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“The   world’s local central lab. Global
        reach. Local expertise.”




                                           1
LabConnect Overview
• Global laboratory services
  organization supporting studies
  across six continents
• Central laboratory services
   – Worldwide testing for clinical
     studies
   – Project and data management
                                               QuickTime™ and a
                                                 decompressor




   – Supplies and logistics
                                         are needed to see this picture.




• Specialized laboratory services
   – Leverage network to design
     solutions to match client needs
   – Focus on specialized analysis and
     external R&D project management



                                                                           2
LabConnect Overview-
     Experience

           • Approximately 340
             contracted studies
             since company’s
             inception in late 2002.
           • 80-90 new projects
             per year.
           • Diverse client base
           • Customized service
             solutions
           • Comprehensive
             Laboratory Project
             Management
           • Client Service/Follow
             Up/Flexibility
                                     3
Organizational Design

• Foundation Concepts- Business Model
   – Service Orientation (Project
     Management, Data Delivery, Site
     Support)
   – Geographic Reach
   – Analytical Diversity

• LabConnect study support team
   – Conduct all pre/post analytical
     functions.
   – Project management
   – Data management
   – Reporting
   – Logistic and supply coordination
   – Training and site support

• Worldwide network of laboratories
  selected for their clinical research
  experience, geographic locations and
  analytical expertise.                  4
Global Locations
Central Laboratory Locations-Primary

•   North America-Johnson City, TN
•   Europe-Gdansk, Poland
•   Asia-Mumbai, India
•   Asia-Guangzhou, China

Central Laboratory Locations-Regional

•   Europe-Bucharest, Romania
•   Europe-Kiev, Ukraine
•   Europe-Minsk, Belarus
•   Europe-Tbilisi, Georgia
•   Asia-Seoul, South Korea
•   Asia-Tel Aviv, Israel
•   Asia-Istanbul, Turkey
•   Africa- Cape Town, SA
•   Australia-Melbourne
•   Australia-Sydney
•   South America-Buenos Aires

Specialized Laboratories (15 labs)

• Platform expertise
• Therapeutic area
• Analysis category

Corporate Offices
• Seattle, WA




                                                        5
Analytical Capabilities

          • Routine and Specialized Laboratory
            Testing
          • Molecular Diagnostics
          • Oncology
               • Flow Cytometry
               • Molecular Oncology
               • Immunohistochemistry
               • Cytogenetics
               • Circulating Tumor Cells
          • Microbiology
          • Multiplex Assay
          • ELISA
          • Analytical Chemistry
          • Immunoassays
          • Immunogenicity assays
          • Method Development Services
          • Anatomic Pathology
          • Biostorage
                                           6
Network Standards and
  Harmonization
         • Participating Laboratories
           all have region specific
           accreditations including
           CAP, CLIA, ISO 17025
         • Proficiency testing
         • Track record of
           successful audits by
           Sponsors and CRO’s


         • Qualification Process
         • Internal audits
         • Intra-laboratory
           comparison studies
Experience by Therapeutic
         Area
                   Women's Health            Cardiology
                       6%                       9%

                                                                  CNS
                                                                  11%
 Oncology
   23%




                                                                           Dermatology
                                                                              16%




            Misc                                               Endocrinology
            20%                                           GI        4%
                                    Infectious Disease    4%
                                            8%
Competitive Advantages

• Custom service plans for each project
• Coordination of all laboratory requirements
   – Routine
   – Esoteric
   – Biomarker
   – Pharmacogenomic
   – Pharmacokinetics
   – Bio-storage
• Analytical expertise
   – Selected for your project
   – Available across the globe
• Innovative and flexible reporting technologies
• Service focused organization
• Regional expertise


                                                   9
Central Lab Services
• Project Management
• Investigator Site Support
• Specimen Collection and
  Transport Supplies
• Logistics
• Reporting-ClinReach™
   o Fax/Email/VPN/Web
   o TAT-Day of receipt
• Data Management
• Specimen Tracking and
  Management
• Worldwide Biostorage


                              10
Specialized Services Support

• Combines Scientific Project Management
  expertise with LabConnect network and
  infrastructure
• Broad base of analytical capabilities and
  experience within network
• Assay Development
• Integration with LabConnect Project Management
  and Project Support




