FIERCE INNOVATION AWARDS - Life Sciences Edition 2020 INNOVATION REPORT

 
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FIERCE INNOVATION AWARDS - Life Sciences Edition 2020 INNOVATION REPORT
FIERCE INNOVATION
AWARDS
Life Sciences Edition 2020

INNOVATION REPORT
FIERCE INNOVATION AWARDS - Life Sciences Edition 2020 INNOVATION REPORT
About the only positive way to describe                                         APPLICANTS WERE JUDGED IN THE FOLLOWING CATEGORIES:

                           this past year is as one that has been                                          Biotech Innovation
                                                                                                           Championing innovation in the face of great competition. This category
                           challenging.                                                                    showcases products and service that are forward thinking and have the
                           A global pandemic not seen for more than a hundred years shuttered countries    greatest opportunity to have an impact on the industry.
                           and communities, disrupted daily lives and cast a sense of uncertainty on the
                           future. Though obstacles remain in the face of Covid-19, the Life Sciences      Technology Innovation
                           industry has not only overcome tremendous hurdles in just a few months it has   Utilizing technology to shape the industry. This category highlights products
                           begun to map out what we can expected when the crisis subsides.                 and services that are using innovative technology solutions to better serve
                                                                                                           the industry and promote innovation.
Rebecca Willumson          Initially seen as an industry that was slowly adopting digital technology,
Publisher, Life Sciences   Life Sciences organizations fully embraced it in just a few weeks in order to   Data Analytics/Business Intelligence
                           maintain functional operations as well as leverage and streamline everything    Excellence in data analytics. This category recognizes greatness in business
                           from drug development and clinical trials to treating and communicating with    intelligence using data science, data management, and data analytics to
                           patients, customers and employees.                                              better serve the industry.

                           The constant in all this change continues to be a patient-centric focus.        Digital Health Solution
                           Treatments initially targeting unrelated diseases were found to be effective    Forward thinking digital innovation. This category showcases the best use of
                           in helping patients suffering from the effects of Covid-19 and were quickly     digital technology and mobile apps to better serve the industry.
                           channeled to meet that need. Government regulators also responded by
                                                                                                           Drug Delivery Technology
                           streamlining requirements to get the most effective treatments to patients
                                                                                                           Drug delivery technologies are shaping the industry. This category recognizes
                           while also aiding researchers looking for a viable vaccine.
                                                                                                           excellence and innovation in the latest drug delivery technologies.
                           This year’s Life Sciences Innovation Report reflects those trends as the
                                                                                                           Medical Device Innovation
                           industry responds to the global crisis and looks toward the future. Each year
                                                                                                           Advancing science through device innovation. This category showcases the
                           we uncover cutting edge organizations that have or are in the process of
                                                                                                           best medical device innovations that have the greatest opportunity to have
                           launching new technologies and services that are reinventing what it means to
                                                                                                           an impact on the industry.
                           be focused on the ultimate goal—helping people. Each year it gets harder for
                           our judges because there are so many more companies doing great work and        Our expert panel of judges reviewed hundreds of applications to find the best
                           making huge strides toward that goal.                                           of the best and now I am pleased to introduce you to our 2020 winners.

                                                                                                                                              Fierce Innovation Report Healthcare Edition 2020 | 2
FIERCE INNOVATION AWARDS - Life Sciences Edition 2020 INNOVATION REPORT
MEET THE JUDGES

Katarzyna Bernacki, Ph.D.                           David Blackman                                    Tim Ruckh                                        Catherine Patterson, PhD
  Associate Director of Patient Experience        Business Innovation Senior Director   Associate Principal Scientist, Precision Medicine,                        Chief Scientific Officer
                ASTELLAS                     PPD CORPORATE DEVELOPMENT & STRATEGY                        R&D Oncology                                          BIOTECH RESEARCH GROUP
                                                                                                        ASTRAZENECA

  Divya Chadha Manek                            John Klacking, Ph.D.                                  Rob Saiter                                                   Joe Dustin
 Head of Business Development & Marketing                 Co-Founder                         Managing Director, Life Sciences R&D                             Solution Director, Digital Health
  (NIHR) CLINICAL RESEARCH NETWORK                   ANGIOCRINE BIOSCIENCE                             ACCENTURE                                                 MEDIDATA SOLUTIONS

                                                                                                                                             Fierce Innovation Report Healthcare Edition 2020 | 3
FIERCE INNOVATION AWARDS - Life Sciences Edition 2020 INNOVATION REPORT
BEST IN SHOW

               BIOTECH INNOVATION                                               TECHNOLOGY INNOVATION

               Mesoblast                                                        NJ Sharing Network
               Remestemcel-L                                                    NJSN IgG Subtype Assay

               DATA ANALYTICS/BUSINESS INTELLIGENCE

               TriNetX
               TriNetX Platform for Protocol Design and Feasibility

               DIGITAL HEALTH SOLUTIONS

               IQVIA
               IQVIA eCOA

               DRUG DELIVERY TECHNOLOGY

               RenovoRx
               RenovoGem™ (intra-arterial gemcitabine + RenovoCath®)
               treatment of locally advanced pancreatic cancer via the Trans-
               Arterial Micro-Perfusion (TAMP™) procedure

               MEDICAL DEVICE INNOVATION

               miR Scientific, LLC
               miR Sentinel Test

                                                                                                Fierce Innovation Report Healthcare Edition 2020 | 4
FIERCE INNOVATION AWARDS - Life Sciences Edition 2020 INNOVATION REPORT
SPOTLIGHT
                                                                                                                                                                                                                                                                                                                                                                 WHAT’S THE SCOOP:                                                    WHAT MAKES IT FIERCE:

                                                                                                                                                                                                                                                                                                                                                                 Mesoblast, which is focused on cellular medicines for the            Itescu put it simply: Innovation and vision. “We have been
                                                                                                                                                                                                                                                                                                                                                                 treatment of inflammatory diseases, has been developing              ahead of the curve the whole way through,” he said.
BIOTECH INNOVATION
                                                                                                                                                                                                                                                                                                                                                                 Remestemcel-L, which goes under the brand name Ryoncil.              “We’ve known how to harness it and how to deliver. Our
CEO: SILVIU ITESCU                                                                                                                                                                                                                                                                                                                                               It is designed for the treatment of excessive inflammation           understanding of the power of technology and using it
BASED: MELBOURNE, AUSTRALIA                                                                                                                                                                                                                                                                                                                                      such as graft versus host disease (GVHD), chronic obstructive        strategically to address unmet needs is what has allowed us to
FOUNDED: 2004
                                                                                                                                                                                                                                                                                                                                                                 pulmonary disease associated with elevated levels of                 create the right business model.”
REMESTEMCEL-L
                                                                                                                                                                                                                                                                                                                                                                 inflammation and biologic resistant Crohn’s Disease. Of the
                                                                                                                                                                                                                                                                                                                                                                 more than 30,000 patients globally that receive an allogeneic        WHAT TO LOOK FOR:
                                                                                                                                                                                                                                                                                                                                                                 bone marrow transplant each year, primarily for the treatment        In the near term the company’s focus will be on ramping up
                                                                                                                                                                                                                                                                                                                                                                 of blood cancers, about half of them develop acute GVHD with         and rolling out Remestemcel-L as well and completing the
                                                                  Mesoblast – Leader
                                                                  in Allogeneic Cellular
                                                                                                                                                                                                                                                                                                                                                                 mortality rates reaching as high as 90 percent despite high          Phase 3 study of the treatment’s use on Covid-19 patients. In
                                                                  Medicines
                                                                                                                                                                                                                                                                                                                                                                 standards of care. Remestemcel-L has the ability to counteract       the coming years, Itescu expects they will be looking at other
                                                                                                                                                                                                                                                                                                                                                                 the inflammatory course by down-regulating the production            areas such as treating heartburn and pain.
                                                                                                                                                                                                      Markets Opportunities for Lead Products
                                                                                                                                                                                                                                                                                                                                                                 of pro-inflammatory cytokines, elevating the production of
    Mesoblast (ASX:MSB; Nasdaq:MESO) is developing and commercializing allogeneic cellular
                                                                                                                                                                                                                                                                                                                                                                 anti-inflammatory cytokines and helping trigger naturally
    medicines to treat serious and life-threatening inflammatory diseases with significant,
    unmet medical needs.
                                                                                                                                              Acute Graft Versus                                                                        Advanced Heart                                                Chronic Low Back Pain
                                                                                                                                                                                                                                                                                                                                                                 occurring anti-inflammatory cells in the involved tissues. “We
                                                                                                                                                                                                                                                                                                                                                                 call it taming the cytokine storm,” Silviu Itescu, Mesoblast
    The Company’s Phase 3 off-the-shelf mesenchymal lineage cell                                                           The United States Food and Drug Administration (FDA) has
    product candidates are:
                                                                                                                                                Host Disease
                                                                                                                           accepted for priority review Mesoblast’s Biologics License
                                                                                                                                                                                                                                            Failure                                                  Due to Disc Degeneration
    • RYONCIL™ (remestemcel-L) for steroid-refractory acute graft                                                          Application  (BLA) to
                                                                                                                                  • >30,000       seek approval
                                                                                                                                               allogeneic   boneofmarrow
                                                                                                                                                                   RYONCIL to treat steroid-
                                                                                                                                                                                        • U.S. healthcare costs for NYHA class                                                                       • MPC-06-ID development focused
      versus host disease (acute GVHD)                                                                                     refractorytransplants
                                                                                                                                      acute GVHDperformed
                                                                                                                                                    in children.globally
                                                                                                                                                                The FDA has set a Prescription
                                                                                                                                                                                           II-IV patients $115bn/year                                                                                  on over ~3.2m patients in U.S. alone

                                                                                                                                                                                                                                                                                                                                                                 chief executive, said. The treatment is currently under priority
                                                                                                                           Drug User(>20K
                                                                                                                                       Fee Act (PDUFA)
                                                                                                                                            US/EU)       action ~20%
                                                                                                                                                     annually,  date of September 30, 2020,
                                                                                                                                                                                        • Hospitalizations account for ~69%                                                                          • U.S. market opportunity
    • Remestemcel-L for moderate to severe acute respiratory                                                               and if approved,  Mesoblast will make RYONCIL immediately of expenditure
                                                                                                                                     pediatric
      distress syndrome (ARDS) due to COVID-19 infection                                                                                                                                                                                                                                               >USD $1 billion
                                                                                                                           available in the United  States.
                                                                                                                                  • Steroid-refractory aGVHD                                                                • Multi-billion dollar annual market
    • REVASCOR® for advanced chronic heart failure, and                                                                              represents
                                                                                                                           The Company’s         >USD manufacturing
                                                                                                                                             proprietary $700m U.S./EUprocesses yield opportunity in in the U.S.

                                                                                                                                                                                                                                                                                                                                                                 review by the FDA and is expected to be approved for use in
    • MPC-06-ID for chronic low back pain due to degenerative                                                                        marketcryopreserved,
                                                                                                                           industrial-scale,  opportunity off-the-shelf, cellular medicines.
      disc disease.                                                                                                        These cell therapies, with defined pharmaceutical release criteria,
                                                                                                                           are planned to be readily available to patients worldwide upon
                                                                                                                           receiving marketing authorizations.

