmet medical needs want more
 effective treatments with fewer side effects

● Over 50% of prescribed
  drugs are not efficacious.
  The option for healthcare
  providers and patients was
  an expensive and inefficient
  trial and error approach
  based on arcane
  technologies. Our society
  can not afford the status
  quo anymore

● Patients as well as healthy
  people desire personalized
  medical care
                                 Personalized Medicine Attitude Survey Results, VL Neuropeptide Team, 2012
Changes are coming...

• The paradigm shift in health care is here to stay and
visionary informatics and biotech entrepreneurs have been
positioning themselves to gain early entry advantage in
this new era

• FDA getting proactive to prevent adverse drug effects

• FDA getting proactive at supporting personalized
medicine technologies and research initiatives
Biomarkers, SNPs, NGS, Microarrays, Genomics, Proteomics, Imaging,
Diagnostics and Targeted Personalized Therapeutics
A Mandate: The right drug to the right
     patient at the right time (Leroy Hood)
• Multiple approaches to develop the best treatment for the individual
patient

• Capitalize on current advances in computational biology to speed up
the discovery of personalized biologics

• Started with diagnostics moving fast into personalized therapeutics

Some Venture Capital firms shifted their investments overseas where
regulatory approvals come quicker;
The U.S. Food and Drug Administration is taking steps to address
some of the industry's concerns; the agency plans to streamline
regulations and speed up the approval process for some drugs
Bloomberg.com, Oct 6, 2011
How should medicine be reformed?

●   The progress of clinical trials should be made readily available
●   Patient privacy should be observed if requested by the patient, but
    depersonalized genomic and clinical data should be freely shared
    and exchanged
●   The power of outside interests (big pharma, insurance, etc.) should
    be explicitly curtailed. An industry-wide black list for cases of
    collusion, probable bias, and misleading results should be kept with
    free access
●   The field should embrace computation and big data to accelerate
    research and create a framework for personalized medicine
●   Better integration of computers in clinical practice and better
    utilization of data produced
●   Better MR scanners and better BCIs
What are the biggest roadblocks in
              medicine today?
●   Perceived unbalanced use of personal information by healthcare and
    insurance entities may be generating mistrust and a feeling of helplessness
    in people

●   Low quality of body of research caused by an enormous amount of biased
    and unverified experimental findings usually due to outside interests or
    ulterior motives

●   Slow introduction of computational power into the medical field in general

●   The idea that complex psychological phenomena can be explained by quite
    simple biological factors (alone)

●   Hierarchical and traditional structure

●   Lack of emancipated patient participation
What are the advantages of personalization?
What are the advantages of personalization?


 Arcane Reactive Medical Care                                     Efficient Medical Care

                                                           Not just personalized drug selection but
                                                           personalized drug development!




Costly and inefficient trial and                                    Improved Quality Care
error approach

 Adapted fromfrom Personalized Medicine Coalition report, www.PersonalizedMedicineCoalition.org
 Adapted public public Personalized Medicine Coalition report
The goal of the Personalized
            Medicine Coalition




Figure taken from the PMC website www.PersonalizedMedicineCoalition.org
Genotype Analysis Attitude
          Data from our survey
How likely are you to get your genotype
confidentially analyzed for you (possible for $300)?




                                           Personalized Medicine Attitude Survey
                                           Results, VL Neuropeptide Team, 2012
Personalized drug consumer attitude
   data from our survey
How likely are you to get your
whole genome sequenced and                                        n=55
analyzed for the development of
your own personalized
experimental drug(s)?


Conclusion:
Our sample size is not large enough
(n=55) to draw a statistically relevant
conclusion with respect to the degree of
willingness to have own genome
sequenced and analyzed for
development of own drugs.
However, it is apparent from the
responses that people that are not likely
to do it are a minority with respect to
those that could eventually do it. We
predict that with proper education on the
subject, ~75% of the people will be very
likely to do it.


                             Personalized Medicine Attitude Survey Results, VL Neuropeptide Team, 2012
Personalized health care consumer
    attitude data from our survey

When do you think it will be
possible to provide personalized
health care?                                                                                           n=55


Conclusion:
From a sample size n=55, we
observe an overall optimistic
public attitude toward the ability
to realize and implement full
personalized health care in the
coming years.
We hypothesize that with better
education about the subject, the
general perception of the public
will tend to be skewed toward
shorter development and
implementation times




                               Personalized Medicine Attitude Survey Results, VL Neuropeptide Team, 2012
Market Projections in Personalized
    Medicine

●   Projected to grow
    11.56% annually

●   Estimated
    U$ 232MM

●   Expected to
    double by 2015 to
    over 450MM

●   Mostly from
    Genomics and
    Proteomics
Bay area proactive
http://2013sv.pmwcintl.com/

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Personalized Medicine Opportunity Analysis - Team Neuropeptide - Stanford VentureLab 2012

