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Fifth Annual<br />
Register by May 31 and Save up to $ 350!<br />
Moving Assays to the Clinic<br />
The Next Generation Dx Summit brings<br />
together all of the major players in the<br />
evolving areas of diagnostics<br />
Concurrent Programs<br />
August 20-21<br />
Enabling Point-of-Care Diagnostics<br />
Cancer Molecular Markers to Guide Therapy<br />
Companion Diagnostics:<br />
From Biomarker Validation to Regulatory Approval<br />
August 21-22<br />
Molecular Diagnostics for Infectious Disease<br />
Molecular Profiling of Circulating Tumor Cells<br />
Companion Diagnostics:<br />
Advancing Technologies and Winning Reimbursement<br />
Commercialization of Molecular Diagnostics<br />
Premier Sponsor<br />
August 20-22, 2013<br />
Hyatt Regency on Capitol Hill<br />
Washington, DC<br />
Plenary Keynote Discussion<br />
Perspectives on Evaluating Novel<br />
Diagnostics for Reimbursement<br />
Moderator:<br />
Andrew C. Fish<br />
Executive Director, AdvaMedDx<br />
Panelists:<br />
Elaine K. Jeter, M.D.<br />
J1 MolDx Medical Director, Palmetto GBA<br />
Lee H. New<strong>com</strong>er, M.D.<br />
Senior Vice President, Oncology, United Healthcare<br />
Dwight Denham, MBA<br />
Director, Clinical Research, Beckman Coulter, Inc.<br />
Aaron D. Bossler, M.D., Ph.D.<br />
Clinical Assoc. Prof., Dir., Mol. Pathology Lab and<br />
Mol. Genetic Pathology Fellowship Program, Univ.<br />
of Iowa Hospitals and Clinics and Co-Chair, AMP<br />
Economic Affairs Committee<br />
<strong>NextGenerationDx</strong>.<strong>com</strong>
Event-at-a-Glance<br />
Monday<br />
Tuesday AM<br />
Tuesday PM<br />
Wednesday AM<br />
Wednesday PM<br />
Thursday AM<br />
Thursday PM<br />
About the Summit<br />
Technological advances in next-generation diagnostics are driving growth and<br />
innovation in healthcare. Rapid and precise diagnosis is essential for personalized<br />
medicine and will change the way value is assessed and <strong>com</strong>pensated in the<br />
healthcare system. This meeting offers a <strong>com</strong>prehensive view of the changing<br />
landscape of diagnostics and brings together the key players in the field.<br />
The Next Generation Dx Summit (Enabling Point-of-Care Diagnostics, Cancer<br />
Molecular Markers to Guide Therapy, Molecular Diagnostics for Infectious Disease,<br />
Companion Diagnostics, Commercialization of Molecular Diagnostics, Molecular<br />
Profiling of Circulating Tumor Cells) is designed to bring together all of the major<br />
players in the evolving areas of diagnostics. This year, we have assembled an<br />
impressive faculty of speakers from industry, government, and leading academic<br />
institutions. This meeting will showcase improvements in technology research and<br />
development with an emphasis on applications in the clinic and <strong>com</strong>mercialization.<br />
Plan to hear what the industry leaders are saying about future market<br />
opportunities and network with your peers this August 20-22 in Washington, DC.<br />
Premier Sponsor<br />
Corporate Sponsors<br />
Enabling Point-of-Care<br />
Diagnostics<br />
Enabling Point-of-Care<br />
Diagnostics<br />
Enabling Point-of-Care<br />
Diagnostics<br />
Molecular Diagnostics for<br />
Infectious Disease<br />
Molecular Diagnostics for<br />
Infectious Disease<br />
Molecular Diagnostics for<br />
Infectious Disease<br />
2 | Next Generation Dx Summit<br />
Pre-Conference Short Courses*<br />
Cancer Molecular Markers<br />
to Guide Therapy<br />
Cancer Molecular Markers<br />
to Guide Therapy<br />
Cancer Molecular Markers<br />
to Guide Therapy<br />
Molecular Profiling of<br />
Circulating Tumor Cells<br />
Molecular Profiling of<br />
Circulating Tumor Cells<br />
Molecular Profiling of<br />
Circulating Tumor Cells<br />
Quanfying Healthcare<br />
Plenary Keynote Session<br />
Dinner Short Courses*<br />
Companion Diagnostics:<br />
Partnership Matters/<br />
Regulatory Approval<br />
Companion Diagnostics:<br />
Partnership Matters/<br />
Regulatory Approval<br />
Companion Diagnostics:<br />
Partnership Matters/<br />
Regulatory Approval<br />
Companion Diagnostics:<br />
Technologies/<br />
Reimbursement<br />
Companion Diagnostics:<br />
Technologies/<br />
Reimbursement<br />
Companion Diagnostics:<br />
Technologies/<br />
Reimbursement<br />
Cancer Molecular Markers<br />
to Guide Therapy<br />
Cancer Molecular Markers<br />
to Guide Therapy<br />
Cancer Molecular Markers<br />
to Guide Therapy<br />
Commercialization of<br />
Molecular Diagnostics<br />
Commercialization of<br />
Molecular Diagnostics<br />
Commercialization of<br />
Molecular Diagnostics<br />
*Separate Registration Required<br />
“The meeting was excellent, one<br />
of the best I have attended, and the<br />
standard of talks matched to the<br />
schedule across the board.”<br />
Vice President, Diagnostics, GlaxoSmithKline<br />
“Great conference! Most up-to-date<br />
data. Perfect amalgamation between<br />
industry, labs, clinicians and regulatory<br />
bodies. Highly re<strong>com</strong>mended!”<br />
Clinical Microbiology Fellow, NIH<br />
<strong>NextGenerationDx</strong>.<strong>com</strong>
Short Courses<br />
Monday, august 19<br />
MORNING SHORT COURSES<br />
9:00 am - 12:00 pm<br />
SC1 Over<strong>com</strong>ing Challenges of Working with FFPE Samples<br />
Moderator: P. Mickey Williams, Ph.D. (Contractor), Director of Molecular<br />
Characterization and Clinical Assay Development Laboratory (MoCha), Frederick<br />
National Laboratory for Cancer Research (tentative)<br />
Instructors: Helen M. Moore, Program Director, Biorepositories and<br />
Biospecimen Research Branch, NCI NIH<br />
Lynne Rainen, Ph.D., Principal Scientist, PreAnalytiX, BD<br />
Helen Y. Wu, Ph.D., Project Leader, Genomics and Oncology, Roche Molecular<br />
Systems<br />
Jason Lih, Ph.D. (Contractor), Principal Scientist, Molecular Characterization &<br />
Clinical Assay Development Laboratory, SAIC Frederick National Laboratory for<br />
Cancer Research, SAIC-Frederick<br />
• Non-formalin-based fixatives<br />
• Comparison of methods for preserving morphological, molecular, and protein<br />
biomarkers in tissue<br />
• Feasibility data from fine needle aspirates (FNA)<br />
• Assay development<br />
SC2 Latest Advances in<br />
TM<br />
Molecular Pathology<br />
Instructors: Jack H. Lichy, M.D., Ph.D., Chief, Pathology<br />
& Laboratory Medicine, VA Medical Center, Washington, D.C.<br />
Jennifer Morrissette, Ph.D., Director, Clinical Cancer Cytogenetics, University<br />
of Pennsylvania School of Medicine and The Children’s Hospital of Philadelphia<br />
Christopher D. Gocke, M.D., Associate Professor of Pathology and Oncology,<br />
Director of Hematology, Molecular Diagnostics, Johns Hopkins University<br />
School of Medicine<br />
• Introduction to molecular pathology methods<br />
• Molecular diagnostic cancer testing<br />
• Cytogenetic testing and microarray <strong>com</strong>parative genomic hybridization<br />
SC3 Clinical Studies for the Development of Evidence-Based<br />
Diagnostics<br />
Instructors: Catherine Schnabel, Ph.D., Vice President, Medical, Clinical &<br />
Regulatory Affairs, bioTheranostics, Inc.<br />
Brock Schroeder, Ph.D., Director, Medical & Scientific Affairs, bioTheranostics Inc.<br />
Development of a strong clinical program for diagnostic tests requires<br />
consideration and integration of key strategic drivers such as clinical adoption,<br />
reimbursement, & regulatory filing based on a proposed indication for use.<br />
In considering the appropriate use of new tests, clinicians and health care<br />
policymakers must consider the accuracy with which a test identifies a<br />
patient’s clinical status (clinical validity), the risks and benefits resulting from<br />
test use (clinical utility), and the medical value of the test (health economics/<br />
out<strong>com</strong>es). This workshop will provide a basic framework for establishing<br />
<strong>com</strong>prehensive clinical evidence based on analytical validity, clinical validity,<br />
clinical utility, and health economics and effectiveness, and utilize a case study<br />
of the 92-gene assay, CancerTYPE ID to build these points.<br />
• Clinical study designs for biomarker research/Levels of evidence<br />
• Formulating clinical endpoints<br />
• Framework for clinical evidence<br />
• Data requirements for various stakeholders<br />
• Case study<br />
SC4 Technology Trends in the Emerging Exosomes Field<br />
Instructors: Enal Razvi, Ph.D., Biotechnology Analyst<br />
Hannah Mamuszka, Vice President, Business Development, Exosome<br />
Diagnostics<br />
Leonora Balaj, Ph.D., Research Fellow, Massachusetts General Hospital,<br />
Harvard Medical School<br />
• Challenges and opportunities in exosome research: Where are<br />
the bottlenecks?<br />
• Technology development in exosomes and microvesicles (EMVs)<br />
• Classes of EMV researchers<br />
• EMVs as potential biomarkers: Prognostic vs. predictive<br />
SC5 Clinical Assay Development<br />
Instructors: Barbara A. Conley, M.D., Associate Director, Cancer Diagnosis<br />
Program, Division of Cancer Treatment and Diagnosis, National Cancer Institute<br />
Andrea Ferreira-Gonzalez, Ph.D., Professor and Chair, Division of Molecular<br />
Diagnostics; Director, Molecular Diagnostics Laboratory, Department of<br />
Pathology, Virginia Commonwealth University<br />
Andrew Grupe, Ph.D., Senior Director, Pharmacogenomics, Celera/Quest<br />
Diagnostics<br />
Elaine Lyon, Ph.D., Medical Director, Molecular Genetics; Co-Medical Director,<br />
Pharmacogenomics, ARUP Laboratories; Associate Professor, University of<br />
Utah<br />
Gene Pennello, Ph.D., Team Leader, Division of Biostatistics, U.S. Food and<br />
Drug Administration<br />
• Assessment of the analytical and clinical performance of biomarker assays<br />
• Translating NGS applications from a research environment to a standardized<br />
test offering in a clinical reference laboratory<br />
• Providing clinical value beyond existing tests on traditional platforms<br />
• Infrastructure to interpret and report results<br />
• Consequences of hardware, software and reagent updates<br />
• Validation of laboratory-developed tests<br />
• NCI Clinical Assay Development Program<br />
AFTERNOON SHORT COURSES<br />
2:00 - 5:00 pm<br />
SC6 Circulating Tumor Cells and Cancer Stem Cells from Research<br />
to Clinic<br />
Moderator: Marek Malecki, M.D., Ph.D., President, Phoenix Biomolecular<br />
Engineering Foundation; Visiting Professor, University of Wisconsin, Madison<br />
Instructors: Minetta C. Liu, M.D., Associate Professor, Department of Oncology<br />
and Department of Laboratory Medicine and Pathology, Mayo Clinic Cancer<br />
Center<br />
Avraham Rasooly, Ph.D., Chief, Disparities Research Branch, NCI NIH<br />
Abraham Tzou, Medical Officer, FDA CDRH<br />
Patrick Morris, Ph.D., Perkins Coie LLP<br />
• Isolation of living cells<br />
• Molecular profiling<br />
• Clonal expansion<br />
• IP aspects<br />
• Patient’s rights and ethical concerns<br />
• Cancer stem cells<br />
• Liquid biopsy<br />
SC7 Applications of Detection Theory in Diagnostics<br />
Instructor: John C. Carrano, Ph.D., President, Carrano Consulting, LLC<br />
• Applying basic principles of detection theory<br />
• ROC curve trends and interpretation<br />
• Application of cost-benefit analysis to product choice<br />
• Decision tree and systems level analysis<br />
<strong>NextGenerationDx</strong>.<strong>com</strong> Next Generation Dx Summit | 3
SC8 Next-Generation Sequencing as a Diagnostics Platform<br />
Instructors: Jamie Platt, Ph.D., CGMBS, MB (ASCP), Director, Advanced<br />
Sequencing, Quest Diagnostics, Nichols Institute<br />
Shashikant Kulkarni, M.S. (Medicine), Ph.D., FACMG, Head, Clinical Genomics;<br />
Medical Director, Cytogenomics and Molecular Pathology; Associate Professor<br />
of Pediatrics, Genetics, Pathology and Immunology, Washington University<br />
School of Medicine<br />
Nazneen Aziz, Ph.D., Director, Molecular Medicine, Transformation Program<br />
Office, College of American Pathologists<br />
• The landscape of next-generation sequencing and challenges for<br />
clinical applications<br />
• Advances in application of next-generation sequencing to cancer diagnostics<br />
• Development of laboratory standards for next-generation sequencing as a<br />
clinical tool<br />
SC9 Regulatory Compliance in Drug-Diagnostics Co-Development<br />
Instructors: Pamela L. Swatkowski, Director, Regulatory Affairs, Abbott<br />
Molecular, Inc.<br />
Maham Ansari, MS, RAC, Consultant, Strategic Regulatory Services<br />
OptumInsight (UnitedHealth Group)<br />
Debra Rasmussen, Senior Director, Regulatory Affairs, Johnson & Johnson<br />
• U.S. requirements and processes<br />
• U.S. government oversight of diagnostics, diagnostic clearance and<br />
approval pathways<br />
• Co-development process & timelines<br />
• Integration of Rx and Dx development plans<br />
• Navigating the development process<br />
• Co-development examples and lessons learned<br />
• Approval path for devices ex-U.S. and more<br />
DINNER SHORT COURSE<br />
5:30 - 8:30 pm<br />
SC10 Regulatory and Reimbursement Issues with Multiplex<br />
Molecular Assays/Next-Generation Sequencing<br />
Instructors: Melina Cimler, Vice President, Quality & Regulatory Affairs,<br />
Illumina, Inc.<br />
Victoria Pratt, Ph.D., FACMG, Chief Director, Molecular Genetics, Quest<br />
Diagnostics Nichols Institute<br />
Wednesday, august 21<br />
DINNER SHORT COURSES<br />
6:30-8:30 pm<br />
SC11 Use of Matrix-Assisted Laser Desorption Ionization Time of<br />
