1 00:00:05,301 --> 00:00:07,303 HOW TO ADVANCE INNOVATIVE LUNG 2 00:00:07,303 --> 00:00:09,238 AND SLEEP THERAPIES FOR PATIENTS 3 00:00:09,238 --> 00:00:11,040 WITH HIGH UNMET NEEDS. 4 00:00:11,040 --> 00:00:18,848 MY NAME IS MARRAH 5 00:00:18,848 --> 00:00:19,449 LACHOWICZ-SCROGGINS FROM THE 6 00:00:19,449 --> 00:00:22,352 PEDIATRIC DISEASES BRANCH AND 7 00:00:22,352 --> 00:00:23,619 CO-ORGANIZER OF THE WORKSHOP AND 8 00:00:23,619 --> 00:00:25,555 LOOKING FORWARD TO AN EXCITING 9 00:00:25,555 --> 00:00:25,988 TWO DAYS TOGETHER. 10 00:00:25,988 --> 00:00:27,023 BEFORE WE KICK OFF THE MEETING 11 00:00:27,023 --> 00:00:30,593 WE'LL HAVE A BRIEF INTRODUCTION 12 00:00:30,593 --> 00:00:33,596 FROM DR. MARISHKA BROWN THE 13 00:00:33,596 --> 00:00:34,464 DIRECTOR OF THE NATIONAL CENTER 14 00:00:34,464 --> 00:00:39,502 ON SLEEP DISORDERS RESEARCH. 15 00:00:39,502 --> 00:00:41,104 >> BEFORE THAT I'M GOING TO GO 16 00:00:41,104 --> 00:00:43,606 OVER THE HOUSEKEEPING. 17 00:00:43,606 --> 00:00:43,940 GOOD MORNING. 18 00:00:43,940 --> 00:00:46,275 THIS PRESENTATION IS BEING 19 00:00:46,275 --> 00:00:46,542 RECORDED. 20 00:00:46,542 --> 00:00:48,644 PLEASE MAINTAIN RESEARCH 21 00:00:48,644 --> 00:00:50,413 INTEGRITY AND CONFIDENTIALITY. 22 00:00:50,413 --> 00:00:51,748 DISCUSSION WITH OTHER WORKSHOP 23 00:00:51,748 --> 00:00:53,383 PATIENTS AND ATTENDEES. 24 00:00:53,383 --> 00:00:57,453 THE TOOL WILL BE USED FOR OPEN 25 00:00:57,453 --> 00:00:58,588 DISCUSSION BETWEEN VIRTUAL 26 00:00:58,588 --> 00:00:59,822 PARTICIPANTS AND COMMENTS 27 00:00:59,822 --> 00:01:01,758 CAPTURED BY THE WORKSHOP 28 00:01:01,758 --> 00:01:02,892 SPONSORS AND USE Q&A AND THE 29 00:01:02,892 --> 00:01:04,994 NAME OF THE PERSON YOU'RE 30 00:01:04,994 --> 00:01:06,863 DIRECTING YOUR QUESTION TO. 31 00:01:06,863 --> 00:01:08,965 THIS COULD BE USED TO ASK 32 00:01:08,965 --> 00:01:09,966 SPEAKERS A QUESTION AND THEY'LL 33 00:01:09,966 --> 00:01:13,236 BE CAPTURED FOR REVIEW. 34 00:01:13,236 --> 00:01:15,037 KINDLY STAY ON MUTE AND OFF 35 00:01:15,037 --> 00:01:15,271 CAMERA. 36 00:01:15,271 --> 00:01:25,448 THANK YOU. 37 00:01:29,519 --> 00:01:30,953 >> THANK YOU FOR THE 38 00:01:30,953 --> 00:01:31,287 INTRODUCTION. 39 00:01:31,287 --> 00:01:33,856 AS MENTIONED MY NAME IS MARISHKA 40 00:01:33,856 --> 00:01:34,690 BROWN THE DIRECTOR OF THE 41 00:01:34,690 --> 00:01:37,760 NATIONAL CENTER ON SLEEP STOREDS 42 00:01:37,760 --> 00:01:42,465 RESEARCH HOSTED WITHIN THE 43 00:01:42,465 --> 00:01:43,099 NATIONAL HEART, LUNG AND BLOOD 44 00:01:43,099 --> 00:01:47,036 INSTITUTE WELCOME TO HOW TO 45 00:01:47,036 --> 00:01:48,471 ADVANCE INNOVATIVE LUNG AND 46 00:01:48,471 --> 00:01:49,772 SLEEP THERAPIES TO PATIENTS WITH 47 00:01:49,772 --> 00:01:50,773 HIGH UNMET NEEDS. 48 00:01:50,773 --> 00:01:53,276 WE HOPE TO FACILITATE AN OPEN 49 00:01:53,276 --> 00:01:56,412 DIALOGUE WITH THE PULMONARY 50 00:01:56,412 --> 00:01:57,947 SLEEP COMMUNITIES AND CIRCADIAN 51 00:01:57,947 --> 00:01:59,515 COMMUNITIES WITH THE GOAL OF 52 00:01:59,515 --> 00:02:01,517 ADVANCING IDEAS AND STRATEGIES 53 00:02:01,517 --> 00:02:03,586 TO MOVE THERAPIES FROM THE BENCH 54 00:02:03,586 --> 00:02:05,188 TO CLINIC WHERE INVESTIGATIONAL 55 00:02:05,188 --> 00:02:07,824 NEW DRUG OR DEVICES THAT REQUIRE 56 00:02:07,824 --> 00:02:08,624 REGULATORY APPROVALS. 57 00:02:08,624 --> 00:02:10,760 THE SPEAKERS ON TODAY'S AGENDA 58 00:02:10,760 --> 00:02:13,162 WILL PROVIDE UPDATE ON 59 00:02:13,162 --> 00:02:15,031 REGULATORY PATHWAYS INCLUDING 60 00:02:15,031 --> 00:02:17,266 DESIGNATIONS SUCH AS FAST TRACK 61 00:02:17,266 --> 00:02:18,201 AND BREAKTHROUGH THERAPY THAT 62 00:02:18,201 --> 00:02:21,304 COULD EXPEDITE DEVELOPMENT FOR 63 00:02:21,304 --> 00:02:24,006 INTERVENTIONS IN AREAS OF UNMET 64 00:02:24,006 --> 00:02:24,207 NEED. 65 00:02:24,207 --> 00:02:25,808 THIS INCLUDES HOW TO LEVERAGE 66 00:02:25,808 --> 00:02:26,876 DISCUSSIONS WITH REGULATORY 67 00:02:26,876 --> 00:02:29,912 BODIES AND FEEDBACK THAT GUIDES 68 00:02:29,912 --> 00:02:31,814 THE DEVELOPMENT PROCESS. 69 00:02:31,814 --> 00:02:34,250 SPEAKERS WILL EMPHASIZE THE NEED 70 00:02:34,250 --> 00:02:35,751 TO FIND YOUR MARKET AND 71 00:02:35,751 --> 00:02:37,153 HIGHLIGHT UNIQUE PRODUCTS IN 72 00:02:37,153 --> 00:02:38,821 COMPARISON TO UNIQUE THERAPIES 73 00:02:38,821 --> 00:02:41,691 IN PULMONARY AND SLEEP MEDICINE 74 00:02:41,691 --> 00:02:43,659 AND NOVEL TECHNOLOGIES, IMPROVED 75 00:02:43,659 --> 00:02:46,162 SAFETY PROFILES OR ENHANCED 76 00:02:46,162 --> 00:02:46,662 EFFICACY. 77 00:02:46,662 --> 00:02:49,465 WE'LL ALSO HEAR ABOUT WAYS TO 78 00:02:49,465 --> 00:02:51,033 MOVE IDEAS FROM THE LABORATORY 79 00:02:51,033 --> 00:02:52,034 THROUGH THE COMMERCIALIZATION 80 00:02:52,034 --> 00:02:53,536 PROCESS AS DEVELOPING NEW 81 00:02:53,536 --> 00:02:56,239 TREATMENTS REQUIRES SIGNIFICANT 82 00:02:56,239 --> 00:02:58,074 RESOURCES INCLUDING TIME, 83 00:02:58,074 --> 00:03:00,076 FINANCIAL INVESTMENTS AND TEAMS 84 00:03:00,076 --> 00:03:01,110 OF RESEARCHERS AND EXPERTS TO 85 00:03:01,110 --> 00:03:04,614 TRANSPORT A PRODUCT TO MARKET. 86 00:03:04,614 --> 00:03:06,916 WE THANK YOU ALL FOR ATTENDING 87 00:03:06,916 --> 00:03:07,850 TODAY. 88 00:03:07,850 --> 00:03:09,485 AND WE LOOK FORWARD TO THE 89 00:03:09,485 --> 00:03:12,421 DISCUSSION OVER THE NEXT TWO 90 00:03:12,421 --> 00:03:14,524 DAYS AS WE DIG THROUGH AND HOPE 91 00:03:14,524 --> 00:03:17,894 NOT ONLY THAT YOU PARTICIPATE IN 92 00:03:17,894 --> 00:03:19,929 THE WORKSHOP BUT THAT YOU 93 00:03:19,929 --> 00:03:22,098 ACTIVELY ENGAGE IN TOMORROW'S 94 00:03:22,098 --> 00:03:23,032 BREAKOUT SESSIONS TO DISCUSS 95 00:03:23,032 --> 00:03:25,167 BARRIERS AND FACILITATORS TO 96 00:03:25,167 --> 00:03:28,371 TRANSLATING SCIENTIFIC FINDINGS 97 00:03:28,371 --> 00:03:31,274 AND PULMONARY SLEEP MEDICINE AND 98 00:03:31,274 --> 00:03:32,942 CIRCADIAN BIOLOGY INTO MEDICAL 99 00:03:32,942 --> 00:03:34,677 INTERVENTIONS TO HELP PATIENTS 100 00:03:34,677 --> 00:03:38,014 WHO NEED IT THE MOST. 101 00:03:38,014 --> 00:03:38,481 BE 102 00:03:38,481 --> 00:03:39,715 AGAIN, WE WOULD LIKE TO THANK 103 00:03:39,715 --> 00:03:42,151 EACH OF YOU FOR YOUR ATTENDANCE 104 00:03:42,151 --> 00:03:43,019 AND ACTIVE PARTICIPATION AND 105 00:03:43,019 --> 00:03:51,294 I'LL TURN IT BACK TO THE 106 00:03:51,294 --> 00:03:57,366 ORGANIZERS AND MARRAH AND OTHERS 107 00:03:57,366 --> 00:03:59,068 JOHN SHER I DAN. 108 00:03:59,068 --> 00:04:01,604 >> I WANT TO CONTINUE TO 109 00:04:01,604 --> 00:04:03,039 INTRODUCE THE OTHER CO-ORGANIZER 110 00:04:03,039 --> 00:04:05,041 OF THE WORKSHOP. 111 00:04:05,041 --> 00:04:07,577 AS DR. BROWN NOTED, MY 112 00:04:07,577 --> 00:04:10,846 COLLEAGUE, DR. JOHN SHERIDAN OF 113 00:04:10,846 --> 00:04:13,749 THE RESTRICTIVE AND VASCULAR 114 00:04:13,749 --> 00:04:14,350 DISEASES BRANCH WILL BE 115 00:04:14,350 --> 00:04:17,353 CO-LEADING THIS MEETING. 116 00:04:17,353 --> 00:04:19,021 WE ALSO HAVE TWO WONDERFUL 117 00:04:19,021 --> 00:04:20,289 WORKSHOP CO-CHAIRS YOU'LL HEAR 118 00:04:20,289 --> 00:04:25,761 FROM THROUGHOUT THE WORKSHOP. 119 00:04:25,761 --> 00:04:28,230 FIRST IS DR. KATELYN KRIVCHENIA 120 00:04:28,230 --> 00:04:30,199 OF THE INTERSTITIAL AND RARE 121 00:04:30,199 --> 00:04:32,768 LUNG DEED PROGRAM AND DIRECTOR 122 00:04:32,768 --> 00:04:36,806 OF THE INFANT SYSTEM FIBROSIS 123 00:04:36,806 --> 00:04:38,307 PROGRAM AT NATIONWIDE CHILDREN'S 124 00:04:38,307 --> 00:04:38,574 HOSPITAL. 125 00:04:38,574 --> 00:04:40,876 SHE CARES FOR INFANTS AND YOUNG 126 00:04:40,876 --> 00:04:41,978 ADULTS WITH A WIDE SPECTRUM OF 127 00:04:41,978 --> 00:04:43,879 LUNG DISEASES. 128 00:04:43,879 --> 00:04:47,650 OUR OTHER CO-CHAIR IS DR. JEFF 129 00:04:47,650 --> 00:04:49,185 MOFFIT FROM CARBON BIO SCIENCES 130 00:04:49,185 --> 00:04:54,790 AND ALSO HAS OVER 15 YEARS OF 131 00:04:54,790 --> 00:04:57,059 PHARMACEUTICAL EXPERIENCE AND IS 132 00:04:57,059 --> 00:05:01,597 A CERTIFIED TOX KOL FWIFT. 133 00:05:01,597 --> 00:05:03,065 AND ALSO HAS EXPERIENCE ON 134 00:05:03,065 --> 00:05:07,236 SEVERAL AREAS MAINLY FOCUSES ON 135 00:05:07,236 --> 00:05:13,376 RARE DISEASES. 136 00:05:13,376 --> 00:05:16,045 THE PURPOSE IS TO EDUCATE THE 137 00:05:16,045 --> 00:05:17,179 RESEARCH COMMUNITY HOW TO BRING 138 00:05:17,179 --> 00:05:18,180 THEIR IDEAS FROM THE BENCH TO 139 00:05:18,180 --> 00:05:19,015 THE CLINIC. 140 00:05:19,015 --> 00:05:21,550 WE ALSO WANT TO DISCOVERY 141 00:05:21,550 --> 00:05:23,953 BARRIERS AND FACILITATORS FOR 142 00:05:23,953 --> 00:05:25,688 INNOVATION IN DEVELOPING NOVEL 143 00:05:25,688 --> 00:05:26,889 THERAPIES FOR LUNG AND SLEEP 144 00:05:26,889 --> 00:05:28,958 CONDITIONS WITH HIGH DISEASE 145 00:05:28,958 --> 00:05:29,191 BURDEN. 146 00:05:29,191 --> 00:05:31,560 WE KNOW THERE'S A MISALIGNMENT 147 00:05:31,560 --> 00:05:34,830 BETWEEN DISEASE BURDEN AND NOVEL 148 00:05:34,830 --> 00:05:37,533 THERAPY INNOVATION AND SLOW 149 00:05:37,533 --> 00:05:40,069 SPEED IN WHICH THEY'RE MAKING IT 150 00:05:40,069 --> 00:05:43,005 TO MARKET AND MAY CONTRIBUTE TO 151 00:05:43,005 --> 00:05:45,975 INCREASED MORBIDITY AND 152 00:05:45,975 --> 00:05:49,111 MORTALITY AND EXACERBATE HEALTH 153 00:05:49,111 --> 00:05:49,912 DISPARITIES AND CLOSING THESE 154 00:05:49,912 --> 00:05:51,380 GAPS IN THE LUNG AND SLEEP 155 00:05:51,380 --> 00:05:52,848 MEDICINE COMMUNITY NEEDS TO 156 00:05:52,848 --> 00:05:54,216 HAPPEN THROUGH RESEARCH 157 00:05:54,216 --> 00:05:55,685 COLLABORATIONS IN ORDER TO HELP 158 00:05:55,685 --> 00:05:58,921 REDUCE THESE HEALTH DISPARITIES 159 00:05:58,921 --> 00:06:00,289 AS WELL AS IMPROVE HEALTH 160 00:06:00,289 --> 00:06:02,391 OUTCOMES AND LOWER SOCIETAL 161 00:06:02,391 --> 00:06:03,059 COSTS. 162 00:06:03,059 --> 00:06:05,061 WE ALSO ALREADY RECOGNIZE THAT 163 00:06:05,061 --> 00:06:06,829 THERE ARE SEVERAL CHALLENGES WE 164 00:06:06,829 --> 00:06:09,331 HOPE PARTICIPANTS CAN WEIGH IN 165 00:06:09,331 --> 00:06:12,468 ON DURING THE BREAKOUTS TOMORROW 166 00:06:12,468 --> 00:06:13,703 INCLUDING RECOMMENDS STRATEGIES 167 00:06:13,703 --> 00:06:15,905 TO THE LUNG AND SLEEP RESEARCH 168 00:06:15,905 --> 00:06:17,606 COMMUNITIES TO SPUR AND 169 00:06:17,606 --> 00:06:18,674 FACILITATE INNOVATION THAT 170 00:06:18,674 --> 00:06:19,942 ADDRESSES THE UNMET NEEDS AND 171 00:06:19,942 --> 00:06:28,284 REDUCES HEALTH DISPAURTS. 172 00:06:28,284 --> 00:06:29,752 SOME CHALLENGES INCLUDE WHAT IS 173 00:06:29,752 --> 00:06:31,787 THE GREATEST UNMET NEEDS AND 174 00:06:31,787 --> 00:06:33,889 UNMET NEEDS DUE TO A LACK OF 175 00:06:33,889 --> 00:06:36,892 ACCESS TO EXISTING THERAPIES. 176 00:06:36,892 --> 00:06:37,927 ALSO, DO WE UNDERSTAND ENOUGH 177 00:06:37,927 --> 00:06:40,563 ABOUT THE DECISION MAKING 178 00:06:40,563 --> 00:06:45,668 PROFESSION FOR INVESTMENT BY FOR 179 00:06:45,668 --> 00:06:47,403 PROFIT AND PRIVATE SECTOR 180 00:06:47,403 --> 00:06:48,504 DEVELOPERS AND THEIR POTENTIAL 181 00:06:48,504 --> 00:06:51,774 RISK AND RETURNED? 182 00:06:51,774 --> 00:06:53,142 WHERE DOES THE DRUG INVESTMENT 183 00:06:53,142 --> 00:06:54,610 PIPELINE COME IN TO HELP SUPPORT 184 00:06:54,610 --> 00:06:58,214 UNMET NEEDS WHERE STANDARD OF 185 00:06:58,214 --> 00:06:59,014 CARE IS INADEQUATE FOR WHERE 186 00:06:59,014 --> 00:07:00,316 OUTCOMES CAN BE POTENTIALLY 187 00:07:00,316 --> 00:07:01,617 IMPROVED BY INNOVATIVE 188 00:07:01,617 --> 00:07:02,151 THERAPIES. 189 00:07:02,151 --> 00:07:03,052 FINALLY, THERE ARE STRATEGIES IN 190 00:07:03,052 --> 00:07:05,020 THE COMMUNITY AND WE NEED TO 191 00:07:05,020 --> 00:07:06,756 THINK ABOUT THESE TOGETHER IN 192 00:07:06,756 --> 00:07:08,190 ORDER TO FACILITATE GREATER 193 00:07:08,190 --> 00:07:09,959 INVESTMENT IN INNOVATION TO 194 00:07:09,959 --> 00:07:13,162 CONTINUE TO ADDRESS THESE UNMET 195 00:07:13,162 --> 00:07:14,764 NEEDS AS WELL AS TO DISCOURAGE 196 00:07:14,764 --> 00:07:15,231 PRACTICES THAT IMPEDE 197 00:07:15,231 --> 00:07:25,441 INNOVATION. 198 00:07:25,908 --> 00:07:28,277 WE'RE HOPING TO DEMYSTIFY THE 199 00:07:28,277 --> 00:07:29,211 PROCESS FROM WHICH YOU'RE 200 00:07:29,211 --> 00:07:31,046 GETTING YOUR IDEAS THROUGH THE 201 00:07:31,046 --> 00:07:32,414 REGULATORY AND COMMERCIALIZATION 202 00:07:32,414 --> 00:07:35,484 PIPELINES AND THE FOCUS OF THIS 203 00:07:35,484 --> 00:07:36,519 WORKSHOP WILL BE THE IND 204 00:07:36,519 --> 00:07:38,154 ENABLING PATHWAY WHICH IS THE 205 00:07:38,154 --> 00:07:40,356 PATHWAY WHICH YOU'LL TAKE YOUR 206 00:07:40,356 --> 00:07:42,091 IDEAS THROUGH RELEVANT MODEL 207 00:07:42,091 --> 00:07:45,995 SYSTEMS INCLUDING PKPD AND 208 00:07:45,995 --> 00:07:48,130 TOXICOLOGY STUDIES, THINKING 209 00:07:48,130 --> 00:07:49,665 ABOUT HOW YOU'LL ACCESS CAPITAL 210 00:07:49,665 --> 00:07:57,072 TO MOVE TO MANUFACTURING AND 211 00:07:57,072 --> 00:07:58,073 PRODUCTION TO ENTER CLINICAL 212 00:07:58,073 --> 00:07:58,507 TRIALS. 213 00:07:58,507 --> 00:08:00,976 YOUR IND PACKAGE WILL REQUIRE 214 00:08:00,976 --> 00:08:03,679 CLINICAL PROTOCOLS FOR THE 215 00:08:03,679 --> 00:08:04,346 TRIALS. 216 00:08:04,346 --> 00:08:05,981 AT THAT POINT YOU'LL NEED TO 217 00:08:05,981 --> 00:08:07,116 PARTNER WITH PATIENTS AND PEERS 218 00:08:07,116 --> 00:08:08,517 IN THE COMMUNITY WHO MAY HAVE 219 00:08:08,517 --> 00:08:10,019 BEEN SUCCESSFUL IN THIS PROCESS. 220 00:08:10,019 --> 00:08:11,086 YOU'LL CONTINUE TO SEE THESE 221 00:08:11,086 --> 00:08:20,462 THEMES THROUGHOUT THE WORKSHOP . 222 00:08:20,462 --> 00:08:21,697 AS DR. BROWN MENTIONED IN THE 223 00:08:21,697 --> 00:08:24,266 AGENDA WE'LL PROVIDE AN UPDATE 224 00:08:24,266 --> 00:08:28,737 TO PATHWAYS AND DESIGNATION MAY 225 00:08:28,737 --> 00:08:30,339 HELP EXPEDITE INTERVENTIONS IN 226 00:08:30,339 --> 00:08:32,608 AREAS OF UNMET NEEDS. 227 00:08:32,608 --> 00:08:36,579 THIS WILL CONTINUE TO HELP YOU 228 00:08:36,579 --> 00:08:37,980 LEVERAGE YOUR DISCUSSIONS WITH 229 00:08:37,980 --> 00:08:39,615 REGULATORY BODIES AND USE THE 230 00:08:39,615 --> 00:08:41,050 FEEDBACK THEY GIVE YOU FOR 231 00:08:41,050 --> 00:08:42,551 DEVELOPING YOUR INNOVATIONS. 232 00:08:42,551 --> 00:08:47,189 WE WILL HEAR FROM SPEAKERS WHO 233 00:08:47,189 --> 00:08:48,524 WILL EMPHASIZE MARKET AS 234 00:08:48,524 --> 00:08:50,459 DR. BROWN MENTIONED. 235 00:08:50,459 --> 00:08:51,327 THIS MEANS AN INVESTIGATIONAL 236 00:08:51,327 --> 00:08:54,463 PRODUCT YOU MAY BE WORKING ON 237 00:08:54,463 --> 00:08:56,699 NEEDS TO BE UNIQUE TO THERAPIES 238 00:08:56,699 --> 00:08:59,468 IN PULMONARY AND SLEEP MEDICINE 239 00:08:59,468 --> 00:09:01,537 AND NOVEL TECHNOLOGIES THAT HAVE 240 00:09:01,537 --> 00:09:03,105 IMPROVED SAFETY PROFILES OR 241 00:09:03,105 --> 00:09:03,973 ENHANCED EFFICACY. 242 00:09:03,973 --> 00:09:05,741 YOU ALSO NEED TO THINK ABOUT HOW 243 00:09:05,741 --> 00:09:08,744 TO MOVE YOUR IDEAS FROM THE 244 00:09:08,744 --> 00:09:10,880 BENCH THROUGH THE 245 00:09:10,880 --> 00:09:13,549 COMMERCIALIZATION PROCESS. 246 00:09:13,549 --> 00:09:16,652 DEVELOPING YOUR TREATMENT WILL 247 00:09:16,652 --> 00:09:17,987 REQUIRE SIGNIFICANT INVESTMENT 248 00:09:17,987 --> 00:09:19,688 AND IF THE MARKET SEEMS LIMITED 249 00:09:19,688 --> 00:09:21,657 MAY DETER INVESTMENT FROM 250 00:09:21,657 --> 00:09:23,058 POTENTIAL PARTNERS. 251 00:09:23,058 --> 00:09:23,859 TOMORROW WE'LL CONTINUE TO 252 00:09:23,859 --> 00:09:26,495 ENGAGE STAKEHOLDERS AND RELEVANT 253 00:09:26,495 --> 00:09:33,469 FEDERAL AGENCIES AND ACADEMICS 254 00:09:33,469 --> 00:09:34,904 AND CLINICIANS AND PATIENT 255 00:09:34,904 --> 00:09:37,606 GROUPS AND INDUSTRY TO BUILD 256 00:09:37,606 --> 00:09:38,540 CAPACITY AND INNOVATION IN 257 00:09:38,540 --> 00:09:39,975 THERAPEUTIC DEVELOPMENT AND 258 00:09:39,975 --> 00:09:43,012 ENSURING BROAD EQUITABLE ACCESS 259 00:09:43,012 --> 00:09:44,280 FOR SAFE AND EFFECTIVE NOVEL 260 00:09:44,280 --> 00:09:44,680 THERAPIES. 261 00:09:44,680 --> 00:09:45,981 WE WANT PARTICIPANTS TOE NOT 262 00:09:45,981 --> 00:09:47,650 ONLY LEARN FROM THIS WORKSHOP 263 00:09:47,650 --> 00:09:49,451 BUT TO NETWORK WITH EACH OTHER. 264 00:09:49,451 --> 00:09:51,587 AS WE MENTIONED EARLIER, WE DO 265 00:09:51,587 --> 00:09:53,022 HAVE THE CHAT OPEN FOR YOU TO 266 00:09:53,022 --> 00:09:55,057 CONNECT TO EACH OTHER DURING THE 267 00:09:55,057 --> 00:09:55,758 WORKSHOP. 268 00:09:55,758 --> 00:09:58,060 ADDITIONALLY, WE WILL HAVE THE 269 00:09:58,060 --> 00:09:59,795 ZOOM ROOM OPEN FOR TWO 270 00:09:59,795 --> 00:10:02,197 NETWORKING BREAKS DURING THE 271 00:10:02,197 --> 00:10:02,431 MEETING. 272 00:10:02,431 --> 00:10:04,099 AND FINALLY AS I SAID EARLIER, 273 00:10:04,099 --> 00:10:05,134 WE HOPE YOU'LL PARTICIPATE IN 274 00:10:05,134 --> 00:10:10,339 THE BREAKOUT SESSIONS ON DAY 2 275 00:10:10,339 --> 00:10:11,640 TO HELP US DETERMINE THE 276 00:10:11,640 --> 00:10:16,078 BARRIERS AND FACILITATORS TO AID 277 00:10:16,078 --> 00:10:17,146 IN FINDINGS AND CIRCADIAN 278 00:10:17,146 --> 00:10:18,981 BIOLOGY INTO MEDICAL 279 00:10:18,981 --> 00:10:20,015 INTERVENTIONS FOR PATIENTS WHO 280 00:10:20,015 --> 00:10:29,525 NEED THEM MOST. 281 00:10:29,525 --> 00:10:34,630 I'D LIKE TO TURN IT OVER TO OUR 282 00:10:34,630 --> 00:10:41,303 MEETING CO-CHAIR, DR. MOFFITT. 283 00:10:41,303 --> 00:10:43,072 >> TODAY I WANT TO DISCUSS THE 284 00:10:43,072 --> 00:10:45,040 EARLY CONCEPTS YOU CAN LEVERAGE 285 00:10:45,040 --> 00:10:46,909 TO IMPROVE THE QUALITY OF 286 00:10:46,909 --> 00:10:47,576 CLINICAL CANDIDATES EARLY IN THE 287 00:10:47,576 --> 00:10:50,012 RESEARCH AND DEVELOPMENT 288 00:10:50,012 --> 00:10:58,887 PROCESS. 289 00:10:58,887 --> 00:11:00,122 MANY APPROACHES CAN GO TO 290 00:11:00,122 --> 00:11:02,024 TRANSLATIONAL ASPECTS OF EARLY 291 00:11:02,024 --> 00:11:04,760 DRUG DEVELOPMENT. 292 00:11:04,760 --> 00:11:08,030 OBVIOUSLY PATIENT SAFETY 293 00:11:08,030 --> 00:11:09,865 CONSIDERATIONS ALWAYS COME FIRST 294 00:11:09,865 --> 00:11:12,968 AND IT'S NEVER TOO EARLY TO 295 00:11:12,968 --> 00:11:16,205 START TO THINK ABOUT SAFETY 296 00:11:16,205 --> 00:11:19,108 PROFILES FOR EARLY POTENTIAL 297 00:11:19,108 --> 00:11:20,142 DRUGS IN THE PROCESS. 298 00:11:20,142 --> 00:11:26,048 IF YOU WERE TO OPEN A BOOK YOU'D 299 00:11:26,048 --> 00:11:32,054 SEE TARGET ORGANS AND TEXAS 300 00:11:32,054 --> 00:11:36,158 TOXICITY AND THE RANGE OF DOSES 301 00:11:36,158 --> 00:11:38,327 AND WE'RE TRYING TO FEED THIS TO 302 00:11:38,327 --> 00:11:39,762 CLINICAL COLLEAGUES ON WHAT TO 303 00:11:39,762 --> 00:11:45,034 LOOK OUT FOR IN PATIENTS. 304 00:11:45,034 --> 00:11:46,735 SPECIFICALLY A PRESUMED 305 00:11:46,735 --> 00:11:47,603 EFFICACIOUS DOSE AND AT THE 306 00:11:47,603 --> 00:11:49,605 SAFETY MARGIN LOOKS LIKE TO 307 00:11:49,605 --> 00:11:51,540 WHERE ADVERSE EFFECTS MAY START 308 00:11:51,540 --> 00:11:52,708 CREEPING IN. 309 00:11:52,708 --> 00:11:56,045 OF COURSE WE INCLUDE SOME SAFETY 310 00:11:56,045 --> 00:11:58,714 MARGINS JUST TO ADDRESS 311 00:11:58,714 --> 00:12:00,649 UNCERTAINTY AS YOU'LL HEAR ABOUT 312 00:12:00,649 --> 00:12:01,116 TODAY. 313 00:12:01,116 --> 00:12:02,518 AND WHAT I HOPE TO SHOW YOU OVER 314 00:12:02,518 --> 00:12:04,853 THE SLIDES ARE THE CONCEPTS YOU 315 00:12:04,853 --> 00:12:07,056 CAN LEVERAGE EARLY ON TO BE 316 00:12:07,056 --> 00:12:09,792 TRANSPARENT WITH YOUR PATIENTS, 317 00:12:09,792 --> 00:12:11,460 YOUR CLINICAL COLLEAGUES AND 318 00:12:11,460 --> 00:12:13,262 REGULATORS TO SHOW THEM HOW YOU 319 00:12:13,262 --> 00:12:15,397 ARRIVED AT THE RECOMMENDATIONS. 320 00:12:15,397 --> 00:12:18,934 BUT I HAVE TO SAY THE LONGER I'M 321 00:12:18,934 --> 00:12:20,702 IN THE BUSINESS THE LESS I 322 00:12:20,702 --> 00:12:24,006 BELIEVE DRUG SAFETY IS JUST THIS 323 00:12:24,006 --> 00:12:24,573 TWO-DIMENSIONAL RISK VERSUS 324 00:12:24,573 --> 00:12:25,908 BENEFIT CON SEFT. 325 00:12:25,908 --> 00:12:27,709 -- CONCEPT. 326 00:12:27,709 --> 00:12:30,212 SO THIS IS REALLY HOW I THINK OF 327 00:12:30,212 --> 00:12:32,781 DRUG SAFETY AND IT'S HIGHLY 328 00:12:32,781 --> 00:12:34,850 INFLUENCED BY YOUR PERSONAL 329 00:12:34,850 --> 00:12:36,351 EXPERIENCE, THE NOVELTY AND 330 00:12:36,351 --> 00:12:37,886 SEVERITY OF THE DRUGS THAT 331 00:12:37,886 --> 00:12:39,188 YOU'RE GOING AFTER AND CERTAINLY 332 00:12:39,188 --> 00:12:40,322 THE SIZE AND PHILOSOPHY OF YOUR 333 00:12:40,322 --> 00:12:50,566 ORGANIZATION. 334 00:12:50,566 --> 00:12:52,167 WHAT SOME CONSIDER TO BE RISK 335 00:12:52,167 --> 00:12:55,104 ACCEPTABLE AND IN A FATAL RARE 336 00:12:55,104 --> 00:12:57,239 DISEASE YOU'LL HAVE A DIFFERENT 337 00:12:57,239 --> 00:12:58,474 PERSPECTIVE THAN IN SOMETHING 338 00:12:58,474 --> 00:13:00,709 LIKE JUVENILE ASTHMA WHERE 339 00:13:00,709 --> 00:13:02,077 THERE'S GOOD SAFE DRUGS OUT 340 00:13:02,077 --> 00:13:04,847 THERE ALREADY. 341 00:13:04,847 --> 00:13:06,315 SO, THESE ARE SOME OF THE 342 00:13:06,315 --> 00:13:07,049 CONCEPTS YOU HAVE TO CONSIDER 343 00:13:07,049 --> 00:13:08,650 MOVING FORWARD. 344 00:13:08,650 --> 00:13:11,286 SO AS MOST OF US AT THE WORKSHOP 345 00:13:11,286 --> 00:13:13,455 ARE FROM ACADEMIC, GOVERNMENT OR 346 00:13:13,455 --> 00:13:16,291 SMALL BIO TECH, WE CAN'T 347 00:13:16,291 --> 00:13:23,065 POSSIBLY HOPE TO LEVERAGE ALL 348 00:13:23,065 --> 00:13:28,270 THE RESOURCES AT THE DISPOSAL OF 349 00:13:28,270 --> 00:13:32,074 BIG PHARMA COMPANIES. 350 00:13:32,074 --> 00:13:37,346 THEY'RE INCENTIVED AND THEY HAVE 351 00:13:37,346 --> 00:13:47,990 A WEALTH OF COMPOUNDS PRESUMABLY 352 00:13:48,390 --> 00:13:49,992 OF MOVING FORWARD AND WE DON'T 353 00:13:49,992 --> 00:13:52,761 HAVE THE LUXURY OF THOSE OPTIONS 354 00:13:52,761 --> 00:13:56,532 AND OFTEN ARE MORE PERSISTENT 355 00:13:56,532 --> 00:13:59,067 WITH OUR LIMITED ASSETS TO BE 356 00:13:59,067 --> 00:14:01,270 MORE RISK TOLERANT OFTEN OUT OF 357 00:14:01,270 --> 00:14:03,438 NECESSITY TAKING TIME TO 358 00:14:03,438 --> 00:14:04,406 UNDERSTAND THE BARRIERS BETWEEN 359 00:14:04,406 --> 00:14:07,042 US AND THE CLINIC AND UNDERSTAND 360 00:14:07,042 --> 00:14:10,112 THE STRENGTHS AND WEAKNESSES 361 00:14:10,112 --> 00:14:10,479 ASSETS. 362 00:14:10,479 --> 00:14:11,613 SPENDING MORE TIME TO DIVE IN 363 00:14:11,613 --> 00:14:13,515 THE MECHANISM, FINDING NOVEL 364 00:14:13,515 --> 00:14:16,418 WAYS AND ASSAYS TO REALLY ASSESS 365 00:14:16,418 --> 00:14:19,388 THIS TO DRIVE FORWARD THROUGH 366 00:14:19,388 --> 00:14:21,223 THE ISSUES. 367 00:14:21,223 --> 00:14:22,424 IN EITHER SITUATION I'M 368 00:14:22,424 --> 00:14:23,992 CERTAINLY NOT ADVOCATING AROUND 369 00:14:23,992 --> 00:14:25,194 TAKING AN UNSAFE MEDICINE 370 00:14:25,194 --> 00:14:27,329 FORWARD BUT I'M JUST REALLY 371 00:14:27,329 --> 00:14:28,397 MAKING IT CLEAR THAT RISK 372 00:14:28,397 --> 00:14:30,365 TOLERANCE IS DIFFERENT DEPENDING 373 00:14:30,365 --> 00:14:32,334 ON WHERE YOU STAND IN THE 374 00:14:32,334 --> 00:14:33,569 PROFESSION AND I WOULD ARGUE 375 00:14:33,569 --> 00:14:38,073 THAT'S A VERY GOOD AND IMPORTANT 376 00:14:38,073 --> 00:14:39,341 THING WHERE WE BOTH BENEFIT FROM 377 00:14:39,341 --> 00:14:49,151 EACH OTHER. 378 00:14:49,151 --> 00:14:50,018 HERE'S AN OVERVIEW OF THE 379 00:14:50,018 --> 00:14:52,187 PROCESS FOR THE TYPICAL SMALL 380 00:14:52,187 --> 00:14:52,854 MOLECULE. 381 00:14:52,854 --> 00:14:54,189 WE'LL FOCUS ON THE DRIVE TO THE 382 00:14:54,189 --> 00:14:56,258 IND AS MARRAH MENTIONED AND 383 00:14:56,258 --> 00:14:58,327 THAT'S YOUR INVESTIGATIONAL NEW 384 00:14:58,327 --> 00:15:01,730 DRUG APPLICATION YOU SUBMIT WITH 385 00:15:01,730 --> 00:15:02,931 THE FDA OR IND. 386 00:15:02,931 --> 00:15:03,999 WE'LL HAVE REGULATORY FOLKS TALK 387 00:15:03,999 --> 00:15:06,001 TO US ABOUT WHAT THE MILESTONES 388 00:15:06,001 --> 00:15:11,473 MEAN AND WHAT YOU NEED TO GET 389 00:15:11,473 --> 00:15:11,773 THERE. 390 00:15:11,773 --> 00:15:13,108 ONE OF THE THINGS WE WANT TO 391 00:15:13,108 --> 00:15:15,043 FOCUS IN ON TOMORROW IS AROUND 392 00:15:15,043 --> 00:15:17,112 THE CLINICAL DEVELOPMENT AND 393 00:15:17,112 --> 00:15:18,247 ASSESSMENT STANDPOINT AS YOU 394 00:15:18,247 --> 00:15:19,648 DRIVE TOWARD AN APPROVAL. 395 00:15:19,648 --> 00:15:22,351 SO MAYBE IF YOU COULD MOVE TO 396 00:15:22,351 --> 00:15:23,652 THE NEXT SLIDE WE'LL TALK MORE 397 00:15:23,652 --> 00:15:24,653 SPECIFICALLY AROUND THINGS YOU 398 00:15:24,653 --> 00:15:27,055 CAN START TO THINK ABOUT FROM A 399 00:15:27,055 --> 00:15:31,159 DRUG SAFETY STANDPOINT VERY 400 00:15:31,159 --> 00:15:32,160 EARLY IN THE PROFESSOR. 401 00:15:32,160 --> 00:15:34,329 -- PROCESS. 402 00:15:34,329 --> 00:15:36,365 I WOULD ARGUE THE EARLIER YOU 403 00:15:36,365 --> 00:15:37,933 CAN THINK OF DRUG SAFETY THE 404 00:15:37,933 --> 00:15:39,801 BETTER OFF YOU'LL BE. 405 00:15:39,801 --> 00:15:46,475 OFTEN IT WORKS COLLABORATELY -- 406 00:15:46,475 --> 00:15:48,076 COLLABORATIVELY TO GUIDE THE 407 00:15:48,076 --> 00:15:49,978 PHARMACOLOGY AND CAN IMPROVE THE 408 00:15:49,978 --> 00:15:51,947 QUALITY OF THE CANDIDATES THAT 409 00:15:51,947 --> 00:15:55,050 ARE VERY COST EFFECTIVE. 410 00:15:55,050 --> 00:16:01,023 WHILE TOXICOLOGISTS CAN CLEARLY 411 00:16:01,023 --> 00:16:04,660 DEFINE WINNERS AND LOSERS IN THE 412 00:16:04,660 --> 00:16:07,296 PROCESS WE CAN INDICATE 413 00:16:07,296 --> 00:16:10,465 COMPOUNDS THAT OFTEN HAVE MORE 414 00:16:10,465 --> 00:16:11,233 DRUG-LIKE CHARACTERISTICS TO USE 415 00:16:11,233 --> 00:16:13,502 TO THEN PRIORITIZE AND HELP 416 00:16:13,502 --> 00:16:15,070 STEER THAT RESEARCH PROCESS AS 417 00:16:15,070 --> 00:16:17,406 THE EFFICACY AND TRANSLATIONAL 418 00:16:17,406 --> 00:16:18,707 ASPECTS OF YOUR PROGRAM ARE 419 00:16:18,707 --> 00:16:21,143 EVOLVING IN PARALLEL. 420 00:16:21,143 --> 00:16:23,345 I THINK SOME OF THE IMPORTANT 421 00:16:23,345 --> 00:16:25,380 THINGS TO THINK ABOUT ARE HOW 422 00:16:25,380 --> 00:16:29,418 CAN YOU DO THESE AT LOW DOLLAR 423 00:16:29,418 --> 00:16:31,320 COST OPPORTUNITIES TO REALLY 424 00:16:31,320 --> 00:16:33,555 DRIVE THOSE FORWARD AND REALLY 425 00:16:33,555 --> 00:16:35,023 MAKING A WEIGHT OF EVIDENCE 426 00:16:35,023 --> 00:16:37,359 APPROACH TO IMPROVE THE QUALITY 427 00:16:37,359 --> 00:16:45,267 OF THE CLINICAL CANDIDATES. 428 00:16:45,267 --> 00:16:49,104 I DO WANT TO TAKE A MOMENT TO 429 00:16:49,104 --> 00:16:49,838 FRAME WHAT SUCCESS LOOKS LIKE 430 00:16:49,838 --> 00:16:51,540 EARLY IN DRUG SAFETY. 431 00:16:51,540 --> 00:16:53,408 THERE WAS A GREAT PAPER FROM 432 00:16:53,408 --> 00:16:56,044 OLSON IN 2000 THAT FOUND 433 00:16:56,044 --> 00:16:59,081 CONDUCTING THE LONGEST TERM THE 434 00:16:59,081 --> 00:17:00,782 PIVOTAL TOXICOLOGY STUDY, 26 435 00:17:00,782 --> 00:17:06,455 WEEK IN A RODENT AND 39 WEEK IN 436 00:17:06,455 --> 00:17:09,691 A LARGE ANIMAL SPECIES WAS ONLY 437 00:17:09,691 --> 00:17:13,362 ABLE TO IDENTIFY 71% OF HUMAN 438 00:17:13,362 --> 00:17:14,029 RELEVANT TOXICITIES WHEN YOU 439 00:17:14,029 --> 00:17:17,132 CONSIDER THE FINDINGS OF BOTH OF 440 00:17:17,132 --> 00:17:19,434 THOSE PIVOTAL STUDIES. 