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InnVentis From Big DATA to Precision Medicine ? Toward Precision Medicine: Building a Knowledge Network for Biomedical Research and a New Taxonomy of Disease Committee on a Framework for Development a New Taxonomy of Disease Preparing for Precision Medicine World Economic Forum November 2012 By 2020, four out of every five drugs launched will be Precision Medicine drugs Precision Medicine © Dr. Thomas Wilckens, InnVentis

Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrición y la biotecnología

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Page 1: Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrición y la biotecnología

InnVentis

From Big DATA to

Precision Medicine ?Toward Precision Medicine: Building a Knowledge Network for Biomedical Research and a New Taxonomy of Disease Committee on a Framework for Development a New Taxonomy of Disease

Preparing for Precision Medicine World Economic Forum November 2012

By 2020, four out of every five drugs launched will be Precision Medicine drugs

The precision medicine revolution: Targeted treatment zeros in on disease; GE Look ahead 2013

Precision Medicine © Dr. Thomas Wilckens, InnVentis

Page 2: Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrición y la biotecnología

InnVentis

Precision Medicine - Paradigm Shift

Symptom-based Cohort-based Algorithm-based

Yesterday

Intuition Medicine

Today

Evidence-based Medicine

Tomorrow

Precision Medicine

DATA

ACTI

ON

S

Application of rules, algorithms and reference databases enables ACTIONABLE clinical decision support & PRECISE/EFFICIENT care

Reference Databases (Rules &

Algorithms)

Personal Molecular

Profiles(PMP, multi-omics)

Molecular Imaging

Non-molecular content (waveforms)

Precision Medicine

(prevention, diagnosis, treatment)

MobileInformation

CommunicationTechnologies

Big DataAnalytics

Precision Medicine © Dr. Thomas Wilckens, InnVentis

Page 3: Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrición y la biotecnología

InnVentisFrom Big DATA to PRECISION MEDICINE:We need vertically integrared flagship projects

…Although grand in overall scope, precision medicine can succeed iteratively and likely can move forward only through pilot studies—some that will establish STANDARDS and

best practices and some that will be SCALABLE, illuminating routes toward larger and broader efforts..

K. Yamamoto, SCIENCE Translational Medicine August 2015:

Page 4: Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrición y la biotecnología

InnVentisDisrupting Biopharmaceutical R&D:The pressing need to improve R&D of Drug and Diagnostics

Broken drug discovery paradigm,not sustainable costs in R&D

Data overflow (*omics deluge)

No standards and SOPs: Garbage in – Garbage out

The Cost Of Creating A New Drug (up to) $5 Billion US-$, Pushing Big Pharma To Change 11/2013

"One of the biggest challenges in medicine and science today is how to interpret the vast amount of biological data we are generating... To make these data interpretable and clinically actionable will require new computational tools.”

Craig Venter 08/2014

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Page 5: Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrición y la biotecnología

InnVentis

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The SNYDEROME:Multi-omics, longitudinal mapping of one single person

20 different snapshots in 14-months 40,000 molecular parameters per blood

sample 50 Terabytes of data $2,000 each blood sample,

only reagents, not counting costs for analysis, staff, storage etc.

40 co-authors

Costs: 10M US$

Mike Snyder, CELL, Volume 148, Issue 6, p1293–1307, 16 March 2012 Precision Medicine © Dr. Thomas Wilckens, InnVentis

Page 6: Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrición y la biotecnología

InnVentis

InnVentis Ltd.Inflammation is a major driver of virtually every significant chronic human disease…

InnVentis develops products & services to enable the development of new drugs as well as precise diagnostics & treatment decisions

Value creation from multi-omics & machine learning

Page 7: Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrición y la biotecnología

InnVentisInflammation, a key driver of major chronic diseases

InnVentis 1st focus arthritis:

• Most Common Cause of Disability

• Affects all ages

• Cost in the U.S. $128 billion/year

Rheumatoid arthritis (RA)• 1% of the worldwide population

• Major impact on productivity

• U.S. $40 billion/year in the US

• Poorly diagnosed

• “Trial & Error” treatment decision

Page 8: Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrición y la biotecnología

InnVentis

Genome25.000 genes

Proteome1 million

Metabolome > 6000 SM

Microbiom1-3 % of

body mass

Existing knowledge ?

