Funding, Deals & Partnerships: BIOLOGICS & MEDICAL DEVICES; BioMed e-Series; Medicine and Life Sciences Scientific Journal – http://PharmaceuticalIntelligence.com
From: Heidi Rheim et al. GA4GH: International policies and standards for data sharing across genomic research and healthcare. (2021): Cell Genomics, Volume 1 Issue 2.
Siloing genomic data in institutions/jurisdictions limits learning and knowledge
GA4GH policy frameworks enable responsible genomic data sharing
GA4GH technical standards ensure interoperability, broad access, and global benefits
Data sharing across research and healthcare will extend the potential of genomics
Summary
The Global Alliance for Genomics and Health (GA4GH) aims to accelerate biomedical advances by enabling the responsible sharing of clinical and genomic data through both harmonized data aggregation and federated approaches. The decreasing cost of genomic sequencing (along with other genome-wide molecular assays) and increasing evidence of its clinical utility will soon drive the generation of sequence data from tens of millions of humans, with increasing levels of diversity. In this perspective, we present the GA4GH strategies for addressing the major challenges of this data revolution. We describe the GA4GH organization, which is fueled by the development efforts of eight Work Streams and informed by the needs of 24 Driver Projects and other key stakeholders. We present the GA4GH suite of secure, interoperable technical standards and policy frameworks and review the current status of standards, their relevance to key domains of research and clinical care, and future plans of GA4GH. Broad international participation in building, adopting, and deploying GA4GH standards and frameworks will catalyze an unprecedented effort in data sharing that will be critical to advancing genomic medicine and ensuring that all populations can access its benefits.
In order for genomic and personalized medicine to come to fruition it is imperative that data siloes around the world are broken down, allowing the international collaboration for the collection, storage, transferring, accessing and analying of molecular and health-related data.
We had talked on this site in numerous articles about the problems data siloes produce. By data siloes we are meaning that collection and storage of not only DATA but intellectual thought are being held behind physical, electronic, and intellectual walls and inacessible to other scientisits not belonging either to a particular institituion or even a collaborative network.
Standardization and harmonization of data is key to this effort to sharing electronic records. The EU has taken bold action in this matter. The following section is about the General Data Protection Regulation of the EU and can be found at the following link:
The data protection package adopted in May 2016 aims at making Europe fit for the digital age. More than 90% of Europeans say they want the same data protection rights across the EU and regardless of where their data is processed.
The General Data Protection Regulation (GDPR)
Regulation (EU) 2016/679 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data. This text includes the corrigendum published in the OJEU of 23 May 2018.
The regulation is an essential step to strengthen individuals’ fundamental rights in the digital age and facilitate business by clarifying rules for companies and public bodies in the digital single market. A single law will also do away with the current fragmentation in different national systems and unnecessary administrative burdens.
Directive (EU) 2016/680 on the protection of natural persons regarding processing of personal data connected with criminal offences or the execution of criminal penalties, and on the free movement of such data.
The directive protects citizens’ fundamental right to data protection whenever personal data is used by criminal law enforcement authorities for law enforcement purposes. It will in particular ensure that the personal data of victims, witnesses, and suspects of crime are duly protected and will facilitate cross-border cooperation in the fight against crime and terrorism.
The directive entered into force on 5 May 2016 and EU countries had to transpose it into their national law by 6 May 2018.
The following paper by the organiztion The Global Alliance for Genomics and Health discusses these types of collaborative efforts to break down data silos in personalized medicine. This organization has over 2000 subscribers in over 90 countries encompassing over 60 organizations.
Enabling responsible genomic data sharing for the benefit of human health
The Global Alliance for Genomics and Health (GA4GH) is a policy-framing and technical standards-setting organization, seeking to enable responsible genomic data sharing within a human rights framework.
he Global Alliance for Genomics and Health (GA4GH) is an international, nonprofit alliance formed in 2013 to accelerate the potential of research and medicine to advance human health. Bringing together 600+ leading organizations working in healthcare, research, patient advocacy, life science, and information technology, the GA4GH community is working together to create frameworks and standards to enable the responsible, voluntary, and secure sharing of genomic and health-related data. All of our work builds upon the Framework for Responsible Sharing of Genomic and Health-Related Data.
GA4GH Connect is a five-year strategic plan that aims to drive uptake of standards and frameworks for genomic data sharing within the research and healthcare communities in order to enable responsible sharing of clinical-grade genomic data by 2022. GA4GH Connect links our Work Streams with Driver Projects—real-world genomic data initiatives that help guide our development efforts and pilot our tools.
The Global Alliance for Genomics and Health (GA4GH) is a worldwide alliance of genomics researchers, data scientists, healthcare practitioners, and other stakeholders. We are collaborating to establish policy frameworks and technical standards for responsible, international sharing of genomic and other molecular data as well as related health data. Founded in 2013,3 the GA4GH community now consists of more than 1,000 individuals across more than 90 countries working together to enable broad sharing that transcends the boundaries of any single institution or country (see https://www.ga4gh.org).In this perspective, we present the strategic goals of GA4GH and detail current strategies and operational approaches to enable responsible sharing of clinical and genomic data, through both harmonized data aggregation and federated approaches, to advance genomic medicine and research. We describe technical and policy development activities of the eight GA4GH Work Streams and implementation activities across 24 real-world genomic data initiatives (“Driver Projects”). We review how GA4GH is addressing the major areas in which genomics is currently deployed including rare disease, common disease, cancer, and infectious disease. Finally, we describe differences between genomic sequence data that are generated for research versus healthcare purposes, and define strategies for meeting the unique challenges of responsibly enabling access to data acquired in the clinical setting.
GA4GH organization
GA4GH has partnered with 24 real-world genomic data initiatives (Driver Projects) to ensure its standards are fit for purpose and driven by real-world needs. Driver Projects make a commitment to help guide GA4GH development efforts and pilot GA4GH standards (see Table 2). Each Driver Project is expected to dedicate at least two full-time equivalents to GA4GH standards development, which takes place in the context of GA4GH Work Streams (see Figure 1). Work Streams are the key production teams of GA4GH, tackling challenges in eight distinct areas across the data life cycle (see Box 1). Work Streams consist of experts from their respective sub-disciplines and include membership from Driver Projects as well as hundreds of other organizations across the international genomics and health community.
Figure 1Matrix structure of the Global Alliance for Genomics and HealthShow full caption
Box 1GA4GH Work Stream focus areasThe GA4GH Work Streams are the key production teams of the organization. Each tackles a specific area in the data life cycle, as described below (URLs listed in the web resources).
(1)Data use & researcher identities: Develops ontologies and data models to streamline global access to datasets generated in any country9,10
(2)Genomic knowledge standards: Develops specifications and data models for exchanging genomic variant observations and knowledge18
(3)Cloud: Develops federated analysis approaches to support the statistical rigor needed to learn from large datasets
(4)Data privacy & security: Develops guidelines and recommendations to ensure identifiable genomic and phenotypic data remain appropriately secure without sacrificing their analytic potential
(5)Regulatory & ethics: Develops policies and recommendations for ensuring individual-level data are interoperable with existing norms and follow core ethical principles
(6)Discovery: Develops data models and APIs to make data findable, accessible, interoperable, and reusable (FAIR)
(7)Clinical & phenotypic data capture & exchange: Develops data models to ensure genomic data is most impactful through rich metadata collected in a standardized way
(8)Large-scale genomics: Develops APIs and file formats to ensure harmonized technological platforms can support large-scale computing
For more articles on Open Access, Science 2.0, and Data Networks for Genomics on this Open Access Scientific Journal see:
Developing Machine Learning Models for Prediction of Onset of Type-2 Diabetes
Reporter: Amandeep Kaur, B.Sc., M.Sc.
A recent study reports the development of an advanced AI algorithm which predicts up to five years in advance the starting of type 2 diabetes by utilizing regularly collected medical data. Researchers described their AI model as notable and distinctive based on the specific design which perform assessments at the population level.
The first author Mathieu Ravaut, M.Sc. of the University of Toronto and other team members stated that “The main purpose of our model was to inform population health planning and management for the prevention of diabetes that incorporates health equity. It was not our goal for this model to be applied in the context of individual patient care.”
Research group collected data from 2006 to 2016 of approximately 2.1 million patients treated at the same healthcare system in Ontario, Canada. Even though the patients were belonged to the same area, the authors highlighted that Ontario encompasses a diverse and large population.
The newly developed algorithm was instructed with data of approximately 1.6 million patients, validated with data of about 243,000 patients and evaluated with more than 236,000 patient’s data. The data used to improve the algorithm included the medical history of each patient from previous two years- prescriptions, medications, lab tests and demographic information.
When predicting the onset of type 2 diabetes within five years, the algorithm model reached a test area under the ROC curve of 80.26.
The authors reported that “Our model showed consistent calibration across sex, immigration status, racial/ethnic and material deprivation, and a low to moderate number of events in the health care history of the patient. The cohort was representative of the whole population of Ontario, which is itself among the most diverse in the world. The model was well calibrated, and its discrimination, although with a slightly different end goal, was competitive with results reported in the literature for other machine learning–based studies that used more granular clinical data from electronic medical records without any modifications to the original test set distribution.”
This model could potentially improve the healthcare system of countries equipped with thorough administrative databases and aim towards specific cohorts that may encounter the faulty outcomes.
Research group stated that “Because our machine learning model included social determinants of health that are known to contribute to diabetes risk, our population-wide approach to risk assessment may represent a tool for addressing health disparities.”
Ravaut M, Harish V, Sadeghi H, et al. Development and Validation of a Machine Learning Model Using Administrative Health Data to Predict Onset of Type 2 Diabetes. JAMA Netw Open. 2021;4(5):e2111315. doi:10.1001/jamanetworkopen.2021.11315 https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2780137
Other related articles were published in this Open Access Online Scientific Journal, including the following:
AI in Drug Discovery: Data Science and Core Biology @Merck &Co, Inc., @GNS Healthcare, @QuartzBio, @Benevolent AI and Nuritas
Reporters: Aviva Lev-Ari, PhD, RN and Irina Robu, PhD
AI Acquisitions by Big Tech Firms Are Happening at a Blistering Pace: 2019 Recent Data by CBI Insights
Reporter: Stephen J. Williams, Ph.D.