441 00:17:19,434 --> 00:17:22,371 THIS IS NOT INCLUDING ALL THE 442 00:17:22,371 --> 00:17:24,506 ADDITIONAL TOXICOLOGY STUDIES 443 00:17:24,506 --> 00:17:27,175 FOR GENE TOX, SAFETY 444 00:17:27,175 --> 00:17:29,911 PHARMACOLOGY AND OTHERS GET YOU 445 00:17:29,911 --> 00:17:33,081 TO 80% OF BEING ABLE TO PICK OUT 446 00:17:33,081 --> 00:17:35,050 HUMAN RELEVANT TOXICITIES. 447 00:17:35,050 --> 00:17:37,419 SO AS YOU CONSIDER THIS IT'S 448 00:17:37,419 --> 00:17:38,820 ACTUALLY QUITE SOBERING TO 449 00:17:38,820 --> 00:17:41,923 REMEMBER THAT MEANS 20% OF THE 450 00:17:41,923 --> 00:17:43,425 TIME HUMANS ARE THE SENSITIVE 451 00:17:43,425 --> 00:17:43,658 SPECIES. 452 00:17:43,658 --> 00:17:45,427 THIS MEANS NO MATTER WHAT YOU 453 00:17:45,427 --> 00:17:49,798 DO, WHAT ASSAYS YOU PROFILE, YOU 454 00:17:49,798 --> 00:17:53,902 COULD NOT PREDICT THESE 455 00:17:53,902 --> 00:17:55,003 TOXICITIES WITH ANY AVAILABLE 456 00:17:55,003 --> 00:17:55,370 ASSAY. 457 00:17:55,370 --> 00:17:57,038 AS SOBERING AS THAT IS YOU CAN 458 00:17:57,038 --> 00:17:59,174 THINK OF TURNING THIS AROUND THE 459 00:17:59,174 --> 00:18:00,809 OPPOSITE WAY AROUND WHAT TRYING 460 00:18:00,809 --> 00:18:02,611 TO GUIDE YOU AND WHAT ASSAYS TO 461 00:18:02,611 --> 00:18:03,612 RUN AS PART OF THIS. 462 00:18:03,612 --> 00:18:06,214 AT SOME POINT YOU'RE NO LONGER 463 00:18:06,214 --> 00:18:07,649 GENERATING VALUABLE DATA. 464 00:18:07,649 --> 00:18:10,519 YOU'RE JUST GENERATING MORE DATA 465 00:18:10,519 --> 00:18:12,921 TO ASSESS AND NOT NECESSARILY 466 00:18:12,921 --> 00:18:14,222 ADDING DECISION MAKING CRITERIA. 467 00:18:14,222 --> 00:18:17,159 IF YOU GO TO ANY OF THESE 468 00:18:17,159 --> 00:18:19,094 SCIENTIFIC CONFERENCES OR I'M 469 00:18:19,094 --> 00:18:21,997 SURE YOUR IN BOX BOMBARDED BY 470 00:18:21,997 --> 00:18:23,165 ASSAY COMPANIES SAYING RUN THESE 471 00:18:23,165 --> 00:18:25,534 ASSAYS TO HELP YOU UNDERSTAND 472 00:18:25,534 --> 00:18:28,770 THIS, HOWEVER, YOU HAVE TO 473 00:18:28,770 --> 00:18:30,338 UNDERSTAND AT SOME POINT YOU'RE 474 00:18:30,338 --> 00:18:31,540 HAVING THIS EFFECT OF 475 00:18:31,540 --> 00:18:32,307 DIMINISHING RETURNS. 476 00:18:32,307 --> 00:18:35,010 THIS IS ONE OF THE STRENGTHS OF 477 00:18:35,010 --> 00:18:38,079 OUR NEXT SESSION YOU'LL HEAR 478 00:18:38,079 --> 00:18:39,614 ABOUT HOW CERTAIN FOLKS HAVE 479 00:18:39,614 --> 00:18:41,716 DEVELOPED ASSAYS ENRICHING THE 480 00:18:41,716 --> 00:18:43,084 DECISION MAKING CRITERIA THAT 481 00:18:43,084 --> 00:18:45,353 DON'T FIT INTO THE TRADITIONAL 482 00:18:45,353 --> 00:18:46,455 WAYS NECESSARY OF ARRIVING AT A 483 00:18:46,455 --> 00:18:48,223 DRUG CANDIDATE. 484 00:18:48,223 --> 00:18:50,826 AND I THINK THIS IS SO IMPORTANT 485 00:18:50,826 --> 00:18:51,493 TO THINK ABOUT BECAUSE THE 486 00:18:51,493 --> 00:18:54,329 EARLIER THAT YOU CAN PARTNER AS 487 00:18:54,329 --> 00:18:56,064 YOU'RE GOING THROUGH THE PROCESS 488 00:18:56,064 --> 00:18:59,734 OF LEARNING AND WORKING WITH A 489 00:18:59,734 --> 00:19:04,306 REGULATORY EXPERT OR A 490 00:19:04,306 --> 00:19:05,774 TOXICOLOGY CONSULTANT YOU CAN 491 00:19:05,774 --> 00:19:07,042 ALIGN WHAT THE MINIMUM PACKAGE 492 00:19:07,042 --> 00:19:10,378 IS YOU WANT TO GET IN THE CLINIC 493 00:19:10,378 --> 00:19:13,048 AND START WORKING BACKWARDS TO 494 00:19:13,048 --> 00:19:14,416 LOOK AT THE ADDITIONAL ASSAY 495 00:19:14,416 --> 00:19:19,054 GIVE THE MOST DECISION MAKING 496 00:19:19,054 --> 00:19:19,621 CRITERIA FOR YOUR SPECIFIC 497 00:19:19,621 --> 00:19:26,995 PROGRAM. 498 00:19:26,995 --> 00:19:28,096 WHAT WHERE SOME THINGS YOU CAN 499 00:19:28,096 --> 00:19:28,864 DO EARLY ON? 500 00:19:28,864 --> 00:19:32,667 I THINK OF RESEARCH AS THE 501 00:19:32,667 --> 00:19:33,635 SCREENING AND I REALIZE SMALL 502 00:19:33,635 --> 00:19:35,070 ORGANIZATIONS OR ACADEMIA YOU 503 00:19:35,070 --> 00:19:38,573 MAY ONLY HAVE A HANDFUL OF 504 00:19:38,573 --> 00:19:41,476 COMPOUNDS TO DRAW FROM BUT 505 00:19:41,476 --> 00:19:42,444 DOESN'T MEAN YOU CAN'T GO 506 00:19:42,444 --> 00:19:43,712 THROUGH THE PROCESS OF THINKING 507 00:19:43,712 --> 00:19:44,446 ABOUT WHICH ONES LOOK MORE LIKE 508 00:19:44,446 --> 00:19:47,048 A DRUG. 509 00:19:47,048 --> 00:19:48,917 I THINK YOU CAN DO COST 510 00:19:48,917 --> 00:19:51,052 CONSCIOUS THINGS LIKE A TARGET 511 00:19:51,052 --> 00:19:52,587 RISK ASSESSMENT. 512 00:19:52,587 --> 00:19:54,523 THAT'S COMBING THROUGH THE 513 00:19:54,523 --> 00:19:56,057 LITERATURE TO LOOK TO INCLUDE 514 00:19:56,057 --> 00:20:00,128 FROM KNOCKOUT ANIMALS AND WHAT 515 00:20:00,128 --> 00:20:00,996 DOES EXAGGERATED PHARMACOLOGY 516 00:20:00,996 --> 00:20:03,698 LOOK LIKE IF I KNOCK DOWN THE 517 00:20:03,698 --> 00:20:03,999 TARGET. 518 00:20:03,999 --> 00:20:08,103 YOU CAN GET CLUES AROUND WHAT TO 519 00:20:08,103 --> 00:20:08,703 ADDRESS. 520 00:20:08,703 --> 00:20:11,973 IT'S IMPOSSIBLE TO PICK UP OFF 521 00:20:11,973 --> 00:20:17,612 TARGET TOXICITY WHICH ARE MAJOR 522 00:20:17,612 --> 00:20:20,348 DRIVERS FOR SMALL MOLECULE BUT 523 00:20:20,348 --> 00:20:22,517 OTHERS WILL ADDRESS THOSE 524 00:20:22,517 --> 00:20:22,817 PROACTIVELY. 525 00:20:22,817 --> 00:20:24,853 THIS IS UNDERSTANDING YOUR 526 00:20:24,853 --> 00:20:27,422 TARGET AND SOME LOW TARGET 527 00:20:27,422 --> 00:20:29,824 EVALUATIONS ARE IMMUNOGENICITY 528 00:20:29,824 --> 00:20:32,093 ASSESSMENTS LOOKING AT 529 00:20:32,093 --> 00:20:33,528 RELATIONSHIPS WHETHER YOU USE A 530 00:20:33,528 --> 00:20:35,997 COMPUTERIZED SYSTEM OR COMBING 531 00:20:35,997 --> 00:20:38,800 THE LITERATURE ARE EFFECTIVE 532 00:20:38,800 --> 00:20:41,636 TOOLS TO HELP IDENTIFY 533 00:20:41,636 --> 00:20:44,105 PROBLEMATIC COMPOUNDS VERY EARLY 534 00:20:44,105 --> 00:20:46,107 IN THE PROCESS AND EASY TO 535 00:20:46,107 --> 00:20:46,942 ENGINEER AROUND WHEN YOU 536 00:20:46,942 --> 00:20:49,611 IDENTIFY THEM WORKING WITH A 537 00:20:49,611 --> 00:20:55,250 MEDICINAL CHEMIST YOU CAN PIVOT 538 00:20:55,250 --> 00:20:56,151 WITHOUT LOSING A LOT OF 539 00:20:56,151 --> 00:20:56,751 PHARMACOLOGY. 540 00:20:56,751 --> 00:20:58,520 THERE'S OTHER STUDIES HERE ON 541 00:20:58,520 --> 00:21:01,089 THE LEFT YOU CAN ALSO DO THAT 542 00:21:01,089 --> 00:21:03,592 WE'LL HAVE TO BRIEFLY PASS OVER 543 00:21:03,592 --> 00:21:05,794 TODAY BUT IT'S NOT -- IT'S ALSO 544 00:21:05,794 --> 00:21:08,463 DONE IN A RISK APPROPRIATE 545 00:21:08,463 --> 00:21:09,731 MANNER AS YOU TWO THROUGH THE 546 00:21:09,731 --> 00:21:11,099 SCREENING FUNNEL, THE 547 00:21:11,099 --> 00:21:12,300 REQUIREMENTS FOR THE AMOUNT OF 548 00:21:12,300 --> 00:21:14,102 DRUG PRODUCT YOU NEED AND THE 549 00:21:14,102 --> 00:21:15,971 COST ASSOCIATED WITH THEM RISE 550 00:21:15,971 --> 00:21:18,273 SO YOU WANT TO GET RID OF THOSE 551 00:21:18,273 --> 00:21:24,479 LOW HANGING FRUIT EARLY. 552 00:21:24,479 --> 00:21:26,615 AS YOU PIVOT TO THE IN VIVO 553 00:21:26,615 --> 00:21:28,016 STAGE OF DEVELOPMENT, WHAT ARE 554 00:21:28,016 --> 00:21:29,684 SOME OF THE THINGS THAT ARE 555 00:21:29,684 --> 00:21:33,822 REALLY GOOD TO DO VERY EARLY ON? 556 00:21:33,822 --> 00:21:36,424 AS YOU MATURE IN TO RUNNING A 557 00:21:36,424 --> 00:21:39,060 RODENT STUDY OR A LARGE ANIMAL 558 00:21:39,060 --> 00:21:40,261 STUDY HOPEFULLY AFTER YOU HAVE 559 00:21:40,261 --> 00:21:44,099 DONE A RODENT STUDY, SOME OF THE 560 00:21:44,099 --> 00:21:48,336 EARLY NON-GLP RANGE FINDING 561 00:21:48,336 --> 00:21:49,838 STUDIES ARE A TYPICAL 14-DAY 562 00:21:49,838 --> 00:21:51,640 RANGE FINDING STUDY. 563 00:21:51,640 --> 00:21:54,042 YOU CAN STAGGER THE INITIATION 564 00:21:54,042 --> 00:21:56,444 OF DOSING STARTING WITH A LOW 565 00:21:56,444 --> 00:21:56,911 DOSE. 566 00:21:56,911 --> 00:21:58,513 SAY YOU KNOW LITTLE ABOUT YOUR 567 00:21:58,513 --> 00:21:58,780 COMPOUND. 568 00:21:58,780 --> 00:22:06,821 YOU MAY START AT DOSE LEVEL OF 569 00:22:06,821 --> 00:22:09,924 10 MIGS PER DAY AND IF THINGS 570 00:22:09,924 --> 00:22:11,393 LOOK GOOD IN THE STUDIES YOU MAY 571 00:22:11,393 --> 00:22:13,995 STAGGER THE START OF A HIGH DOSE 572 00:22:13,995 --> 00:22:14,195 GROUP. 573 00:22:14,195 --> 00:22:18,199 DOSE FOR A COUPLE DAYS IF YOU 574 00:22:18,199 --> 00:22:19,734 HAVEN'T IDENTIFIED INTOLERANCE 575 00:22:19,734 --> 00:22:21,803 OR TOXICITY YOU MAY WANT TO PUSH 576 00:22:21,803 --> 00:22:23,872 THE DOSES FURTHER. 577 00:22:23,872 --> 00:22:26,808 AGAIN, A TOXICOLOGY STUDY THAT 578 00:22:26,808 --> 00:22:28,443 DOES NOT IDENTIFY SAFETY 579 00:22:28,443 --> 00:22:29,911 LIABILITIES IS NOT REALLY 580 00:22:29,911 --> 00:22:31,980 DRIVING AND EDUCATING YOU AROUND 581 00:22:31,980 --> 00:22:33,882 WHAT YOU NEED TO LOOK FOR. 582 00:22:33,882 --> 00:22:37,385 AND HOPEFULLY YOU CAN IDENTIFY 583 00:22:37,385 --> 00:22:39,054 WHAT YOUR KEY LIABILITIES MIGHT 584 00:22:39,054 --> 00:22:40,655 BE WITH A COMPOUND AND USE THOSE 585 00:22:40,655 --> 00:22:45,927 TO ROLLOVER ULTIMATELY TO YOUR 586 00:22:45,927 --> 00:22:48,196 GLP TOXICOLOGY AND HERE I LIKE 587 00:22:48,196 --> 00:22:51,166 TO DO A FOUR-WEEK STUDY BECAUSE 588 00:22:51,166 --> 00:22:53,868 THIS WILL ENABLE UP TO A MONTH 589 00:22:53,868 --> 00:22:54,703 CLINICAL DOSING FROM YOUR 590 00:22:54,703 --> 00:22:57,038 COLLEAGUES WHICH ALLOWS THEM TO 591 00:22:57,038 --> 00:23:00,241 RUN SAD AND MAD TYPE CLINICAL 592 00:23:00,241 --> 00:23:02,510 STUDY DESIGNS IN BOTH THE RODENT 593 00:23:02,510 --> 00:23:03,745 AND LARGE ANIMAL SPECIES 594 00:23:03,745 --> 00:23:04,612 TYPICALLY. 595 00:23:04,612 --> 00:23:06,214 AND THE LARGE ANIMAL SPECIES 596 00:23:06,214 --> 00:23:09,017 DOES NOT NEED TO BE NON-HUMAN 597 00:23:09,017 --> 00:23:09,250 PRIMATE. 598 00:23:09,250 --> 00:23:14,122 IT COULD BE MINI PIG, DOG, NON 599 00:23:14,122 --> 00:23:19,494 HUMAN PRIMATE OR ANY JUSTIFIED 600 00:23:19,494 --> 00:23:20,128 SPECIES. 601 00:23:20,128 --> 00:23:22,263 IDEALLY YOUR STUDY WOULD BE SET 602 00:23:22,263 --> 00:23:25,266 UP TO IDENTIFY MOST IMPORTANTLY 603 00:23:25,266 --> 00:23:28,737 A NO-OBSERVABLE ADVERSE EFFECT 604 00:23:28,737 --> 00:23:29,104 LEVEL. 605 00:23:29,104 --> 00:23:30,805 IF YOU CAN IDENTIFY LOW LEVELS 606 00:23:30,805 --> 00:23:33,007 OF TOXICITY AT A MISS DOUGHED 607 00:23:33,007 --> 00:23:35,477 AND MAXIMUM TOLERATED DOSE ARE 608 00:23:35,477 --> 00:23:37,645 THE SPECTRUM WHERE YOU LEARN THE 609 00:23:37,645 --> 00:23:40,915 MOST FROM THE STUDY DESIGNS. 610 00:23:40,915 --> 00:23:44,119 NOW, OBVIOUSLY I'VE GLOSSED OVER 611 00:23:44,119 --> 00:23:45,253 A LOT OF KEY DATA HERE AND 612 00:23:45,253 --> 00:23:46,855 DETAILS AROUND THE STUDY DESIGNS 613 00:23:46,855 --> 00:23:47,489 AND CONSIDERATIONS. 614 00:23:47,489 --> 00:23:50,158 SO I REALLY ENCOURAGE YOU TO GO 615 00:23:50,158 --> 00:23:53,361 TO ICH DOT ORG AND LOOK AT THE 616 00:23:53,361 --> 00:23:56,131 GUIDANCE ALIGNED BY A GLOBAL 617 00:23:56,131 --> 00:23:58,299 REGULATORY AUTHORITIES AROUND 618 00:23:58,299 --> 00:24:00,435 THE PLAYBOOKS AND EXPECTATIONS 619 00:24:00,435 --> 00:24:03,071 AROUND DEVELOPING THE 620 00:24:03,071 --> 00:24:03,671 THERAPEUTICS. 621 00:24:03,671 --> 00:24:06,908 FOR SMALL MOLECULES THAT'S 622 00:24:06,908 --> 00:24:09,144 PROTEIN THERAPEUTICS HAS THEIR 623 00:24:09,144 --> 00:24:12,180 OWN GUIDE AS WELL AS GENE 624 00:24:12,180 --> 00:24:14,015 THERAPY. 625 00:24:14,015 --> 00:24:15,049 THE GUIDANCE AROUND GENE THERAPY 626 00:24:15,049 --> 00:24:19,053 IS GIST JUST STARTING TO EMERGE 627 00:24:19,053 --> 00:24:20,688 SO LOOK AT THE FDA LONG-TERM 628 00:24:20,688 --> 00:24:31,099 SAFETY GUIDANCE AS WELL. 629 00:24:38,173 --> 00:24:41,009 I WANT TO HIGHLIGHT BRIEFLY 630 00:24:41,009 --> 00:24:44,579 AROUND MONOCLONAL ANTIBODIES AND 631 00:24:44,579 --> 00:24:45,079 PROTEINS. 632 00:24:45,079 --> 00:24:48,316 SOME MAJOR DIFFERENCES IS THE 633 00:24:48,316 --> 00:24:50,118 EMPHASIS ON EXAGGERATED 634 00:24:50,118 --> 00:24:50,652 PHARMACOLOGY. 635 00:24:50,652 --> 00:24:54,422 THE SPECIFICITY FOR THE 636 00:24:54,422 --> 00:24:57,959 THERAPEUTICS ARE SO SPECIFIC 637 00:24:57,959 --> 00:24:59,694 OVER TARGET TOXICITY IS 638 00:24:59,694 --> 00:25:00,762 REFLECTED AROUND THE WAY WE 639 00:25:00,762 --> 00:25:05,466 ASSESS THE PROGRAMS AND ASSETS. 640 00:25:05,466 --> 00:25:06,634 KEEP IN MIND SOME OF THE BIG 641 00:25:06,634 --> 00:25:08,336 DIFFERENCES WE HAVE WITH SMALL 642 00:25:08,336 --> 00:25:10,205 MOLECULES IS THE LONG HALF LIFE 643 00:25:10,205 --> 00:25:10,805 OF THE THERAPEUTICS. 644 00:25:10,805 --> 00:25:13,641 IT'S NOT UNUSUAL TO RUN A 645 00:25:13,641 --> 00:25:15,643 FOUR-WEEK GLP TOX STUDY TO 646 00:25:15,643 --> 00:25:20,582 ENABLE CLINICAL DOSING FOLLOWED 647 00:25:20,582 --> 00:25:25,720 BY A 13-WEEK RECOVERY NON-DOSING 648 00:25:25,720 --> 00:25:27,121 PHASE BECAUSE THE LONG-ACTING 649 00:25:27,121 --> 00:25:28,122 NATURE OF THE THERAPEUTICS ARE 650 00:25:28,122 --> 00:25:29,324 SO LONG ACTING. 651 00:25:29,324 --> 00:25:31,226 WE WANT TO MAKE SURE WE'RE 652 00:25:31,226 --> 00:25:32,861 ASSESSING ALL THE POTENTIAL 653 00:25:32,861 --> 00:25:34,429 SAFETY LIABILITIES OVER THE 654 00:25:34,429 --> 00:25:38,633 DURATION OF EXPOSURE HERE. 655 00:25:38,633 --> 00:25:41,603 AND THERE ARE ALSO VERY SPECIFIC 656 00:25:41,603 --> 00:25:43,404 TISSUE CROSS REACTIVITY STUDY WE 657 00:25:43,404 --> 00:25:44,305 CONDUCT TO MAKE SURE WE 658 00:25:44,305 --> 00:25:45,807 UNDERSTAND WHAT THE FINDING 659 00:25:45,807 --> 00:25:47,041 POTENTIAL IS BUT A LOT OF THESE 660 00:25:47,041 --> 00:25:50,912 EFFECTS WE TYPICALLY LOOK FOR 661 00:25:50,912 --> 00:25:53,047 WITH PROTEIN THERAPEUTICS OR 662 00:25:53,047 --> 00:25:55,483 MONOCLONAL ANTIBODIES ARE REALLY 663 00:25:55,483 --> 00:25:58,586 THE EFFECT ON THE IMMUNOGENICITY 664 00:25:58,586 --> 00:26:00,688 AND HOW THE IMMUNE SYSTEM REACT 665 00:26:00,688 --> 00:26:02,123 TO CLEAR THESE THERAPEUTICS 666 00:26:02,123 --> 00:26:05,393 EARLY ON, WHICH MAY ACTUALLY 667 00:26:05,393 --> 00:26:08,096 MINIMIZE THE EFFECTIVENESS OF 668 00:26:08,096 --> 00:26:11,065 OUR TOXICOLOGY STUDY TO INFORM 669 00:26:11,065 --> 00:26:14,135 CLINICAL IMPLICATIONS OR 670 00:26:14,135 --> 00:26:15,503 ALTERNATIVELY THINKING HOW THE 671 00:26:15,503 --> 00:26:16,938 IMMUNE SYSTEM MAY BE EITHER 672 00:26:16,938 --> 00:26:19,540 EXPRESSED OR ACTIVATED DEPENDING 673 00:26:19,540 --> 00:26:21,075 ON THE INTENDED PHARMACOLOGY OF 674 00:26:21,075 --> 00:26:28,549 THE THERAPEUTIC. 675 00:26:28,549 --> 00:26:29,984 TO BRIEFLY TALK ABOUT GENE 676 00:26:29,984 --> 00:26:32,487 THERAPIES, AGAIN THESE ARE VERY 677 00:26:32,487 --> 00:26:33,488 DIFFERENTIATED FROM SMALL 678 00:26:33,488 --> 00:26:35,023 MOLECULES OR PROTEIN 679 00:26:35,023 --> 00:26:35,356 THERAPEUTICS. 680 00:26:35,356 --> 00:26:36,257 A LOT OF TIMES NOW IF WE'RE 681 00:26:36,257 --> 00:26:38,626 LOOKING AT GENE THERAPIES WE 682 00:26:38,626 --> 00:26:41,696 REALLY WANT TO UNDERSTAND THE 683 00:26:41,696 --> 00:26:43,398 TROPISM AND BIO DISTRIBUTION 684 00:26:43,398 --> 00:26:45,667 SPECIFICALLY WHAT TYPES OF CELLS 685 00:26:45,667 --> 00:26:48,603 OR TISSUES DOES THE VIRUS 686 00:26:48,603 --> 00:26:50,371 TRANSDUCE OR A LIPID NANO 687 00:26:50,371 --> 00:26:52,006 PARTICLE, LET'S SAY. 688 00:26:52,006 --> 00:26:53,675 WITHIN GENE THERAPIES THERE'S 689 00:26:53,675 --> 00:26:58,379 DIFFERENT SUB HEADINGS AROUND 690 00:26:58,379 --> 00:27:00,448 OLIGO NUCLEOTIDES AND THIS AREA 691 00:27:00,448 --> 00:27:00,949 IS EXPLODING. 692 00:27:00,949 --> 00:27:03,051 WE CAN'T POSSIBLY COVER ALL THE 693 00:27:03,051 --> 00:27:05,787 BEST PRACTICES IN THIS SPACE 694 00:27:05,787 --> 00:27:06,754 WITHOUT INTO SPECIFICS. 695 00:27:06,754 --> 00:27:09,457 BUT AT A HIGH LEVEL WE REALLY 696 00:27:09,457 --> 00:27:10,858 WANT TO UNDERSTAND THE BIO 697 00:27:10,858 --> 00:27:13,294 DISTRIBUTION I MENTIONED. 698 00:27:13,294 --> 00:27:18,533 THE PHARMACO KINETIC, PHARMACO 699 00:27:18,533 --> 00:27:20,134 DYNAMIC PROFILE AROUND THE 700 00:27:20,134 --> 00:27:23,037 VECTOR GENOMES OR DNA 701 00:27:23,037 --> 00:27:23,738 DISTRIBUTION YOU'RE DELIVERING 702 00:27:23,738 --> 00:27:27,709 WITH YOUR VECTOR LIPID NANO 703 00:27:27,709 --> 00:27:28,743 PARTICLE AND THE PROTEIN 704 00:27:28,743 --> 00:27:30,378 EXPRESSION YOU HAVE SECONDARY TO 705 00:27:30,378 --> 00:27:31,045 THIS. 706 00:27:31,045 --> 00:27:33,514 THEN AS WE TALKED ABOUT WITH 707 00:27:33,514 --> 00:27:36,451 MONOCLONAL ANTIBODIES THE 708 00:27:36,451 --> 00:27:37,085 IMMUNOGENICITY COMPONENT. 709 00:27:37,085 --> 00:27:39,721 ARE THERE PREEXISTING ANTIBODIES 710 00:27:39,721 --> 00:27:41,956 THAT MAY SUPPRESS THE EFFECT TO 711 00:27:41,956 --> 00:27:45,293 MODEL THIS THERAPY IN YOUR 712 00:27:45,293 --> 00:27:45,526 SPECIES. 713 00:27:45,526 --> 00:27:47,962 AND THE IMMUNE RESPONSES. 714 00:27:47,962 --> 00:27:52,300 REMEMBER IF YOU'RE DELIVERING A 715 00:27:52,300 --> 00:27:53,234 VECTOR-BASED VIRAL-BASED GENE 716 00:27:53,234 --> 00:27:56,104 DELIVER HADDY APPROACH YOUR 717 00:27:56,104 --> 00:27:57,605 IMMUNE SYSTEM RECOGNIZES THIS 718 00:27:57,605 --> 00:27:58,806 AND ACTIVELY THINKING IT'S UNDER 719 00:27:58,806 --> 00:28:01,476 ATTACK AND WILL FIGHT BACK. 720 00:28:01,476 --> 00:28:05,613 ARE THERE DOWN STREAM EFFECTS ON 721 00:28:05,613 --> 00:28:06,214 CYTOKINE OR COMPLEMENT 722 00:28:06,214 --> 00:28:09,083 ACTIVATION AND HOW DOES THAT FIT 723 00:28:09,083 --> 00:28:14,155 IN WITH YOUR INTENDED 724 00:28:14,155 --> 00:28:19,260 THERAPEUTIC DOSE. 725 00:28:19,260 --> 00:28:21,729 THIS IS DIFFERENT THAN OTHER 726 00:28:21,729 --> 00:28:22,730 MODALITIES WHERE YOU'RE DOSING 727 00:28:22,730 --> 00:28:27,068 DAILY FOR A SMALL MOLECULE, SAY 728 00:28:27,068 --> 00:28:29,070 WEEKLY OR BIWEEKLY FOR 729 00:28:29,070 --> 00:28:30,671 THERAPEUTIC POTENTIAL OR LONGER 730 00:28:30,671 --> 00:28:31,039 CADENCE. 731 00:28:31,039 --> 00:28:34,208 AND THEN MAYBE A SINGLE DOSE 732 00:28:34,208 --> 00:28:35,943 ONLY FOR THESE TYPES OF IND 733 00:28:35,943 --> 00:28:38,179 ENABLING STUDIES. 734 00:28:38,179 --> 00:28:39,981 IT'S REALLY IMPORTANT TO 735 00:28:39,981 --> 00:28:40,948 UNDERSTAND WHAT YOUR LIABILITIES 736 00:28:40,948 --> 00:28:42,417 ARE AND DEVELOP THE RIGHT 737 00:28:42,417 --> 00:28:44,085 PACKAGE AND THIS IS WHERE IT'S 738 00:28:44,085 --> 00:28:47,555 SO IMPORTANT TO WORK WITH A GOOD 739 00:28:47,555 --> 00:28:48,589 REGULATORY OR TOXICOLOGY 740 00:28:48,589 --> 00:28:50,158 CONSULTANT AS YOU'RE STARTING TO 741 00:28:50,158 --> 00:28:52,093 THINK ABOUT THIS IF YOU'RE NEW 742 00:28:52,093 --> 00:28:53,961 TO THE FIELD TO STEER IN AND 743 00:28:53,961 --> 00:28:56,264 IT'S NOT A ONE-SIZE FITS ALL 744 00:28:56,264 --> 00:29:02,170 TYPE OF SITUATION. 745 00:29:02,170 --> 00:29:04,305 FINALLY, I WANTED TO OFFER SOME 746 00:29:04,305 --> 00:29:04,906 PARTING THOUGHTS AROUND DRUG 747 00:29:04,906 --> 00:29:07,708 SAFETY. 748 00:29:07,708 --> 00:29:09,577 YOU HAVE TO UNDERSTAND UP FRONT 749 00:29:09,577 --> 00:29:11,045 YOU CAN'T PREDICT EVERYTHING. 750 00:29:11,045 --> 00:29:13,314 AS YOU'RE THINKING ABOUT YOUR 751 00:29:13,314 --> 00:29:16,517 ASSETS EARLY ON, IT'S OKAY TO 752 00:29:16,517 --> 00:29:19,087 BELIEVE AND ADVOCATE FOR YOUR 753 00:29:19,087 --> 00:29:19,520 DRUGS. 754 00:29:19,520 --> 00:29:20,154 THERE ARE THINGS YOU KNOW AND 755 00:29:20,154 --> 00:29:23,057 THINGS YOU DON'T KNOW. 756 00:29:23,057 --> 00:29:26,561 PART OF THE DRUG DEVELOPMENT 757 00:29:26,561 --> 00:29:28,162 PROCESS AS MARRAH MENTIONED IS 758 00:29:28,162 --> 00:29:32,200 TALKING TO INVESTORS TALKING TO 759 00:29:32,200 --> 00:29:33,568 CLINICIANS AND KEY OPINION 760 00:29:33,568 --> 00:29:36,104 LEADERS AND GET THEM EXCITED 761 00:29:36,104 --> 00:29:36,938 ABOUT WHAT NOVEL THERAPEUTIC 762 00:29:36,938 --> 00:29:39,207 OPTIONS YOU BRING TO DISEASES 763 00:29:39,207 --> 00:29:41,542 POTENTIALLY WITH HIGH UNMET 764 00:29:41,542 --> 00:29:41,742 NEED. 765 00:29:41,742 --> 00:29:43,444 IT'S OKAY TO BE ENTHUSIASTIC 766 00:29:43,444 --> 00:29:44,412 ABOUT YOUR DATA. 767 00:29:44,412 --> 00:29:47,548 IT'S ALSO SOMETHING YOU NEED TO 768 00:29:47,548 --> 00:29:48,249 APPRECIATE THERE ARE LIMITS TO 769 00:29:48,249 --> 00:29:49,684 WHAT YOU KNOW AND DON'T KNOW 770 00:29:49,684 --> 00:29:52,353 AROUND THE ROBUSTNESS OF THAT 771 00:29:52,353 --> 00:29:52,620 DATA. 772 00:29:52,620 --> 00:29:55,089 SO IT'S SO IMPORTANT TO BE 773 00:29:55,089 --> 00:29:57,825 TRANSPARENT WITH PATIENT, YOUR 774 00:29:57,825 --> 00:29:58,493 CLINICAL COLLEAGUES AND 775 00:29:58,493 --> 00:30:01,729 CERTAINLY REGULATORS AROUND WHY 776 00:30:01,729 --> 00:30:03,931 YOU BELIEVE A DRUG IS SAFE AND 777 00:30:03,931 --> 00:30:05,900 EFFICACIOUS AND MAYBE AREAS YOU 778 00:30:05,900 --> 00:30:08,202 DON'T KNOW OF UNCERTAINTY AND 779 00:30:08,202 --> 00:30:13,674 HOW YOU PLAN ON ADDRESSING THAT 780 00:30:13,674 --> 00:30:15,676 AROUND SAFETY MARGINS OR SAFETY 781 00:30:15,676 --> 00:30:17,011 MARKERS YOU CAN FOLLOW IN 782 00:30:17,011 --> 00:30:18,312 PATIENTS TO UNDERSTAND THIS. 783 00:30:18,312 --> 00:30:19,914 I THINK IT'S OKAY TO BE PARANOID 784 00:30:19,914 --> 00:30:21,048 AS YOU TWO THROUGH DEVELOPMENT. 785 00:30:21,048 --> 00:30:26,220 THIS IS ACTUALLY A GOOD THING 786 00:30:26,220 --> 00:30:27,755 AROUND UNDERSTANDING TYPICAL 787 00:30:27,755 --> 00:30:29,090 ISSUES THAT MAY COME UP AND 788 00:30:29,090 --> 00:30:30,825 YOU'LL HAVE SPURIOUS FINDINGS IN 789 00:30:30,825 --> 00:30:35,730 SOME OF YOUR STUDIES OR DATA NOT 790 00:30:35,730 --> 00:30:37,698 CONGRUENT WITH A -- THERE MAY BE 791 00:30:37,698 --> 00:30:40,067 OPPOSING DATA SETS THAT SAY IN 792 00:30:40,067 --> 00:30:42,436 ONE SPECIES IT MAY BE UNSAFE AND 793 00:30:42,436 --> 00:30:43,504 ANOTHER SPECIES SAFE AND THEN 794 00:30:43,504 --> 00:30:44,605 YOU HAVE TO GO THROUGH AND 795 00:30:44,605 --> 00:30:46,340 FIGURE OUT WHICH IS THE RIGHT 796 00:30:46,340 --> 00:30:49,043 ONE TO BELIEVE. 797 00:30:49,043 --> 00:30:50,178 ALL THOSE ARE ACCESSIBLE AND 798 00:30:50,178 --> 00:30:50,678 OKAY. 799 00:30:50,678 --> 00:30:55,049 IT COMES BACK TO THE 800 00:30:55,049 --> 00:30:56,984 TRANSPARENCY EFFECT. 801 00:30:56,984 --> 00:30:59,086 YOU WANT TO AVOID BOX CHECKING. 802 00:30:59,086 --> 00:31:00,354 IF YOU GO AND ASK PEOPLE WHAT 803 00:31:00,354 --> 00:31:03,057 THEY DID FOR THEIR PROGRAMS, YOU 804 00:31:03,057 --> 00:31:04,992 MAY GET STUDIES YOU ARE 805 00:31:04,992 --> 00:31:06,727 ESSENTIALLY UNNECESSARY. 806 00:31:06,727 --> 00:31:08,162 THIS IS A BIG CONSIDERATION WHEN 807 00:31:08,162 --> 00:31:11,098 IN VIVO STUDIES COME INTO PLAY. 808 00:31:11,098 --> 00:31:13,734 WHERE WE DON'T WANT TO BE 809 00:31:13,734 --> 00:31:15,336 RUNNING UNNECESSARY IN VIVO 810 00:31:15,336 --> 00:31:17,004 STUDIES THAT DON'T NECESSARILY 811 00:31:17,004 --> 00:31:19,006 ADD VALUE. 812 00:31:19,006 --> 00:31:20,408 THE EARLIEST YOU CAN PARTNER 813 00:31:20,408 --> 00:31:22,843 WITH REGULATORY EXPERTS OR FOLKS 814 00:31:22,843 --> 00:31:24,312 IN THE NON-CLINICAL SAFETY 815 00:31:24,312 --> 00:31:26,747 SPACES, CONSULTANTS OR OTHERWISE 816 00:31:26,747 --> 00:31:28,516 AND UNDERSTAND THE MINIMUM 817 00:31:28,516 --> 00:31:29,750 PACKAGE THAT'S NECESSARY TO GET 818 00:31:29,750 --> 00:31:32,720 INTO THE CLINIC, IT'S MOST COST 819 00:31:32,720 --> 00:31:34,322 EFFECTIVE AND STREAMLINED AND 820 00:31:34,322 --> 00:31:36,457 THEN START WORKING BACKWARDS TO 821 00:31:36,457 --> 00:31:39,060 SAY, DOES THIS ADEQUATELY 822 00:31:39,060 --> 00:31:41,629 ADDRESS MY SAFETY LIABILITIES 823 00:31:41,629 --> 00:31:44,398 AND EFFICACY OBJECTIVES IN ORDER 824 00:31:44,398 --> 00:31:46,267 TO TREAT THIS DISEASE? 825 00:31:46,267 --> 00:31:48,502 THEN YOU START BUILDING OUT FROM 826 00:31:48,502 --> 00:31:48,703 THERE. 827 00:31:48,703 --> 00:31:50,171 I THINK ABOUT IT THIS WAY 828 00:31:50,171 --> 00:31:52,773 BECAUSE IT MINIMIZES THE 829 00:31:52,773 --> 00:31:54,475 UNNECESSARY STUDIES THAT DON'T 830 00:31:54,475 --> 00:31:56,177 ULTIMATELY BRING VALUE TO YOUR 831 00:31:56,177 --> 00:31:56,477 THERAPEUTIC. 832 00:31:56,477 --> 00:31:58,713 AND AS YOU'LL HEAR FROM OTHERS 833 00:31:58,713 --> 00:32:02,183 IN THE REGULATORY SPACE, PART OF 834 00:32:02,183 --> 00:32:04,318 THIS DYNAMIC PROCESS WE HAVE IS 835 00:32:04,318 --> 00:32:06,120 DISCUSSING WITH REGULATORS 836 00:32:06,120 --> 00:32:09,657 AROUND HERE'S WHAT I BELIEVE IS 837 00:32:09,657 --> 00:32:12,226 THE RIGHT PATH FORWARD AND THEY 838 00:32:12,226 --> 00:32:12,760 KNOW THINGS FROM THEIR 839 00:32:12,760 --> 00:32:14,428 EXPERIENCE AND SAY WE UNDERSTAND 840 00:32:14,428 --> 00:32:17,331 THAT PERSPECTIVE BUT HAVE YOU 841 00:32:17,331 --> 00:32:17,965 CONSIDERED THIS? 842 00:32:17,965 --> 00:32:19,867 WE WOULD RECOMMEND YOU DO THIS 843 00:32:19,867 --> 00:32:21,402 GOING FORWARD. 844 00:32:21,402 --> 00:32:23,437 IT'S THE DYNAMIC PROCESS. 845 00:32:23,437 --> 00:32:26,040 ALL THE CREDIT IN THE WORLD TO 846 00:32:26,040 --> 00:32:26,674 THE FDA. 847 00:32:26,674 --> 00:32:27,708 THEY'VE BEEN GREAT AROUND TRYING 848 00:32:27,708 --> 00:32:29,110 TO IMPROVE THE COLLABORATIVE 849 00:32:29,110 --> 00:32:31,012 DISCUSSION AROUND TRYING TO FIND 850 00:32:31,012 --> 00:32:34,815 THE RIGHT PATH FORWARD FROM A 851 00:32:34,815 --> 00:32:35,483 NON-CLINICAL SAFETY PERSPECTIVE 852 00:32:35,483 --> 00:32:39,787 TO MINIMIZE RISK FOR PATIENTS. 853 00:32:39,787 --> 00:32:42,556 AND THEN FINALLY'S OKAY TO APPLY 854 00:32:42,556 --> 00:32:44,191 RISK IN A THOUGHTFUL, CALCULATED 855 00:32:44,191 --> 00:32:44,525 MANNER. 856 00:32:44,525 --> 00:32:46,761 I CAN TELL YOU HAVING ON EIGHT 857 00:32:46,761 --> 00:32:48,095 MARKETED THERAPEUTICS RIGHT NOW, 858 00:32:48,095 --> 00:32:50,231 THERE WAS A COMPELLING REASON TO 859 00:32:50,231 --> 00:32:52,366 TERMINATE ALL OF THEM. 860 00:32:52,366 --> 00:32:55,036 IT IS A VERY LONG, DRAWN OUT 861 00:32:55,036 --> 00:32:56,170 PROCESS THAT INVOLVES A LOT OF 862 00:32:56,170 --> 00:32:57,538 FOLKS ALONG THE WAY. 863 00:32:57,538 --> 00:32:59,907 IT'S OKAY TO FIGHT AND CONVINCE 864 00:32:59,907 --> 00:33:02,109 OTHERS TO GET THEM TO BELIEVE 865 00:33:02,109 --> 00:33:03,044 WHAT YOU BELIEVE AND ADVOCATE 866 00:33:03,044 --> 00:33:04,345 FOR PATIENTS AND WHAT YOU 867 00:33:04,345 --> 00:33:07,381 BELIEVE IS AN EFFECTIVE THERAPY. 868 00:33:07,381 --> 00:33:10,618 IT'S OKAY TO DO THIS. 869 00:33:10,618 --> 00:33:13,321 JUST REMEMBER THAT SUCCESSFUL 870 00:33:13,321 --> 00:33:13,788 PHARMACEUTICALS ARE 871 00:33:13,788 --> 00:33:15,323 EXCEPTIONALLY RARE EVENTS AND 872 00:33:15,323 --> 00:33:16,424 YOU NEED TO PUSH FORWARD AND 873 00:33:16,424 --> 00:33:17,925 BELIEVE IN THEM. 874 00:33:17,925 --> 00:33:20,094 AT THE SAME TIME ALWAYS 875 00:33:20,094 --> 00:33:20,695 BALANCING THAT WITH PATIENT 876 00:33:20,695 --> 00:33:23,631 SAFETY GOING FORWARD. 