Flight Mass Spectrometry in Clinical Microbiology<br />
Instructor: Robin Patel, M.D., Chair, Division of Clinical Microbiology,<br />
Consultant, Divisions of Clinical Microbiology and Infectious Diseases;<br />
Professor of Microbiology and Medicine, College of Medicine, Mayo Clinic<br />
• Adoption in the clinical laboratory<br />
• Comparison of available systems<br />
• Strengths and limitations<br />
SC12 New Dealmaking Strategies in Companion Diagnostics<br />
Instructors: Jorge Leon, Ph.D., President, Leomics Associates, Inc.<br />
Matthew J. Hawryluk, Ph.D., Director, Business Development , Foundation<br />
Medicine, Inc.<br />
SC13 The Future of Point-of-Care Diagnostics<br />
Instructors: Keith F. Batchelder, M.D., CEO, Genomic Healthcare Strategies<br />
Peter S. Miller, COO, Genomic Healthcare Strategies<br />
• Why pharma will have to find new POC approaches to make <strong>com</strong>panion<br />
diagnostics succeed<br />
• Near-patient testing – What are the business and technology implications?<br />
• New partnering opportunities for POC <strong>com</strong>panies<br />
• Why the old business models won’t work<br />
• The wild cards – Consumer product <strong>com</strong>panies<br />
<strong>NextGenerationDx</strong>.<strong>com</strong> Next Generation Dx Summit | 4
AUGUST 20-21<br />
Seventh Annual<br />
ENAbliNG PoiNt-of-CArE DiAGNoStiCS<br />
for Evidence-based Medicine<br />
Re<strong>com</strong>mended Conference Short Courses*<br />
Applications of Detection Theory in Diagnostics<br />
The Future of Point-of-Care Diagnostics<br />
*Separate registration required, please see page 3 for details<br />
tuesday, august 20<br />
7:30 am Registration and Morning Coffee<br />
EMERGENCY MEDICINE<br />
8:30 Chairperson’s Opening Remarks<br />
Gerald J. Kost, M.D., Ph.D., MS, Professor, Pathology and Laboratory Medicine;<br />
Director, Clinical Chemistry and Point-of-Care Testing; Faculty, Biomedical<br />
Engineering and Comparative Pathology, University of California, Davis<br />
8:40 Emergency and Disaster Point-of-Care Testing: Cardiac<br />
Biomarkers, Complex Chaos, and Sustainable Resiliency<br />
Gerald J. Kost, M.D., Ph.D., MS, Professor, Pathology and Laboratory Medicine;<br />
Director, Clinical Chemistry and Point-of-Care Testing; Faculty, Biomedical<br />
Engineering and Comparative Pathology, University of California, Davis<br />
Point-of-care (POC) testing enables on-site decision-making where it counts<br />
most at points of need in ERs, <strong>com</strong>plex emergencies/disasters, and smallworld<br />
networks. New national policies and guidelines are harmonizing<br />
heretofore chaotic change, morphing “POC culture” where patients take<br />
ownership of medical care and improve sustainability in low-resource<br />
settings. Now, the U.S. also can adopt guidelines and national policy that<br />
enhance resiliency!<br />
9:10 A New Open-Source Point-of-Care Test (POCT) System for<br />
Emergency Room and Physician’s Office Labs<br />
Chong H. Ahn, Ph.D., Mitchell P. Kartalia Chair and Professor, Microsystems<br />
and BioMEMS Laboratory, School of Electronics and Computing Systems,<br />
University of Cincinnati<br />
A new open-source POCT system for use in Emergency room labs and<br />
Physician’s office labs will be presented in this talk. The open-source and rapidly<br />
reconfigurable nature of the POCT system provides rapid assay conversion<br />
to POCT, “tunable” ultra-high sensitivity, and wide-dynamic range for cardiac<br />
Troponin-I as well as b-hCG. Thus, this POCT system allows the user of POCT<br />
have the quality of lab-based methods.<br />
9:40 Biomarkers and POCT in Patients with Heart Failure<br />
Adam J. Singer, M.D., Professor and Vice Chairman for Research, Department<br />
of Emergency Medicine, Stony Brook University<br />
Heart failure is one of the most costly and <strong>com</strong>mon reasons for hospital<br />
admission and readmissions within 30 days in the USA. This lecture will briefly<br />
review the pathophysiology of heart failure and the role of biomarkers in the<br />
diagnosis and management of heart failure. It will then discuss the specific role<br />
of point-of-care testing in ED patients with suspected heart failure and its role<br />
in improving care.<br />
10:10 Coffee Break<br />
APPLICATIONS IN GLOBAL HEALTH<br />
10:55 Chairperson’s Remarks<br />
Matthew Lorence, Ph.D., MBA., Senior Vice President, Marketing, Sales, and<br />
Business Development, TessArae, LLC<br />
11:00 The Changing Landscape in Point-of-Care Diagnostics:<br />
Advances in Developing World Applications and Their Potential<br />
Impact in Developed Markets<br />
Rich Thayer, Managing Partner, Halteres Associates, LLC; CEO, Catalysis<br />
Foundation for Health<br />
Understanding unmet needs and business model options prior to initiating<br />
development of POC systems for limited resource settings is essential<br />
for success. Learn how advancements in diagnostics technologies and<br />
<strong>com</strong>munications, in addition to a better understanding of local market<br />
conditions and needs, are driving increased interest in delivering diagnostic<br />
solutions for these important markets.<br />
11:30 Improving Patient Access to HIV/AIDS Diagnostics in<br />
Developing Countries<br />
Randy Allen, Ph.D., Manager, Corporate Relations, Clinton Health Access<br />
Initiative (CHAI)<br />
Diagnostics products used in the developed world do not adequately serve<br />
resource-limited settings (RLS) with insufficient electricity, transportation,<br />
and trained healthcare workers. Scale-up of patient access to diagnostics will<br />
require more productive use of conventional technologies and implementation<br />
of Point-of-Care (POC) products specifically designed for RLS. Opportunities<br />
now exist for widespread scale-up of cost-effective diagnostics in<br />
developing countries.<br />
12:00 pm Enabling POC Diagnostics through Standard Setting<br />
Gene Walther, MBA, Deputy Director, Diagnostics, Discovery, Bill & Melinda<br />
Gates Foundation<br />
Accurate and timely medical diagnosis is a critical step in the successful<br />
treatment of disease. In the developing world, where illness due to malaria,<br />
TB, HIV and other infectious diseases is a daily reality for millions, appropriately<br />
designed diagnostic tests are often not available or affordable. Through the<br />
establishment of product, regulatory and business standards, the development<br />
of needed diagnostics can be developed and deployed more effectively. This<br />
session will discuss the efforts to establish these standards to improve POC<br />
diagnostics for the global health market.<br />
12:30 Sponsored Presentation (Opportunity Available)<br />
12:45 Luncheon Presentations (Sponsorship Opportunities Available)<br />
or Lunch on Your Own<br />
2:00 Session Break<br />
POINT-OF-CARE PATHOLOGY<br />
2:15 Chairperson’s Remarks<br />
John T. McDevitt, Brown Wiess Professor, Bioengineering & Chemistry, Rice<br />
University<br />
2:20 Programmable Bio-Nano-Chip Systems for Serum CA125<br />
Quantification: Toward Ovarian Cancer Diagnostics at the<br />
Point-of-Care<br />
John T. McDevitt, Brown Wiess Professor, Bioengineering & Chemistry, Rice<br />
University<br />
We report the adaptation of the programmable bio-nano-chip (p-BNC), an<br />
integrated, microfluidic, and modular (programmable) platform for CA125 serum<br />
quantitation, a biomarker prominently implicated in multimodal and multimarker<br />
screening approaches.<br />
2:50 Presentation to be Announced<br />
3:20 Latest Advances in Molecular Amplification<br />
for Point-of-Care Applications<br />
Speaker to be Announced, Axxin<br />
Sponsored by<br />
3:35 Refreshment Break in the Exhibit Hall with Poster Viewing<br />
5 | Next Generation Dx Summit <strong>NextGenerationDx</strong>.<strong>com</strong>
AUGUST 20-21<br />
Seventh Annual<br />
ENAbliNG PoiNt-of-CArE DiAGNoStiCS<br />
for Evidence-based Medicine<br />
4:10 Panel Discussion: What Stakeholders Want from POC<br />
Moderators: Keith F. Batchelder, M.D., CEO, Genomic Healthcare Strategies<br />
Peter S. Miller, COO, Genomic Healthcare Strategies<br />
• Patient empowerment<br />
• Help providers and payers measure out<strong>com</strong>es<br />
• Prescription <strong>com</strong>pliance<br />
• Drive to lower cost in healthcare system<br />
• Use in clinical trials and near patient testing in hospitals<br />
Panelists: Sally Okun, RN, MMHS, Vice President, Advocacy, Policy & Patient<br />
Safety, PatientsLikeMe<br />
Rob Havasy, Project Specialist and Operations Manager, Center for Connected<br />
Health, Partners HealthCare System, Inc.<br />
Robert Di Tullio, Vice President, Global Regulatory and Clinical Affairs, Alere<br />
Michael Nohaile, Ph.D., Vice President, Corporate Strategy, Amgen, Inc.<br />
Mark Alexandre Rogers, M.D., Head, Near Patient Testing Unit, Novartis<br />
5:10 Wine and Cheese Pairing Wel<strong>com</strong>e Reception<br />
in the Exhibit Hall with Poster Viewing<br />
6:10 Close of Day<br />
Wednesday, august 21<br />
Sponsored by<br />
7:30 am Problem Solving Breakout Discussions with Continental<br />
Breakfast<br />
Concurrent Problem Solving Breakout Sessions are interactive, topic-specific<br />
discussions hosted by a moderator. These sessions are open to all attendees,<br />
sponsors, exhibitors, and speakers and provide a forum for discussing key<br />
issues and meeting potential partners. See website for topics.<br />
MOBILE HEALTH<br />
8:25 Chairperson’s Opening Remarks<br />
Katherine Tynan, Ph.D., Business Development & Strategic Consulting for<br />
Diagnostics Companies, Tynan Consulting LLC<br />
» 8:30 Keynote PResentatIon: Mobile and Cloud:<br />
Rethinking Point-of-Care diagnostics<br />
Sailesh Chutani, Ph.D., CEO, Mobisante<br />
Point-of-care diagnostics devices coupled with the power of real-time<br />
data in the cloud, can revolutionize access to health care while reducing<br />
costs. Mobisante has used this model to create a smart-phone and cloudbased<br />
ultrasound imaging system, where the collected set of images can<br />
be archived in the cloud, processed for enhancements, and analyzed for<br />
providing guidance.<br />
9:00 Shine and iBGStar: Case Studies in Redesigning to Disrupt<br />
Existing Product Categories<br />
Sonny Vu, Ph.D., CEO, Misfit Wearables<br />
Stories from the development of Shine and iBGStar will be presented. The<br />
thought process behind both of these award-winning product designs as well<br />
as crowdfunding and how to use it to gather early user feedback will also<br />
be addressed.<br />
RAPID TESTING AND DIRECT-TO-CONSUMER<br />
PRODUCTS<br />
9:30 Health Management on Your iPhone<br />
Jason Oberfest, Co-Founder and CEO, Mango Health<br />
This talk will discuss how Mango Health has used game design principles to<br />
improve rates of medication adherence and how they plan to use the platform<br />
to migrate consumers from reactive to proactive health behavior over time.<br />
9:45 The Last Mile - Quantified Self Platform for Caregivers<br />
Chiara Bell, Founder and CEO, CareTicker<br />
Caregivers are the most critical, yet most overlooked, <strong>com</strong>ponent of our<br />
healthcare system. We will address a radically new approach to understanding<br />
the care delivered by the 65 million caregivers annually and its impact on<br />
patient out<strong>com</strong>es.<br />
10:00 Sponsored Presentation (Opportunity Available)<br />
10:30 Coffee Break in Exhibit Hall with Poster Viewing<br />
11:00 PLENARY KEYNOTE DISCUSSION<br />
Perspectives on Evaluating Novel Diagnostics for Reimbursement<br />
Moderator: Andrew C. Fish, Executive Director, AdvaMedDx<br />
• Levels of evidence needed to<br />
support novel diagnostics<br />
• Health economics<br />
• Analytical issues<br />
• CMS policy<br />
• Rate schedule<br />
Panelists:<br />
Aaron D. Bossler, M.D., Ph.D., Clinical Associate Professor, Director<br />
Molecular Pathology Laboratory and Molecular Genetic Pathology<br />
Fellowship Program, University of Iowa Hospitals and Clinics and Co-Chair,<br />
AMP Economic Affairs Committee<br />
Dwight Denham, MBA, Director, Clinical Research, Beckman Coulter, Inc.<br />
Elaine K. Jeter, M.D., J1 MolDx Medical Director, Palmetto GBA<br />
Lee H. New<strong>com</strong>er, M.D., Senior Vice President, Oncology, United Healthcare<br />
12:30 pm Close of Conference<br />
Additional Sponsored Presentation by<br />
<strong>NextGenerationDx</strong>.<strong>com</strong> Next Generation Dx Summit | 6
AUGUST 20-21<br />
Sixth Annual<br />
CANCEr MolECulAr MArKErS to GuiDE thErAPy<br />
Evaluating for Clinical use<br />
Re<strong>com</strong>mended Pre-Conference Short Courses*<br />
Over<strong>com</strong>ing Challenges of Working with FFPE Samples<br />
Circulating Tumor Cells and Cancer Stem Cells from Research<br />
to Clinic<br />
*Separate registration required, please see page 3 for details<br />
tuesday, august 20<br />
7:30 am Registration and Morning Coffee<br />
BIOMARKER DISCOVERY<br />
8:30 Chairperson’s Opening Remarks<br />
Joe Gray, Ph.D., Associate Director, Translational Research for the Knight<br />
Cancer Institute, Oregon Health & Science University (OHSU); Director, OHSU<br />
Center for Spatial Systems Biomedicine (OCSSB) and Gordon Moore Chair of<br />
Biomedical Engineering, OHSU School of Medicine<br />
» 8:40 Keynote PResentatIon: total Cancer Care:<br />
developing a Molecular Markers approach for targeted<br />
therapies<br />
William S. Dalton, M.D., Ph.D., CEO, M2Gen; Director, Personalized Medicine<br />
