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Transparency in Clinical Trials, Volume 2 (Volume Two: Latest in Genomics Methodologies for Therapeutics: Gene Editing, NGS and BioInformatics, Simulations and the Genome Ontology), Part 1: Next Generation Sequencing (NGS)

Transparency in Clinical Trials

Curator: Larry H. Bernstein, MD, FCAP

 

 

Does Pharma Really Want Transparency In Clinical Trials?

Ed Miseta, Chief Editor, Clinical Leader
Follow Me On Twitter @outsourcedpharm
http://www.clinicalleader.com/doc/does-pharma-really-want-transparency-in-clinical-trials-0001

 

My recent article on transparency in clinical trials, featuring Dr. Brad Thompson, CEO of Oncolytics, solicited a good number of comments and emails from readers. While most readers agree that more transparency would be good for patients and the industry, there seems to be a lot of disagreement over how it can be achieved, and if it can actually be achieved at all.

To recap, Thompson believes we still have a long way to go, and questioned whether true transparency would ever be achieved. His primary argument noted researchers who want to be published will not put much focus on neutral or negative trials, and even the press releases put out by sponsors include a limited amount of information.

One reader that works for a CRO made the following comment: “Dr. Thompson from Oncolytics made some very interesting comments about investigators holding back information. An investigator will enter patient data into an EDC system that is then verified by monitors. And that is just one of a number of sites. These investigators will generally know when a drug is working and when it is not. As a CRO, I often saw statistical outputs on blinded studies where you could see where the data was trending. Even data guys can tell if a drug is working by the data results and improvements in patients.”

If physicians and researchers are able to see clear results even when the data is still in the process of being collected, then what is the problem with being more transparent? One possible explanation is that once physicians know a drug will not work, they will no longer continue to place patients at risk by having them participate in the trial. This could be done for purely ethical reasons.

But there may also be reluctance to greater transparency on the part of the pharma company. “No drug company truly wants transparency because it leaves the results and outcomes more open to interpretation, mainly by Kaiser, Blue Cross and other groups,” noted another reader.  “Pharma companies could cost themselves a lot of money in sales if they do not have the time to target and position.”

Investors Are A Consideration

There is still another consideration at play. If a study is not going well, would it be to the benefit of the executives of a company to share those results? Let’s play devil’s advocate for a moment and assume you are the CEO of a biotech company. You’re making $500,000 a year with good benefits. You have several investors who have dumped millions of dollars into your company and your product. The study is targeted for four years, but within the first year you see results that indicate your drug is not going to produce the intended results.

“In that scenario, how prone would you be to ending the trial, saving the investors their remaining money, and losing your job?” notes one reader. “Are companies prone or pressured to locate new targets for therapy or identifying reasons to extend the trials, sometimes for a few years or longer?”

All of us have heard discussions about the possibility of electronic medical records (EMRs) someday replacing electronic data capture (EDC). According to one email I received, this will never happen because of the physician issue mentioned above. After all, if patient results were posted in the EMR and every doctor on the network has access to the information, everyone would know if I drug was not having the desired effect. As soon as that happens, promises of riches being delivered to investors will fall by the wayside, and executives will be out of jobs.

“Within big pharma, this is called job preservation,” noted another reader. “If funding for the trial is cut, I am out of a job. At the same time, trial results are not getting any better for patients. Years ago about one in three trials resulted in a successful outcome. Then it went to one in four. Today that success rate is around 15 percent with R&D commitment at about 12% (down from approximately 28%). It appears that the industry is run by money and managed by guys who know how to play the system.  If patients are the primary concern, the industry would target physicians who have the right patients, get enrollment done faster, and quickly identify if the product works as advertised.”

Limit Procedures And Additional Fields

Going back to Thompson’s comments, the problem is not always investigators wanting to get published. One reader noted oftentimes it is the in-house pharma and biotech doctors as well as researchers in academia who are anxious to get their names into publications. “Unfortunately, these are often the same people who include numerous unnecessary procedures in protocols. They will also ask for additional data fields to be included in EDC systems after study launch, which can delay database activity for two months. The reason is they see a hint of something and decide they want to dig deeper, even if the activity has nothing to do with the study results and the overall goal of the trial.”

The obvious fix to this would be executive leadership and study teams standing up and challenging the reason for inclusion of the additional data fields, which cost the industry both time and money. A large number of procedures should be challenged as well, especially if they are not standard of care.

“If a researcher sees a hint of something that seems to be interesting but has nothing to do with the study, they should engage one of the thought leaders to conduct an IIR program to see if the hypothesis is valid,” notes the reader. “They can do this while keeping the clinical program on track to closure without delay, and still appease their interests.”

Clearly, there are no easy solutions. Many pharma companies are certainly making a concerted effort to put the patient first, and I believe those efforts are sincere. But there is no question they must also be focused on funding and trial results – the industry has gone from one focused on a patient to one driven by investors, and that trend is unfortunate. Physicians and researchers will always have their own goals and aspirations, and placing additional burdens upon them could have the unintended consequence of driving them away from trial participation – poor sponsor/CRO pay practices and poorly written/detailed protocols have already moved many physician practices away from clinical trial participation. Coming up with a solution will likely involve bringing together all stakeholders for a more in-depth discussion on the topic, which unfortunately I don’t see happening anytime soon.

 

Transparency In Clinical Trials: Will It Ever Be Achieved?
Ed Miseta, Chief Editor, Clinical Leader
Follow Me On Twitter @outsourcedpharm

 

A lot has been made recently about transparency in clinical trials. In the EU a new regulation is about to address the issue, and CISCRPrecently sent a petition letter to the FDA asking it to pass a similar regulation in this country. The petition, signed by hundreds of patients, hopes to make trials results more accessible to patients.

It’s also not hard to understand why a patient participating in a trial would want to know the results of the study, and whether or not they received the active drug or a placebo. But while changes might help companies with patient recruitment and retention issues, will true trial transparency ever be possible?

Dr. Brad Thompson, CEO of biotech firm Oncolytics, believes we still have a very long way to go, and that perhaps pharma companies are not the ones that should be blamed. “I think a lot of people, patients especially, believe that companies are the roadblock in keeping the results of clinical studies from becoming public,” he says. “But personally, I believe it is a much wider issue than that, especially when it comes to finding out the results of unsuccessful trials.”

For example, Thompson looks at clinical investigators. He notes many of these individuals would like for their academic careers to progress. For these folks, the reporting of trial results, especially those that are negative or neutral, does nothing to advance their goals. It is not a deliberate action to conceal information, but the lack of an incentive to do so can often result in delays, provided the results are reported at all.

“If you are conducting a trial at 50 or 60 locations, it doesn’t take too many of them not reporting information to significantly slow down the ability of a sponsor to report on what is going on with the study,” notes Thompson. “And the more time that goes by, the more people will lose interest in doing so. Add to that the fact that there are no journals or annual meetings that are focused on reporting negative results. This is due to space and time limitations. If there are 100 speaking opportunities at the ASCO show in June, those spots will be given to people reporting exciting new results in cancer therapies. There is no time for, nor interest in, anyone reporting on therapies that didn’t work.”

From the standpoint of a public sponsor company, they will typically report negative trial results, but that will generally be via a press release, where there is very little detail. It’s also unlikely that a patient participating in a trial will be on the company’s PR distribution list. As a result, there is an entire system set up with no positive incentives to go into more detail about trials that did not go as planned.  That in itself is unfortunate, since we often learn as much from things that don’t work as we do from things that do.

“In many ways, knowing what didn’t work, or what caused a safety problem, can be more important than knowing what did work and knowing there were no safety problems,” adds Thompson. “Knowing of negative results will allow you to improve your own trials and continue to work to try and find something that does work. I think this is a bigger issue than people realize and it is not something that will be easy to address.”

All Requirements Fall On Sponsors

Of course in this entire daisy-chain of events, there is only one party involved that has a legal obligation to disclose positive or negative information on the trial. That is the sponsor company, which by law is required to disclose information about the trial. Failure to report something could result in a criminal offense. If an investigator doesn’t disclose something, they do not face the same negative repercussions.

“If you talk to an attorney from any sponsor company, they will tell you how important it is to disclose, disclose, disclose,” says Thompson. “They fully understand the importance of doing that. The situation might be slightly different in privately-held companies, because public companies have an obligation to their investors. But even then they have a duty of disclosure under the investment terms. More often than not the investors are sitting on your board of directors and would be privy to the information anyway.”

On a positive note, Thompson is quick to note that most companies, investigators, and researchers he knows want to disclose as much as they possibly can.  There are just a number of soft reasons that might end up keeping them from getting into more detail than they do. For example, there is generally the same amount of content going into a press release regardless of whether or not the trial was successful. He notes no one on the planet is going to put out a 30-page press release covering the detail of a clinical study, whether it was good or bad.

For that reason, most of the press releases that go out are seldom more than two pages, with just a few sentences on the results and the safety aspects. While that will meet the disclosure standards, it certainly does not disclose much detail to the investigators or others who wish to know the details.

“When you look closely at this situation, what you see is a system that is almost accidentally set up to inhibit full disclosure,” states Thompson. “The industry might feel it is good to publish negative results, but where would we publish them? Who is going to pay for it? Who is going to read it? It’s a difficult issue. You can try to induce people to do things, but if an investigator has a failed study, his academic career will not be helped by spending the weeks it would take to write a paper to be published. Especially if they can spend that time writing a paper on a study that did work. There is not a conspiracy of silence. It is just natural for people to want to focus on things that will help them out with their careers.”