877 00:33:23,631 --> 00:33:25,166 WITH THAT I'LL CONCLUDE MY 878 00:33:25,166 --> 00:33:26,233 PRESENTATION AND TURN IT BACK 879 00:33:26,233 --> 00:33:31,639 OVER TO MARRAH. 880 00:33:31,639 --> 00:33:35,042 THANK YOU VERY MUCH. 881 00:33:35,042 --> 00:33:37,745 >> THANK YOU, JEFF. 882 00:33:37,745 --> 00:33:42,983 SO WE'LL MOVE INTO SESSION 1 AND 883 00:33:42,983 --> 00:33:48,189 I WOULD LIKE TO OVER TO MY 884 00:33:48,189 --> 00:33:54,929 COLLEAGUE, JOHN SHERIDAN. 885 00:33:54,929 --> 00:33:56,430 >> THIS IS DRUG DEVICE 886 00:33:56,430 --> 00:33:57,798 DEVELOPMENT PROCESS MODELS AND 887 00:33:57,798 --> 00:34:01,469 METHODS CHIEF OF THE BRANCH OF 888 00:34:01,469 --> 00:34:07,708 THE DIVISION OF LUNG DISEASES AT 889 00:34:07,708 --> 00:34:11,045 NHLBI AND MY CO-MODERATOR IS 890 00:34:11,045 --> 00:34:15,316 CHARLIE REN. 891 00:34:15,316 --> 00:34:21,589 >> I'M FROM CARNEGIE MELON 892 00:34:21,589 --> 00:34:22,356 UNIVERSITY. 893 00:34:22,356 --> 00:34:23,891 >> THESE ARE WHAT MAY BE 894 00:34:23,891 --> 00:34:25,126 EMPLOYED THROUGH THE 895 00:34:25,126 --> 00:34:26,060 THERAPEUTICS FOR LUNG AND SLEEP 896 00:34:26,060 --> 00:34:29,163 DISEASES AND DISORDERS. 897 00:34:29,163 --> 00:34:31,632 SO WE HAVE FOUR EXCITING 898 00:34:31,632 --> 00:34:33,300 PRESENTATIONS THAT WILL COVER 899 00:34:33,300 --> 00:34:36,170 BOTH IN VITRO AND IN VIVO 900 00:34:36,170 --> 00:34:36,404 MODELS. 901 00:34:36,404 --> 00:34:39,974 THE FIRST SPEAKER -- NEXT SLIDE. 902 00:34:39,974 --> 00:34:42,209 THE FIRST SPEAKER IS ALFRED 903 00:34:42,209 --> 00:34:44,245 TAMAYO, A PRINCIPAL SCIENTIST 904 00:34:44,245 --> 00:34:45,946 FROM CARBON BIO SCIENCES. 905 00:34:45,946 --> 00:34:48,282 HE'LL BE FOLLOWED BY ERIN 906 00:34:48,282 --> 00:34:49,750 HENNESSEY A Ph.D. CANDIDATE FROM 907 00:34:49,750 --> 00:34:52,253 THE BOSTON UNIVERSITY SCHOOL OF 908 00:34:52,253 --> 00:34:54,388 MEDICINE AND ERIN IS UNABLE TO 909 00:34:54,388 --> 00:34:56,257 ATTEND LIVE SO HER PRESENTATION 910 00:34:56,257 --> 00:34:59,059 WAS RE-RECORDED. 911 00:34:59,059 --> 00:35:03,597 WE'LL NEXT HAVE A PRESENTATION 912 00:35:03,597 --> 00:35:08,903 FROM KRISTIN BIRCSAK A PRINCIPAL 913 00:35:08,903 --> 00:35:11,272 SCIENTIST AND THE FINAL 914 00:35:11,272 --> 00:35:12,440 PRESENTATION IS FROM JOHN 915 00:35:12,440 --> 00:35:15,042 ENGLEHARDT FROM THE UNIVERSITY 916 00:35:15,042 --> 00:35:16,210 OF IOWA. 917 00:35:16,210 --> 00:35:19,046 AND AS A REMINDER, WE'LL BE 918 00:35:19,046 --> 00:35:20,214 HOLDING Q&A UNTIL THE PANEL 919 00:35:20,214 --> 00:35:21,649 DISCUSSION AND TURG THE TALKS 920 00:35:21,649 --> 00:35:26,120 YOU CAN ENTER ANY QUESTIONS YOU 921 00:35:26,120 --> 00:35:27,488 HAVE USING THE Q&A FEATURE. 922 00:35:27,488 --> 00:35:29,256 WITH THAT I'LL TURN IT OVER TO 923 00:35:29,256 --> 00:35:39,700 OUR FIRST SPEAKER, ALFRED. 924 00:35:40,668 --> 00:35:45,005 >> THANK YOU FOR THAT, DR 925 00:35:45,005 --> 00:35:46,574 DR. SHERIDAN. 926 00:35:46,574 --> 00:35:50,244 THANK YOU FOR THE MODERATORS FOR 927 00:35:50,244 --> 00:35:53,514 CREATING THIS GREAT WORKSHOP AND 928 00:35:53,514 --> 00:35:55,416 INVITING ME AND THE AMAZING 929 00:35:55,416 --> 00:35:57,618 SPEAKERS IN THE GROUP. 930 00:35:57,618 --> 00:36:01,455 I'LL SHARE A CASE STUDY FROM 931 00:36:01,455 --> 00:36:02,456 ACADEMIC ROOTS TO PATIENTS WHO 932 00:36:02,456 --> 00:36:03,057 NEED THEM. 933 00:36:03,057 --> 00:36:07,661 IT'S A FEAT OF MONUMENTAL 934 00:36:07,661 --> 00:36:11,065 PROPORTIONS AND WORKED WITH AN 935 00:36:11,065 --> 00:36:11,732 INCREDIBLE GROUP. 936 00:36:11,732 --> 00:36:13,467 I THINK WE HAVE A GOOD SHOT. 937 00:36:13,467 --> 00:36:15,703 THAT'S BY FAR BEEN THE MOST 938 00:36:15,703 --> 00:36:19,073 IMPORTANT LESSON TO DATE WITH 939 00:36:19,073 --> 00:36:20,441 THE RIGHT PEOPLE AND MIND SET, 940 00:36:20,441 --> 00:36:23,043 ANYTHING IS POSSIBLE. 941 00:36:23,043 --> 00:36:27,014 WITH THE VIGNETTE I CAN OFFER 942 00:36:27,014 --> 00:36:30,084 SNIPPETS OF THE MANY CHALLENGES 943 00:36:30,084 --> 00:36:31,519 WE'VE FACED AND THOSE THAT ARE 944 00:36:31,519 --> 00:36:32,019 SHORT COMES. 945 00:36:32,019 --> 00:36:34,788 AS I SAID FROM THE START IT'S AN 946 00:36:34,788 --> 00:36:36,056 UNFINISHED CASE STUDY SO I CAN'T 947 00:36:36,056 --> 00:36:38,259 TELL YOU HOW IT ENDS BUT CAN 948 00:36:38,259 --> 00:36:39,860 SHARE WHAT I'VE LEARNED ALONG 949 00:36:39,860 --> 00:36:42,263 THE WAY FROM THE PERSPECTIVE OF 950 00:36:42,263 --> 00:36:43,397 A CURRENT INDUSTRY SCIENTIST AND 951 00:36:43,397 --> 00:36:53,507 FORMER ACADEMIC RESEARCHER. 952 00:36:53,507 --> 00:36:55,576 A YEAR AND A HALF AT CARBON 953 00:36:55,576 --> 00:36:57,878 MARKS MY FIRST LUNG FOCUSSED 954 00:36:57,878 --> 00:36:59,179 INDICATION AND WORKED WITH A 955 00:36:59,179 --> 00:37:01,849 COMPANY ATTEMPTING TO TACKLE 956 00:37:01,849 --> 00:37:08,789 DRUG RESIST TACT -- RESISTANCE 957 00:37:08,789 --> 00:37:12,259 OF THE LUNG AND AT THE MICROBES 958 00:37:12,259 --> 00:37:14,328 AND NOT SO MUCH THE LUNG. 959 00:37:14,328 --> 00:37:16,397 WE FACED CHALLENGES HOW TO MIMIC 960 00:37:16,397 --> 00:37:18,766 THE RIGHT DELIVERY OF DRUG TO 961 00:37:18,766 --> 00:37:22,870 HUMAN LUNGS AND WHAT MAY BE THE 962 00:37:22,870 --> 00:37:24,138 TRANSLATIONAL MODEL AND FACED 963 00:37:24,138 --> 00:37:26,040 CHALLENGES IN ACHIEVING POTENCY 964 00:37:26,040 --> 00:37:27,608 AND ACCEPTED MODELS. 965 00:37:27,608 --> 00:37:29,376 A SUBJECT THAT PERHAPS DESERVES 966 00:37:29,376 --> 00:37:31,545 ITS OWN TALK. 967 00:37:31,545 --> 00:37:35,382 AND I TOOK A POSITION AT 968 00:37:35,382 --> 00:37:39,620 ANALYTICA AND IT WAS A STORIED 969 00:37:39,620 --> 00:37:44,258 COMPANY OF A FEW HUNDRED PEOPLE. 970 00:37:44,258 --> 00:37:46,727 AND THE MANUFACTURING FACILITY 971 00:37:46,727 --> 00:37:54,001 IN THE QC DEPARTMENT AND WORKED 972 00:37:54,001 --> 00:37:56,837 WITH THE THERAPEUTIC ON CMS FOR 973 00:37:56,837 --> 00:37:58,205 CHEMISTRY, MANUFACTURING AND 974 00:37:58,205 --> 00:37:58,606 CONTROLS. 975 00:37:58,606 --> 00:38:01,675 AS AN ACADEMIC INITIALLY 976 00:38:01,675 --> 00:38:03,310 INDUSTRY SCIENCE I HAD NEVER 977 00:38:03,310 --> 00:38:04,745 HEARD THE TERM BUT IF YOU WANT 978 00:38:04,745 --> 00:38:10,084 TO BRING THE DRUG TO THE CLINIC 979 00:38:10,084 --> 00:38:12,152 IT'S ADVISABLE TO THINK OF 980 00:38:12,152 --> 00:38:14,254 PRACTICES AND GUIDELINES JEFF 981 00:38:14,254 --> 00:38:23,030 TOUCHED UPON. 982 00:38:23,030 --> 00:38:24,632 I'LL TOUCH ON THIS NOW AND BEEN 983 00:38:24,632 --> 00:38:25,499 DURING MY TALK. 984 00:38:25,499 --> 00:38:27,568 WHEN I FIRST SAW CARBON IT WAS 985 00:38:27,568 --> 00:38:31,071 PRIMARILY THROUGH THE LENS OF MY 986 00:38:31,071 --> 00:38:34,775 EXPERIENCE AT ANALYTICA AND 987 00:38:34,775 --> 00:38:38,278 TECHNOLOGY BY A CO-FOUNDER BUT 988 00:38:38,278 --> 00:38:45,252 THAT'S A STORY BY ANOTHER TIME. 989 00:38:45,252 --> 00:38:48,288 CARBON IS TRYING TO CORRECT 990 00:38:48,288 --> 00:38:49,657 CYSTIC FIBROSIS. 991 00:38:49,657 --> 00:38:52,092 THERE'S NO APPROVED GENE 992 00:38:52,092 --> 00:38:55,396 THERAPIES OF ANY KIND FOR CYSTIC 993 00:38:55,396 --> 00:38:57,031 FIBROSIS AND WHILE IT'S 994 00:38:57,031 --> 00:38:58,065 EXHILARATING IF YOU'RE NOT 995 00:38:58,065 --> 00:38:59,233 TERRIFIED YOU PROBABLY HAVEN'T 996 00:38:59,233 --> 00:39:04,672 THOUGHT IT THROUGH. 997 00:39:04,672 --> 00:39:05,172 CYSTIC FIBROSIS IS A 998 00:39:05,172 --> 00:39:06,273 LIFE-THREATENING INHERITED 999 00:39:06,273 --> 00:39:09,009 DISEASE WITH HIGH MORBIDITY AND 1000 00:39:09,009 --> 00:39:10,644 MORTALITY AND AVERAGE AGE OF 1001 00:39:10,644 --> 00:39:12,346 DEATH OF 40 YEARS OLD. 1002 00:39:12,346 --> 00:39:13,781 WHILE THERE'S SMALL MOLECULE 1003 00:39:13,781 --> 00:39:14,682 DRUGS AVAILABLE NOT ALL PATIENTS 1004 00:39:14,682 --> 00:39:18,452 CAN USE THEM. 1005 00:39:18,452 --> 00:39:24,992 A CRITICAL SUBSET OF CF HAVE 1006 00:39:24,992 --> 00:39:27,027 INTOLERANCE OR NON COMPLIANCE 1007 00:39:27,027 --> 00:39:29,963 AND WILL TARGET 10,000 PATIENTS 1008 00:39:29,963 --> 00:39:32,866 NOT CURRENTLY ELIGIBLE FOR 1009 00:39:32,866 --> 00:39:41,675 STANDARD OF CARE DRUGS. 1010 00:39:41,675 --> 00:39:44,278 CARBON PLANS TO REFER TO AN 1011 00:39:44,278 --> 00:39:46,213 APPROACH THAT DELIVERS GENETIC 1012 00:39:46,213 --> 00:39:47,047 INFORMATION TO A PATIENT'S 1013 00:39:47,047 --> 00:39:47,414 CELLS. 1014 00:39:47,414 --> 00:39:48,649 IF THE PATIENT'S DISEASE IS 1015 00:39:48,649 --> 00:39:49,783 CAUSED BY MUTATION THAT RESULTS 1016 00:39:49,783 --> 00:39:50,851 IN THE LACK OF FUNCTIONAL 1017 00:39:50,851 --> 00:39:53,587 PROTEIN AS IS THE CASE FOR CF, 1018 00:39:53,587 --> 00:39:55,956 THEN DELIVERING A NORMAL COPY OF 1019 00:39:55,956 --> 00:39:57,624 THE GENE COULD HAVE THERAPEUTIC 1020 00:39:57,624 --> 00:39:59,359 OR CURATIVE EFFECTS. 1021 00:39:59,359 --> 00:40:02,262 THIS APPROACH CAN COME IN 1022 00:40:02,262 --> 00:40:04,465 SEVERAL MODALITIES THROUGH LIPID 1023 00:40:04,465 --> 00:40:07,267 NANO PARTICLES OR VIRAL VECTORS. 1024 00:40:07,267 --> 00:40:09,636 VIRAL VECTORS ARE VIRUSES 1025 00:40:09,636 --> 00:40:11,705 ENGINEERED TO DELIVER PAY LOADS 1026 00:40:11,705 --> 00:40:14,274 WITHOUT REPLICATING. 1027 00:40:14,274 --> 00:40:18,779 AMONG THE MOST COMMON EMPLOYED 1028 00:40:18,779 --> 00:40:21,915 ARE AAV AND LINDSEY VIRUS 1029 00:40:21,915 --> 00:40:23,684 HOWEVER, VIRAL VECTORS CAN COME 1030 00:40:23,684 --> 00:40:26,053 WITH SIGNIFICANT RISK AND 1031 00:40:26,053 --> 00:40:27,354 LIMITATIONS INCLUDING TISSUE OFF 1032 00:40:27,354 --> 00:40:29,256 TARGET EFFECTS AND LIMITED PAY 1033 00:40:29,256 --> 00:40:34,094 LOAD AND NEUTRALIZING OR 1034 00:40:34,094 --> 00:40:36,430 DANGEROUS IMMUNOGENIC RESPONSES. 1035 00:40:36,430 --> 00:40:37,631 CARBON TECHNOLOGY SEEKS TO PUR 1036 00:40:37,631 --> 00:40:40,134 PASS THE LIMITATION OF THE 1037 00:40:40,134 --> 00:40:43,036 CURRENT STATE OF TECHNOLOGY BY 1038 00:40:43,036 --> 00:40:45,639 TAKING ADVANTAGE OF THE 1039 00:40:45,639 --> 00:40:48,408 UNEXPLORED LANDSCAPE AND THEY 1040 00:40:48,408 --> 00:40:51,044 HOLD THE PROMISE OF GREATER -- 1041 00:40:51,044 --> 00:40:51,712 SPECIFICITY AND GREATER GENETIC 1042 00:40:51,712 --> 00:40:53,480 PAY LOAD. 1043 00:40:53,480 --> 00:40:56,250 IT BUILDS ON IMPROVED ASSETS OF 1044 00:40:56,250 --> 00:41:01,922 GENE MODALITIES. 1045 00:41:01,922 --> 00:41:04,024 FOR EXAMPLE, WE CAN FIND WELL 1046 00:41:04,024 --> 00:41:06,226 VETTED MANUFACTURING SAFETY 1047 00:41:06,226 --> 00:41:09,229 PRACTICES TO OUR PLATFORM WHICH 1048 00:41:09,229 --> 00:41:11,031 MAY INTERN DELIVER MEDICINES TO 1049 00:41:11,031 --> 00:41:12,166 PATIENTS IN NEED. 1050 00:41:12,166 --> 00:41:14,434 AND IT HAS ITS ROOTS IN THE 1051 00:41:14,434 --> 00:41:16,737 PIONEERING WORK OF OUR 1052 00:41:16,737 --> 00:41:18,438 CO-FOUNDERS WHO YOU'LL HEAR TALK 1053 00:41:18,438 --> 00:41:24,444 SOON, DR. ENGLEHARDT AND DR. JAN 1054 00:41:24,444 --> 00:41:28,148 AND DELIVER A NORMAL COPY OF THE 1055 00:41:28,148 --> 00:41:29,516 GENE. 1056 00:41:29,516 --> 00:41:33,253 BEING ENGINEERED BY EVOLUTION 1057 00:41:33,253 --> 00:41:37,324 FOR SPECIFICITY TO THE HUMAN 1058 00:41:37,324 --> 00:41:40,127 LUNG IT STANDS POISED TO MAKE 1059 00:41:40,127 --> 00:41:43,530 ITS MARK ON GENE THERAPY. 1060 00:41:43,530 --> 00:41:47,768 CARBON IS THE ONLY ONE THAT 1061 00:41:47,768 --> 00:41:50,070 DELIVERS THE FULL LENGTH BUT 1062 00:41:50,070 --> 00:41:52,940 BEING SUITED TO YOUR TARGET CAN 1063 00:41:52,940 --> 00:41:54,341 COME WITH THE INABILITY TO USE 1064 00:41:54,341 --> 00:41:59,079 SMALL PRODENTS. 1065 00:41:59,079 --> 00:42:05,719 -- RODENTS. 1066 00:42:05,719 --> 00:42:10,057 AT CARBON OUR GOAL IS DELIVER 1067 00:42:10,057 --> 00:42:18,565 AND THE LUNG IS A MARVELOUS 1068 00:42:18,565 --> 00:42:20,100 DIVERSE ELEMENT AND THIS IS 1069 00:42:20,100 --> 00:42:22,302 COMMON KNOWLEDGE TO THOSE IN THE 1070 00:42:22,302 --> 00:42:24,538 FILED BUT THE FIRST TIME I 1071 00:42:24,538 --> 00:42:27,040 LOOKED AT THIS PICTURE FILLED ME 1072 00:42:27,040 --> 00:42:28,242 WITH WONDER AND ANGST, WHERE 1073 00:42:28,242 --> 00:42:32,112 SHOULD WE DELIVER THE CELL OR 1074 00:42:32,112 --> 00:42:36,316 HAVE AMELIORATED PROPERTIES? 1075 00:42:36,316 --> 00:42:38,685 CAN WE HAVE DELETERIOUS EFFECTS 1076 00:42:38,685 --> 00:42:40,153 TO THE WRONG CELLS OR 1077 00:42:40,153 --> 00:42:40,520 CONCENTRATIONS? 1078 00:42:40,520 --> 00:42:42,556 THESE ARE THE CHALLENGES AND 1079 00:42:42,556 --> 00:42:45,192 CONSIDERATIONS WE MUST TRY TO 1080 00:42:45,192 --> 00:42:46,960 ADDRESS AS WE CONTINUE TO BRING 1081 00:42:46,960 --> 00:42:48,462 OUR MEDICINES TO CLIN INNING. 1082 00:42:48,462 --> 00:42:58,639 -- CLINIC. 1083 00:43:04,111 --> 00:43:07,881 SMALL RODENTS AND RATS ARE USED 1084 00:43:07,881 --> 00:43:10,417 TO ASSESS EFFICACY. 1085 00:43:10,417 --> 00:43:18,425 AND THERE'S CHALLENGES BEHIND. 1086 00:43:18,425 --> 00:43:20,294 NEB YOU'LLULIZING THE VECTOR 1087 00:43:20,294 --> 00:43:21,795 AND HOW CAN WE MAKE SURE WE'RE 1088 00:43:21,795 --> 00:43:25,299 MAKING THE SAFEST AND MOST 1089 00:43:25,299 --> 00:43:25,899 EFFICACIOUS DRUGS POSSIBLE 1090 00:43:25,899 --> 00:43:30,270 BEFORE MOVING INTO MORE COSTLY 1091 00:43:30,270 --> 00:43:31,505 AND COMPLICATED MODELS SUCH AS 1092 00:43:31,505 --> 00:43:33,974 LARGE ANIMAL STUDIES AND LOOK AT 1093 00:43:33,974 --> 00:43:34,608 EXISTING IN VITRO MODELS WE MAY 1094 00:43:34,608 --> 00:43:44,785 LEVERAGE. 1095 00:43:46,553 --> 00:43:50,290 AND WE HAVE STEM LIKE CELLS WILL 1096 00:43:50,290 --> 00:43:51,024 DIFFERENTIATE INTO DIFFERENT 1097 00:43:51,024 --> 00:43:53,126 CELL TYPE WHEN IT'S CLOSE TO AIR 1098 00:43:53,126 --> 00:43:53,860 ON ONE SIDE. 1099 00:43:53,860 --> 00:43:55,062 AS IT WOULD IN THE AIRWAY. 1100 00:43:55,062 --> 00:43:57,764 A WELL DOCUMENTED TECHNIQUE 1101 00:43:57,764 --> 00:43:59,066 COMMONLY REFERRED TO AS 1102 00:43:59,066 --> 00:44:03,036 INTERFACE OR ALI CULTURES, THIS 1103 00:44:03,036 --> 00:44:09,910 COULD BE AP CAPTURE AND IDENTIFY 1104 00:44:09,910 --> 00:44:10,410 PROTEIN MARKERS. 1105 00:44:10,410 --> 00:44:13,981 THE IMAGES WERE PROVIDED BY 1106 00:44:13,981 --> 00:44:17,384 PARTNERS AT THE CYSTIC FIBROSIS 1107 00:44:17,384 --> 00:44:17,851 FOUNDATION. 1108 00:44:17,851 --> 00:44:21,955 AS AMAZING AS THIS IS IT 1109 00:44:21,955 --> 00:44:24,224 PROVIDED ANOTHER MOMENT OF 1110 00:44:24,224 --> 00:44:24,424 ANGST. 1111 00:44:24,424 --> 00:44:29,730 THROUGH THE CMC LENS 1112 00:44:29,730 --> 00:44:32,299 CONSIDERATIONS AROSE IN THE 1113 00:44:32,299 --> 00:44:32,532 PROJECT. 1114 00:44:32,532 --> 00:44:35,002 WELL THE WORK FLOWS BE ROBUST 1115 00:44:35,002 --> 00:44:36,269 AND REPRODUCIBLE ENOUGH TO GUIDE 1116 00:44:36,269 --> 00:44:37,137 OUR PROCESSING? 1117 00:44:37,137 --> 00:44:38,972 CAN THEY BE ADAPTED TO PERFORM 1118 00:44:38,972 --> 00:44:41,775 AT THE LEVEL REQUIRED TO SUPPORT 1119 00:44:41,775 --> 00:44:43,877 PHASE 1 TESTING? 1120 00:44:43,877 --> 00:44:48,915 CAN WE RELY ON SUPPLY OF 1121 00:44:48,915 --> 00:44:51,051 RE-AGENTS SUCH AS TESTING GNP 1122 00:44:51,051 --> 00:44:51,251 LOSS. 1123 00:44:51,251 --> 00:44:53,954 MOST THE WORK DONE IN THE SYSTEM 1124 00:44:53,954 --> 00:44:54,955 WAS WITH CELLS WHICH THEN GIVE 1125 00:44:54,955 --> 00:44:56,256 RISE TO THE CONCERN OF 1126 00:44:56,256 --> 00:45:02,362 VULNERABILITY AND AVAILABILITY. 1127 00:45:02,362 --> 00:45:08,335 HERE AGAIN I MUST GIVE CREDIT TO 1128 00:45:08,335 --> 00:45:13,407 A CO-FOUNDER AND THE CMTR CAN 1129 00:45:13,407 --> 00:45:16,410 RECOVER FUNCTION IN THE CELL 1130 00:45:16,410 --> 00:45:17,677 LINE DERIVED FROM THE 1131 00:45:17,677 --> 00:45:18,412 PARTICIPANT LUNG. 1132 00:45:18,412 --> 00:45:20,047 AT CARBON WE HAVEN'T BEEN ABLE 1133 00:45:20,047 --> 00:45:22,082 TO REPRODUCE THIS AND THIS 1134 00:45:22,082 --> 00:45:24,384 BRINGS ME TO THE NEXT ATTRIBUTE. 1135 00:45:24,384 --> 00:45:28,321 THE ABILITY TO RECAPITULATE LUNG 1136 00:45:28,321 --> 00:45:31,058 CELL ACTIVITY. 1137 00:45:31,058 --> 00:45:36,930 PATIENTS WITH CF LACK FUNCTIONAL 1138 00:45:36,930 --> 00:45:37,531 CTR. 1139 00:45:37,531 --> 00:45:38,965 CONSEQUENTLY THERE'S NO EFFECT 1140 00:45:38,965 --> 00:45:39,833 ON PATIENT CELLS. 1141 00:45:39,833 --> 00:45:42,702 THIS IS FUNCTION AND RECOVERY IS 1142 00:45:42,702 --> 00:45:43,970 WELL DOCUMENTED IN THE ALL RIGHT 1143 00:45:43,970 --> 00:45:45,472 AND CAN BE MODELLED BY ADAPTING 1144 00:45:45,472 --> 00:45:49,943 THE TECHNIQUE TO THE DEVICE AND 1145 00:45:49,943 --> 00:45:54,581 THE NAME FOR THE CHAMBER. 1146 00:45:54,581 --> 00:45:56,616 IT ALLOWS US TO DIRECT IONS IN 1147 00:45:56,616 --> 00:45:58,218 THE PRESENCE OR ABSENCE OF THE 1148 00:45:58,218 --> 00:45:59,052 THERAPEUTIC. 1149 00:45:59,052 --> 00:46:00,554 THE ABILITY TO ACCOMPLISH THIS 1150 00:46:00,554 --> 00:46:01,822 USING ESTABLISHED HUMAN CELL 1151 00:46:01,822 --> 00:46:04,324 LINE SHOULD NOT BE UNDER STATED. 1152 00:46:04,324 --> 00:46:05,692 THIS ALLOWS US TO CREATE LINES 1153 00:46:05,692 --> 00:46:08,328 AND CELL BANKS AS NEEDED TO 1154 00:46:08,328 --> 00:46:10,597 IMPROVE ROBUST REPRODUCIBLE 1155 00:46:10,597 --> 00:46:12,699 RESULTS. 1156 00:46:12,699 --> 00:46:15,435 FORTUNATELY, GENETICALLY MODE 1157 00:46:15,435 --> 00:46:19,940 MODIFIED CELL LINES TO 1158 00:46:19,940 --> 00:46:20,640 CAPITULATE THE TARGET. 1159 00:46:20,640 --> 00:46:26,613 AT CARBON WE HAVE TAKEN THE NEXT 1160 00:46:26,613 --> 00:46:30,317 STEP AND SHOWN AND THE CELL LINE 1161 00:46:30,317 --> 00:46:35,055 IS RESPONSIVE TO STANDARD OF 1162 00:46:35,055 --> 00:46:37,724 CARE THERAPEUTICS AND I'LL WALK 1163 00:46:37,724 --> 00:46:39,459 THROUGH THE DATA FOR THE SAKE OF 1164 00:46:39,459 --> 00:46:41,461 THOSE NOT DOMAIN EXPERTS. 1165 00:46:41,461 --> 00:46:43,964 THE Y AXIS MEASURES THE 1166 00:46:43,964 --> 00:46:47,033 MAGNITUDE OF THE SHORT CIRCUIT 1167 00:46:47,033 --> 00:46:49,870 CURRENT SEPARATE THE BY LAYER OF 1168 00:46:49,870 --> 00:46:52,405 LUNG CELLS. 1169 00:46:52,405 --> 00:46:55,041 THE GRAY LINE REPRESENT 1170 00:46:55,041 --> 00:46:55,942 REPLICATES OF CELLS. 1171 00:46:55,942 --> 00:46:57,811 WHEN NO CELLS ARE REPRESENTED 1172 00:46:57,811 --> 00:47:01,314 WITH THE ACTIVITY THEY DO NOT 1173 00:47:01,314 --> 00:47:01,515 STOP. 1174 00:47:01,515 --> 00:47:02,782 THE BLUE LINES REPRESENT THE 1175 00:47:02,782 --> 00:47:05,485 CELL LINE TREATED WITH APPROVED 1176 00:47:05,485 --> 00:47:05,785 DRUGS. 1177 00:47:05,785 --> 00:47:07,053 THOSE CELLS CLEARLY RESPOND TO 1178 00:47:07,053 --> 00:47:09,489 THE STIMULUS AND RETURN TO 1179 00:47:09,489 --> 00:47:11,057 BASELINE WHEN SPECIFIC 1180 00:47:11,057 --> 00:47:17,564 INHIBITERS RETURN. 1181 00:47:17,564 --> 00:47:19,366 I'M HAPPY TO REPORT WE AT CARBON 1182 00:47:19,366 --> 00:47:22,536 CAN NOW GENERATE OUR OWN GENETIC 1183 00:47:22,536 --> 00:47:26,840 MEDICINE FOR CYSTIC FIBROSIS 1184 00:47:26,840 --> 00:47:30,577 LEVERAGING THE TECHNIQUE WE 1185 00:47:30,577 --> 00:47:32,913 DEMONSTRATED OUR VECTOR CAN 1186 00:47:32,913 --> 00:47:35,982 TARGET A VARIETY OF AIRWAY CELL 1187 00:47:35,982 --> 00:47:37,584 POPULATIONS RELEVANT FOR DISEASE 1188 00:47:37,584 --> 00:47:40,387 POPULATION AND DEMONSTRATE THE 1189 00:47:40,387 --> 00:47:50,330 RECOVERY OF ACTIVITY COMPARABLE. 1190 00:47:50,330 --> 00:47:52,666 NATURE HAS MADE THE HUMAN CAPSID 1191 00:47:52,666 --> 00:47:55,035 HIGHLY SPECIFIC TO THE HUMAN AUR 1192 00:47:55,035 --> 00:47:55,202 WAY. 1193 00:47:55,202 --> 00:47:57,437 AN IDEAL AND UNPRECEDENTED 1194 00:47:57,437 --> 00:47:59,072 CANDIDATE FOR A GENE THERAPY TO 1195 00:47:59,072 --> 00:48:04,811 TREAT LUNG CASES AND THIS 1196 00:48:04,811 --> 00:48:05,812 ESTABLISHES SAFETY AND EFFICACY 1197 00:48:05,812 --> 00:48:08,415 IN NON-HUMAN ANIMAL MODELS. 1198 00:48:08,415 --> 00:48:11,651 WE CAN LEVERAGE A WELL VALIDATED 1199 00:48:11,651 --> 00:48:12,419 IN VITRO SYSTEM TO DEMONSTRATE 1200 00:48:12,419 --> 00:48:13,820 DRUG EFFICACY. 1201 00:48:13,820 --> 00:48:16,022 A MAJOR CHALLENGE ON OUR PATH TO 1202 00:48:16,022 --> 00:48:18,258 IND AND ULTIMATELY TO THE CLINIC 1203 00:48:18,258 --> 00:48:20,427 IS ESTABLISHING A PSEUDO TOX KOL 1204 00:48:20,427 --> 00:48:22,562 BY MODEL TO ENSURE THE SAFETY OF 1205 00:48:22,562 --> 00:48:24,965 OUR DRUGS IN PATIENT. 1206 00:48:24,965 --> 00:48:26,433 TO ACCOMPLISH THIS WE'LL ATTEMPT 1207 00:48:26,433 --> 00:48:36,910 TO ADMINISTER THE CTG001 TO 1208 00:48:46,886 --> 00:48:47,687 NONHUMAN PRIMATES AND I'D LIKE 1209 00:48:47,687 --> 00:48:55,028 TO TAKE A MOMENT TO THANK OUR 1210 00:48:55,028 --> 00:48:58,064 PARTNERS. 1211 00:48:58,064 --> 00:48:59,065 >> THANK YOU. 1212 00:48:59,065 --> 00:49:02,435 NEXT WE'LL HAVE THE PRESENTATION 1213 00:49:02,435 --> 00:49:12,746 FROM ERIN, PLEASE. 1214 00:49:27,093 --> 00:49:31,131 >> I'M ERIN HENNESSEY AT BOSTON 1215 00:49:31,131 --> 00:49:32,299 UNIVERSITY AND WE'RE THINKING 1216 00:49:32,299 --> 00:49:42,108 HOW TO BEST SERVE PATIENTS WITH 1217 00:49:42,108 --> 00:49:43,043 UNMET NEEDS AND RARE DISEASE 1218 00:49:43,043 --> 00:49:45,512 POPULATIONS WHERE WE CANNOT DO 1219 00:49:45,512 --> 00:49:46,346 POWERED CLINICAL TRIALS. 1220 00:49:46,346 --> 00:49:48,982 WE THINK ABOUT INHERENTLY 1221 00:49:48,982 --> 00:49:50,917 VULNERABLE POPULATIONS LIKE KIDS 1222 00:49:50,917 --> 00:49:52,052 WITH PEDIATRIC DISEASES AND 1223 00:49:52,052 --> 00:49:53,653 THINK ABOUT PATIENTS WITH SEVERE 1224 00:49:53,653 --> 00:49:56,523 DISEASE AND SPECIFICALLY WHEN 1225 00:49:56,523 --> 00:49:58,124 THINKING ABOUT LUNG DISEASE, 1226 00:49:58,124 --> 00:49:59,993 PATIENTS FOR WHOM A BIOPSY OR 1227 00:49:59,993 --> 00:50:02,662 TISSUE COLLECTION WOULD BE 1228 00:50:02,662 --> 00:50:03,229 HARMFUL OR DANGEROUS. 1229 00:50:03,229 --> 00:50:05,131 THE QUESTION REMAINS IS HOW CAN 1230 00:50:05,131 --> 00:50:07,067 WE STUDY DISEASES IN THE 1231 00:50:07,067 --> 00:50:14,474 VULNERABLE POPULATIONS? 1232 00:50:14,474 --> 00:50:21,114 WE LOOK TO INDUCED HEMATOPOIETIC 1233 00:50:21,114 --> 00:50:24,484 STEM CELLS OR IPSCs AND TAKE THE 1234 00:50:24,484 --> 00:50:26,486 FROM A PUNCH AND TURN BACK THE 1235 00:50:26,486 --> 00:50:28,588 CLOCK TO REPROGRAM THEM TO A 1236 00:50:28,588 --> 00:50:30,757 STATE MEANING THEY THEN HAVE THE 1237 00:50:30,757 --> 00:50:32,158 POTENTIAL TO BECOME PRETTY MUCH 1238 00:50:32,158 --> 00:50:38,498 ANY CELL TYPE YOU CAN THINK OF. 1239 00:50:38,498 --> 00:50:40,133 AND WHERE WE ADD A TIME SERIES 1240 00:50:40,133 --> 00:50:41,735 OF GROWTH FACTORS WE CAN LED 1241 00:50:41,735 --> 00:50:50,009 THEM TO BE OUR CELLS OF INTEREST 1242 00:50:50,009 --> 00:50:52,545 AND WE CAN EASILY TAKE CELLS 1243 00:50:52,545 --> 00:50:55,048 FROM ANY DONOR AND TURN THEM 1244 00:50:55,048 --> 00:51:05,558 INTO IPSC CELLS AND CAN TURN 1245 00:51:18,271 --> 00:51:20,140 BACK TIME TO A TIME BEFORE 1246 00:51:20,140 --> 00:51:21,307 DISEASE PROGRESS AND CAN HONE IN 1247 00:51:21,307 --> 00:51:23,376 AND IDENTIFY WHAT AND WHEN AND 1248 00:51:23,376 --> 00:51:29,048 WHERE THINGS WENT WRONG. 1249 00:51:29,048 --> 00:51:35,021 THERE'S VALUABLE INFORMATION 1250 00:51:35,021 --> 00:51:36,022 STORES IN THE CELLS. 1251 00:51:36,022 --> 00:51:41,027 I'LL USE THIS TO STUDY DISEASE 1252 00:51:41,027 --> 00:51:43,096 WITH UNMET NEEDS AND CONCENTRATE 1253 00:51:43,096 --> 00:51:46,499 ON CHLID BECAUSE THAT'S WHAT MY 1254 00:51:46,499 --> 00:51:49,903 Ph.D. REASON IS ON BUT I ALSO 1255 00:51:49,903 --> 00:51:53,640 THINK IT FITS THE BILL AND IS A 1256 00:51:53,640 --> 00:51:55,542 RARE DISEASE THAT AFFECTS 1 IN 1257 00:51:55,542 --> 00:51:58,711 10,000 BIRTHS IN THE U.S. AND 1258 00:51:58,711 --> 00:51:59,846 AFFECTS A PEDIATRIC POPULATION. 1259 00:51:59,846 --> 00:52:02,248 FROM THE MAJORITY OF CASES ARE 1260 00:52:02,248 --> 00:52:07,487 CAUSED BY MUTATIONS IN THE EBCA3 1261 00:52:07,487 --> 00:52:11,925 GENE WHOSE ASSOCIATED PROTEIN IS 1262 00:52:11,925 --> 00:52:12,992 INSTRUMENTAL IN THE PULMONARY 1263 00:52:12,992 --> 00:52:16,930 SURFACTANT SO IT LEADS TO A 1264 00:52:16,930 --> 00:52:20,366 SURFACTANT SUFFICIENCY THOUGHT 1265 00:52:20,366 --> 00:52:20,934 TO BE DRIVING A DISEASE AND 1266 00:52:20,934 --> 00:52:21,601 KNOWN DRIVER OF THE DISEASE AND 1267 00:52:21,601 --> 00:52:26,506 HAVE EVIDENCE TO SUGGEST THERE'S 1268 00:52:26,506 --> 00:52:37,050 MORE TO IT THAN THAT I'M SHOWING 1269 00:52:40,420 --> 00:52:45,492 HISTOPATHOLOGY AND WE SEE THESE 1270 00:52:45,492 --> 00:52:50,730 ORGANELLES AND THEY'RE 1271 00:52:50,730 --> 00:52:52,365 SURFACTANT PRODUCTION TAKES 1272 00:52:52,365 --> 00:52:55,235 PLACE AND HAVE MORPHOLOGY OF A 1273 00:52:55,235 --> 00:52:57,070 FINGERPRINT OR RINGS OF I ATREE. 1274 00:52:57,070 --> 00:52:58,505 ON THE RIGHT I'M SHOWING 1275 00:52:58,505 --> 00:53:01,975 PATHOLOGY FROM A PATIENT WITH 1276 00:53:01,975 --> 00:53:11,951 ABC3 MUTATION AND THEAL -- 1277 00:53:11,951 --> 00:53:20,727 ALVEOLAR SPACE HAVE LOST THE AND 1278 00:53:20,727 --> 00:53:21,628 IT'S ASSOCIATED WITH HIGH 1279 00:53:21,628 --> 00:53:23,029 MORBIDITY AND MORTALITY BECAUSE 1280 00:53:23,029 --> 00:53:24,664 THERE'S NO REAL TREATMENTS THAT 1281 00:53:24,664 --> 00:53:25,865 ADDRESS IT. 1282 00:53:25,865 --> 00:53:28,568 CURRENTLY IT'S MANAGED WITH 1283 00:53:28,568 --> 00:53:31,037 THINGS LIKE IMMUNOSUPPRESSANTS 1284 00:53:31,037 --> 00:53:36,075 AND HIYDROXYCHLOROQUINE AND 1285 00:53:36,075 --> 00:53:37,944 THERE'S AN URGENT NEED TO STUDY 1286 00:53:37,944 --> 00:53:39,045 THE DISEASE FOR TREATMENT. 1287 00:53:39,045 --> 00:53:41,781 WE COULD USE PRIMARY PATIENT 1288 00:53:41,781 --> 00:53:47,153 CELLS BUT THEY ARE DIFFICULT TO 1289 00:53:47,153 --> 00:53:50,924 ACQUIRE AND WE WANT TO STUDY THE 1290 00:53:50,924 --> 00:53:51,991 INCEPTION OF THE DISEASE. 1291 00:53:51,991 --> 00:53:53,693 WHEN WE GET PRIMARY CELLS 1292 00:53:53,693 --> 00:53:56,763 THEY'RE OFTEN FROM A DONOR WHOSE 1293 00:53:56,763 --> 00:53:58,898 DISEASE HAS ALREADY PROGRESSED 1294 00:53:58,898 --> 00:54:00,833 SO YOU'RE NOT ABLE TO STUDY THE 1295 00:54:00,833 --> 00:54:03,036 START OF THE DISEASE. 1296 00:54:03,036 --> 00:54:06,272 FOR THESE REASONS WE CHOOSE TO 1297 00:54:06,272 --> 00:54:09,475 USE IPSC CELLS AND HOW DO WE GET 1298 00:54:09,475 --> 00:54:13,646 TO I22s. 1299 00:54:13,646 --> 00:54:19,018 HERE'S IMAGES OF THE MUTATION. 1300 00:54:19,018 --> 00:54:25,325 THE SCAN ON THE LEFT SHOWS 1301 00:54:25,325 --> 00:54:27,360 PULMONARY REMODELLING AND 1302 00:54:27,360 --> 00:54:33,733 THICKENING AND THE BLACK ARROW 1303 00:54:33,733 --> 00:54:33,967 POINTS. 1304 00:54:33,967 --> 00:54:35,902 WE TOOK A BLOOD DRAW AND ISOLATE 1305 00:54:35,902 --> 00:54:39,772 THE CELLS WE NEEDED ANDRY 1306 00:54:39,772 --> 00:54:43,142 CULTURED TO BECOME IPSC AND 1307 00:54:43,142 --> 00:54:45,645 HERE'S THE CELLS. 1308 00:54:45,645 --> 00:54:49,449 WE KNOW THEY'RE IPSCs. 