                                              11
Project Management

• A Project Manager will be assigned to your study

• For global studies, regional project teams will
  support each unique geographic region

• The Project Manager
   – Establish the standards for study documents
   – Coordinate activities across LabConnect
     Network
   – Provide ongoing support to your project
      • Participate in project team meetings
      • Monitor results and investigator site
        compliance
      • Ensure that deliverable dates are met.
                                                     12
LabConnect Project Management
Coordination of Full Spectrum of Laboratory
       Services across Network



   Specimen                        Full Coordination of
                   Routine
   Tracking
                   Testing       Data Management

                                 Kits

                                 Logistics

                                 Training Materials

                                 Sample Management
  Bioanalytical    Esoteric
     Testing       Testing       Ongoing Site Support




                                                      13
Study Start Up

– Complete-”Statement of
  Work” (SOW)
– Study set up
    • Investigator Manual
    • LIS/IT Validation
    • Test Data Transfer
    • Requisitions
    • Kits to Sites
– On average, initial
  shipments are delivered to
  sites within four to six
  weeks after SOW is
  completed.
                               14
Investigator Site Support

• Training
   –Investigator Meetings
       • Off Site
       • Web-based
   – Comprehensive
   Laboratory Manual
• Telephonic and email
  access to site support
• Employee compensation
  is tied to investigator site
  satisfaction


                                 15
Investigator Site Survey Results
                                   (Cumulative through September 2010)




                                       ACM   Covance   ICON   LabConnect LabCorp   Quest   Quintiles   Other


                                        %      %        %         %         %       %         %         %
Best Client Service Staff Total        3%     39%      10%       44%       5%      14%       14%       12%
Best Courier Service Total             3%     36%      11%       33%       6%      26%       16%       17%
Best Lab Kits Total                    5%     41%      14%       39%       4%      13%       18%       18%
Best Lab Reports Total                 4%     37%      10%       41%       7%      17%       16%       11%
Best Lab Requisition Forms Total       3%     40%      10%       38%       5%      16%       18%        4%
Best Study Training & Manuals Total    3%     39%      12%       36%       5%      17%       20%       12%
Best Overall Service Total             3%     37%      9%        41%       4%      16%       13%       10%




                                                                                                       16
Custom Collection/Transport Supplies
 • Kits are custom designed by Project Management to
   meet your specific requirements
 • Each collection kit comes contained within the return
   shipper.
 • Tubes are pre-labeled to minimize errors
 • Pre-printed shipping labels
 • Kits are study/site/visit specific
 • Resupply requests will be fulfilled within 3-5 business
   days




                                                             17
Custom Collection/Transport Supplies




                                       18
Custom Collection/Transport Supplies




                                   19
Custom Collection/Transport Supplies




                                       20
Reporting-LabREACH Technology

• Reports Include:
   – Abnormal and Flag
     Alerts
   – Historical values for
     out of range results
   – Custom
     calculations/reports

• Same Day Delivery
  via LabREACH™:
   – LabREACH™ Suite
      • Direct
      • Online
      • AutoFax
      • Email                 21
Web-Based Reporting




Subject results are reported in tabular format with
several visits displayed at one time
Results are color coded for easy identification of
“out of range” or critical values                    22
Trending Reports




                   23
Trending Reports




                   24
Trending Reports




                   25
Trending Reports




                   26
Data Management

The delivery of clean data throughout
 your study is achieved through the
 execution of basic processes.
• Requisition Slips
   – Have easy to follow instructions
   – Protocol/Site/Visit specific
   – Bar-coded Accession Number
• Pre-labeled collection tubes
• Automated order entry system




                                        27
Data Management/Data
              Delivery

• Real time resolution of specimen, requisition, and
  demographic inconsistencies.
• Project Management and/or Investigator Services
  will notify the site to resolve.
• Daily order entry QC reports and resolution
• Data can be transmitted according to your pre-
  defined schedule, monthly transfer is standard.
• ASCII and CDISC data formats standard




                                                    28
Specimen Logistics

        Samples will be delivered from the
     sites to the laboratory within 24-36
     hours

       FedEx and DHL are primary couriers

       Dry ice can be provided to the sites
     should they require.

