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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

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