3.4.16 AI Acquisitions by Big Tech Firms Are Happening at a Blistering Pace: 2019 Recent Data by CBI Insights, Volume 2 (Volume Two: Latest in Genomics Methodologies for Therapeutics: Gene Editing, NGS and BioInformatics, Simulations and the Genome Ontology), Part 3: AI in Medicine
Recent report from CBI Insights shows the rapid pace at which the biggest tech firms (Google, Apple, Microsoft, Facebook, and Amazon) are acquiring artificial intelligence (AI) startups, potentially confounding the AI talent shortage that exists.
The usual suspects are leading the race for AI: tech giants like Facebook, Amazon, Microsoft, Google, & Apple (FAMGA) have all been aggressively acquiring AI startups in the last decade.
Among the FAMGA companies, Apple leads the way, making 20 total AI acquisitions since 2010. It is followed by Google (the frontrunner from 2012 to 2016) with 14 acquisitions and Microsoft with 10.
Apple’s AI acquisition spree, which has helped it overtake Google in recent years, was essential to the development of new iPhone features. For example, FaceID, the technology that allows users to unlock their iPhone X just by looking at it, stems from Apple’s M&A moves in chips and computer vision, including the acquisition of AI company RealFace.
In fact, many of FAMGA’s prominent products and services came out of acquisitions of AI companies — such as Apple’s Siri, or Google’s contributions to healthcare through DeepMind.
That said, tech giants are far from the only companies snatching up AI startups.
Since 2010, there have been 635 AI acquisitions, as companies aim to build out their AI capabilities and capture sought-after talent (as of 8/31/2019).
The pace of these acquisitions has also been increasing. AI acquisitions saw a more than 6x uptick from 2013 to 2018, including last year’s record of 166 AI acquisitions — up 38% year-over-year.
In 2019, there have already been 140+ acquisitions (as of August), putting the year on track to beat the 2018 record at the current run rate.
Part of this increase in the pace of AI acquisitions can be attributed to a growing diversity in acquirers. Where once AI was the exclusive territory of major tech companies, today, smaller AI startups are becoming acquisition targets for traditional insurance, retail, and healthcare incumbents.
For example, in February 2018, Roche Holding acquired New York-based cancer startup Flatiron Health for $1.9B — one of the largest M&A deals in artificial intelligence.This year, Nike acquired AI-powered inventory management startup Celect, Uber acquired computer vision company Mighty AI, and McDonald’s acquired personalization platform Dynamic Yield.
Despite the increased number of acquirers, however, tech giants are still leading the charge. Acquisitive tech giants have emerged as powerful global corporations with a competitive advantage in artificial intelligence, and startups have played a pivotal role in helping these companies scale their AI initiatives.
Apple, Google, Microsoft, Facebook, Intel, and Amazon are the most active acquirers of AI startups, each acquiring 7+companies.
To read more on recent Acquisitions in the AI space please see the following articles on this Open Access Online Journal
The impact of Machine Learning (ML) and Artificial Intelligence (AI) during the last decade has been tremendous. With the rise of infobesity, ML/AI is evolving to an essential capability to help mine the sheer volume of patient genomics, omics, sensor/wearables and real-world data, and unravel the knot of healthcare’s most complex questions.
Despite the advancements in technology, organizations struggle to prioritize and implement ML/AI to achieve the anticipated value, whilst managing the disruption that comes with it. In this session, panelists will discuss ML/AI implementation and adoption strategies that work. Panelists will draw upon their experiences as they share their success stories, discuss how to implement digital diagnostics, track disease progression and treatment, and increase commercial value and ROI compared against traditional approaches.
most of trials which are done are still in training AI/ML algorithms with training data sets. The best results however have been about 80% accuracy in training sets. Needs to improve
All data sets can be biased. For example a professor was looking at heartrate using a IR detector on a wearable but it wound up that different types of skin would generate a different signal to the detector so training sets maybe population biases (you are getting data from one group)
clinical grade equipment actually haven’t been trained on a large set like commercial versions of wearables, Commercial grade is tested on a larger study population. This can affect the AI/ML algorithms.
Regulations: The regulatory bodies responsible is up to debate. Whether FDA or FTC is responsible for AI/ML in healtcare and healthcare tech and IT is not fully decided yet. We don’t have the guidances for these new technologies
some rules: never use your own encryption always use industry standards especially when getting personal data from wearables. One hospital corrupted their system because their computer system was not up to date and could not protect against a virus transmitted by a wearable.
pharma companies understand they need to increase value of their products so very interested in how AI/ML can be used.
Please follow LIVE on TWITTER using the following @ handles and # hashtags:
Precision Medicine has helped transform cancer care from one-size-fits-all chemotherapy to a new era, where patients’ tumors can be analyzed and therapy selected based on their genetic makeup. Until now, however, precision medicine’s impact has been far less in other therapeutic areas, many of which are ripe for transformation. Efforts are underway to bring the successes of precision medicine to neurology, immunology, ophthalmology, and other areas. This move raises key questions of how the lessons learned in oncology can be used to advance precision medicine in other fields, what types of data and tools will be important to personalizing treatment in these areas, and what sorts of partnerships and payer initiatives will be needed to support these approaches and their ultimate commercialization and use. The panel will also provide an in depth look at precision medicine approaches aimed at better understanding and improving patient care in highly complex disease areas like neurology.
Speaker panel: The big issue now with precision medicine is there is so much data and hard to put experimental design and controls around randomly collected data.
The frontier is how to CURATE randomly collected data to make some sense of it
One speaker was at a cancer meeting and the oncologist had no idea what to make of genomic reports they were given. Then there is a lack of action or worse a misdiagnosis.
So for e.g. with Artificial Intelligence algorithms to analyze image data you can see things you can’t see with naked eye but if data quality not good the algorithms are useless – if data not curated properly data is wasted
Data needs to be organized and curated.
If relying of AI for big data analysis the big question still is: what are the rates of false negative and false positives? Have to make sure so no misdiagnosis.
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Real Time Coverage @BIOConvention #BIO2019: Issues of Risk and Reproduceability in Translational and Academic Collaboration; 2:30-4:00 June 3 Philadelphia PA
Reporter: Stephen J. Williams, PhD @StephenJWillia2Article ID #267: Real Time Coverage @BIOConvention #BIO2019: Issues of Risk and Reproduceability in Translational and Academic Collaboration; 2:30-4:00 June 3 Philadelphia PA. Published on 6/3/2019
WordCloud Image Produced by Adam Tubman
Translating academic research into products and new therapies is a very risky venture as only 1% of academic research has been successfully translated into successful products.
Collaboration from Chicago area universities like U of Chicago, Northwestern, etc. First phase was enhance collaboration between universities by funding faculty recruitment and basic research. Access to core facilities across universities. Have expanded to give alternatives to company formation.
Most academic PI are not as savvy to start a biotech so they bring in biotechs and build project teams as well as developing a team of ex pharma and biotech experts. Derisk as running as one asset project. Partner as early as possible. A third of their pipeline have been successfully partnered. Work with investors and patent attorneys.
Focused on getting PIs to get to startup. Focused on oncology and vaccines and I/O. The result can be liscensing or partnership. Running around 50 to 60 projects. Creating a new company from these US PI partnerships.
Most projects from Harvard have been therapeutics-based. At Harvard they have a network of investors ($50 million). They screen PI proposals based on translateability and what investors are interested in.
In Chicago they solicit multiple projects but are agnostic on area but as they are limited they are focused on projects that will assist in developing a stronger proposal to investor/funding mechanism.
NYU goes around university doing due diligence reaching out to investigators. They shop around their projects to wet their investors, pharma appetite future funding. At Takeda they have five centers around US. They want to have more input so go into the university with their scientists and discuss ideas.
Challenges:
Takeda: Data Validation very important. Second there may be disconnect with the amount of equity the PI wants in the new company as well as management. Third PIs not aware of all steps in drug development.
Harvard: Pharma and biotech have robust research and academic does not have the size or scope of pharma. PIs must be more diligent on e.g. the compounds they get from a screen… they only focus narrowly
NYU: bring in consultants as PIs don’t understand all the management issues. Need to understand development so they bring in the experts to help them. Pharma he feels have to much risk aversion and none of their PIs want 100% equity.
Chicago: they like to publish at early stage so publication freedom is a challenge
Dr. Freedman: Most scientists responding to Nature survey said yes a reproduceability crisis. The reasons: experimental bias, lack of validation techniques, reagents, and protocols etc.
And as he says there is a great ECONOMIC IMPACT of preclinical reproducability issues: to the tune of $56 billion of irreproducable results (paper published in PLOS Biology). If can find the core drivers of this issue they can solve the problem. STANDARDS are constantly used in various industries however academic research are lagging in developing such standards. Just the problem of cell line authentication is costing $4 billion.
Dr. Cousins: There are multiple high throughput screening (HTS) academic centers around the world (150 in US). So where does the industry go for best practices in assays? Eli Lilly had developed a manual for HTS best practices and in 1984 made publicly available (Assay Guidance Manual). To date there have been constant updates to this manual to incorporate new assays. Workshops have been developed to train scientists in these best practices.
NIH has been developing new programs to address these reproducability issues. Developed a method called
“Ring Testing Initiative” where multiple centers involved in sharing reagents as well as assays and allowing scientists to test at multiple facilities.