    Phase 3 Product Candidates
    PRODUCT
    CANDIDATE
                                 THERAPEUTIC
                                 AREA                                                                        PHASE 1/2
                                                                                                                                 Corporate History
                                                                                                                                             PHASE 3                      REGISTRATION
                                                                                                                                                                                                     MESOBLAST
                                                                                                                                                                                                     COMMERCIAL
                                                                                                                                                                                                     RIGHTS
                                                                                                                                                                                                                           COMMERCIAL
                                                                                                                                                                                                                           PARTNERS
                                                                                                                                                                                                                                                                                                                                                                 children under 12 with GVHD in September. A similar cytokine
                                                                                                                                                                                                                                                                                                                                                                 storm in patients suffering from Covid-19 was observed
                                                             Acute GVHD – Pediatric
     RYONCIL™
     (Remestemcel-L)
                                                                                                                                 Mesoblast has more than a decade of      scientific, manufacturing, clinical development and corporate development experience targeted
                                                                                                                                                                      Global
                                                                                                                                                                      ex-Japan
                                                             Acute GVHD – Adult                                                  at bringing to market allogeneic, off-the-shelf cellular medicines for inflammatory diseases.
                                                             Chronic GVHD

                                                                                                                                                                                                                                                                                                                                                                 during the outbreak of the pandemic and the U.S. regulatory
                                                                                                                                                                                                     Global
                                 Pediatric &
                                 adult systemic
                                                                                                                                                                                2011                                                                            2016                                                      2019
                                                             Acute Respiratory Distress Syndrome (COVID-19; Influenza; Bacterial)
                                 inflammatory
                                 diseases                                                                                                                                      Entered into                                                                    TEMCELL® HS Inj                                           Entered into strategic
     REMESTEMCEL-L                                           Hypoxic Ischemic Encephalopathy*                                           2004                                   manufacturing                            2014                                   (MSC medicine)               2018                         partnership with
                                                                                                                                                                               partnership withGlobal                                                          launched in Japan                                         Grünenthal for chronic
                                                                                                                                       Mesoblast founded                       Lonza Group in ex-Japan                 Granted manufacturing                   by Mesoblast                Entered into                  low back pain asset in

                                                                                                                                                                                                                                                                                                                                                                 agency approved the use of Remestemcel-L under expanded
                                                             Epidermolysis Bullosa*                                                    in Melbourne,                                                                   pioneer status by                                                   strategic partnership
                                                                                                                                                                               Singapore for MPC                                                               licensee JCR                                              Europe & Latin America
                                                                                                                                       Australia and listed                    medicines                               Economic Development                                                agreement with Tasly
                                                             Biologic-refractory Crohn’s Disease                                       on the ASX                                              Global                  Board of Singapore                                                  for cardiovascular
                                                                                                                                                                                                                                                                                           assets in China
                                                             Advanced Heart Failure
     REVASCOR®                                                                                                                                                                                       Global

                                                                                                                                                                                                                                                                                                                                                                 access under its compassionate care clause. “We straight
     (Rexlemestrocel)            Localized                                                                                                                                                           ex-China
                                 inflammatory                End-Stage Ischemic Heart Failure
                                 diseases
                                                                                                                                                              Entered into                                                                                                  Mesoblast receives            Smith & Nephew
     MPC-06-ID                                               Chronic Low Back Pain                                                                            strategic alliance                           Global                                                           royalty income from its       acquired Osiris
                                                                                                                                                                                                           ex-EUR, LATAM
     (Rexlemestrocel)
                                                                                                                                                              with Cephalon to                                                                                              patent licensee TiGenix,      Therapeutics, and           Filed first BLA
                                                                                                                                                              develop and                                                                                                   S.A.U., a wholly owned        will receive future         submission to US
    The    Company also has a promising pipeline of product candidates and next generation technologies.
    *Mesoblast has the right to use data generated by JCR Pharmaceuticals Co Ltd in Japan to support its development and commercialization plans for remestemcel-L in the US and other major healthcare markets, including for GVHD, HIE and EB.
                                                                                                                                                              commercialize                                                                      Dual listed on the         subsidiary of Takeda, on      earn-outs on MSC            FDA; RYONCIL™

                                                                                                                                                                                                                                                                                                                                                                 away figured if our cells are able to do that then there was no
    This chart is figurative and does not purport to show individual trial progress within a clinical program.
                                                                                                                                                              MPC therapeutics                           Acquired MSC                            Nasdaq                     its worldwide sales of its    business                    (remestemcel-L) for
                                                                                                                                                                                                         business from                                                      product Alofisel® for the                                 steroid-refractory acute
                                                                                                                                                                                                         Osiris Therapeutics
                                                                                                                                                                                                                      www.mesoblast.com                                     treatment of complex                                      graft versus host
                                                                                                                                                              2010                                       with future earnouts                    2015                       perianal fistulas in adult
                                                                                                                                                                                                                                                                                                          2019                        disease in children
                                                                                                                                                                                                                                                                            patients with Crohn’s
                                                                                                                                                                                                  2013                                                                      disease, as well as
                                                                                                                                                                                                                                                                                                                                      2020

                                                                                                                                                                                                                                                                                                                                                                 reason they wouldn’t do the same thing for the lungs,” said
                                                                                                                                                                                                                                                                            milestone payments.

                                                                                                                                                                                                                                                                            2017

                                                                                                                                                                                                                                                                                                                                                                 Itescu. Initially, 12 Covid-19 patients at Mount Sinai Hospital in
                                                                                                                                                                                                                                                                                                                                                                 New York were treated with Remestemcel-L, resulting in an 83
                                                                                                                                                                                                                                                                                                                                                                 percent survival rate. The study was quickly expanded to 300
                                                                                                                                                                                                                                                                                                                                                                 patients and is currently in the middle of a Phase 3 study.
                                                                                                                                                                                                                                        United States                                    Australia                                  Asia
                                                                                                                                                                                                                                        505 Fifth Avenue                                 Level 38                                   20 Biopolis Way
                                                                                                                                                                                                                                        Third Floor                                      55 Collins Street                          #05-01 Centros
                                                                                                                                                                                                                                        New York, NY 10017                               Melbourne, Victoria 3000                   Biopreneur 3
                                                                                                                                                                                                                                        USA                                              AUSTRALIA                                  SINGAPORE 138668
                                                                                                                                                                                                                                        T +1 212 880 2060                                T +61 3 9639 6036                          T +65 6570 0635
                                                                                                                                                                                                                                        F +1 212 880 2061                                F +61 3 9639 6030                          F +65 6570 0176
                                                                                                                                 www.mesoblast.com                                                                                      E info@mesoblast.com                             E info@mesoblast.com                       E info@mesoblast.com