Institute, H. Lee Moffitt Cancer Center & Research Institute<br />
Critical to using molecular markers to match patients to the best therapies<br />
is the development of a biorepository in parallel with the development of a<br />
data warehouse and an information system containing patient’s clinical and<br />
molecular data. The Total Cancer CareTM Protocol, now with >95K consented<br />
patients, >33K tumors and >16K genetic profiles, provides a foundation to<br />
ac<strong>com</strong>plish the goal of targeted therapies.<br />
9:10 Multiplex Mutation Screening and other Assay Technologies<br />
in Support of a Personalized Cancer Medicine Registry<br />
Christopher L. Corless, M.D., Ph.D., Professor, Pathology and Medical Director,<br />
Knight Cancer Institute, Oregon Health & Science University<br />
Making personalized cancer care a reality requires novel approaches to finding<br />
treatment targets in cancers, because current single-gene assays are not<br />
adequate for the growing spectrum of actionable mutations. This presentation<br />
will focus on the opportunities and challenges of introducing new multiplexed<br />
and next-gen sequencing technologies into clinical laboratories.<br />
9:40 Paradigm’s Prospective Clinical Trial on<br />
Sponsored by<br />
mRNA and Protein Expression for Selecting<br />
Targeted Oncology Therapy<br />
Robert J. Penny, M.D., Ph.D., CEO, Paradigm<br />
Paradigm will review its founder’s previous prospective clinical trial results<br />
in which clinical out<strong>com</strong>es of standard of care treatment were <strong>com</strong>pared to<br />
targeted therapy based on molecular pathway findings . Validation of paraffin<br />
and frozen tissue mRNA findings will also be presented.<br />
10:10 Coffee Break<br />
10:55 Chairperson’s Remarks<br />
11:00 Next-Generation Sequencing and Target-Based Approach in<br />
Early-Phase Clinical Trials in Cancer<br />
Filip Janku, M.D., Ph.D., Assistant Professor, Investigational Cancer Therapeutics,<br />
(Phase I Clinical Trials Program), The University of Texas MD Anderson Cancer Center<br />
This presentation will outline the role of novel <strong>com</strong>prehensive genomic technologies in<br />
early-phase clinical trials in cancer. In addition, this presentation will suggest how earlyphase<br />
clinical trials can be expanded from dose finding to proof-of-concept studies.<br />
11:30 Innovations in Next-Generation Sequencing: Enhancing<br />
Understanding of Tumor Biology<br />
Steve Shak, M.D., CMO, Genomic Health<br />
12:00 pm The Role of Clinical Grade Next-Generation Sequencing<br />
in Cancer Diagnostics: Foundation Medicine’s Clinical Experience<br />
Gary Palmer, M.D., J.D., MBA, MPH, Senior Vice President, Medical Affairs and<br />
Commercial Development, Foundation Medicine<br />
Our experience with targeted next-generation sequencing in the clinic: the<br />
pitfalls and the promises. What we have learned from our first 2,000+ cases<br />
that will optimize the value of targeted next-generation sequencing to the<br />
clinician, the patient, and the payor.<br />
12:30 Sponsored Presentation (Opportunity Available)<br />
12:45 Luncheon Presentations (Sponsorship Opportunities Available)<br />
or Lunch on Your Own<br />
2:00 Session Break<br />
BIOMARKER ANALYSIS<br />
2:15 Chairperson’s Remarks<br />
Christopher L. Corless, M.D., Ph.D., Professor, Pathology and Medical Director,<br />
Knight Cancer Institute, Oregon Health & Science University<br />
» 2:20 Keynote PResentatIon: Identifying tumor<br />
Intrinsic and extrinsic Predictive Markers<br />
Joe Gray, Ph.D., Associate Director, Translational Research for the Knight<br />
Cancer Institute, Oregon Health & Science University (OHSU); Director, OHSU<br />
Center for Spatial Systems Biomedicine (OCSSB) and Gordon Moore Chair of<br />
Biomedical Engineering, OHSU School of Medicine<br />
This talk will focus on new approaches to identification of molecular features<br />
intrinsic to tumors and from the extrinsic tumor micro environments that interact<br />
to determine responses to pathway targeted therapies. The talk will link results<br />
from analysis of well characterized in vitro models to clinical performance.<br />
2:50 Functionalizing the Cancer Genome: A Mutation-Driven View<br />
Gordon Mills, M.D., Ph.D., Chairman, Department of Systems Biology, Chief,<br />
Section of Molecular Therapeutics; Professor of Medicine and Immunology; and<br />
Anne Rife Cox Chair in Gynecology, MD Anderson Cancer Center<br />
Genomic aberrations have proven to be amongst the strongest and most<br />
robust biomarkers. However, emerging data suggests that we need to evaluate<br />
the consequences and effects of each aberration independently. For example,<br />
both activating and inactivating mutations in BRAF can alter patient out<strong>com</strong>e<br />
and require different therapies. I will describe a high-throughput platform to<br />
assess the consequences of specific point mutations and a method to identify<br />
therapeutic liabilities.<br />
3:20 Sponsored Presentation (Opportunity Available)<br />
3:35 Refreshment Break in the Exhibit Hall with Poster Viewing<br />
4:10 Use of Whole Genome Outlier Analysis to Identify Occult<br />
Biomarkers of Drug Response<br />
David B. Solit, M.D., Elizabeth & Felix Rohatyn Chair, Memorial Sloan Kettering<br />
Cancer Center<br />
The use of next-generation sequencing methods including whole genome<br />
sequencing to identify the molecular basis of drug sensitivity and resistance<br />
will be discussed.<br />
4:40 Use of the Microenvironment to Develop Diagnostic and<br />
Prognostic Multigene Profiles for Prostate Cancer<br />
Dan Mercola, M.D., Ph.D., Professor, Pathology and Laboratory Medicine;<br />
Director, Translational Cancer Biology University of California at Irvine<br />
The gene activity changes in the microenvironment of prostate cancer can be used<br />
to form multigene profiles for diagnosis and for prognosis. Diagnosis based on<br />
gene expression in stroma by detection of “presence of tumor” and indicates the<br />
need for rapid re-biopsy. Prognosis is classification as early or no relapse following<br />
radical prostatectomy. The methods of profile development will be discussed.<br />
7 | Next Generation Dx Summit <strong>NextGenerationDx</strong>.<strong>com</strong>
AUGUST 20-21<br />
Sixth Annual<br />
CANCEr MolECulAr MArKErS to GuiDE thErAPy<br />
Evaluating for Clinical use<br />
5:10 Wine and Cheese Pairing Wel<strong>com</strong>e Reception<br />
in the Exhibit Hall with Poster Viewing<br />
6:10 Close of Day<br />
Wednesday, august 21<br />
Sponsored by<br />
7:30 am Problem Solving Breakout Discussions with Continental<br />
Breakfast<br />
Concurrent Problem Solving Breakout Sessions are interactive, topic-specific<br />
discussions hosted by a moderator. These sessions are open to all attendees,<br />
sponsors, exhibitors, and speakers and provide a forum for discussing key<br />
issues and meeting potential partners. See website for topics.<br />
UTILIZING CANCER BIOMARKERS IN<br />
CLINICAL TRIALS<br />
8:25 Chairperson’s Opening Remarks<br />
8:30 Molecular Markers for Clinical Decision-Making<br />
Scott Cameron, M.D., Ph.D., Oncology Director, Clinical Research Physician,<br />
Novartis Institutes for BioMedical Research, Inc.<br />
Personalized or precision medicine in clinical trials provides significant benefits<br />
by identifying populations of patients more likely to benefit, by reducing risk to<br />
those less likely to benefit, and potentially by allowing earlier decisions about<br />
the promise of new therapies. I will discuss examples where biomarkers<br />
have been employed in Novartis studies and how we are using them in<br />
discovery efforts.<br />
9:00 Translating Biological Data into Predictive Biomarker<br />
Development Strategies<br />
Nicholas Dracopoli, Ph.D., Vice President & Head, Oncology Biomarkers,<br />
Janssen R&D LLC<br />
This presentation will describe requirements for the development of successful<br />
predictive models in oncology, provide overview of predictive and prognostic<br />
models used in oncology today, and discuss how to improve discovery<br />
and validation of predictive models during development of first-in-class<br />
oncology drugs.<br />
9:30 NGS Biomarkers in Prospective Trials<br />
Seth D. Crosby, M.D., Director, Alliances and Partnerships, Department of<br />
Genetics, Washington University School of Medicine<br />
NGS data intended for treatment decisions must be generated in a clinically<br />
certified lab. The challenges of validating and reporting a clinical NSG panel are<br />
quite distinct from that of translational research. I will describe our CAP/CLIA<br />
validated oncology panel and the Clinical Genomicist Workstation, a tool we<br />
have created for converting NGS data to a clinical report.<br />
10:00 Panel Discussion: Over<strong>com</strong>ing Bottlenecks<br />
Moderator to be Announced<br />
• Discussion of I-SPY Breast Cancer Clinical trial<br />
• How do we link diagnostics and therapeutics early in development?<br />
• How do pharma <strong>com</strong>panies use biomarkers in development? Why is it a<br />
challenge? What obstacles are there? How are they over<strong>com</strong>e?<br />
• Cost - How do you pay for cancer biomarkers in drug development?<br />
• Are we looking at the right cells? Biomarkers are a surrogate for treatment.<br />
What are the driver mutations that biomarkers correspond to?<br />
• Is genetics the end-game?<br />
10:30 Coffee Break in Exhibit Hall with Poster Viewing<br />
11:00 PLENARY KEYNOTE DISCUSSION<br />
Perspectives on Evaluating Novel Diagnostics for Reimbursement<br />
Moderator: Andrew C. Fish, Executive Director, AdvaMedDx<br />
• Levels of evidence needed to<br />
support novel diagnostics<br />
• Health economics<br />
• Analytical issues<br />
• CMS policy<br />
• Rate schedule<br />
Panelists:<br />
Aaron D. Bossler, M.D., Ph.D., Clinical Associate Professor, Director<br />
Molecular Pathology Laboratory and Molecular Genetic Pathology<br />
Fellowship Program, University of Iowa Hospitals and Clinics and Co-Chair,<br />
AMP Economic Affairs Committee<br />
Dwight Denham, MBA, Director, Clinical Research, Beckman Coulter, Inc.<br />
Elaine K. Jeter, M.D., J1 MolDx Medical Director, Palmetto GBA<br />
Lee H. New<strong>com</strong>er, M.D., Senior Vice President, Oncology, United Healthcare<br />
12:30 pm Close of Conference<br />
Present a Poster & save!<br />
Cambridge Healthtech Institute encourages attendees to gain further<br />
exposure by presenting their work in the poster sessions. To secure a<br />
poster board and inclusion in the conference materials, your abstract must<br />
be submitted, approved and your registration paid in full by July 19, 2013<br />
• Your research will be seen by leaders from top pharmaceutical, biotech,<br />
academic and government institutes<br />
• Your poster abstract will be published in the conference materials<br />
• Receive $50 off your registration fee<br />
<strong>NextGenerationDx</strong>.<strong>com</strong> Next Generation Dx Summit | 8
AUGUST 20-21<br />
Fourth Annual<br />
CoMPANioN DiAGNoStiCS:<br />
Re<strong>com</strong>mended Pre-Conference Short Courses*<br />
Regulatory Compliance in Drug-Diagnostics Co-Development<br />
Regulatory and Reimbursement Issues with Multiplex<br />
Molecular Assays/Next-Generation Sequencing<br />
New Dealmaking Strategies in Companion Diagnostics<br />
*Separate registration required, please see page 3 for details<br />
tuesday, august 20<br />
7:30 am Registration and Morning Coffee<br />
BIOMARKER VALIDATION AND PROMOTION TO<br />
COMPANION DIAGNOSTICS<br />
8:30 Chairperson’s Opening Remarks<br />
8:40 Challenges in Developing Companion Diagnostics with the<br />
Complexity of Cancer<br />
J. Carl Barrett, Ph.D., Vice President, Translational Sciences Onc iMed,<br />
AstraZeneca<br />
9:10 Validating Biomarkers in an Era of Regulatory and<br />
Reimbursement Uncertainty<br />
Felix Frueh, Entrepreneur-in-Residence, Third Rock Ventures<br />
9:40 Sponsored Presentation<br />
Speaker to be Announced<br />
10:10 Coffee Break<br />
10:55 Chairperson’s Remarks<br />
PARTNERSHIPS AT WORK<br />
Sponsored by<br />
11:00 Seeking Companionship for Personalized Healthcare:<br />
Companion Diagnostics Partnership between AstraZeneca and<br />
Roche Diagnostics<br />
Cecilia Schott, Executive Business Development Director, Personalized<br />
Healthcare, AstraZeneca<br />
Sushma Selvarajan, Head, Business Development & Strategy, Roche Molecular<br />
Systems<br />
This presentation will cover the road traveled by AstraZeneca and Roche<br />
Diagnostics to create an innovative partnership in the area of Companion<br />
Diagnostics. The aim was to create a framework for seamless collaborations<br />
between the <strong>com</strong>panies by facilitating open dialogue and knowledge sharing.<br />
The speakers will share the key considerations on each side and share their<br />
experience in reaching <strong>com</strong>mon ground.<br />
11:40 Strategies to Align Drug and Diagnostic Development<br />
John F. Beeler, Ph.D., Director, Theranostics & Business Development,<br />
bioMerieux<br />
Jonathan Pan, Ph.D., Director, Oncology Companion Diagnostic and Disease<br />
Strategy, GlaxoSmithKline<br />
Precision medicine is a unique marriage between a targeted therapeutic and<br />
its <strong>com</strong>panion diagnostic assay. The partnership to create these precision<br />
medicines requires a well-orchestrated relationship from development<br />