      Delivery times will be monitored and
     corrective action taken as needed

       If needed, dry runs will be conducted
     to determine transport times and aid in
     courier selection
                                              29
Sample Tracking and
   Management

        • LabConnect offers
          comprehensive menu
          specimen management
          services.

           •   Tracking
           •   Identification
           •   Management
           •   Storage




                                30
Current challenges in sample
             tracking

• Increase in esoteric testing requires more
  detailed sample management
• Difficult to get comprehensive sample
  reconciliation during on-going clinical trial
   – Sample tracking is often done manually by clinical
     operations group, requires extra man hours and
     results in higher error rate
• Limited visibility at sites
   – Specimens can sit at sites for extended periods
   – No visibility until samples are shipped/received at
     a lab
   – Difficult to catch problems at a resolvable stage
• Hard to monitor sample quality
• Difficult to identify samples in system based on
  clinical criteria
There are gaps in current sample
                       tracking systems


                                             Lab 1

                                                             Client or
     Sites              Central lab          Lab 2
                                                             storage

                                             Lab 3



     Samples are not              Labs (academia or           Difficult to reconcile
 monitored until they are     specialized labs) frequently   multiple outputs from
received at a lab or by the     do not have automated         different locations.
          client.                sample management           Increased error rate.
                                      capabilities
LabConnect sample tracking
                   system

                                   Lab 1

                                                   Client or
Sites           LabConnect         Lab 2
                                                   storage

                                   Lab 3




                             Database


Digital pen technology and data integration tools allows instant
  access to sample information and comprehensive real time
                       sample tracking.
Digital pen technology allows
                  increased visibility without
                       changing behavior
                 1            2                    3                4
                                                 Sample            Lab receives
             Sample                                              sample and enters
            Collection                           shipped
                                                                    into LIMS
                             Site
                         documentation


                                                    Sample
                                                    stored,
Site personnel
                                                   batched
                                                 shipped later




                     Digital pen captures site
                     documentation instantly,
                      importing to database
Integration of various sample data
                          files

                csv, excel,
 Sites         xml, ascii, txt




 Labs           csv, excel,
               xml, ascii, txt   DB


                                        • Canned queries
                csv, excel,                  • Reports
Storage
               xml, ascii, txt        • Ask questions about
                                            the samples
                                               • Filter
                                             • Search
Case study: Sample tracking solution for large
                    pharma company

                              Lab1
  Sample
   types:                     Lab2
   Tumor Sites                                       Client lab
 Cell pellet                  Lab3
    Skin
    CTC                       Lab4                Client storage
    Hair
   Blood                      Lab5
  Serum
Plasma- 16
  aliquots
      Samples being tracked manually, by multiple people
       Data was inconsistent, full of errors, not complete
                   Samples were unaccounted for
        Difficult to determine number of missing samples
LabConnect System Benefits

• Real time tracking, starting at the time of collection
• Instant accessioning
• Better control on shipping logistics
• Fast identification and correction of queries/issues
• Multiple user web access (smart phone application
  available)
• Customizable reports
• Solid chain of custody
• Yields documented quality sample management and
  saves time



                                                      37
www.labconnectllc.com




                        38

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Lab Connect Overview.2011 03 29