More Information Benefits Patients

There are other reasons for reporting as much information as possible. Patients appreciate the information, but from the sponsor perspective, more information might mean coming up with better versions of existing medicines. Thompson likes to use bone marrow studies as an example of how more information can be helpful to patients. When physicians first started using radiation to kill off bone marrow for certain types of leukemia patients, that marrow had to be replaced. It was discovered that bone marrow transferred from people who did not match the patient’s tissue type caused them to perform better…but only for a period of time. After that, the patients began to die quicker. Still, researches published the complete findings.

“They could have reported that non-matching bone marrow works really well for six months and left it at that,” says Thompson. “But they opted to include the downside of the study as well. That led physicians to decide it would be used for emergency use only until a better match could be found. That knowledge ended up making these transplants better for the patients and better for the industry. I think in that case we were lucky that there was a positive effect to report along with the negative. If there was only the negative effect, I don’t know that it would have ever been published.”

Is There A Fix?

I wish I could report that there is an easy fix to this transparency issue. Unfortunately, there is not. According to Thompson, there are not a couple of adjustments that can be made to correct the problem.  After all, you cannot force a researcher to publish an article on a failed study if they have more important needs to attend to. You can’t force a company to produce or publish a 30-page press release or, if they did, force anyone to read it. Unfortunately, that is a reality of the industry.

“We need to come up with a mechanism where the end result is of benefit to the industry, such as people having access to needed information and disseminating it without the process being burdensome,” notes Thompson. “I honestly don’t know how you do that.”

There are so many pieces to this problem…the sponsor companies, the FDA, the investigators, the research sites. It is difficult to fix a problem when the players involved in it are so varied. Still, if this is an issue that is too complicated to tackle with all players at once, perhaps the best approach would be to take it one step at a time. If we put sponsors, patients, and investigators in a room together, all would likely be clamoring for the same end result.

“We would not see pockets of stakeholders fighting this,” adds Thompson. “A solution to this transparency problem would make everyone better off. It’s frustrating because everyone knows this is an issue, and that we have to do better. People who are a lot smarter than I am have spent time on this and were not able to come up with an answer.  But the fact that this is a complicated issue doesn’t mean we should throw our hands in the air and give up. Eventually we will have to produce a solution.”

 

Taking The “Risk” Out Of Risk-Based Monitoring

http://www.clinicalleader.com/doc/taking-the-risk-out-of-risk-based-monitoring-0002

The clinical trial landscape is continually evolving and with it, efforts in the improvement of participant safety and data integrity. CROs are beginning to transition from on-site monitoring, with 100% point-to-point source data verification, toward a risk-based monitoring (RBM) approach that utilizes source data review and more centralized monitoring techniques better adapted for mitigating risk.

While RBM has gained considerable attention in recent years, reluctance still remains around the approach—from uncertainty arising from the use of “risk” employed in its name to sponsors being wary of potential implications on data quality and regulatory inspection outcomes.

Despite these concerns, there is a growing consensus that risk-based approaches to monitoring, focused on risks to the most critical data elements and processes necessary to achieve study objectives, are more likely than routine visits to all clinical sites and 100% source data verification to ensure subject protection, data integrity, and overall study quality.

 

Improve the Inclusion & Exclusion Criteria for Your Next Clinical Trial

http://www.clinicalleader.com/doc/improve-the-inclusion-exclusion-criteria-for-your-next-clinical-trial-0001

 

 

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Point of Care Diagnostics

Larry H. Bernstein, MD, FCAP, Curator

LPBI

 

Point-of-Care Diagnostics—An Expanding Field Driven by Technology Development 

Impact of Various Disease Classes on the Development of POC Diagnostics

Gary Oosta, Ph.D.Enal Razvi, Ph.D.

Point-of-Care Diagnostics—An Expanding Field Driven by Technology Development

Figure 1. POC diagnostics word cloud

  • There is growing interest in the point-of-care (POC) diagnostics field as the space is expanding and evolving from pure technology development to applications development in various settings. We sought to understand the dynamics of the point-of-care diagnostics field by examining the entire ensemble of publications in this space and analyzing trends from the bottom-up.

  • Click Image To Enlarge +
    Figure 2. POC diagnostics is a global field.

    We harvested and analyzed 14,046 publications from the academic literature where the search terms were “point-of-care” in the titles and/or abstracts of the publications.  Figure 1 presents a word cloud that shows a pictorial representation of the abundance of various terms within this space as a means to illustrate the dataset which we harvested.  Most of the data was collected in 2015 and therefore it represents the current scenario of the field.

    We subsequently sought to understand the nature of the POC diagnostics field by examining the geographic source of these publications—is this a concentrated marketplace or is it truly global in nature, vis-à-vis research and publications in this field.  Figure 2 presents the geographic breakout and this clearly shows that POC diagnostics is a global field.

  • Click Image To Enlarge +
    Figure 3. Growth of publications in the POC diagnostics space.

    The U.S. dominates publications in this space with 39% of total but it’s important to note the breakout is truly global in nature and attests to the fragmented nature of research in this field.

    We also sought to understand the pace of growth of this field—if the hypothesis is that the POC diagnostics field is expanding we should observe a steep climb in the growth of publications—Figure 3 presents this data, which shows a clear expanding space and this begs the question as to where the growth in the field is coming from. To address this question, we examined the compound annual growth rates (CAGRs) of the various segments of the broader POC diagnostics space and this data (not presented in this article) suggest that specific segments of the POC space are outperforming the growth of the broader POC diagnostics space and there are opportunities for applications development in these particular spaces.

  • Click Image To Enlarge +
    Figure 4. Cardiovascular disease classes are an important component of the POC space.

    Infectious diseases are a strong theme in the overall POC diagnostics field and estimates suggest that infectious diseases account for 70% of the overall POC diagnostics marketplace.  Our industry research however also suggests that the oncology space is experiencing growth in the POC diagnostics arena and this suggests to us that the technology development taking place in POC diagnostics is starting to branch out and impact other market segments.  Another space we investigated as part of our industry analyses was the impact of POC diagnostics into the cardiovascular diseases space.  Figure 4 presents the publications landscape of POC diagnostics impacting various cardiovascular disease classes.

  • Click Image To Enlarge +
    Figure 5. In POC, specific biomarkers are an almost unexplored space.

    Even though POC diagnostics seeks to interrogate biological marker[s], the specific biomarker[s] that are implicated in POC diagnostics are generally not well characterized and indeed studies of biomarkers do not crossover into POC diagnostics.  We interpret this data to mean that the majority of the efforts in the POC diagnostics field are focused on technology development, approaches for deployment into the point-of-need setting rather than the molecular characterization of the biomarkers that are the underlying molecular entities associating the readout with the biological phenotype studied. This is especially true in the cancer biomarkers space where there is an extensive body of literature where specific biomarkers or signatures thereof are associated either as prognostic or diagnostic biomarkers with specific pathological states—such levels of association are not observed in the POC diagnostics field.  This will evolve over time and such molecular associations of the lesions will be described.  Figure 5 presents the publications landscape of specific biomarkers that have been described thus far in the POC diagnostics space.

  • Click Image To Enlarge +
    Figure 6a. In the POC space, the penetrance of cancer is growing, albeit small currently.

    POC diagnostics are suited ideally for high-impact diseases for which quick time to diagnosis and treatments are crucial, cardiovascular diseases for example as well as infectious disease where time to diagnosis is a key determinant of the therapeutic regimen that is deployed.  The broader cancer space impact on POC diagnostics is small at the present time, but growing.  We believe that the impact of minimally invasive diagnostics such as biofluid/liquid biopsies will increase the penetrance and impact of POC diagnostics into the cancer diagnostics space.

    The impact of molecular diagnostics tools onto the POC diagnostics space is expanding, and we believe that this trend will drive the interrogation of specific molecular species [biomarkers] in the POC context.  In this vein, we have noted that the penetrance of PCR amplification in POC diagnostics is growing suggesting the potential move of molecular testing, MDx, precision medicine into the POC diagnostics space.  We will continue to monitor this trend closely as the impact of nucleic acid analyses into POC diagnostics is an important theme and will enable precision medicine at the molecular level in the point-of-need setting.

    Earlier in this article, we alluded to the observation that in the point-of-care diagnostics setting cancer is currently a small contributor but is a growing space—Figure 6a illustrates this trend.

  • Click Image To Enlarge +
    Figure 6b. Segmentation of cancer classes by penetrance by POC diagnostics.

    We have further characterized this market segment and found that specific cancers are represented to various degrees—breast cancer is the most penetrant.  Figure 6bbreaks-down the various cancer classes vis-à-vis their penetrance into the POC diagnostics space and the trends observed are very interesting as they reflect on clinical practices in cancer screening as well as early diagnostics testing.  We seek to analyze this trend over the coming year to observe shifts in cancer POC diagnostics with the mounting interest in the liquid biopsy space—liquid biopsy can be viewed as a POC diagnostic since it is minimally invasive and can be performed in out-patient settings—a hallmark of the POC diagnostics space.