through <strong>com</strong>mercialization. Here we address some of the key considerations<br />
in the Rx-Dx partnership to achieve successful <strong>com</strong>mercialization of a<br />
precision medicine.<br />
from biomarker Validation<br />
to regulatory Approval<br />
12:20 pm Co-Development of Therapeutics and IVDs: Three<br />
Partners, Two Products, One Goal<br />
Andrea Lauber, Ph.D., Global Head, Transactions for Clinical Biomarkers and<br />
Pharmacodiagnostics, Bristol-Myers Squibb<br />
Kevin M. Harter, President and CEO, Saladax Biomedical<br />
Alignment is key to building successful partnerships. This is ever more the<br />
case when two or more <strong>com</strong>panies join together to develop and <strong>com</strong>mercialize<br />
separate but interrelated products that have different financial considerations,<br />
regulatory paths and markets. Mutually shared goals and open <strong>com</strong>munication<br />
are the glue for building alignment, especially as the process of codevelopment<br />
of <strong>com</strong>panion products takes on a life of its own. We will discuss<br />
the importance of these elements with examples of how it is possible to build<br />
productive collaborations that can withstand continually changing landscapes.<br />
1:00 Luncheon Presentation I<br />
Speaker to be Announced, PrimeraDx<br />
1:30 Luncheon Presentation II<br />
(Sponsorship Opportunity Available)<br />
2:00 Session Break<br />
2:15 Chairperson’s Remarks<br />
Sponsored by<br />
2:20 Clinical Development of a Drug with a Companion<br />
Diagnostic: It’s Not Just about the Drug!<br />
Kenneth Emancipator, M.D., Director, Companion Diagnostics, Merck<br />
When a <strong>com</strong>panion diagnostic is co-developed with a therapeutic (drug or<br />
biologic), the clinic development program must support the registration<br />
requirements for both products. This presentation discusses the regulatory<br />
concepts, the key elements for planning successful clinical trials, various<br />
options for clinical trial design, and, most importantly, the <strong>com</strong>mon pitfalls<br />
encountered during the course of co-development programs.<br />
2:50 Use of NGS as a Biomarker Tool for Oncology Drug<br />
Development<br />
Premal Shah, Ph.D., Director, Business Development, Genomic Health, Inc.<br />
Oncology therapeutic development will be<strong>com</strong>e increasingly challenging with<br />
rising costs and an even lower percentage of development projects being<br />
approved. The evolving reimbursement and healthcare landscapes will also<br />
put cost pressures on drugs. Biomarkers will be necessary to alleviate these<br />
pressures and <strong>com</strong>panies—given the emergence of successful diagnostics<br />
<strong>com</strong>panies—should look to outsource and partner to incorporate biomarkers<br />
into clinical development.<br />
3:20 Sponsored Presentation (Opportunity Available)<br />
3:35 Refreshment Break in the Exhibit Hall with Poster Viewing<br />
9 | Next Generation Dx Summit <strong>NextGenerationDx</strong>.<strong>com</strong>
AUGUST 20-21<br />
Fourth Annual<br />
CoMPANioN DiAGNoStiCS:<br />
4:10 Panel Discussion: Incorporating Companion Diagnostics<br />
Considerations Early in Product Development<br />
Moderator: Maureen Cronin, Ph.D., Executive Director, Strategic Information<br />
Management, Celgene<br />
Panelists: Session Speakers<br />
• Understanding the routine clinical management of the targeted disease and<br />
what biospecimens are generally available<br />
• Ascertaining that there are realistic diagnostic biomarkers in the available<br />
patient specimens<br />
• Selecting the most informative modality for the diagnostic test (is it protein,<br />
DNA or RNA markers)<br />
• Understand the population ranges and prevalence for the selected diagnostic<br />
marker and its precision for testing the appropriate clinical endpoints<br />
• Beginning the pharmacodynamic testing of the diagnostic biomarkers at the<br />
earliest stages of the drug development process<br />
5:10 Wine and Cheese Pairing Wel<strong>com</strong>e Reception<br />
in the Exhibit Hall with Poster Viewing<br />
6:10 Close of Day<br />
Wednesday, august 21<br />
Sponsored by<br />
7:30 am Problem-Solving Breakout Discussions with Continental<br />
Breakfast<br />
Concurrent Problem Solving Breakout Sessions are interactive, topic-specific<br />
discussions hosted by a moderator. These sessions are open to all attendees,<br />
sponsors, exhibitors, and speakers and provide a forum for discussing key<br />
issues and meeting potential partners. See website for topics.<br />
REGULATORY COMPLIANCE IN DRUG-DIAGNOSTICS<br />
CO-DEVELOMENT<br />
8:25 Chairperson’s Opening Remarks<br />
8:30 Regulatory Strategy in Drug-Diagnostics Co-Development<br />
William Pignato, Global Head, Regulatory Affairs, Novartis Oncology<br />
Companion Diagnostics<br />
We have moved deliberately towards the advancement of targeted molecular<br />
therapies and associated <strong>com</strong>panion diagnostics. Selecting patients most<br />
likely to benefit from these agents has given rise to significant interest in<br />
the development of new <strong>com</strong>panion diagnostic technologies to enhance<br />
a therapeutics safety or efficacy. However significant development and<br />
regulatory hurdles still remain. These challenges and practical considerations<br />
in the co-development of drugs and diagnostics from a diagnostic regulatory<br />
perspective will be discussed.<br />
from biomarker Validation<br />
to regulatory Approval<br />
9:00 Regulatory Considerations for Cancer Genomic Analysis<br />
Melina Cimler, Vice President, Quality & Regulatory Affairs, Illumina, Inc.<br />
Next-generation sequencing (NGS) enables deep sequencing of tumor biopsies<br />
to allow detailed profiling, identification of hundreds of mutations, guiding<br />
therapeutic decisions. As data are accumulated in conjunction with functional<br />
studies and patient out<strong>com</strong>es, new biomarkers can be identified. Low input,<br />
short turnaround time, and low cost of targeted NGS provide huge potential<br />
of clinical utility, including diagnostic and therapeutic applications. This offers<br />
unique clinical development and regulatory challenges.<br />
9:30 Sponsored Presentation (Opportunity Available)<br />
10:00 Global Regulatory Environment in Drug and Diagnostic<br />
Co-Development: What is Now and What is Next?<br />
Pamela L. Swatkowski, Director, Regulatory Affairs, Abbott Molecular, Inc.<br />
The global regulatory environment for <strong>com</strong>panion diagnostics continues<br />
to evolve since the time of the contemporaneous approval of the Abbott<br />
Molecular Vysis ALK Break Apart FISH IVD test and Pfizer drug XALKORI in<br />
2011. How will the future state of the global regulatory environment and<br />
regulations shape the shape the future of personalized medicine?<br />
10:30 Coffee Break in Exhibit Hall with Poster Viewing<br />
11:00 PLENARY KEYNOTE DISCUSSION<br />
Perspectives on Evaluating Novel Diagnostics for Reimbursement<br />
Moderator: Andrew C. Fish, Executive Director, AdvaMedDx<br />
• Levels of evidence needed to<br />
support novel diagnostics<br />
• Health economics<br />
• Analytical issues<br />
• CMS policy<br />
• Rate schedule<br />
Panelists:<br />
Aaron D. Bossler, M.D., Ph.D., Clinical Associate Professor, Director<br />
Molecular Pathology Laboratory and Molecular Genetic Pathology<br />
Fellowship Program, University of Iowa Hospitals and Clinics and Co-Chair,<br />
AMP Economic Affairs Committee<br />
Dwight Denham, MBA, Director, Clinical Research, Beckman Coulter, Inc.<br />
Elaine K. Jeter, M.D., J1 MolDx Medical Director, Palmetto GBA<br />
Lee H. New<strong>com</strong>er, M.D., Senior Vice President, Oncology, United Healthcare<br />
12:30 pm Close of Conference<br />
Additional Sponsored Presentations by<br />
<strong>NextGenerationDx</strong>.<strong>com</strong> Next Generation Dx Summit | 10
AUGUST 21-22<br />
Fifth Annual<br />
MolECulAr DiAGNoStiCS for iNfECtiouS DiSEASE<br />
the Challenge of bringing New technologies into routine Clinical Practice<br />
Wednesday, august 21<br />
11:00 am Registration<br />
11:00 PLENARY KEYNOTE DISCUSSION<br />
Perspectives on Evaluating Novel Diagnostics for Reimbursement<br />
Moderator: Andrew C. Fish, Executive Director, AdvaMedDx<br />
• Levels of evidence needed to<br />
support novel diagnostics<br />
• Health economics<br />
• Analytical issues<br />
• CMS policy<br />
• Rate schedule<br />
Panelists:<br />
Aaron D. Bossler, M.D., Ph.D., Clinical Assoc. Prof., Dir., Mol. Pathology Lab<br />
and Molecular Genetic Pathology Fellowship Program, University of Iowa<br />
Hospitals and Clinics and Co-Chair, AMP Economic Affairs Committee<br />
Dwight Denham, MBA, Director, Clinical Research, Beckman Coulter, Inc.<br />
Elaine K. Jeter, M.D., J1 MolDx Medical Director, Palmetto GBA<br />
Lee H. New<strong>com</strong>er, M.D., Senior Vice President, Oncology, United Healthcare<br />
12:30 pm Enjoy Lunch on Your Own<br />
BRINGING NEW TECHNOLOGIES INTO<br />
ROUTINE CLINICAL PRACTICE<br />
1:50 Chairperson’s Opening Remarks<br />
Franklin R. Cockerill, III, M.D., Ann and Leo Markin Professor of Microbiology<br />
and Medicine, Chair, Department of Laboratory Medicine and Pathology, Mayo<br />
Clinic<br />
» 2:00 FeatuRed PResentatIon: Integrating Rapid<br />
Pathogen Identification, susceptibility testing, and<br />
antimicrobial stewardship significantly decreases<br />
Hospital Costs<br />
James M. Musser, M.D., Ph.D., Fondren Distinguished Endowed Chair;<br />
Pathology and Genomic Medicine, The Methodist Hospital System; Dir., Ctr for<br />
Mol. and Translational, Human Infectious Diseases Research, The Methodist<br />
Hospital Research Institute<br />
We used bloodstream infections to test the hypothesis that integrating rapid<br />
pathogen identification by mass spectrometry, susceptibility testing, and<br />
antimicrobial stewardship significantly decreases hospital costs. In our 1,000bed<br />
quaternary hospital, the altered work flow resulted in substantial annual<br />
cost savings. We recently added targeted full-genome sequencing of infecting<br />
organisms to this re-engineered platform.<br />
» 2:25 FeatuRed PResentatIon: use of out<strong>com</strong>e data<br />
to Justify the Implementation of new technology into<br />
the Clinical Laboratory<br />
Susan M. Novak-Weekley, Ph.D., D(ABMM) Director, Microbiology, Southern<br />
California Permanente Medical Group Regional Reference Laboratories<br />
The challenge in the health care today, more so than ever before, is to provide<br />
affordable, quality care to patients. The use of out<strong>com</strong>e data to drive decisions<br />
in the laboratory is extremely important to help administration understand why<br />
new technology should be incorporated into the laboratory setting and how that<br />
technology impacts the patient.<br />
2:50 Assays for the Detection of Bacteremia and Their Impact on<br />
Patient Care<br />
Karen C. Carroll, M.D., Professor of Pathology and Medicine; Director, Division<br />
of Medical Microbiology, The Johns Hopkins University School of Medicine<br />
A variety of assays are available to speed the identification of pathogens in<br />
positive blood cultures. These assays may have an impact on patient out<strong>com</strong>es<br />
and reduce healthcare costs.<br />
3:15 Infectious Disease Testing with the Verigene Sponsored by<br />
System: Multiplex Assays for Blood Cultures and<br />
Enteric Pathogens<br />
Speaker to be Announced<br />
Nanosphere’s FDA-cleared Verigene System enables rapid molecular testing for<br />
infectious diseases in a near-patient setting. Cartridge-based multiplexed tests<br />
for bloodstream infections, GI infections, and respiratory tract infections provide<br />
physicians with <strong>com</strong>prehensive, time-critical results that allow for real-time<br />
optimization of patient treatment.<br />
3:30 Impact of a Multiplex Molecular Diagnostic Sponsored by<br />
Panel for Rapid Identification of the Causes of<br />
Infectious Gastroenteritis<br />
Jeff Hester, Ph.D., Vice President, Research & Development, Viracor-IBT Laboratories<br />
Infectious gastroenteritis is a <strong>com</strong>mon illness that is challenging for both<br />
appropriate patient management and contributes to significant health economic<br />
costs—particularly within the hospital system. A novel multiplexed molecular<br />
diagnostic assay to detect the most frequent bacterial, viral and parasitic<br />
causes of the illness in less than a day will be presented and discussed and<br />
<strong>com</strong>pared to traditional microbiological methods.<br />
4:00 Refreshment Break in the Exhibit Hall with Poster Viewing<br />
MULTIPLEX DEVICES<br />
4:30 Highly Multiplexed Microbiology Devices – Performance<br />
Validation Challenges and Solutions<br />
Uwe Scherf, M.Sc., Ph.D., Deputy Director, Division of Microbiology Devices,<br />
Office of In Vitro Diagnostics and Radiological Health (OIR), Center for Devices<br />
and Radiological Health, U.S. Food and Drug Administration<br />
Highly multiplexed microbiology in vitro diagnostic devices present several<br />
advantages. However, establishing and validating the performance of these<br />
devices to make informed clinical and public health decisions pose significant<br />
scientific challenges. The talk will present re<strong>com</strong>mendations for studies<br />
to establish the analytical and clinical performance of highly multiplexed<br />
