11/19/2015 noon Keynote Genomics England, Innovators in Personalized Medicine, Value of Care @AZ, 11th Annual Personalized Medicine Conference, November 18-19, 2015, Harvard Medical School
Reporter: Aviva Lev-Ari, PhD, RN
Live Press Coverage in REAL TIME
Director & Founder, Leaders in Pharmaceutical Business Intelligence, Boston
Co-Founder, GDE
12:o0 noon – Keynote Speaker
Genomics England
Sir John Chisholm
Executive Chair, Genomics England
- UK is uniquely positioned
- Medicine new movement: NHS 65th Anniversary Celebration, July 2013 by Genomics England announced by Secretary of State for Health
- Patient Community Support, Wearables and Consumer Health Remote consulting Elective Care Out of Hospital Care
- network support applications
- Cyber security and consents management
- National Repository
- 100,000 Genomes Projects – A pioneering Step in the UK towards Routine Genomics Medicine
- 2012 in UK: National Information Board Strategy
- Heterogeneous population
- National Health system to deliver
- Excellent Genomics research in the UK
- Cornerstone decisions
- rare inherited disease
- Transformation of the Medical practice: CHANGE in Clinical Data Flow:
- Partners: Sequencing: Illumina1 was selected, Welcome Trust/Sanger
- GMC responsibility: Concent, dna extraction, biobank, sequence, variant calling, interpretation, sharing results with client, decision on treatment, Patient in Clinic for a Protocol
- Achieve AT rich and GC rich
- OPTIMUM combination of choices to deliver the best Genome
- Experimental Pathway: upstream
- Clinical Interpretation Partnerships: 30 diseases 2500 Clinicians
- All IP held by Genomics England is available for licensing
- Rare diseases clinical data models for a CATALOGUE: Disease -specific element vs shared core elements
- Commercial Partnerships: Pharma and BioTech, Bioinformatics and ANalytics
- GENE Consorsium: Big Pharma
- Data Architecture Schematics: Genomics Data Store VCF and BAMs
- data interpretation: data sets Analysis Tools and Embassy done following Cleansing
- Other aspects: Media Coverage The DNA of a Nation: Nature, August, Genomics England – Precision Medicine can be done at a National level.
- Interpretation Partnerships: Complicated,
12:30 p.m. – Bag Lunch
Bag lunch with open seating for all conference attendees
1:30 p.m. – Panel Discussion
Innovators in Personalized Medicine
The movement in any field of medicine is dependent upon the organizations and its leaders. There are a large number of innovative ideas that are transforming the way we provide healthcare to patients and in this panel we will hear examples of how successful companies are built and how some large companies are increasing their investments in personalized medicine..
Michael Pellini, M.D., M.B.A.
President and CEO, Foundation Medicine
- Life Sciences Technology: NGS used of Tech incorporation into Medicine Technology is used in a meaningful way
- Foundation Medicine – Molecular information company in 2011. In 2015 all type of information not only molecular,
- SNP DBs, Aggregate curate, data disseminated data
- Medical thinking: Science allowing Diagnostics to improve diagnosis
- business relations are changing: Pharma and Diagnostics, Advocacy Groups
- Notions of Payers partner with organization to use data
- regulatory FDA do promote change
- Payers could stifle innovation
- Innovators in Healthcare, is not easy
- If all Partners in a company all agree, destine is to fail not to succeed
- circulating Tumor DNA — part of Patient diagnosis
- Patient more involved FDA, more involved
- Payers will pay
- When and How
- Incentives to collaborate
- Diagnostics enable Drugs dispensing
- Pharma and Molecular Diagnostics Companies — different interests
- MUST UNDERSTAND WE MUST BE ABLE TO TALK BOUT EACH OTHER PARTIES PROBLEMS: PHARMA MUST UNDERSTAND DIAGNOSTICS AND THEY MUST UNDERSTAND R&D
Christine Cournoyer
CEO, N-of-One, Inc.