  • 1. Personalized Medicine The technologies are here   Are you ready to invest and help patients? Opportunity Analysis Project for the Stanford Technology Ventures Course 2012 Submitted by Team Neuropeptide
  • 2. What is personalized medicine? Personalized medicine is generally understood as the use of molecular analysis to achieve optimal medical outcomes in the management of patient’s disease or disease predisposition (Based on the definition from the Personalized Medicine Coalition) Our primary business objectives: i) Development of a comprehensive machine learning framework to identify molecular signatures in patients with the highest unmet medical needs i.e. oncology/cancer ii) Development of personalized medical treatments that might include targeted personalized drugs tailored to individual genetics
  • 3. Patients with unmet medical needs want more effective treatments with fewer side effects ● Over 50% of prescribed drugs are not efficacious. The option for healthcare providers and patients was an expensive and inefficient trial and error approach based on arcane technologies. Our society can not afford the status quo anymore ● Patients as well as healthy people desire personalized medical care Personalized Medicine Attitude Survey Results, VL Neuropeptide Team, 2012
  • 4. Changes are coming... • The paradigm shift in health care is here to stay and visionary informatics and biotech entrepreneurs have been positioning themselves to gain early entry advantage in this new era • FDA getting proactive to prevent adverse drug effects • FDA getting proactive at supporting personalized medicine technologies and research initiatives Biomarkers, SNPs, NGS, Microarrays, Genomics, Proteomics, Imaging, Diagnostics and Targeted Personalized Therapeutics
  • 5. A Mandate: The right drug to the right patient at the right time (Leroy Hood) • Multiple approaches to develop the best treatment for the individual patient • Capitalize on current advances in computational biology to speed up the discovery of personalized biologics • Started with diagnostics moving fast into personalized therapeutics Some Venture Capital firms shifted their investments overseas where regulatory approvals come quicker; The U.S. Food and Drug Administration is taking steps to address some of the industry's concerns; the agency plans to streamline regulations and speed up the approval process for some drugs Bloomberg.com, Oct 6, 2011
  • 6. How should medicine be reformed? ● The progress of clinical trials should be made readily available ● Patient privacy should be observed if requested by the patient, but depersonalized genomic and clinical data should be freely shared and exchanged ● The power of outside interests (big pharma, insurance, etc.) should be explicitly curtailed. An industry-wide black list for cases of collusion, probable bias, and misleading results should be kept with free access ● The field should embrace computation and big data to accelerate research and create a framework for personalized medicine ● Better integration of computers in clinical practice and better utilization of data produced ● Better MR scanners and better BCIs
  • 7. What are the biggest roadblocks in medicine today? ● Perceived unbalanced use of personal information by healthcare and insurance entities may be generating mistrust and a feeling of helplessness in people ● Low quality of body of research caused by an enormous amount of biased and unverified experimental findings usually due to outside interests or ulterior motives ● Slow introduction of computational power into the medical field in general ● The idea that complex psychological phenomena can be explained by quite simple biological factors (alone) ● Hierarchical and traditional structure ● Lack of emancipated patient participation
  • 8. What are the advantages of personalization? What are the advantages of personalization? Arcane Reactive Medical Care Efficient Medical Care Not just personalized drug selection but personalized drug development! Costly and inefficient trial and Improved Quality Care error approach Adapted fromfrom Personalized Medicine Coalition report, www.PersonalizedMedicineCoalition.org Adapted public public Personalized Medicine Coalition report
  • 9. The goal of the Personalized Medicine Coalition Figure taken from the PMC website www.PersonalizedMedicineCoalition.org
  • 10.
  • 11. Genotype Analysis Attitude Data from our survey How likely are you to get your genotype confidentially analyzed for you (possible for $300)? Personalized Medicine Attitude Survey Results, VL Neuropeptide Team, 2012
  • 12. Personalized drug consumer attitude data from our survey How likely are you to get your whole genome sequenced and n=55 analyzed for the development of your own personalized experimental drug(s)? Conclusion: Our sample size is not large enough (n=55) to draw a statistically relevant conclusion with respect to the degree of willingness to have own genome sequenced and analyzed for development of own drugs. However, it is apparent from the responses that people that are not likely to do it are a minority with respect to those that could eventually do it. We predict that with proper education on the subject, ~75% of the people will be very likely to do it. Personalized Medicine Attitude Survey Results, VL Neuropeptide Team, 2012
  • 13. Personalized health care consumer attitude data from our survey When do you think it will be possible to provide personalized health care? n=55 Conclusion: From a sample size n=55, we observe an overall optimistic public attitude toward the ability to realize and implement full personalized health care in the coming years. We hypothesize that with better education about the subject, the general perception of the public will tend to be skewed toward shorter development and implementation times Personalized Medicine Attitude Survey Results, VL Neuropeptide Team, 2012
  • 14. Market Projections in Personalized Medicine ● Projected to grow 11.56% annually ● Estimated U$ 232MM ● Expected to double by 2015 to over 450MM ● Mostly from Genomics and Proteomics