microbiology in vitro nucleic acid based diagnostic devices.<br />
THE FUTURE OF POINT-OF-CARE TESTING<br />
5:00 The Future of Point of Care Testing: Moving Diagnostics to<br />
“Point-of-Impact”<br />
Christine C. Ginocchio, Ph.D., MT (ASCP), Senior Medical Director and Chief,<br />
Division of Infectious Disease Diagnostics, Department of Pathology and<br />
Laboratory Medicine and Department of Molecular Medicine, Feinstein<br />
Institute for Medical Research, North Shore-LIJ Health System, Professor,<br />
Hofstra North Shore-LIJ School of Medicine, NY<br />
The current economics of healthcare has led to many laboratory consolidations<br />
and centralization of testing, affording financial savings and expanded testing<br />
services. However, appropriate clinical care remains imperative. Results must<br />
be provided within a time frame that impacts patient care and out<strong>com</strong>e.<br />
To meet this goal, laboratories must now also consider a reversal from<br />
centralization to decentralization of critical testing to the appropriate “point of<br />
impact”. New rapid simple technologies that meet this goal and the potential<br />
financial and clinical benefits of point of impact testing will be discussed.<br />
Sponsored by<br />
5:30 Sponsored Presentation<br />
Speaker to be Announced<br />
5:45 Bringing an OTC Home Use Rapid HIV Test Kit to Market<br />
Speaker to be Announced<br />
This talk will describe the role of risk assessment, in addition to sensitivity and<br />
specificity, in the determination of safety and efficacy for the first approved<br />
over-the-counter home use rapid HIV test kit. This approach takes into account<br />
both the public and individual health impacts.<br />
6:00 Dinner Short Course Registration<br />
11 | Next Generation Dx Summit <strong>NextGenerationDx</strong>.<strong>com</strong>
AUGUST 21-22<br />
Fifth Annual<br />
MolECulAr DiAGNoStiCS for iNfECtiouS DiSEASE<br />
the Challenge of bringing New technologies into routine Clinical Practice<br />
6:30-8:30 Re<strong>com</strong>mended Dinner Short Course*<br />
Use of Matrix Assisted Laser Desorption Ionization Time of<br />
Flight Mass Spectrometry in Clinical Microbiology<br />
*Separate registration required, please see page 3 for details<br />
tHuRsday, august 22<br />
7:30 am Problem Solving Breakout Discussions with Continental<br />
Breakfast<br />
EMERGING TECHNOLOGIES & THE IMPACT ON<br />
HEALTHCARE OUTCOME<br />
8:25 Chairperson’s Opening Remarks<br />
Robin Patel, M.D., Chair, Clinical Microbiology; Consultant, Clinical Microbiology<br />
and Infectious Diseases; Professor, Microbiology and Medicine, College of<br />
Medicine, Mayo Clinic<br />
8:30 The Impact of Emerging Diagnostic Laboratory Techniques<br />
and the Effects on Healthcare Out<strong>com</strong>e<br />
Franklin R. Cockerill, III, M.D., Deptartment of Laboratory Medicine and<br />
Pathology, Mayo Clinic<br />
The diagnosis and treatment of infectious diseases has been significantly<br />
facilitated by new testing methods, providing considerably faster and more<br />
accurate means for diagnosis of pathogens; and in some cases, have provided<br />
the first means for identification and quantification of pathogens, particularly<br />
viruses. This lecture will include a historical and a high level technical review<br />
of newer diagnostic methods, and the impact these methods have had on the<br />
diagnosis and treatment of infectious disease.<br />
8:55 Validation of Next-Generation Sequencing Assays for<br />
Pathogen Diagnosis in a CLIA Laboratory<br />
Charles Chiu, M.D., Ph.D., Assistant Professor, Departments of Laboratory<br />
Medicine and Medicine (Infectious Diseases), UCSF School of Medicine<br />
Here we will discuss validation of an NGS-based assay for viral detection<br />
in the CLIA laboratory with a high degree of sensitivity and specificity;<br />
implementation of a flexible, automated, and cloud-<strong>com</strong>patible pipeline<br />
for pathogen detection in metagenomic NGS data; and applications of this<br />
system for microbial diagnosis and outbreak investigation in clinical and public<br />
health settings.<br />
9:20 Next-Generation Sequencing in a Public Health Laboratory<br />
Patrick Tang, M.D., Ph.D., FRCPC, Program Head, Molecular Microbiology and<br />
Genomics, BC Centre for Disease Control - Public Health Microbiology and<br />
Reference Laboratory<br />
Clinical microbiology laboratories are now exploring the use of next-generation<br />
sequencing technology to replace or <strong>com</strong>plement traditional methods for<br />
infectious disease diagnosis and epidemiology. Recent successes include the<br />
use of whole genome sequencing for <strong>com</strong>municable disease epidemiology.<br />
9:45 Multiplex Respiratory Pathogen Detection: Sponsored by<br />
Combining Speed with Accuracy to Enhance<br />
Clinical Decision Making<br />
Scott McKeown, Ph.D., Molecular Diagnostics Business Manager, Randox<br />
Laboratories Ltd.<br />
10:00 Sponsored Presentation<br />
Speaker to be Announced, Evogen<br />
10:15 Coffee Break in the Exhibit Hall with Poster Viewing<br />
TRANSITIONING NGS TO THE CLINICAL SETTING<br />
10:45 Automated, Cloud-Enabled Bioinformatics Pipeline for<br />
Whole-Genome Sequencing-Based Pathogen Diagnostics<br />
W. Florian Fricke, Assistant Professor, Microbiology & Immunology, Institute for<br />
Genome Sciences, University of Maryland School of Medicine<br />
WGS-based diagnostic tools promise to provide increased resolution for<br />
isolate typing, phenotype prediction, and epidemiological analyses. In order to<br />
facilitate the transition of WGS-based diagnostics into the clinic, standardized,<br />
bioinformatic analysis protocols are needed. We demonstrate the feasibility<br />
of building an automated, cloud <strong>com</strong>puting-enabled diagnostic pipeline to<br />
support reproducible WGS analysis for microbial isolate typing, virulence, and<br />
antimicrobial resistance profiling.<br />
11:15 The Next Generation of Outbreak Investigation:<br />
Identification of Known Viruses in New Places and an Unknown<br />
Virus in the US<br />
Laura McMullan, Ph.D., Molecular Pathogenesis and Antiviral Section, Virus<br />
Special Pathogens Branch, Centers for Disease Control<br />
Outbreaks require diagnostic assays that rapidly identify the pathogen. We<br />
have developed a metagenomics approach of pathogen discovery that has<br />
identified a new arenavirus in Zambia, Yellow Fever virus in Uganda, and a novel<br />
phlebovirus in the USA.<br />
LAB AUTOMATION AND SPECIMEN PROCESS<br />
11:45 A Tsunami of Change, Automation in Clinical Microbiology<br />
Nathan A. Ledeboer, Ph.D., Assistant Professor of Pathology, Medical College<br />
of Wisconsin<br />
Since inception, clinical microbiology has required a highly technical and<br />
skilled workforce with limited automation. Clinical staff have <strong>com</strong>plained of<br />
poor turnaround, while the laboratory awaits microbial growth. However, with<br />
increasing specimen volumes and fewer available skilled workers, laboratories<br />
are increasingly seeking automated solutions.<br />
12:15 pm Sponsored Presentation (Opportunity Available)<br />
12:45 Luncheon Presentation I: Immunoassay Sponsored by<br />
Technology with Sensitivity of Nucleic Acid Testing:<br />
p24 Case Study<br />
David Duffy, Ph.D., Vice President, Research, R&D, Quanterix<br />
This presentation will describe the application of an ultra-sensitive singlemolecule<br />
digital immunoassay to HIV detection, using a single molecule array<br />
(Simoa) to count individual molecules of p24 capsid protein in the blood, which<br />
indicates the presence of HIV virus. Results showed 3,000 times greater<br />
analytical sensitivity than conventional immunoassays, and <strong>com</strong>parable to the<br />
gold standard of nucleic acid testing.<br />
1:15 Luncheon Presentation II (Sponsorship Opportunity Available)<br />
1:45 Session Break<br />
RAPID DETECTION OF BLOOD STREAM INFECTION<br />
2:00 Chairperson’s Remarks<br />
Pietro Scalfaro, M.D., EMBA, CEO, Spinomix SA<br />
2:05 Rapid Detection of Bloodstream Infections<br />
Donna M. Wolk, MHA, Ph.D., D(ABMM), System Director, Clinical Microbiology,<br />
Geisinger Health System, Department of Laboratory Medicine<br />
This program will describe and review existing and future technologies that can<br />
improve the microbiology laboratory’s ability to rapidly identify bloodstream<br />
pathogens and provide pivotal results for escalation or de-escalation of<br />
antimicrobials. Current and potential applications of technologies in diagnostic<br />
clinical microbiology laboratories will be discussed.<br />
<strong>NextGenerationDx</strong>.<strong>com</strong> Next Generation Dx Summit | 12
AUGUST 21-22<br />
Fifth Annual<br />
MolECulAr DiAGNoStiCS for iNfECtiouS DiSEASE<br />
the Challenge of bringing New technologies into routine Clinical Practice<br />
2:35 Panel Discussion: Improving Pathogen Detection<br />
& Monitoring the Host Response in Sepsis Detection &<br />
Management<br />
Moderator: Pietro Scalfaro, M.D., EMBA, CEO Spinomix SA<br />
Panelists: Steven Michael Opal, M.D., Professor of Medicine, Infectious<br />
Disease Division, Brown Medical School<br />
Roslyn A. Brandon, Ph.D., Co-Founder, President & CEO Immunexpress<br />
Bert K. Lopansri, M.D. Division of Infectious Diseases and Clinical Epidemiology<br />
Intermountain Medical Center and LDS Hospital, Medical Director, UCR Clinical<br />
Microbiology Laboratory<br />
John P. Burke, M.D., Chief, Division of Clinical Epidemiology & Infectious<br />
Diseases, Intermountain Medical Center and LDS Hospital, & Professor of<br />
Internal Medicine at the University of Utah<br />
3:35 Spotlight Presentation: Application of Digital PCR to Clinical<br />
Viral Load Testing<br />
Randall T. Hayden, M.D., Director, Clinical and Molecular Microbiology, Member,<br />
Department of Pathology, St. Jude Children’s Research Hospital<br />
Viral load testing has be<strong>com</strong>e integral to clinical care, but is often limited<br />
by poor standardization and precision. Digital PCR offers a means of direct<br />
quantitative measurement that may improve both accuracy and precision<br />
over current methods. This session will describe the theory behind digital<br />
PCR, as well as some initial studies evaluating its use for viral load testing in<br />
clinical samples.<br />
4:05 A Novel, 2nd Generation Device for Ambient Storage and<br />
Transportation for Downstream Infectious Disease Testing:<br />
ViveSTTM<br />
Anita M. McClernon, MSc, Director of Laboratory Services, bioMONTR® Labs<br />
Infectious disease monitoring often requires collection sites to ship patient<br />
samples to reference laboratories, requiring careful temperature control<br />
and special packaging. Here we report data evaluating the stability and<br />
reproducibility of infectious plasma specimens stored on ViveST analyzed with<br />
RT-PCR and Sequencing Technolgies. ViveST can offer a global solution and<br />
enhance access to healthcare and significantly reduce the burden associated<br />
with shipping frozen samples.<br />
Sponsoring Organizations<br />
Vital Insights Transforming Care<br />
Lead Sponsoring Publications Sponsoring Publications<br />
Web Partners<br />
FierceBiotech<br />
THE BIOTECH INDUSTRY’S DAILY MONITOR<br />
<strong>NextGenerationDx</strong>.<strong>com</strong> Next Generation Dx Summit | 13
AUGUST 21-22<br />
Fourth Annual<br />
MolECulAr ProfiliNG of CirCulAtiNG tuMor CEllS NEW<br />
This Year<br />
Re<strong>com</strong>mended Pre-Conference Short Courses*<br />
Circulating Tumor Cells and Cancer Stem Cells from Research<br />
to Clinic<br />
Next-Generation Sequencing as a Diagnostics Platform<br />
*Separate registration required, please see page 3 for details<br />
Wednesday, august 21<br />
11:00 am Registration<br />
11:00 PLENARY KEYNOTE DISCUSSION<br />
Perspectives on Evaluating Novel Diagnostics for Reimbursement<br />
Moderator: Andrew C. Fish, Executive Director, AdvaMedDx<br />
• Levels of evidence needed to<br />
support novel diagnostics<br />
• Health economics<br />
• Analytical issues<br />
• CMS policy<br />
• Rate schedule<br />
Panelists:<br />
Aaron D. Bossler, M.D., Ph.D., Clinical Associate Professor, Director<br />
Molecular Pathology Laboratory and Molecular Genetic Pathology<br />
Fellowship Program, University of Iowa Hospitals and Clinics and Co-Chair,<br />
AMP Economic Affairs Committee<br />
Dwight Denham, MBA, Director, Clinical Research, Beckman Coulter, Inc.<br />
Elaine K. Jeter, M.D., J1 MolDx Medical Director, Palmetto GBA<br />
Lee H. New<strong>com</strong>er, M.D., Senior Vice President, Oncology, United Healthcare<br />
12:30 pm Enjoy Lunch on Your Own<br />
MOLECULAR CHARACTERIZATION OF CTCs<br />
1:50 Chairperson’s Opening Remarks<br />
2:00 Advancing Personalized Medicine: Next-Generation<br />
Sequencing on Circulating Tumor Cells<br />
Jeffrey S. Ross, M.D., Medical Director, Foundation Medicine; Cyrus Strong Merrill<br />
Professor and Chair, Pathology and Laboratory Medicine, Albany Medical College<br />
In patients with metastatic cancer, biopsy to identify genomic alterations that<br />
predict sensitivity to targeted therapeutics is not always possible. In such<br />
patients, CTCs represent a potential source of material for genomic profiling,<br />
but assaying large numbers of cancer-related genes in CTCs is challenging. We<br />
have optimized our <strong>com</strong>prehensive genomic profiling assay to robustly profile<br />