  • 1. “The world’s local central lab. Global reach. Local expertise.” 1
  • 2. LabConnect Overview • Global laboratory services organization supporting studies across six continents • Central laboratory services – Worldwide testing for clinical studies – Project and data management QuickTime™ and a decompressor – Supplies and logistics are needed to see this picture. • Specialized laboratory services – Leverage network to design solutions to match client needs – Focus on specialized analysis and external R&D project management 2
  • 3. LabConnect Overview- Experience • Approximately 340 contracted studies since company’s inception in late 2002. • 80-90 new projects per year. • Diverse client base • Customized service solutions • Comprehensive Laboratory Project Management • Client Service/Follow Up/Flexibility 3
  • 4. Organizational Design • Foundation Concepts- Business Model – Service Orientation (Project Management, Data Delivery, Site Support) – Geographic Reach – Analytical Diversity • LabConnect study support team – Conduct all pre/post analytical functions. – Project management – Data management – Reporting – Logistic and supply coordination – Training and site support • Worldwide network of laboratories selected for their clinical research experience, geographic locations and analytical expertise. 4
  • 5. Global Locations Central Laboratory Locations-Primary • North America-Johnson City, TN • Europe-Gdansk, Poland • Asia-Mumbai, India • Asia-Guangzhou, China Central Laboratory Locations-Regional • Europe-Bucharest, Romania • Europe-Kiev, Ukraine • Europe-Minsk, Belarus • Europe-Tbilisi, Georgia • Asia-Seoul, South Korea • Asia-Tel Aviv, Israel • Asia-Istanbul, Turkey • Africa- Cape Town, SA • Australia-Melbourne • Australia-Sydney • South America-Buenos Aires Specialized Laboratories (15 labs) • Platform expertise • Therapeutic area • Analysis category Corporate Offices • Seattle, WA 5
  • 6. Analytical Capabilities • Routine and Specialized Laboratory Testing • Molecular Diagnostics • Oncology • Flow Cytometry • Molecular Oncology • Immunohistochemistry • Cytogenetics • Circulating Tumor Cells • Microbiology • Multiplex Assay • ELISA • Analytical Chemistry • Immunoassays • Immunogenicity assays • Method Development Services • Anatomic Pathology • Biostorage 6
  • 7. Network Standards and Harmonization • Participating Laboratories all have region specific accreditations including CAP, CLIA, ISO 17025 • Proficiency testing • Track record of successful audits by Sponsors and CRO’s • Qualification Process • Internal audits • Intra-laboratory comparison studies
  • 8. Experience by Therapeutic Area Women's Health Cardiology 6% 9% CNS 11% Oncology 23% Dermatology 16% Misc Endocrinology 20% GI 4% Infectious Disease 4% 8%
  • 9. Competitive Advantages • Custom service plans for each project • Coordination of all laboratory requirements – Routine – Esoteric – Biomarker – Pharmacogenomic – Pharmacokinetics – Bio-storage • Analytical expertise – Selected for your project – Available across the globe • Innovative and flexible reporting technologies • Service focused organization • Regional expertise 9
  • 10. Central Lab Services • Project Management • Investigator Site Support • Specimen Collection and Transport Supplies • Logistics • Reporting-ClinReach™ o Fax/Email/VPN/Web o TAT-Day of receipt • Data Management • Specimen Tracking and Management • Worldwide Biostorage 10
  • 11. Specialized Services Support • Combines Scientific Project Management expertise with LabConnect network and infrastructure • Broad base of analytical capabilities and experience within network • Assay Development • Integration with LabConnect Project Management and Project Support 11
  • 12. Project Management • A Project Manager will be assigned to your study • For global studies, regional project teams will support each unique geographic region • The Project Manager – Establish the standards for study documents – Coordinate activities across LabConnect Network – Provide ongoing support to your project • Participate in project team meetings • Monitor results and investigator site compliance • Ensure that deliverable dates are met. 12
  • 13. LabConnect Project Management Coordination of Full Spectrum of Laboratory Services across Network Specimen Full Coordination of Routine Tracking Testing Data Management Kits Logistics Training Materials Sample Management Bioanalytical Esoteric Testing Testing Ongoing Site Support 13
  • 14. Study Start Up – Complete-”Statement of Work” (SOW) – Study set up • Investigator Manual • LIS/IT Validation • Test Data Transfer • Requisitions • Kits to Sites – On average, initial shipments are delivered to sites within four to six weeks after SOW is completed. 14
  • 15. Investigator Site Support • Training –Investigator Meetings • Off Site • Web-based – Comprehensive Laboratory Manual • Telephonic and email access to site support • Employee compensation is tied to investigator site satisfaction 15