Dr.Tong: Reproduceability of Microarrays: As microarrays were the only methodology to do high through put genomics in the early 2000s, and although much research had been performed to standardize and achieve best reproduceability of the microarray technology (determining best practices in spotting RNA on glass slides, hybridization protocols, image analysis) little had been done on evaluating the reproducibility of results obtained from microarray experiments involving biological samples. The advent of Artificial Intelligence and Machine Learning though can be used to help validate microarray results. This was done in a Nature Biotechnology paper (Nature Biotechnologyvolume28, pages827–838 (2010)) by an international consortium, the International MAQC (Microarray Quality Control) Society and can be found here
However Dr. Tong feels there is much confusion in how we define reproduceability. Dr. Tong identified a few key points of data reproduceability:
Traceability: what are the practices and procedures from going from point A to point B (steps in a protocol or experimental design)
Repeatability: ability to repeat results within the same laboratory
Replicatablilty: ability to repeat results cross laboratory
Transferability: are the results validated across multiple platforms?
The panel then discussed the role of journals and funders to drive reproduceability in research. They felt that editors have been doing as much as they can do as they receive an end product (the paper) but all agreed funders need to do more to promote data validity, especially in requiring that systematic evaluation and validation of each step in protocols are performed.. There could be more training of PIs with respect to protocol and data validation.
Other Articles on Industry/Academic Research Partnerships and Translational Research on this Open Access Online Journal Include
BioInformatic Resources at the Environmental Protection Agency: Tools and Webinars on Toxicity Prediction, 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)
BioInformatic Resources at the Environmental Protection Agency: Tools and Webinars on Toxicity Prediction
Curator Stephen J. Williams Ph.D.
New GenRA Module in EPA’s CompTox Dashboard Will Help Predict Potential Chemical Toxicity
Published September 25, 2018
As part of its ongoing computational toxicology research, EPA is developing faster and improved approaches to evaluate chemicals for potential health effects. One commonly applied approach is known as chemical read-across. Read-across uses information about how a chemical with known data behaves to make a prediction about the behavior of another chemical that is “similar” but does not have as much data. Current read-across, while cost-effective, relies on a subjective assessment, which leads to varying predictions and justifications depending on who undertakes and evaluates the assessment.
To reduce uncertainties and develop a more objective approach, EPA researchers have developed an automated read-across tool called Generalized Read-Across (GenRA), and added it to the newest version of the EPA Computational Toxicology Dashboard. The goal of GenRA is to encode as many expert considerations used within current read-across approaches as possible and combine these with data-driven approaches to transition read-across towards a more systematic and data-based method of making predictions.
EPA chemist Dr. Grace Patlewicz says it was this uncertainty that motivated the development of GenRA. “You don’t actually know if you’ve been successful at using read-across to help predict chemical toxicity because it’s a judgement call based on one person versus the next. That subjectivity is something we were trying to move away from.” Patlewicz says.
Since toxicologists and risk assessors are already familiar with read-across, EPA researchers saw value in creating a tool that that was aligned with the current read-across workflow but which addressed uncertainty using data analysis methods in what they call a “harmonized-hybrid workflow.”
In its current form, GenRA lets users find analogues, or chemicals that are similar to their target chemical, based on chemical structural similarity. The user can then select which analogues they want to carry forward into the GenRA prediction by exploring the consistency and concordance of the underlying experimental data for those analogues. Next, the tool predicts toxicity effects of specific repeated dose studies. Then, a plot with these outcomes is generated based on a similarity-weighted activity of the analogue chemicals the user selected. Finally, the user is presented with a data matrix view showing whether a chemical is predicted to be toxic (yes or no) for a chosen set of toxicity endpoints, with a quantitative measure of uncertainty.
The team is also comparing chemicals based on other similarity contexts, such as physicochemical characteristics or metabolic similarity, as well as extending the approach to make quantitative predictions of toxicity.
Patlewicz thinks incorporating other contexts and similarity measures will refine GenRA to make better toxicity predictions, fulfilling the goal of creating a read-across method capable of assessing thousands of chemicals that currently lack toxicity data.
“That’s the direction that we’re going in,” Patlewicz says. “Recognizing where we are and trying to move towards something a little bit more objective, showing how aspects of the current read-across workflow could be refined.”
Benchmark Dose Software (BMDS) EPA developed the Benchmark Dose Software (BMDS) as a tool to help estimate dose or exposure of a chemical or chemical mixture associated with a given response level. The methodology is used by EPA risk assessors and is fast becoming the world’s standard for dose-response analysis for risk assessments, including air pollution risk assessments.
BenMAP BenMAP is a Windows-based computer program that uses a Geographic Information System (GIS)-based to estimate the health impacts and economic benefits occurring when populations experience changes in air quality.
Community-Focused Exposure and Risk Screening Tool (C-FERST) C-FERST is an online tool developed by EPA in collaboration with stakeholders to provide access to resources that can be used with communities to help identify and learn more about their environmental health issues and explore exposure and risk reduction options.
Community Health Vulnerability Index EPA scientists developed a Community Health Vulnerability Index that can be used to help identify communities at higher health risk from wildfire smoke. Breathing smoke from a nearby wildfire is a health threat, especially for people with lung or heart disease, diabetes and high blood pressure as well as older adults, and those living in communities with poverty, unemployment and other indicators of social stress. Health officials can use the tool, in combination with air quality models, to focus public health strategies on vulnerable populations living in areas where air quality is impaired, either by wildfire smoke or other sources of pollution. The work was published in Environmental Science & Technology.
Critical Loads Mapper Tool The Critical Loads Mapper Tool can be used to help protect terrestrial and aquatic ecosystems from atmospheric deposition of nitrogen and sulfur, two pollutants emitted from fossil fuel burning and agricultural emissions. The interactive tool provides easy access to information on deposition levels through time; critical loads, which identify thresholds when pollutants have reached harmful levels; and exceedances of these thresholds.
EnviroAtlas EnviroAtlas provides interactive tools and resources for exploring the benefits people receive from nature or “ecosystem goods and services”. Ecosystem goods and services are critically important to human health and well-being, but they are often overlooked due to lack of information. Using EnviroAtlas, many types of users can access, view, and analyze diverse information to better understand the potential impacts of various decisions.
EPA Air Sensor Toolbox for Citizen Scientists EPA’s Air Sensor Toolbox for Citizen Scientists provides information and guidance on new low-cost compact technologies for measuring air quality. Citizens are interested in learning more about local air quality where they live, work and play. EPA’s Toolbox includes information about: Sampling methodologies; Calibration and validation approaches; Measurement methods options; Data interpretation guidelines; Education and outreach; and Low cost sensor performance information.
ExpoFIRST The Exposure Factors Interactive Resource for Scenarios Tool (ExpoFIRST) brings data from EPA’s Exposure Factors Handbook: 2011 Edition (EFH) to an interactive tool that maximizes flexibility and transparency for exposure assessors. ExpoFIRST represents a significant advance for regional, state, and local scientists in performing and documenting calculations for community and site-specific exposure assessments, including air pollution exposure assessments.
EXPOsure toolbox (ExpoBox) This is a toolbox created to assist individuals from within government, industry, academia, and the general public with assessing exposure, including exposure to air contaminants, fate and transport processes of air pollutants and their potential exposure concentrations. It is a compendium of exposure assessment tools that links to guidance documents, databases, models, reference materials, and other related resources.
Federal Reference & Federal Equivalency Methods EPA scientists develop and evaluate Federal Reference Methods and Federal Equivalency Methods for accurately and reliably measuring six primary air pollutants in outdoor air. These methods are used by states and other organizations to assess implementation actions needed to attain National Ambient Air Quality Standards.
Fertilizer Emission Scenario Tool for CMAQ (FEST-C) FEST-C facilitates the definition and simulation of new cropland farm management system scenarios or editing of existing scenarios to drive Environmental Policy Integrated Climate model (EPIC) simulations. For the standard 12km continental Community Multi-Scale Air Quality model (CMAQ) domain, this amounts to about 250,000 simulations for the U.S. alone. It also produces gridded daily EPIC weather input files from existing hourly Meteorology-Chemistry Interface Processor (MCIP) files, transforms EPIC output files to CMAQ-ready input files and links directly to Visual Environment for Rich Data Interpretation (VERDI) for spatial visualization of input and output files. The December 2012 release will perform all these functions for any CMAQ grid scale or domain.
Integrated Climate and Land use Scenarios (ICLUS) Climate change and land-use change are global drivers of environmental change. Impact assessments frequently show that interactions between climate and land-use changes can create serious challenges for aquatic ecosystems, water quality, and air quality. Population projections to 2100 were used to model the distribution of new housing across the landscape. In addition, housing density was used to estimate changes in impervious surface cover. A final report, datasets, the ICLUS+ Web Viewer and ArcGIS tools are available.
Indoor Semi-Volatile Organic Compound (i-SVOC) i-SVOC Version 1.0 is a general-purpose software application for dynamic modeling of the emission, transport, sorption, and distribution of semi-volatile organic compounds (SVOCs) in indoor environments. i-SVOC supports a variety of uses, including exposure assessment and the evaluation of mitigation options. SVOCs are a diverse group of organic chemicals that can be found in: Many are also present in indoor air, where they tend to bind to interior surfaces and particulate matter (dust).
Pesticides;
Ingredients in cleaning agents and personal care products;
Additives to vinyl flooring, furniture, clothing, cookware, food packaging, and electronics.
Municipal Solid Waste Decision Support Tool (MSW DST)EXIT This tool is designed to aid solid waste planners in evaluating the cost and environmental aspects of integrated municipal solid waste management strategies. The tool is the result of collaboration between EPA and RTI International and its partners.
Optical Noise-Reduction Averaging (ONA) Program Improves Black Carbon Particle Measurements Using Aethalometers ONA is a program that reduces noise in real-time black carbon data obtained using Aethalometers. Aethalometers optically measure the concentration of light absorbing or “black” particles that accumulate on a filter as air flows through it. These particles are produced by incomplete fossil fuel, biofuel and biomass combustion. Under polluted conditions, they appear as smoke or haze.