CTCs to identify actionable genomic alterations and guide therapy.<br />
2:30 Genome-Wide Analysis of CTCs from Breast and Prostate Cancer<br />
James Hicks, Ph.D., Research Professor, Genetics, Cold Spring Harbor Laboratory<br />
Single nucleus sequencing (SNS) enables genomic profiling of individual<br />
cancer cells, providing information on tumor initiation, evolution and genetic<br />
heterogeneity. The method also permits the analysis of rare cancer cells<br />
isolated from the bloodstream and other fluids. We will describe progress in<br />
using ‘fluid biopsies’ to monitor cancer treatment and direct therapy in prostate<br />
and other cancers.<br />
3:00 Profiling Melanoma CTCs to Therapeutically Target Those<br />
Forming Metastases<br />
Gavin P. Robertson, Ph.D., Professor, Pharmacology, Pathology, Dermatology<br />
and Surgery, Penn State University; Director, Penn State Melanoma Center,<br />
Penn State Melanoma Therapeutics Program, and Foreman Foundation<br />
Melanoma Research Laboratory<br />
Molecular profiling of CTCs can be ac<strong>com</strong>plished, but identifying those genes<br />
functionally relevant to CTC behavior is a challenge. This talk describes the<br />
isolation of melanoma CTC followed by expression profiling to identify key<br />
targets regulating metastatic behavior. Finally, the role of a protein in the<br />
metastatic process is demonstrated through use of novel animal and cell<br />
culture-based systems.<br />
3:30 Molecular Profiling of Circulating Tumor<br />
Cells for Oncology Diagnostics Using the IsoFlux<br />
System<br />
Cristian Ionescu-Zanetti, Ph.D., CTO, Fluxion Biosciences<br />
3:45 Sponsored Presentation (Opportunity Available)<br />
Sponsored by<br />
4:00 Refreshment Break in the Exhibit Hall with Poster Viewing<br />
4:30 Molecular Characterization of CTCs: A Road to Improved<br />
Understanding of Metastatic Process<br />
Denis Smirnov, Ph.D., Associate Scientific Director, Oncology Biomarkers,<br />
Janssen Pharmaceuticals<br />
Molecular characterization of circulating tumor cells offers an opportunity to<br />
elucidate metastatic process. That opportunity is often limited by technical<br />
challenges associated with analysis of rare cells. Insights gained by CellSearch<br />
research team will be shared during this presentation.<br />
5:00 Molecular Characterization Including DNA and RNA FISH of<br />
CTCs and Cancer Associated Cells<br />
Jeffrey Chalmers, Ph.D., Professor, Chemical and Biomolecular Engineering,<br />
Ohio State University<br />
Using a negative enrichment methodology, which removes RBCs and high<br />
expressing CD45 cells, we have demonstrated a significant heterogeneity in<br />
the type of cells present in blood of cancer patients. In addition to antibodies<br />
bound to flouroprobes, we are also using DNA FISH and RNA FISH technology<br />
to demonstrate this heterogeneity. We will summarize some these findings<br />
from squamous cell carcinoma of the head and neck, breast cancer and<br />
colorectal cancer.<br />
5:30 The Identification and Characterization of Breast Cancer CTCs<br />
Competent for Brain Metastasis<br />
Dario Marchetti, Ph.D., Professor, Pathology & Immunology and Molecular &<br />
Cellular Biology; Director, CTC Core Facility, Baylor College of Medicine<br />
Mechanisms implicating circulating tumor cells (CTCs) in fatal breast cancer<br />
brain metastasis remain elusive. We characterized CTCs isolated from blood<br />
mononuclear cells of breast cancer patients, and developed CTC lines. EpCAMnegative<br />
CTCs express markers needed to promote brain metastasis. Firsttime<br />
evidence characterizing breast cancer CTCs, leading to the description<br />
of a protein signature suggestive of metastatic <strong>com</strong>petency to the brain will<br />
be presented.<br />
6:00 Dinner Short Course Registration<br />
6:30-8:30 pm Dinner Short Courses*<br />
*Separate registration required, please see page 3 for details<br />
tHuRsday, august 22<br />
7:30 am Problem Solving Breakout Discussions with Continental<br />
Breakfast<br />
Concurrent Problem Solving Breakout Sessions are interactive, topic-specific<br />
discussions hosted by a moderator. These sessions are open to all attendees,<br />
sponsors, exhibitors, and speakers and provide a forum for discussing key issues<br />
and meeting potential partners. See website for topics.<br />
CTC UTILITY IN CLINICAL TRIALS<br />
8:25 Chairperson’s Opening Remarks<br />
8:30 Circulating Tumor Cells in Prostate Cancer Drug<br />
Development: One Cell at a Time<br />
14 | Next Generation Dx Summit <strong>NextGenerationDx</strong>.<strong>com</strong>
AUGUST 21-22<br />
Fourth Annual<br />
MolECulAr ProfiliNG of CirCulAtiNG tuMor CEllS NEW<br />
This Year<br />
Howard I. Scher, M.D., Chief, Genitourinary Oncology Service, Sidney Kimmel<br />
Center for Urologic and Prostate Cancers, Memorial Sloan-Kettering Cancer Center<br />
9:00 Practical Considerations for the Incorporation of CTC<br />
Analyses in Clinical Trials<br />
Minetta C. Liu, M.D., Associate Professor, Oncology, Laboratory Medicine and<br />
Pathology, Mayo Clinic<br />
9:30 Enumeration and Molecular Analysis of CTCs from Clinical<br />
Trials<br />
Edith Szafer-Glusman, Ph.D., Senior Research Associate, Oncology Biomarker<br />
Development, Genentech<br />
In this talk I will give an overview of our efforts in the analysis of CTCs in<br />
clinical trials, and the utility of CTC analysis associated with different trial<br />
phases with respect to enumeration and biomarker characterization.<br />
10:00 Sponsored Presentation (Opportunity Available)<br />
10:15 Coffee Break in the Exhibit Hall with Poster Viewing<br />
10:45 Strategies for Analysis of CTC-Based Pharmacodynamic<br />
Biomarkers in Clinical Development of Targeted Anti-Cancer<br />
Therapeutics<br />
Lihua Wang, Ph.D., Senior Scientist, PADIS, LHTP, Applied Developmental<br />
Directorate, SAIC-Frederick, National Cancer Institute<br />
This presentation describes assay strategies for assessing pharmacodynamic<br />
biomarkers in CTCs in patients undergoing clinical trials of targeted anticancer<br />
therapeutics. Given the limitations of surface molecule-based CTC<br />
methods, we are developing and evaluating an antibody-independent CTC<br />
capture technology to analyze biomarkers in patients with a variety of advanced<br />
cancers. Our studies indicate that assessment of CTC-based pharmacodynamic<br />
biomarkers has value for rapidly assessing drug activity in clinical development<br />
of molecularly targeted anticancer therapeutics.<br />
11:15 Multiplexed Molecular Profiling and Quantification of<br />
Circulating Tumor Cells as Predictive Biomarkers of Cancer<br />
Prognosis<br />
Ximei Qian, Ph.D., Assistant Professor, Biomedical Engineering, Emory<br />
University<br />
We report a new method using surface-enhanced Raman spectroscopy<br />
(SERS) to characterize circulating tumor cell (CTC) biomarker expression in a<br />
multiplexed fashion. The three-marker one-tube assay increases the detection<br />
sensitivity and provides an efficient, quantitative, cross-referenced and<br />
inexpensive platform, and can be rapidly translated into clinical testing for<br />
molecular profiling of CTCs.<br />
11:45 Microfluidic Isolation and Molecular Characterization of<br />
Circulating Tumor Cells<br />
David Miyamoto, M.D., Ph.D., Instructor, Radiation Oncology, Massachusetts<br />
General Hospital<br />
Our group has recently developed a series of microfluidic devices to capture,<br />
image, and molecularly characterize rare circulating tumor cells (CTCs) shed<br />
into the blood from otherwise poorly accessible metastatic tumor deposits.<br />
Here, we describe our recent efforts to dissect the molecular and cell biology<br />
of CTCs, and the potential of this analysis to non-invasively monitor and predict<br />
treatment responses.<br />
12:15 pm Sponsored Presentation (Opportunity Available)<br />
12:45 Luncheon Presentations (Sponsorship Opportunities Available)<br />
or Lunch on Your Own<br />
1:45 Session Break<br />
CTC ISOLATION AND CHARACTERIZATION<br />
TECHNOLOGIES<br />
2:00 Chairperson’s Remarks<br />
2:05 Pre-Analytical Variables Impacting High-Content<br />
Methodologies for CTC Detection<br />
Emily J. Greenspan, Ph.D., Program Manager, Office of the Director, Center for<br />
Strategic Scientific Initiatives (CSSI), National Cancer Institute<br />
Pre-analytical variables involved in the collection, handling and processing<br />
of blood for circulating tumor cell (CTC) assays can potentially impact CTC<br />
enumeration and characterization. This talk will highlight the study design and<br />
preliminary results from a project led by CSSI, NCI to determine if two preanalytical<br />
variables, namely time-to-assay and blood collection tube-type impact<br />
a high definition (HD)-CTC assay.<br />
2:35 Capture and Analysis of CTCs in Prostate Cancer: Exploring<br />
Biomarkers of Taxane Sensitivity<br />
David M. Nanus, M.D., Chief, Division of Hematology and Medical Oncology,<br />
Weill Cornell Medical College - New York Presbyterian Hospital<br />
Dr. Nanus, in collaboration with his colleagues at Weill Cornell and Cornell<br />
University in Ithaca, has developed a microfluidic device that isolates circulating<br />
prostate cancer circulating tumor cells (CTCs). This device, known as the GEDI<br />
device, will be used in a prospective randomized clinical trial in patients with<br />
castrate resistant prostate cancer treated with taxane chemotherapy to assess<br />
drug response and determine the mechanisms of sensitivity and resistance to<br />
chemotherapy at the cellular level.<br />
3:05 Development of a Novel CTC Assay Based on Mesenchymal<br />
Biomarker Capture<br />
Andrew J. Armstrong, M.D., Associate Professor, Medicine and Surgery, Duke<br />
Cancer Institute, Divisions of Medical Oncology and Urology, Duke University<br />
Current evidence suggests the importance of epithelial plasticity in mediating<br />
cancer metastasis across a range of epithelial cancers, and this plasticity<br />
may lead to the transient loss of the epithelial phenotype during invasion<br />
and hematogenous dissemination. Such cells (CTCs) may be missed by the<br />
current epithelial-based Cellsearch assay. Here I detail our approach to the<br />
development of a novel assay based on this plasticity biology.<br />
3:35 Presentation to be Announced<br />
4:05 Close of Conference<br />
<strong>NextGenerationDx</strong>.<strong>com</strong> Next Generation Dx Summit | 15
AUGUST 21-22<br />
Second Annual<br />
CoMPANioN DiAGNoStiCS:<br />
Re<strong>com</strong>mended Pre-Conference Short Courses*<br />
Regulatory Compliance in Drug-Diagnostics Co-Development<br />
Regulatory and Reimbursement Issues with Multiplex<br />
Molecular Assays/Next-Generation Sequencing<br />
*Separate registration required, please see page 3 for details<br />
Wednesday, august 21<br />
11:00 am Registration<br />
11:00 PLENARY KEYNOTE DISCUSSION<br />
Perspectives on Evaluating Novel Diagnostics for Reimbursement<br />
Moderator: Andrew C. Fish, Executive Director, AdvaMedDx<br />
• Levels of evidence needed to<br />
support novel diagnostics<br />
• Health economics<br />
• Analytical issues<br />
• CMS policy<br />
• Rate schedule<br />
Panelists:<br />
Aaron D. Bossler, M.D., Ph.D., Clinical Associate Professor, Director<br />
Molecular Pathology Laboratory and Molecular Genetic Pathology<br />
Fellowship Program, University of Iowa Hospitals and Clinics and Co-Chair,<br />
AMP Economic Affairs Committee<br />
Dwight Denham, MBA, Director, Clinical Research, Beckman Coulter, Inc.<br />
Elaine K. Jeter, M.D., J1 MolDx Medical Director, Palmetto GBA<br />
Lee H. New<strong>com</strong>er, M.D., Senior Vice President, Oncology, United Healthcare<br />
12:30 pm Enjoy Lunch on Your Own<br />
MOVING TOWARDS MULTIPLEX COMPANION<br />
DIAGNOSTICS<br />
1:50 Chairperson’s Opening Remarks<br />
2:00 The Challenges of Clinical Assay Development and<br />
Implementation in the Era of Targeted Cancer Treatments<br />
P. Mickey Williams, Ph.D., Director, Molecular Characterization Laboratory,<br />
Frederick National Laboratory for Cancer Research<br />
This talk will discuss some of the challenges that lie ahead in developing<br />
effective and efficient multi-analyte clinical assays to ac<strong>com</strong>pany the growing<br />
number of targeted cancer therapies with a focus on next-generation<br />
sequencing technologies.<br />
2:30 Strategic and Computational Considerations in the<br />
Development of Multiplexed Companion Diagnostics<br />
Amir Handzel, Ph.D., Associate Director, Translational and Clinical Sciences, OSI<br />
Pharma (Astellas)<br />
The diverse challenges in developing validated <strong>com</strong>plex diagnostic biomarkers<br />
have been highlighted by several failures in the last decade. The universe of<br />
molecular entities for biomarkers is rich and their extremely large numbers<br />
present difficult problems of selection and validation in a statistically robust<br />
way. In addressing them, an array of technical, operational and organizational<br />
approaches must be employed. I will discuss these strategic and technical<br />
elements while pointing to pitfalls and how to avoid them.<br />
3:00 The Future of Companion Diagnostics<br />
Jeremy Bridge-Cook, Ph.D., Senior Vice President, Research &<br />
Development, Luminex<br />
Sponsored by<br />
Advancing technologies and<br />
Winning reimbursement<br />
3:30 Microfluidics: Deriving Big Benefits from<br />
Sponsored by<br />
Small Structures<br />
Richard A. Montagna, Ph.D., Senior Vice President, Scientific<br />