  • In summary, we have framed the current landscape of POC diagnostics, seeking to bring together various disease classes and describing their impact on the overall POC diagnostics field.  We continue to monitor this space as it evolves and is impacted by other fields, such as liquid biopsies, which will affect the character and dynamics of this space. We believe that not only will new technologies (such as microfluidics) drive the POC diagnostics field forward in resource-rich and resource-limited settings but also the impact of new biomarkers and biomarker classes will drive the field forward as more precise tailored-medicine becomes the norm in clinical practice.  Therefore even though currently POC diagnostics is deployed for high-impact diseases, the trend is moving toward its utilization in many niches of clinical unmet need.

  • Click Image To Enlarge +

    At the 2nd Annual Biofluid Biopsies and High Value Diagnostics 2015 conference Select Biosciences brings together academic researchers, industry researchers, as well as biotechnology and pharmaceutical companies to explore the expanding and evolving field whereby Circulating Biomarkers of various classes are being evaluated for their potential to be developed into diagnostics for cancer as well as other disease classes.

 

 

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Information Management in Health Research

Larry H. Bernstein, MD, FCAP, Curator

LPBI

 

Researchers find Potential Security Hole in Genomic Data-sharing Network

http://www.scientificcomputing.com/news/2015/10/researchers-find-potential-security-hole-genomic-data-sharing-network

Jennie Dusheck, Stanford University

Sharing genomic information among researchers is critical to the advance of biomedical research. Yet genomic data contains identifiable information and, in the wrong hands, poses a risk to individual privacy. If someone had access to your genome sequence — either directly from your saliva or other tissues, or from a popular genomic information service — they could check to see if you appear in a database of people with certain medical conditions, such as heart disease, lung cancer or autism.

Work by researchers at the Stanford University School of Medicine makes that genomic data more secure. Suyash Shringarpure, Ph.D., a postdoctoral scholar in genetics, and Carlos Bustamante, Ph.D., a professor of genetics, have demonstrated a technique for hacking a network of global genomic databases and how to prevent it. They are working with investigators from the Global Alliance for Genomics and Health on implementing preventive measures.

The work, published October 29, 2015, in The American Journal of Human Genetics, also bears importantly on the larger question of how to analyze mixtures of genomes, such as those from different people at a crime scene.

A network of genomic data sets on servers, or beacons, organized by the National Institutes of Health-funded Global Alliance for Genomics and Health, allows researchers to look for a particular genetic variant in a multitude of genomic databases. The networking of genomic databases is part of a larger movement among researchers to share data. Identifying a gene of interest in a beacon tells researchers where to apply for more complete access to the data. A central assumption, though, is that the identities of those who donate their genomic data are sufficiently concealed.

“The beacon system is an elegant solution that allows investigators to ‘ping’ collections of genomes,” said Bustamante. Investigators on the outside of a data set can ping and ask which data set has a particular mutation. “This allows people studying the same rare disease to find one another to collaborate.”

Beacons’ vulnerability

But many genomic data sets are specific to a condition or disease. A nefarious user who can find the match for an individual’s genome in a heart disease beacon, for example, can infer that the individual — or a relative of that person — likely has heart disease. By “pinging” enough beacons in the network of beacons, the hacker could construct a limited profile of the individual. “Working with the Global Alliance for Genomics and Health, we’ve been able to demonstrate that vulnerability and, more importantly, how to put policy changes in place to minimize the risk,” said Bustamante.

To protect donors’ identities, the organizers of the network, which is called the Beacon Project, have taken steps, such as encouraging beacon operators to “de-identify” individual genomes, so that names or other identifying information are not connected to the genome.

Despite such efforts, Shringarpure and Bustamante calculated that someone in possession of an individual’s genome could locate that individual within the beacon network. For example, in a beacon containing the genomes of 1,000 individuals, the Stanford pair’s approach could identify that individual or their relatives with just 5,000 queries.

Genomic information isn’t completely covered by the federal law that protects health information, and the consequences for a person whose information is disclosed can be significant. For example, although the national Genetic Information Nondiscrimination Act prevents health insurers from denying someone coverage or raising someone’s premiums because they have a particular genetic variant, the act does not apply to other forms of insurance, such as long-term care, disability or life insurance.

Approaches for better security

The Beacon Project has the potential to be enormously valuable to future genetic research. So, plugging this security hole is as important to Shringarpure and Bustamante as to the Global Alliance for Genomics and Health. In their paper, the Stanford researchers suggest various approaches for making the information more secure, including banning anonymous researchers from querying the beacons; merging data sets to make it harder to identify the exact source of the data; requiring that users be approved; and limiting access in a beacon to a smaller region of the genome.

The beacon system is an elegant solution that allows investigators to ‘ping’ collections of genomes.

Peter Goodhand, executive director of the Global Alliance for Genomics and Health, said, “We welcome the paper and look forward to ongoing interactions with the authors and others to ensure beacons provide maximum value while respecting privacy.”

Goodhand also said that the organization’s mitigation efforts, which adhere to the best practices outlined in its privacy and security policy, include aggregating data among multiple beacons to increase database size and obscure the database of origin; creating an information-budgeting system to track the rate at which information is revealed and to restrict access when the information disclosed exceeds a certain threshold; and introducing multiple tiers of secured access, including requiring users to be authorized for data access and to agree not to attempt specific risky scenarios.

Shringarpure and Bustamante are also interested in applying the technique described in their study to the area of DNA mixture interpretation, in which investigators seek to identify one DNA sequence in a mixture of many similar ones. The DNA mixing problem is relevant to forensics, studies of the microbiome and ecological studies. For example, Bustamante said, if a weapon used in a crime had DNA from several people on it, DNA mixture interpretation can help investigators pick out the DNA of a particular person, such as the suspect or the victim, revealing whether they touched the weapon. In fact, investigators could potentially use the same type of analysis used on the beacon network to look for individuals who may have touched a railing in a subway station or other public space.

This research was partially supported by the National Institutes of Health (grant U01HG007436).Stanford’s Department of Genetics also supported the work. Bustamante is on the scientific advisory boards for Ancestry.com, Personalis, Liberty Biosecurity and Etalon DX. He is also a founder and chair of the advisory board for IdentifyGenomics. None of these entities played a role in the design, interpretation or presentation of the study. Stanford University’s Office of Technology Licensing has evaluated the work presented in the paper for potential intellectual property and commercial rights.

 

Computational Models to Sort out the Genetic Chaos of Cancer Cells

http://www.scientificcomputing.com/news/2015/10/computational-models-sort-out-genetic-chaos-cancer-cells

University of Luxembourg

Scientists have developed a method for analyzing the genome of cancer cells more precisely than ever before. The team led by Prof. Antonio del Sol, head of the research group Computational Biology of the Luxembourg Centre for Systems Biomedicine of the University of Luxembourg, is employing bioinformatics: Using novel computing processes, the researchers have created models of the genome of cancer cells based on known changes to the genome. These models are useful for determining the structure of DNA in tumors.

“If we know this structure, we can study how cancer develops and spreads,” says del Sol. “This gives us clues about possible starting points for developing new anticancer drugs and better individual therapy for cancer patients.”

The LCSB researchers recently published their results in the scientific journal Nucleic Acids Research.

“The cause of cancers are changes in the DNA,” says Sarah Killcoyne, who is doing her PhD at the University of Luxembourg and whose doctoral thesis is a core component of the research project. “Mutations arise, the chromosomes can break or reassemble themselves in the wrong order, or parts of the DNA can be lost,” Killcoyne describes the cellular catastrophe: “In the worst case, the genome becomes completely chaotic.” The cells affected become incapable of performing their function in the body and — perhaps even worse — multiply perpetually. The result is cancer.

If we are to develop new anticancer drugs and provide personalized therapy, it is important to know the structure of DNA in cancer cells. Oncologists and scientists have isolated chromosomes from tumors and analyzed them under the microscope for decades. They found that irregularities in the chromosome structure sometimes indicated the type of cancer and the corresponding therapy.

“Sequencing technologies have made the identification of many mutations more accurate, significantly improving our understanding of cancer,” Sarah Killcoyne says. “But it has been far more difficult to use these technologies for understanding the chaotic structural changes in the genome of cancer cells.”

This is because sequencing machines only deliver data about very short DNA fragments. In order to reconstruct the genome, scientists accordingly need a reference sequence — a kind of template against which to piece together the puzzle of the sequenced genome.

Killcoyne continues: “The reference sequence gives us clues to where the fragments overlap and in what order they belong together.” Since the gene sequence in cancer cells is in complete disarray, logically, there is no single reference sequence. “We developed multiple references instead,” says Sarah Killcoyne. “We applied statistical methods for our new bioinformatics approach, to generate models, or references, of chaotic genomes and to determine if they actually show us the structural changes in a tumor genome.”

These methods are of double importance to group leader del Sol, as he states: “Firstly, Sarah Killcoyne’s work is important for cancer research. After all, such models can be used to investigate the causes of genetic and molecular processes in cancer research and to develop new therapeutic approaches. Secondly, we are interested in bioinformatics model development for reapplying it to other diseases that have complex genetic causes — such as neurodegenerative diseases like Parkinson’s. Here, too we want to better understand the relationships between genetic mutations and the resulting metabolic processes. After all, new approaches for diagnosing and treating neurodegenerative diseases are an important aim at the Luxembourg Centre for Systems Biomedicine.”