- four years ago joined N-of-One
- target therapy for the Patient
- molecualr profie of the Patient
- Interpretation of results
- molecular diagnosis test — in need for interpretation, Analysis of diagnostics Labs
- collaboration on therapeutics models hard to foster in the commercial because of competition, Oracle will not compete on interpretation
- End game
Michael Reitermann
CEO, Siemens Healthcare Diagnostics in 70 Countries
Member of the Executive Management, Siemens
- collaboration
- diagnostics area
- adverse events
- errors in diagnosis – malpractice
- reimbursement
- Diagnostics is Cost Plus
- clinical data
- Synergies needed as incentive
George Yancopoulos, M.D., Ph.D.
President, Regeneron Laboratories; Chief Scientific Officer, Regeneron Pharmaceuticals
- identify a mutation to be a candidate for therapeutics
- Ten years to secure one disease
- one FDA approval caused stock to increse TEN folds
- molecular, RNA, DNA, Protein targeted to therapeutics
- genomics information, EMR for sequencing
- DB that you can trust, Geisinger in PA sequencing the entire HealthCare System of One Institution
- NIH needs to do more translational not only basic research
- Champion inside the organization needed to foster new partnerships
- CEO worries about the cost of R&D, Insurance does not care about investment in Prevention – NO profit in it
- Elevate the discussion to cover all aspects
- Geisinger: FULL INTEGRATION in one system vs adversary parties
AUDIENDCE
- Genomics Diagnostics: CMS, National CMS, Roche applies Hybrid model, incentive organizations to collaborate and solve reimbursement for genomics testing
- Quest Diagnostics works with Insurance payers worst than dealing with CMS
- Reimbursement: Should it be by disease or all along the treatment cycle
- AstraZeneca BUDGET OF R&D INCREASED EACH YEAR AND IS AT RECORD EVER HIGH IN COMPANY’S HISTORY
2:30 p.m. – Keynote Speaker
Opportunities in Personalized Medicine: Redefining the Value of Care
Paul Hudson
President, AstraZenecaUS
Executive Vice President, North America
- 979i Mutation – lung cancer
- Improve in Precision Medicine
- why resistance emergence – mechanism arise which one
- why resistance show that medicine revert to normal receptor
- 500 treatments for 800 new diseases
- Self diagnosis by Apple watch owner and FitBit
- T79 Mutation ct-DNA
- blood test not biopsy for circulating tumor cells
- lung cancer:
- FDA has approved on 11/15/2015 the first drug based on genomic mutation in 32 month first in Human the fastest in ONCOLOGY in Us
- Asthma: Steroid medicine developed 20 years ago no new ones
- Asthma is a cluster of diseases each needs a different drug
- Breakthrough Science
- Collaboration with Abbott for Asthma and with Eli Lilly
- datashere Project: Academia is given access to super computer facilities to use the data
- over 15 medcine Crownfounding to rectuit patients
- ACCESS of Patients to medicine and therapies
- Regulated partnerships, not enough action
- dialogue in WashDC – FDA
- Stakeholders: WHITE HOUSE INITIATIVE FOR A HEALTHIER AMERICAN
- Price structure of medicine: Value for Patients and Providers
- Patient affordability
- COst – Partner with Payers
- Risk sharing based on patient outcomes – NOT yet achieved
- responsibility for failing too many
- breakthrough of tomorrow depends on Precision Medicine
- 2798m – resistance is the next drug for development per the model of the one approved on 11/15/2015 by FDA FOR ASTRAZENECA
- Affordability of drugs is a concern
- combination of drugs flex and demonstrate value
- Collaboration with Dana Farber on blood test for circulating Tumor Cells for Lung Cancer
3:00 p.m. – Closing Remarks
Raju Kucherlapati, Ph.D.
Paul C. Cabot Professor of Genetics, Professor of Medicine
Harvard Medical School
- UK Model – On eNation and the role of Genomics
- Foundation Medicine paradigm in Cancer diagnostics
Team recognition and PMC – team members
– See more at: http://personalizedmedicine.partners.org/Education/Personalized-Medicine-Conference/Program.aspx#sthash.O4Znb9kq.dpuf
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12:00 PM | Keynote Speaker
Genomics England Speaker Sir John Chisholm |
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1:30 -4 PM | Panel Discussion: and Closing Remarks | #personalizedmedicine
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