1309 00:54:49,449 --> 00:54:52,685 AND FOR THE PROCESS OF 1310 00:54:52,685 --> 00:54:53,987 DIFFERENTIATION WE TURN THEM 1311 00:54:53,987 --> 00:55:00,226 INTO AIA2s AND THE RED IS A 1312 00:55:00,226 --> 00:55:05,431 REPORTER KNOCKED IN AND HAS 1313 00:55:05,431 --> 00:55:07,300 ACCESS LIKE A WAY TO PURIFY THE 1314 00:55:07,300 --> 00:55:10,803 CELLS AND WE KNOW THEY'RE 1315 00:55:10,803 --> 00:55:17,677 SCOMBREFG THE PROGRAM-- EXPRESS 1316 00:55:17,677 --> 00:55:20,446 HOW DO WE STUDY THE MUTATION? 1317 00:55:20,446 --> 00:55:23,416 THE GRAD STUDENT BEFORE ME 1318 00:55:23,416 --> 00:55:24,651 APPROACHED THE QUESTION BY 1319 00:55:24,651 --> 00:55:28,955 FUSING GFP THROUGH THE 1320 00:55:28,955 --> 00:55:30,757 ENDOGENOUS LOCUS TO RAISE THE 1321 00:55:30,757 --> 00:55:31,824 PROTEIN. 1322 00:55:31,824 --> 00:55:34,027 BEFORE SHE DID THIS IN ANY CELLS 1323 00:55:34,027 --> 00:55:36,029 FROM THE DONORS HE FIRST 1324 00:55:36,029 --> 00:55:37,163 PERFORMED THE EXPERIMENT IN THE 1325 00:55:37,163 --> 00:55:38,931 CELL LINES WE HAVE IN OUR CENTER 1326 00:55:38,931 --> 00:55:43,202 FROM A HEALTHY DONOR. 1327 00:55:43,202 --> 00:55:46,639 BECAUSE ABCA3 GOES TO THE 1328 00:55:46,639 --> 00:55:50,176 LIMITING MEMBRANE WHAT WE EXPECT 1329 00:55:50,176 --> 00:55:53,813 TO SEE ARE GREEN CIRCLES AND 1330 00:55:53,813 --> 00:55:55,014 WHEN WE DIFFERENTIATE THE CELLS 1331 00:55:55,014 --> 00:55:56,916 AND LOOK AT THEM THAT'S WHAT WE 1332 00:55:56,916 --> 00:55:59,819 SEE. 1333 00:55:59,819 --> 00:56:02,789 HERE I'M SHOWING YOU WHAT WE 1334 00:56:02,789 --> 00:56:11,764 CALL AN ALVEOLAR SPHERE THAT 1335 00:56:11,764 --> 00:56:12,932 HAVE GROWN TOGETHER AND WHAT'S 1336 00:56:12,932 --> 00:56:15,234 COOL IS THEY'RE POLARIZED LIKE A 1337 00:56:15,234 --> 00:56:18,204 LUNG AND WE KNOW THE CELLS ARE 1338 00:56:18,204 --> 00:56:21,974 ACTUALLY PUMPING SURFACTANT INTO 1339 00:56:21,974 --> 00:56:23,543 THE MIDDLE OF THE OPEN SPACE 1340 00:56:23,543 --> 00:56:25,144 ACTING LIKE THE LUNG LUMEN. 1341 00:56:25,144 --> 00:56:26,979 BECAUSE IT'S FROM A HEALTHY 1342 00:56:26,979 --> 00:56:30,683 DONOR WE SEE NICE JUICY CIRCLES 1343 00:56:30,683 --> 00:56:32,385 WORKING HARD TO MAKE THE 1344 00:56:32,385 --> 00:56:32,685 SURFACTANT. 1345 00:56:32,685 --> 00:56:37,924 HOW MIGHT THE IMAGE CHANGE IF 1346 00:56:37,924 --> 00:56:40,727 THE IG2s STUDY THIS AND WE TOOK 1347 00:56:40,727 --> 00:56:43,029 OUR HEALTHY DONOR LINE AND 1348 00:56:43,029 --> 00:56:48,101 FUSION PROTEIN AND KNOCKED IN A 1349 00:56:48,101 --> 00:56:49,135 HOMOZYGOUS WAY THE MUTATION. 1350 00:56:49,135 --> 00:56:54,874 IN THE MIDDLE WE SHOW IG2s WITH 1351 00:56:54,874 --> 00:56:56,075 A TYPE 1 MUTATION AND THEY'RE 1352 00:56:56,075 --> 00:56:57,744 KNOWN TO DISRUPT THE PRACTICING 1353 00:56:57,744 --> 00:56:59,045 OF THE PROTEIN. 1354 00:56:59,045 --> 00:57:01,681 AS EXPECTED HERE, THE ABC IS 1355 00:57:01,681 --> 00:57:03,916 MORE DIFFUSED AND NOT GETTING 1356 00:57:03,916 --> 00:57:06,085 PROPERLY TRAFFICKED. 1357 00:57:06,085 --> 00:57:09,422 ON THE RIGHT I'M SHOWING CELLS 1358 00:57:09,422 --> 00:57:16,462 WITH HOMOZYGOUS MUTATION WITH 1359 00:57:16,462 --> 00:57:19,799 THE FUNCTION OF THE ABCA3 1360 00:57:19,799 --> 00:57:25,138 PROTEIN AND WE SEE ABC3 LOCALIZE 1361 00:57:25,138 --> 00:57:30,977 TO NORC BODIES AND THEY'RE 1362 00:57:30,977 --> 00:57:33,212 SMALLER AND MORE FROM THE 1363 00:57:33,212 --> 00:57:34,747 EXPERIMENTS FROM A HEALTHY DONOR 1364 00:57:34,747 --> 00:57:38,251 WE CAN DO THE SAME TYPES OF 1365 00:57:38,251 --> 00:57:40,686 EXPERIMENTS FROM OUR ILD DONOR. 1366 00:57:40,686 --> 00:57:44,123 WHAT WE DO IS CORRECT THE ABC3 1367 00:57:44,123 --> 00:57:46,759 MUTATION THEY HAVE, WHICH IS 1368 00:57:46,759 --> 00:57:51,297 EASIER TO DO IN A PETRI DISH 1369 00:57:51,297 --> 00:57:53,366 THAN A PERSON AND WE END UP WITH 1370 00:57:53,366 --> 00:57:55,835 THE WILD TYPE CONTROL WITH ALL 1371 00:57:55,835 --> 00:57:57,270 THE DONOR'S INFORMATION WITH 1372 00:57:57,270 --> 00:58:01,808 ONLY ONE ABCA3 VARIANT CHANGE. 1373 00:58:01,808 --> 00:58:04,410 IN ADDITION TO MEASURING ANOTHER 1374 00:58:04,410 --> 00:58:05,978 BODY SIZE AND SURFACTANT 1375 00:58:05,978 --> 00:58:08,281 PRODUCTION WE HAVE UNBIASSED 1376 00:58:08,281 --> 00:58:09,348 WAYS TO ASK THE CELLS WHAT'S 1377 00:58:09,348 --> 00:58:11,684 GOING ON AND WE DO THIS THROUGH 1378 00:58:11,684 --> 00:58:12,318 OUR SEQUENCING. 1379 00:58:12,318 --> 00:58:14,554 I'M SHOWING DATA FROM THAT HERE. 1380 00:58:14,554 --> 00:58:17,657 THIS IS INFORMATION THAT YOU 1381 00:58:17,657 --> 00:58:18,624 MIGHT FIND IN THE DISEASE AND A 1382 00:58:18,624 --> 00:58:21,060 WAY TO LOOK AT THE PATHWAYS THAT 1383 00:58:21,060 --> 00:58:24,130 HAVE BEEN DISRUPTED OR PERTURBED 1384 00:58:24,130 --> 00:58:25,698 AND FURTHER DRIVING THE DISEASE. 1385 00:58:25,698 --> 00:58:29,902 SO SOME OF THESE PATHWAYS PLAY 1386 00:58:29,902 --> 00:58:31,571 BE FIXABLE, IE DRUGGABLE. 1387 00:58:31,571 --> 00:58:32,738 FIRST I WANT TO DRAW YOUR 1388 00:58:32,738 --> 00:58:34,807 ATTENTION TO THE UPREGULATED 1389 00:58:34,807 --> 00:58:38,978 PATHWAYS IN THE MUTANT CELLS. 1390 00:58:38,978 --> 00:58:43,049 HERE WE'RE SEEING THINGS LIKE 1391 00:58:43,049 --> 00:58:52,491 INTERFERON RESPONSES, APOPTOSIS 1392 00:58:52,491 --> 00:58:54,927 AND THERE MAY BE MORE HAPPENING 1393 00:58:54,927 --> 00:58:57,630 THAN JUST THE SURFACTANT 1394 00:58:57,630 --> 00:58:58,664 DEFICIENCY ALONE. 1395 00:58:58,664 --> 00:59:01,100 WE THINK THE UP REGULATION OF 1396 00:59:01,100 --> 00:59:03,903 INFLAMMATORY PATHWAYS MAY BE THE 1397 00:59:03,903 --> 00:59:06,806 RESULT OF ONE OF TWO THINGS, THE 1398 00:59:06,806 --> 00:59:08,708 MUTANT PROTEIN IS ACTING IN A 1399 00:59:08,708 --> 00:59:11,878 WAY TO CAUSE THE REGULATIONS IN 1400 00:59:11,878 --> 00:59:22,088 A MECHANISM OR B, THE 1401 00:59:22,088 --> 00:59:22,855 INFLAMMA 1402 00:59:22,855 --> 00:59:24,156 INFLAMMATION ARE UNHAPPY CELLS 1403 00:59:24,156 --> 00:59:27,293 AND SOMETHING WE'RE WORKING TO 1404 00:59:27,293 --> 00:59:34,834 UNDERSTAND. 1405 00:59:34,834 --> 00:59:37,236 SOMETHING WE KNOW ABOUT THE A2 1406 00:59:37,236 --> 00:59:40,172 CELLS THE MAJOR PRODUCTION IS 1407 00:59:40,172 --> 00:59:41,874 THE SURFACTANT PRODUCTION AND 1408 00:59:41,874 --> 00:59:44,477 PLAY A ROLE AS A PROGENITOR CELL 1409 00:59:44,477 --> 00:59:49,649 AND HOW TO REPOPULATE THE 1410 00:59:49,649 --> 00:59:50,182 ALVEOLI. 1411 00:59:50,182 --> 00:59:53,352 AND THE PATHWAYS INDICATE TO US 1412 00:59:53,352 --> 00:59:54,887 THAT WITH THE DISEASE THE CELLS 1413 00:59:54,887 --> 00:59:56,989 MAY BE LOSING SOME OF THEIR 1414 00:59:56,989 --> 01:00:00,359 PROBETWEEN FOR POTENTIAL. 1415 01:00:00,359 --> 01:00:01,294 -- PROGENITOR POTENTIAL. 1416 01:00:01,294 --> 01:00:05,731 THE TWO CONCEPTS WE OFTEN TALK 1417 01:00:05,731 --> 01:00:07,033 ABOUT IN DEVELOPMENTAL BIOLOGY 1418 01:00:07,033 --> 01:00:09,502 IS NECESSARY AND SUFFICIENT. 1419 01:00:09,502 --> 01:00:11,570 IF AN EVENT IS NECESSARY WE KNOW 1420 01:00:11,570 --> 01:00:15,241 IT IS REQUIRED IN ORDER FOR THE 1421 01:00:15,241 --> 01:00:15,675 OUTCOME TO OCCUR. 1422 01:00:15,675 --> 01:00:17,810 FOR EXAMPLE, WITH KNOW IF WE 1423 01:00:17,810 --> 01:00:25,351 TAKE IG2s FROM A DONOR FROM THE 1424 01:00:25,351 --> 01:00:26,919 ABCA3 MUTATION WITH ONLY ONE 1425 01:00:26,919 --> 01:00:28,220 NUCLEOTIDE IS ENOUGH TO RESTORE 1426 01:00:28,220 --> 01:00:31,524 THE FUNCTION OF THE CELLS. 1427 01:00:31,524 --> 01:00:33,259 IN OTHER WORDS EVEN WITH ALL 1428 01:00:33,259 --> 01:00:34,660 THE INFORMATION THE PATIENT HAS 1429 01:00:34,660 --> 01:00:40,199 THERE'S ONE MUTATION NECESSARY 1430 01:00:40,199 --> 01:00:43,035 TO CAUSE ALL -- AND THE EVENT 1431 01:00:43,035 --> 01:00:46,038 ALONE IS ENOUGH TO GUARANTEE THE 1432 01:00:46,038 --> 01:00:46,272 OUTCOME. 1433 01:00:46,272 --> 01:00:50,776 FOR EXAMPLE, IF WE TAKE OUR IN 1434 01:00:50,776 --> 01:00:55,014 HOUSE IPSC LINE FROM OUR HEALTHY 1435 01:00:55,014 --> 01:01:00,820 DONOR WITH ALL THEIR GENETIC 1436 01:01:00,820 --> 01:01:03,022 INFORMATION WE HAVE END UP WITH 1437 01:01:03,022 --> 01:01:04,724 REDUCED SURFACTANT PRODUCTION 1438 01:01:04,724 --> 01:01:05,558 INDICATING ONE MUTATION IS 1439 01:01:05,558 --> 01:01:09,028 SUFFICIENT TO CAUSE THE DISEASE. 1440 01:01:09,028 --> 01:01:11,030 SO IN DOING DISEASE RESEARCH 1441 01:01:11,030 --> 01:01:16,602 THIS IS A POWERFUL INFORMATION 1442 01:01:16,602 --> 01:01:18,637 TO HAVE AND ABLE TO UNDERSTAND 1443 01:01:18,637 --> 01:01:23,376 IT BECAUSE YOU HAVE OUR IPSC 1444 01:01:23,376 --> 01:01:23,976 CELL MODEL. 1445 01:01:23,976 --> 01:01:26,145 BRIEFLY I'LL TALK ABOUT THE MEAT 1446 01:01:26,145 --> 01:01:32,251 OF MY Ph.D. PROJECT AND WANT TO 1447 01:01:32,251 --> 01:01:36,355 DEVELOP A THERAPEUTIC FOR ABCA3 1448 01:01:36,355 --> 01:01:37,757 AND THINK GENE THERAPY COULD BE 1449 01:01:37,757 --> 01:01:39,058 A GOOD AVENUE TO EXPLORE. 1450 01:01:39,058 --> 01:01:41,427 I KNOW I REFERENCED THE FACT WE 1451 01:01:41,427 --> 01:01:42,962 THINK IT'S A MUTATION FOR GAIN 1452 01:01:42,962 --> 01:01:44,730 OF FUNCTION BUT THERE'S PLENTY 1453 01:01:44,730 --> 01:01:46,432 OF MUTATIONS WE KNOW OF AND 1454 01:01:46,432 --> 01:01:47,600 DELETIONS AND PREMATURE STOPS 1455 01:01:47,600 --> 01:01:49,735 THAT ARE LOSS OF FUNCTION. 1456 01:01:49,735 --> 01:01:56,308 SO ONE OF THE PILLARS OF A GOOD 1457 01:01:56,308 --> 01:01:57,009 FWE 1458 01:01:57,009 --> 01:01:58,444 GENE THERAPY IS EFFICIENT AT 1459 01:01:58,444 --> 01:01:59,512 GENE TRANSFER. 1460 01:01:59,512 --> 01:02:00,713 I'VE BEEN EXPLORING VIRAL 1461 01:02:00,713 --> 01:02:04,917 OPTIONS FOR GENE THERAPY. 1462 01:02:04,917 --> 01:02:07,019 I'M SHOWING THE ACTUAL 1463 01:02:07,019 --> 01:02:07,920 TECHNIQUE. 1464 01:02:07,920 --> 01:02:09,455 THE CELLS TYPICALLY GROW -- LIKE 1465 01:02:09,455 --> 01:02:13,292 I SHOWED BEFORE IN STEROIDS IN 1466 01:02:13,292 --> 01:02:17,029 3-D MAKER GELS BUT CAN GROW THEM 1467 01:02:17,029 --> 01:02:19,598 IN AIR LIQUID INTERFACE, ALI, 1468 01:02:19,598 --> 01:02:23,035 WHERE THEY'RE IN A MONOLAYER ON 1469 01:02:23,035 --> 01:02:27,006 A TRANS MEMBRANE SO THE BASAL 1470 01:02:27,006 --> 01:02:30,109 LATERAL SIDE ARE EXPOSED AND THE 1471 01:02:30,109 --> 01:02:31,444 OTHER EXPOSED TO AIR. 1472 01:02:31,444 --> 01:02:35,014 AND THEY MAY EXIST IN VIVO. 1473 01:02:35,014 --> 01:02:38,617 THERE'S A MORE RELEVANT CULTURE 1474 01:02:38,617 --> 01:02:39,819 SYSTEM. 1475 01:02:39,819 --> 01:02:43,722 TO TEST VIRAL EFFICIENCIES AND 1476 01:02:43,722 --> 01:02:47,026 IN TERMS OF VIRUSES I TRIED WERE 1477 01:02:47,026 --> 01:02:48,994 LENTI VIRUSES IN COLLABORATION 1478 01:02:48,994 --> 01:02:51,897 WITH A GROUP AT UNIVERSITY OF 1479 01:02:51,897 --> 01:02:52,098 IOWA. 1480 01:02:52,098 --> 01:02:55,034 WE TRIED A FEW PSEUDO TYPES OF 1481 01:02:55,034 --> 01:02:57,036 LENTI VIRUSES WITH THE HOPES 1482 01:02:57,036 --> 01:02:57,870 SOME WOULD BE MORE EFFICIENCY 1483 01:02:57,870 --> 01:02:59,238 THAN OTHERS. 1484 01:02:59,238 --> 01:03:05,978 AND THE GENE I'M TRANSFERRING 1485 01:03:05,978 --> 01:03:08,781 ARE GFP. 1486 01:03:08,781 --> 01:03:11,050 WE FOUND SOME PSEUDO KINDS BUT 1487 01:03:11,050 --> 01:03:12,551 VERY LITTLE. 1488 01:03:12,551 --> 01:03:17,389 LOOKING TO THE GRAPH TO THE 1489 01:03:17,389 --> 01:03:18,891 RIGHT AND THE GENE TRANSFER WAS 1490 01:03:18,891 --> 01:03:19,792 LESS THAN 5%. 1491 01:03:19,792 --> 01:03:22,361 THOUGH WE DON'T KNOW EXACTLY HOW 1492 01:03:22,361 --> 01:03:23,629 EFFICIENT A VIRUS NEEDS TO BE IN 1493 01:03:23,629 --> 01:03:34,173 ORDER FOR THE GENE THERAPY AND 1494 01:03:35,107 --> 01:03:37,176 I'M EXPLORING GENE THERAPY IN 1495 01:03:37,176 --> 01:03:41,847 THE EXPERIMENT I'M TESTING AN 1496 01:03:41,847 --> 01:03:48,154 TYPE CREATED BY SARAH WOOTEN'S 1497 01:03:48,154 --> 01:03:50,422 GROUP SPECIFICALLY TROPIC FOR 1498 01:03:50,422 --> 01:03:53,359 TYPE 2 CELLS AND ABLE TO GET UP 1499 01:03:53,359 --> 01:03:56,762 TO 80% TRANSDUCTION THERAPY IN 1500 01:03:56,762 --> 01:03:59,965 THE CELLS IN VITRO AND IN 1501 01:03:59,965 --> 01:04:00,733 CULTURE AND IN VIVO. 1502 01:04:00,733 --> 01:04:02,968 AND IT'S BEEN PROVEN TO BE AN 1503 01:04:02,968 --> 01:04:05,104 EFFICIENT VIRUS MORE SO THAN THE 1504 01:04:05,104 --> 01:04:09,341 LENTI VIRUSES OR ONLY ABLE TO 1505 01:04:09,341 --> 01:04:11,143 GET 5% EFFICIENCY. 1506 01:04:11,143 --> 01:04:14,680 THE PROBLEM IS THE CARGO 1507 01:04:14,680 --> 01:04:18,250 CAPACITY OR AAD IS SMALLER THAN 1508 01:04:18,250 --> 01:04:23,789 THE SIZE OF THE GENE SO WHAT I'M 1509 01:04:23,789 --> 01:04:25,758 CHOOSING TO DO IS TO DELIVER THE 1510 01:04:25,758 --> 01:04:27,126 HALF SEPARATELY WHICH IS WHY IN 1511 01:04:27,126 --> 01:04:31,397 THE EXPERIMENT I'M SHOWING HERE 1512 01:04:31,397 --> 01:04:33,766 I'M TESTING THE DUAL DELIVERY 1513 01:04:33,766 --> 01:04:38,337 MODEL AND SEE THEY'RE ABLE TO BE 1514 01:04:38,337 --> 01:04:39,905 TRANSDUCED WITH HIGH EFFICIENCY. 1515 01:04:39,905 --> 01:04:42,374 THESE LENTI VIRUSES AND SYSTEMS 1516 01:04:42,374 --> 01:04:45,010 ARE A FEW OF THE THERAPEUTIC 1517 01:04:45,010 --> 01:04:51,016 OPTIONS WE ARE INVESTIGATING FOR 1518 01:04:51,016 --> 01:04:53,052 ABCA3 THERAPIES RIGHT NOW. 1519 01:04:53,052 --> 01:04:55,688 IN THIS TALK, I HOPE I HAVE 1520 01:04:55,688 --> 01:04:58,457 IMPRESSED UPON YOU THE UTILITY 1521 01:04:58,457 --> 01:05:03,529 OF IPSCs AS A MODEL FOR 1522 01:05:03,529 --> 01:05:04,230 VULNERABLE DISEASE POPULATION. 1523 01:05:04,230 --> 01:05:09,068 SOME TAKEAWAYS I HOPE ARE IPSC 1524 01:05:09,068 --> 01:05:10,069 CELLS ARE PATIENT SPECIFIC. 1525 01:05:10,069 --> 01:05:12,171 WHEN YOU TAKE THEM FROM A DONOR 1526 01:05:12,171 --> 01:05:14,039 NOT ONLY WILL THEY KWON TAIN 1527 01:05:14,039 --> 01:05:14,907 YOUR MUTATION OF INTEREST AND 1528 01:05:14,907 --> 01:05:17,409 THE GENETIC INFORMATION. 1529 01:05:17,409 --> 01:05:19,278 NUMBER TWO, THEY ARE EXPANDABLE 1530 01:05:19,278 --> 01:05:22,181 IN CULTURE. 1531 01:05:22,181 --> 01:05:24,650 THEY'RE RENEWABLE AND NEARLY 1532 01:05:24,650 --> 01:05:25,517 INEXHAUSTIBLE WHICH IS A GREAT 1533 01:05:25,517 --> 01:05:26,785 RESOURCE TO HAVE AND FREEZE THEM 1534 01:05:26,785 --> 01:05:30,022 AND RETURN TO THEM YEARS LATER. 1535 01:05:30,022 --> 01:05:32,558 NUMBER THREE, THEY'RE A 1536 01:05:32,558 --> 01:05:33,025 REDUCTIONIST MODEL. 1537 01:05:33,025 --> 01:05:34,860 THIS IS BOTH A PRO AND CON 1538 01:05:34,860 --> 01:05:37,863 DEPENDING ON HOW YOU LOOK AT IT 1539 01:05:37,863 --> 01:05:38,864 AND WHAT YOUR NEEDS ARE. 1540 01:05:38,864 --> 01:05:40,432 FOR MY PURPOSES IT'S BEEN 1541 01:05:40,432 --> 01:05:43,035 HELPFUL TO BE ABLE TO STUDY THE 1542 01:05:43,035 --> 01:05:48,307 DISEASE MANIFESTATIONS IN AD2 1543 01:05:48,307 --> 01:05:51,810 ALONE BEFORE MOVING TO THE 1544 01:05:51,810 --> 01:05:52,911 GREATER LUNG. 1545 01:05:52,911 --> 01:05:54,313 FOUR, THEIR EDITABLE AND CORRECT 1546 01:05:54,313 --> 01:05:57,416 THE PATIENT MUTATION OR KNOCK-IN 1547 01:05:57,416 --> 01:06:00,452 MUTATION WHICH GIVES US THE 1548 01:06:00,452 --> 01:06:02,221 POWER OF CONTROLS. 1549 01:06:02,221 --> 01:06:05,057 AND NUMBER 5, DRUGGABLE AND USED 1550 01:06:05,057 --> 01:06:05,991 TO EXPLORE THERAPEUTIC OPTIONS 1551 01:06:05,991 --> 01:06:07,092 LIKE THE GENE THERAPY I SHOWED 1552 01:06:07,092 --> 01:06:09,428 YOU. 1553 01:06:09,428 --> 01:06:09,928 OKAY. 1554 01:06:09,928 --> 01:06:11,330 THANK YOU ALL VERY MUCH FOR 1555 01:06:11,330 --> 01:06:12,064 LISTENING. 1556 01:06:12,064 --> 01:06:14,199 I'M NOT ABLE TO BE LIVE IN THE 1557 01:06:14,199 --> 01:06:15,534 WORKSHOP THIS MORNING BUT PLEASE 1558 01:06:15,534 --> 01:06:17,069 DON'T HESITATE TO REACH OUT WITH 1559 01:06:17,069 --> 01:06:18,304 ANY QUESTIONS OR COMMENTS YOU 1560 01:06:18,304 --> 01:06:18,570 MAY HAVE. 1561 01:06:18,570 --> 01:06:28,781 THANK YOU. 1562 01:06:28,781 --> 01:06:29,348 >> OKAY. 1563 01:06:29,348 --> 01:06:31,016 THANK YOU. 1564 01:06:31,016 --> 01:06:36,922 SO OUR NEXT TALK IS BY 1565 01:06:36,922 --> 01:06:39,191 DR. BIRCSAK FROM MIMETAS. 1566 01:06:39,191 --> 01:06:39,892 >> THANK YOU FOR THE 1567 01:06:39,892 --> 01:06:40,225 INTRODUCTION. 1568 01:06:40,225 --> 01:06:42,928 I WANT TO THANK THE ORGANIZERS 1569 01:06:42,928 --> 01:06:44,129 FOR THE INVITATION TO PRESENT 1570 01:06:44,129 --> 01:06:44,330 TODAY. 1571 01:06:44,330 --> 01:06:51,103 I'M EXCITE TO SHARE THE LATEST 1572 01:06:51,103 --> 01:06:55,040 MEMETICS AND ORGANOID CHIP 1573 01:06:55,040 --> 01:06:56,408 MODELS FOR MIMICKING DISEASE 1574 01:06:56,408 --> 01:06:56,709 PROCESS. 1575 01:06:56,709 --> 01:06:58,610 HERE'S AN OVERVIEW OF OUR 1576 01:06:58,610 --> 01:06:58,944 PRESENTATION. 1577 01:06:58,944 --> 01:07:03,682 FIRST WE'LL START OFF WITH AN 1578 01:07:03,682 --> 01:07:06,385 INTRODUCTION TO MIMETAS AND MOVE 1579 01:07:06,385 --> 01:07:08,320 ON TO THE ORGAN CHIP SYSTEMS. 1580 01:07:08,320 --> 01:07:11,423 I WANT TO THANK ANTWAN IN 1581 01:07:11,423 --> 01:07:11,657 ADVANCE. 1582 01:07:11,657 --> 01:07:13,959 I HAVE MULTIPLE TRANSITIONS IN 1583 01:07:13,959 --> 01:07:16,261 THE SLIDES SO THANK YOU AND I'LL 1584 01:07:16,261 --> 01:07:17,529 BE KEEPING YOU ON YOUR TOES, I 1585 01:07:17,529 --> 01:07:27,639 THINK. 1586 01:07:31,076 --> 01:07:32,745 MIMETAS IS A COMPANY WITH 1587 01:07:32,745 --> 01:07:35,714 PROVIDES MODELS AND ORGANS ON A 1588 01:07:35,714 --> 01:07:35,914 CHIP. 1589 01:07:35,914 --> 01:07:37,282 A MORE COMPLEX IN VITRO MODELS 1590 01:07:37,282 --> 01:07:46,225 THAT AID TO GENERATE CRITICAL 1591 01:07:46,225 --> 01:07:48,060 INFORMATION AND IT'S A GLOBAL 1592 01:07:48,060 --> 01:07:48,494 COMPANY. 1593 01:07:48,494 --> 01:07:50,496 WE ARE HEADQUARTERS IN THE 1594 01:07:50,496 --> 01:07:53,298 NETHERLANDS AND HAVE OFFICES IN 1595 01:07:53,298 --> 01:07:54,299 JAPAN AS WELL AS IN THE UNITED 1596 01:07:54,299 --> 01:07:55,033 STATES. 1597 01:07:55,033 --> 01:07:57,803 I'M BASED IN OUR OFFICE IN 1598 01:07:57,803 --> 01:07:58,804 MARYLAND WHERE WE HAVE A SMALL 1599 01:07:58,804 --> 01:08:08,180 RESEARCH AND DEVELOPMENT TEAM. 1600 01:08:08,180 --> 01:08:10,916 OUR ORGAN ON CHIP SYSTEMS COME 1601 01:08:10,916 --> 01:08:13,018 WITH KEY BUILDING BLOCKS THAT 1602 01:08:13,018 --> 01:08:14,853 ARE IMPORTANT FOR MODELLING 1603 01:08:14,853 --> 01:08:15,120 TISSUE. 1604 01:08:15,120 --> 01:08:20,559 SO WE CAN MODEL EPITHELIUM, THE 1605 01:08:20,559 --> 01:08:21,894 CONNECTIVE TISSUE, VASCULATURE, 1606 01:08:21,894 --> 01:08:22,761 THE IMMUNE SYSTEM. 1607 01:08:22,761 --> 01:08:23,729 WE KNOW THEY'RE ALL IMPORTANT 1608 01:08:23,729 --> 01:08:26,131 PARTS AND IT'S IMPORTANT TO KEEP 1609 01:08:26,131 --> 01:08:27,633 IN MIND WE CAN INCORPORATE ALL 1610 01:08:27,633 --> 01:08:31,036 OF THEM BUT IT DEPENDS ON YOUR 1611 01:08:31,036 --> 01:08:32,671 RESEARCH QUESTION WHETHER 1612 01:08:32,671 --> 01:08:35,040 NECESSARILY SHOULD INCORPORATE 1613 01:08:35,040 --> 01:08:37,176 ALL THOSE COMPONENTS INTO YOUR 1614 01:08:37,176 --> 01:08:37,843 MICROPHYSIOLOGICAL SYSTEM. 1615 01:08:37,843 --> 01:08:42,714 AND I THINK WHAT SETS US A PART 1616 01:08:42,714 --> 01:08:43,949 FROM OTHER MICROPHYSIOLOGICAL 1617 01:08:43,949 --> 01:08:46,251 SYSTEMS IS THE FACT WE'RE A 1618 01:08:46,251 --> 01:08:48,821 SCREENABLE PLATFORM. 1619 01:08:48,821 --> 01:08:51,023 WE CAN MODEL THESE TISSUES EIGHT 1620 01:08:51,023 --> 01:08:52,324 SIGNIFICANT SCALE AND WHAT 1621 01:08:52,324 --> 01:08:55,394 ENABLES US TO DO THAT IS THE 1622 01:08:55,394 --> 01:08:59,064 FACT THAT CHIPS ARE CONTAINED 1623 01:08:59,064 --> 01:09:01,333 WITHIN A 384 FOOTPRINT. 1624 01:09:01,333 --> 01:09:04,036 WE'RE FITTING ON STANDARD 1625 01:09:04,036 --> 01:09:06,038 LABORATORY MICROSCOPES, PLATE 1626 01:09:06,038 --> 01:09:08,307 READERS, HIGH CONTENT 1627 01:09:08,307 --> 01:09:11,043 MICROSCOPES, LIQUID HANDLERS YOU 1628 01:09:11,043 --> 01:09:13,912 CAN SEE ON THE RIGHT SIDE AND 1629 01:09:13,912 --> 01:09:15,514 THE PLATFORM IS CALLED THE 1630 01:09:15,514 --> 01:09:16,014 ORGANO PLATE. 1631 01:09:16,014 --> 01:09:18,517 WE'LL GO INTO MORE DETAIL SOON 1632 01:09:18,517 --> 01:09:19,618 ABOUT THAT. 1633 01:09:19,618 --> 01:09:25,591 BUT THE FACT IT'S IN THE 1634 01:09:25,591 --> 01:09:32,598 FOOTPRINT MEANS WE CAN USE AUTO 1635 01:09:32,598 --> 01:09:34,967 MATED LIQUID HANDLING AND THIS 1636 01:09:34,967 --> 01:09:36,668 ENABLES US TO BE ABLE TO CULTURE 1637 01:09:36,668 --> 01:09:38,871 TENS OF PLATES AT A TIME AND WIN 1638 01:09:38,871 --> 01:09:43,475 ONE PLATE WE HAVE ANYWHERE FROM 1639 01:09:43,475 --> 01:09:45,944 40 TO 96 INDIVIDUAL TISSUES OR 1640 01:09:45,944 --> 01:09:47,012 REPLICATES YOU CAN IMAGINE. 1641 01:09:47,012 --> 01:09:51,617 SO IT WOULD BE FEASIBLE AND 1642 01:09:51,617 --> 01:09:54,586 WE'VE DONE THIS BEFORE TO SCREEN 1643 01:09:54,586 --> 01:09:55,888 THOUSANDS OF YOUR CHIPS TO 1644 01:09:55,888 --> 01:09:56,388 POTENTIALLY FIND NOVEL 1645 01:09:56,388 --> 01:10:04,630 COMPOUNDS. 1646 01:10:04,630 --> 01:10:11,103 HERE I'LL SHOW YOU A VIDEO TO 1647 01:10:11,103 --> 01:10:18,644 GIVE YOU AN IDEA HOW IT PLATES. 1648 01:10:18,644 --> 01:10:21,046 THE BOTTOM HAS MICROSCOPE 1649 01:10:21,046 --> 01:10:24,483 QUALITY GLASS AND SEE THE THREE 1650 01:10:24,483 --> 01:10:27,019 CHANNELS IN PARALLEL. 1651 01:10:27,019 --> 01:10:32,457 WE CAN ADD IN OUR EXTRA CELLULAR 1652 01:10:32,457 --> 01:10:34,192 MATRIX GEL AND NO BARRIERS THAT 1653 01:10:34,192 --> 01:10:36,595 SEPARATE THE CHANNEL. 1654 01:10:36,595 --> 01:10:39,331 WE HAVE THIS PHASED GUIDE AND 1655 01:10:39,331 --> 01:10:41,667 CAPILLARY PRESSURE BARRIER THAT 1656 01:10:41,667 --> 01:10:42,768 PREVENTS THE EXTRA CELLULAR 1657 01:10:42,768 --> 01:10:44,102 MATRIX FROM SPILLING OVER. 1658 01:10:44,102 --> 01:10:45,837 ONCE THAT SOLIDIFIED WE CAN ADD 1659 01:10:45,837 --> 01:10:49,341 CELLS AND MEDIA TO THE ADJACENT 1660 01:10:49,341 --> 01:10:51,743 PERFUSION OR MEDIA CHANNELS AND 1661 01:10:51,743 --> 01:10:53,178 WE CAN ACHIEVE PERFUSION BY 1662 01:10:53,178 --> 01:10:54,880 PLACING THE PLATE ON A ROCKER 1663 01:10:54,880 --> 01:10:59,685 SYSTEM DIRECTLY WITHIN THE 1664 01:10:59,685 --> 01:11:03,221 INCUBATOR AND STACK MULTIPLE 1665 01:11:03,221 --> 01:11:05,357 PLATES ON THE SYSTEM. 1666 01:11:05,357 --> 01:11:09,561 WHAT WE FIND OVER TIME IS THAT 1667 01:11:09,561 --> 01:11:11,730 WHEN WE HAVE THE CELLS IN THE 1668 01:11:11,730 --> 01:11:14,633 PROFUSION CHANNEL THEY'LL 1669 01:11:14,633 --> 01:11:16,101 PROLIFERATE AND FORM THIS 3-D 1670 01:11:16,101 --> 01:11:19,037 STRUCTURE IN THIS CASE MIMICKING 1671 01:11:19,037 --> 01:11:29,314 A BLOOD VESSEL. 1672 01:11:30,382 --> 01:11:31,817 THAT'S A BIT ON THE PLATFORM IN 1673 01:11:31,817 --> 01:11:32,217 GENERAL. 1674 01:11:32,217 --> 01:11:35,020 NOW I'D LIKE TO GO INTO MORE 1675 01:11:35,020 --> 01:11:39,024 DETAIL IN OUR AIRWAY ORGANOID 1676 01:11:39,024 --> 01:11:49,234 CHIP SYSTEM. 1677 01:11:55,073 --> 01:11:59,044 WE'RE FOCUSSING PRIMARILY ON 1678 01:11:59,044 --> 01:12:00,445 THE LUNG. 1679 01:12:00,445 --> 01:12:02,648 WE CAN MODEL DIFFERENT DISEASE 1680 01:12:02,648 --> 01:12:05,884 PLATFORM DISEASES WITH AN 1681 01:12:05,884 --> 01:12:08,120 INTERNAL TRIGGER, BY CELLS THAT 1682 01:12:08,120 --> 01:12:11,223 EXPRESS MAYBE A CERTAIN DISEASE 1683 01:12:11,223 --> 01:12:17,896 MUTATION OR EXTERNAL TRIGGER BY 1684 01:12:17,896 --> 01:12:18,897 APPLYING INFECTIOUS COMPONENTS 1685 01:12:18,897 --> 01:12:20,232 LIKE VIRUSES AND THINGS LIKE 1686 01:12:20,232 --> 01:12:20,499 THAT. 1687 01:12:20,499 --> 01:12:25,804 AND WE'RE ALSO CAPABLE OF HAVING 1688 01:12:25,804 --> 01:12:27,706 MULTIPLE READOUTS WITHIN ONE 1689 01:12:27,706 --> 01:12:28,240 CHIP COLLECTING A LOT OF 1690 01:12:28,240 --> 01:12:31,009 DIFFERENT DATA. 1691 01:12:31,009 --> 01:12:33,645 SO THE BOTTOM MADE OF THE 1692 01:12:33,645 --> 01:12:35,914 MICROSCOPE QUALITY GLAD WE'RE 1693 01:12:35,914 --> 01:12:39,017 ABLE TO PERFORM IMAGING AND 1694 01:12:39,017 --> 01:12:42,421 CAPTURING REALLY IN SITU THE 3-D 1695 01:12:42,421 --> 01:12:43,689 STRUCTURE OF THE TISSUE. 1696 01:12:43,689 --> 01:12:46,191 CAN TO ELECTRICAL SENSING, 1697 01:12:46,191 --> 01:12:47,325 EXPRESSION ANALYSIS AND THEN 1698 01:12:47,325 --> 01:12:53,298 IT'S ALSO POSSIBLE TO SAMPLE THE 1699 01:12:53,298 --> 01:12:55,834 MEDIA FROM THOSE RESERVOIR WELLS 1700 01:12:55,834 --> 01:12:57,803 AND TO EVALUATE CYTOKINES THAT 1701 01:12:57,803 --> 01:12:58,570 MAY HAVE BEEN RELEASED AND 1702 01:12:58,570 --> 01:13:02,407 PRODUCED BY THE CULTURES. 1703 01:13:02,407 --> 01:13:06,111 AS A RESULT OF A DISEASE OR 1704 01:13:06,111 --> 01:13:06,378 TREATMENT. 1705 01:13:06,378 --> 01:13:09,648 AND SO OUR LUNG ON A CHIP MODEL 1706 01:13:09,648 --> 01:13:11,850 CAN BE USED ACROSS THE SPECTRUM 1707 01:13:11,850 --> 01:13:14,519 I THINK ACROSS FROM DISCOVERY 1708 01:13:14,519 --> 01:13:17,322 AND DEVELOPMENT FROM VERY EARLY 1709 01:13:17,322 --> 01:13:20,425 ON IN DISCOVERY DECIPHERING THE 1710 01:13:20,425 --> 01:13:20,959 DISEASE BIOLOGY THROUGH 1711 01:13:20,959 --> 01:13:23,028 DERISKING AND ACCELERATING YOUR 1712 01:13:23,028 --> 01:13:33,371 DRUG TO THE CLINIC. 1713 01:13:35,073 --> 01:13:36,341 I'M NOT GOING TO GO INTO A LOT 1714 01:13:36,341 --> 01:13:39,377 OF DETAIL AND NOTICED IN OUR 1715 01:13:39,377 --> 01:13:41,580 FIRST PRESENTATION BY ALFRED HE 1716 01:13:41,580 --> 01:13:47,319 USED THE SIMILAR PICTOFWRGRAPHI 1717 01:13:47,319 --> 01:13:48,854 WHICH IS GREAT TO SHOW YOU THE 1718 01:13:48,854 --> 01:13:50,021 DIFFERENT AREAS AND PARTS OF THE 1719 01:13:50,021 --> 01:13:52,157 LUNG IF YOU'RE INTERESTED IN 1720 01:13:52,157 --> 01:13:56,061 MODELLING ONE AREA YOU MAY WANT 1721 01:13:56,061 --> 01:13:59,030 TO INCLUDE SPECIFIC CELL TYPES. 1722 01:13:59,030 --> 01:14:03,468 FOR EXAMPLE, AT MIMETAS WE'RE 1723 01:14:03,468 --> 01:14:13,879 LOOK AT THE BRONCHULAR 1724 01:14:14,379 --> 01:14:15,514 EPITHELIUM AND THE PRIMARY 1725 01:14:15,514 --> 01:14:17,783 FUNCTION OF THE LUNG IS GAS 1726 01:14:17,783 --> 01:14:20,318 EXCHANGE AND INVOLVED IN THE 1727 01:14:20,318 --> 01:14:23,522 REGULATION OF BLOOD PH AND 1728 01:14:23,522 --> 01:14:26,024 DEFENDING AGAINST PATHOGENS. 1729 01:14:26,024 --> 01:14:29,194 WE CAN ALSO SEE -- WE KNOW IT'S 1730 01:14:29,194 --> 01:14:32,631 PARTICULARLY IMPORTANT TO BE 1731 01:14:32,631 --> 01:14:34,499 ABLE TO MODEL LUNG FUNCTION IN 1732 01:14:34,499 --> 01:14:37,836 VITRO AND LUNG DISEASES IN VITRO 1733 01:14:37,836 --> 01:14:42,474 BECAUSE CHRONIC RESPIRATORY 1734 01:14:42,474 --> 01:14:44,910 DISEASES IS A LEADING CAUSE OF 1735 01:14:44,910 --> 01:14:46,745 GLOBAL CANCER AND MORTALITY. 