Citation: Mathematical ‘Gingko trees’ reveal mutations in single cells that characterize diseases. Sarah Killcoyne et al. Identification of large-scale genomic variation in cancer genomes using reference models , Nucleic Acids Research (2015). DOI: 10.1093/nar/gkv828

 

 

Mathematical ‘Gingko trees’ reveal mutations in single cells that characterize diseases

DOI: 10.1093/nar/gkv828

Seemingly similar cells often have significantly different genomes. This is often true of cancer cells, for example, which may differ one from another even within a small tumor sample, as genetic mutations within the cells spread in staccato-like bursts. Detailed knowledge of these mutations, called copy number variations, in individual cells can point to specific treatment regimens.

The problem is that current techniques for acquiring this knowledge are difficult and produce unreliable results. Today, scientists at Cold Spring Harbor Laboratory (CSHL) publish a new interactive analysis program called Gingko that reduces the uncertainty of single-cell analysis and provides a simple way to visualize patterns in copy number mutations across populations of .

The open-source software, which is freely available online, will improve scientists’ ability to study this important type of genetic anomaly and could help clinicians better target medications based on cells’ specific mutation profiles. The software is described online today in Nature Methods.

Mutations come in many forms. For example, in the most common type of mutation, variations may exist among individual people—or cells—at a single position in a DNA sequence. Another common mutation is a copy number variation (CNV), in which large chunks of DNA are either deleted from or added to the genome. When there are too many or too few copies of a given gene or genes, due to CNVs, disease can occur. Such mutations have been linked not only with cancer but a host of other illnesses, including autism and schizophrenia.

Researchers can learn a lot by analyzing CNVs in bulk samples—from a tumor biopsy, for example—but they can learn more by investigating CNVs in . “You may think that every cell in a tumor would be the same, but that’s actually not the case,” says CSHL Associate Professor Michael Schatz.

“We’re realizing that there can be a lot of changes inside even a single tumor,” says Schatz. “If you’re going to treat cancer, you need to diagnose exactly what subclass of cancer you have.” Simultaneously employing different drugs to target different cancer subclasses could prevent remission, scientists have proposed.

One powerful single-cell analytic technique for exploring CNV is whole genome sequencing. The challenge is that, before sequencing can be done, the cell’s DNA has to be amplified many times over. This process is rife with errors, with some arbitrary chunks of DNA being amplified more than others. In addition, because many labs use their own software to examine CNVs, there is little consistency in how researchers analyze their results.

To address these two challenges, Schatz and his colleagues created Gingko. The interactive, web-based program automatically processes sequence data, maps the sequences to a reference genome, and creates CNV profiles for every cell that can then be viewed with a user-friendly graphical interface. In addition, Gingko constructs phylogenetic trees based on the profiles, allowing cells with similar copy number mutations to be grouped together.

Importantly, Gingko, which Schatz and his colleagues validated by reproducing the findings of five major single-cell studies, also analyzes patterns in the sequence reads in order to recognize, and greatly reduce, amplification errors.

Schatz and his team named their software after the gingko tree, which has many well-documented therapeutic benefits. “We like to think our Gingko ‘trees’ will provide benefits as well,” says Schatz, referring to the graphical way that CNV changes are represented by analysts. Right now, CNV is not a commonly used diagnostic measurement in the clinic. “We’re looking into the best way of collecting samples, analyzing them, and informing clinicians about the results,” says Schatz. He adds that CSHL has collaborations with many hospitals, notably Memorial Sloan Kettering Cancer Center and the North Shore-LIJ Health System, to bring single-cell analysis to the clinic.

For Schatz, Gingko represents a culmination of CSHL’s efforts over the past decade—spearheaded by CSHL Professor Michael Wigler—to pioneer techniques for studying single cells. “Cold Spring Harbor has established itself as the world leader in single-cell analysis,” says Schatz. “We’ve invented many of the technologies and techniques important to the field and now we’ve taken all this knowledge and bundled it up so that researchers around the world can take advantage of our expertise.”

Explore further: A shift in the code: New method reveals hidden genetic landscape

More information: Interactive analysis and assessment of single-cell copy-number variations, Nature, DOI: 10.1038/nmeth.3578

 

Interactive analysis and assessment of single-cell copy-number variations

Tyler GarvinRobert AboukhalilJude KendallTimour BaslanGurinder S AtwalJames HicksMichael Wigler & Michael C Schatz

Nature Methods12,1058–1060(2015)    http://dx.doi.org:/10.1038/nmeth.3578

We present Ginkgo (http://qb.cshl.edu/ginkgo), a user-friendly, open-source web platform for the analysis of single-cell copy-number variations (CNVs). Ginkgo automatically constructs copy-number profiles of cells from mapped reads and constructs phylogenetic trees of related cells. We validated Ginkgo by reproducing the results of five major studies. After comparing three commonly used single-cell amplification techniques, we concluded that degenerate oligonucleotide-primed PCR is the most consistent for CNV analysis.

Figure 2: Assessment of data quality for different single-cell whole genome amplification methods using Ginkgo.

Assessment of data quality for different single-cell whole genome amplification methods using Ginkgo.

(a) LOWESS fit of GC content with respect to log-normalized bin counts for all samples in each of the nine data sets analyzed: three for MDA (top left, green), three for MALBAC (center left, orange) and three for DOP-PCR (bottom left, b…

 

 

Breaking Through the Barriers to Lab Innovation

http://www.technologynetworks.com/LIMS/news.aspx?ID=184014

Author: Helen Gillespie, Informatics Editor, Technology Networks

 

Innovation is a hot topic today and just about every type of laboratory is scrambling to figure out what it means for them. Lab Managers are expected to design profitable new products that enable the research organization to stay competitive in today’s marketplace. This means change. Process change. Systems change. Informatics technologies change. As a result, systemic change is occurring at all levels of the organization, driving the implementation of integrated lab solutions that unlock disparate, disconnected lab data silos and harmonize the IT infrastructure. Getting greater control of lab data is part of this and one of the most critical components of future success and corporate sustainability. As a result, some of the greatest change is taking place in Informatics in laboratories around the world.

Two of the most significant barriers to innovation are outdated informatics tools and inefficient workflows. Moving from paper-based manual methodologies to digital solutions can breathe new life into researcher productivity while enabling forward-looking companies to better compete and excel in today’s rapidly changing business environment.

This article examines the drivers behind the move for greater innovation, challenges, current trends in laboratory informatics, and the tools and techniques that can be used to break through barriers to lab innovation. Several leading informatics vendors provide their views.

Selected Vendors

featured productLaboratories worldwide seeking a single, integrated informatics platform can now standardize on one comprehensive laboratory information management system (LIMS). Thermo Fisher’s integrated informatics solution now comprises method execution, data visualization and laboratory management, and seamlessly integrates with all popular enterprise-level software packages.

“Thermo Scientific SampleManager is a fully integrated laboratory platform encompassing laboratory information management (LIMS), scientific data management (SDMS) and lab execution (LES).”
Trish Meek, Director Strategy, Informatics, Thermo Fisher Scientific

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featured productBIOVIA Unified Lab Management allows for streamlined and more efficient lab workflows and a fully integrated and automated easy-to-deploy process. Based on the BIOVIA Foundation it works as an integration hub for BIOVIA applications as well as all major 3rd party systems and instruments allowing for seamless data transfer.

“BIOVIA Unified Lab Management is part of our unique end-to-end Product Lifecycle support for science-based organizations to improve innovation, quality, compliance, and efficiency.”
Dr. Daniela Jansen, Senior Solution Marketing Manager

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featured productWaters® NuGenesis® Lab Management System uniquely combines data, workflow and sample management capabilities to support the entire product lifecycle from discovery through manufacturing. This user-centric platform encompasses NuGenesis SDMS, compliance-ready data repository, NuGenesis ELN, a flexible analytical electronic laboratory notebook, and NuGenesis Sample Management.

“The NuGenesis LMS readily adapts to existing informatics environments, smoothly linking data from the lab to the business operations of a company, so science-driven organizations can see more, know more and do more.”
Garrett Mullen, Senior Product Marketing Manager, Laboratory Management Informatics, Waters

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The Impact of Corporate Wide Initiatives

There are a number of sweeping changes occurring throughout the corporate world that are turning the spotlight on research laboratories, examining everything from workflows to documentation. These changes are driven by corporate initiatives to increase profits, reduce costs, develop new products and drive operational efficiencies throughout the enterprise. These are not new goals, but the methodologies for achieving these goals have changed significantly thanks to the rapid changes in technology. Now, there is a greater focus on how technology can drive innovation throughout the enterprise.

In fact, almost every leading multinational organization nowadays touts innovation as an underlying theme for how they conduct business and develop the next generation products. To be truly innovative however, businesses of all types must embrace innovation at every level of the enterprise – not just in the products under development, but also how those products are being developed.

“Organizations nowadays cannot afford to not look into innovation,” emphasizes Dr. Daniela Jansen, Senior Solution Marketing Manager at BIOVIA. “Now, they are questioning how product quality is being supported by innovation throughout the end-to-end product lifecycle. The time is past when researchers looked to a single functionality to make a difference. Now, all software needs to drive innovation, to drive costs down and to drive efficiency.”

Garrett Mullen, Senior Product Marketing Manager at Waters Corporation, offers another perspective. “We drive innovation by addressing the challenges. Sometimes it is specific to the market, such as petrochemical or pharmaceutical, sometimes it is specific to the task, such as sample registration for the QA/QC department. All markets are suffering from similar challenges, whether it is products coming off patent or waning market share. So there is a big focus on what they can do about it, from controlling costs to simplifying processes.”