                                                                                                                                                                                                                                                                                                                                                                                                                                                          Fierce Innovation Report Healthcare Edition 2020 | 5
FIERCE INNOVATION AWARDS - Life Sciences Edition 2020 INNOVATION REPORT
SPOTLIGHT
                                                                                                                                                                                                                                                                WHAT’S THE SCOOP:                                                   WHAT MAKES IT FIERCE:

                                                                                                                                                                                                                                                                TriNetX is a global health research organization that has           Clarehout says two things make TriNetX Fierce. The first is the
                                                                                                                                                                                                                                                                developed a platform that connects the arena of drug                performance that the company has shown in building a unique
                                                                                                                                                                                                                                                                discovery and development in the pharmaceutical industry            network in a short time. The second is creating data access
                                                                                                                                                                                                                                                                with clinical trial sites around the world. The platform aids       for the industry and academic researchers with breadth and
DATA ANALYTICS/BUSINESS INTELLIGENCE
                                                                                                                                                                                                                                                                the industry in addressing flawed protocols and expensive           depth. “We are building networks in Asia and Latin America,
CEO: GADI LACHMAN                                                                                                                                                                                                                                               and often avoidable amendments through real-time access             and that truly makes us Fierce,” he said.
BASED: CAMBRIDGE, MA                                                                                                                                                                                                                                            to clinical data and cutting-edge analytics. It also provides
FOUNDED: 2013                                                                                                                                                                                                                                                   companies with the understanding of study viability and             WHAT TO LOOK FOR:
TRINETX PLATFORM FOR PROTOCOL DESIGN AND FEASIBILITY
                                                                                                                                                                                                                                                                the ways inclusion and exclusion criteria can affect the size       Growing the data platform and expanding its geographic
                                                                                                                                                                                                                                                                of the anticipated eligible patient population. That kind of        reach. “Finding more data and enriching the data we have
                                                                                                                                                                                                                                                                information developed during the design process can reduce          so we have a complete picture and it becomes even more
     TRINETX LIVE™                                                                                                                                                                                                                                              the risks of too much restrictive criteria that down the road       important to research,” he said.
     Apply a Data-Driven
     Approach to Clinical                                                                                                                                                                                                                                       can lead to protocol amendments that equate to higher trial
     Research                                                                                                                                                                                                                                                   costs and delays in bringing new drugs to market. TriNetX’s
                                                                                                                                                                                                                                                                platform features continuously-refreshed clinical data collected
                                                                                                                                                                                            TriNetX Live™

                                                                                                                                                                                                                                                                from the company’s network of more than 150 healthcare
                                                                                        As a result of its reach and rapidly expanding network,
                                                                                        TriNetX has become the market leader in protocol design and                                         TriNetX Live enables researchers to analyze patient
                                                                                        feasibility. Researchers have leveraged the TriNetX network to                                      populations and perform “what-if” analyses in real-time.
                                                                                        analyze over 13,500 protocols, presented over 2900 clinical                                         Researchers are presented with aggregate views, but each

                                                                                                                                                                                                                                                                organizations and health data partners located in 29 countries
                                                                                        trial opportunities to its healthcare members, and reduced the                                      data point in the TriNetX network can be traced to healthcare
    Design Successful Protocols                                  Improving Planning and time to find Have
                                                                                                      trial sites by 50%.
                                                                                                               a Path  to Real Patients                                                     organizations who are able to identify individual patients.
                                                                                                                                                                                            This enables clinical researchers to develop virtual patient
      Design feasible protocols with                                     Site Selection                              Identify sites that have eligible patients                             cohorts that can be re-identified for potential recruitment
                                                                                                                       basedFaster    Site Gain
                                                                                                                              on real data. Identification
                                                                                                                                                 a path back

                                                                                                                                                                                                                                                                that serve an estimated 400 million patients. Through the
   self-service access to de-identified,                                                                                                                                                    into a clinical trial.
                                                            Instantly see a list of sites with the
        clinical and genomic data.                                                                                      to the identity of the patient if the
                                                            number of patients that match your
                                                                                                                        healthcare
                                                                                                                      n=591         organization TriNetX
                                                                                                                             responses            decides to Industry
                                                               criteria and a comprehensive                                                                                                 Best of all, what previously took days to weeks to determine, can
                                                                                                                              participate in your trial.
                                                             aggregated picture of the cohort.                                                                                              now be done in minutes.

                                                                                                                                                                                                                                                                platform, research teams are able to investigate attributes and
                                                                                                          Industry

                                                                                                                                                                     *42 Days
                                                                                                                                                                                            Answer Questions Confidently
 TriNetX is the global health research network that optimizes                        Mapped & Harmonized Data                                                                               Protocol Design & Feasibility

                                                                                                                                                                                                                                                                comorbidities of the eligible cohort. “Without such a platform
 clinical research and enables discoveries through the creation                      TriNetX works extensively
                                                                                                       TriNetX    to map all data to a master clinical
 of real-world evidence. TriNetX combines real-time access to                        terminology which is a consistent set of standardized clinical                                         • Self-service access to continuously-refreshed clinical data
 longitudinal clinical data allowing pharmaceutical companies                        coding ontologies (e.g., ICD, CPT, *14.6 Days
                                                                                                                         RxNorm,     LOINC, HGVS).                                          • Investigate all attributes and comorbidities of the
 and Contract Research Organizations (CROs) to understand                            TriNetX’s highly acclaimed user interface (UI) known for its
                                                                                                                                                                                              eligible cohort