1736 01:14:46,745 --> 01:14:50,182 WE KNOW THERE'S AN YOU ARE FWENT 1737 01:14:50,182 --> 01:14:53,685 NEED TO BE ABLE ACCELERATE THE 1738 01:14:53,685 --> 01:14:55,053 THERAPIES AND GET THEM KNOW 1739 01:14:55,053 --> 01:14:56,755 PATIENTS AND PATIENTS IN NEED. 1740 01:14:56,755 --> 01:15:01,226 THE PRECLINICAL MODELS ARE JUST 1741 01:15:01,226 --> 01:15:02,527 THEY'RE NOT GOOD ENOUGH AS JEFF 1742 01:15:02,527 --> 01:15:04,863 INDICATED IN HIS TALK. 1743 01:15:04,863 --> 01:15:07,065 SO WE NEED TO KEEP IMPROVING OUR 1744 01:15:07,065 --> 01:15:10,602 MODELS SO THAT WE CAN GET THESE 1745 01:15:10,602 --> 01:15:11,203 THERAPIES TO PATIENTS AS FAST 1746 01:15:11,203 --> 01:15:21,379 POSSIBLE. 1747 01:15:22,280 --> 01:15:24,416 FIRST WE'RE GOING TO OUR LUNG ON 1748 01:15:24,416 --> 01:15:25,884 A CHIP MODEL WE USED 1749 01:15:25,884 --> 01:15:28,486 PARTICULARLY FOR AN AIR 1750 01:15:28,486 --> 01:15:28,753 EXPOSURE. 1751 01:15:28,753 --> 01:15:30,055 IMAGINE IT'S USED FOR A THERAPY 1752 01:15:30,055 --> 01:15:33,058 THAT MAY BE INHALED, FOR 1753 01:15:33,058 --> 01:15:33,625 EXAMPLE. 1754 01:15:33,625 --> 01:15:38,997 IN THE LEFT PANEL WE SEE WE HAVE 1755 01:15:38,997 --> 01:15:43,501 A PICTOGRAPH OF ONE OF OUR CHIPS 1756 01:15:43,501 --> 01:15:45,804 THE RED MEDIA CHANNEL IS WHERE 1757 01:15:45,804 --> 01:15:48,106 THERE'S MEDIA PROFUSING BACK AND 1758 01:15:48,106 --> 01:15:51,009 FORTH IN A BI-DIRECTIONAL 1759 01:15:51,009 --> 01:15:51,610 MANNER. 1760 01:15:51,610 --> 01:15:52,777 IN THE CENTER CHANNEL IN THE 1761 01:15:52,777 --> 01:15:57,716 BLUE WE HAVE AN EXTRA CELLULAR 1762 01:15:57,716 --> 01:16:00,151 MATRIX THAT FORM SOMEWHAT OF A 1763 01:16:00,151 --> 01:16:00,452 SCAFFOLD. 1764 01:16:00,452 --> 01:16:05,056 IN THE CENTER OF THE SCAFFOLD WE 1765 01:16:05,056 --> 01:16:11,363 HAVE BASICALLY NRL A HOLD TO AP 1766 01:16:11,363 --> 01:16:13,531 THE CELLS AND WHEN WE DO THAT 1767 01:16:13,531 --> 01:16:18,970 THEY ADHERE IN A 3-D STRUCTURE 1768 01:16:18,970 --> 01:16:20,739 TO THE EXTRA CELLULAR MATRIX 1769 01:16:20,739 --> 01:16:21,006 SCAFFOLD. 1770 01:16:21,006 --> 01:16:26,778 WHAT WE'RE LOOKING AT IN THE TOP 1771 01:16:26,778 --> 01:16:28,513 IMAGE 2-D, TOP DOWN. 1772 01:16:28,513 --> 01:16:30,248 SOMETIMES IT'S DIFFICULT TO 1773 01:16:30,248 --> 01:16:32,150 GRASP WHAT'S GOING ON IN A 3-D 1774 01:16:32,150 --> 01:16:33,084 CULTURE. 1775 01:16:33,084 --> 01:16:35,487 WE ALSO TRY TO PROVIDE THE 1776 01:16:35,487 --> 01:16:36,154 CROSS-SECTIONAL VIEWS. 1777 01:16:36,154 --> 01:16:38,290 THAT'S WHAT WE SEE IN THE BOTTOM 1778 01:16:38,290 --> 01:16:38,590 PANELS. 1779 01:16:38,590 --> 01:16:40,525 THERE'S TWO CROSS-SECTIONAL 1780 01:16:40,525 --> 01:16:40,725 VIEWS. 1781 01:16:40,725 --> 01:16:46,264 THE ONE ON TOP IS WHAT THE 1782 01:16:46,264 --> 01:16:48,133 CULTURE AFTER WE APPLIED THE 1783 01:16:48,133 --> 01:16:50,101 CELLS TO THE EXTRA CELLULAR 1784 01:16:50,101 --> 01:16:52,837 MATRIX SCAFFOLD AND THE WHITE 1785 01:16:52,837 --> 01:16:54,572 CELLS ADHERE TO THE BLUE AND WE 1786 01:16:54,572 --> 01:16:56,775 HAVE A MEDIA THAT WE FIRST USED 1787 01:16:56,775 --> 01:16:59,044 WHEN APPLYING THEM TO THE 1788 01:16:59,044 --> 01:17:00,378 CULTURE. 1789 01:17:00,378 --> 01:17:03,648 ONCE THE CELLS HAVE ADHERED AND 1790 01:17:03,648 --> 01:17:07,018 PROLIFERATED TOE ENCOMPASS THE 1791 01:17:07,018 --> 01:17:10,355 ENTIRE 3-D TUBULE STRUCTURE WE 1792 01:17:10,355 --> 01:17:13,358 CAN REMOVE THE MEDIA AND DO WHAT 1793 01:17:13,358 --> 01:17:16,828 WE CALL AIR LIFT TO HAVE THIS 1794 01:17:16,828 --> 01:17:18,630 AIR LIQUID INTERFACE SIMILAR TO 1795 01:17:18,630 --> 01:17:20,465 WHAT PRESENTERS WERE TALKING 1796 01:17:20,465 --> 01:17:21,700 ABOUT IN THE PREVIOUS TWO TALKS. 1797 01:17:21,700 --> 01:17:25,470 SO THE IDEA IS VERY SIMILAR IN 1798 01:17:25,470 --> 01:17:28,073 THE FACT THAT YOU HAVE AIR ON 1799 01:17:28,073 --> 01:17:30,775 ONE SIDE AND THEN MEDIA OR 1800 01:17:30,775 --> 01:17:31,810 MIMICKING THE BLOOD COMPARTMENT 1801 01:17:31,810 --> 01:17:34,179 ON THE OTHER SIDE. 1802 01:17:34,179 --> 01:17:40,585 THIS REALLY PUSHES THE CULTURES 1803 01:17:40,585 --> 01:17:43,621 TO DIFFERENTIATE. 1804 01:17:43,621 --> 01:17:46,858 HERE WE HAVE SOME AMINO 1805 01:17:46,858 --> 01:17:52,931 FLUORESCENT STAINING IMAGES OF 1806 01:17:52,931 --> 01:17:54,165 OUR ORGANO PLATE ERROR IS WHAT 1807 01:17:54,165 --> 01:17:55,734 WE'RE CALLING THIS. 1808 01:17:55,734 --> 01:17:57,936 WE CAN CULTURE THE CELLS OUT TO 1809 01:17:57,936 --> 01:17:59,037 AT LEAST 35 DAYS. 1810 01:17:59,037 --> 01:18:00,438 WHAT WE SEE ON THE LEFT-HAND 1811 01:18:00,438 --> 01:18:03,808 SIDE THE FIRST IMAGE IS A 2-D 1812 01:18:03,808 --> 01:18:04,075 IMAGE. 1813 01:18:04,075 --> 01:18:05,643 BEING A 3-D CULTURE IT'S 1814 01:18:05,643 --> 01:18:08,013 IMPORTANT TO KEEP IN MIND LIKE 1815 01:18:08,013 --> 01:18:10,081 THE STEROIDS PROBABLY THE CASE 1816 01:18:10,081 --> 01:18:14,786 IN THE PREVIOUS PRESENTATION IN 1817 01:18:14,786 --> 01:18:17,255 ORDER TO CAPTURE THE 3-D 1818 01:18:17,255 --> 01:18:19,691 INFORMATION YOU'RE USING A 1819 01:18:19,691 --> 01:18:22,427 CONFOCAL MICROSCOPE TO Z STACK 1820 01:18:22,427 --> 01:18:23,495 THROUGH THE HEIGHT OF THE 1821 01:18:23,495 --> 01:18:25,630 CHANNEL AND MAKE SURE YOU'RE 1822 01:18:25,630 --> 01:18:26,464 CAPTURING ALL INFORMATION ABOUT 1823 01:18:26,464 --> 01:18:27,599 THE 3-D OF THE CULTURE. 1824 01:18:27,599 --> 01:18:31,036 AND WHAT YOU CAN DO WITH ALL 1825 01:18:31,036 --> 01:18:34,506 THOSE IMAGES IS COMPRESS THEM 1826 01:18:34,506 --> 01:18:36,975 INTO A MAXIMUM INTENSITY 1827 01:18:36,975 --> 01:18:38,877 PROJECTION AND MAKE IT A 2-D 1828 01:18:38,877 --> 01:18:39,077 IMAGE. 1829 01:18:39,077 --> 01:18:42,113 THAT'S WHAT WE'RE LOOKING AT ON 1830 01:18:42,113 --> 01:18:48,353 THE BOTTOM THE INTENSITY OF THE 1831 01:18:48,353 --> 01:18:53,525 3-D STRUCTURE AND SEE EXPRESSION 1832 01:18:53,525 --> 01:19:00,031 FOR THE TUBULIN AND IF YOU 1833 01:19:00,031 --> 01:19:03,001 ADVANCE ONE MORE TIME WE SEE THE 1834 01:19:03,001 --> 01:19:04,702 NEXT IMAGE ROTATING BITS. 1835 01:19:04,702 --> 01:19:07,105 WHAT YOU CAN DO WHEN YOU TAKE 1836 01:19:07,105 --> 01:19:09,207 THE Z STACKS IS MAKE A 3-D 1837 01:19:09,207 --> 01:19:10,875 RECONSTRUCTION AND THAT'S WHAT 1838 01:19:10,875 --> 01:19:14,212 WE'RE SEEING HERE. 1839 01:19:14,212 --> 01:19:21,086 A ROTATING 3-D RECONSTRUCTION OF 1840 01:19:21,086 --> 01:19:26,524 THAT BRONCULAR TUBULE. 1841 01:19:26,524 --> 01:19:30,762 WE CAN ALSO SEE THE FUNCTIONING 1842 01:19:30,762 --> 01:19:33,832 OF THE CILIATED CELLS. 1843 01:19:33,832 --> 01:19:36,234 IN OUR FAITH CONTRAST IMAGE WE 1844 01:19:36,234 --> 01:19:39,237 CAN POTENTIALLY SEE BEATING AND 1845 01:19:39,237 --> 01:19:41,706 MOVING OF THE CILIATED CELLS AND 1846 01:19:41,706 --> 01:19:43,441 ABLE TO QUANTIFY THIS AND SEE 1847 01:19:43,441 --> 01:19:45,110 ANN INCREASE IN THE NUMBER OF 1848 01:19:45,110 --> 01:19:55,553 CILIATED CELLS OVER TIME. 1849 01:19:57,021 --> 01:20:02,427 WE'RE ABLE TO QUANTIFY HYPER 1850 01:20:02,427 --> 01:20:06,264 PLAY SHA OF THE CELLS AND -- 1851 01:20:06,264 --> 01:20:09,067 HYPERPLASIA OF THE CELLS AND 1852 01:20:09,067 --> 01:20:10,902 KNOWN IN INFLAMMATION AND TISSUE 1853 01:20:10,902 --> 01:20:13,505 REGENERATION AND CAN SEE THERE'S 1854 01:20:13,505 --> 01:20:16,341 AN INCREASE IN THE COMPRESSION 1855 01:20:16,341 --> 01:20:20,512 OF MUC BY C AND DECREASED IN THE 1856 01:20:20,512 --> 01:20:24,649 EXPRESSION OF CYTOKERATIN 5 AND 1857 01:20:24,649 --> 01:20:31,022 HAVE UP REGULATION IN THE 1858 01:20:31,022 --> 01:20:39,631 GOBLET CELLS IN THE POPULATION. 1859 01:20:39,631 --> 01:20:44,636 I'LL MOVE TO OUR ORGAN ON A 1860 01:20:44,636 --> 01:20:49,274 ORGAN ON A CHIP MODEL AND THIS 1861 01:20:49,274 --> 01:20:50,074 IS SLIGHTLY DIFFERENT IN THE IN 1862 01:20:50,074 --> 01:20:55,914 THE NEXT SLIDE I GO INTO A BIT 1863 01:20:55,914 --> 01:21:02,387 MORE DETAIL SO WE'RE IN A 1864 01:21:02,387 --> 01:21:03,721 SIMILAR CHIP LIKE STRUCTURE ON 1865 01:21:03,721 --> 01:21:04,923 THE RIGHT AND LEFT SIDE. 1866 01:21:04,923 --> 01:21:06,391 IN PINK WE HAVE THE MEDIA 1867 01:21:06,391 --> 01:21:11,062 CHANNELS WHERE IN THIS CASE WE 1868 01:21:11,062 --> 01:21:14,299 HAVE ENDOTHELIAL CELL TUBULE 1869 01:21:14,299 --> 01:21:15,066 GROWING ON BOTH SIDES. 1870 01:21:15,066 --> 01:21:16,701 WHAT'S DIFFERENT HERE IS WE 1871 01:21:16,701 --> 01:21:18,169 DON'T HAVE AN OPEN CHANNEL. 1872 01:21:18,169 --> 01:21:20,171 INSTEAD WHAT WE HAVE IN THE 1873 01:21:20,171 --> 01:21:24,209 MIDDLE IS A VASCULAR BED 1874 01:21:24,209 --> 01:21:26,878 EMBEDDED WITHIN AN EXTRA 1875 01:21:26,878 --> 01:21:27,879 CELLULAR MATRIX CELLS. 1876 01:21:27,879 --> 01:21:29,080 HERE THE CELLS ARE MIXED 1877 01:21:29,080 --> 01:21:35,019 TOGETHER WITH FIBROBLASTS AND 1878 01:21:35,019 --> 01:21:38,990 SPONTANEOUSLY FORM A VASCULAR 1879 01:21:38,990 --> 01:21:40,959 BED AND FORM A MONOLAYER 1880 01:21:40,959 --> 01:21:43,728 DIRECTLY ON TOP OF THE VASCULAR 1881 01:21:43,728 --> 01:21:54,272 BED THOSE LUNG EPITHELIAL CELLS. 1882 01:21:57,342 --> 01:21:58,843 WE KNOW THE CELLS ARE 1883 01:21:58,843 --> 01:21:59,410 UNDIFFERENTIATED AND ONCE 1884 01:21:59,410 --> 01:22:02,013 THEY'VE SUSTAINED THEMSELVES, IF 1885 01:22:02,013 --> 01:22:08,386 YOU CLICK ONE MORE TIME WE DO AN 1886 01:22:08,386 --> 01:22:18,596 AIR LIFT AND ACTING AS THE BASO 1887 01:22:18,596 --> 01:22:20,198 COMPARTMENT AND WHERE WE ADDED 1888 01:22:20,198 --> 01:22:22,000 THE LUNG EPITHELIAL CELLS IS 1889 01:22:22,000 --> 01:22:23,001 WHERE THE AIR EXPOSURE IS 1890 01:22:23,001 --> 01:22:29,173 OCCURRING. 1891 01:22:29,173 --> 01:22:30,875 THAT'S WHERE WE SEE THE 1892 01:22:30,875 --> 01:22:41,152 DIFFERENTIATION. 1893 01:22:41,486 --> 01:22:43,054 HERE WE HAVE THE IMAGES OF THE 1894 01:22:43,054 --> 01:22:46,257 TIME AND I CAN TELL YOU IT'S 1895 01:22:46,257 --> 01:22:48,293 INCREASED DIFFERENTIATION IS 1896 01:22:48,293 --> 01:22:53,464 DIFFICULT TO TELL BUT BY PHASED 1897 01:22:53,464 --> 01:22:56,634 CONTRAST AND THE WAY WE KNOW 1898 01:22:56,634 --> 01:22:58,369 THIS IS DEVELOPING WELL IS 1899 01:22:58,369 --> 01:23:00,605 SEEING THE DARKENING OF 1900 01:23:00,605 --> 01:23:02,340 CULTURING OVER TIME AND THE 1901 01:23:02,340 --> 01:23:04,575 TUBULES IN THE ADJACENT CHANNELS 1902 01:23:04,575 --> 01:23:08,946 ARE REMAINING INTACT AND HOW 1903 01:23:08,946 --> 01:23:09,580 THANK YOU KNOW THE CULTURE IS 1904 01:23:09,580 --> 01:23:19,891 PROGRESSING WELL. 1905 01:23:20,158 --> 01:23:24,729 ANOTHER WAY TO EVALUATE THIS IS 1906 01:23:24,729 --> 01:23:31,469 BY TRANS EPITHELIAL ELECTRICAL 1907 01:23:31,469 --> 01:23:34,372 RESISTANCE AND DIP IN THE MEDIA 1908 01:23:34,372 --> 01:23:38,276 WELLS AND CAN MEASURE THE TIER 1909 01:23:38,276 --> 01:23:40,578 OVER TIME. 1910 01:23:40,578 --> 01:23:43,047 ACROSS MULTIPLE ITERATIONS WITH 1911 01:23:43,047 --> 01:23:45,950 HE SEE ROBUSTLY OVER TIME THE 1912 01:23:45,950 --> 01:23:50,288 TIERED VALUES CAN DECREASE WHICH 1913 01:23:50,288 --> 01:23:52,123 IS WHAT'S CONSISTENT WITH THE 1914 01:23:52,123 --> 01:23:54,826 LITERATURE AND TO DO WITH THE 1915 01:23:54,826 --> 01:23:55,326 DIFFERENTIATION PROCESS 1916 01:23:55,326 --> 01:24:05,837 OCCURRING WITHIN THE CULTURES. 1917 01:24:08,639 --> 01:24:11,042 I HAVE A FEW IMMUNOSTAINING 1918 01:24:11,042 --> 01:24:14,345 IMAGES AND PROJECTIONS AND 3-D 1919 01:24:14,345 --> 01:24:14,712 RECONSTRUCTION. 1920 01:24:14,712 --> 01:24:19,050 SO WHAT WE SHOW HERE IS JUST 1921 01:24:19,050 --> 01:24:21,886 SOME NICE BRONCHIAL EPITHELIAL 1922 01:24:21,886 --> 01:24:27,058 ORGANIZATION AND DIFFERENT 1923 01:24:27,058 --> 01:24:30,428 DIFFERENTITION -- 1924 01:24:30,428 --> 01:24:39,036 DIFFERENTIATION AND THE TUBULIN 1925 01:24:39,036 --> 01:24:49,514 DEMONSTRATING THE CILIATED 1926 01:24:56,788 --> 01:24:57,121 CELLS. 1927 01:24:57,121 --> 01:25:07,665 THAT'S THE LONG ORTHOGONAL VIEW. 1928 01:25:14,739 --> 01:25:20,111 I WANTED TO POINT OUT THE CY 1929 01:25:20,111 --> 01:25:24,148 CYTOKERATIN 5. 1930 01:25:24,148 --> 01:25:28,152 WE HAVE THE EXPRESSION OF THE 1931 01:25:28,152 --> 01:25:28,319 5AC. 1932 01:25:28,319 --> 01:25:29,520 HERE WE ALSO EXPECT THAT WOULD 1933 01:25:29,520 --> 01:25:32,089 BE KIND OF EXPRESSED MORE 1934 01:25:32,089 --> 01:25:36,761 TOWARDS THE ATYPICAL SIDE AS 1935 01:25:36,761 --> 01:25:38,329 WELL AND WHERE WE SEE SOME OF 1936 01:25:38,329 --> 01:25:39,063 THE RED STAINING. 1937 01:25:39,063 --> 01:25:43,935 IF YOU CLICK ONE TIME WE HAVE A 1938 01:25:43,935 --> 01:25:45,369 VIDEO MOVING THROUGH THE 1939 01:25:45,369 --> 01:25:46,704 STAINING AND THROUGH THE DISEASE 1940 01:25:46,704 --> 01:25:47,038 STACKS. 1941 01:25:47,038 --> 01:25:57,582 THE FIRST IMAGE YOU SEE IS THE 1942 01:26:00,384 --> 01:26:00,952 BOTTOM OF THE CULTURE. 1943 01:26:00,952 --> 01:26:05,423 WHAT'S IMPORTANT TO POINT OUT 1944 01:26:05,423 --> 01:26:06,891 ABOUT THIS MODEL IS IT'S MORE 1945 01:26:06,891 --> 01:26:09,060 COMPLEX AND HAS NOT ONLY THE 1946 01:26:09,060 --> 01:26:10,928 EPITHELIUM AND ALSO PRESENT IS 1947 01:26:10,928 --> 01:26:12,330 THE VASCULAR BED INDIRECT 1948 01:26:12,330 --> 01:26:14,265 CONTACT WITH THE EPITHELIUM. 1949 01:26:14,265 --> 01:26:16,334 AND SO ON THE LEFT-HAND SIDE YOU 1950 01:26:16,334 --> 01:26:20,505 CAN SEE THOSE MORE ZOOMED OUT 1951 01:26:20,505 --> 01:26:23,241 2-D IMAGES OF CD 31 1952 01:26:23,241 --> 01:26:25,376 DEMONSTRATING THE VASCULATURE 1953 01:26:25,376 --> 01:26:29,113 AND PRESENCE OF A ROBUST 1954 01:26:29,113 --> 01:26:30,214 VASCULATURE BED AND IN THE 1955 01:26:30,214 --> 01:26:32,483 CENTER CHANNEL WHERE THE 1956 01:26:32,483 --> 01:26:33,284 EPITHELIUM ARE PRESENT AND THEN 1957 01:26:33,284 --> 01:26:35,786 IF YOU MOVE TO THE CENTER IMAGES 1958 01:26:35,786 --> 01:26:39,957 WE CAN ACTUALLY SEE THAT 3-D 1959 01:26:39,957 --> 01:26:41,859 RECONSTRUCTION AND VERY CLOSE 1960 01:26:41,859 --> 01:26:45,730 ASSOCIATION OF THE EPITHELIUM 1961 01:26:45,730 --> 01:26:53,738 WITH THE CD 31 VASCULAR BED. 1962 01:26:53,738 --> 01:26:56,474 YOU MAY BE WONDERING IS THE 1963 01:26:56,474 --> 01:26:57,775 VASCULAR BED FUNCTIONAL? 1964 01:26:57,775 --> 01:26:59,944 AND IT ACTUALLY IS. 1965 01:26:59,944 --> 01:27:04,815 WE CAN EVALUATE THE 1966 01:27:04,815 --> 01:27:09,620 PROFUSABILITY OF THE VASCULAR 1967 01:27:09,620 --> 01:27:14,292 BED AND FLOW DYE AND EVALUATE 1968 01:27:14,292 --> 01:27:18,696 THIS BY ADDING THE DYE TO THE 1969 01:27:18,696 --> 01:27:20,464 MEDIA CHANNEL AND IF IT'S 1970 01:27:20,464 --> 01:27:26,103 PROFUSABLE YOU'LL SEE WHAT YOU 1971 01:27:26,103 --> 01:27:35,046 SEE HERE WHICH IS THE VASCULAR 1972 01:27:35,046 --> 01:27:35,947 BED LIGHTING UP. 1973 01:27:35,947 --> 01:27:46,457 IT'S FUNCTIONAL IN BOTH CASES. 1974 01:27:47,425 --> 01:27:49,460 YOU CAN REPEAT IT OVER TIME. 1975 01:27:49,460 --> 01:27:51,762 MAYBE YOU WANT IT FLOW SOMETHING 1976 01:27:51,762 --> 01:27:55,066 THROUGH LIKE IMMUNE CELLS AND 1977 01:27:55,066 --> 01:27:56,901 BEFORE YOU FLOW THROUGH SOME 1978 01:27:56,901 --> 01:27:57,702 VERY APPRECIATION IMMUNE CELLS 1979 01:27:57,702 --> 01:27:59,971 YOU HAVE PERHAPS YOU WANT TO 1980 01:27:59,971 --> 01:28:02,440 UNDERSTAND IS THE VASCULAR BED 1981 01:28:02,440 --> 01:28:04,408 PROFUSABLE AND CAN PERFORM THE 1982 01:28:04,408 --> 01:28:05,309 ASSAY AND ONCE YOU'RE CONFIDENT 1983 01:28:05,309 --> 01:28:08,479 YOU HAVE A PROFUSABLE BED YOU 1984 01:28:08,479 --> 01:28:09,146 CAN START ADDING YOUR MORE 1985 01:28:09,146 --> 01:28:19,056 APPRECIATION MATERIAL. 1986 01:28:19,056 --> 01:28:20,558 WE CAN UNDERSTAND THINGS LIKE 1987 01:28:20,558 --> 01:28:22,526 VESSEL AREA AND TOTAL NUMBER OF 1988 01:28:22,526 --> 01:28:23,060 JUNCTIONS. 1989 01:28:23,060 --> 01:28:24,895 IF YOU'RE INTERESTED IN 1990 01:28:24,895 --> 01:28:27,064 UNDERSTANDING HOW COMPOUND WERE 1991 01:28:27,064 --> 01:28:28,299 POTENTIALLY INFLUENCING THAT 1992 01:28:28,299 --> 01:28:38,542 VASCULAR BED. 1993 01:28:39,210 --> 01:28:40,444 WE FLOWED THE DYE THROUGH BUT 1994 01:28:40,444 --> 01:28:44,882 WERE ABLE TO FLOW THROUGH IMMUNE 1995 01:28:44,882 --> 01:28:47,051 CELLS WE USED AND LABELLED WITH 1996 01:28:47,051 --> 01:28:47,718 CELL TRACKER. 1997 01:28:47,718 --> 01:28:48,419 IF YOU CLICK ONE TIME YOU'LL SEE 1998 01:28:48,419 --> 01:28:57,161 A VIDEO ON THE LEFT-HAND SIDE. 1999 01:28:57,161 --> 01:28:59,330 THE IMMUNE CELLS FLOW ACROSS THE 2000 01:28:59,330 --> 01:29:03,034 STOP. 2001 01:29:03,034 --> 01:29:13,177 -- TOP. 2002 01:29:20,685 --> 01:29:25,056 YOU SEE THE IMMUNE CELLS IN ONE 2003 01:29:25,056 --> 01:29:28,392 DIRECTION ON THE TOP AND FLOWING 2004 01:29:28,392 --> 01:29:30,227 THROUGH THE VASCULAR BED AND ON 2005 01:29:30,227 --> 01:29:34,031 THE RIGHT SIDE IS THE TIME LAPSE 2006 01:29:34,031 --> 01:29:37,068 IMAGING COMPLIED TOGETHER IN A 2007 01:29:37,068 --> 01:29:38,869 SINGLE IMAGE. 2008 01:29:38,869 --> 01:29:40,705 EACH COLOR REPRESENTING A 2009 01:29:40,705 --> 01:29:41,338 SPECIFIC TIME WHAT PATH THE 2010 01:29:41,338 --> 01:29:45,810 IMMUNE CELL WAS TAKING. 2011 01:29:45,810 --> 01:29:47,678 FOR EXAMPLE, EARLY ON THOSE ARE 2012 01:29:47,678 --> 01:29:48,846 MORE THE PURPLE BLUE. 2013 01:29:48,846 --> 01:29:50,915 YOU CAN SEE ESPECIALLY ON THE 2014 01:29:50,915 --> 01:29:52,583 LEFT-HAND SIDE OF THE VASCULAR 2015 01:29:52,583 --> 01:29:55,052 BED THERE WERE CELLS THAT TOOK 2016 01:29:55,052 --> 01:29:57,655 THAT PATH AND LATER ON YOUR 2017 01:29:57,655 --> 01:30:00,124 ACTUALLY MORE IN THE YELLOW 2018 01:30:00,124 --> 01:30:01,625 WHITE AND SEE WHERE THE IMMUNE 2019 01:30:01,625 --> 01:30:03,194 CELLS WERE LATER IN THE 2020 01:30:03,194 --> 01:30:13,471 PROFUSION ASSAY. 2021 01:30:19,110 --> 01:30:23,314 I WANT TO DEMONSTRATE THE 2022 01:30:23,314 --> 01:30:26,951 FEASIBILITY OF MODELLING 2023 01:30:26,951 --> 01:30:27,752 PULMONARY DISEASE. 2024 01:30:27,752 --> 01:30:30,020 WE MODELLED PULMONARY FIBROSIS 2025 01:30:30,020 --> 01:30:31,889 AND APPLIED A FIBROTIC COCKTAIL 2026 01:30:31,889 --> 01:30:33,758 TO THE CULTURES AND EVALUATED 2027 01:30:33,758 --> 01:30:37,194 THEIR BED ON THE VASCULAR BED 2028 01:30:37,194 --> 01:30:38,763 PROFUSABILITY AND DOES A COUPLE 2029 01:30:38,763 --> 01:30:41,298 TYPES OF EXPOSURE. 2030 01:30:41,298 --> 01:30:42,466 ON THE LEFT SIDE WE DIDN'T HAVE 2031 01:30:42,466 --> 01:30:52,910 ANYTHING IN THE CULTURES. 2032 01:30:59,717 --> 01:31:02,419 AND ADDED DIRECT "ON TOP OF THE 2033 01:31:02,419 --> 01:31:04,155 EPITHELIUM TO SEE WHAT THE 2034 01:31:04,155 --> 01:31:05,756 DIFFERENCE IS BETWEEN THE TWO 2035 01:31:05,756 --> 01:31:10,694 EXPOSURES ROOTS AND ON THE RIGHT 2036 01:31:10,694 --> 01:31:13,164 SIDE ADDED A FIBROSIS INHIBITOR 2037 01:31:13,164 --> 01:31:16,333 TO SEE IF WE COULD PREVENT THE 2038 01:31:16,333 --> 01:31:16,901 FIBROTIC EFFECT. 2039 01:31:16,901 --> 01:31:21,138 WHAT WE OBSERVED IN BOTH CASES 2040 01:31:21,138 --> 01:31:23,040 IN THE EXPOSURE CONDITIONS WE 2041 01:31:23,040 --> 01:31:26,143 SEE A LOSS OF VASCULAR BED 2042 01:31:26,143 --> 01:31:28,979 PROFUSABILITY THAT WAS PREVENTED 2043 01:31:28,979 --> 01:31:31,148 BY THE PERFUSION OF THE 2044 01:31:31,148 --> 01:31:41,325 INHIBITOR. 2045 01:31:54,605 --> 01:31:59,076 EYE AND THERE'S A TRANSITION 2046 01:31:59,076 --> 01:31:59,677 OCCURRING WHICH IS COMMON IN 2047 01:31:59,677 --> 01:32:08,219 FIBROSIS. 2048 01:32:08,219 --> 01:32:12,256 I THINK IT WRAPS IT UP FOR MY 2049 01:32:12,256 --> 01:32:14,258 UPDATE ON THE MIMETAS CHIP 2050 01:32:14,258 --> 01:32:14,491 MODELS. 2051 01:32:14,491 --> 01:32:15,860 I WANTED TO EMPHASIZE AND LET 2052 01:32:15,860 --> 01:32:18,229 YOU KNOW THAT AT MIMETAS WE HAVE 2053 01:32:18,229 --> 01:32:20,364 LOTS OF DIFFERENT SOLUTIONS FOR 2054 01:32:20,364 --> 01:32:25,870 YOUR RESEARCH FROM DISCOVERY, 2055 01:32:25,870 --> 01:32:27,972 LEED OPTIMIZATION AND SUPPORT. 2056 01:32:27,972 --> 01:32:30,808 WE OFFER THE PLATES AND FOLKS 2057 01:32:30,808 --> 01:32:33,677 CAN BUY THEM THEMSELVES AND 2058 01:32:33,677 --> 01:32:39,016 BRING THEM IN YOUR LABORATORY 2059 01:32:39,016 --> 01:32:39,650 AND FAIRLY STRAIGHTFORWARD AND 2060 01:32:39,650 --> 01:32:42,486 WE CAN WORK WITH YOU AND DO MORE 2061 01:32:42,486 --> 01:32:43,888 WORK ON OUR SIDE AND IF YOU 2062 01:32:43,888 --> 01:32:47,057 PREFER NOT TO BRING IT IN HOUSE 2063 01:32:47,057 --> 01:32:57,134 TO TO THAT. 2064 01:32:57,134 --> 01:32:58,836 I WANT TO THANK OUR COLLEAGUES 2065 01:32:58,836 --> 01:33:03,274 AND THE WORK FUNDED BY THE EU 2066 01:33:03,274 --> 01:33:04,141 GRANT AND THANK YOU FOR YOUR 2067 01:33:04,141 --> 01:33:05,442 ATTENTION AND LOOK FORWARD TO 2068 01:33:05,442 --> 01:33:07,044 THE PANEL DISCUSSION. 2069 01:33:07,044 --> 01:33:13,918 THANK YOU. 2070 01:33:13,918 --> 01:33:15,486 >> THANK YOU, KRISTIN. 2071 01:33:15,486 --> 01:33:16,287 GREAT TALK. 2072 01:33:16,287 --> 01:33:17,955 THE FINAL PRESENTATION WILL BE 2073 01:33:17,955 --> 01:33:19,490 GIVEN BY JOHN ENGLEHARDT FROM 2074 01:33:19,490 --> 01:33:21,759 THE UNIVERSITY OF IOWA. 2075 01:33:21,759 --> 01:33:22,826 JOHN, TAKE IT AWAY. 2076 01:33:22,826 --> 01:33:25,396 >> THANKS, JOHN. 2077 01:33:25,396 --> 01:33:26,563 I'M JOHN ENGLEHARDT CURRENTLY AT 2078 01:33:26,563 --> 01:33:28,565 THE UNIVERSITY OF IOWA. 2079 01:33:28,565 --> 01:33:30,567 WE'LL BE TRANSITIONING THIS 2080 01:33:30,567 --> 01:33:33,337 SUMMER TO THE UNIVERSITY OF 2081 01:33:33,337 --> 01:33:35,072 ALABAMA BIRMINGHAM. 2082 01:33:35,072 --> 01:33:40,311 THESE ARE MY DISCLOSURES. 2083 01:33:40,311 --> 01:33:42,947 ONE RELEVANT TO WHAT IS RELEVANT 2084 01:33:42,947 --> 01:33:43,147 TODAY. 2085 01:33:43,147 --> 01:33:45,916 I'LL TALK ABOUT THE UTILITY OF 2086 01:33:45,916 --> 01:33:49,520 FERRETS TO MODEL LUNG DISEASE. 2087 01:33:49,520 --> 01:33:52,056 AND THE BIOLOGICAL BASE OF THAT 2088 01:33:52,056 --> 01:33:54,258 CELL BIOLOGY IN THE LUNG AND HOW 2089 01:33:54,258 --> 01:33:56,894 THAT IMPACTS THE PROGRESSION OF 2090 01:33:56,894 --> 01:33:58,295 CERTAIN DISEASES AND 2091 01:33:58,295 --> 01:34:07,338 APPLICATIONS TO TEST THERAPIES. 2092 01:34:07,338 --> 01:34:10,341 WHAT YOU'VE WRITTEN HERE ARE 2093 01:34:10,341 --> 01:34:14,979 DISEASE MODELS IN FERRET SOME 2094 01:34:14,979 --> 01:34:15,946 CONSTRUCTED WITH THE NATIONAL 2095 01:34:15,946 --> 01:34:20,484 RESOURCE I DIRECT AND SOME ARE 2096 01:34:20,484 --> 01:34:21,151 ENVIRONMENTAL STIMULUS INJURY 2097 01:34:21,151 --> 01:34:23,721 INCLUDING CYSTIC FIBROSIS, 2098 01:34:23,721 --> 01:34:25,789 ASTHMA AND SMOKING MODELS HAVE 2099 01:34:25,789 --> 01:34:29,994 BEEN VERY SUCCESSFUL AT THE 2100 01:34:29,994 --> 01:34:40,371 UNIVERSITY OF ALABAMA. 2101 01:34:50,848 --> 01:34:55,052 BRONCHITIS AND EMPHA SEE 345 2102 01:34:55,052 --> 01:34:59,056 RARCHBD I'LL DISCUSS THE BIOLOGY 2103 01:34:59,056 --> 01:35:04,628 BETWEEN IPF OR GLIAL MODELS IN 2104 01:35:04,628 --> 01:35:11,402 THE FERRET AND THERAPIES IN THE 2105 01:35:11,402 --> 01:35:11,635 LATTER. 2106 01:35:11,635 --> 01:35:18,409 IT'S IMPORTANT WHEN COMPARING 2107 01:35:18,409 --> 01:35:22,479 DIFFERENCES IN THE TYPES OF CELL 2108 01:35:22,479 --> 01:35:27,051 TYPES THAT SPAN THE AIRWAY, 2109 01:35:27,051 --> 01:35:31,055 THEIR DISTRIBUTION AS WELL AS 2110 01:35:31,055 --> 01:35:33,824 ANATOMICAL SITES. 2111 01:35:33,824 --> 01:35:39,063 MUCOSA GLANDS AND THE IONOCYTES 2112 01:35:39,063 --> 01:35:44,668 THAT ARE ASSOCIATED WITH GLANDS 2113 01:35:44,668 --> 01:35:46,937 EXPAND AND DELAYS NO CARTILAGE 2114 01:35:46,937 --> 01:35:50,607 WIN THE INTERLOPIN AIRWAYS AND 2115 01:35:50,607 --> 01:35:54,211 THE IONOCYTES ARE LOCATED ATHET 2116 01:35:54,211 --> 01:35:56,580 PROXIMAL END TO THE TRACHEA AND 2117 01:35:56,580 --> 01:35:59,450 RELEVANT TO DISEASES LIKE IPF 2118 01:35:59,450 --> 01:36:07,057 AND DISTRIBUTION OF BASAL CELLS 2119 01:36:07,057 --> 01:36:08,158 EXTEND TO THE TERMINAL 2120 01:36:08,158 --> 01:36:09,259 BRONCHIOLES GOING TO THE AIRWAYS 2121 01:36:09,259 --> 01:36:11,161 IN RODENTS. 2122 01:36:11,161 --> 01:36:14,998 AND RODENTS DON'T HAVE 2123 01:36:14,998 --> 01:36:20,504 RESPIRATORY BRONCHIOLES. 2124 01:36:20,504 --> 01:36:27,044 AND SO THESE DIFFERENCES IN CELL 2125 01:36:27,044 --> 01:36:31,048 BIOLOGY AFFECT PROGRESSION OF 2126 01:36:31,048 --> 01:36:35,052 CYSTIC FIBROSIS IN THE TEE 2127 01:36:35,052 --> 01:36:37,621 EFFECTIVE GENE IN THE FTR GENE. 2128 01:36:37,621 --> 01:36:43,026 THE RIGHT TWO PRANLS AND THE 2129 01:36:43,026 --> 01:36:45,129 MUCOSA GLAND AND THE LUMEN OF 2130 01:36:45,129 --> 01:36:47,030 THE AIRWAY AND THE MICE DON'T 2131 01:36:47,030 --> 01:36:52,836 GET LUNG DISEASE. 2132 01:36:52,836 --> 01:36:54,538 THERE'S DIFFERENCES IN THE 2133 01:36:54,538 --> 01:36:59,076 DISTAL CONDUCTING AIRWAYS AND 2134 01:36:59,076 --> 01:37:01,145 RESPIRATORY BRONCHIOLES BETWEEN 2135 01:37:01,145 --> 01:37:04,515 RODENTS AND HUMANS AND FERRETS 2136 01:37:04,515 --> 01:37:05,883 AS WELL AS PIGS. 2137 01:37:05,883 --> 01:37:11,054 THE AREAS CONTAIN BASAL CELLS AS 2138 01:37:11,054 --> 01:37:22,032 WELL AS A CLUB SECRETSECRETATORS 2139 01:37:22,032 --> 01:37:23,667 AND SHOWN TO BE DIFFERENT 2140 01:37:23,667 --> 01:37:28,305 BETWEEN RODENTS AND HUMANS 2141 01:37:28,305 --> 01:37:35,045 INCLUDING AND THE CELL TYPES 2142 01:37:35,045 --> 01:37:38,949 HAVE BEEN SHOWN TO HAVE 2143 01:37:38,949 --> 01:37:49,493 SPECIALIZED PROGENITOR CAPACITY. 2144 01:37:56,166 --> 01:37:58,669 YOU SEE DOUBLE TRANSGENIC MICE 2145 01:37:58,669 --> 01:38:01,838 ON THE LEFT AND THIS CAN BE 2146 01:38:01,838 --> 01:38:05,375 STIMULATED WITH TAMOXIFEN TO 2147 01:38:05,375 --> 01:38:07,711 INDUCE A RECORDER SWITCH 2148 01:38:07,711 --> 01:38:11,048 SWITCHING TO GFP. 2149 01:38:11,048 --> 01:38:17,521 THIS IS THE ALPHA SMA GENE FATE 2150 01:38:17,521 --> 01:38:21,225 MAPPING BLOOD VESSELS, VASCULAR 2151 01:38:21,225 --> 01:38:22,159 SMOOTH MUSCLE AND SMOOTH MUSCLE 2152 01:38:22,159 --> 01:38:28,332 IN THE DISTAL AIRWAY AT THE 2153 01:38:28,332 --> 01:38:32,970 BRONCHIOLE ALVEOLAR JUNCTION AND 2154 01:38:32,970 --> 01:38:35,739 WHERE IN MICE A STEM CELL EXISTS 2155 01:38:35,739 --> 01:38:38,675 THAT REPAIRS THE DISTAL AIRWAY 2156 01:38:38,675 --> 01:38:39,209 FOLLOWING INJURY. 2157 01:38:39,209 --> 01:38:46,116 THE SAME MODEL GENERATED WITHIN 2158 01:38:46,116 --> 01:38:51,221 PER ITS AND THE DISTAL AIRWAY IS 2159 01:38:51,221 --> 01:39:01,398 WHERE THE TERMINAL BRONCHIOLE 2160 01:39:01,398 --> 01:39:04,501 CELL EXISTS AND ONE THE DRIVER 2161 01:39:04,501 --> 01:39:09,573 THE SMOOTH MUSCLE BELOW THE CLUB 2162 01:39:09,573 --> 01:39:11,041 CELLS VERY DIFFERENT PICTURE 2163 01:39:11,041 --> 01:39:13,610 ANATOMICALLY AND THIS IMPACTS 2164 01:39:13,610 --> 01:39:16,280 THE PROGRESSION OF PULMONARY 2165 01:39:16,280 --> 01:39:16,847 FIBROSIS FOLLOWING MICE IN 2166 01:39:16,847 --> 01:39:26,990 INJURY. 