Operational excellence plays a significant role in corporate initiatives for innovation, and this is where the initiatives drill down into the research laboratories. According to Trish Meek, Director of Product Strategy for the Informatics business at Thermo Fisher Scientific, “Executives are looking more closely at the lab as part of a more holistic view of operational efficiencies across the entire organization. There’s a larger expectation than ever before that there is hidden value in the lab, and that can be found in optimizing efficiencies and more fully integrating processes across the lab and throughout the rest of the manufacturing or production process. Executive metrics now include the lab as they analyze data from all aspects of their operations in order to improve their processes, improve the quality of their products and drive profitability. Executives are now mining and reviewing data to determine how to make operations better from a holistic perspective, and that is causing the spotlight to be on the lab more than it ever was.”

A key aspect of operational excellence is that it goes hand in hand with product quality. Not only is there a need to expedite innovation to deliver new products, those new products need to be high quality and to comply with changing environmental regulations and consumer expectations. As a result, research organizations are reviewing their Informatics infrastructure and streamlining laboratory operations.

Further, the technology that supports lab Informatics has been evolving rapidly, delivering new functionality that is changing the way research can be performed.  This points to the heart of the matter: current technology is enabling new workflows (such as digital collaboration) while delivering greater access to research and also enabling better examination of the research (such as through the ‘Cloud’). This paradigm shift is happening at many levels, from how research is performed to how the data is shared, with technology at the center of the shift.

Barriers to Innovation: The Migration from Paper to Digital

Legacy paper-based activities in the lab are perhaps one of the greatest barriers to innovation. Data captured in paper lab notebooks is typically difficult to find, read or share. Written observations are often transcribed incorrectly. Tests and experiments are repeated because prior data is lost or inaccessible. Even though many lab activities are conducted electronically, certain steps are often still conducted on paper. Such repetitious manual activities are one of the greatest impediments to productivity. These workflow gaps are slowly being replaced with seamless digital activities.

One of the most interesting aspects of the drive for innovation is the ability to take advantage of the technology tools now available, which deliver a significant new range of functionality to users. Electronic Lab Notebooks (ELNs), for instance, can now be connected in the Cloud so that scientists anywhere can collaborate and share research data. This is important because not only is the transition to ELN’s happening on a local level, it is part of a larger global movement toward distributed research as a result of changes in how research organizations are now managing their operations. Large multinationals with research centers distributed around the globe are enabling their scientists to collaborate easily and efficiently with ELN’s as part of their effort to streamline operations.

Quote2.jpg“It is still surprising to see paper in the lab,” states Meek. “It’s in many cases a cultural issue – a comfort level – which makes it hard to move away from paper, and it’s a system everyone knows. Despite its flaws, paper is infinitely flexible, but in general it is terribly inefficient with regards to big data and computational power. Now, the need to look at all the data, and have all the data available is far more important, meaning that the move away from paper or manual data management is now more important than ever.”

“It continues to be about paper in many labs,” Jansen confirms. “But you need to look at the entire chain of cause and effect and the role that paper plays. Now, it’s about what drives the entire organization, not localized practices. This means that there’s a focus on reducing the time spent on documentation and removing barriers. There’s a focus on getting quality designed into the process, getting greater efficiency, and connecting the disparate silos of data the impede innovation. One way to do this is to use an open science-aware framework like the BIOVIA Foundation to integrate processes and applications from different providers. And virtual experiments that enable scientists to identify potential new products earlier in the process can significantly save time and money.“

Cost savings are one of the key reasons organizations make the transition from paper to digital practices. “We’ve found that processes went from hours to minutes when you eliminate the numerous manual review processes and transcriptions and replace them with electronic processes,” explains Mullen. “For example, in the past one central analytical lab at a company might have performed all LC [liquid chromatography] testing. Users submitted samples via email and the samples were boxed, tests requested, samples were received and registered at the central lab, etc. Very labor intensive. A digital solution changes all that. Now the new NuGenesis web interface enables the user to register the sample, enter the samples, specify the tests digitally, and thus reduce transcription errors and expedite the process. An automatic acknowledgement that the samples are approved is sent and the testing processes start. This eliminates the manual tasks associated with checking that everything is accurate. The time and cost savings are enormous.”

quote3.jpgOther factors are influencing the migration from paper to digital lab processes, including the recession and the heightened merger and acquisition activity. Many organizations have downsized, are running leaner, and employ fewer researchers. Yet the productivity demands remain as high as when there was more staff. Thus, there’s an increased need to ensure that researcher activities are more efficient. Manual workflows are out of sync in the digital environment.

Adopting Next Generation Technology

While there are numerous paper-based workflows in research labs worldwide, the vast majority of these labs have adopted some level of technology, including informatics software solutions. What began with instrument-specific software solutions, such as Thermo Scientific ChromeleonTM chromatography data system (CDS), has expanded to numerous application-specific and task-specific systems as computers have become an integral part of the lab work environment. Laboratory Information Management Systems (LIMS) have been commercially available since the early 1980’s. The increase in demand for fast turnaround and greater volumes of sample testing and analysis drove the growth in these solutions. NuGenesis® introduced the first Scientific Data Management System (SDMS) to help capture, catalog and archive lab data better in the 1990’s. ELN’s were one of the last lab systems to become a ubiquitous tool mainly because of the challenge of managing unstructured data versus structured data, but technology has overcome this issue too.

The increase in computing power accelerated the Informatics vendors’ ability to deliver faster, better, more comprehensive software tools. In parallel, the adoption of sophisticated technology by consumers created expectations for similar capabilities in the workplace, driving the demand for hardware such as tablets and other handheld devices as access tools for ELNs, LIMS and other lab software.

Yet while these different lab data and sample management systems have provided significant benefits to the lab, they started as separate systems and thus created separate data repositories that require an interface or middleware to enable data to be shared. But that challenge too is fast disappearing as new technology and new pathways to innovation arise.

“One of the things that Thermo Fisher Scientific is focused on is delivering  integrated informatics,” states Meek. “Traditionally, LIMS delivered specific functionality for R&D or manufacturing labs, but didn’t cover the entire laboratory process. Our customers today want an integrated solution that covers the complete lab workflow. So, we built an Integrated Informatics platform to combine many of these together so that they’re no longer separate silos with different data in different systems. Now, lab data management, method execution and scientific data management is done within the SampleManagerTM solution making its much more than just a LIMS. All of the functionality for scientific method and data management is now part of the same solution.” SampleManager has continued to evolve to offer greater functionality for our customers, so that now it has become the enabler for our customers to better manage their lab, and save their companies time and valuable financial resources formerly necessary to purchase, implement and support multiple software systems. Our goal is to continue to build upon the SampleManager platform so we can offer the greatest degree of functionality to our customers.”

“What is happening is that LIMS are now being supplemented with ELN and LES toolsets. Everyone is moving towards a center space, where LIMS become ELNs, etc.,” explains Mullen. Waters recently introduced the NuGenesis® Lab Management System (LMS) as an alternative to LIMS. Based on the NuGenesis SDMS, the LMS offers significantly more functionality that can be switched on as components are needed for various workflow and sample management tasks.

Mullen continues, “The NuGenesis LMS can create the testing protocol procedure to ensure that the tests are done correctly. It can specify the values and results, the upper and lower limits, etc., then pull the test values back into the worksheet. Results are instantly flagged as in or out of specification.  If reagents are expired or an instrument needs calibration, these are flagged automatically. The result is much faster transaction times than traditional paper-based processes.”

Quote4.jpg“For BIOVIA, when we talk about the benefits of our solutions, we’re talking about workflow efficiencies, cost savings, compliance and brand reputation,” states Jansen. “As a vendor, we support organizations by driving innovation, by strengthening the R&D pipeline while ensuring quality in their processes and outcomes. Now that BIOVIA is part of Dassault Systèmes,” Jansen continues, “we’re engaging in much larger conversations because we can now support the entire lab to plant process expanding our solutions to the 3D Experience platform. From ELNs to LIMS to virtual molecular modeling with our Discovery or Materials StudioTMsolution, BIOVIA offers an integrated, unified experience that is transforming how our customers are improving product quality, collaborating across sites, reducing cycle times and reducing costs. The bottom line is the ability to rapidly, easily and accurately transfer and utilize knowledge.”

Each of these vendors offers a different path to a similar end, with solutions that deliver greater access to not just legacy data but also the astounding volumes of data being created in labs worldwide. The ability to turn that data into knowledge that is accessible, accurate and reusable is necessary to fuel the new product demands both inside and outside the enterprise. Next generation technology is being developed and implemented with increasing rapidity to address these market requirements.

Conclusions

Corporate demand for innovation at every level of the enterprise is helping to drive laboratory innovation, from the tools adopted to perform research to the processes used to manage that research and all the associated data, samples, reagents, tests and more.

Operational excellence has risen to the top of corporate agendas, driven in part by the availability of technology that can support a global approach to better manage the entire product lifecycle, from initial research to final product. Now, informatics solutions exist that can support every stage of the process whether the organization engages in pharmaceutical research and needs to identify promising candidates early in the process, or whether the organization develops consumer product goods that have a short product lifecycle and thus require a constant stream of new products to maintain market share.

Information integration is playing a major role in breaking through the barriers to lab innovation. As a result, there is a significant transformation underway in the informatics tools to integrate the solutions so that data is no longer inaccessible in single purpose system. For some time there have been LIMS with ELN capabilities, CDS with LIMS functions, ELNs with sample management attributes, and more. Now, the need to exchange and move data quickly and easily from one user to another has driven the availability of integrated collaborative environments that can share laboratory data cross-team, cross-location and cross organizations.