Affairs, Rheonix, Inc.<br />
A microfluidic platform has been developed that permits the performance of<br />
sophisticated molecular diagnostic testing in a fully automated and unattended<br />
manner. Once a raw clinical specimen is introduced, the system, consisting<br />
of a robotic workstation and a disposable microfluidic cartridge and reagent<br />
packs, automatically performs all sample preparation, analysis and readout<br />
under the control of software. A variety of diverse assays will be described<br />
with applications in personalized medicine and <strong>com</strong>panion diagnostics. In all<br />
cases, highly <strong>com</strong>plex assays can easily be performed by individuals of varying<br />
skill level.<br />
4:00 Refreshment Break in the Exhibit Hall with Poster Viewing<br />
BRINGING A NOVEL COMPANION DIAGNOSTIC<br />
TO THE GLOBAL MARKETPLACE<br />
4:30 Expert Panel Discussion: Bringing A Novel Companion<br />
Diagnostic to the Global Marketplace- What are the Issues to<br />
Think About?<br />
Moderator: Jonathan Roy, Senior Director, Head,Commercial Diagnostics,<br />
GlaxoSmithKline<br />
• Timeline for reimbursement: What happens during waiting time<br />
for reimbursement<br />
• Who pays for testing?<br />
• LDTs in Global markets vs. FDA approved tests<br />
• Aligning goals and timelines<br />
• How do you see the environment evolving?<br />
• Maintaining quality across markets<br />
Panelists:<br />
Richard Ding, CEO, bioTheranostics<br />
Kenneth J. Bloom, M.D., CMO, Clarient, Inc.<br />
Keith Miller, CSO, UCL Cancer Institute, School of Life and Medical Sciences,<br />
University College London<br />
6:00 Dinner Short Course Registration<br />
6:30-8:30 pm Dinner Short Courses*<br />
New Dealmaking Strategies in Companion Diagnostics<br />
*Separate registration required, please see page 3 for details<br />
tHuRsday, august 22<br />
7:30 am Problem Solving Breakout Discussions with Continental<br />
Breakfast<br />
Concurrent Problem Solving Breakout Sessions are interactive, topic-specific<br />
discussions hosted by a moderator. These sessions are open to all attendees,<br />
sponsors, exhibitors, and speakers and provide a forum for discussing key issues<br />
and meeting potential partners. See website for topics.<br />
COMPANION DIAGNOSTICS IN CLINICAL SETTINGS<br />
8:25 Chairperson’s Opening Remarks<br />
8:30 Clinical Molecular Testing for Secondary Drug Resistance in<br />
Cancer<br />
Karen E. Weck, M.D., Professor & Director, Molecular Genetics Laboratory,<br />
University of North Carolina School of Medicine<br />
One of the biggest advances in cancer treatment has been the development<br />
of molecularly targeted therapies, and molecular testing to identify somatic<br />
mutations predictive of drug response has be<strong>com</strong>e increasingly important to<br />
16 | Next Generation Dx Summit <strong>NextGenerationDx</strong>.<strong>com</strong>
AUGUST 21-22<br />
Second Annual<br />
CoMPANioN DiAGNoStiCS:<br />
guide cancer therapy. However, secondary resistance to targeted therapies<br />
often develops. This presentation will highlight clinical molecular testing to<br />
detect secondary drug resistance in cancer and how cancer genome profiling is<br />
changing the practice of pathology.<br />
9:00 Companion Diagnostics in the VA Healthcare System<br />
Jack H. Lichy, M.D., Ph.D., Chief, Pathology & Laboratory Medicine, VA Medical<br />
Center, Washington, D.C.<br />
This presentation will describe challenges presented by the rapidly increasing<br />
demand for <strong>com</strong>panion diagnostics in the VA Healthcare system from the<br />
viewpoint of a VA laboratory director. The relative merits of various strategies<br />
for meeting this demand will be considered, including establishing an internal<br />
VA reference laboratory service, the use of <strong>com</strong>mercial laboratories, and<br />
distribution of testing throughout this 100+ hospital system.<br />
9:30 Use of Targeted, Ultra-Deep Next-Generation Sequencing-<br />
Based Diagnostic Testing of Cancer Genes in a CAP/CLIA<br />
Environment<br />
Shashikant Kulkarni, Ph.D., Head, Clinical Genomics, Washington University<br />
School of Medicine at St. Louis<br />
Next-generation sequencing-based diagnostic testing for cancer mutations<br />
to provide information about diagnosis, prognosis and treatment is being<br />
successfully incorporated into clinical laboratories. We will discuss the<br />
challenges and issues related to the clinical application of NGS. Data generated<br />
from NGS testing performed in CAP/CLIAregulated clinical environments<br />
demonstrates that next-generation-based clinical cancer genomic profiling<br />
to aid clinical diagnoses, predicting out<strong>com</strong>es, and directing therapeutic<br />
interventions is an efficient alternative to established methods for detecting<br />
somatic mutations, particularly when testing multiple genes is indicated.<br />
10:00 Ultra Specific Antibodies Against Cancer Sponsored by<br />
Biomarkers, Ideal for Companion Diagnosis<br />
Donghui Ma, Ph.D., Vice President, Tissue Sciences, OriGene<br />
Technologies Inc.<br />
Antibody with cross-reactivity creates unexpected side effects or false<br />
diagnosis when used clinically. Using an novel high density protein microarray<br />
chip technology, we discovered that multiple well known diagnostic mAbs<br />
lacks the desired specificity. OriGene has created UltraMABs with validated<br />
specificity. HER2 & ERCC1 will be discussed.<br />
10:15 Coffee Break in the Exhibit Hall with Poster Viewing<br />
10:45 Detection and Monitoring of Chromosomal Alterations<br />
in the Circulation of Cancer Patients with Whole-Genome<br />
Sequencing<br />
Mark Sausen, Ph.D., Associate Scientist , Personal Genome Diagnostics<br />
To identify incipient, residual, and recurrent tumors, we developed a noninvasive<br />
approach that identified structural alterations in cancer patients that<br />
were not present in healthy individuals. Subsets of these rearrangements<br />
were associated with clinically actionable genes. Given that chromosomal<br />
abnormalities are present in nearly all tumors, this approach represents a noninvasive<br />
method for tumor detection and monitoring.<br />
11:15 Challenges in Comprehensive Genotyping of Tumors for<br />
Actionable Alterations: The Lung Cancer Paradigm<br />
Marc Ladanyi, M.D., William Ruane Chair in Molecular Oncology, Attending<br />
Pathologist, Molecular Diagnostics Service; Member, Human Oncology and<br />
Pathogenesis Program, Memorial Sloan-Kettering Cancer Center<br />
Many of the actionable genetic alterations initially identified in lung cancer<br />
were mutated oncogenes (EGFR, KRAS, BRAF) well-suited to detection by<br />
point mutation genotyping methods, but such methods are not applicable to<br />
more recently nominated actionable genetic alterations in lung cancer such<br />
as gene fusions (involving ALK, RET, ROS), amplifications (MET, FGFR1), and<br />
tumor suppressor genes (STK11, NF1). These developments have been driving<br />
a search for ever-more <strong>com</strong>prehensive genotyping platforms, prominently<br />
including next-generation sequencing-based approaches.<br />
Advancing technologies and<br />
Winning reimbursement<br />
11:45 Panel Discussion: The Future of Companion Diagnostics<br />
Moderator: Karen E. Weck, M.D., Professor & Director, Molecular Genetics<br />
Laboratory, University of North Carolina School of Medicine<br />
Panelists: Session Speakers<br />
12:15 pm Multimarker Tests as Companion<br />
Diagnostics<br />
Carol E. Berry, MBA, Senior Vice President & General<br />
Manager, Pharmacogenomic Services Division, Asuragen Inc.<br />
Sponsored by<br />
12:45 Luncheon Presentations (Sponsorship Opportunities Available)<br />
or Lunch on Your Own<br />
REIMBURSEMENT OF COMPLEX GENOMIC TESTS<br />
AND COMPANION DIAGNOSTICS<br />
1:40 Chairperson’s Remarks<br />
1:45 Sponsored Presentation<br />
Speaker to be Announced, Quorum Consulting<br />
2:15 New Novitas Biomarker LCDs: How Will They Affect Both<br />
Cancer and Non-Cancer Molecular Testing?<br />
Mitchell I. Burken, M.D., Medicare Medical Director, Novitas Solutions, Inc.<br />
The emergence of personalized laboratory medicine has been characterized by<br />
a multitude of testing options which can more precisely pinpoint management<br />
needs of individual patients. As a result, the growing <strong>com</strong>pendium of socalled<br />
biomarkers requires a more careful evaluation by both clinicians and<br />
laboratorians as to what testing configurations can more optimally realize the<br />
promises of personalized medicine.<br />
2:45 Reimbursement of Cancer Genomic Analysis<br />
Victoria Pratt, Ph.D., FACMG, Chief Director, Molecular Genetics, Quest<br />
Diagnostics Nichols Institute<br />
This session will provide an overview of the CPT coding process and the Gapfill<br />
and Crosswalk processes.<br />
3:15 Companion Diagnostics and the Path to Market – Do All<br />
Roads Lead to Rome?<br />
Steven Gutman, M.D., Strategic Advisor, NA, Myraqa, Inc.<br />
This session will provide an overview of the scientific approaches most<br />
<strong>com</strong>monly considered for use in product co-development and will consider the<br />
trade-offs to be addressed in selecting the optimal design.<br />
3:45 Panel Discussion: Reimbursement for New Molecular<br />
Diagnostics Codes: More Questions Than Answers<br />
4:15 Close of Conference<br />
<strong>NextGenerationDx</strong>.<strong>com</strong> Next Generation Dx Summit | 17
AUGUST 21-22<br />
Third Annual<br />
CoMMErCiAlizAtioN of MolECulAr DiAGNoStiCS<br />
roadmap for Success<br />
Re<strong>com</strong>mended Pre-Conference Short Courses*<br />
Regulatory Compliance in Drug-Diagnostics Co-Development<br />
Regulatory and Reimbursement Issues with Multiplex<br />
Molecular Assays/Next-Generation Sequencing<br />
*Separate registration required, please see page 3 for details<br />
Wednesday, august 21<br />
11:00 am Registration<br />
11:00 PLENARY KEYNOTE DISCUSSION<br />
Perspectives on Evaluating Novel Diagnostics for Reimbursement<br />
Moderator: Andrew C. Fish, Executive Director, AdvaMedDx<br />
• Levels of evidence needed to<br />
support novel diagnostics<br />
• Health economics<br />
• Analytical issues<br />
• CMS policy<br />
• Rate schedule<br />
Panelists:<br />
Aaron D. Bossler, M.D., Ph.D., Clinical Associate Professor, Director<br />
Molecular Pathology Laboratory and Molecular Genetic Pathology<br />
Fellowship Program, University of Iowa Hospitals and Clinics and Co-Chair,<br />
AMP Economic Affairs Committee<br />
Dwight Denham, MBA, Director, Clinical Research, Beckman Coulter, Inc.<br />
Elaine K. Jeter, M.D., J1 MolDx Medical Director, Palmetto GBA<br />
Lee H. New<strong>com</strong>er, M.D., Senior Vice President, Oncology, United Healthcare<br />
12:30 pm Enjoy Lunch on Your Own<br />
COMMERCIALIZATION PATH FOR SEQUENCING<br />
1:45 Chairperson’s Opening Remarks<br />
Harry Glorikian, Founder & Managing Partner, Scientia Advisors LLC<br />
1:50 Commercializing Diagnostic Services on Sponsored by<br />
a Global Platform<br />
Michael Fannon, President, BioIT Solutions, Former CIO,<br />
Human Genome Sciences<br />
Dx markets require sophisticated workflow management, out<strong>com</strong>e<br />
interpretation, and secure report preparation. Add regulatory, reagent supplychain,<br />
and reimbursement issues and many diagnostics pioneers face critical<br />
business needs for real-time controls. Mike discusses practical guidelines for<br />
fast and cost-effective platform deployment to manage modern Dx services.<br />
2:05 Genomic Testing for All Cancer Patients at Dana-Farber<br />
Cancer Institute, Brigham & Women’s Hospital, and Boston<br />
Childrens Hospital<br />
Barrett J. Rollins, M.D., Ph.D., Linde Family Professor of Medicine, Harvard<br />
Medical School; CSO, Dana-Farber Cancer Institute<br />
The landscape of genomic abnormalities in cancer is often unknown at the level<br />
of the individual patient, and the influence of specific genotypes on clinical<br />
behavior is often unclear. These are impediments to the development of a<br />
<strong>com</strong>mercially viable clinical test. To address these deficiencies, we developed<br />
PROFILE, a project that obtains genomic and linked clinical information on all<br />
patients who <strong>com</strong>e to our hospitals for cancer-related care.<br />
2:35 Disruption of the Diagnostics Market by NGS Technologies<br />
Dietrich Stephan, Ph.D., Founder & CEO, Silicon Valley Biosystems (SVBio)<br />
The cost of next-generation sequencing and the changing reimbursement<br />
schema is forcing adoption of NGS by purveyors of DNA Diagnostic tests.<br />
The continued success of these organizations will rely on reducing COGs<br />
and streamlining internal workflows, thus optimizing margins. The successful<br />
transition to cheaper technologies will define the winners and losers in the new<br />
ecosystem of diagnostics.<br />
3:05 Non-Invasive Prenatal Testing Using Circulating Cell-Free<br />
Fetal DNA: An Innovative High-Throughput Clinical Application of<br />
Next-Generation Sequencing<br />
Dirk van den Boom, Executive Vice President, R&D & CTO, Sequenom, Inc.<br />
The utility of cell-free fetal DNA present in maternal plasma of pregnant women<br />
has revolutionized the approach to non-invasive prenatal testing (NIPT) for fetal<br />
aneuploidies. This presentation will provide an overview of the development,<br />