2167 01:39:44,041 --> 01:39:46,376 AND LOOKING AT THE RISK IN 2168 01:39:46,376 --> 01:39:49,379 PULMONARY CARTILAGE AND ONE SEES 2169 01:39:49,379 --> 01:39:54,851 THE THREE LARGEST SPECIES, 2170 01:39:54,851 --> 01:40:03,627 FERRET, AND PIG ARE CLOSE TO 2171 01:40:03,627 --> 01:40:05,128 HUMAN LUNG. 2172 01:40:05,128 --> 01:40:06,697 I'LL TALK BRIEFLY ABOUT THE 2173 01:40:06,697 --> 01:40:08,565 INJURY MODEL IN THE FERRET IN 2174 01:40:08,565 --> 01:40:11,968 WHICH WHAT WE'RE LOOKING AT HERE 2175 01:40:11,968 --> 01:40:17,307 IS SINGLE NUC SEQ OF EPITHELIAL 2176 01:40:17,307 --> 01:40:21,211 CELLS AND SHOWING THE CELL TYPES 2177 01:40:21,211 --> 01:40:25,515 ONE CAN SEE FOLLOWING GLIOMYCIN 2178 01:40:25,515 --> 01:40:27,284 INJURY AND THE CHANGES THAT 2179 01:40:27,284 --> 01:40:31,822 OCCUR. 2180 01:40:31,822 --> 01:40:40,464 YOU CAN SEE TWO CELL TYPE AND 2181 01:40:40,464 --> 01:40:44,668 BASALOID LIKE CELL POORLY MODELS 2182 01:40:44,668 --> 01:40:45,268 IN MICE COMPARED TO IPF IN 2183 01:40:45,268 --> 01:40:53,810 HUMAN. 2184 01:40:53,810 --> 01:40:55,078 AND THERE'S A REPAIR IN THE 2185 01:40:55,078 --> 01:40:57,547 DISTAL AIR SPACES. 2186 01:40:57,547 --> 01:41:03,019 THIS PHENOTYPE OF TP63 CARE 7 2187 01:41:03,019 --> 01:41:05,922 POSITIVE MARK BY THE ARROWS DOES 2188 01:41:05,922 --> 01:41:08,058 NOT EXIST IN MOUSE LUNG AND IT'S 2189 01:41:08,058 --> 01:41:10,660 THOUGHT THIS MIGHT CONTRIBUTE TO 2190 01:41:10,660 --> 01:41:15,031 DIFFERENCES IN THE PERSISTENCE 2191 01:41:15,031 --> 01:41:22,439 OF INJURY. 2192 01:41:22,439 --> 01:41:26,276 THIS IS THE RESULT OF FIBROSIS 2193 01:41:26,276 --> 01:41:32,282 AND THE ALVEOLI AND THE PROXIMAL 2194 01:41:32,282 --> 01:41:35,051 AIRWAY WITH THE NOTCH SIGNALLING 2195 01:41:35,051 --> 01:41:37,654 AND HIGHLIGHTING THE BASALOID 2196 01:41:37,654 --> 01:41:39,923 CELLS WITH THE YELLOW ARROWS AND 2197 01:41:39,923 --> 01:41:42,292 SHOWN WHAT THE NORMAL AIRWAY 2198 01:41:42,292 --> 01:41:43,927 LOOKS LIKE ON THE PANEL A. 2199 01:41:43,927 --> 01:41:47,564 THAT'S A PORTION OF THE LUNG 2200 01:41:47,564 --> 01:41:52,803 SECTION AND THE MORE DYSPLASTIC 2201 01:41:52,803 --> 01:41:53,770 PROXIMALIZATION WHERE THE 2202 01:41:53,770 --> 01:41:57,040 AIRWAYS INVADE THE AIR SPACES 2203 01:41:57,040 --> 01:41:58,675 AND EVENTUALLY LEAD TO 2204 01:41:58,675 --> 01:42:09,186 IRREVERSIBLE DAMAGE AND DEATH. 2205 01:42:19,029 --> 01:42:21,465 AND THE BRONCHIAL SMOOTH MUSCLE 2206 01:42:21,465 --> 01:42:26,136 WE BELIEVE CONTRIBUTE TO 2207 01:42:26,136 --> 01:42:30,207 MYOFIBROBLASTS AND THIS IS SHOWN 2208 01:42:30,207 --> 01:42:35,045 IN THE FERRET PRIOR TO BLEOMYCIN 2209 01:42:35,045 --> 01:42:38,648 INJURY AND SEE THE ASMA AND THE 2210 01:42:38,648 --> 01:42:40,917 NEXT AIR I WANT TO TALK ABOUT 2211 01:42:40,917 --> 01:42:43,820 HAS TO TO WITH UTILIZING THE 2212 01:42:43,820 --> 01:42:46,890 FERRET MODEL FOR TESTING GENE 2213 01:42:46,890 --> 01:42:49,426 THERAPIES OR RNA THERAPIES FOR 2214 01:42:49,426 --> 01:42:50,427 CYSTIC FIBROSIS. 2215 01:42:50,427 --> 01:42:55,932 WE HEARD ABOUT THE CFTR CHANNEL 2216 01:42:55,932 --> 01:42:58,201 WHICH TRANSPORTS BY CARBONATE 2217 01:42:58,201 --> 01:42:58,835 AND CHLORIDE IN THE ABSENCE OF 2218 01:42:58,835 --> 01:43:03,006 THE FUNCTION. 2219 01:43:03,006 --> 01:43:05,542 AND THE AIRWAY SURFACE FLUID 2220 01:43:05,542 --> 01:43:12,249 BECOMES DEHIYDRDEHYDRATED THE P 2221 01:43:12,249 --> 01:43:16,319 LOWER AND VISCOSITY IS CLEARED 2222 01:43:16,319 --> 01:43:19,656 AND LEADS TO INFECTION. 2223 01:43:19,656 --> 01:43:23,894 THE CELL TYPES MARK IN THE BOX 2224 01:43:23,894 --> 01:43:26,396 HERE HIGHLIGHT DIVERGENT LEVELS 2225 01:43:26,396 --> 01:43:29,566 OF MRNA EXPRESSION AND PROTEIN 2226 01:43:29,566 --> 01:43:33,036 EXPRESSION WITHIN THE CELLS FROM 2227 01:43:33,036 --> 01:43:38,108 GREATER 15% TO 90% EXPRESS CTFR. 2228 01:43:38,108 --> 01:43:41,244 IT'S UNCLEAR WHETHER OR NOT THE 2229 01:43:41,244 --> 01:43:42,946 CFTR EXPRESSION FROM A GENE 2230 01:43:42,946 --> 01:43:44,614 THERAPY STANDPOINT HAS TO 2231 01:43:44,614 --> 01:43:51,021 RECAPITULATE THE ENDOGENOUS 2232 01:43:51,021 --> 01:43:52,455 EXPRESSION PATTERN TO REVERSE 2233 01:43:52,455 --> 01:43:52,689 DISEASE. 2234 01:43:52,689 --> 01:43:53,323 THAT'S ONE THING I'LL TOUCH ON 2235 01:43:53,323 --> 01:44:03,433 HERE. 2236 01:44:06,970 --> 01:44:12,142 AND WE LOOKED AT THE KNOCKOUT 2237 01:44:12,142 --> 01:44:16,680 511D IN THE ABSENCE OF THE FCFR 2238 01:44:16,680 --> 01:44:19,583 MODULATOR THAT CAN CORRECTLY 2239 01:44:19,583 --> 01:44:22,752 RESTORE GAITING OF THE MUTANT 2240 01:44:22,752 --> 01:44:28,658 CHANNEL -- GATING OF THE MUTANT 2241 01:44:28,658 --> 01:44:29,726 CHANNEL IS MORE USEFUL BECAUSE 2242 01:44:29,726 --> 01:44:35,632 WE CAN TURN IT ON AND OFF AND 2243 01:44:35,632 --> 01:44:39,636 HAVE IT RELEVANT TO GENE THERAPY 2244 01:44:39,636 --> 01:44:43,506 INCLUDING CAN IT REVERSE DISEASE 2245 01:44:43,506 --> 01:44:45,342 OR PROGRESS THE ONSET OF 2246 01:44:45,342 --> 01:44:48,878 DISEASE. 2247 01:44:48,878 --> 01:44:51,348 NOW, THIS IS THE TYPICAL WORK 2248 01:44:51,348 --> 01:44:53,917 FLOW WHEN MY GROUP INTERACTS 2249 01:44:53,917 --> 01:44:55,752 WITH OTHERS FROM THE OTHER SIDE 2250 01:44:55,752 --> 01:44:57,387 TO EVALUATE FERRETS. 2251 01:44:57,387 --> 01:45:02,892 SOME OF THE FIRST MOST IMPORTANT 2252 01:45:02,892 --> 01:45:05,261 QUESTIONS AND IF ONE'S 2253 01:45:05,261 --> 01:45:07,030 CONSIDERING A VIRUS WHETHER OR 2254 01:45:07,030 --> 01:45:11,701 NOT THEIR TROPISM DIFFERENCES 2255 01:45:11,701 --> 01:45:13,370 BETWEEN HUMAN AND FERRET AND 2256 01:45:13,370 --> 01:45:16,473 LESS CONCERN FOR LNPs. 2257 01:45:16,473 --> 01:45:18,508 WE THEN TYPICALLY MOVE TO 2258 01:45:18,508 --> 01:45:23,046 REPORTER AND INTERFACE AND 2259 01:45:23,046 --> 01:45:25,415 CULTURES THAT -- WHERE YOU CAN 2260 01:45:25,415 --> 01:45:27,083 EXPRESS CREE AND DRIVE THE 2261 01:45:27,083 --> 01:45:30,286 REPORTER EXPRESSION LIKE I 2262 01:45:30,286 --> 01:45:33,056 SHOWED IN VIVO TO GFP AS A 2263 01:45:33,056 --> 01:45:33,356 SENSOR. 2264 01:45:33,356 --> 01:45:36,092 AND THE NEXT LEVEL WOULD BE 2265 01:45:36,092 --> 01:45:38,561 FUNCTIONAL CORRECTION USING A 2266 01:45:38,561 --> 01:45:40,797 CFTR WITHIN THE VIRAL VECTOR OR 2267 01:45:40,797 --> 01:45:44,634 MRNA AND LOOK FOR 2268 01:45:44,634 --> 01:45:45,368 ELECTROPHYSIOLOGIC COLLECTION IN 2269 01:45:45,368 --> 01:45:50,774 AIR INTERFACE CULTURES. 2270 01:45:50,774 --> 01:45:53,810 THEN MOVING IN VIVO, I PREFER TO 2271 01:45:53,810 --> 01:45:58,448 USE THE UNEQUIVOCAL DETECTION 2272 01:45:58,448 --> 01:46:00,550 USING THE CREE REPORTER AND ASK 2273 01:46:00,550 --> 01:46:03,620 QUESTIONS WHAT CELL TYPES ARE 2274 01:46:03,620 --> 01:46:04,220 TARGETED. 2275 01:46:04,220 --> 01:46:07,023 WHAT CELL TYPES USING PHENOTYPIC 2276 01:46:07,023 --> 01:46:09,726 MARKERS. 2277 01:46:09,726 --> 01:46:11,995 AND THEN THE MORE DIFFICULT 2278 01:46:11,995 --> 01:46:15,031 QUESTION THEN MOVE IN VIVO INTO 2279 01:46:15,031 --> 01:46:17,233 THE DISEASE CYSTIC FIBROSIS 2280 01:46:17,233 --> 01:46:25,475 USING HUMAN CFTR AND THERE'S 2281 01:46:25,475 --> 01:46:27,777 SHORTER TERM AND ASK FOR DISEASE 2282 01:46:27,777 --> 01:46:33,349 REVERSAL AND A CF FERRET WITH 2283 01:46:33,349 --> 01:46:36,553 ROSEA TG WITH CREE ASKING THE 2284 01:46:36,553 --> 01:46:37,987 VIRAL VECTOR OR mRNA CAN 2285 01:46:37,987 --> 01:46:47,030 PENETRATE THE MUE CAS BARRIER. 2286 01:46:47,030 --> 01:46:49,365 I'LL DISCUSS TESTS WITH THE 2287 01:46:49,365 --> 01:46:53,970 LIPID NANO PARTICLE. 2288 01:46:53,970 --> 01:46:56,539 SOME OF THE FIRST STUDIES WE DID 2289 01:46:56,539 --> 01:46:57,941 WERE IN AIR INTERFACE CULTURES 2290 01:46:57,941 --> 01:47:01,277 AND SEE IN THE UPPER RIGHT HAND 2291 01:47:01,277 --> 01:47:07,050 CHANNEL THE SWITCH OF CELLS TO 2292 01:47:07,050 --> 01:47:09,152 CFTR POSITIVE AND THE ONES 2293 01:47:09,152 --> 01:47:11,254 TARGETED IN THE BOTTOM PANEL. 2294 01:47:11,254 --> 01:47:14,524 YOU CAN SEE THIS IS MEASUREMENTS 2295 01:47:14,524 --> 01:47:20,530 WHERE THE BLUE WERE LOOKING AT A 2296 01:47:20,530 --> 01:47:25,301 COMPARISON BETWEEN A RELEVANT 2297 01:47:25,301 --> 01:47:28,037 RNA AND COMPARED TO WILD TYPE 2298 01:47:28,037 --> 01:47:28,371 UNTRANSFECTED. 2299 01:47:28,371 --> 01:47:31,040 YOU CAN SEE WITH THE HUMAN CFTR 2300 01:47:31,040 --> 01:47:34,010 WHAT LOOKS AT THE BLUE ARROWS 2301 01:47:34,010 --> 01:47:37,914 THE ACTIVATION OF CFTR IS ABOUT 2302 01:47:37,914 --> 01:47:41,785 50% AND INHIBITION WITH THE CFTR 2303 01:47:41,785 --> 01:47:43,586 INHIBITOR THAT ACTS ON FERRET 2304 01:47:43,586 --> 01:47:47,023 AND YOU CAN SEE THE LIPID NANO 2305 01:47:47,023 --> 01:47:48,525 PARTICLE CORRECTS SHORT CIRCUIT 2306 01:47:48,525 --> 01:47:51,027 CURRENT FROM 50% TO 75% 2307 01:47:51,027 --> 01:47:55,031 APPROXIMATELY. 2308 01:47:55,031 --> 01:47:59,068 NEXT WE MOVED IN VIVO WITHIN 2309 01:47:59,068 --> 01:48:03,039 FERRET, TRANSGENIC FERRET AND 2310 01:48:03,039 --> 01:48:06,910 DEMONSTRATED THE TRANSFECTING 2311 01:48:06,910 --> 01:48:07,110 CREE. 2312 01:48:07,110 --> 01:48:08,244 WE SEE THE HIGH LEVEL 2313 01:48:08,244 --> 01:48:10,647 TRANSFECTION OF THE TRACHEA 2314 01:48:10,647 --> 01:48:12,882 CONVERSION TO EGFP AND THE 2315 01:48:12,882 --> 01:48:19,322 INTERLOPER AIRWAYS ON THE RIGHT. 2316 01:48:19,322 --> 01:48:26,095 AND -- INTERACHAL AIRWAYS AND 2317 01:48:26,095 --> 01:48:34,470 SEE THE INTRALOBAR AIRWAY. 2318 01:48:34,470 --> 01:48:38,041 AND CAN TEST FOR TRANSFECTION OF 2319 01:48:38,041 --> 01:48:40,109 CELLS AND GUIDE THE PHENOTYPING. 2320 01:48:40,109 --> 01:48:42,178 WE'RE LOOKING AT A FERRET AND 2321 01:48:42,178 --> 01:48:51,020 THE AIRWAY IN THE TRACHEA ON THE 2322 01:48:51,020 --> 01:48:53,556 TOP. 2323 01:48:53,556 --> 01:48:58,194 AND LOCALIZATION OF CFTC. 2324 01:48:58,194 --> 01:49:01,030 AND LOCALIZATION OF CFTR IS 2325 01:49:01,030 --> 01:49:06,836 SHOWN ON THE RIGHT WITH A LUNAR 2326 01:49:06,836 --> 01:49:07,070 VEHICLE. 2327 01:49:07,070 --> 01:49:12,041 THE YELLOW AIRS HAVE HIGH 2328 01:49:12,041 --> 01:49:13,509 TRANSFECTION AND SEE THE 2329 01:49:13,509 --> 01:49:14,844 POTENTIAL SECRETORY CELL IN THE 2330 01:49:14,844 --> 01:49:16,980 CENTER AND ONCE THE INCREASED 2331 01:49:16,980 --> 01:49:21,284 ABUNDANCE OF CFTC AT THE 2332 01:49:21,284 --> 01:49:25,588 MEMBRANE AS CO-LOCALIZED WITH 2333 01:49:25,588 --> 01:49:32,295 THE CELLS. 2334 01:49:32,295 --> 01:49:35,031 SO, WHAT CELL TYPES ARE 2335 01:49:35,031 --> 01:49:35,331 TRANSFECTED? 2336 01:49:35,331 --> 01:49:38,835 SO IN THESE PANELS WE'RE SHOWING 2337 01:49:38,835 --> 01:49:42,572 TRANSFECTION WITH TOMATO MRNA 2338 01:49:42,572 --> 01:49:46,009 AND LOCALIZATION WITH THE TOP 2339 01:49:46,009 --> 01:49:47,043 PANELS. 2340 01:49:47,043 --> 01:49:51,681 ONE CAN SEE AND FOX J1 WHICH 2341 01:49:51,681 --> 01:49:54,784 LABELS THE NUCLEUS OF CILIATED 2342 01:49:54,784 --> 01:49:56,653 CELLS ARE HIGH TRANSFECTED. 2343 01:49:56,653 --> 01:49:59,088 ON THE BOTTOM PANEL YOU CAN SEE 2344 01:49:59,088 --> 01:50:03,026 WITH THE YELLOW TWO ARROWS 2345 01:50:03,026 --> 01:50:05,728 EXPRESSION OF TOMATO WITHIN 2346 01:50:05,728 --> 01:50:08,064 SECRETORY CELLS EXPRESSING THE 2347 01:50:08,064 --> 01:50:13,136 TOMATO AND MODIFIED AC. 2348 01:50:13,136 --> 01:50:16,572 THESE ARE OTHER EXAMPLES. 2349 01:50:16,572 --> 01:50:18,374 BASAL CELLS IN VIVO VERY FEW 2350 01:50:18,374 --> 01:50:19,876 BASAL CELLS WERE TRANS VECTED 2351 01:50:19,876 --> 01:50:24,781 MARK BY P63 ON THE LEFT. 2352 01:50:24,781 --> 01:50:34,257 ON THE RIGHT ARE THESE PULL MON 2353 01:50:34,257 --> 01:50:34,524 IONOCYTES. 2354 01:50:34,524 --> 01:50:39,362 AND IF ONE HONES ON SECRETORY 2355 01:50:39,362 --> 01:50:42,966 CELL MARK BY THE RED AND YELLOW 2356 01:50:42,966 --> 01:50:44,133 MARK IN A TRANSFECTED SECRETORY 2357 01:50:44,133 --> 01:50:54,243 CELL. 2358 01:50:58,247 --> 01:51:03,720 AND THIS IS CELL TYPE 2359 01:51:03,720 --> 01:51:04,020 SPECIFICITY. 2360 01:51:04,020 --> 01:51:08,324 CAN THE mRNA CLEAR THE DEFECT? 2361 01:51:08,324 --> 01:51:10,159 THE FIRST THING WE NEEDED TO DO 2362 01:51:10,159 --> 01:51:13,296 WAS TO DEVELOP AN ASSAY THAT WE 2363 01:51:13,296 --> 01:51:15,431 FELT WAS ROBUST AND CAPABLE OF 2364 01:51:15,431 --> 01:51:19,035 DETECTING CFTR IMPACT ON 2365 01:51:19,035 --> 01:51:21,671 CLEARANCE. 2366 01:51:21,671 --> 01:51:29,712 WE USED PET CT AND AND WE SEE A 2367 01:51:29,712 --> 01:51:31,047 DEPOSITION MOVING UP THE TRACHEA 2368 01:51:31,047 --> 01:51:36,819 AND ONE UP AND OFF AND ONE CAN 2369 01:51:36,819 --> 01:51:38,988 QUANTIFY THIS USING THE RAMENT 2370 01:51:38,988 --> 01:51:39,622 OF PERCENT THAT'S CHEERED AND 2371 01:51:39,622 --> 01:51:41,758 WHAT ONE SEES ON THE BLUE LINE 2372 01:51:41,758 --> 01:51:45,962 ARE BASELINE STUDY AND THEN 2373 01:51:45,962 --> 01:51:48,998 PROGRESSIVELY WITH TIME OFF THE 2374 01:51:48,998 --> 01:51:55,038 AIR 770 THE DE DECLINE WITHIN 2375 01:51:55,038 --> 01:51:57,006 THE MUCOUS CLEARANCE AND THE 2376 01:51:57,006 --> 01:51:58,808 GREEN LINE BOUNCES BACK UP TO 2377 01:51:58,808 --> 01:52:00,009 WHAT IT WAS. 2378 01:52:00,009 --> 01:52:03,846 WE FELT CONFIDENT THAT THIS WAS 2379 01:52:03,846 --> 01:52:06,382 INDEXING CFTR ACTIVITY AND THIS 2380 01:52:06,382 --> 01:52:08,284 IS QUANTIFIED AS THE CLEARANCE 2381 01:52:08,284 --> 01:52:08,818 RATE WITHIN THE FIRST SIX 2382 01:52:08,818 --> 01:52:17,527 MINUTES. 2383 01:52:17,527 --> 01:52:19,362 THE QUESTION WAS DOES THE LIEU 2384 01:52:19,362 --> 01:52:23,232 FLOOR CFTR CORRECT THE MCC 2385 01:52:23,232 --> 01:52:30,540 DEFECT SO THE STUDY WAS TO FIRST 2386 01:52:30,540 --> 01:52:32,608 SCAN BASELINE MCC WITH CF 2387 01:52:32,608 --> 01:52:36,579 FERRETS OFF THE MODULATOR AND 2388 01:52:36,579 --> 01:52:38,314 THEN WHEN THEY REACHED A 2389 01:52:38,314 --> 01:52:42,118 BASELINE OF 20 TO 40 TO TREAT 2390 01:52:42,118 --> 01:52:45,855 WITH THE HUMAN CFTC. 2391 01:52:45,855 --> 01:52:46,656 AND CLEARANCE AFTER THAT. 2392 01:52:46,656 --> 01:52:49,892 WHAT WE'RE LOOKING AT THE HERE 2393 01:52:49,892 --> 01:52:53,963 ARE BASELINE SCANS IN EIGHT 2394 01:52:53,963 --> 01:52:57,366 ANIMALS FOLLOWED BY THE HUMAN 2395 01:52:57,366 --> 01:52:58,134 LMP DELIVERY. 2396 01:52:58,134 --> 01:53:00,369 SEE SIGNIFICANT IMPROVEMENT AND 2397 01:53:00,369 --> 01:53:03,039 CLEARANCE BOTH ON THE QUANTIFIED 2398 01:53:03,039 --> 01:53:06,509 ON THE LEFT. 2399 01:53:06,509 --> 01:53:10,646 AND ONE COMPARES THAT TO THE 2400 01:53:10,646 --> 01:53:16,719 LUNAR TOMATO mRmRNA THERE WAS N 2401 01:53:16,719 --> 01:53:19,889 SIGNIFICANT DELTA AND 2402 01:53:19,889 --> 01:53:25,795 QUANTITIFQUANTI 2403 01:53:25,795 --> 01:53:27,130 QUANTITIFQUANTI 2404 01:53:27,130 --> 01:53:28,464 QUANTITIFQUANTI 2405 01:53:28,464 --> 01:53:29,098 QUANTITIFYING -- QUANTIFYING 2406 01:53:29,098 --> 01:53:32,101 THE DIFFERENCE IN TOMATO AND 2407 01:53:32,101 --> 01:53:34,670 HERE EVALUATED BY NOVA AND HERE 2408 01:53:34,670 --> 01:53:39,041 THE PAIRED ANALYSIS FOR THE TWO 2409 01:53:39,041 --> 01:53:39,375 GROUPS. 2410 01:53:39,375 --> 01:53:43,045 SO THE LAST QUESTION BEFORE I 2411 01:53:43,045 --> 01:53:47,016 SUM UP IS CAN THE LNP PENETRATE 2412 01:53:47,016 --> 01:53:48,651 THE MUCOUS BARRIER. 2413 01:53:48,651 --> 01:53:50,953 THIS IS AN EXAMPLE OF A CF 2414 01:53:50,953 --> 01:53:53,589 FERRET TAKEN OFF THE MODULATOR 2415 01:53:53,589 --> 01:53:54,357 FOR FIVE MONTHS. 2416 01:53:54,357 --> 01:53:59,162 YOU CAN SEE ON THE RIGHT THIS 2417 01:53:59,162 --> 01:54:00,596 MUCOUS BEARING DOWN ON THE 2418 01:54:00,596 --> 01:54:03,032 SURFACE OF THE INTERLOPER 2419 01:54:03,032 --> 01:54:07,103 CONDUCTING AIRWAY AND THIS IS 2420 01:54:07,103 --> 01:54:10,239 FOLLOWING LUNAR CREE DELIVERY 2421 01:54:10,239 --> 01:54:12,108 SWITCHING ON THE CFG REPORTER. 2422 01:54:12,108 --> 01:54:15,044 AND YOU CAN SEE AT LEAST IN THIS 2423 01:54:15,044 --> 01:54:17,580 EXAMPLE RIGHT HERE THERE'S 2424 01:54:17,580 --> 01:54:20,249 PENETRATION TO THE LIPID TO 2425 01:54:20,249 --> 01:54:21,384 TRANSFECT THE SURFACE AIRWAY 2426 01:54:21,384 --> 01:54:27,390 EPITHELIUM. 2427 01:54:27,390 --> 01:54:29,225 TO SUMMARIZE, CF FERRETS AND 2428 01:54:29,225 --> 01:54:32,395 OTHER FERRET MODELS CAN AID IN 2429 01:54:32,395 --> 01:54:35,031 THE EVALUATION OF LUNG DISEASE 2430 01:54:35,031 --> 01:54:36,566 PATHOPHYSIOLOGY AND THERAPIES. 2431 01:54:36,566 --> 01:54:39,402 THERE'S SPECIFIC ASPECTS OF THE 2432 01:54:39,402 --> 01:54:42,004 FERRET LUNG AND CELL BIOLOGY AND 2433 01:54:42,004 --> 01:54:47,310 ANATOMY THAT MAKE IT A GOOD 2434 01:54:47,310 --> 01:54:52,648 MODEL FOR LUNG DISEASES AND IT 2435 01:54:52,648 --> 01:54:54,784 DELIVERS mRNA AND EFFECTIVE 2436 01:54:54,784 --> 01:54:56,586 CLEARANCE DEFECT WITHIN CF 2437 01:54:56,586 --> 01:54:58,487 FERRETS AND THE IMPROVED MCC 2438 01:54:58,487 --> 01:55:03,025 WITH THE HIGHEST TRANSFECTION OF 2439 01:55:03,025 --> 01:55:04,860 CILIATED CELLS LOWERS IONOCYTES 2440 01:55:04,860 --> 01:55:09,398 AND IT'S IMPORTANT BECAUSE THE 2441 01:55:09,398 --> 01:55:13,002 PATTERN OF TRANSFECTION IS NOT 2442 01:55:13,002 --> 01:55:18,074 IDENTICAL TO THE ENDOGENOUS 2443 01:55:18,074 --> 01:55:20,142 EXPRESSION AND INDICATES OTHER 2444 01:55:20,142 --> 01:55:22,778 CELL TYPES MAY BE ABLE TO PICK 2445 01:55:22,778 --> 01:55:29,385 UP THE SLACK AND RECONSTITUTE 2446 01:55:29,385 --> 01:55:30,920 AIRWAY CLEARANCE. 2447 01:55:30,920 --> 01:55:33,389 AND THEN I'LL SAY LASTLY THE 2448 01:55:33,389 --> 01:55:39,028 STUDIES HELPED TO MOVE LUNAR 2449 01:55:39,028 --> 01:55:40,863 THROUGH CLINICAL TRIALS AND 2450 01:55:40,863 --> 01:55:42,331 WE'RE CURRENTLY UNDERGOING 2451 01:55:42,331 --> 01:55:46,335 TRIALS ONE THE LNP. 2452 01:55:46,335 --> 01:55:49,071 I'D LIKE TO THANK THOSE IN MY 2453 01:55:49,071 --> 01:55:51,040 LABORATORY AND THE TREMENDOUS 2454 01:55:51,040 --> 01:55:53,476 NUMBER OF COLLABORATORS WORKING 2455 01:55:53,476 --> 01:55:55,444 WITH THE LARGER ANIMAL MODEL IS 2456 01:55:55,444 --> 01:55:55,978 DEFINITELY A TEAM SCIENCE. 2457 01:55:55,978 --> 01:56:04,287 SO THANK YOU. 2458 01:56:04,287 --> 01:56:05,521 >> THANK YOU. 2459 01:56:05,521 --> 01:56:06,589 I ALSO WANT TO TAKE THE 2460 01:56:06,589 --> 01:56:08,658 OPPORTUNITY TO THANK OUR 2461 01:56:08,658 --> 01:56:10,326 SPEAKERS FROM SESSION 1 SHOWING 2462 01:56:10,326 --> 01:56:14,230 THE FOREGROUND FROM MODEL AND 2463 01:56:14,230 --> 01:56:15,865 TOOL DEVELOPMENT. 2464 01:56:15,865 --> 01:56:17,767 AS PART OF OUR TRANSITION TO 2465 01:56:17,767 --> 01:56:20,903 PANEL DISCUSSION HERE I WANT SO 2466 01:56:20,903 --> 01:56:23,039 SHOW OUR EXPERIENCE IN THE SPACE 2467 01:56:23,039 --> 01:56:25,341 AND WHICH I THINK WE'LL FIND 2468 01:56:25,341 --> 01:56:27,043 SYNERGIES WITH THE PRESENTATION 2469 01:56:27,043 --> 01:56:37,420 WE HEARD IN SESSION 1. 2470 01:56:39,088 --> 01:56:45,394 WE'VE ENGINEERED LUNG TISSUE 2471 01:56:45,394 --> 01:56:52,335 MODELS FOR TESTING. 2472 01:56:52,335 --> 01:56:54,370 A TOPIC WE'VE INVESTIGATED IS IN 2473 01:56:54,370 --> 01:56:55,571 THE INTERACTION. 2474 01:56:55,571 --> 01:56:57,340 THE LUNG IS ONE OF THE LARGEST 2475 01:56:57,340 --> 01:56:58,274 INTERFACE BETWEEN TOUR BODY AND 2476 01:56:58,274 --> 01:57:03,946 THE OUTSIDE ENVIRONMENT. 2477 01:57:03,946 --> 01:57:09,352 SO WE HAVE POLLUTANTS AND VIRUS 2478 01:57:09,352 --> 01:57:12,922 AND IT'S BECOMING A ROBUST FOR 2479 01:57:12,922 --> 01:57:15,024 STUDYING DISEASE MECHANISM AND 2480 01:57:15,024 --> 01:57:19,562 FOR TESTING THERAPEUTICS. 2481 01:57:19,562 --> 01:57:21,397 HOWEVER, AND THERE'S BEEN ONE 2482 01:57:21,397 --> 01:57:26,702 MAJOR LIMITATION IS MOST MODEL 2483 01:57:26,702 --> 01:57:30,306 HAVE ETHICAL INCONFIRMATION AND 2484 01:57:30,306 --> 01:57:39,014 WE PUT STEM CELLS INTO A SETTING 2485 01:57:39,014 --> 01:57:41,450 A 2486 01:57:41,450 --> 01:57:45,254 AND THEY'LL CAUSE A SURFACE WITH 2487 01:57:45,254 --> 01:57:46,956 CILIA CLEARANCE TO HAPPEN IN 2488 01:57:46,956 --> 01:57:47,957 CLOSE INTERFACE WHICH BECOMES 2489 01:57:47,957 --> 01:57:49,258 DIFFICULT TO ACCESS WHEN IT 2490 01:57:49,258 --> 01:57:51,794 COMES TO INTRODUCING THE 2491 01:57:51,794 --> 01:57:53,529 ENVIRONMENTAL THREATS LIKE 2492 01:57:53,529 --> 01:57:55,297 POLLUTION OR VIRUS OR BACTERIA. 2493 01:57:55,297 --> 01:57:56,532 IN THE PAST FEW YEARS US AND 2494 01:57:56,532 --> 01:57:59,068 OTHER GROUPS HAVE BEEN COMING UP 2495 01:57:59,068 --> 01:58:04,240 WITH STRATEGY TO REDUCE THE 2496 01:58:04,240 --> 01:58:06,008 POLARITY AND MOST USE A STRATEGY 2497 01:58:06,008 --> 01:58:07,676 DRAWING SUPPORT FROM THE CULTURE 2498 01:58:07,676 --> 01:58:10,980 AT THE BEGINNING OR END OF THE 2499 01:58:10,980 --> 01:58:11,914 DIFFERENTIATION WHICH SERVES AS 2500 01:58:11,914 --> 01:58:15,985 AN EFFECTIVE STRATEGY TO REVERSE 2501 01:58:15,985 --> 01:58:17,653 POLARITY AND SIMILAR TO WHAT WE 2502 01:58:17,653 --> 01:58:28,063 SEE IN THE NATIVE LUNG. 2503 01:58:31,100 --> 01:58:39,041 AND THE SURFACE I COAT WITH 2504 01:58:39,041 --> 01:58:44,280 CILIA AND PADDLING IN A 2505 01:58:44,280 --> 01:58:47,016 SYNCHRONIZED MATTER CAN BRAVE 2506 01:58:47,016 --> 01:58:49,285 THE MOTILITY OF WHAT WE ENGINEER 2507 01:58:49,285 --> 01:58:51,387 AND WE CAN TRACK THE MOTILITY OF 2508 01:58:51,387 --> 01:58:57,393 THE ORGANOID AND CORRELATE THIS 2509 01:58:57,393 --> 01:59:01,430 WITH CILIA MOTILITY AND GET 2510 01:59:01,430 --> 01:59:11,974 CELLS FROM HEALTHY OR PCD CELLS 2511 01:59:15,211 --> 01:59:16,946 AND CAN SERVE AS A SCREENING 2512 01:59:16,946 --> 01:59:26,322 PLATFORM. 2513 01:59:26,322 --> 01:59:34,497 WE'RE MAKING MODELS MORE AUTO 2514 01:59:34,497 --> 01:59:44,340 MATED AND YOU HAVE THIS ORGANOID 2515 01:59:44,340 --> 01:59:49,011 AND DRAW THE SPIRAL ON THE 2516 01:59:49,011 --> 01:59:51,013 SURFACE UNTIL I BUMPS INTO A 2517 01:59:51,013 --> 01:59:54,950 WALL OR ORGANOID AND DEVELOPED A 2518 01:59:54,950 --> 01:59:56,452 SWARM ANALYSIS LIKE WATCHING A 2519 01:59:56,452 --> 01:59:59,054 GROUP OF INSECTS MOVING AROUND 2520 01:59:59,054 --> 02:00:01,524 AND NOW WATCH ORGANOID MOVING 2521 02:00:01,524 --> 02:00:04,627 AROUND POWERED BY CILIA AND TELL 2522 02:00:04,627 --> 02:00:06,896 THE DIFFERENCE BETWEEN THEY WILL 2523 02:00:06,896 --> 02:00:09,164 THE INDIVIDUAL VERSUS THE 2524 02:00:09,164 --> 02:00:10,132 ORGANOID BEING TRIGGERED WITH 2525 02:00:10,132 --> 02:00:20,376 AIR POLLUTION. 2526 02:00:21,477 --> 02:00:23,746 HE WE CAN COME UP WITH ASSAYS 2527 02:00:23,746 --> 02:00:31,020 AND ALTER THE PIPELINE COMBINED 2528 02:00:31,020 --> 02:00:37,893 WITH AUTO MATED IMAGING AND WE 2529 02:00:37,893 --> 02:00:39,995 HAVE FUNCTION WITH WHOLE TISSUE 2530 02:00:39,995 --> 02:00:40,296 THROUGHPUT. 2531 02:00:40,296 --> 02:00:44,767 FOR THE ORGANOIDS TO SPIN AND 2532 02:00:44,767 --> 02:00:47,069 ROTATE IT HAS TO WORK IN A 2533 02:00:47,069 --> 02:00:48,270 COORDINATING MANNER AND HAVE 2534 02:00:48,270 --> 02:00:52,174 POLARITY WHICH ALLOWS US TO 2535 02:00:52,174 --> 02:00:53,142 INTRODUCE POLLUTANT BACTERIA 2536 02:00:53,142 --> 02:00:54,710 VIRUS FOR THERAPEUTICS WE INTEND 2537 02:00:54,710 --> 02:01:01,850 TO DELIVER INTO THE AIR SPACE. 2538 02:01:01,850 --> 02:01:07,022 WE HAVE TO BEAR IN MIND IT'S 2539 02:01:07,022 --> 02:01:11,026 STILL RECAPITULATING WHAT IT 2540 02:01:11,026 --> 02:01:15,030 LOOKS LIKE AND LOOK AT THE 2541 02:01:15,030 --> 02:01:15,397 POLARITY. 2542 02:01:15,397 --> 02:01:19,134 WE SHOULD CONSIDER INTRODUCING 2543 02:01:19,134 --> 02:01:22,705 THE BASAL STROMAL ENVIRONMENT 2544 02:01:22,705 --> 02:01:24,873 AND THE MEMBRANE BETWEEN 2545 02:01:24,873 --> 02:01:29,945 EPITHELIAL AND STROMAL CELLS. 2546 02:01:29,945 --> 02:01:32,748 THIS IS ECHOING THE PLATFORM WE 2547 02:01:32,748 --> 02:01:35,084 THINK IT'S ESSENTIAL TO 2548 02:01:35,084 --> 02:01:37,219 RECAPITULATE THE GEOMETRY OF THE 2549 02:01:37,219 --> 02:01:39,922 LUNG TISSUE AND IT'S CONSTANTLY 2550 02:01:39,922 --> 02:01:44,259 BRANCHING TUBULES LEADING TO 2551 02:01:44,259 --> 02:01:44,927 GENERATIONAL BRANCHES. 2552 02:01:44,927 --> 02:01:49,932 PUTTING MORE INSIGHT INTO HOW 2553 02:01:49,932 --> 02:01:51,333 THE PATHOLOGY SPECIFY AROUND 2554 02:01:51,333 --> 02:01:55,137 DIFFERENT PARTS OF THE 2555 02:01:55,137 --> 02:02:03,045 RESPIRATORY TRACT. 2556 02:02:03,045 --> 02:02:07,049 WITH THIS IN MIND AND WHERE WE 2557 02:02:07,049 --> 02:02:11,020 PUT STEM CELLS INSTEAD OF THE 2558 02:02:11,020 --> 02:02:13,155 INDIVIDUAL CELLS AND RATHER 2559 02:02:13,155 --> 02:02:16,659 EMBED THEM IN THE HYDROGEL IN A 2560 02:02:16,659 --> 02:02:19,395 SPATIALLY CONSTRAINED MANNER. 2561 02:02:19,395 --> 02:02:21,397 WE CAN EXTRUDE THE CELL INTO 2562 02:02:21,397 --> 02:02:26,468 ALIGN AND OVER TIME THE CELL CAN 2563 02:02:26,468 --> 02:02:27,069 SENSE THE PRESENCE OF 2564 02:02:27,069 --> 02:02:30,439 SURROUNDING CELLS AND FORM THE 2565 02:02:30,439 --> 02:02:31,040 TUBULE. 2566 02:02:31,040 --> 02:02:34,343 IF YOU MAKE THIS FROM AIRWAY 2567 02:02:34,343 --> 02:02:36,278 STEM CELLS WE CAN GET ROBUST 2568 02:02:36,278 --> 02:02:37,379 CLEARANCE WITH TYPICAL CELLS YOU 2569 02:02:37,379 --> 02:02:43,185 WOULD FIND IN THE AIRWAY. 2570 02:02:43,185 --> 02:02:50,893 AND WE CAN APPLY SIMILAR 2571 02:02:50,893 --> 02:02:53,162 STRATEGIES AROUND USE THE CELL 2572 02:02:53,162 --> 02:02:56,699 LINE WHICH YOU CAN SEE AND AGAIN 2573 02:02:56,699 --> 02:02:59,034 OVER ABOUT A MONTH OF CULTURE WE 2574 02:02:59,034 --> 02:03:01,737 CAN GENERATE FROM THE TUBULE OF 2575 02:03:01,737 --> 02:03:05,607 THE TYPE 2 CELLS WITH THE 2576 02:03:05,607 --> 02:03:07,543 INTERCONNECTED LUMEN. 2577 02:03:07,543 --> 02:03:09,845 OF CURSE I WANT TO THANK ALL THE 2578 02:03:09,845 --> 02:03:11,547 FOLKS IN THE LAB WHO MADE THE 2579 02:03:11,547 --> 02:03:14,750 WORK POSSIBLE AND ALSO OUR 2580 02:03:14,750 --> 02:03:15,317 AMAZING COLLABORATORS AND 2581 02:03:15,317 --> 02:03:23,025 FUNDING AGENCIES. 2582 02:03:23,025 --> 02:03:25,260 WITH THAT I'D LIKE TO TRANSITION 2583 02:03:25,260 --> 02:03:26,729 TO OUR PANEL DISCUSSION. 2584 02:03:26,729 --> 02:03:29,231 WE HEARD OF DIFFERENT MODELS FOR 2585 02:03:29,231 --> 02:03:34,269 MIMICKING THE LUNG TISSUE IN 2586 02:03:34,269 --> 02:03:44,813 HEALTH AND DISEASE AND CHIP AND 2587 02:03:46,949 --> 02:03:48,250 ORGANOID MODELS AND THEY'VE BEEN 2588 02:03:48,250 --> 02:03:51,386 USED TO TACKLE DIFFERENT LUNG 2589 02:03:51,386 --> 02:03:56,792 DISEASES FROM CYSTIC FIBROSIS 2590 02:03:56,792 --> 02:04:03,065 AND LUNG DISEASE TO PULMONARY 2591 02:04:03,065 --> 02:04:07,770 FIBROSIS AND GENE THERAPY. 2592 02:04:07,770 --> 02:04:09,238 NOW I'D LIKE TO TRANSITION TOE A 2593 02:04:09,238 --> 02:04:11,607 PANEL DISCUSSION AND TURN TO MY 2594 02:04:11,607 --> 02:04:12,474 MODERATOR INTEREST SHERIDAN TO 2595 02:04:12,474 --> 02:04:15,978 BRING THE FIRST QUESTION TO OUR 2596 02:04:15,978 --> 02:04:16,345 PANEL. 2597 02:04:16,345 --> 02:04:18,080 WE CAN STOP SCREEN SHARING NOW. 2598 02:04:18,080 --> 02:04:18,380 THANK YOU. 2599 02:04:18,380 --> 02:04:19,381 >> THANK YOU, CHARLIE AND THANK 2600 02:04:19,381 --> 02:04:24,987 YOU TO ALL OF OUR SPEAKERS. 