                                                                                                                                                                                                                                                                you would have to spend months of modeling and looking
 study viability and the ways in which inclusion and exclusion                       speed and ease of use allows users to seamlessly work with
                                                                                                                                                                                            • Determine if a sufficient patient population matches
 criteria impact the size of the anticipated indicated patient                       the globally mapped data coming from the EMR, tumor
                                                                                                                                                                                              a protocol
 population. These insights can be used to help refine inclusion                     registries, molecular labs, and NLP  processing.   Once  the data40
 and exclusion criteria, reducing the time and costs required
                                                                                                               0       10          20       30                                  50          • Analyze inclusion / exclusion criteria and the impact
                                                                                     is mapped, it is curated through a series of quality
                                                                                                                                       Days control                                           of protocol changes

                                                                                                                                                                                                                                                                for data sources figuring out whether your actual protocol will
 to fully recruit the study and increasing the speed to                              tests to ensure it is reasonable and representative.
 market access.
                                                                                                      Per Tufts Center for Drug Development Impact Report, Site identification is defined
 The data within TriNetX comes from both inpatient and                               Path Back to  the Patient
                                                                                               as: “Process to identify a list of suitable sites to approach to participate in a clinical   Identify Sites Quickly
                                                                                     All patient information
                                                                                                    study.”       available through the TriNetX network

                                                                                                                                                                                                                                                                give you enough patients to run that trial,” Brecht Claerhout,
 outpatient settings and includes diagnoses, medications,                                                                                                                                   Site Identification
 procedures, lab results, vitals, advanced tumor information,                        is re-identifiable by the contributing healthcare organization.
                                                                                                   * Industry Site ID typically takes 6 weeks (42 days)
 and genomic variants. In addition to the highly curated data                        The healthcare organization has the ability to contact patients                                        • Locate study sites based upon their volume of patients
                                                                                                   * TriNetX Site ID takes approximately 2 weeks (14.6 days) – less than
 in our network, TriNetX clients bring additional datasets,                          who meet the eligibility      criteria for clinical trials, provided they
                                                                                                       half the industry standard of 42 days                                                  matching a protocol
                                                                                     have appropriate IRB approval.

                                                                                                                                                                                                                                                                chief data officer for TriNetX, said. “With our platform you just
 including datasets they license from 3rd-party data vendors,                                                                                                                               • Engage the right contact within the clinical trials office
 to access them through the TriNetX platform.                                                                                                                                                 at the right site
                                                                                                     “Pfizer is using TriNetX for real-time access to                                       • Predict the number of newly eligible patients at each site
                                                                                                      clinical, genomic and oncology data to design                                           in the next 12 months

                                                                                                                                                                                                                                                                put in your clinical criteria, push a button and you know what
                                                                                                                                                                                            • Work with sites that can instantly generate identified
                                                                                                      clinical trial protocols with greater efficiency.
                                                                                                                                                                                              patient lists to commence recruitment
                                                                                                      We hope to reduce avoidable amendments by
                                                                                                      identifying and correcting overly restrictive
                                                                                                                                                                                            About TriNetX, Inc.

                                                                                                                                                                                                                                                                the population in the real world out there looks like.”
                                                                                                      inclusion and exclusion criteria early in the                                         TriNetX is the global health research network that
 Copyright © 2019 TriNetX • 125 Cambridgepark Drive, Suite 500 • Cambridge, MA 02140 USA
 www.trinetx.com • join@trinetx.com • 857.285.6037                                                    design process.”                                                                      revolutionizes clinical research and enables discoveries
                                                                                                                                                                                            through the creation of real-world evidence. TriNetX
                                                                                                                                                         Dr. Mohanish Anand                 combines real-time access to longitudinal clinical data
                                                                                                                                                                                            with state-of-the-art analytics to answer complex research
                                                                                                                                        Head of Study Optimization, Pfizer
                                                                                                                                                                                            questions at the speed of thought. The TriNetX platform is
                                                                                                                                                                                            HIPAA and GDPR compliant. For more information, visit
                                                                                                                                                                                            www.trinetx.com or follow @TriNetX on Twitter.

                                                                                                      Copyright © 2019 TriNetX • 125 Cambridgepark Drive, Suite 500 • Cambridge, MA 02140 USA
                                                                                                      www.trinetx.com • join@trinetx.com • 857.285.6037

                                                                                                                                                                                                                                                                                                                                                        Fierce Innovation Report Healthcare Edition 2020 | 6
FIERCE INNOVATION AWARDS - Life Sciences Edition 2020 INNOVATION REPORT
SPOTLIGHT
                                                                                                                                                                                                                                                                 WHAT’S THE SCOOP:                                                    WHAT MAKES IT FIERCE:

                                                                                                                                                                                                                                                                 IQVIA is a repeat winner with Fierce, having taken the Data          Its sense of purpose. “We have always been very laser
                                                                                                                                                                                                                                                                 Analytics/Business Intelligence category last year with its          focused on the patient,” Gustafson said. “They are the ultimate
DIGITAL HEALTH SOLUTIONS                                                                                                                                                                                                                                         Natural Language Processing platform. This year, IQVIA               customer and or goal is to ensure each patient is at the center
                                                                                                                                                                                                                                                                 is being recognized for its electronic Clinical Outcome              of care, so we created tools to make it simpler for them to
CEO: ARI BOUSBIB
                                                                                                                                                                                                                                                                 Assessment (eCOA) platform. The eCOA platform can trim               share their stories.”
BASED: DURHAM, NC
                                                                                                                                                                                                                                                                 up to three months off the drug development time line while
FOUNDED: 2016
IQVIA ECOA                                                                                                                                                                                                                                                       also employing artificial intelligence supported design tools        WHAT TO LOOK FOR:
                                                                                                                                                                                                                                                                 that lets sponsors launch trials faster and with confidence          One thing the Covid-19 pandemic has reinforced at IQVIA is
                                                                                                                                                                                                                                                                 assessments that track real-time insights on trial progress          the need for virtual trials. “Our roadmap is really focused on
  Fact Sheet
                                                                                                                                                                                                                                                                 and results. At the core of the platform is IQVIA’s Sculptor tool    the continued adoption of and enablement of mobile health
  ELECTRONIC CLINICAL OUTCOME                                                                                                                                                                                                                                    that features a drag-and-drop interface and global library of        care within virtual trials,” Gustafson said. “Our future in the
  ASSESSMENT (eCOA) SOLUTION
  Simplifying patient engagement and amplifying their voice
                                                                                                                                                                                                                                                                 more than 800 pre-built, pre-validated assessments. It gives         next six months to five years is the continued integration of
  to advance outcomes for life science companies
                                                                                                                                                                                                                                                                 sponsors finger-tip access to scientific expertise that record       wearable devices.”
  Real-time and quality patient insights can accelerate your study timelines and lead to better
                                                          HOW (eCOA)
  outcomes. With IQVIA’s electronic Clinical Outcome Assessment IQVIAplatform,
                                                                      eCOA CAN      WORK
                                                                               you can
  transform your approach to patient data collection for more reliable and insightful clinical
                                                                                                                              FOR YOU
                                                                                                                                                                                                                                                                 a patient’s perspective in any given study. It also allows for a
                                                                                                                                                                                                                                                                 preview of assessments on multiple devices simultaneously
  research and real world applications.