RETIGO tool Real Time Geospatial Data Viewer (RETIGO) is a free, web-based tool that shows air quality data that are collected while in motion (walking, biking or in a vehicle). The tool helps users overcome technical barriers to exploring air quality data. After collecting measurements, citizen scientists and other users can import their own data and explore the data on a map.
Remote Sensing Information Gateway (RSIG) RSIG offers a new way for users to get the multi-terabyte, environmental datasets they want via an interactive, Web browser-based application. A file download and parsing process that now takes months will be reduced via RSIG to minutes.
Simulation Tool Kit for Indoor Air Quality and Inhalation Exposure (IAQX) IAQX version 1.1 is an indoor air quality (IAQ) simulation software package that complements and supplements existing indoor air quality simulation (IAQ) programs. IAQX is for advanced users who have experience with exposure estimation, pollution control, risk assessment, and risk management. There are many sources of indoor air pollution, such as building materials, furnishings, and chemical cleaners. Since most people spend a large portion of their time indoors, it is important to be able to estimate exposure to these pollutants. IAQX helps users analyze the impact of pollutant sources and sinks, ventilation, and air cleaners. It performs conventional IAQ simulations to calculate the pollutant concentration and/or personal exposure as a function of time. It can also estimate adequate ventilation rates based on user-provided air quality criteria. This is a unique feature useful for product stewardship and risk management.
Spatial Allocator The Spatial Allocator provides tools that could be used by the air quality modeling community to perform commonly needed spatial tasks without requiring the use of a commercial Geographic Information System (GIS).
Traceability Protocol for Assay and Certification of Gaseous Calibration Standards This is used to certify calibration gases for ambient and continuous emission monitors. It specifies methods for assaying gases and establishing traceability to National Institute of Standards and Technology (NIST) reference standards. Traceability is required under EPA ambient and continuous emission monitoring regulations.
Watershed Deposition Mapping Tool (WDT) WDT provides an easy to use tool for mapping the deposition estimates from CMAQ to watersheds to provide the linkage of air and water needed for TMDL (Total Maximum Daily Load) and related nonpoint-source watershed analyses.
Visual Environment for Rich Data Interpretation (VERDI) VERDI is a flexible, modular, Java-based program for visualizing multivariate gridded meteorology, emissions, and air quality modeling data created by environmental modeling systems such as CMAQ and the Weather Research and Forecasting (WRF) model.
Databases
Air Quality Data for the CDC National Environmental Public Health Tracking Network EPA’s Exposure Research scientists are collaborating with the Centers for Disease Control and Prevention (CDC) on a CDC initiative to build a National Environmental Public Health Tracking (EPHT) network. Working with state, local and federal air pollution and health agencies, the EPHT program is facilitating the collection, integration, analysis, interpretation, and dissemination of data from environmental hazard monitoring, and from human exposure and health effects surveillance. These data provide scientific information to develop surveillance indicators, and to investigate possible relationships between environmental exposures, chronic disease, and other diseases, that can lead to interventions to reduce the burden of theses illnesses. An important part of the initiative is air quality modeling estimates and air quality monitoring data, combined through Bayesian modeling that can be linked with health outcome data.
EPAUS9R – An Energy Systems Database for use with the Market Allocation (MARKAL) Model The EPAUS9r is a regional database representation of the United States energy system. The database uses the MARKAL model. MARKAL is an energy system optimization model used by local and federal governments, national and international communities and academia. EPAUS9r represents energy supply, technology, and demand throughout the major sectors of the U.S. energy system.
Health & Environmental Research Online (HERO) HERO provides access to scientific literature used to support EPA’s integrated science assessments, including the Integrated Science Assessments (ISA) that feed into the National Ambient Air Quality (NAAQS) reviews.
SPECIATE 4.5 Database SPECIATE is a repository of volatile organic gas and particulate matter (PM) speciation profiles of air pollution sources.
A listing of EPA Tools and Databases for Water Contaminant Exposure Assessment
Exposure and Toxicity
EPA ExpoBox (A Toolbox for Exposure Assessors) This toolbox assists individuals from within government, industry, academia, and the general public with assessing exposure from multiple media, including water and sediment. It is a compendium of exposure assessment tools that links to guidance documents, databases, models, reference materials, and other related resources.
Chemical and Product Categories (CPCat) Database CPCat is a database containing information mapping more than 43,000 chemicals to a set of terms categorizing their usage or function. The comprehensive list of chemicals with associated categories of chemical and product use was compiled from publically available sources. Unique use category taxonomies from each source are mapped onto a single common set of approximately 800 terms. Users can search for chemicals by chemical name, Chemical Abstracts Registry Number, or by CPCat terms associated with chemicals.
A listing of EPA Tools and Databases for Chemical Toxicity Prediction & Assessment
Sequence Alignment to Predict Across Species Susceptibility (SeqAPASS) SeqAPASS is a fast, online screening tool that allows researchers and regulators to extrapolate toxicity information across species. For some species, such as humans, mice, rats, and zebrafish, the EPA has a large amount of data regarding their toxicological susceptibility to various chemicals. However, the toxicity data for numerous other plants and animals is very limited. SeqAPASS extrapolates from these data rich model organisms to thousands of other non-target species to evaluate their specific potential chemical susceptibility.
Aggregated Computational Toxicology Resource (ACToR) ACToR is an online warehouse of publicly available chemical toxicity data and can be used to find all publicly available data about potential chemical risks to human health and the environment. ACToR aggregates data from over 1000 public sources on over 500,000 environmental chemicals searchable by chemical name, other identifiers and by chemical structure.
Chemical and Product Category Database Contains information on how chemicals are used in consumer products. It includes information mapping over 43,000 chemicals to a set of terms categorizing their usage in consumer products or function.
Ecotoxicology Database (EcoTox) Source for finding single chemical toxicity data for aquatic life, terrestrial plants and wildlife.
Toxicity Reference Database (ToxRefDB) ToxRefDB contains thousands of animal toxicity studies on hundreds of chemicals from 30 years worth of animal toxicity studies.
A listing of EPA Webinar and Literature on Bioinformatic Tools and Projects
Comparative Bioinformatics Applications for Developmental Toxicology
Discuss how the US EPA/NCCT is trying to solve the problem of too many chemicals, too high cost, and too much biological uncertainty Discuss the solution the ToxCast Program is proposing; a data-rich system to screen, classify and rank chemicals for further evaluation
CHEMOINFORMATIC AND BIOINFORMATIC CHALLENGES AT THE US ENVIRONMENTAL PROTECTION AGENCY.
This presentation will provide an overview of both the scientific program and the regulatory activities related to computational toxicology. This presentation will provide an overview of both the scientific program and the regulatory activities related to computational toxicology.
How Can We Use Bioinformatics to Predict Which Agents Will Cause Birth Defects?
The availability of genomic sequences from a growing number of human and model organisms has provided an explosion of data, information, and knowledge regarding biological systems and disease processes. High-throughput technologies such as DNA and protein microarray biochips are now standard tools for probing the cellular state and determining important cellular behaviors at the genomic/proteomic levels. While these newer technologies are beginning to provide important information on cellular reactions to toxicant exposure (toxicogenomics), a major challenge that remains is the formulation of a strategy to integrate transcript, protein, metabolite, and toxicity data. This integration will require new concepts and tools in bioinformatics. The U.S. National Library of Medicine’s Pubmed site includes 19 million citations and abstracts and continues to grow. The BDSM team is now working on assembling the literature’s unstructured data into a structured database and linking it to BDSM within a system that can then be used for testing and generating new hypotheses. This effort will generate data bases of entities (such as genes, proteins, metabolites, gene ontology processes) linked to PubMed identifiers/abstracts and providing information on the relationships between them. The end result will be an online/standalone tool that will help researchers to focus on the papers most relevant to their query and uncover hidden connections and obvious information gaps.
ADVANCED PROTEOMICS AND BIOINFORMATICS TOOLS IN TOXICOLOGY RESEARCH: OVERCOMING CHALLENGES TO PROVIDE SIGNIFICANT RESULTS
This presentation specifically addresses the advantages and limitations of state of the art gel, protein arrays and peptide-based labeling proteomic approaches to assess the effects of a suite of model T4 inhibitors on the thyroid axis of Xenopus laevis.