2601 02:04:24,987 --> 02:04:26,088 DR. MOFFITTS IS ALSO JOINING OUR 2602 02:04:26,088 --> 02:04:27,923 PANEL SO IF YOU HAVE ANY 2603 02:04:27,923 --> 02:04:30,559 QUESTIONS FOR HIM, PLEASE FEEL 2604 02:04:30,559 --> 02:04:31,860 FREE TO ASK THAT AS WELL. 2605 02:04:31,860 --> 02:04:34,563 AS A REMINDER USE THE Q&A TOOL 2606 02:04:34,563 --> 02:04:36,398 AT THE BOTTOM OF THE ZOOM SCREEN 2607 02:04:36,398 --> 02:04:39,468 TO ENTER ANY QUESTIONS YOU HAVE. 2608 02:04:39,468 --> 02:04:42,004 SO IN THE MEANTIME WHILE WE 2609 02:04:42,004 --> 02:04:44,640 AWAIT SOME QUESTIONS I WILL GO 2610 02:04:44,640 --> 02:04:45,674 AHEAD AND ASK THE FIRST 2611 02:04:45,674 --> 02:04:54,082 QUESTION. 2612 02:04:54,082 --> 02:04:57,419 I LIKE AT MODELS AND THERE'S 2613 02:04:57,419 --> 02:04:59,054 STRENGTHS AND WEAKNESSES WITH 2614 02:04:59,054 --> 02:05:01,089 ALL MODELS. 2615 02:05:01,089 --> 02:05:03,859 IT'S HARD TO RECAPITULATE 2616 02:05:03,859 --> 02:05:06,328 EXACTLY WHAT HAPPENS IN A NATIVE 2617 02:05:06,328 --> 02:05:08,564 TISSUE IN A GIVEN MODEL 2618 02:05:08,564 --> 02:05:10,899 ESPECIALLY NATIVE HUMAN TISSUE. 2619 02:05:10,899 --> 02:05:13,268 SO WONDERING IF THE PANEL COULD 2620 02:05:13,268 --> 02:05:16,338 COMMENT ON SOME OF THE STRENGTHS 2621 02:05:16,338 --> 02:05:17,706 AND WEAKNESSES OF THE MODELS 2622 02:05:17,706 --> 02:05:23,045 THAT YOU HAVE EXPERIENCES 2623 02:05:23,045 --> 02:05:30,586 WORKING WITH HOW THEY ULTIMATELY 2624 02:05:30,586 --> 02:05:31,486 MAY COMPLEMENT EACH OTHER. 2625 02:05:31,486 --> 02:05:33,589 I DON'T KNOW WHO WOULD LIKE TO 2626 02:05:33,589 --> 02:05:35,090 GO FIRST. 2627 02:05:35,090 --> 02:05:45,500 >> I'LL START OFF FIRST. 2628 02:05:46,368 --> 02:05:48,203 WHAT'S DIFFICULT TO MODEL IS THE 2629 02:05:48,203 --> 02:05:51,773 VIRAL BASED THERAPY ANYTHING CAN 2630 02:05:51,773 --> 02:05:55,043 HAPPEN WITH THE CO-RECEPTORS. 2631 02:05:55,043 --> 02:06:00,048 THE BEST WAY TO RERISK -- DERISK 2632 02:06:00,048 --> 02:06:02,150 THAT IS LOOK AT THE CELL TYPES 2633 02:06:02,150 --> 02:06:07,022 THAT ARE TRANSDUCED AND MAKE 2634 02:06:07,022 --> 02:06:10,726 SURE THEY'RE SIMILAR AND THE 2635 02:06:10,726 --> 02:06:12,995 BOCA VIRUS IS ONE THE FERRET 2636 02:06:12,995 --> 02:06:14,429 DOESN'T MODEL THE TROPISM. 2637 02:06:14,429 --> 02:06:15,430 IT'S ONE OF THE REASON WE 2638 02:06:15,430 --> 02:06:17,266 HAVEN'T DONE THE NCC EXPERIMENT 2639 02:06:17,266 --> 02:06:24,740 IN THE FERRET BECAUSE THERE'S NO 2640 02:06:24,740 --> 02:06:35,017 TRANSDUCTION WITH THAT VIRUS. 2641 02:06:35,017 --> 02:06:39,755 BUT IT'S HYDROTROPIC AND YOU 2642 02:06:39,755 --> 02:06:41,423 HAVE TO KNOW THE QUESTION YOU'RE 2643 02:06:41,423 --> 02:06:44,526 GOING TO ASK. 2644 02:06:44,526 --> 02:06:46,995 IF I CAN ASK ABOUT STEM CELL 2645 02:06:46,995 --> 02:06:51,033 BIOLOGY IN THE LUNG OF MICE AND 2646 02:06:51,033 --> 02:06:52,668 I'LL TWO TO THE MOUSE FIRST BUT 2647 02:06:52,668 --> 02:06:55,237 EVENTUALLY THE QUESTIONS FOR MY 2648 02:06:55,237 --> 02:06:58,340 RESEARCH TEND TO MOVE THROUGH AN 2649 02:06:58,340 --> 02:07:00,409 AREA THAT IS NOT ADEQUATELY 2650 02:07:00,409 --> 02:07:03,211 MODELLED IN MICE AND WHY WE USE 2651 02:07:03,211 --> 02:07:03,445 FERRETS. 2652 02:07:03,445 --> 02:07:05,814 >> I COMPLETELY AGREE, JOHN. 2653 02:07:05,814 --> 02:07:08,350 I THINK SOME OF THE REALLY 2654 02:07:08,350 --> 02:07:09,785 INTERESTING PARTS ABOUT THIS AND 2655 02:07:09,785 --> 02:07:13,088 I THINK FOLKS HAVE HEARD AROUND 2656 02:07:13,088 --> 02:07:13,989 DIFFERENT THERAPEUTIC APPROACHES 2657 02:07:13,989 --> 02:07:16,425 THAT HAVE BEEN VALIDATED IN THE 2658 02:07:16,425 --> 02:07:16,658 MODELS. 2659 02:07:16,658 --> 02:07:20,295 THOSE ARE GREAT FAST FOLLOWERS 2660 02:07:20,295 --> 02:07:22,364 BUT WHAT HAPPENS IF YOU'RE 2661 02:07:22,364 --> 02:07:23,465 LEVERAGING NEW MODALITIES? 2662 02:07:23,465 --> 02:07:25,033 YOU DON'T KNOW WHAT TO TRUST 2663 02:07:25,033 --> 02:07:25,434 YET. 2664 02:07:25,434 --> 02:07:28,236 THIS IS WHERE THE STRENGTHS OF 2665 02:07:28,236 --> 02:07:30,305 THE MULTIPLE MODELS COME INTO 2666 02:07:30,305 --> 02:07:32,040 PLAY BECAUSE YOU START 2667 02:07:32,040 --> 02:07:33,475 EVALUATING THE THERAPEUTIC 2668 02:07:33,475 --> 02:07:35,344 HYPOTHESIS FROM RAIN ORTHOGONAL 2669 02:07:35,344 --> 02:07:36,878 STANDPOINT AND IT'S ALMOST LIKE 2670 02:07:36,878 --> 02:07:40,082 A WEIGHT OF EVIDENCE, OKAY, THE 2671 02:07:40,082 --> 02:07:41,016 MODELS ARE LINING UP FOR WHAT'S 2672 02:07:41,016 --> 02:07:41,616 EXPECTED. 2673 02:07:41,616 --> 02:07:43,051 I THINK THIS IS A REASONABLE 2674 02:07:43,051 --> 02:07:44,853 SURROGATE FOR WHAT I'M TRYING TO 2675 02:07:44,853 --> 02:07:46,321 ACCOMPLISH. 2676 02:07:46,321 --> 02:07:48,757 THAT'S EASY IF YOU'RE FOLLOWING 2677 02:07:48,757 --> 02:07:54,997 DOWN A PATHWAY ALREADY 2678 02:07:54,997 --> 02:07:56,498 ENBLAZENED BUT YOU HAVE TO BAKE 2679 02:07:56,498 --> 02:08:01,503 IN SAFEGUARDS IF YOU HAVE LESS 2680 02:08:01,503 --> 02:08:03,038 CERTAINTY AROUND CLINICAL DOSE 2681 02:08:03,038 --> 02:08:03,338 PROJECTION. 2682 02:08:03,338 --> 02:08:05,540 YOU MAY BE FACED WITH A 2683 02:08:05,540 --> 02:08:07,009 SITUATION EVEN IF YOU DON'T HAVE 2684 02:08:07,009 --> 02:08:09,444 A SOLID IN VITRO MODEL YOU'VE 2685 02:08:09,444 --> 02:08:12,314 HEARD ABOUT TODAY, YOU MAY BE 2686 02:08:12,314 --> 02:08:13,882 FACED WITH A SITUATION WHERE YOU 2687 02:08:13,882 --> 02:08:15,417 HAVE TO GO LOW AND SLOW IN THE 2688 02:08:15,417 --> 02:08:19,287 CLINIC THAT CAN PROTRACT 2689 02:08:19,287 --> 02:08:20,722 CLINICAL DEVELOPMENT. 2690 02:08:20,722 --> 02:08:22,357 THE MORE YOU CAN LEVERAGE THE 2691 02:08:22,357 --> 02:08:23,625 UNIQUE TOOLS TO FIGURE THINGS 2692 02:08:23,625 --> 02:08:27,429 OUT THE BETTER OFF YOU'LL BE. 2693 02:08:27,429 --> 02:08:30,232 >> TO RESPOND TO THAT, I ALSO 2694 02:08:30,232 --> 02:08:33,468 WANT TO MAKE THE POINT THAT YOU 2695 02:08:33,468 --> 02:08:35,504 CAN LEARN A LOT FROM THE MODEL 2696 02:08:35,504 --> 02:08:41,943 THAT DOESN'T REPRODUCE THE HUMAN 2697 02:08:41,943 --> 02:08:43,945 DISEASE IF YOU ASK THE RIGHT 2698 02:08:43,945 --> 02:08:44,446 QUESTIONS. 2699 02:08:44,446 --> 02:08:47,883 THE REASON I POINTED OUT THE 2700 02:08:47,883 --> 02:08:50,352 AIRWAY SMOOTH MUSCLE AND HAVING 2701 02:08:50,352 --> 02:08:51,319 THOSE GENERATE FIBROBLASTS 2702 02:08:51,319 --> 02:08:53,789 DOESN'T HAPPEN IN THE MOUSE. 2703 02:08:53,789 --> 02:08:55,057 AND MULTIPLE PEOPLE HAVE 2704 02:08:55,057 --> 02:08:56,691 REPORTED THAT. 2705 02:08:56,691 --> 02:08:57,492 I DON'T QUITE UNDERSTAND THE 2706 02:08:57,492 --> 02:09:03,031 BIOLOGY AND I WANT TO BECAUSE IF 2707 02:09:03,031 --> 02:09:06,201 YOU UNDERSTOOD WHY GLIOMYACIN 2708 02:09:06,201 --> 02:09:08,303 INJURY IN A MOUSE IS MORE 2709 02:09:08,303 --> 02:09:10,906 REFERSABLE THAN A FERRET AND 2710 02:09:10,906 --> 02:09:14,142 PULMONARY FIBROSIS IN HUMAN 2711 02:09:14,142 --> 02:09:15,043 THERAPEUTICALLY YOU CAN 2712 02:09:15,043 --> 02:09:21,450 POTENTIALLY UTILIZE THAT. 2713 02:09:21,450 --> 02:09:23,919 >> MAYBE I CAN GIVE MY TWO CENT 2714 02:09:23,919 --> 02:09:25,587 ON IS THE COMPLEX IN VITRO 2715 02:09:25,587 --> 02:09:25,954 MODELS. 2716 02:09:25,954 --> 02:09:31,026 I THINK IT'S A NEW AND EXCITING 2717 02:09:31,026 --> 02:09:33,462 SPACE AND PEOPLE ARE OFTEN 2718 02:09:33,462 --> 02:09:36,565 EXCITED TO START USING THE 2719 02:09:36,565 --> 02:09:38,333 MODELS BUT I ALWAYS CAUTION 2720 02:09:38,333 --> 02:09:40,302 FOLKS AND SAY DON'T BRING THIS 2721 02:09:40,302 --> 02:09:41,570 TECHNOLOGY INTO YOUR LAB UNLESS 2722 02:09:41,570 --> 02:09:43,038 HAVE YOU A GAP. 2723 02:09:43,038 --> 02:09:53,415 UNLESS THERE'S A NEED. 2724 02:09:55,083 --> 02:09:56,618 IS THIS A NEED FOR ADDITIONAL 2725 02:09:56,618 --> 02:09:59,421 CELL TYPES AND IS THE TARGET IN 2726 02:09:59,421 --> 02:10:03,458 YOUR FIBROBLAST AND DOES IT 2727 02:10:03,458 --> 02:10:07,062 CROSS TALK AND DO YOU NEED MEDIA 2728 02:10:07,062 --> 02:10:09,131 PERFUSION THROUGH OR SIT ENOUGH 2729 02:10:09,131 --> 02:10:13,568 TO USE A 2-D CULTURE OR STEROID? 2730 02:10:13,568 --> 02:10:14,769 AND ON THE FLIP SIDE MAYBE 2731 02:10:14,769 --> 02:10:16,404 YOU'RE ANIMAL MODELS DON'T 2732 02:10:16,404 --> 02:10:19,274 EXPRESS THE TARGET AND THIS IS 2733 02:10:19,274 --> 02:10:22,410 OFTEN THE CASE FOR SOME OF THE 2734 02:10:22,410 --> 02:10:24,546 MORE NOVEL MODALITIES YOU MAY 2735 02:10:24,546 --> 02:10:27,516 NEED A MORE HUMAN-BASED SYSTEM 2736 02:10:27,516 --> 02:10:31,052 AND I THINK THAT'S WHERE I SEE 2737 02:10:31,052 --> 02:10:32,521 THE COMPLEX OF THE IN VITRO 2738 02:10:32,521 --> 02:10:34,789 MODELS AT THE FOREFRONT. 2739 02:10:34,789 --> 02:10:37,192 IT ALSO GOES BACK TO WHAT IS 2740 02:10:37,192 --> 02:10:38,927 YOUR RESEARCH QUESTION AND 2741 02:10:38,927 --> 02:10:43,031 THAT'S GOING TO HELP DEFINE WHAT 2742 02:10:43,031 --> 02:10:46,434 MODEL YOU CHOOSE. 2743 02:10:46,434 --> 02:10:51,039 >> WE COME FROM A TISSUE 2744 02:10:51,039 --> 02:10:51,907 ENGINEER PERSPECTIVE AND THEN 2745 02:10:51,907 --> 02:10:54,509 ONCE YOU HAVE THE MODEL IN 2746 02:10:54,509 --> 02:10:55,744 PLACE, WHAT QUESTION ARE YOU 2747 02:10:55,744 --> 02:10:58,780 GOING TO ASK USING THE MODELS 2748 02:10:58,780 --> 02:10:59,948 AND WITH COLLABORATORS WE 2749 02:10:59,948 --> 02:11:01,283 UNDERSTAND THE LUNG PATHOLOGY 2750 02:11:01,283 --> 02:11:07,055 AND TRY TO FIND BEST MODELS TO 2751 02:11:07,055 --> 02:11:12,594 ANSWER THE BEST QUESTION. 2752 02:11:12,594 --> 02:11:14,763 ALL RIGHT, WE'LL ENCOURAGE THE 2753 02:11:14,763 --> 02:11:16,031 ATTENDEES TO POSE YOUR QUESTIONS 2754 02:11:16,031 --> 02:11:17,265 IN THE Q&A SESSION AND LOOKS 2755 02:11:17,265 --> 02:11:19,034 LIKE WE HAVE A COUPLE IN THE Q&A 2756 02:11:19,034 --> 02:11:19,601 ALREADY. 2757 02:11:19,601 --> 02:11:21,403 THERE'S A QUESTION BEING ASKED 2758 02:11:21,403 --> 02:11:24,673 TO ONE SPECIFIC SPEAKER AND 2759 02:11:24,673 --> 02:11:27,042 WE'LL USUALLY ASK THE SPEAKER TO 2760 02:11:27,042 --> 02:11:32,113 ADDRESS THE QUESTION DIRECTLY 2761 02:11:32,113 --> 02:11:33,882 AND HAVE IT MORE GENERAL TO THE 2762 02:11:33,882 --> 02:11:34,249 PANEL. 2763 02:11:34,249 --> 02:11:36,151 I'LL BRING UP OUR NEXT QUESTION 2764 02:11:36,151 --> 02:11:38,987 IS IT IMPORTANT TO TAKE A 2765 02:11:38,987 --> 02:11:40,355 REDUCTIONIST APPROACH TO EARLY 2766 02:11:40,355 --> 02:11:44,726 DRUG DISCOVERY SUCH AS FOCUS ON 2767 02:11:44,726 --> 02:11:46,161 MODELS FOR HIGH THROUGHPUT 2768 02:11:46,161 --> 02:11:48,563 SCREENING GIVEN THE COMPLEXITY 2769 02:11:48,563 --> 02:11:49,164 OF THE LUNGS AND CELL TYPE OF 2770 02:11:49,164 --> 02:11:59,040 THE EFFECT. 2771 02:11:59,040 --> 02:12:02,477 >> YEAH, IT'S REALLY HELPFUL TO 2772 02:12:02,477 --> 02:12:03,812 DO THAT AND BREAK IT DOWN. 2773 02:12:03,812 --> 02:12:05,714 YOU HAVE TO THINK ABOUT THE 2774 02:12:05,714 --> 02:12:06,948 DISEASE YOU'RE TRYING TO TREAT 2775 02:12:06,948 --> 02:12:09,217 AND HOW WELL YOU CHARACTERIZE 2776 02:12:09,217 --> 02:12:11,019 THE BIOLOGY THAT YOU'RE TRYING 2777 02:12:11,019 --> 02:12:13,288 TO INTERVENE WITH THE MODALITY. 2778 02:12:13,288 --> 02:12:15,957 I THINK THERE'S WAYS YOU CAN 2779 02:12:15,957 --> 02:12:18,326 LEVERAGE A LOT OF THESE HIGHER 2780 02:12:18,326 --> 02:12:20,362 THROUGHPUT TECHNOLOGIES TO TRY 2781 02:12:20,362 --> 02:12:22,897 AND NARROW DOWN IN ON THE 2782 02:12:22,897 --> 02:12:25,734 INTENDED BIOLOGY AND THE 2783 02:12:25,734 --> 02:12:28,203 EFFICACY PROFILE AND YOU'LL BE 2784 02:12:28,203 --> 02:12:30,205 FLYING BLIND THOUGH THE LARGER 2785 02:12:30,205 --> 02:12:33,375 IN VIVO SAFETY CONSIDERATIONS 2786 02:12:33,375 --> 02:12:34,709 PARTICULARLY AROUND FOR SMALL 2787 02:12:34,709 --> 02:12:36,311 MOLECULE THAT MAY INCUR LATER ON 2788 02:12:36,311 --> 02:12:38,847 BUT THAT'S OKAY BECAUSE AS YOU 2789 02:12:38,847 --> 02:12:40,749 START TO UNDERSTAND WHAT ARE THE 2790 02:12:40,749 --> 02:12:42,250 PRODUCT ATTRIBUTES THAT ARE VERY 2791 02:12:42,250 --> 02:12:43,518 BENEFICIAL FOR EFFICACY I THINK 2792 02:12:43,518 --> 02:12:47,022 THAT'S HOW YOU CAN START TO 2793 02:12:47,022 --> 02:12:49,457 STEER IN THAT DIRECTION. 2794 02:12:49,457 --> 02:12:52,060 REGARDLESS OF LUNG OR SLEEP OR 2795 02:12:52,060 --> 02:12:54,529 ANY OTHER INDICATION IS YOUR 2796 02:12:54,529 --> 02:12:56,064 AREA OF INTEREST. 2797 02:12:56,064 --> 02:12:57,666 KRISTIN, DO YOU AGREE WITH THAT? 2798 02:12:57,666 --> 02:12:59,501 >> I DO. 2799 02:12:59,501 --> 02:13:04,105 I THINK ESPECIALLY BEING FROM 2800 02:13:04,105 --> 02:13:07,375 THE MORE HIGH THROUGHPUT SPACE 2801 02:13:07,375 --> 02:13:09,511 SO WE ARE OFFERING THESE MORE 2802 02:13:09,511 --> 02:13:10,912 COMPLEX MODELS IN THE HIGH 2803 02:13:10,912 --> 02:13:13,682 THROUGHPUT CAPACITY SO THAT 2804 02:13:13,682 --> 02:13:14,916 FOLKS CAN AS QUARTERLY AS 2805 02:13:14,916 --> 02:13:17,085 POSSIBLE GET THE COMPLEXITY BUT 2806 02:13:17,085 --> 02:13:19,654 THEN ALSO EARLY AND QUICKLY BE 2807 02:13:19,654 --> 02:13:20,488 ABLE TO KIND OF UNDERSTAND 2808 02:13:20,488 --> 02:13:22,891 WHETHER WE SHOULD BE PROGRESSING 2809 02:13:22,891 --> 02:13:27,028 THE MOLECULES THROUGH THE 2810 02:13:27,028 --> 02:13:30,432 PIPELINE. 2811 02:13:30,432 --> 02:13:32,801 >> I'LL MAKE ONE COMMENT THAT IT 2812 02:13:32,801 --> 02:13:36,137 DEPENDS WHAT YOUR THERAPEUTIC 2813 02:13:36,137 --> 02:13:36,438 IS. 2814 02:13:36,438 --> 02:13:38,573 OF COURSE I GRAVITATE TO THINK 2815 02:13:38,573 --> 02:13:41,242 ABOUT CYSTIC FIBROSIS BECAUSE IT 2816 02:13:41,242 --> 02:13:44,913 SPANS THE CHEMICAL SPACE AND 2817 02:13:44,913 --> 02:13:48,016 BIOLOGICAL TO THE mRNA AND LNP 2818 02:13:48,016 --> 02:13:50,185 WHICH IS STILL DIFFERENT. 2819 02:13:50,185 --> 02:13:55,023 I THINK SO IF YOU TALK THE SMALL 2820 02:13:55,023 --> 02:13:56,825 MOLECULES FOR THE SCREEN AND 2821 02:13:56,825 --> 02:13:59,060 SCREEN IN THYROID CELLS IN THE 2822 02:13:59,060 --> 02:14:01,730 ORIGINAL STUDIES THAT WERE DONE 2823 02:14:01,730 --> 02:14:04,099 IS FINE BECAUSE THE TARGET OF 2824 02:14:04,099 --> 02:14:06,768 THAT WAS THE ACTUAL GATING OF 2825 02:14:06,768 --> 02:14:08,203 THE CFDR CHANNEL AND THERE'S 2826 02:14:08,203 --> 02:14:09,938 WAYS TO EVALUATE THAT. 2827 02:14:09,938 --> 02:14:13,108 WHEN YOU THINK ABOUT A BIOLOGIC 2828 02:14:13,108 --> 02:14:15,744 AND ALL THE VARIABLES HOW YOU'LL 2829 02:14:15,744 --> 02:14:18,813 CORRECT AIRWAY EPITHELIUM, THEN 2830 02:14:18,813 --> 02:14:22,317 I GRAVITATE TO SOME AIR LIQUID 2831 02:14:22,317 --> 02:14:25,420 INTERFACE TYPE OF SCREEN EVEN IF 2832 02:14:25,420 --> 02:14:27,555 IT'S SEMI HIGH THROUGHPUT WHICH 2833 02:14:27,555 --> 02:14:35,029 VERTEX IS KNOWN FOR DOING. 2834 02:14:35,029 --> 02:14:38,099 >> GREAT, THANK YOU. 2835 02:14:38,099 --> 02:14:39,501 I'LL GO AHEAD AND ASK THE NEXT 2836 02:14:39,501 --> 02:14:41,202 QUESTION. 2837 02:14:41,202 --> 02:14:42,837 THIS WAS DIRECTED TO DR. MOFFITT 2838 02:14:42,837 --> 02:14:44,506 DIRECTLY BUT I THINK IT MAY BE 2839 02:14:44,506 --> 02:14:45,874 RELEVANT FOR THE OTHERS TO WEIGH 2840 02:14:45,874 --> 02:14:48,810 IN AS WELL IF THEY HAVE 2841 02:14:48,810 --> 02:14:49,110 THOUGHTS. 2842 02:14:49,110 --> 02:14:51,179 SO THE QUESTION WAS ASKING IF 2843 02:14:51,179 --> 02:14:53,648 YOU COULD COMMENT ON ANY OF THE 2844 02:14:53,648 --> 02:14:57,452 PROCESSES, CHALLENGES, HURDLES 2845 02:14:57,452 --> 02:15:03,024 IN DEVELOPING AND ADVANCING 2846 02:15:03,024 --> 02:15:07,128 ALLOSTERIC MODULATORS. 2847 02:15:07,128 --> 02:15:11,766 >> OH, THAN AN EASY ONE. 2848 02:15:11,766 --> 02:15:13,501 AT HIGH A LEVEL IF YOUR FOCUSSED 2849 02:15:13,501 --> 02:15:17,272 ON THE SAFETY YOU'LL PERCEIVE 2850 02:15:17,272 --> 02:15:18,907 WHETHER IT'S AN ALLOSTERIC 2851 02:15:18,907 --> 02:15:20,975 MODULATOR OR NOT AND TRYING TO 2852 02:15:20,975 --> 02:15:21,976 CHARACTERIZE THE SAFETY PROFILE 2853 02:15:21,976 --> 02:15:27,015 AND TARGET ORIGINS OF SAFETY AND 2854 02:15:27,015 --> 02:15:31,853 SAFETY MARGIN AND EFFICACIOUS 2855 02:15:31,853 --> 02:15:32,987 DOSE AND I THINK MORE WHERE 2856 02:15:32,987 --> 02:15:35,023 WE'RE COMING FROM IS MORE ON THE 2857 02:15:35,023 --> 02:15:37,058 EFFICACY SIDE OF THINGS. 2858 02:15:37,058 --> 02:15:38,893 THAT'S WHERE YOU ARE HAVING A 2859 02:15:38,893 --> 02:15:40,929 GOOD UNDERSTANDING OF THE 2860 02:15:40,929 --> 02:15:43,031 BIOLOGY AND CHARACTERIZING THE 2861 02:15:43,031 --> 02:15:53,541 OF THE CHANGE OF THE RECEPTOR 2862 02:15:55,176 --> 02:16:02,484 WHY IMPACT BINDING AND HOW IT 2863 02:16:02,484 --> 02:16:05,320 BEHAVES AND IN VIVO ANY SPECIES 2864 02:16:05,320 --> 02:16:08,790 SELECTION BECAUSE THAT'S ONE OF 2865 02:16:08,790 --> 02:16:10,725 THE IMPORTANT EARLY DRIVERS ONCE 2866 02:16:10,725 --> 02:16:13,628 YOU GET BEYOND THE IN VIVO 2867 02:16:13,628 --> 02:16:14,028 CHARACTERIZATION. 2868 02:16:14,028 --> 02:16:15,029 I'LL TURN IT TO OTHERS FOR THEIR 2869 02:16:15,029 --> 02:16:24,005 THOUGHTS. 2870 02:16:24,005 --> 02:16:27,509 >> THE BIOLOGICAL VARIABILITY AS 2871 02:16:27,509 --> 02:16:31,012 WITH PRO VIRUSES IS THEY ARE 2872 02:16:31,012 --> 02:16:41,556 BIND TO GLYCOPROTEINS IN A WAY 2873 02:16:42,690 --> 02:16:43,424 YOU WOULDN'T HAVE PREDICTED SO I 2874 02:16:43,424 --> 02:16:43,992 AGREE. 2875 02:16:43,992 --> 02:16:46,961 >> THANK YOU. 2876 02:16:46,961 --> 02:16:50,498 SO, WE'LL MOVE ON TO THE NEXT 2877 02:16:50,498 --> 02:16:54,536 QUESTION FROM OUR Q&A, MANY RARE 2878 02:16:54,536 --> 02:16:58,606 GENETIC LUNG DISEASE SUCH AS 2879 02:16:58,606 --> 02:17:05,713 CFTR MUTATION HAVE VARIANTS AND 2880 02:17:05,713 --> 02:17:07,549 WHAT ARE THE PANEL'S THOUGHTS 2881 02:17:07,549 --> 02:17:11,719 HOW TO PRIORITIZE THE VARIANTS? 2882 02:17:11,719 --> 02:17:15,023 COULD THERAPY OVERLAP BETWEEN 2883 02:17:15,023 --> 02:17:22,797 GENES? 2884 02:17:22,797 --> 02:17:23,765 >> YOU'LL GO. 2885 02:17:23,765 --> 02:17:34,242 A COMMENT FROM ASSIST -- A 2886 02:17:37,612 --> 02:17:40,214 CYSTIC FIBROSIS PATHWAY THERE'S 2887 02:17:40,214 --> 02:17:41,149 NONSENSE MEDIATED DECAY. 2888 02:17:41,149 --> 02:17:45,520 IF YOU'RE GOING TO TARGET THAT 2889 02:17:45,520 --> 02:17:46,387 PATHWAY SPECIFICALLY IT'S 2890 02:17:46,387 --> 02:17:49,424 DIFFERENT THAN A CHANNEL 2891 02:17:49,424 --> 02:17:50,224 MODULATOR ENHANCING TRAFFICKING 2892 02:17:50,224 --> 02:17:56,965 OR ENHANCING ENGAGEMENT IN CFTR. 2893 02:17:56,965 --> 02:18:04,672 THE ADVANTAGE OF A GENE ADDITION 2894 02:18:04,672 --> 02:18:08,009 IS IT WILL CORRECT ALL MUTATIONS 2895 02:18:08,009 --> 02:18:11,212 BUT THE DISADVANTAGE REGARDLESS 2896 02:18:11,212 --> 02:18:14,415 OF THE DISEASE YOU HAVE TO KNOW 2897 02:18:14,415 --> 02:18:15,750 THE PATHOPHYSIOLOGY AND TARGET 2898 02:18:15,750 --> 02:18:18,252 OF YOUR PROTEIN TO ANSWER THE 2899 02:18:18,252 --> 02:18:19,687 QUESTION AND SEE IF IT'S ONLY 2900 02:18:19,687 --> 02:18:21,189 NOW BEGINNING TO GET TO THE 2901 02:18:21,189 --> 02:18:23,024 POINT WHERE ANSWERS ARE BECOMING 2902 02:18:23,024 --> 02:18:26,761 CLEAR ON THAT. 2903 02:18:26,761 --> 02:18:31,032 THE CFTR KNOCKING IN A GENE 2904 02:18:31,032 --> 02:18:36,838 EDITING APPROACH KNOCK IN A 2905 02:18:36,838 --> 02:18:39,340 LARGE AXONS FOR INTERON AND 2906 02:18:39,340 --> 02:18:41,309 EVERYTHING DOWN STREAM IS A 2907 02:18:41,309 --> 02:18:43,411 UNIVERSAL APPROACH TO GENE 2908 02:18:43,411 --> 02:18:45,513 THERAPY TO TARGET MULTIPLE 2909 02:18:45,513 --> 02:18:50,251 MUTATIONS. 2910 02:18:50,251 --> 02:18:51,419 >> MAYBE BUILDING ON THAT FOR 2911 02:18:51,419 --> 02:18:54,255 ONE SECOND THINKING ABOUT THE 2912 02:18:54,255 --> 02:18:57,525 WAY YOU'RE TRYING TO THERAP 2913 02:18:57,525 --> 02:19:01,396 THERAPEUTICALLY APPROACH THE 2914 02:19:01,396 --> 02:19:06,701 DISEASE AND A SHORT SWORD AND 2915 02:19:06,701 --> 02:19:07,301 SHIELD MENTALITY BUT YOU MAY 2916 02:19:07,301 --> 02:19:09,370 HAVE A TOXIC GAIN OF FUNCTION 2917 02:19:09,370 --> 02:19:10,705 FROM THE VARIANT AND YOU NEED TO 2918 02:19:10,705 --> 02:19:14,008 FIND A WAY TO KNOCK THAT DOWN IN 2919 02:19:14,008 --> 02:19:18,146 COMBINATION WITH HOPEFULLY 2920 02:19:18,146 --> 02:19:20,048 EXPRESSING OR GETTING THE 2921 02:19:20,048 --> 02:19:20,848 ENDOGENOUS PROTEIN THERE WHETHER 2922 02:19:20,848 --> 02:19:24,152 IT'S A TRANSPORTER OR OTHERWISE 2923 02:19:24,152 --> 02:19:25,920 TO FUNCTION CORRECTLY. 2924 02:19:25,920 --> 02:19:26,487 THERE'S DIFFERENT WAYS AND 2925 02:19:26,487 --> 02:19:28,089 DIFFERENT SOLUTIONS TO THE 2926 02:19:28,089 --> 02:19:28,322 PROBLEM. 2927 02:19:28,322 --> 02:19:30,725 YOU CAN APPRECIATE IF YOU START 2928 02:19:30,725 --> 02:19:32,193 TAKING A DOUBLE APPROACH WHERE 2929 02:19:32,193 --> 02:19:35,029 YOU NEED TO KNOCK DOWN AND OVER 2930 02:19:35,029 --> 02:19:36,698 EXPRESS, THAT'S EFFECTIVELY LIKE 2931 02:19:36,698 --> 02:19:38,633 TWO DRUG DEVELOPMENT PROGRAMS 2932 02:19:38,633 --> 02:19:40,068 WRAPPED INTO ONE. 2933 02:19:40,068 --> 02:19:45,506 WE -- IT CAN GET COMPLICATED 2934 02:19:45,506 --> 02:19:46,340 FAST AND ADDS TO THE COMPLEXITY 2935 02:19:46,340 --> 02:19:47,208 OF IT. 2936 02:19:47,208 --> 02:19:51,512 I THINK THIS IS WHERE MODELS 2937 02:19:51,512 --> 02:19:54,282 LIKE ALFRED AND KRISTIN TALKED 2938 02:19:54,282 --> 02:19:57,218 ABOUT ARE SO IMPORTANT RATHER 2939 02:19:57,218 --> 02:19:59,153 THAN TACKLING THE TOTALITY OF 2940 02:19:59,153 --> 02:20:02,757 EVERYTHING IN AN IN VIVO MODEL 2941 02:20:02,757 --> 02:20:06,928 PARS THEM OUT AND ASK TARGETED 2942 02:20:06,928 --> 02:20:09,497 QUESTIONS THE IN VIVO MODELS AND 2943 02:20:09,497 --> 02:20:11,966 BUILD THAT BACK UP TO, LOOK, I 2944 02:20:11,966 --> 02:20:15,036 THINK THIS IS THE RIGHT SOLUTION 2945 02:20:15,036 --> 02:20:20,641 FOR THIS DISEASE. 2946 02:20:20,641 --> 02:20:21,342 >> OKAY. 2947 02:20:21,342 --> 02:20:25,513 I WILL GO AHEAD AND ASK THE NEXT 2948 02:20:25,513 --> 02:20:25,780 QUESTION. 2949 02:20:25,780 --> 02:20:27,915 SO ARE WE LEARNING ANYTHING FROM 2950 02:20:27,915 --> 02:20:34,622 THE LUNG CANCER DRUG DEVELOPMENT 2951 02:20:34,622 --> 02:20:34,889 COMMUNITY? 2952 02:20:34,889 --> 02:20:37,358 GRANTED THE PATHOPHYSIOLOGY IS 2953 02:20:37,358 --> 02:20:40,061 DIFFERENT BUT IMAGINE THERE ARE 2954 02:20:40,061 --> 02:20:42,930 SIMILAR ISSUES WITH MODELS TO 2955 02:20:42,930 --> 02:20:44,732 TEST THAT DON'T ADEQUATELY 2956 02:20:44,732 --> 02:20:46,667 REPRESENT HUMAN DISEASE. 2957 02:20:46,667 --> 02:20:47,268 SO ANY THOUGHTS ON CANCER 2958 02:20:47,268 --> 02:20:57,411 MODELS? 2959 02:20:58,980 --> 02:21:03,751 >> THAT'S A TOUGH ONE. 2960 02:21:03,751 --> 02:21:06,454 CYSTIC FIBROSIS. 2961 02:21:06,454 --> 02:21:08,456 THERE'S A LOT OF BIOLOGY WHEN WE 2962 02:21:08,456 --> 02:21:11,025 THINK OF STEM CELLS THAT 2963 02:21:11,025 --> 02:21:11,826 REGENERATE THERE'S A LOT OF 2964 02:21:11,826 --> 02:21:14,962 BIOLOGY SIMILAR TO CANCER THAT'S 2965 02:21:14,962 --> 02:21:16,564 GONE AWRY. 2966 02:21:16,564 --> 02:21:18,466 AND IN THE PULMONARY FIBROSIS I 2967 02:21:18,466 --> 02:21:23,004 TALKED ABOUT THE FIBROBLASTS ARE 2968 02:21:23,004 --> 02:21:24,572 SECRETING MOLECULES THAT ARE 2969 02:21:24,572 --> 02:21:27,508 DRIVING DYSPLASTIC REPAIR AND 2970 02:21:27,508 --> 02:21:32,146 REGENERATION OF AIRWAY 2971 02:21:32,146 --> 02:21:33,514 CONDUCTING CELLS IN THE AIR 2972 02:21:33,514 --> 02:21:33,848 SPACE. 2973 02:21:33,848 --> 02:21:35,016 IT'S ALL ABOUT COMMUNICATION 2974 02:21:35,016 --> 02:21:41,556 REPAIR AND RESOLVE OF AN INJURY 2975 02:21:41,556 --> 02:21:42,723 RESPONSE AND IN THE DISEASES 2976 02:21:42,723 --> 02:21:43,891 VERY CHRONIC SOME PROCESSES ARE 2977 02:21:43,891 --> 02:21:50,131 RELATED TO PATHWAYS THAT GO AWRY 2978 02:21:50,131 --> 02:22:00,608 IN CANCER AND CROSS GENETIC 2979 02:22:25,867 --> 02:22:31,038 SPACE IN CANCER OR GENETIC OR 2980 02:22:31,038 --> 02:22:35,843 CHRONIC DISEASE IN THE LUNG. 2981 02:22:35,843 --> 02:22:38,913 >> WE'RE MODELLING FIBROSIS AND 2982 02:22:38,913 --> 02:22:41,816 WE SEE THAT AS JUST THE 2983 02:22:41,816 --> 02:22:44,318 PRELIMINARY PROCESSES BEFORE 2984 02:22:44,318 --> 02:22:45,519 LUNG CANCER DEVELOPMENT. 2985 02:22:45,519 --> 02:22:51,025 AND I THINK WE'RE STARTING TO 2986 02:22:51,025 --> 02:22:55,029 WANT TO BE ABLE TO MODEL THAT 2987 02:22:55,029 --> 02:22:57,231 THE PROGRESSION FROM FIBROSIS ON 2988 02:22:57,231 --> 02:23:00,301 A CHIP AND I AGREE THERE SHOULD 2989 02:23:00,301 --> 02:23:02,803 BE MORE COLLABORATION BETWEEN 2990 02:23:02,803 --> 02:23:06,507 THE FIELDS AND I HOPE WE CAN SEE 2991 02:23:06,507 --> 02:23:06,974 THAT. 2992 02:23:06,974 --> 02:23:08,809 >> THERE MAY ALSO BE OPPORTUNITY 2993 02:23:08,809 --> 02:23:09,911 TO LOOK AT SOME OF THE 2994 02:23:09,911 --> 02:23:11,879 COMPENSATORY CHANGES THAT HAPPEN 2995 02:23:11,879 --> 02:23:13,281 IN THE ONCOGENIC STATE. 2996 02:23:13,281 --> 02:23:14,749 WE TALKED ABOUT A NUMBER OF 2997 02:23:14,749 --> 02:23:17,051 TRANSPORTERS THAT ARE ASSOCIATED 2998 02:23:17,051 --> 02:23:20,154 WITH DIFFERENT DISEASES AS WELL. 2999 02:23:20,154 --> 02:23:25,559 WE CERTAINLY KNOW FROM A 3000 02:23:25,559 --> 02:23:26,227 MULTI-DRUG RESISTANT STANDPOINT 3001 02:23:26,227 --> 02:23:33,634 MANY ARE UPRENREGULATED SPACE I 3002 02:23:33,634 --> 02:23:35,469 THE TRANSPORTERS THEY ARE PLAY 3003 02:23:35,469 --> 02:23:42,043 COME INTO PLAY FROM A MULTI-DRUG 3004 02:23:42,043 --> 02:23:43,010 RESISTANT STANDPOINT. 3005 02:23:43,010 --> 02:23:44,445 THAT'S NOT MY AREA OF EXPERTISE 3006 02:23:44,445 --> 02:23:46,314 BUT I CAN SEE THE WHERE THE 3007 02:23:46,314 --> 02:23:48,149 LEARNINGS IN THE BIOLOGY 3008 02:23:48,149 --> 02:23:49,050 ULTIMATELY NEED TO BE ADDRESSED 3009 02:23:49,050 --> 02:23:59,560 IN THE LUNG CANCER SPACE TOO. 3010 02:24:02,229 --> 02:24:07,001 >> I HAVE A QUESTION FOR THE 3011 02:24:07,001 --> 02:24:08,069 PANEL. 3012 02:24:08,069 --> 02:24:11,005 IT'S LISTENING TO THE DISCUSSION 3013 02:24:11,005 --> 02:24:15,443 IT BRINGS TO THE FORE ONE OF MY 3014 02:24:15,443 --> 02:24:17,712 CONCERNS AROUND THE IN VITRO 3015 02:24:17,712 --> 02:24:20,314 MODEL IS WE CAN'T ADEQUATELY 3016 02:24:20,314 --> 02:24:23,017 MODEL THE EXTRA CELLULAR SPACE 3017 02:24:23,017 --> 02:24:27,021 WITH THE MILIEU THE DRUG 3018 02:24:27,021 --> 02:24:30,291 ENCOUNTERS WHEN IT'S BEING 3019 02:24:30,291 --> 02:24:35,396 ADMINISTERED AND BRINGS TO MIND 3020 02:24:35,396 --> 02:24:40,935 THE CONCERNS AROUND CAN TO TO 3021 02:24:40,935 --> 02:24:51,479 BETTER MODEL THAT AND THE SECOND 3022 02:24:56,884 --> 02:25:00,921 QUESTION IN THE SESSION IS MAYBE 3023 02:25:00,921 --> 02:25:03,491 MORE DIRECTED TO JOHN IF WE ARE 3024 02:25:03,491 --> 02:25:05,226 THINKING THAT THERE'S A 3025 02:25:05,226 --> 02:25:06,861 REGENERATIVE ASPECT OF THIS AND 3026 02:25:06,861 --> 02:25:11,966 WE'RE LOOKING AT A DISEASE THE 3027 02:25:11,966 --> 02:25:13,834 CELLULAR ENVIRONMENT OF THAT IS 3028 02:25:13,834 --> 02:25:15,936 NOT REALLY GOING TO BE SIMILAR 3029 02:25:15,936 --> 02:25:22,043 TO WHAT WE'RE LOOKING AT IN A 3030 02:25:22,043 --> 02:25:32,586 DISH AND IN AND MAY BE CELLULAR 3031 02:25:33,054 --> 02:25:34,722 DAMAGE AND HOW DO YOU SEE 3032 02:25:34,722 --> 02:25:36,290 REGENERATION WHEN WE DELIVER OR 3033 02:25:36,290 --> 02:25:40,094 GENE, OUR DRUGS, ARE WE THINKING 3034 02:25:40,094 --> 02:25:43,030 THAT SOME OF THE EFFECTS NOT 3035 02:25:43,030 --> 02:25:45,599 NECESSARILY EVEN ON THE CELLS 3036 02:25:45,599 --> 02:25:49,236 ACTIVELY PARTICIPATING UP 3037 02:25:49,236 --> 02:25:54,442 SECRETION BUT PERHAPS PERHAPS IF 3038 02:25:54,442 --> 02:25:56,077 WE INTRODUCE OUR BASAL CELLS AND 3039 02:25:56,077 --> 02:25:57,478 LAG TIME AND HAVE GENERATION OF 3040 02:25:57,478 --> 02:26:01,248 LUNG AND THEN GOING TO SEE THE 3041 02:26:01,248 --> 02:26:01,482 EFFECTS. 