                                                                                                                                                                                                                                                                 that can identify potential design errors in real-time. The
  THE OPPORTUNITY                                               THE CHALLENGES
                                                                               BUILD AND DEPLOY YOUR                     MANAGE YOUR STUDY AND               SIMPLE, INTUITIVE, AND
  Traditional paper-based patient data collection makes                        OWN SOLUTION WITH EASE                    VIEW RESPONSE DATA                  RESPONSIVE PATIENT INTERFACE
  real-time insight impossible to gather and understand.
                                                                               • Simple ‘drag and drop’ interface        • Powerful reporting and            • Engage patients and

                                                                                                                                                                                                                                                                 patient facing application of the platform is IQVIA’s Scribe tool,
  There’s a clear need for a more effective and efficient
                                                                               • Library of pre-built assessments          integration                         improve compliance with
  solution that allows us to overcome the most tasking
                                                                  Outdated          Rising cost    Increasing         Lack of
                                                                                                                           • Quickly set up and administer     alerts and reminders
  patient engagement challenges.                                 technology    • Auto-generate
                                                                                    of drug    specifi  cation
                                                                                                 cycle times       transparency
                                                                                  development
                                                                                 documents                                    studies and accounts
                                                                                                                    and control                              • Supports iOS and

                                                                                                                                                                                                                                                                 which is a user-friendly design that encourage interaction
                                                                                                                         • Control access to studies           Android devices
                                                                               • View diary workflow and spot
                                                                                 potential errors in real-time             and study data                    • Available with BYOD or IQVIA
                                                                                                                                                               managed devices
      FASTER, SMARTER, RELIABLE DATA – DIRECT•FROM
                                               Model your diary in real-time
                                                      PATIENTS

                                                                                                                                                                                                                                                                 and can be used on or offline and is compatible with iOS and
                                                                                 on multiple devices                                                         • Works online or offline
      Easy to use and accessible to patients via their smart devices, the
      IQVIA™ eCOA platform enables you to build and deploy real-time patient

                                                                                                                                                                                                                                                                 Android devices. “What we do is cut the overall average time
      data collection solutions in clinical research and real world studies.
      The simple and intuitive interface provides advanced patient
      assessments that enhance the patient experience and improve data
      quality – amplifying the patient’s voice to accelerate outcomes.

                                                                                                                                                                                                                                                                 from building an assessment,” said Kris Gustafson, VP Global
                                                                              IQVIA eCOA IN ACTION
                        COA PLATFORM OFFERS LIFE SCIENCE COMPANIES:
      SHIFTING TO AN eCOA
                                                                       AN ENHANCED USER EXPERIENCE
      Reduced cycle times – 3x faster set up times than traditional methods.

                                                                                                                                                                                                                                                                 Head of Patient Center Technologies. The industry average for
                                                                       The IQVIA eCOA platform provides a superior
      Increased efficiency – eliminates manual efforts through            user experience for both you and your patients.
      auto-generated accurate project documentation.
                                                                       The dynamic building tool makes it easy for

                                                                                                                                                                                                                                                                 such a build is between 12 to 6 weeks. “We can do that same
      Improved endpoint data – enhanced reliability and protocol              you to create and deploy your own eCOA
      compliance through proven patient engagement strategies.                solution and view a functioning version
      Real-time insights – cloud-based visual eCOA configuration               of your design on multiple devices
      for greater transparency, control, and collaboration.                   simultaneously. For patients, the app
                                                                              features a simple, user-friendly design
                                                                              that encourages interaction.                                                                                                                                                       build in two to four weeks,” he said. “That’s a pretty significant
                                                                                                                                                                                                Copyright © 2019 IQVIA. All rights reserved. FS.0122-1-03.2019

                                                                              THE FUTURE OF THE PATIENT EXPERIENCE – IT’S IN YOUR HANDS
                                                                              If you’re looking to transform your patient data collection, improve the
                                                                                                                                                                                                                                                                 time savings from a deployment perspective.” Trimming
                                                                                                                                                                                                                                                                 the time of such studies and the remote capture of patient
                                                                              experience for you and your patients, and accelerate study outcomes,
                                                                              contact IQVIA: ecoa.rfp@iqvia.com

                                                                                                                                                                                                                                                                 information has become even more important in the midst
                                                                                                                                                                                   CONTACT US
                                                                                                                                                                           ecoa.rfp@iqvia.com
                                                                                                                                                                                                                                                                 of the Covid-19 pandemic. Gustafson said IQVIA is currently
                                                                                                                                                                                                                                                                 engaged in multiple Covid-19 studies and that is primarily due
                                                                                                                                                                                                                                                                 to the company’s ability to ramp up quickly.