Bioinformatic Integration of in vivo Data and Literature-based Gene Associations for Prioritization of Adverse Outcome Pathway Development
Adverse outcome pathways (AOPs) describe a sequence of events, beginning with a molecular initiating event (MIE), proceeding via key events (KEs), and culminating in an adverse outcome (AO). A challenge for use of AOPs in a safety evaluation context has been identification of MIEs and KEs relevant for AOs observed in regulatory toxicity studies. In this work, we implemented a bioinformatic approach that leverages mechanistic information in the literature and the AOs measured in regulatory toxicity studies to prioritize putative MIEs and/or early KEs for AOP development relevant to chemical safety evaluation. The US Environmental Protection Agency Toxicity Reference Database (ToxRefDB, v2.0) contains effect information for >1000 chemicals curated from >5000 studies or summaries from sources including data evaluation records from the US EPA Office of Pesticide Programs, the National Toxicology Program (NTP), peer-reviewed literature, and pharmaceutical preclinical studies. To increase ToxRefDB interoperability, endpoint and effect information were cross-referenced with codes from the United Medical Language System, which enabled mapping of in vivo pathological effects from ToxRefDB to PubMed (via Medical Subject Headings or MeSH). This enabled linkage to any resource that is also connected to PubMed or indexed with MeSH. A publicly available bioinformatic tool, the Entity-MeSH Co-occurrence Network (EMCON), uses multiple data sources and a measure of mutual information to identify genes most related to a MeSH term. Using EMCON, gene sets were generated for endpoints of toxicological relevance in ToxRefDB linking putative KEs and/or MIEs. The Comparative Toxicogenomics Database was used to further filter important associations. As a proof of concept, thyroid-related effects and their highly associated genes were examined, and demonstrated relevant MIEs and early KEs for AOPs to describe thyroid-related AOs. The ToxRefDB to gene mapping for thyroid resulted in >50 unique gene to chemical relationships. Integrated use of EMCON and ToxRefDB data provides a basis for rapid and robust putative AOP development, as well as a novel means to generate mechanistic hypotheses for specific chemicals. This abstract does not necessarily reflect U.S. EPA policy. Abstract and Poster for 2019 Society of Toxicology annual meeting in March 2019
Bioinformatic Integration of in vivo Data and Literature-based Gene Associations for Prioritization of Adverse Outcome Pathway Development
Adverse outcome pathways (AOPs) describe a sequence of events, beginning with a molecular initiating event (MIE), proceeding via key events (KEs), and culminating in an adverse outcome (AO). A challenge for use of AOPs in a safety evaluation context has been identification of MIEs and KEs relevant for AOs observed in regulatory toxicity studies. In this work, we implemented a bioinformatic approach that leverages mechanistic information in the literature and the AOs measured in regulatory toxicity studies to prioritize putative MIEs and/or early KEs for AOP development relevant to chemical safety evaluation. The US Environmental Protection Agency Toxicity Reference Database (ToxRefDB, v2.0) contains effect information for >1000 chemicals curated from >5000 studies or summaries from sources including data evaluation records from the US EPA Office of Pesticide Programs, the National Toxicology Program (NTP), peer-reviewed literature, and pharmaceutical preclinical studies. To increase ToxRefDB interoperability, endpoint and effect information were cross-referenced with codes from the United Medical Language System, which enabled mapping of in vivo pathological effects from ToxRefDB to PubMed (via Medical Subject Headings or MeSH). This enabled linkage to any resource that is also connected to PubMed or indexed with MeSH. A publicly available bioinformatic tool, the Entity-MeSH Co-occurrence Network (EMCON), uses multiple data sources and a measure of mutual information to identify genes most related to a MeSH term. Using EMCON, gene sets were generated for endpoints of toxicological relevance in ToxRefDB linking putative KEs and/or MIEs. The Comparative Toxicogenomics Database was used to further filter important associations. As a proof of concept, thyroid-related effects and their highly associated genes were examined, and demonstrated relevant MIEs and early KEs for AOPs to describe thyroid-related AOs. The ToxRefDB to gene mapping for thyroid resulted in >50 unique gene to chemical relationships. Integrated use of EMCON and ToxRefDB data provides a basis for rapid and robust putative AOP development, as well as a novel means to generate mechanistic hypotheses for specific chemicals. This abstract does not necessarily reflect U.S. EPA policy. Abstract and Poster for 2019 Society of Toxicology annual meeting in March 2019
Bioinformatic Integration of in vivo Data and Literature-based Gene Associations for Prioritization of Adverse Outcome Pathway Development
Adverse outcome pathways (AOPs) describe a sequence of events, beginning with a molecular initiating event (MIE), proceeding via key events (KEs), and culminating in an adverse outcome (AO). A challenge for use of AOPs in a safety evaluation context has been identification of MIEs and KEs relevant for AOs observed in regulatory toxicity studies. In this work, we implemented a bioinformatic approach that leverages mechanistic information in the literature and the AOs measured in regulatory toxicity studies to prioritize putative MIEs and/or early KEs for AOP development relevant to chemical safety evaluation. The US Environmental Protection Agency Toxicity Reference Database (ToxRefDB, v2.0) contains effect information for >1000 chemicals curated from >5000 studies or summaries from sources including data evaluation records from the US EPA Office of Pesticide Programs, the National Toxicology Program (NTP), peer-reviewed literature, and pharmaceutical preclinical studies. To increase ToxRefDB interoperability, endpoint and effect information were cross-referenced with codes from the United Medical Language System, which enabled mapping of in vivo pathological effects from ToxRefDB to PubMed (via Medical Subject Headings or MeSH). This enabled linkage to any resource that is also connected to PubMed or indexed with MeSH. A publicly available bioinformatic tool, the Entity-MeSH Co-occurrence Network (EMCON), uses multiple data sources and a measure of mutual information to identify genes most related to a MeSH term. Using EMCON, gene sets were generated for endpoints of toxicological relevance in ToxRefDB linking putative KEs and/or MIEs. The Comparative Toxicogenomics Database was used to further filter important associations. As a proof of concept, thyroid-related effects and their highly associated genes were examined, and demonstrated relevant MIEs and early KEs for AOPs to describe thyroid-related AOs. The ToxRefDB to gene mapping for thyroid resulted in >50 unique gene to chemical relationships. Integrated use of EMCON and ToxRefDB data provides a basis for rapid and robust putative AOP development, as well as a novel means to generate mechanistic hypotheses for specific chemicals. This abstract does not necessarily reflect U.S. EPA policy. Abstract and Poster for 2019 Society of Toxicology annual meeting in March 2019
Bioinformatic Integration of in vivo Data and Literature-based Gene Associations for Prioritization of Adverse Outcome Pathway Development
Adverse outcome pathways (AOPs) describe a sequence of events, beginning with a molecular initiating event (MIE), proceeding via key events (KEs), and culminating in an adverse outcome (AO). A challenge for use of AOPs in a safety evaluation context has been identification of MIEs and KEs relevant for AOs observed in regulatory toxicity studies. In this work, we implemented a bioinformatic approach that leverages mechanistic information in the literature and the AOs measured in regulatory toxicity studies to prioritize putative MIEs and/or early KEs for AOP development relevant to chemical safety evaluation. The US Environmental Protection Agency Toxicity Reference Database (ToxRefDB, v2.0) contains effect information for >1000 chemicals curated from >5000 studies or summaries from sources including data evaluation records from the US EPA Office of Pesticide Programs, the National Toxicology Program (NTP), peer-reviewed literature, and pharmaceutical preclinical studies. To increase ToxRefDB interoperability, endpoint and effect information were cross-referenced with codes from the United Medical Language System, which enabled mapping of in vivo pathological effects from ToxRefDB to PubMed (via Medical Subject Headings or MeSH). This enabled linkage to any resource that is also connected to PubMed or indexed with MeSH. A publicly available bioinformatic tool, the Entity-MeSH Co-occurrence Network (EMCON), uses multiple data sources and a measure of mutual information to identify genes most related to a MeSH term. Using EMCON, gene sets were generated for endpoints of toxicological relevance in ToxRefDB linking putative KEs and/or MIEs. The Comparative Toxicogenomics Database was used to further filter important associations. As a proof of concept, thyroid-related effects and their highly associated genes were examined, and demonstrated relevant MIEs and early KEs for AOPs to describe thyroid-related AOs. The ToxRefDB to gene mapping for thyroid resulted in >50 unique gene to chemical relationships. Integrated use of EMCON and ToxRefDB data provides a basis for rapid and robust putative AOP development, as well as a novel means to generate mechanistic hypotheses for specific chemicals. This abstract does not necessarily reflect U.S. EPA policy. Abstract and Poster for 2019 Society of Toxicology annual meeting in March 2019
Bioinformatic Integration of in vivo Data and Literature-based Gene Associations for Prioritization of Adverse Outcome Pathway Development
Adverse outcome pathways (AOPs) describe a sequence of events, beginning with a molecular initiating event (MIE), proceeding via key events (KEs), and culminating in an adverse outcome (AO). A challenge for use of AOPs in a safety evaluation context has been identification of MIEs and KEs relevant for AOs observed in regulatory toxicity studies. In this work, we implemented a bioinformatic approach that leverages mechanistic information in the literature and the AOs measured in regulatory toxicity studies to prioritize putative MIEs and/or early KEs for AOP development relevant to chemical safety evaluation. The US Environmental Protection Agency Toxicity Reference Database (ToxRefDB, v2.0) contains effect information for >1000 chemicals curated from >5000 studies or summaries from sources including data evaluation records from the US EPA Office of Pesticide Programs, the National Toxicology Program (NTP), peer-reviewed literature, and pharmaceutical preclinical studies. To increase ToxRefDB interoperability, endpoint and effect information were cross-referenced with codes from the United Medical Language System, which enabled mapping of in vivo pathological effects from ToxRefDB to PubMed (via Medical Subject Headings or MeSH). This enabled linkage to any resource that is also connected to PubMed or indexed with MeSH. A publicly available bioinformatic tool, the Entity-MeSH Co-occurrence Network (EMCON), uses multiple data sources and a measure of mutual information to identify genes most related to a MeSH term. Using EMCON, gene sets were generated for endpoints of toxicological relevance in ToxRefDB linking putative KEs and/or MIEs. The Comparative Toxicogenomics Database was used to further filter important associations. As a proof of concept, thyroid-related effects and their highly associated genes were examined, and demonstrated relevant MIEs and early KEs for AOPs to describe thyroid-related AOs. The ToxRefDB to gene mapping for thyroid resulted in >50 unique gene to chemical relationships. Integrated use of EMCON and ToxRefDB data provides a basis for rapid and robust putative AOP development, as well as a novel means to generate mechanistic hypotheses for specific chemicals. This abstract does not necessarily reflect U.S. EPA policy. Abstract and Poster for 2019 Society of Toxicology annual meeting in March 2019