At the core of these changes is the need to more rapidly address the larger business challenges in the lab through more efficient, more market-oriented new product development. And that’s the bottom line: informatics technology can be used as an enabling tool to solve both business challenges and lab challenges. Informatics vendors all approach the market requirements differently, depending on their own corporate culture, but all strive to enable their customers to innovate.

 

Bioinformatics beyond Genome Crunching

Flow Cytometry, Workflow Development, and Other Information Stores Can Become Treasure Troves If You Use the Right IT Tools and Services

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    Shown here is the FlowJo platform’s visualization of surface activation marker expression (CD38) on live lymphocyte CD8+ T cells. Colors represent all combinations of subsets positive and negative for interferon gamma (IFNγ), perforin (Perf), and phosphorylated ERK (pERK).

     

     

     

     

     

     

     

     

     

    Advances in bioinformatics are no longer limited to just crunching through genomic and exosomic data. Bioinformatics, a discipline at the interface between biotechnology and information technology, also has lessons for flow cytometry and experimental design, as well as database searches, for both internal and external content.

    One company offering variations on traditional genome crunching is DNAnexus. With the advent of the $1,000 genome, researchers find themselves drowning in data. To analyze the terabytes of information, they must contract with an organization to provide the computing power, or they must perform the necessary server installation and maintenance work in house.

    DNAnexus offers a platform that takes the raw sequence directly from the sequencing machine, builds the genome, and analyzes the data, and it is able to do all of this work in the cloud. The company works with Amazon Web Services to provide a completely scalable system of nucleic acid sequence processing.

    “No longer is it necessary to purchase new computers and put them in the basement,” explains George Asimenos, Ph.D., director of strategic projects, DNAnexus.  “Not only is the data stored in the cloud, but it is also processed in the cloud.”

    The service provided by DNAnexus allows users to run their own software. Most users choose open source programs created by academic institutions.

    DNAnexus does not write the software to process and analyze the data. Instead, the company provides a service to its customers. It enables customers to analyze and process data in the cloud rather than buying, maintaining, and protecting their own servers.

    “Additionally, collaboration is simplified,” states Dr. Asimenos. “One person can generate the data, and others can perform related tasks—mapping sequence reads to the reference genome, writing software to analyze the data, and interpreting results. All this is facilitated by hosting the process, data, and tools on the web.”

    “When a customer needs to run a job, DNAnexus creates a virtual computer to run the analysis, then dissolves the virtual computer once the analysis is complete,” clarifies Dr. Asimenos. “This scalability allows projects to be run expeditiously regardless of size. The pure elasticity of the system allows computers to ‘magically appear’ in your basement and then ‘disappear’ when they are no longer being used. DNAnexus takes care of IT infrastructure management, security, and clinical compliance so you can focus on what matters: your science.”

    Merging IT and Flow Cytometry

    Click Image To Enlarge +
    Life scientists are being overwhelmed by the huge amounts of data they generate for specialized projects. They not only look for solutions within their own organizations but also increasingly enlist the help of service companies to help them with Big Data overload. [iStock/IconicBestiary]

    Technical advances in flow cytometry allows the labeling of individual cells with up to 50 different markers; 12,000 cells can be counted a second. This flood of information overwhelms traditional methods for data processing in flow cytometry.

    “FlowJo software offers a solution to this problem,” asserts Michael D. Stadnisky, Ph.D., CEO, FlowJo. “With an open architecture, our software serves as a platform that lets researchers run whatever program or algorithm they wish. Scientists can focus on the biological questions without having to become computer programmers.”

    FlowJo presents an intuitive and simple user interface to facilitate the visualization of complex datasets.

    While still in development (beta testing), FlowJo is offering plug-ins. Some of them are free, and others are for sale. They include software components for automatic data analysis, the discovery of trends and identification of outliers, and the centralization of data for all researchers to access. Applications for FlowJo range from traditional immunology to environmental studies, such as assessments of aquatic stream health based on analyses of single-cell organisms.

    “Ultimately, FlowJo wants to offer real-time analysis of data,” discloses Dr. Stadnisky. “Presently, we have the capacity to process a 1,536-well plate in 15 minutes.”

    FlowJo’s platform has benefitted users such as the University of California, San Francisco. Here, researchers in the midst of Phase I clinical trial were facing 632 clinical samples with 12 acquisition runs and 12 different time points. By employing FlowJo, the researchers realized a 10-fold reduction in the time spent analyzing all data.

    Clients have also integrated other data types. For example, they have integrated polymerase chain reaction (PCR), sequencing, and patient information with data from FlowJo, which facilitates this type of cross-functional team work. The data output from FlowJo, the company maintains, is easily accessible by other scientists. The platform is available as a standalone system that can be installed on a company’s computers or be hosted on the cloud.

    Optimizing Experiments

    One dilemma facing large pharmaceutical companies is the need to optimize conditions with a very limited supply of a precious reagent. Determining the best experimental design is crucial to avoid wasting valuable resources.

    Roche has used a commercially available electronic tool to build a workflow support tool. “This application allows scientists to set up their experiments more efficiently,” declares Roman Affentranger, Ph.D., head of small molecular discovery workflows, Roche. “The tool assists scientists in documenting and carrying out their work in the most effective manner.”

    “Frequently, a quick formulation of a peptide is necessary to hand over to a toxicologist for animal testing,” continues Dr. Affentranger. “The formulation of the peptide needs to be optimized for the pH, the type of buffer, and the surfactants, for example. The tool we developed evaluates the design of the scientist’s experiment to use the minimum amount of the precious resource, the peptide in question.

    “Testing these various conditions rapidly turns into a combinatorial problem with hundreds of tubes required, using more and more of the small sample. Our system assists scientist in documenting and carrying out work, taking the place of finding a colleague to evaluate your experimental design.”

    “The data is entered electronically rather than printed out as hardcopy and glued into a notebook,” points out Dr. Affentranger. “Consequently, the information is readily accessible within the lab, across labs, and across the global environment we all work in today.”

    Indexing Internal Content

    Another issue facing large, multinational pharmaceutical companies is finding material that they previously acquired. This could be as simple as a completed experiment, an expert in a content area, or an archive-bound business strategy analysis.

    To address this issue, a company could index its internal content, much the way Google indexes the Internet. At a large company, however, such a task would be onerous.

    Enter Sinequa, a French-based company that provides an indexing service. The company can convert more than 300 file formats such as pdfs, Word documents, emails, email attachments, and PowerPoint presentations into a format that its computers can “read.”

    According to Sinequa, a large enterprise, such as a pharmaceutical company, may need to cope with 200 to 500 million highly technical documents and billions of data points. This predicament is akin to the situation on the web in 1995. It was necessary to know the precise address of a website to access it. This unnecessary complication was eliminated by Google, which indexed everything on the web. Analogously, Sinequa offers the ability to index the information inside a company so that searches can yield information without requiring inputs that specify the information’s exact location.

    With this kind of search ability, a company can turn its information trove into a treasure trove. Put another way, information can be made to flow, keeping applications turning like turbines, generating the “data power” needed to reposition drugs, reduce time to market, and identify internal and external experts and thought leaders.

    “Sinequa offers a kind of Google algorithm customized for each customer,” details Xavier Pornain, vice president of sales and alliances at Sinequa. “At least 20,000 people use the technology generated by Sinequa. Modern companies create lots of data; we make it searchable.”

    The data searched is not limited to internal documents. Sinequa can also add in external databases or indexing sites such as PubMed, Medline, and Scopus. Of demonstrated flexibility, the search engine can run one version inside a company firewall and another one in the cloud.

    Emulating Intelligence Approaches

    A different search approach, one that leverages the experience of the intelligence community, it taken by the Content Analyst Company. With this approach, a company can comb through internal and external content stores to find relevant information that has value not only as output, but as input. That is, the information can cycle through the search engine, turning its machine learning gears.

    “By adapting to the voice of the user, our software package, Cerebrant, has been very successful in the intelligence and legal communities,” says Phillip Clary, vice president, Content Analyst. “For typical indexing services, such as Google and PubMed, people do huge searches using a long list of key words. A simpler scenario is to write a few sentences, enter the text, and get all the related relevant items returned. Cerebrant can take the place of an expert to sift through all the results to find the relevant ones.”

    Typical searches often yield confounding results. For example, if a user were to ask Google to generate results for the word “bank,” the top results would be financial institutions. Then there would be results for a musical band/person named Bank. Eventually, long past the first page of results, there would be information about the kind of bank that borders a stream or river course. Such results would frustrate a scientific user interested in tissue banks or cell line repositories.

    “In the past, companies have approached the problem of obtaining germane results by attempting to create databases with curation and controlled vocabulary,” notes Clary. “This is how Google works. All those misspelled words have to be entered into the code.

    “Cerebrant functions by learning how the information relates to itself. This was a powerful tool for the intelligence community, because the program can look at all kinds of information (emails, texts, metadata) and make connections within the unstructured data, even when users attempt to veil their meanings by using code words.”

    Search requests composed on Cerebrant can consist of a single sentence or a paragraph describing what sort of information the user wishes to find. This is much more efficient than determining the 30 to 40 keywords you need to use to locate all the information on a complex topic. Then there is still the task of removing the irrelevant finds.

