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Confidential
Companion Diagnostics Overview
Approximately 30 applications in clinical use today
► Usually involve the assessment of a single gene or protein
► Lab platforms include molecular biology, immunohistochemistry,
FISH and cell-based assays
Majority of CDx applications in Oncology
► Expansion of applications beyond Oncology
Considerations for CDx development earlier
in the drug development process
► Involvement in early clinical development process
New technologies and applications
► Liquid biopsy (CTC, cfDNA); Next Generation Sequencing (NGS);
Gene Expression Profiling (GEP)
Challenges have included:
► Timing of diagnostic and therapy development processes;
Adoption rate of CDx assays; Value based reimbursement
| The Role of Biomarkers, Companion and Complementary Diagnostics to Support Immuno-Oncology Trials, October 5, 20162
Confidential
Animal and Cell
Models
Mechanism of
Action
Immuno-toxicology
Market Access
Patient Data
Central Labs &
Specialty Labs
Alliance
Management
Companion
Diagnostics
MarketplaceInvestigator Quality
Clinical Monitoring
Trial
Experience
Health
Economics
Biomarkers
Competition
vs
Collaboration
Trial Design &
Execution
SafetyPreclinical
Immuno-Oncology Drug Development
REQUIRES UNIQUE AND COMPREHENSIVE SOLUTIONS
Key
Immuno-
Oncology
Features
3
Confidential
Companion vs Complementary
Dx Assays
UTILIZATION AND CLIENT ORDERING TRENDS
Client orders 22C3 Client orders 28-8
16%
84%
% Specimens
22C3 28-8
| The Role of Biomarkers, Companion and Complementary Diagnostics to Support Immuno-Oncology Trials, October 5, 20164
Confidential
Genomics of Lung Adenocarcinoma -
Targeted DNA Sequence Analysis
KRAS
22%
EGFR
15%
AKT1
1%
ALK
3%
BRAF
2%
DDR2
4%
FGFR1
10%
HER2
2%
MEK1
1%
MET
3%
NRAS1
1%
PIK3CA
2%
PTEN
5%
RET
1%
ROS
2%
Unknown
26%
Spectrum of Mutations Number of Mutations/Sample
36%
| The Role of Biomarkers, Companion and Complementary Diagnostics to Support Immuno-Oncology Trials, October 5, 20165
External Data
Copyright © 2016 Honeycomb Worldwide Inc.
Click here to watch the
complete webinar:
or
Click here for more information on this presentation:
http://xtalks.com/biomarkers-and-companion-complementary-diagnostics.ashx
POWERED BY HONEYCOMB
Copyright © 2016 Honeycomb Worldwide Inc.

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The Role of Biomarkers and Companion / Complementary Diagnostics in Immuno-Oncology Trials

  • 1.
  • 2. Confidential Companion Diagnostics Overview Approximately 30 applications in clinical use today ► Usually involve the assessment of a single gene or protein ► Lab platforms include molecular biology, immunohistochemistry, FISH and cell-based assays Majority of CDx applications in Oncology ► Expansion of applications beyond Oncology Considerations for CDx development earlier in the drug development process ► Involvement in early clinical development process New technologies and applications ► Liquid biopsy (CTC, cfDNA); Next Generation Sequencing (NGS); Gene Expression Profiling (GEP) Challenges have included: ► Timing of diagnostic and therapy development processes; Adoption rate of CDx assays; Value based reimbursement | The Role of Biomarkers, Companion and Complementary Diagnostics to Support Immuno-Oncology Trials, October 5, 20162
  • 3. Confidential Animal and Cell Models Mechanism of Action Immuno-toxicology Market Access Patient Data Central Labs & Specialty Labs Alliance Management Companion Diagnostics MarketplaceInvestigator Quality Clinical Monitoring Trial Experience Health Economics Biomarkers Competition vs Collaboration Trial Design & Execution SafetyPreclinical Immuno-Oncology Drug Development REQUIRES UNIQUE AND COMPREHENSIVE SOLUTIONS Key Immuno- Oncology Features 3
  • 4. Confidential Companion vs Complementary Dx Assays UTILIZATION AND CLIENT ORDERING TRENDS Client orders 22C3 Client orders 28-8 16% 84% % Specimens 22C3 28-8 | The Role of Biomarkers, Companion and Complementary Diagnostics to Support Immuno-Oncology Trials, October 5, 20164
  • 5. Confidential Genomics of Lung Adenocarcinoma - Targeted DNA Sequence Analysis KRAS 22% EGFR 15% AKT1 1% ALK 3% BRAF 2% DDR2 4% FGFR1 10% HER2 2% MEK1 1% MET 3% NRAS1 1% PIK3CA 2% PTEN 5% RET 1% ROS 2% Unknown 26% Spectrum of Mutations Number of Mutations/Sample 36% | The Role of Biomarkers, Companion and Complementary Diagnostics to Support Immuno-Oncology Trials, October 5, 20165 External Data
  • 6. Copyright © 2016 Honeycomb Worldwide Inc. Click here to watch the complete webinar: or Click here for more information on this presentation: http://xtalks.com/biomarkers-and-companion-complementary-diagnostics.ashx POWERED BY HONEYCOMB Copyright © 2016 Honeycomb Worldwide Inc.