implementation,and <strong>com</strong>mercialization of MaterniT21 PLUS - a next-generation<br />
sequencing based laboratory developed test for detection of fetal trisomies<br />
21,18,13 and sex aneuploidies; in addition, there will be a summary of almost<br />
two years of clinical testing.<br />
3:35 Rapid IVD Instrument Development<br />
Sponsored by<br />
Walter Gilde, Business Development Manager,<br />
KMC Systems, Inc.<br />
Rapid IVD product development focuses on accelerated<br />
time to market and lower development cost. Understanding<br />
user requirements, selecting and optimizing the hardware and software<br />
architecture, and leveraging off-the-shelf technologies are essential elements<br />
for success. The timely application of these three strategies can minimize<br />
design change, speedtime to market, and allow OEMs to meet user needs at a<br />
reasonable cost.<br />
3:50 Next Generation Sequencing vs. Individual<br />
Assays – Implications for Demonstrating Clinical<br />
Utility in the Context of Reimbursement Decisions<br />
Speaker to be Announced<br />
Sponsored by<br />
4:05 Refreshment Break in the Exhibit Hall with Poster Viewing<br />
BRINGING A NOVEL COMPANION DIAGNOSTIC TO<br />
THE GLOBAL MARKETPLACE<br />
4:30 Expert Panel Discussion: BRINGING A NOVEL COMPANION<br />
DIAGNOSTIC TO THE GLOBAL MARKETPLACE: What are the<br />
Issues to Think About?<br />
Moderator: Jonathan Roy, Senior Director, Head Commercial Diagnostics,<br />
GlaxoSmithKline<br />
• Timeline for reimbursement: what happens during waiting time<br />
for reimbursement<br />
• Who pays for testing?<br />
• LDTs in Global markets vs. FDA approved tests<br />
• Aligning goals and timelines<br />
• How do you see the environment evolving?<br />
• Maintaining quality across markets<br />
Panelists:<br />
Richard Ding, CEO, bioTheranostics<br />
Kenneth J. Bloom, M.D., CMO, Clarient, Inc.<br />
Keith Miller, CSO, UCL Cancer Institute, School of Life and Medical Sciences,<br />
University College London<br />
6:00 Dinner Short Course Registration<br />
6:30- 8:30 pm Dinner Short Courses*<br />
Dealmaking in Companion Diagnostics<br />
*Separate registration required, please see page 3 for details<br />
18 | Next Generation Dx Summit <strong>NextGenerationDx</strong>.<strong>com</strong>
AUGUST 21-22<br />
Third Annual<br />
CoMMErCiAlizAtioN of MolECulAr DiAGNoStiCS<br />
roadmap for Success<br />
tHuRsday, august 22<br />
7:30 am Problem Solving Breakout Discussions with Continental<br />
Breakfast<br />
Concurrent Problem Solving Breakout Sessions are interactive, topic-specific<br />
discussions hosted by a moderator. These sessions are open to all attendees,<br />
sponsors, exhibitors, and speakers and provide a forum for discussing key issues<br />
and meeting potential partners. See website for topics.<br />
STRATEGIC ASSESSMENT:<br />
Analytic Frameworks and Evidence Levels to Support Market<br />
Authorization & Market Access<br />
8:25 Chairperson’s Opening Remarks<br />
8:30 Stakeholders Needs in Market Authorization and Market<br />
Access Decisions<br />
Dwight Denham, MBA, Director, Clinical Research, Beckman Coulter, Inc.<br />
Building evidence strategies for the multiple stakeholders within the market<br />
authorization and access process is essential to support their decisions.<br />
Manufacturers of diagnostics products also have their internal stakeholders<br />
to align to a <strong>com</strong>mon strategy for market authorization and access. This<br />
presentation will discuss stakeholder analysis considerations and possible<br />
analytic frameworks and evidence levels that can be developed by<br />
manufacturers to impact <strong>com</strong>mercialization timelines of novel diagnostics.<br />
INTERNATIONAL DEPLOYMENT<br />
9:30 Novel Model for Funding Stratified Medicine in UK<br />
Penny Wilson, Ph.D., Lead Specialist, Detection and Identification of Infectious<br />
Agents, Technology Strategy Board<br />
10:00 Coffee Break in the Exhibit Hall with Poster Viewing<br />
10:30 Has Your Assay Patent Lost Its Value?<br />
Sponsored by<br />
Edward Gamson, Partner, Healthcare Life Sciences &<br />
Pharmaceutical of Husch Blackwell Sanders, LLP<br />
The Supreme Court changed the division of profits from diagnostic assays in<br />
Mayo v. Prometheus, and may change more in deciding Myriad this summer.<br />
Drs. Edward Gamson and Robert Gould, scientist lawyers, will discuss the<br />
impact of recent changes in the case law on the creation and enforcement of<br />
rights in diagnostic patents.<br />
10:45 Expert Panel Discussion: GENE PATENTS: AMP vs. Myriad,<br />
What Are the Commercial Implications?<br />
Moderator: Roger Klein, M.D., J.D., Department of Molecular Pathology,<br />
Cleveland Clinic Foundation<br />
Panelists:<br />
Lori Pressman, Independent Consultant<br />
Debra G.B. Leonard, M.D., Ph.D., Professor and Chair, Department of<br />
Pathology, UVM College of Medicine, Physician Leader, Pathology and<br />
Laboratory Medicine, Fletcher Allen Health Care, UVM College of Medicine<br />
Hans Sauer, Ph.D., J.D., Deputy General Counsel for Intellectual Property,<br />
Biotechnology Industry Organization<br />
12:15 pm Using Virtual Population Simulation Sponsored by<br />
to Generate Evidence for Reimbursement<br />
Quanfying Healthcare<br />
Discussions<br />
Badri Rengarajan, M.D., Medical Director, Archimedes<br />
Negotiating a high reimbursement price in the absence of <strong>com</strong>plete data (longterm<br />
out<strong>com</strong>es, real-world usage) is challenging. Simulation modeling with<br />
virtual patients proceeding through a virtual healthcare system can generate<br />
longitudinal data in real-world settings within hours, thereby changing the tone<br />
of the negotiation and potentially supporting a higher reimbursement.<br />
12:45 Luncheon Presentations (Sponsorship Opportunities Available)<br />
or Lunch on Your Own<br />
REIMBURSEMENT OF COMPLEX GENOMIC TESTS<br />
AND COMPANION DIAGNOSTICS<br />
1:40 Chairperson’s Remarks<br />
Chairperson to be Announced, Quorum Consulting<br />
1:45 Sponsored Presentation<br />
Speaker to be Announced, Quorum Consulting<br />
2:15 New Novitas Biomarker LCDs: How Will They Affect Both<br />
Cancer and Non-Cancer Molecular Testing?<br />
Mitchell I. Burken, M.D., Medicare Medical Director, Novitas Solutions, Inc.<br />
The emergence of personalized laboratory medicine has been characterized by<br />
a multitude of testing options which can more precisely pinpoint management<br />
needs of individual patients. As a result, the growing <strong>com</strong>pendium of socalled<br />
biomarkers requires a more careful evaluation by both clinicians and<br />
laboratorians as to what testing configurations can more optimally realize the<br />
promises of personalized medicine.<br />
2:45 Reimbursement of Cancer Genomic Analysis<br />
Gary Martucci, Senior Director, Strategic & National Payer Accounts,<br />
Foundation Medicine<br />
3:15 Companion Diagnostics and the Path to Market – Do All<br />
Roads Lead to Rome?<br />
Steven Gutman, M.D., Strategic Advisor, NA, Myraqa, Inc.<br />
This session will provide an overview of the scientific approaches most<br />
<strong>com</strong>monly considered for use in product co-development and will consider the<br />
trade-offs to be addressed in selecting the optimal design.<br />
3:45 Panel Discussion: Reimbursement for New Molecular<br />
Diagnostics Codes: More Questions Than Answers<br />
4:15 Close of Conference<br />
<strong>NextGenerationDx</strong>.<strong>com</strong> Next Generation Dx Summit | 19
Sponsor & Exhibitor opportunities<br />
CHI offers <strong>com</strong>prehensive sponsorship packages which include presentation<br />
opportunities, exhibit space and branding, as well as the use of the pre and post<br />
show delegate lists. Sponsorship allows you to achieve your objectives before,<br />
during, and long after the event. Any sponsorship can be customized to meet<br />
your <strong>com</strong>pany's needs and budget. Signing on earlier will allow you to maximize<br />
exposure to hard-to-reach decision makers.<br />
AgendA PresentAtions<br />
Showcase your solutions to a guaranteed, highly-targeted audience. Package<br />
includes a 15 or 30 minute podium presentation within the scientific agenda, exhibit<br />
space, on-site branding and access to cooperative marketing efforts by CHI.<br />
BreAkfAst & Luncheon PresentAtions<br />
Opportunity includes a 30 minute podium presentation. Boxed lunches are<br />
delivered into the main session room, which guarantees audience attendance and<br />
participation. A limited number of presentations are available for sponsorship and<br />
they will sell out quickly. Sign on early to secure your talk!<br />
invitAtion-onLy viP dinner/hosPitALity suite<br />
Sponsors will hand-pick their top prospects from the conference pre-registration<br />
list for an evening of networking at the hotel or at a choice local venue. CHI will<br />
extend invitations and deliver prospects. Evening will be customized according<br />
to sponsor’s objectives (i.e. purely social, focus group, reception style or plated<br />
dinner, plated dinner with specific conversation focus).<br />
exhiBit informAtion<br />
Exhibitors will enjoy facilitated networking opportunities with qualified decision<br />
makers at the Next Generation Diagnostics Summit, making it the perfect platform<br />
to launch a new product, collect feedback and generate new leads. Exhibit space<br />
sells out quickly, so reserve yours today!<br />
2012 sponsors & exhibitors<br />
20/20 GeneSystems<br />
Advanced Cell Diagnostics<br />
Ambry Genetics<br />
ArcticZymes<br />
Asuragen<br />
Aushon BioSystems<br />
Biodesix<br />
Biofortuna<br />
BioMedomics<br />
bioMerieux, Inc.<br />
Biosearch Technologies, Inc.<br />
Boston Healthcare Associates<br />
Bridgehead Intl GFK<br />
Cureline<br />
D-Target<br />
Diagnostic Consulting Network<br />
EdgeBio<br />
Enplas<br />
Folio Biosciences<br />
GenePOC<br />
HTG Molecular Diagnostics<br />
KMC Systems<br />
Luminex<br />
McKesson<br />
MolecularMD<br />
Myriad RBM<br />
OriGene<br />
Predictive Biosciences<br />
Looking for AdditionAL wAys to drive LeAds to your sALes teAm? chi<br />
cAn heLP!<br />
We offer clients numerous options for custom lead generation programs to<br />
address their marketing and sales needs, including:<br />
custom LeAd generAtion ProgrAms:<br />
• Targeted campaign promotion to unparalleled database of 800,000+ individuals in<br />
the life sciences<br />
• Experienced marketing team promotes campaign, increasing awareness and leads<br />
Live weBinArs:<br />
• Assistance in procuring speakers<br />
• Experienced moderators<br />
• Dedicated operations team to coordinate all efforts<br />
whitePAPers:<br />
• Industry recognized authors, with vast editorial experience, available to help<br />
write your white paper<br />
*chi ALso offers mArket surveys, PodcAsts, And more!<br />
Reserve your exhibit space by may 10 & sAve $300!<br />
For additional information, please contact:<br />
Joseph Vacca<br />
Manager, Business Development<br />
781-972-5431 | jvacca@healthtech.<strong>com</strong><br />
PrimeraDx<br />
Promega<br />
Quanterix<br />
Randox Laboratories<br />
ResearchDx<br />
RHEONIX<br />
Scienion, Inc.<br />
Slone Partners<br />
Sony DADC<br />
ThinXXS Microtechnology AG<br />
Trillium Diagnostics<br />
uFluidix Inc.<br />
20 | Next Generation Dx Summit <strong>NextGenerationDx</strong>.<strong>com</strong>
hotel & travel information<br />
Conference Hotel:<br />
The Hyatt Regency on Capitol Hill, Washington, DC<br />
400 New Jersey Avenue<br />
Washington, DC 20001<br />
Tel: 202-737-1234<br />
Discounted Room Rate: $195 s/d<br />
Discounted Room Cut-off Rate: July 24, 2013<br />
Please visit NexGenerationDx.<strong>com</strong> to make your reservation<br />
online or call the Hotel directly to reserve your sleeping room<br />
ac<strong>com</strong>modations. You will need to identify yourself as a<br />
Cambridge Healthtech Institute conference attendee to receive<br />
the discounted room rate. Reservations made after the cut-off<br />
date or after the group room block has been filled (whichever<br />
<strong>com</strong>es first) will be accepted on a space- and rate-availability<br />
basis. Rooms are limited, so please book early.<br />
Top Reasons to Stay at the Hyatt Regency on Capitol Hill<br />
• Complimentary wireless internet in your guest room<br />
• Walking Distance to Smithsonian Museums, the National Mall and local attractions<br />
• Steps away from the U.S. Capitol Building<br />
• Restaurants and Shops are just minutes from the Hotel<br />
Flight Discounts:<br />
American Airlines<br />
Special discounts have been established with American Airlines for this conference:<br />
• Call 1-800-433-1790 and use Conference Code 8283BJ<br />
• Go online at www.aa/group.<strong>com</strong> enter Conference code 8283BJ in promotion<br />
discount box<br />
• Contact our designated travel agent, Rona Meizler at 1-617-559-3735 or<br />
rona.meizler@protravelinc.<strong>com</strong><br />
Car Rental Discounts:<br />
Special discount rentals have been established with Hertz for this conference.<br />
• Call Hertz, 1-800-654-3131 use our Hertz Convention Number (CV): 04KL0004<br />
• Go online www.hertz.<strong>com</strong> use our Hertz Convention Number (CV): 04KL0004<br />
“The Next-Generation<br />
Diagnostics Summit was a<br />
great meeting with many<br />
relevant, timely topics and<br />
excellent speakers.”<br />
CSO, Metamark Genetics<br />
<strong>NextGenerationDx</strong>.<strong>com</strong> Next Generation Dx Summit | 21