Bioinformatic Integration of in vivo Data and Literature-based Gene Associations for Prioritization of Adverse Outcome Pathway Development
Adverse outcome pathways (AOPs) describe a sequence of events, beginning with a molecular initiating event (MIE), proceeding via key events (KEs), and culminating in an adverse outcome (AO). A challenge for use of AOPs in a safety evaluation context has been identification of MIEs and KEs relevant for AOs observed in regulatory toxicity studies. In this work, we implemented a bioinformatic approach that leverages mechanistic information in the literature and the AOs measured in regulatory toxicity studies to prioritize putative MIEs and/or early KEs for AOP development relevant to chemical safety evaluation. The US Environmental Protection Agency Toxicity Reference Database (ToxRefDB, v2.0) contains effect information for >1000 chemicals curated from >5000 studies or summaries from sources including data evaluation records from the US EPA Office of Pesticide Programs, the National Toxicology Program (NTP), peer-reviewed literature, and pharmaceutical preclinical studies. To increase ToxRefDB interoperability, endpoint and effect information were cross-referenced with codes from the United Medical Language System, which enabled mapping of in vivo pathological effects from ToxRefDB to PubMed (via Medical Subject Headings or MeSH). This enabled linkage to any resource that is also connected to PubMed or indexed with MeSH. A publicly available bioinformatic tool, the Entity-MeSH Co-occurrence Network (EMCON), uses multiple data sources and a measure of mutual information to identify genes most related to a MeSH term. Using EMCON, gene sets were generated for endpoints of toxicological relevance in ToxRefDB linking putative KEs and/or MIEs. The Comparative Toxicogenomics Database was used to further filter important associations. As a proof of concept, thyroid-related effects and their highly associated genes were examined, and demonstrated relevant MIEs and early KEs for AOPs to describe thyroid-related AOs. The ToxRefDB to gene mapping for thyroid resulted in >50 unique gene to chemical relationships. Integrated use of EMCON and ToxRefDB data provides a basis for rapid and robust putative AOP development, as well as a novel means to generate mechanistic hypotheses for specific chemicals. This abstract does not necessarily reflect U.S. EPA policy. Abstract and Poster for 2019 Society of Toxicology annual meeting in March 2019
Bioinformatic Integration of in vivo Data and Literature-based Gene Associations for Prioritization of Adverse Outcome Pathway Development
Adverse outcome pathways (AOPs) describe a sequence of events, beginning with a molecular initiating event (MIE), proceeding via key events (KEs), and culminating in an adverse outcome (AO). A challenge for use of AOPs in a safety evaluation context has been identification of MIEs and KEs relevant for AOs observed in regulatory toxicity studies. In this work, we implemented a bioinformatic approach that leverages mechanistic information in the literature and the AOs measured in regulatory toxicity studies to prioritize putative MIEs and/or early KEs for AOP development relevant to chemical safety evaluation. The US Environmental Protection Agency Toxicity Reference Database (ToxRefDB, v2.0) contains effect information for >1000 chemicals curated from >5000 studies or summaries from sources including data evaluation records from the US EPA Office of Pesticide Programs, the National Toxicology Program (NTP), peer-reviewed literature, and pharmaceutical preclinical studies. To increase ToxRefDB interoperability, endpoint and effect information were cross-referenced with codes from the United Medical Language System, which enabled mapping of in vivo pathological effects from ToxRefDB to PubMed (via Medical Subject Headings or MeSH). This enabled linkage to any resource that is also connected to PubMed or indexed with MeSH. A publicly available bioinformatic tool, the Entity-MeSH Co-occurrence Network (EMCON), uses multiple data sources and a measure of mutual information to identify genes most related to a MeSH term. Using EMCON, gene sets were generated for endpoints of toxicological relevance in ToxRefDB linking putative KEs and/or MIEs. The Comparative Toxicogenomics Database was used to further filter important associations. As a proof of concept, thyroid-related effects and their highly associated genes were examined, and demonstrated relevant MIEs and early KEs for AOPs to describe thyroid-related AOs. The ToxRefDB to gene mapping for thyroid resulted in >50 unique gene to chemical relationships. Integrated use of EMCON and ToxRefDB data provides a basis for rapid and robust putative AOP development, as well as a novel means to generate mechanistic hypotheses for specific chemicals. This abstract does not necessarily reflect U.S. EPA policy. Abstract and Poster for 2019 Society of Toxicology annual meeting in March 2019
Bioinformatic Integration of in vivo Data and Literature-based Gene Associations for Prioritization of Adverse Outcome Pathway Development
Adverse outcome pathways (AOPs) describe a sequence of events, beginning with a molecular initiating event (MIE), proceeding via key events (KEs), and culminating in an adverse outcome (AO). A challenge for use of AOPs in a safety evaluation context has been identification of MIEs and KEs relevant for AOs observed in regulatory toxicity studies. In this work, we implemented a bioinformatic approach that leverages mechanistic information in the literature and the AOs measured in regulatory toxicity studies to prioritize putative MIEs and/or early KEs for AOP development relevant to chemical safety evaluation. The US Environmental Protection Agency Toxicity Reference Database (ToxRefDB, v2.0) contains effect information for >1000 chemicals curated from >5000 studies or summaries from sources including data evaluation records from the US EPA Office of Pesticide Programs, the National Toxicology Program (NTP), peer-reviewed literature, and pharmaceutical preclinical studies. To increase ToxRefDB interoperability, endpoint and effect information were cross-referenced with codes from the United Medical Language System, which enabled mapping of in vivo pathological effects from ToxRefDB to PubMed (via Medical Subject Headings or MeSH). This enabled linkage to any resource that is also connected to PubMed or indexed with MeSH. A publicly available bioinformatic tool, the Entity-MeSH Co-occurrence Network (EMCON), uses multiple data sources and a measure of mutual information to identify genes most related to a MeSH term. Using EMCON, gene sets were generated for endpoints of toxicological relevance in ToxRefDB linking putative KEs and/or MIEs. The Comparative Toxicogenomics Database was used to further filter important associations. As a proof of concept, thyroid-related effects and their highly associated genes were examined, and demonstrated relevant MIEs and early KEs for AOPs to describe thyroid-related AOs. The ToxRefDB to gene mapping for thyroid resulted in >50 unique gene to chemical relationships. Integrated use of EMCON and ToxRefDB data provides a basis for rapid and robust putative AOP development, as well as a novel means to generate mechanistic hypotheses for specific chemicals. This abstract does not necessarily reflect U.S. EPA policy. Abstract and Poster for 2019 Society of Toxicology annual meeting in March 2019
Bioinformatic Integration of in vivo Data and Literature-based Gene Associations for Prioritization of Adverse Outcome Pathway Development
Adverse outcome pathways (AOPs) describe a sequence of events, beginning with a molecular initiating event (MIE), proceeding via key events (KEs), and culminating in an adverse outcome (AO). A challenge for use of AOPs in a safety evaluation context has been identification of MIEs and KEs relevant for AOs observed in regulatory toxicity studies. In this work, we implemented a bioinformatic approach that leverages mechanistic information in the literature and the AOs measured in regulatory toxicity studies to prioritize putative MIEs and/or early KEs for AOP development relevant to chemical safety evaluation. The US Environmental Protection Agency Toxicity Reference Database (ToxRefDB, v2.0) contains effect information for >1000 chemicals curated from >5000 studies or summaries from sources including data evaluation records from the US EPA Office of Pesticide Programs, the National Toxicology Program (NTP), peer-reviewed literature, and pharmaceutical preclinical studies. To increase ToxRefDB interoperability, endpoint and effect information were cross-referenced with codes from the United Medical Language System, which enabled mapping of in vivo pathological effects from ToxRefDB to PubMed (via Medical Subject Headings or MeSH). This enabled linkage to any resource that is also connected to PubMed or indexed with MeSH. A publicly available bioinformatic tool, the Entity-MeSH Co-occurrence Network (EMCON), uses multiple data sources and a measure of mutual information to identify genes most related to a MeSH term. Using EMCON, gene sets were generated for endpoints of toxicological relevance in ToxRefDB linking putative KEs and/or MIEs. The Comparative Toxicogenomics Database was used to further filter important associations. As a proof of concept, thyroid-related effects and their highly associated genes were examined, and demonstrated relevant MIEs and early KEs for AOPs to describe thyroid-related AOs. The ToxRefDB to gene mapping for thyroid resulted in >50 unique gene to chemical relationships. Integrated use of EMCON and ToxRefDB data provides a basis for rapid and robust putative AOP development, as well as a novel means to generate mechanistic hypotheses for specific chemicals. This abstract does not necessarily reflect U.S. EPA policy. Abstract and Poster for 2019 Society of Toxicology annual meeting in March 2019
A Web-Hosted R Workflow to Simplify and Automate the Analysis of 16S NGS Data
Next-Generation Sequencing (NGS) produces large data sets that include tens-of-thousands of sequence reads per sample. For analysis of bacterial diversity, 16S NGS sequences are typically analyzed in a workflow that containing best-of-breed bioinformatics packages that may leverage multiple programming languages (e.g., Python, R, Java, etc.). The process totransform raw NGS data to usable operational taxonomic units (OTUs) can be tedious due tothe number of quality control (QC) steps used in QIIME and other software packages forsample processing. Therefore, the purpose of this work was to simplify the analysis of 16SNGS data from a large number of samples by integrating QC, demultiplexing, and QIIME(Quantitative Insights Into Microbial Ecology) analysis in an accessible R project. User command line operations for each of the pipeline steps were automated into a workflow. In addition, the R server allows multi-user access to the automated pipeline via separate useraccounts while providing access to the same large set of underlying data. We demonstratethe applicability of this pipeline automation using 16S NGS data from approximately 100 stormwater runoff samples collected in a mixed-land use watershed in northeast Georgia. OTU tables were generated for each sample and the relative taxonomic abundances were compared for different periods over storm hydrographs to determine how the microbial ecology of a stream changes with rise and fall of stream stage. Our approach simplifies the pipeline analysis of multiple 16S NGS samples by automating multiple preprocessing, QC, analysis and post-processing command line steps that are called by a sequence of R scripts. Presented at ASM 2015 Rapid NGS Bioinformatic Pipelines for Enhanced Molecular Epidemiologic Investigation of Pathogens
DEVELOPING COMPUTATIONAL TOOLS NECESSARY FOR APPLYING TOXICOGENOMICS TO RISK ASSESSMENT AND REGULATORY DECISION MAKING.