  • 16. Investigator Site Survey Results (Cumulative through September 2010) ACM Covance ICON LabConnect LabCorp Quest Quintiles Other % % % % % % % % Best Client Service Staff Total 3% 39% 10% 44% 5% 14% 14% 12% Best Courier Service Total 3% 36% 11% 33% 6% 26% 16% 17% Best Lab Kits Total 5% 41% 14% 39% 4% 13% 18% 18% Best Lab Reports Total 4% 37% 10% 41% 7% 17% 16% 11% Best Lab Requisition Forms Total 3% 40% 10% 38% 5% 16% 18% 4% Best Study Training & Manuals Total 3% 39% 12% 36% 5% 17% 20% 12% Best Overall Service Total 3% 37% 9% 41% 4% 16% 13% 10% 16
  • 17. Custom Collection/Transport Supplies • Kits are custom designed by Project Management to meet your specific requirements • Each collection kit comes contained within the return shipper. • Tubes are pre-labeled to minimize errors • Pre-printed shipping labels • Kits are study/site/visit specific • Resupply requests will be fulfilled within 3-5 business days 17
  • 21. Reporting-LabREACH Technology • Reports Include: – Abnormal and Flag Alerts – Historical values for out of range results – Custom calculations/reports • Same Day Delivery via LabREACH™: – LabREACH™ Suite • Direct • Online • AutoFax • Email 21
  • 22. Web-Based Reporting Subject results are reported in tabular format with several visits displayed at one time Results are color coded for easy identification of “out of range” or critical values 22
  • 27. Data Management The delivery of clean data throughout your study is achieved through the execution of basic processes. • Requisition Slips – Have easy to follow instructions – Protocol/Site/Visit specific – Bar-coded Accession Number • Pre-labeled collection tubes • Automated order entry system 27
  • 28. Data Management/Data Delivery • Real time resolution of specimen, requisition, and demographic inconsistencies. • Project Management and/or Investigator Services will notify the site to resolve. • Daily order entry QC reports and resolution • Data can be transmitted according to your pre- defined schedule, monthly transfer is standard. • ASCII and CDISC data formats standard 28
  • 29. Specimen Logistics Samples will be delivered from the sites to the laboratory within 24-36 hours FedEx and DHL are primary couriers Dry ice can be provided to the sites should they require. Delivery times will be monitored and corrective action taken as needed If needed, dry runs will be conducted to determine transport times and aid in courier selection 29
  • 30. Sample Tracking and Management • LabConnect offers comprehensive menu specimen management services. • Tracking • Identification • Management • Storage 30
  • 31. Current challenges in sample tracking • Increase in esoteric testing requires more detailed sample management • Difficult to get comprehensive sample reconciliation during on-going clinical trial – Sample tracking is often done manually by clinical operations group, requires extra man hours and results in higher error rate • Limited visibility at sites – Specimens can sit at sites for extended periods – No visibility until samples are shipped/received at a lab – Difficult to catch problems at a resolvable stage • Hard to monitor sample quality • Difficult to identify samples in system based on clinical criteria
  • 32. There are gaps in current sample tracking systems Lab 1 Client or Sites Central lab Lab 2 storage Lab 3 Samples are not Labs (academia or Difficult to reconcile monitored until they are specialized labs) frequently multiple outputs from received at a lab or by the do not have automated different locations. client. sample management Increased error rate. capabilities
  • 33. LabConnect sample tracking system Lab 1 Client or Sites LabConnect Lab 2 storage Lab 3 Database Digital pen technology and data integration tools allows instant access to sample information and comprehensive real time sample tracking.
  • 34. Digital pen technology allows increased visibility without changing behavior 1 2 3 4 Sample Lab receives Sample sample and enters Collection shipped into LIMS Site documentation Sample stored, Site personnel batched shipped later Digital pen captures site documentation instantly, importing to database
  • 35. Integration of various sample data files csv, excel, Sites xml, ascii, txt Labs csv, excel, xml, ascii, txt DB • Canned queries csv, excel, • Reports Storage xml, ascii, txt • Ask questions about the samples • Filter • Search
  • 36. Case study: Sample tracking solution for large pharma company Lab1 Sample types: Lab2 Tumor Sites Client lab Cell pellet Lab3 Skin CTC Lab4 Client storage Hair Blood Lab5 Serum Plasma- 16 aliquots  Samples being tracked manually, by multiple people  Data was inconsistent, full of errors, not complete  Samples were unaccounted for  Difficult to determine number of missing samples
  • 37. LabConnect System Benefits • Real time tracking, starting at the time of collection • Instant accessioning • Better control on shipping logistics • Fast identification and correction of queries/issues • Multiple user web access (smart phone application available) • Customizable reports • Solid chain of custody • Yields documented quality sample management and saves time 37

Notes de l'éditeur

  1. Add in some bullet points in previous slide… sites are manually tracking, no oversight, samples are sitting at site for unknown amounts of time, etc.