Big DATA

Pattern Discovery

Reference Database Machine learning

Algorithms

PersonalMolecular

Profile

Drug Molecular

Profile

Convergence of diagnostics with Big-Data & AI:Multi-omics create Personal Molecular Profile, PMP and Drug Molecular Profile

InnVentis creates & integrates standardized data in a proprietary analytics architecture.

Sample collection KIT

Page 9: Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrición y la biotecnología

InnVentis

105

data points

each sample

Treatment

RemissionHealthy

1 2 3 1514

Omics-derived PMP and DMP deciphered from few allow stratification of many into specific subgroups

approximately 15 measurements in 18months

InnVentis ‘ new paradigm: Intra-individual longitudinal multi-omics analysis replaces cohort based medicine

Disease onset

Page 10: Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrición y la biotecnología

InnVentis

Precision Medicine © Dr. Thomas Wilckens, InnVentis

Disease Drug 1

Molecular profiling of drug actions:Identifying responders with PMP and DMP

Drug 2 Drug 3 Remission

Page 11: Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrición y la biotecnología

InnVentis

Team & board comprises 350+ years industry experience:Success is about people

Leadership in ICT/Big DATA, diagnostics and biopharmaceutical R&D

invested 2000+ days in „sweat money“ & proprietary assets…

Page 12: Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrición y la biotecnología

InnVentis

Precision Medicine & Big DATA

[email protected]

InnVentis enabling

PRECISION MEDICINE

Disclaimer:This presentation is for educational purposes only. No copyright violations are intended.Distribution, also in part, for commercial purpose is illigal

?

Precision Medicine © Dr. Thomas Wilckens, InnVentis

Page 13: Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrición y la biotecnología

InnVentisGarbage in – Garbage out?Preclincial data

An analysis of past studies indicates that the cumulative (total) prevalence of irreproducible preclinical research exceeds 50%, resulting in approximately US$28,000,000,000 (US$28B)/year spent on preclinical research that is not reproducible—in the United States alone.

The Economics of Reproducibility in Preclinical Research, PLOS 2015

Page 14: Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrición y la biotecnología

InnVentis

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Nature Reviews Drug Discovery | 21 September 2015

Garbage in – Garbage out?Drug discovery

Tackling reproducibility in academic preclinical drug discovery

The reproducibility of biomedical research on novel drug targets has become suspect. Here, we highlight how drug discovery centres embedded in academic institutions, but with a translational imperative, can help address this reproducibility crisis.

Page 15: Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrición y la biotecnología

InnVentisGarbage in – Garbage out?Biomarker studies

Most biomarker discovery still takes place in government-funded university laboratories that are ill equipped to undertake the myriad procedures required for stringent biomarker profiling on the scale required to achieve the evidence needed to attract larger investment in clinical trials.

National Biomarker Development Alliance 9/2014

Page 16: Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrición y la biotecnología

InnVentisGarbage in – garbage out?Do Watson etc. create insight & value?

Nature 03 April 2013If a job is worth doing, it is worth doing twiceResearchers and funding agencies need to put a premium on ensuring that results are reproducible

How much existing „knowledge“ can be used, how?

Page 17: Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrición y la biotecnología

InnVentis

Standards and SOPs on the horizon to secure value today?The case for vertically integrated lean, fast pilot projects

Launch of a Transformative Health Care Initiative: The National Biomarker Development Alliance (NBDA) 1/2014

Problems with scientific researchHow science goes wrongScientific research has changed the world. Now it needs to change itself 10/2013

A sea of standards for omics data: sink or swim?JD Tenenbaum et. al. Am Med Inform Assoc, 09/2013

SOPs=

Value

Precision Medicine © Dr. Thomas Wilckens, InnVentis

Establishing data bases and algorithms requires highest comparability, validity & reliability

Page 18: Thomas Willkens-El impacto de las ciencias ómicas en la medicina, la nutrición y la biotecnología

InnVentisSelected questions:

• Are current methods for sample collection and biobanking aligned with hypersensitive *omics methods

• How much can you trust the sample handling procedures at academic or CRO sites?

• How can we validate machine/deep learning algorithms

• Others …….