                                                                                                                                                                                                                                                                                                                                                           Fierce Innovation Report Healthcare Edition 2020 | 7
FIERCE INNOVATION AWARDS - Life Sciences Edition 2020 INNOVATION REPORT
SPOTLIGHT
                                                                 WHAT’S THE SCOOP:                                                 WHAT MAKES IT FIERCE:

                                                                 RenovoRx is focused on developing technology that uses            The ability of its core team to look at problems from a different
                                                                 fluids targeted at delivering diagnostic and therapeutic agents   perspective and develop new solutions. “We’ve been able
                                                                 to specific sites in the peripheral vascular system through       to take a generic drug and find a better way to get it to the
DRUG DELIVERY TECHNOLOGY
                                                                 its Trans-Arterial Micro-Perfusion therapy (TAMPTM). The          tumor,” Bagai said. “We’re a small and adept company that
CEO: SHUAN BAGAI                                                 company has leveraged RenovoGem (gemcitabine) for the             pays attention and is able to shift and adjust quickly.”
BASED: LOS ALTOS, CA                                             treatment of locally advanced pancreatic cancer through its
FOUNDED: 2009                                                    delivery technology. Pancreatic cancer tumors are unlike other    WHAT TO LOOK FOR:
RENOVOGEM™ (INTRA-ARTERIAL GEMCITABINE + RENOVOCATH®)
                                                                 tumors in the body because they have fewer blood vessels          In the next six months the company will continue to drive
TREATMENT OF LOCALLY ADVANCED PANCREATIC CANCER VIA THE TRANS-
                                                                 that prevent current therapies from being as effective. By        forward on its pancreatic cancer study by opening its last
ARTERIAL MICRO-PERFUSION (TAMP™) PROCEDURE
                                                                 using RenovoRx’s TEMPTM system that combines RenovoGem            couple of sites and enrolling new patients. Beyond that,
                                                                 with its RenovoCath delivery system (a double balloon infusion    Bagai said, RenovRx has decided to expand its technology
                                                                 catheter) a pressure head is created during the procedure that    to other tumors. It’s also in the process of wrapping up its
                                                                 forces the small-molecule chemotherapy through the vessel         Series C funding. “It takes a village to make things happen
                                                                 wall that bathes the adjacent tissue containing the tumor. “By    and I’m really happy with the support from our employees,
                                                                 forcing chemotherapy and actually getting to the tumor we         investigators, physician and investors, and we’re having a real
                                                                 found that patients were feeling a lot better because they        patient effect,” he said. “We have a bigger mission than just
                                                                 were not getting systemic chemotherapy exposure,” Shuan           going to work every day.”
                                                                 Bagai, RenvoRx chief executive, said. “But more importantly,
                                                                 we found patients were living almost twice as long.” With its
                                                                 therapy, RenovoRx is seeing patients live up to a year to year-
                                                                 and-a-half longer. The FDA has already granted Orphan Drug
                                                                 Designation to the company for use of RenovoGem for the
                                                                 treatment of pancreatic cancer and bile duct cancer. Its Phase
                                                                 3/pivotal study for pancreatic cancer is showing strong data,
                                                                 Bagai said, and a Phase 2 study is in process for the treatment
                                                                 of bile duct cancer.

                                                                                                                                                       Fierce Innovation Report Healthcare Edition 2020 | 8
FIERCE INNOVATION AWARDS - Life Sciences Edition 2020 INNOVATION REPORT
SPOTLIGHT
                                                                                                                                                                                                                 WHAT’S THE SCOOP:                                                 WHAT MAKES IT FIERCE:

                                                                                                                                                                                                                 The detection and treatment of prostate cancer is looking         “We are Fierce because we dared define the problem at
                                                                                                                                                                                                                 at a game changer. miR Scientific has developed a non-            its most fundamental way and nature and to innovate with
MEDICAL DEVICE INNOVATION
                                                                                                                                                                                                                 invasive liquid biopsy urine test that can detect, grade and      what we believe to be truly game changing approaches,”
CEO: SAM SALMAN                                                                                                                                                                                                  monitor prostate cancer with a 90 percent sensitivity and         Salman said. “And that is to measure the problem at its most
BASED: RENSSELAER, NY                                                                                                                                                                                            specificity. Dubbed the miR Sentinel, the test can accurately     fundamental level. Once that’s done, we can then build upon
FOUNDED: 2014                                                                                                                                                                                                    detect the presence of prostate cancer. For those diagnosed       that foundation to create all kinds of tools. “Some of which
MIR SENTINEL TEST                                                                                                                                                                                                it can identify patients with aggressive cancer that requires     we have already developed and some of which we plan on
                                                                                                                                                                                                                 immediate treatment. Additionally, the test can monitor           developing in the next few years.”
                                                                                                                                                                                                                 patients with moderate grade prostate cancer. Prostate
                                                                                                                                                                                                                 cancer is the second leading cause of cancer-related deaths       WHAT TO LOOK FOR:
                                                                                                                                                                                       miR Scientific LLC
                                                                                                                                                                                                                 of men globally. The current diagnostic standard of care for      miR Scientific will remain focused on ways they can direct the
                                                                                                                     Transforming Cancer Management ®                                                            the disease and treatment is based on the PSA test, which         pathways for patient care from early detection to management
                                                                                                                                                                                                     June 2020
                                                                                                                                                                                                                 requires intrusive needle biopsies that can result in non-        of prostate and bladder cancer. Two to three years down
                                                                                                                                                                                                                 negligible false negatives. “The Sentinel test eliminates all     the road, Salman said, they are targeting the combination of
  Prostate Cancer Treatment: Annual Costs                                                                                                                                                                        that,” Sam Salman, miR Scientific’s chief executive, said. “Any   early detection and the ability to select the most responsive
                 Indolent                   Aggressive
                                                                                                                                                                                                                 person from any walk of life can simply have a urine test and     treatments for prostate, bladder and kidney cancers.
                                                                                            Total expected annual
                                                                                                                             © 2020 miR Scientific, LLC - Proprietary & Confidential

                                                                                                                                                                                                                 we can definitely tell them if they have no cancer, or what
                                                                                                  worldwide
                                                                                                                                                              $20B
                                                                                                                                                                                                                 kind of (prostate) cancer they have so they have actionable
                                                                                                expenditures
                                                                                                   by 2025*