GENOMICS, PROTEOMICS & METABOLOMICS CAN PROVIDE USEFUL WEIGHT-OF-EVIDENCE DATA ALONG THE SOURCE-TO-OUTCOME CONTINUUM, WHEN APPROPRIATE BIOINFORMATIC AND COMPUTATIONAL METHODS ARE APPLIED TOWARDS INTEGRATING MOLECULAR, CHEMICAL AND TOXICOGICAL INFORMATION. GENOMICS, PROTEOMICS & METABOLOMICS CAN PROVIDE USEFUL WEIGHT-OF-EVIDENCE DATA ALONG THE SOURCE-TO-OUTCOME CONTINUUM, WHEN APPROPRIATE BIOINFORMATIC AND COMPUTATIONAL METHODS ARE APPLIED TOWARDS INTEGRATING MOLECULAR, CHEMICAL AND TOXICOGICAL INFORMATION.
The Human Toxome project, funded as an NIH Transformative Research grant 2011–‐ 2016, is focused on developing the concepts and the means for deducing, validating, and sharing molecular Pathways of Toxicity (PoT). Using the test case of estrogenic endocrine disruption, the responses of MCF–‐7 human breast cancer cells are being phenotyped by transcriptomics and mass–‐spectroscopy–‐based metabolomics. The bioinformatics tools for PoT deduction represent a core deliverable. A number of challenges for quality and standardization of cell systems, omics technologies, and bioinformatics are being addressed. In parallel, concepts for annotation, validation, and sharing of PoT information, as well as their link to adverse outcomes, are being developed. A reasonably comprehensive public database of PoT, the Human Toxome Knowledge–‐base, could become a point of reference for toxicological research and regulatory tests strategies. A reasonably comprehensive public database of PoT, the Human Toxome Knowledge–‐base, could become a point of reference for toxicological research and regulatory tests strategies.
High-Resolution Metabolomics for Environmental Chemical Surveillance and Bioeffect Monitoring
High-Resolution Metabolomics for Environmental Chemical Surveillance and Bioeffect Monitoring (Presented by: Dean Jones, PhD, Department of Medicine, Emory University) (2/28/2013)
Identification of Absorption, Distribution, Metabolism, and Excretion (ADME) Genes Relevant to Steatosis Using a Gene Expression Approach
Absorption, distribution, metabolism, and excretion (ADME) impact chemical concentration and activation of molecular initiating events of Adverse Outcome Pathways (AOPs) in cellular, tissue, and organ level targets. In order to better describe ADME parameters and how they modulate potential hazards posed by chemical exposure, our goal is to investigate the relationship between AOPs and ADME related genes and functional information. Given the scope of this task, we began using hepatic steatosis as a case study. To identify ADME genes related to steatosis, we used the publicly available toxicogenomics database, Open TG-GATEsTM. This database contains standardized rodent chemical exposure data from 170 chemicals (mostly drugs), along with differential gene expression data and corresponding associated pathological changes. We examined the chemical exposure microarray data set gathered from 9 chemical exposure treatments resulting in pathologically confirmed (minimal, moderate and severe) incidences of hepatic steatosis. From this differential gene expression data set, we utilized differential expression analyses to identify gene changes resulting from the chemical exposures leading to hepatic steatosis. We then selected differentially expressed genes (DEGs) related to ADME by filtering all genes based on their ADME functional identities. These DEGs include enzymes such as cytochrome p450, UDP glucuronosyltransferase, flavin-containing monooxygenase and transporter genes such as solute carriers and ATP-binding cassette transporter families. The up and downregulated genes were identified across these treatments. Total of 61 genes were upregulated and 68 genes were down regulated in all treatments. Meanwhile, 25 genes were both up regulated and downregulated across all the treatments. This work highlights the application of bioinformatics in linking AOPs with gene modulations specifically in relationships to ADME and exposures to chemicals. This abstract does not necessarily reflect U.S. EPA policy. This work highlights the application of bioinformatics tools to identify genes that are modulated by adverse outcomes. Specifically, we delineate a method to identify genes that are related to ADME and can impact target tissue dose in response to chemical exposures. The computational method outlined in this work is applicable to any adverse outcome pathway, and provide a linkage between chemical exposure, target tissue dose, and adverse outcomes. Application of this method will allow for the rapid screening of chemicals for their impact on ADME-related genes using available gene data bases in literature.
EPA’s Computational Toxicology Communities of Practice is composed of hundreds of stakeholders from over 50 public and private sector organizations (ranging from EPA, other federal agencies, industry, academic institutions, professional societies, nongovernmental organizations, environmental non-profit groups, state environmental agencies and more) who have an interest in using advances in computational toxicology and exposure science to evaluate the safety of chemicals.
The Communities of Practice is open to the public. Monthly webinars are held at EPA’s RTP campus, on the fourth Thursday of the month (occasionally rescheduled in November and December to accommodate holiday schedules), from 11am-Noon EST/EDT. Remote participation is available. For more information or to be added to the meeting email list, contact: Monica Linnenbrink (linnenbrink.monica@epa.gov).
Dr. Antony Williams, Chemist in EPA’s National Center for Computational Toxicology and Dr. Katie Paul-Friedman, Toxicologist in EPA’s National Center for Computational Toxicology
Colleen Elonen, Translational Toxicology Branch, and Dr. Jennifer Olker, Systems Toxicology Branch, in the Mid-Continent Ecology Division of EPA’s National Health & Environmental Effects Research Laboratory (NHEERL)
2018/05/24
Investigating Chemical-Microbiota Interactions in Zebrafish (VideoEXIT)
Tamara Tal, Biologist in the Systems Biology Branch, Integrated Systems Toxicology Division, EPA’s National Health & Environmental Effects Research Laboratory (NHEERL)
Katherine Phillips, Research Chemist, Human Exposure and Dose Modeling Branch, Computational Exposure Division, EPA’s National Exposure Research Laboratory (NERHL)
Role of Informatics in Precision Medicine: Notes from Boston Healthcare Webinar: Can It Drive the Next Cost Efficiencies in Oncology Care? 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)
Role of Informatics in Precision Medicine: Notes from Boston Healthcare Webinar: Can It Drive the Next Cost Efficiencies in Oncology Care?
Reporter: Stephen J. Williams, Ph.D.
Boston Healthcare sponsored a Webinar recently entitled ” Role of Informatics in Precision Medicine: Implications for Innovators”. The webinar focused on the different informatic needs along the Oncology Care value chain from drug discovery through clinicians, C-suite executives and payers. The presentation, by Joseph Ferrara and Mark Girardi, discussed the specific informatics needs and deficiencies experienced by all players in oncology care and how innovators in this space could create value. The final part of the webinar discussed artificial intelligence and the role in cancer informatics.
Below is the mp4 video and audio for this webinar. Notes on each of the slides with a few representative slides are also given below:
Please click below for the mp4 of the webinar:
worldwide oncology related care to increase by 40% in 2020
big movement to participatory care: moving decision making to the patient. Need for information
cost components focused on clinical action
use informatics before clinical stage might add value to cost chain
Key unmet needs from perspectives of different players in oncology care where informatics may help in decision making
Needs of Clinicians
– informatic needs for clinical enrollment
– informatic needs for obtaining drug access/newer therapies
2. Needs of C-suite/health system executives
– informatic needs to help focus of quality of care
– informatic needs to determine health outcomes/metrics
3. Needs of Payers
– informatic needs to determine quality metrics and managing costs
– informatics needs to form guidelines
– informatics needs to determine if biomarkers are used consistently and properly
– population level data analytics
What are the kind of value innovations that tech entrepreneurs need to create in this space? Two areas/problems need to be solved.
innovations in data depth and breadth
need to aggregate information to inform intervention
Different players in value chains have different data needs
Data Depth: Cumulative Understanding of disease
Data Depth: Cumulative number of oncology transactions
technology innovators rely on LEGACY businesses (those that already have technology) and these LEGACY businesses either have data breath or data depth BUT NOT BOTH; (IS THIS WHERE THE GREATEST VALUE CAN BE INNOVATED?)
NEED to provide ACTIONABLE as well as PHENOTYPIC/GENOTYPIC DATA
data depth more important in clinical setting as it drives solutions and cost effective interventions. For example Foundation Medicine, who supplies genotypic/phenotypic data for patient samples supplies high data depth
technologies are moving to data support
evidence will need to be tied to umbrella value propositions
Informatic solutions will have to prove outcome benefit
How will Machine Learning be involved in the healthcare value chain?
increased emphasis on real time datasets – CONSTANT UPDATES NEED TO OCCUR. THIS IS NOT HAPPENING BUT VALUED BY MANY PLAYERS IN THIS SPACE
Interoperability of DATABASES Important! Many Players in this space don’t understand the complexities integrating these datasets
Other Articles on this topic of healthcare informatics, value based oncology, and healthcare IT on this OPEN ACCESS JOURNAL include:
Live Conference Coverage @Medcitynews Converge 2018 @Philadelphia: Promising Drugs and Breaking Down Silos
Reporter: Stephen J. Williams, PhD
Promising Drugs, Pricing and Access
The drug pricing debate rages on. What are the solutions to continuing to foster research and innovation, while ensuring access and affordability for patients? Can biosimilars and generics be able to expand market access in the U.S.?
Moderator:Bunny Ellerin, Director, Healthcare and Pharmaceutical Management Program, Columbia Business School Speakers: Patrick Davish, AVP, Global & US Pricing/Market Access, Merck Robert Dubois M.D., Chief Science Officer and Executive Vice President, National Pharmaceutical Council Gary Kurzman, M.D., Senior Vice President and Managing Director, Healthcare, Safeguard Scientifics Steven Lucio, Associate Vice President, Pharmacy Services, Vizient
What is working and what needs to change in pricing models?
Robert: He sees so many players in the onStevencology space discovering new drugs and other drugs are going generic (that is what is working). However are we spending too much on cancer care relative to other diseases (their initiative Going Beyond the Surface)
Steven: the advent of biosimilars is good for the industry
Patrick: large effort in oncology, maybe too much (750 trials on Keytruda) and he says pharma is spending on R&D (however clinical trials take large chunk of this money)
Robert: cancer has gotten a free ride but cost per year relative to benefit looks different than other diseases. Are we overinvesting in cancer or is that a societal decision
Gary: maybe as we become more specific with precision medicines high prices may be a result of our success in specifically targeting a mutation. We need to understand the targeted drugs and outcomes.