    Cerebrant is a cloud-based application. Generally, it take only about a day to a week to get it up and running. Because it is scalable, Cerebrant can be used by an individual consultant or a multinational conglomerate.

    Given the enormous amount of time, energy, and money invested by the intelligence community, it is refreshing to see a novel application of the wisdom gained from all this work, just as we saw innovative uses of the technology that was developed by the space program.

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Gartner identifies the top 10 strategic IT technology trends for 2016 | KurzweilAI

Reporter: Aviva Lev-Ari, PhD, RN

 

 

 

 

 

 

 

Top 10 strategic trends 2016 (credit: Gartner, Inc.) At the Gartner Symposium/ITxpo today (Oct. 8), Gartner, Inc. highlighted the top 10 technology trends

Sourced through Scoop.it from: www.kurzweilai.net

See on Scoop.itCardiovascular and vascular imaging

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IBM Announces Deals With Apple, Johnson & Johnson, and Medtronic In Bid To Transform Health Care by Matthew HerperForbes Staff

Reporter: Aviva Lev-Ari, PhD, RN
Big Blue is certainly putting some muscle into medicine.  Some 2,000 employees will be involved in a new Watson-in-medicine business unit. The Armonk, N.Y.-based computing giant is making two acquisitions, too, buying Cleveland’s Explorys, an analytics company that has access to 50 million medical records from U.S. patients, and Dallas’ Phytel, a healthcare services head of IBM’s Life Science company that provides feedback to doctors and patients for follow-up care. Deal prices were not disclosed.

It is also announcing some big partnerships:
•       Apple AAPL +3.6% will work to integrate Watson-based apps into its HealthKit and ResearchKit tool systems for developers, which allow the collection of personal health data and the use of such data in clinical trials.

•       Johnson & Johnson JNJ +0.95%, which is one of the largest makers of knee and hip implants, will use Watson to create a personal concierge service to prepare patients for knee surgery and to help them deal with its after effects.

•       Medtronic MDT +0.18%, the maker of implantable heart devices and diabetes products, will use Watson to create an “internet of things” around its medical gadgets, collecting data both for patients’ personal use and, once it’s anonymized, for understanding how well the devices are working. Initially, the focus is on diabetes.
SOURCE

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Wearables 2015: Defining digital medicine

Reporter: Aviva Lev-Ari, PhD, RN

 

Digital medicine is poised to transform biomedical research, clinical practice and the commercial sector. Here we introduce a monthly column from R&D/venture creation firm PureTech tracking digital medicine’s emergence.

 

Technology has already transformed the social fabric of life in the twenty-first century. It is now poised to profoundly influence disease management and healthcare. Beyond the hype of the ‘mobile health’ and ‘wearable technology’ movement, the ability to monitor our bodies and continuously gather data about human biology suggests new possibilities for both biomedical research and clinical practice. Just as the Human Genome Project ushered in the age of high-throughput genotyping, the ability to automate, continuously record, analyze and share standardized physiological and biological data augurs the beginning of a new era—that of high-throughput human phenotyping.

 

These advances are prompting new approaches to research and medicine, but they are also raising questions and posing challenges for existing healthcare delivery systems. How will these technologies alter biomedical research approaches, what types of experimental questions will researchers now be able to ask and what types of training will be needed? Will the ability to digitize individual characteristics and communicate by mobile technology empower patients and enable the modification of disease-promoting behaviors; at the same time, will it threaten patient privacy? Will doctors be prescribing US Food and Drug Administration (FDA)-cleared apps on a regular basis, not just to monitor and manage chronic disease but also to preempt acute disease episodes? Will the shift in the balance between disease treatment and early intervention have a broad economic impact on the healthcare system? How will the emergence of these new technologies reshape the healthcare industry and its underlying business models? What will be the defining characteristics of ‘winning’ products and companies?

 

These are just some of the questions we plan to ask over the coming months. In the meantime, we introduce here some of the key themes shaping R&D in the digital medicine field and focus on what they might mean for the biopharmaceutical and diagnostic/device industries.

Source: www.nature.com

See on Scoop.itCardiovascular Disease: PHARMACO-THERAPY

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Digital Imaging and Afirma gene expression classifier (GEC) tests: New Diagnostics in R&D by Veracyte and GE

Reporter: Aviva Lev-Ari, PhD, RN

Veracyte will collaborate with GE Ventures, GE Healthcare, and the GE Global Research Center

Apr 14, 2015

 

a GenomeWeb staff reporter

NEW YORK (GenomeWeb) – Veracyte today announced that it has signed a research collaboration agreement with GE to develop new diagnostic approaches based on GE Healthcare’s digital imaging technology.

The partners will “explore the concept of deriving innovative diagnostic approaches from a combination of digital imaging and genomic technologies,” Veracyte CEO Bonnie Anderson said in a statement.

The firms will look to identify features from raw imaging data that, when combined with genomic information, have the potential to inform disease diagnosis.

Veracyte has amassed a large database of clinical, imaging, and genomic information from clinical trials to validate its Afirma gene expression classifier (GEC) tests, the firm said in a statement.

Under the terms of the agreement, Veracyte will collaborate with GE Ventures, GE Healthcare, and the GE Global Research Center to assess the feasibility of combining the two firms’ technologies.

Financial and other terms of the agreement were not disclosed.

Last month, Veracyte expanded a co-promotion deal for the Afirma GEC test in Brazil and Singapore with Genzyme

 

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SOURCE

https://www.genomeweb.com/molecular-diagnostics/veracyte-inks-research-collaboration-ge?utm_source=SilverpopMailing&utm_medium=email&utm_campaign=Daily%20News:%20Veracyte%20Inks%20Research%20Collaboration%20with%20GE%20-%2004/14/2015%2010:45:00%20AM

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Icelandic Population Genomic Study Results by deCODE Genetics come to Fruition: Curation of Current genomic studies

Reporter/Curator: Stephen J. Williams, Ph.D.

 

UPDATED on 9/6/2017

On 9/6/2017, Aviva Lev-Ari, PhD, RN had attend a talk by Paul Nioi, PhD, Amgen, at HMS, Harvard BioTechnology Club (GSAS).

Nioi discussed his 2016 paper in NEJM, 2016, 374:2131-2141

Variant ASGR1 Associated with a Reduced Risk of Coronary Artery Disease

Paul Nioi, Ph.D., Asgeir Sigurdsson, B.Sc., Gudmar Thorleifsson, Ph.D., Hannes Helgason, Ph.D., Arna B. Agustsdottir, B.Sc., Gudmundur L. Norddahl, Ph.D., Anna Helgadottir, M.D., Audur Magnusdottir, Ph.D., Aslaug Jonasdottir, M.Sc., Solveig Gretarsdottir, Ph.D., Ingileif Jonsdottir, Ph.D., Valgerdur Steinthorsdottir, Ph.D., Thorunn Rafnar, Ph.D., Dorine W. Swinkels, M.D., Ph.D., Tessel E. Galesloot, Ph.D., Niels Grarup, Ph.D., Torben Jørgensen, D.M.Sc., Henrik Vestergaard, D.M.Sc., Torben Hansen, Ph.D., Torsten Lauritzen, D.M.Sc., Allan Linneberg, Ph.D., Nele Friedrich, Ph.D., Nikolaj T. Krarup, Ph.D., Mogens Fenger, Ph.D., Ulrik Abildgaard, D.M.Sc., Peter R. Hansen, D.M.Sc., Anders M. Galløe, Ph.D., Peter S. Braund, Ph.D., Christopher P. Nelson, Ph.D., Alistair S. Hall, F.R.C.P., Michael J.A. Williams, M.D., Andre M. van Rij, M.D., Gregory T. Jones, Ph.D., Riyaz S. Patel, M.D., Allan I. Levey, M.D., Ph.D., Salim Hayek, M.D., Svati H. Shah, M.D., Muredach Reilly, M.B., B.Ch., Gudmundur I. Eyjolfsson, M.D., Olof Sigurdardottir, M.D., Ph.D., Isleifur Olafsson, M.D., Ph.D., Lambertus A. Kiemeney, Ph.D., Arshed A. Quyyumi, F.R.C.P., Daniel J. Rader, M.D., William E. Kraus, M.D., Nilesh J. Samani, F.R.C.P., Oluf Pedersen, D.M.Sc., Gudmundur Thorgeirsson, M.D., Ph.D., Gisli Masson, Ph.D., Hilma Holm, M.D., Daniel Gudbjartsson, Ph.D., Patrick Sulem, M.D., Unnur Thorsteinsdottir, Ph.D., and Kari Stefansson, M.D., Ph.D.

N Engl J Med 2016; 374:2131-2141June 2, 2016DOI: 10.1056/NEJMoa1508419

Abstract
Article
References
Citing Articles (22)
Metrics

BACKGROUND

Several sequence variants are known to have effects on serum levels of non–high-density lipoprotein (HDL) cholesterol that alter the risk of coronary artery disease.

METHODS

We sequenced the genomes of 2636 Icelanders and found variants that we then imputed into the genomes of approximately 398,000 Icelanders. We tested for association between these imputed variants and non-HDL cholesterol levels in 119,146 samples. We then performed replication testing in two populations of European descent. We assessed the effects of an implicated loss-of-function variant on the risk of coronary artery disease in 42,524 case patients and 249,414 controls from five European ancestry populations. An augmented set of genomes was screened for additional loss-of-function variants in a target gene. We evaluated the effect of an implicated variant on protein stability.