                                                                                                                                                              $12B
 Most patients (whether they have indolent or aggressive cancers)
         are treated as though they have aggressive disease:
          Surgery, Radiation, Chemotherapy, Biologics, etc
                                                                                                     Annual
                                                                                              over-treatment cost
                                                                                                    estimate
                                                                                                                                                                                                                 information to make informed treatment decisions.” The
                                                                                                                                                                                                                 test examines the levels of hundreds of small, non-coding
                                                                                             (e.g biopsies, surgery)

                                                                                             Costs of treating side
                                                                                                                                                             $1.3B
                                                                                                                                                                                                                 RNAs (sncRNAs) that are isolated from urinary exosomes
                                                                                                  effects e.g.
                                                                                             urinary incontinence,
                                                                                                  impotence

                                                                                                                                                                                                                 from a single urine sample. The test has been validated and
                                                                                                            *excluding likely increases due to new personalized medicine and immunotherapy options
                                                                                                                                                                                       7

     7
                                                               © 2020 miR Scientific, LLC - Proprietary & Confidential

                                                                                                                                                                                                                 presented in a number of peer-reviewed venues that include
                                                                                                                                                                                                                 the American Society for Clinical Oncology, the European
                                                                                                                                                                                                                 Association of Urology and is scheduled to be published in
                                                                                                                                                                                                                 September in the Journal of Urology.

                                                                                                                                                                                                                                                                                                      Fierce Innovation Report Healthcare Edition 2020 | 9
FIERCE INNOVATION AWARDS - Life Sciences Edition 2020 INNOVATION REPORT
SPOTLIGHT
                            WHAT’S THE SCOOP:                                                     WHAT MAKES IT FIERCE:

                            Almost 3,000 New Jersey residents are currently awaiting              “We have a fantastic core group of people,” Rao said. “Every
                            organ and tissue transplants and look to NJ Sharing Network           day we become more efficient in helping people.” He added
                            for a lifeline. The organization is part of the national recovery     that a key to the organization’s drive is an open and very
                            system that has about 110,000 people on its waiting list and          communicative environment focused on saving lives.
                            has developed an IgG subtype assay that can identify and
                            distinguish between the presence of complement activating             WHAT TO LOOK FOR:
                            and non-complement activating antibodies. In order to                 In the next six months NJ Sharing expects its work will be
                            facilitate an organ transplant two methodologies are currently        reinforced and they will begin to use the assay as an early-
TECHNOLOGY INNOVATION       used to help detect a match: Cell Dependent Cytotoxicity              warning system in post-transplant patients. “If there is a
                            crossmatch (CDCXM) and Flow Cytometric crossmatch (FCXM).             rejection the IgG subtype assay could help us detect that,”
CEO: JOSEPH S. ROTH
                            While CDCXM can detect complement activating antibodies               Rao said. In the coming years the organization hopes the
BASED: NEW PROVIDENCE, NJ
                            in patients, it is not very sensitive or specific and may result in   assay becomes a standard practice.
FOUNDED: 1987
NJSN IGG SUBTYPE ASSAY
                            a false negative result. FXCM is a highly sensitive assay, but it
                            can’t differentiate between complement and non-complement
                            activity that can give a false positive result. Being able to make
                            a proper crossmatch between donor and patient is a very
                            critical test. “We invented a cocktail reagent that we can now
                            use in the crossmatch,” Prakash Rao, vice president and chief
                            laboratory officer for diagnostics and research, said. “With it,
                            donor cells are allowed to say hello to a recipient’s blood—we
                            are the eHarmony of transplants.” The validity of the assay was
                            confirmed in a small study of twenty kidneys, eight hearts and
                            one lung of patients that under standard testing, would not
                            have been considered suitable for a transplant. All of those
                            patients are now doing well. NJ Sharing’s technology has
                            been reviewed, a U.S. patent issued with international patents
                            currently in process. With widespread adoption, Rao expects
                            about 9,000 additional lives can be saved each year.

                                                                                                                     Fierce Innovation Report Healthcare Edition 2020 | 10
FINALISTS

                                     BIOTECH INNOVATION                                                             DATA ANALYTICS/BUSINESS INTELLIGENCE

           AMT-101                       TENAPANOR              REMESTEMCEL-L        XCELLERATE MEDICAL REVIEW        PATIENT NETWORK EXPLORER / REAL         TRINETX PLATFORM FOR PROTOCOL
                                                                                                                            WORLD DATA SOLUTIONS                   DESIGN AND FEASIBILITY

                                  DIGITAL HEALTH SOLUTIONS                                                               DRUG DELIVERY TECHNOLOGY

        SNAPCLINICAL                  VIRTUAL PRE-SITE            IQVIA ECOA        AEROSOL DELIVERY SYSTEM FOR         EDV (ENGENEIC DREAM VECTOR) –        RENOVOGEM™ (INTRA-ARTERIAL GEMCITABINE

                                                                                    PREMATURE INFANTS AND OTHER          BASED CANCER THERAPEUTICS            + RENOVOCATH®) TREATMENT OF LOCALLY
                                                                                                                                                              ADVANCED PANCREATIC CANCER VIA THE
                                                                                       POTENTIAL INDICATIONS
                                                                                                                                                                TRANS-ARTERIAL MICRO-PERFUSION
                                                                                                                                                                       (TAMP™) PROCEDURE

                                 MEDICAL DEVICE INNOVATION                                                                 TECHNOLOGY INNOVATION

 BIOINTELLISENSE FDA-CLEARED     TRIA™ HEART VALVE MADE WITH   MIR SENTINEL TEST   EVOZYNE, DATA-DRIVEN MOLECULAR                  XT-VIVO                         NJSN IGG SUBTYPE ASSAY
BIOSTICKER™ MEDICAL DEVICE AND          LIFEPOLYMER™                                  ENGINEERING TECHNOLOGY
MULTI-PARAMETER DATA SERVICES

                                                                                                                                             Fierce Innovation Report Healthcare Edition 2020 | 11
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