Patrick: “Cancer is the last big frontier” but he says prices will come down in most cases. He gives the example of Hep C treatment… the previous only therapeutic option was a very toxic yearlong treatment but the newer drugs may be more cost effective and safer
Steven: Our blockbuster drugs could diffuse the expense but now with precision we can’t diffuse the expense over a large number of patients
President’s Cancer Panel Recommendation
Six recommendations
promoting value based pricing
enabling communications of cost
financial toxicity
stimulate competition biosimilars
value based care
invest in biomedical research
Patrick: the government pricing regime is hurting. Alot of practical barriers but Merck has over 200 studies on cost basis
Robert: many concerns/impetus started in Europe on pricing as they are a set price model (EU won’t pay more than x for a drug). US is moving more to outcomes pricing. For every one health outcome study three studies did not show a benefit. With cancer it is tricky to establish specific health outcomes. Also Medicare gets best price status so needs to be a safe harbor for payers and biggest constraint is regulatory issues.
Steven: They all want value based pricing but we don’t have that yet and there is a challenge to understand the nuances of new therapies. Hard to align all the stakeholders together so until some legislation starts to change the reimbursement-clinic-patient-pharma obstacles. Possibly the big data efforts discussed here may help align each stakeholders goals.
Gary: What is the data necessary to understand what is happening to patients and until we have that information it still will be complicated to determine where investors in health care stand at in this discussion
Robert: on an ICER methods advisory board: 1) great concern of costs how do we determine fair value of drug 2) ICER is only game in town, other orgs only give recommendations 3) ICER evaluates long term value (cost per quality year of life), budget impact (will people go bankrupt)
4) ICER getting traction in the public eye and advocates 5) the problem is ICER not ready for prime time as evidence keeps changing or are they keeping the societal factors in mind and they don’t have total transparancy in their methodology
Steven: We need more transparency into all the costs associated with the drug and therapy and value-based outcome. Right now price is more of a black box.
Moderator: pointed to a recent study which showed that outpatient costs are going down while hospital based care cost is going rapidly up (cost of site of care) so we need to figure out how to get people into lower cost setting
Breaking Down Silos in Research
“Silo” is healthcare’s four-letter word. How are researchers, life science companies and others sharing information that can benefit patients more quickly? Hear from experts at institutions that are striving to tear down the walls that prevent data from flowing.
Moderator:Vini Jolly, Executive Director, Woodside Capital Partners Speakers: Ardy Arianpour, CEO & Co-Founder, Seqster @seqster Lauren Becnel, Ph.D., Real World Data Lead for Oncology, Pfizer Rakesh Mathew, Innovation, Research, & Development Lead, HealthShareExchange David Nace M.D., Chief Medical Officer, Innovaccer
Seqster: Seqster is a secure platform that helps you and your family manage medical records, DNA, fitness, and nutrition data—all in one place. Founder has a genomic sequencing background but realized sequence information needs to be linked with medical records.
HealthShare Exchange envisions a trusted community of healthcare stakeholders collaborating to deliver better care to consumers in the greater Philadelphia region. HealthShare Exchange will provide secure access to health information to enable preventive and cost-effective care; improve quality of patient care; and facilitate care transitions. They have partnered with multiple players in healthcare field and have data on over 7 million patients.
Data can be overwhelming, but it doesn’t have to be this way. To drive healthcare efficiency, we designed a modular suite of products for a smooth transition into a data-driven world within 4 weeks. Why does it take so much money to move data around and so slowly?
What is interoperatibility?
Ardy: We knew in genomics field how to build algorithms to analyze big data but how do we expand this from a consumer standpoint and see and share your data.
Lauren: how can we use the data between patients, doctors, researchers? On the research side genomics represent only 2% of data. Silos are one issue but figuring out the standards for data (collection, curation, analysis) is not set. Still need to improve semantic interoperability. For example Flatiron had good annotated data on male metastatic breast cancer.
David: Technical interopatabliltiy (platform), semantic interopatability (meaning or word usage), format (syntactic) interopatibility (data structure). There is technical interoperatiblity between health system but some semantic but formats are all different (pharmacies use different systems and write different prescriptions using different suppliers). In any value based contract this problem is a big issue now (we are going to pay you based on the quality of your performance then there is big need to coordinate across platforms). We can solve it by bringing data in real time in one place and use mapping to integrate the format (need quality control) then need to make the data democratized among players.
Rakesh: Patients data should follow the patient. Of Philadelphia’s 12 health systems we had a challenge to make data interoperatable among them so tdhey said to providers don’t use portals and made sure hospitals were sending standardized data. Health care data is complex.
David: 80% of clinical data is noise. For example most eMedical Records are text. Another problem is defining a patient identifier which US does not believe in.
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Live Conference Coverage Medcity Converge 2018 Philadelphia: Clinical Trials and Mega Health Mergers
Reporter: Stephen J. Williams, PhD
1:30 – 2:15 PM Clinical Trials 2.0
The randomized, controlled clinical trial is the gold standard, but it may be time for a new model. How can patient networks and new technology be leveraged to boost clinical trial recruitment and manage clinical trials more efficiently?
Michele: Medable is creating a digital surrogate biomarker for short term end result for cardiology clinical trials as well as creating a virtual site clinical trial design (independent of geography)
Sameek: OSU is developing RNASeq tests for oncogenic fusions that are actionable
John: ability to use various technologies to conduct telehealth and tele-trials. So why are we talking about Clinical Trials 2.0?
Andrew: We are not meeting many patients needs. The provider also have a workload that prevents from the efficient running of a clinical trial.
Michele: Personalized medicine: what is the framework how we conduct clinical trials in this new paradigm?
Sameek: How do we find those rare patients outside of a health network? A fragmented health system is hurting patient recruitment efforts.
Wout: The Christmas Tree paradigm: collecting data points based on previous studies may lead to unnecessary criteria for patient recruitment
Sameek: OSU has a cancer network (Orion) that has 95% success rate of recruitment. Over Orion network sequencing performed at $10,000 per patient, cost reimbursed through network. Network helps pharma companies find patients and patients to find drugs
Wout: reaching out to different stakeholders
John: what he sees in 2.0 is use of tech. They took 12 clinic business but they integrated these sites and was able to benefit patient experience… this helped in recruitment into trials. Now after a patient is recruited, how 2.0 model works?
Sameek: since we work with pharma companies, what if we bring in patients from all over the US. how do we continue to take care of them?
Andrew: utilizing a technology is critically important for tele-health to work and for tele-clinical trials to work
Michele: the utilization of tele-health by patients is rather low.
Wout: We are looking for insights into the data. So we are concentrated on collecting the data and not decision trees.
John: What is a barrier to driving Clinical Trial 2.0?
Andrew: The complexity is a barrier to the patient. Need to show the simplicity of this. Need to match trials within a system.
Saleem: Data sharing incentives might not be there or the value not recognized by all players. And it is hard to figure out how to share the data in the most efficient way.
Wout: Key issue when think locally and act globally but healthcare is the inverse of this as there are so many stakeholders but that adoption by all stakeholders take time
Michele: accessibility of healthcare data by patients is revolutionary. The medical training in US does not train doctors in communicating a value of a trial
John: we are in a value-driven economy. You have to give alot to get something in this economy. Final comments?
Saleem: we need fundamental research on the validity of clinical trials 2.0.
Wout: Use tools to mine manually but don’t do everything manually, not underlying tasks
Andrew: Show value to patient
2:20-3:00 PM CONVERGEnce on Steroids: Why Comcast and Independence Blue Cross?
This year has seen a great deal of convergence in health care. One of the most innovative collaborations announced was that of Cable and Media giant Comcast Corporation and health plan Independence Blue Cross. This fireside chat will explore what the joint venture is all about, the backstory of how this unlikely partnership came to be, and what it might mean for our industry.
Moderator:Tom Olenzak, Managing Director Strategic Innovation Portfolio, Independence Blue Cross @IBX Speakers: Marc Siry, VP, Strategic Development, Comcast Michael Vennera, SVP, Chief Information Officer, Independence Blue Cross
Comcast and Independence Blue Cross Blue Shield are teaming together to form an independent health firm to bring various players in healthcare onto a platform to give people a clear path to manage their healthcare. Its not just about a payer and information system but an ecosystem within Philadelphia and over the nation.
Michael: About 2015 at a health innovation conference they came together to produce a demo on how they envision the future of healthcare.
Marc: When we think of a customer we think of the household. So we thought about aggregating services to people in health. How do people interact with their healthcare system?
What are the risks for bringing this vision to reality?
Michael: Key to experience is how to connect consumer to caregiver.
How do we aggregate the data, and present it in a way to consumer where it is actionable?
How do we help the patient to know where to go next?
Marc: Concept of ubiquity, not just the app, nor asking the provider to ask patient to download the app and use it but use our platform to expand it over all forms of media. They did a study with an insurer with metabolic syndrome and people’s viewing habits. So when you can combine the expertise of IBX and the scale of a Comcast platform you can provide great amount of usable data.
Michael: Analytics will be a prime importance of the venture.
Tom: We look at lots of companies that try to pitch technologies but they dont understand healthcare is a human problem not a tech problem. What have you learned?
Marc: Adoption rate of new tech by doctors is very low as they are very busy. Understanding the clinicians workflow is important and how to not disrupt their workflow was humbling for us.
Michael: The speed at which big tech companies can integrate and innovate new technologies is very rapid, something we did not understand. We want to get this off the ground locally but want to take this solution national and globally.
Marc: We are not in competition with local startups but we are looking to work with them to build scale and operability so startups need to show how they can scale up. This joint venture is designed to look at these ideas. However this will take a while before we open up the ecosystem until we can see how they would add value. There are also challenges with small companies working with large organizations.
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