RESULTS

We found a rare noncoding 12-base-pair (bp) deletion (del12) in intron 4 of ASGR1, which encodes a subunit of the asialoglycoprotein receptor, a lectin that plays a role in the homeostasis of circulating glycoproteins. The del12 mutation activates a cryptic splice site, leading to a frameshift mutation and a premature stop codon that renders a truncated protein prone to degradation. Heterozygous carriers of the mutation (1 in 120 persons in our study population) had a lower level of non-HDL cholesterol than noncarriers, a difference of 15.3 mg per deciliter (0.40 mmol per liter) (P=1.0×10−16), and a lower risk of coronary artery disease (by 34%; 95% confidence interval, 21 to 45; P=4.0×10−6). In a larger set of sequenced samples from Icelanders, we found another loss-of-function ASGR1 variant (p.W158X, carried by 1 in 1850 persons) that was also associated with lower levels of non-HDL cholesterol (P=1.8×10−3).

CONCLUSIONS

ASGR1 haploinsufficiency was associated with reduced levels of non-HDL cholesterol and a reduced risk of coronary artery disease. (Funded by the National Institutes of Health and others.)

 

Amgen’s deCODE Genetics Publishes Largest Human Genome Population Study to Date

Mark Terry, BioSpace.com Breaking News Staff reported on results of one of the largest genome sequencing efforts to date, sequencing of the genomes of 2,636 people from Iceland by deCODE genetics, Inc., a division of Thousand Oaks, Calif.-based Amgen (AMGN).

Amgen had bought deCODE genetics Inc. in 2012, saving the company from bankruptcy.

There were a total of four studies, published on March 25, 2015 on the online version of Nature Genetics; titled “Large-scale whole-genome sequencing of the Icelandic population[1],” “Identification of a large set of rare complete human knockouts[2],” “The Y-chromosome point mutation rate in humans[3]” and “Loss-of-function variants in ABCA7 confer risk of Alzheimer’s disease[4].”

The project identified some new genetic variants which increase risk of Alzheimer’s disease and confirmed some variants known to increase risk of diabetes and atrial fibrillation. A more in-depth post will curate these findings but there was an interesting discrete geographic distribution of certain rare variants located around Iceland. The dataset offers a treasure trove of meaningful genetic information not only about the Icelandic population but offers numerous new targets for breast, ovarian cancer as well as Alzheimer’s disease.

View Mark Terry’s article here on Biospace.com.

“This work is a demonstration of the unique power sequencing gives us for learning more about the history of our species,” said Kari Stefansson, founder and chief executive officer of deCode and one of the lead authors in a statement, “and for contributing to new means of diagnosing, treating and preventing disease.”

The scale and ambition of the study is impressive, but perhaps more important, the research identified a new genetic variant that increases the risk of Alzheimer’s disease and already had identified an APP variant that is associated with decreased risk of Alzheimer’s Disease. It also confirmed variants that increase the risk of diabetes and a variant that results in atrial fibrillation.
The database of human genetic variation (dbSNP) contained over 50 million unique sequence variants yet this database only represents a small proportion of single nucleotide variants which is thought to exist. These “private” or rare variants undoubtedly contribute to important phenotypes, such as disease susceptibility. Non-SNV variants, like indels and structural variants, are also under-represented in public databases. The only way to fully elucidate the genetic basis of a trait is to consider all of these types of variants, and the only way to find them is by large-scale sequencing.

Curation of Population Genomic Sequencing Programs/Corporate Partnerships

Click on “Curation of genomic studies” below for full Table

Curation of genomic studies
Study Partners Population Enrolled Disease areas Analysis
Icelandic Genome

Project

deCODE/Amgen Icelandic 2,636 Variants related to: Alzheimer’s, cardiovascular, diabetes WES + EMR; blood samples
Genome Sequencing Study Geisinger Health System/Regeneron Northeast PA, USA 100,000 Variants related to hypercholestemia, autism, obesity, other diseases WES +EMR +MyCode;

– Blood samples

The 100,000 Genomes Project National Health Service/NHS Genome Centers/ 10 companies forming Gene Consortium including Abbvie, Alexion, AstraZeneca, Biogen, Dimension, GSK, Helomics, Roche,   Takeda, UCB Rare disorders population UK Starting to recruit 100,000 Initially rare diseases, cancer, infectious diseases WES of blood, saliva and tissue samples

Ref paper

Saudi Human Genome Program 7 centers across Saudi Arabia in conjunction with King Abdulaziz City Science & Tech., King Faisal Hospital & Research Centre/Life Technologies General population Saudi Arabia 20,000 genomes over three years First focus on rare severe early onset diseases: diabetes, deafness, cardiovascular, skeletal deformation Whole genome sequence blood samples + EMR
Genome of the Netherlands (GoNL) Consortium consortium of the UMCG,LUMCErasmus MCVU university and UMCU. Samples where contributed by LifeLinesThe Leiden Longevity StudyThe Netherlands Twin Registry (NTR), The Rotterdam studies, and The Genetic Research in Isolated Populations program. All the sequencing work is done by BGI Hong Kong. Families in Netherlands 769 Variants, SNV, indels, deletions from apparently healthy individuals, family trios Whole genome NGS of whole blood no EMR

Ref paper in Nat. Genetics

Ref paper describing project

Faroese FarGen project Privately funded Faroe Islands Faroese population 50,000 Small population allows for family analysis Combine NGS with EMR and genealogy reports
Personal Genome Project Canada $4000.00 fee from participants; collaboration with University of Toronto and SickKids Organization; technical assistance with Harvard Canadian Health System Goal: 100,000 ? just started no defined analysis goals yet Whole exome and medical records
Singapore Sequencing Malay Project (SSMP) Singapore Genome Variation Project

Singapore Pharmacogenomics Project

Malaysian 100 healthy Malays from Singapore Pop. Health Study Variant analysis Deep whole genome sequencing
GenomeDenmark four Danish universities (KU, AU, DTU and AAU), two hospitals (Herlev and Vendsyssel) and two private firms (Bavarian Nordic and BGI-Europe). 150 complete genomes; first 30 published in Nature Comm. ? See link
Neuromics Consortium University of Tübingen and 18 academic and industrial partners (see link for description) European and Australian 1,100 patients with neuro-

degenerative and neuro-

muscular disease

Moved from SNP to whole exome analysis Whole Exome, RNASeq

References

  1. Gudbjartsson DF, Helgason H, Gudjonsson SA, Zink F, Oddson A, Gylfason A, Besenbacher S, Magnusson G, Halldorsson BV, Hjartarson E et al: Large-scale whole-genome sequencing of the Icelandic population. Nature genetics 2015, advance online publication.
  2. Sulem P, Helgason H, Oddson A, Stefansson H, Gudjonsson SA, Zink F, Hjartarson E, Sigurdsson GT, Jonasdottir A, Jonasdottir A et al: Identification of a large set of rare complete human knockouts. Nature genetics 2015, advance online publication.
  3. Helgason A, Einarsson AW, Gumundsdottir VB, Sigursson A, Gunnarsdottir ED, Jagadeesan A, Ebenesersdottir SS, Kong A, Stefansson K: The Y-chromosome point mutation rate in humans. Nature genetics 2015, advance online publication.
  4. Steinberg S, Stefansson H, Jonsson T, Johannsdottir H, Ingason A, Helgason H, Sulem P, Magnusson OT, Gudjonsson SA, Unnsteinsdottir U et al: Loss-of-function variants in ABCA7 confer risk of Alzheimer’s disease. Nature genetics 2015, advance online publication.

Other post related to DECODE, population genomics, and NGS on this site include:

Illumina Says 228,000 Human Genomes Will Be Sequenced in 2014

CRACKING THE CODE OF HUMAN LIFE: The Birth of BioInformatics & Computational Genomics

CRACKING THE CODE OF HUMAN LIFE: The Birth of BioInformatics and Computational Genomics – Part IIB

Human genome: UK to become world number 1 in DNA testing

Synthetic Biology: On Advanced Genome Interpretation for Gene Variants and Pathways: What is the Genetic Base of Atherosclerosis and Loss of Arterial Elasticity with Aging

Genomic Promise for Neurodegenerative Diseases, Dementias, Autism Spectrum, Schizophrenia, and Serious Depression

Sequencing the exomes of 1,100 patients with neurodegenerative and neuromuscular diseases: A consortium of 18 European and Australian institutions

University of California Santa Cruz’s Genomics Institute will create a Map of Human Genetic Variations

Three Ancestral Populations Contributed to Modern-day Europeans: Ancient Genome Analysis

Impact of evolutionary selection on functional regions: The imprint of evolutionary selection on ENCODE regulatory elements is manifested between species and within human populations

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AT&T to challenge Apple’s HealthKit, Google’s Fit with new ForHealth fitness aggregation service

Reporter: Aviva Lev-Ari, PhD, RN

 

 

AT&T created the platform in partnership with health startup Tictrac, and will be able to obtain and analyze users’ health information from over 100 fitness apps and 13 popular wearable devices when the platform launches in the second quarter of this year.

Source: www.fiercewireless.com

See on Scoop.itCardiovascular Disease: PHARMACO-THERAPY

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66% of Americans Would Use Mobile Health Apps to Manage Their Health

Reporter: Aviva Lev-Ari, PhD, RN

 

 

 

66% of Americans Would Use Mobile Health Apps to Manage Their Health

Source: hitconsultant.net

See on Scoop.itCardiovascular and vascular imaging

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