3042 02:26:01,482 --> 02:26:04,251 CAN YOU COMMENT ON ANY OF THOSE 3043 02:26:04,251 --> 02:26:08,656 SOMEWHAT RANDOM QUESTIONS? 3044 02:26:08,656 --> 02:26:10,224 >> THERE'S A LOT TO UNPACK 3045 02:26:10,224 --> 02:26:10,491 THERE. 3046 02:26:10,491 --> 02:26:11,625 GETTING TO YOUR FIRST QUESTION 3047 02:26:11,625 --> 02:26:15,029 IS HOW CAN YOU PREDICT WHAT IS 3048 02:26:15,029 --> 02:26:17,898 GOING TO BE MOST RELEVANT IN 3049 02:26:17,898 --> 02:26:18,999 VIVO AND I'D SAY YOU CAN'T 3050 02:26:18,999 --> 02:26:20,301 ALWAYS PREDICT. 3051 02:26:20,301 --> 02:26:23,938 YOU START WITH -- WE TALKED 3052 02:26:23,938 --> 02:26:29,176 ABOUT KRISTIN'S MODEL IN VITRO 3053 02:26:29,176 --> 02:26:30,845 ON A CHIP MODEL IS INTRIGUING. 3054 02:26:30,845 --> 02:26:34,515 SAY YOU HAVE A SMALL DRUG AND 3055 02:26:34,515 --> 02:26:39,186 YOU DO SOME PRELIMINARY STABLES 3056 02:26:39,186 --> 02:26:45,426 IN VIVO AND CROSS THE 3057 02:26:45,426 --> 02:26:48,529 VASCULATURE AND HOW TO IMPROVE 3058 02:26:48,529 --> 02:26:51,031 THE PERMEABILITY START WITH A 3059 02:26:51,031 --> 02:26:52,299 MODEL THAT IS EASY LIKE IN VITRO 3060 02:26:52,299 --> 02:26:57,238 OR EASIER THAN DOING A LOT OF 3061 02:26:57,238 --> 02:27:00,074 ANIMALS IN VITRO ON A CHIP AND 3062 02:27:00,074 --> 02:27:01,175 CAN SCREEN AND UNDERSTAND THE 3063 02:27:01,175 --> 02:27:05,179 CHEMISTRY THAT NEEDS TO BE 3064 02:27:05,179 --> 02:27:06,347 CHANGED AND THEN GO IN VIVO AND 3065 02:27:06,347 --> 02:27:08,649 ASK SPECIFIC QUESTIONS ON A 3066 02:27:08,649 --> 02:27:10,117 SUBSET OF WHAT YOU MIGHT HAVE 3067 02:27:10,117 --> 02:27:11,051 SCREENED WHETHER OR NOT THE 3068 02:27:11,051 --> 02:27:14,321 BIOLOGY IS RETAINED WHEN YOU 3069 02:27:14,321 --> 02:27:16,657 ACROSS TO IN VIVO. 3070 02:27:16,657 --> 02:27:18,959 THE SECOND QUESTION ABOUT 3071 02:27:18,959 --> 02:27:21,529 PROGENITOR CELLS, CERTAINLY ANY 3072 02:27:21,529 --> 02:27:26,834 REMODELLED ORGAN IS GOING TO BE 3073 02:27:26,834 --> 02:27:28,302 MORE DIFFICULT TO FROM A GENE 3074 02:27:28,302 --> 02:27:29,436 THERAPY STANDPOINT. 3075 02:27:29,436 --> 02:27:30,938 IF YOU'RE TARGETING BASAL CELLS 3076 02:27:30,938 --> 02:27:33,507 YOU NEED A GEN EDITING APPROACH. 3077 02:27:33,507 --> 02:27:36,210 IF YOU TAKE A VIRUS YOU STICK IT 3078 02:27:36,210 --> 02:27:38,679 IN AND BASAL CELL REGENERATES 3079 02:27:38,679 --> 02:27:40,648 AND DIVIDES THE VIRUS UNLESS 3080 02:27:40,648 --> 02:27:42,516 IT'S INTEGRATED IS GOING TO BE 3081 02:27:42,516 --> 02:27:45,252 DILUTED AS THE REGENERATIVE 3082 02:27:45,252 --> 02:27:46,086 PROCESS GOES ON. 3083 02:27:46,086 --> 02:27:50,124 HAVE YOU THE INTEGRATOR AND EDIT 3084 02:27:50,124 --> 02:27:51,025 THE MUTANT GENE. 3085 02:27:51,025 --> 02:27:54,795 AND REPAIRING THE REMODELLED 3086 02:27:54,795 --> 02:27:56,564 LUNG OR WHATEVER YOUR TARGET IS 3087 02:27:56,564 --> 02:28:01,735 WILL BE A LONGER PROCESS SOME 3088 02:28:01,735 --> 02:28:03,571 WON'T REPAIR FROM MODELLING BUT 3089 02:28:03,571 --> 02:28:07,942 FROM A GENE EDITING STANDPOINT 3090 02:28:07,942 --> 02:28:10,311 THAT'S THE WAY TO GET THE CARGO 3091 02:28:10,311 --> 02:28:11,879 TO THE RIGHT PLACE AND YOU TA 3092 02:28:11,879 --> 02:28:13,280 YOU CAN ABOUT BASAL CELLS AS 3093 02:28:13,280 --> 02:28:15,516 BEING THE TARGET IT'S PROBABLY 3094 02:28:15,516 --> 02:28:18,953 1% OF BASAL CELLS ARE REALLY THE 3095 02:28:18,953 --> 02:28:19,987 ULTIMATE STEM CELL WILL PERSIST 3096 02:28:19,987 --> 02:28:30,497 FOR THE LIFE OF AN INDIVIDUAL. 3097 02:28:33,567 --> 02:28:34,702 >> THANK YOU ALL. 3098 02:28:34,702 --> 02:28:37,338 THANK YOU TO THE PANEL FOR 3099 02:28:37,338 --> 02:28:39,006 SHARING THEIR EXPERT OPINION AND 3100 02:28:39,006 --> 02:28:39,707 SHARING THEIR EXCITING RESEARCH 3101 02:28:39,707 --> 02:28:40,174 WITH US. 3102 02:28:40,174 --> 02:28:42,209 I THINK WE'LL COME TO OUR LUNCH 3103 02:28:42,209 --> 02:28:44,078 BREAK AND COME BACK AT 12:45 FOR 3104 02:28:44,078 --> 02:28:44,478 THE NEXT SESSION. 3105 02:28:44,478 --> 02:28:47,390 THANK YOU ALL. 3106 02:28:47,390 --> 02:28:48,791 >> HELLO AND THANK YOU ALL FOR 3107 02:28:48,791 --> 02:28:49,292 COMING BACK. 3108 02:28:49,292 --> 02:28:51,895 WE ARE GOING TO START THE SECOND 3109 02:28:51,895 --> 02:28:57,467 SESSION OF TODAY WHICH IS 3110 02:28:57,467 --> 02:29:06,342 PARTNERING WITH REGULATORS FOR 3111 02:29:06,342 --> 02:29:06,843 SUCCESSION AND NOW TO 3112 02:29:06,843 --> 02:29:08,978 DR. MOFFITT. 3113 02:29:08,978 --> 02:29:10,914 >> IF THIS IMPORTANT WAS 3114 02:29:10,914 --> 02:29:12,715 FOCUSSED TO DEVELOPING YOUR 3115 02:29:12,715 --> 02:29:14,384 ASSETS TO HAVE THE PHARMACOLOGY 3116 02:29:14,384 --> 02:29:16,419 AND SAFETY PROFILE, THIS 3117 02:29:16,419 --> 02:29:18,488 AFTERNOON IS MORE FACING 3118 02:29:18,488 --> 02:29:18,755 OUTWARDLY. 3119 02:29:18,755 --> 02:29:22,492 HOW DO YOU INTERACT WITH 3120 02:29:22,492 --> 02:29:22,792 REGULATORS? 3121 02:29:22,792 --> 02:29:23,726 WHAT ARE THE EXPECTATIONS YOU 3122 02:29:23,726 --> 02:29:26,262 HAVE FOR YOUR PROGRAMS AND HOW 3123 02:29:26,262 --> 02:29:28,565 DO YOU NAVIGATE THAT PROCESS 3124 02:29:28,565 --> 02:29:29,699 WHETHER YOU HAVE THE DRUG ABOUT 3125 02:29:29,699 --> 02:29:32,402 ITSELF OR WORK TOGETHER WITH A 3126 02:29:32,402 --> 02:29:35,505 DEVICE TO DELIVER THAT DRUG OR 3127 02:29:35,505 --> 02:29:38,241 EVEN HAVE COMPANION DIAGNOSTICS 3128 02:29:38,241 --> 02:29:39,509 YOU CAN THINK OF. 3129 02:29:39,509 --> 02:29:42,111 THERE'S REGULATORY COMPONENTS. 3130 02:29:42,111 --> 02:29:44,647 WE'LL HEAR A LITTLE BIT ABOUT 3131 02:29:44,647 --> 02:29:45,882 THE OVER ALL REGULATORY PROCESS. 3132 02:29:45,882 --> 02:29:48,017 IN ADDITION WE'LL HEAR HOW YOU 3133 02:29:48,017 --> 02:29:50,486 MARKET YOUR PROGRAM. 3134 02:29:50,486 --> 02:29:54,390 ESSENTIALLY WORKING WITH YOUR 3135 02:29:54,390 --> 02:29:57,327 OWN INTERNAL PROGRAMS AND MAKE 3136 02:29:57,327 --> 02:30:00,763 THE PACKAGE THAT LOOKS LIKE 3137 02:30:00,763 --> 02:30:03,900 SOMETHING LIKE VENTURE CAPITAL 3138 02:30:03,900 --> 02:30:06,469 OR PHARMA TECH COMPANIES MAY BE 3139 02:30:06,469 --> 02:30:08,071 INTERESTED IN AROUND IP AND 3140 02:30:08,071 --> 02:30:09,472 OTHER CONSIDERATIONS. 3141 02:30:09,472 --> 02:30:10,873 FINALLY, WE'LL TALK ABOUT 3142 02:30:10,873 --> 02:30:12,342 GOVERNMENT REGULATORY MECHANISMS 3143 02:30:12,342 --> 02:30:14,877 THERE TO HELP INCENTIVIZE 3144 02:30:14,877 --> 02:30:16,746 BUSINESS DEVELOPMENT AND GUIDE 3145 02:30:16,746 --> 02:30:18,214 FOLKS THROUGH THE PROCESS GOING 3146 02:30:18,214 --> 02:30:19,449 TO FORWARD. 3147 02:30:19,449 --> 02:30:20,883 SO, I THINK IT'S GOING TO TO BE 3148 02:30:20,883 --> 02:30:22,185 A REALLY INTERESTING TALK ABOUT 3149 02:30:22,185 --> 02:30:23,553 THE NEXT PHASE OF DRUG 3150 02:30:23,553 --> 02:30:24,854 DEVELOPMENT AS YOU'RE TRYING TO 3151 02:30:24,854 --> 02:30:27,357 GET THE WORD OUT AND INTERFACE 3152 02:30:27,357 --> 02:30:37,767 WITH THE EXTERNAL WORLD. 3153 02:30:39,569 --> 02:30:41,004 THE FIRST SPEAKER IS DR. MOODY 3154 02:30:41,004 --> 02:30:46,509 DIRECTOR OF REGULATORY AFARDZ 3155 02:30:46,509 --> 02:30:54,150 -- AFFAIRS IN RTI AND WORKED IN 3156 02:30:54,150 --> 02:30:56,819 NON-CLINICAL AREAS AND CMC AND A 3157 02:30:56,819 --> 02:30:58,488 WEALTH OF ADVICE COMING FROM HER 3158 02:30:58,488 --> 02:30:59,889 TODAY AROUND HOW TO NAVIGATE 3159 02:30:59,889 --> 02:31:10,300 THAT REGULATORY PROCESS. 3160 02:31:11,968 --> 02:31:17,940 SECOND SPEAKER IS KEVIN 3161 02:31:17,940 --> 02:31:22,211 WHITTLESEY AN EXPERT IN ALL 3162 02:31:22,211 --> 02:31:22,945 PHASES. 3163 02:31:22,945 --> 02:31:25,782 HE'S WORKED FOR THE FDA AND 3164 02:31:25,782 --> 02:31:27,317 WORKED FOR A COMPANY GETTING 3165 02:31:27,317 --> 02:31:28,951 ASSETS PAST THE IND STAGE INTO 3166 02:31:28,951 --> 02:31:30,486 DEVELOPMENT AND FINALLY HE'S 3167 02:31:30,486 --> 02:31:33,222 BEEN A CONSULTANT FOR A NUMBER 3168 02:31:33,222 --> 02:31:34,791 OF YEARLY YEARS PARTNERING WITH 3169 02:31:34,791 --> 02:31:37,760 COMPANIES SMALL AND LARGE TO 3170 02:31:37,760 --> 02:31:38,494 HELP THEM ADVANCE THEIR PRODUCTS 3171 02:31:38,494 --> 02:31:48,237 GOING FORWARD. 3172 02:31:48,237 --> 02:31:51,741 NEXT WE HAVE DR. CLARK AT THE 3173 02:31:51,741 --> 02:31:54,510 UNIVERSITY OF KENTUCKY WORKING 3174 02:31:54,510 --> 02:31:55,812 TO DEVELOP THERAPEUTIC 3175 02:31:55,812 --> 02:31:58,481 PORTFOLIOS FOR FOLKS WITHIN THAT 3176 02:31:58,481 --> 02:32:00,483 ORGANIZATION AND DEVELOP 3177 02:32:00,483 --> 02:32:03,586 BUSINESS MODELS AROUND HOW TO 3178 02:32:03,586 --> 02:32:06,522 EXTERNALIZE THESE NEW 3179 02:32:06,522 --> 02:32:07,924 TECHNOLOGIES. 3180 02:32:07,924 --> 02:32:12,595 DR. STEPHANIE DAVIS IS A SMALL 3181 02:32:12,595 --> 02:32:14,497 BUSINESS PROGRAM COORDINATOR AT 3182 02:32:14,497 --> 02:32:14,697 NHLBI. 3183 02:32:14,697 --> 02:32:16,766 SHE'S BEEN IN THIS ROLE A NUMBER 3184 02:32:16,766 --> 02:32:18,267 OF YEARS NOW AND HAD FORMALLY 3185 02:32:18,267 --> 02:32:21,070 BEEN A POSTDOC AND IS A TRAINING 3186 02:32:21,070 --> 02:32:21,637 BY SCIENTIST. 3187 02:32:21,637 --> 02:32:24,073 SHE HAD INTERNED AT THE 3188 02:32:24,073 --> 02:32:25,308 UNIVERSITY OF KENTUCKY PROGRAM 3189 02:32:25,308 --> 02:32:25,608 AS WELL TOO. 3190 02:32:25,608 --> 02:32:28,211 SHE'LL BE SHARING SOME OF HER 3191 02:32:28,211 --> 02:32:31,681 GUIDANCE AND INSIGHT AND FINALLY 3192 02:32:31,681 --> 02:32:36,953 DR. MIKE PECK WHO IS DIRECTOR OF 3193 02:32:36,953 --> 02:32:39,021 THE NHLBI CATALYZE PROGRAM AND 3194 02:32:39,021 --> 02:32:40,323 WILL WALK US THROUGH KEY 3195 02:32:40,323 --> 02:32:43,326 ACTIVITIES TO LEVERAGE AND THINK 3196 02:32:43,326 --> 02:32:46,195 ABOUT TO TRANSLATE OUR IDEAS 3197 02:32:46,195 --> 02:32:48,364 INTO A COMMERCIAL OPPORTUNITY 3198 02:32:48,364 --> 02:32:50,066 AND LEVERAGE THE GOVERNMENT 3199 02:32:50,066 --> 02:32:50,500 OPPORTUNITIES THERE. 3200 02:32:50,500 --> 02:32:54,570 WITH THAT I'LL TURN IT OVER TO 3201 02:32:54,570 --> 02:32:57,840 DR. MOODY. 3202 02:32:57,840 --> 02:32:58,474 >> GOOD AFTERNOON. 3203 02:32:58,474 --> 02:33:00,410 THANK YOU SO MUCH FOR JOINING 3204 02:33:00,410 --> 02:33:02,478 US. 3205 02:33:02,478 --> 02:33:06,482 I'M GOING TO TO BE TALKING ABOUT 3206 02:33:06,482 --> 02:33:11,320 HOW TO PREPARE FOR PRE-IND 3207 02:33:11,320 --> 02:33:12,255 MIDDLEWEIGHT THE FIRST MEETING 3208 02:33:12,255 --> 02:33:14,490 YOU HAVE DURING DEVELOPMENT AND 3209 02:33:14,490 --> 02:33:24,867 THEN GO INTO THE IND. 3210 02:33:26,569 --> 02:33:28,738 THE BIG QUESTION IS WHY DO I 3211 02:33:28,738 --> 02:33:31,207 NEED A PRE-IND OR INTERACT 3212 02:33:31,207 --> 02:33:31,874 MEETING WITH THE FDA. 3213 02:33:31,874 --> 02:33:34,477 THE ANSWER IS YOU DO NOT NEED TO 3214 02:33:34,477 --> 02:33:35,745 HAVE ONE. 3215 02:33:35,745 --> 02:33:38,147 THEY'RE NOT MANDATORY BY ANY 3216 02:33:38,147 --> 02:33:39,649 MEANS BUT IT'S A GOOD IDEA 3217 02:33:39,649 --> 02:33:41,150 ESPECIALLY IF YOU HAVE A NEW 3218 02:33:41,150 --> 02:33:47,824 MOLECULAR ENTITY ORE A DRUG NOT 3219 02:33:47,824 --> 02:33:52,328 PREVIOUSLY APPROVED TO TWO TO 3220 02:33:52,328 --> 02:33:54,430 THE REVIEW TEAM AND GET TARGETED 3221 02:33:54,430 --> 02:33:56,933 ADVICE TO HELP YOU DEVELOP YOUR 3222 02:33:56,933 --> 02:34:00,736 PRODUCT AND AVOID COSTLY 3223 02:34:00,736 --> 02:34:01,003 MISTAKES. 3224 02:34:01,003 --> 02:34:03,940 AGAIN, JUST TO ESTABLISH A 3225 02:34:03,940 --> 02:34:05,842 RAPPORT AND TRUST WITH THE FDA 3226 02:34:05,842 --> 02:34:13,549 REVIEW DIVISION. 3227 02:34:13,549 --> 02:34:14,484 THE FDA GIVES A SPECIFIC 3228 02:34:14,484 --> 02:34:17,487 PERSPECTIVE ON THE BENEFITS OF A 3229 02:34:17,487 --> 02:34:18,488 PRE-IND MEETING. 3230 02:34:18,488 --> 02:34:20,823 AND ONE OF THE MAIN THINGS THEY 3231 02:34:20,823 --> 02:34:26,395 TELL YOU IS IT MIN MIEDZS -- 3232 02:34:26,395 --> 02:34:27,296 MINIMIZES THE POTENTIAL FOR 3233 02:34:27,296 --> 02:34:27,997 CLINICAL HOLD. 3234 02:34:27,997 --> 02:34:29,932 WHAT THAT DOES IS IT GIVES YOU 3235 02:34:29,932 --> 02:34:31,167 THE OPPORTUNITY AGAIN TO GO OVER 3236 02:34:31,167 --> 02:34:35,071 THE BASICS OF ALL THREE OF YOUR 3237 02:34:35,071 --> 02:34:40,042 BASIC PROGRAMS AND DISCUSS WITH 3238 02:34:40,042 --> 02:34:42,578 THEM WHERE YOU ARE AND WHAT 3239 02:34:42,578 --> 02:34:44,347 SAFETY YOU'LL BE PRESENTING AND 3240 02:34:44,347 --> 02:34:45,748 IT WILL HELP MINIMIZE COST, 3241 02:34:45,748 --> 02:34:50,486 AVOID UNNECESSARY STUDIES, AS 3242 02:34:50,486 --> 02:34:58,995 WELL AS MANY OTHER THINGS. 3243 02:34:58,995 --> 02:35:01,664 WHAT IS A PRE-IND MEETING? 3244 02:35:01,664 --> 02:35:03,299 IT'S A MEETING CALLED A TYPE B 3245 02:35:03,299 --> 02:35:04,000 MEETING. 3246 02:35:04,000 --> 02:35:08,771 IT'S A FORMAL MEETING WITH THE 3247 02:35:08,771 --> 02:35:09,105 FDA. 3248 02:35:09,105 --> 02:35:11,841 ONCE YOU REQUEST THE MEETING THE 3249 02:35:11,841 --> 02:35:13,576 FDA WILL SCHEDULE THAT MEETING 3250 02:35:13,576 --> 02:35:14,176 WITHIN 60 DAYS OF THE MEETING 3251 02:35:14,176 --> 02:35:23,819 REQUEST. 3252 02:35:23,819 --> 02:35:25,354 YOU'LL HAVE TO SUBMIT A BRIEFING 3253 02:35:25,354 --> 02:35:26,589 DOCUMENT THAT PROVIDES THE 3254 02:35:26,589 --> 02:35:30,126 QUESTIONS YOU WANT TO DISCUSS 3255 02:35:30,126 --> 02:35:36,766 AND SUPPORTING INFORMATION TO 3256 02:35:36,766 --> 02:35:38,501 GIVE THE FDA GUIDANCE ABOUT 3257 02:35:38,501 --> 02:35:40,436 ANSWERING QUESTIONS. 3258 02:35:40,436 --> 02:35:44,574 IT'S GREAT TO HAVE A PLAN FOR A 3259 02:35:44,574 --> 02:35:45,875 PRE-IND MEETING BEFORE THE IND 3260 02:35:45,875 --> 02:35:46,509 SUBMISSION. 3261 02:35:46,509 --> 02:35:52,615 THIS GIVES YOU A CHANCE TO GET 3262 02:35:52,615 --> 02:35:57,720 THINGS INFLATION -- IN PLACE IF 3263 02:35:57,720 --> 02:35:59,055 YOU NEED TO. 3264 02:35:59,055 --> 02:35:59,989 IT'S GOOD TO HAVE PRELIMINARY 3265 02:35:59,989 --> 02:36:05,661 CONCEPT AND SAFETY STUDIES DONE. 3266 02:36:05,661 --> 02:36:06,929 WHEN YOU HAVE DEVELOPED YOUR 3267 02:36:06,929 --> 02:36:10,399 MANUFACTURING PROCESS YOU MAY 3268 02:36:10,399 --> 02:36:13,202 NOT BE IN GNP MANUFACTURING YET 3269 02:36:13,202 --> 02:36:15,471 BUT DEFINE THE MANUFACTURING 3270 02:36:15,471 --> 02:36:17,974 PROCESS AND BEFORE YOU'RE 3271 02:36:17,974 --> 02:36:21,110 DEFINITIVE GOP TOX STUDIES. 3272 02:36:21,110 --> 02:36:23,079 ONE OF THE MAIN THINGS THAT WILL 3273 02:36:23,079 --> 02:36:27,116 BE HELPFUL TO DISCUSS AT THE 3274 02:36:27,116 --> 02:36:31,220 PRE-IND MEETING IS HOW YOU PLAN 3275 02:36:31,220 --> 02:36:34,290 TO RUN THE GLP MEETINGS AND HOW 3276 02:36:34,290 --> 02:36:38,494 THEY SUPPORT YOUR PHASE I 3277 02:36:38,494 --> 02:36:42,498 PROTOCOL. 3278 02:36:42,498 --> 02:36:45,101 WHAT TOPIC SHOULD BE DISCUSSED 3279 02:36:45,101 --> 02:36:46,836 SALT THE PRE-IND MEETING? 3280 02:36:46,836 --> 02:36:49,005 IT'S ABOUT THE DESIGN AND 3281 02:36:49,005 --> 02:36:55,311 DURATION OF THE GLP TOX STUDIES. 3282 02:36:55,311 --> 02:36:58,481 ISSUES WITH WITH YOUR CMC AND 3283 02:36:58,481 --> 02:37:03,719 DEVELOPING COMPARABILITY STUDIES 3284 02:37:03,719 --> 02:37:06,489 OR ANY SPECIFIC MANUFACTURING 3285 02:37:06,489 --> 02:37:07,523 ISSUES YOU HAD CAN DISCUSS 3286 02:37:07,523 --> 02:37:09,291 THEM -- WELL, YOU NEED TO HAVE 3287 02:37:09,291 --> 02:37:12,728 YOUR PROTOCOL SYNOPSIS OR 3288 02:37:12,728 --> 02:37:14,897 PROTOCOL AND WE RECOMMEND YOU 3289 02:37:14,897 --> 02:37:18,534 HAVE A DRAFT PROTOCOL IN YOUR 3290 02:37:18,534 --> 02:37:19,301 BRIEFING DOCUMENT FOR YOUR FIRST 3291 02:37:19,301 --> 02:37:24,306 IN MAN STUDIES. 3292 02:37:24,306 --> 02:37:26,475 AND DISCUSS YOUR REGIMENT AND 3293 02:37:26,475 --> 02:37:28,277 DEVELOPMENT CHALLENGES YOU HAVE 3294 02:37:28,277 --> 02:37:32,081 AND REALLY GO OVER ANY TOPICS 3295 02:37:32,081 --> 02:37:33,382 THAT THERE'S NO REALLY AN FDA 3296 02:37:33,382 --> 02:37:41,490 GUIDANCE FOR. 3297 02:37:41,490 --> 02:37:43,426 AN INTERACT MEETING CAN OCCUR 3298 02:37:43,426 --> 02:37:45,327 BEFORE THE PRE IND MEETING. 3299 02:37:45,327 --> 02:37:50,499 IT'S A NEWER FORMAL MEETING THE 3300 02:37:50,499 --> 02:37:51,000 FDA ESTABLISHED. 3301 02:37:51,000 --> 02:37:54,336 AND BASICALLY THE INTERACT 3302 02:37:54,336 --> 02:37:56,806 MEETING IS SCHEDULED 75 DAYS 3303 02:37:56,806 --> 02:37:58,541 BEFORE THE MEETING. 3304 02:37:58,541 --> 02:38:00,409 ONCE YOU SUBMIT THE MEETING 3305 02:38:00,409 --> 02:38:02,945 REQUEST AND THE IMPORTANT POINT 3306 02:38:02,945 --> 02:38:05,981 IS YOU'RE BRIEFING BOOK OR YOUR 3307 02:38:05,981 --> 02:38:10,252 MEETING PACKAGE BACKGROUND NEEDS 3308 02:38:10,252 --> 02:38:12,188 TO BE SUBMITTED WITH THE MEETING 3309 02:38:12,188 --> 02:38:12,455 REQUEST. 3310 02:38:12,455 --> 02:38:15,591 SO WHEN DO YOU HAVE YOUR 3311 02:38:15,591 --> 02:38:16,425 INTERACT MEETING? 3312 02:38:16,425 --> 02:38:18,427 IT'S EARLY IN THE DEVELOPMENT. 3313 02:38:18,427 --> 02:38:21,330 USUALLY AFTER YOU HAVE YOUR 3314 02:38:21,330 --> 02:38:24,033 COMPOUND IDENTIFIED, YOU'VE GOT 3315 02:38:24,033 --> 02:38:26,502 PRE CLINICAL PROOF OF CONCEPT OR 3316 02:38:26,502 --> 02:38:28,137 PILOT DATA AND AGAIN YOU HAVEN'T 3317 02:38:28,137 --> 02:38:33,342 DONE YOUR DEFINITIVE TOX STUDIES 3318 02:38:33,342 --> 02:38:36,045 BUT MAYBE YOU HAVE SOME ANIMAL 3319 02:38:36,045 --> 02:38:41,150 STUDIES IMPORTANT TO DISCUSS AND 3320 02:38:41,150 --> 02:38:45,321 AGAIN MANUFACTURING PLAN 3321 02:38:45,321 --> 02:38:52,328 STRATEGY FOR GOING FORWARD. 3322 02:38:52,328 --> 02:38:56,298 AGAIN, WHAT SHOULD BE DISCUSSED? 3323 02:38:56,298 --> 02:38:57,900 NOVEL PROGRAMS AND IT'S VERY 3324 02:38:57,900 --> 02:39:00,536 IMPORTANT TO DISCUSS YOUR 3325 02:39:00,536 --> 02:39:01,203 PRECLINICAL MODELS, THE 3326 02:39:01,203 --> 02:39:03,973 APPROPRIATE PRECLINICAL MODELS 3327 02:39:03,973 --> 02:39:08,410 OR THE TOXICOLOGY STUDIES FOR 3328 02:39:08,410 --> 02:39:09,278 NOVEL PRODUCTS. 3329 02:39:09,278 --> 02:39:10,880 CMC REQUIREMENTS AND ANY 3330 02:39:10,880 --> 02:39:14,283 SPECIFIC PLANS THAT YOU HAVE TO 3331 02:39:14,283 --> 02:39:15,684 DEMONSTRATE PRODUCT SAFETY. 3332 02:39:15,684 --> 02:39:17,520 YOUR PROOF OF CONCEPT STUDY 3333 02:39:17,520 --> 02:39:24,627 DESIGN. 3334 02:39:24,627 --> 02:39:25,561 YOUR RECOMMENDATIONS ABOUT THE 3335 02:39:25,561 --> 02:39:28,264 FIRST IN HUMAN TRIAL. 3336 02:39:28,264 --> 02:39:31,267 USUALLY THAT'S NOT SOMETHING YOU 3337 02:39:31,267 --> 02:39:33,602 SPEND AS MUCH TIME ON IN AN 3338 02:39:33,602 --> 02:39:34,503 INTERACT MEETING. 3339 02:39:34,503 --> 02:39:38,674 BUT ANYTHING THAT IF YOU WANT TO 3340 02:39:38,674 --> 02:39:40,609 USE ANY DATA COMING FROM OUTSIDE 3341 02:39:40,609 --> 02:39:42,812 THE U.S. YOU DISCUSS IT WITH THE 3342 02:39:42,812 --> 02:39:51,587 AGENCY. 3343 02:39:51,587 --> 02:39:53,155 AND YOU DON'T HAVE TO ANSWER THE 3344 02:39:53,155 --> 02:39:54,557 IN THE CHAT BUT SHOULD YOU 3345 02:39:54,557 --> 02:39:59,094 SCHEDULE A PRE-IND MEETING WITH 3346 02:39:59,094 --> 02:40:02,832 FDA AS EARLY IN DEVELOPMENT AS 3347 02:40:02,832 --> 02:40:03,966 POSSIBLE AND PEOPLE THINK IT'S 3348 02:40:03,966 --> 02:40:06,468 TRUE BUT IT'S FALSE. 3349 02:40:06,468 --> 02:40:13,175 YOU WANT TO SCHEDULE YOUR P 3350 02:40:13,175 --> 02:40:14,109 PRE-IND MEETING AND PROOF OF 3351 02:40:14,109 --> 02:40:16,579 CONCEPT AND A YEAR BEFORE YOU'RE 3352 02:40:16,579 --> 02:40:24,620 PLANNING TO FILE YOUR IND. 3353 02:40:24,620 --> 02:40:26,288 IT'S REALLY IMPORTANT WHEN YOU 3354 02:40:26,288 --> 02:40:31,861 GO TO THE FDA ABOUT HOW YOU ASK 3355 02:40:31,861 --> 02:40:33,462 YOUR QUESTIONS AND THE FDA -- 3356 02:40:33,462 --> 02:40:34,964 YOUR FDA QUESTION SHOULD BE 3357 02:40:34,964 --> 02:40:42,471 HIGHLY SCRIPTED AND FORMAL. 3358 02:40:42,471 --> 02:40:44,840 HOW DO YOU ASK AN FDA QUESTION? 3359 02:40:44,840 --> 02:40:46,508 USUALLY QUESTIONS ARE TYPICALLY 3360 02:40:46,508 --> 02:40:52,414 YES OR NO QUESTIONS AND YOU 3361 02:40:52,414 --> 02:40:55,584 FRAME THEM AS DOES THE AGENCY 3362 02:40:55,584 --> 02:40:55,784 AGREE? 3363 02:40:55,784 --> 02:40:59,955 SO YOU PRESENT WHAT YOUR 3364 02:40:59,955 --> 02:41:01,924 STRATEGY IS AND THEN ASK THE FDA 3365 02:41:01,924 --> 02:41:03,359 IF THEY AGREE WITH YOUR 3366 02:41:03,359 --> 02:41:08,430 STRATEGY, IF THEY THINK IT'S 3367 02:41:08,430 --> 02:41:10,299 TRUE OR REASONABLE AND THE UNTO 3368 02:41:10,299 --> 02:41:13,569 ACT MEETING YOU CAN HAVE LESS 3369 02:41:13,569 --> 02:41:16,272 STRUCTURED QUESTIONS BUT FOR 3370 02:41:16,272 --> 02:41:18,440 YOUR PRE-IND YOU REALLY NEED FOR 3371 02:41:18,440 --> 02:41:20,109 THEM TO BE MORE STRUCTURED. 3372 02:41:20,109 --> 02:41:21,377 FREQUENTLY THE FDA'S GOING TO 3373 02:41:21,377 --> 02:41:24,647 SAY NO, WE DO NOT AGREE BUT 3374 02:41:24,647 --> 02:41:28,484 DON'T STRESS BECAUSE OFTEN TIMES 3375 02:41:28,484 --> 02:41:31,453 WHEN THEY DON'T AGREE -- NOT 3376 02:41:31,453 --> 02:41:36,792 OFTEN TIMES BUT THEY PROVIDE YOU 3377 02:41:36,792 --> 02:41:39,328 WITH ON WHY THEY DON'T AGREE AND 3378 02:41:39,328 --> 02:41:42,498 TRY TO MAKE SURE THEY UNDERSTAND 3379 02:41:42,498 --> 02:41:52,408 WHY THEY DON'T AGREE. 3380 02:41:52,408 --> 02:41:54,576 AND IF YOU DO CELEBRATE AND RUSH 3381 02:41:54,576 --> 02:42:01,517 TO THE NEXT THING. 3382 02:42:01,517 --> 02:42:04,286 AND YOU HAVE TO REMEMBER THE FDA 3383 02:42:04,286 --> 02:42:07,656 ARE NOT REGULATORY OR MANAGEMENT 3384 02:42:07,656 --> 02:42:08,157 CONSULTANTS. 3385 02:42:08,157 --> 02:42:12,227 YOU DO NOT GO TO THE FDA WITH 3386 02:42:12,227 --> 02:42:15,798 BROAD OPEN ENDED QUESTIONS LIKE 3387 02:42:15,798 --> 02:42:18,500 WHAT DOES THE FDA THINK OF OUR 3388 02:42:18,500 --> 02:42:19,535 DEVELOPMENT PLAN. 3389 02:42:19,535 --> 02:42:21,337 THAT'S WAY TOO BROAD AND WAY TOO 3390 02:42:21,337 --> 02:42:22,071 OPEN ENDED. 3391 02:42:22,071 --> 02:42:27,343 WHAT YOU WANT TO DO IS YOU WANT 3392 02:42:27,343 --> 02:42:29,545 TO SPEND TIME GOING THROUGH AND 3393 02:42:29,545 --> 02:42:35,684 WHAT SPECIFICALLY YOUR QUESTION 3394 02:42:35,684 --> 02:42:36,251 IS. 3395 02:42:36,251 --> 02:42:39,555 AND YOU CAN GET SPECIFIC 3396 02:42:39,555 --> 02:42:40,789 FOCUSSED INFORMATION ON YOUR 3397 02:42:40,789 --> 02:42:41,056 QUESTION. 3398 02:42:41,056 --> 02:42:42,324 BECAUSE IF YOU ASK A GENERAL 3399 02:42:42,324 --> 02:42:44,526 QUESTION YOUR LIKELY TO GET A 3400 02:42:44,526 --> 02:42:46,028 GENERAL RESPONSE OR LIKELY TO 3401 02:42:46,028 --> 02:42:50,499 GET A RESPONSE BASED ON THE 3402 02:42:50,499 --> 02:42:52,134 INFORMATION PROVIDED. 3403 02:42:52,134 --> 02:42:57,339 WE CAN'T ANSWER THIS QUESTION. 3404 02:42:57,339 --> 02:42:59,074 I RECOMMEND SPENDING A LOT OF 3405 02:42:59,074 --> 02:43:04,113 TIME THINKING ABOUT THE QUESTION 3406 02:43:04,113 --> 02:43:10,486 YOU WANT TO ASK. 3407 02:43:10,486 --> 02:43:14,590 AND LIMIT QUESTIONS IN YOUR MAIN 3408 02:43:14,590 --> 02:43:21,330 REQUEST TO TEN. 3409 02:43:21,330 --> 02:43:24,633 AN USE QUESTIONS TO REALLY ADD 3410 02:43:24,633 --> 02:43:26,468 THE NUMBER AND INCREASE THE 3411 02:43:26,468 --> 02:43:31,306 NUMBER OF QUESTIONS. 3412 02:43:31,306 --> 02:43:33,609 IF YOU HAVE A ONE-TIME INFORMAL 3413 02:43:33,609 --> 02:43:35,944 QUESTION, YOU CAN REACH OUT TO 3414 02:43:35,944 --> 02:43:40,883 YOUR REGULATORY PROJECT MANAGER 3415 02:43:40,883 --> 02:43:42,351 AND DISCUSS WHAT YOUR SPECIFIC 3416 02:43:42,351 --> 02:43:44,153 ISSUES ARE AND THE REGULATORY 3417 02:43:44,153 --> 02:43:45,421 PROJECT MANGE WILL GIVE YOU 3418 02:43:45,421 --> 02:43:46,388 ADVICE ABOUT WHETHER YOU NEED A 3419 02:43:46,388 --> 02:43:56,665 MEETING OR NOT. 3420 02:43:58,033 --> 02:43:59,401 AND ONE WEEK BEFORE THE MEETING 3421 02:43:59,401 --> 02:44:03,605 THE FDA WILL USUALLY SEND YOU A 3422 02:44:03,605 --> 02:44:06,208 PRELIMINARY RESPONSE, 24 TO 72 3423 02:44:06,208 --> 02:44:06,475 HOURS. 3424 02:44:06,475 --> 02:44:08,210 I SAY USUALLY BUT NOW IT'S 3425 02:44:08,210 --> 02:44:12,114 PRETTY MUCH ALL THE TIME. 3426 02:44:12,114 --> 02:44:16,552 THEY'RE GOING TO RESPOND TO YOUR 3427 02:44:16,552 --> 02:44:18,954 QUESTIONS IN THAT 24 TO 48 HOUR 3428 02:44:18,954 --> 02:44:26,995 TIME FRAME BEFORE THE MEETING. 3429 02:44:26,995 --> 02:44:28,363 AND USE THE PRELIMINARY 3430 02:44:28,363 --> 02:44:31,233 RESPONSES AND MAKE SURE THE FDA 3431 02:44:31,233 --> 02:44:34,903 ANSWERED THE QUESTIONS TO THE 3432 02:44:34,903 --> 02:44:36,038 POINT THAT THEY CAN UNDERSTAND 3433 02:44:36,038 --> 02:44:42,211 THE FDA'S POINT. 3434 02:44:42,211 --> 02:44:45,347 AND IF THEY STOP ANSWERING TOE 3435 02:44:45,347 --> 02:44:50,486 THIS TEAM'S SATISFACTION YOU CAN 3436 02:44:50,486 --> 02:44:51,987 CANCEL THE MEETING AND NOT HAVE 3437 02:44:51,987 --> 02:44:52,554 THE MEETING. 3438 02:44:52,554 --> 02:44:53,689 IF FURTHER CLARIFICATION IS 3439 02:44:53,689 --> 02:44:54,857 NEEDED FOR THE QUESTION USUALLY 3440 02:44:54,857 --> 02:44:58,760 OUT OF YOUR 10 YOU MAY HAVE 3441 02:44:58,760 --> 02:45:00,295 THREE OR FOUR QUESTIONS THAT 3442 02:45:00,295 --> 02:45:00,863 NEED FURTHER CLARIFICATION. 3443 02:45:00,863 --> 02:45:05,234 WHAT YOU WANT TO DO IS GET THAT 3444 02:45:05,234 --> 02:45:08,170 TO THE PROJECT MANAGER AND SAY 3445 02:45:08,170 --> 02:45:10,372 OUR TEAM IS INTERESTED IN HAVING 3446 02:45:10,372 --> 02:45:16,678 A DISCUSSION ABOUT 3, 5 AND 7 3447 02:45:16,678 --> 02:45:18,147 AND WANT NUMBER 7 TO BE THE 3448 02:45:18,147 --> 02:45:28,657 PRIORITY QUESTION TO DISCUSS. 3449 02:45:33,395 --> 02:45:38,400 AND HOLD A MOCK MEET AND HAVE 3450 02:45:38,400 --> 02:45:39,334 SOMEONE PLAY THE ROLE OF AN FDA 3451 02:45:39,334 --> 02:45:39,601 REVIEWER. 3452 02:45:39,601 --> 02:45:42,004 [NO AUDIO] 3453 02:45:42,004 --> 02:45:52,247 OR APPLICANTS. 3454 02:45:53,949 --> 02:45:56,919 IT'S AN MORE MEETING AND THE RPM 3455 02:45:56,919 --> 02:45:57,920 CHAIRS THE MEETING. 3456 02:45:57,920 --> 02:45:59,755 THE FIRST FIVE MINUTES ARE OR 3457 02:45:59,755 --> 02:46:00,989 INTRODUCTION TO THE FDA AND 3458 02:46:00,989 --> 02:46:01,223 SPONSOR. 3459 02:46:01,223 --> 02:46:03,091 NO LONGER IT USED TO BE WHEN I 3460 02:46:03,091 --> 02:46:06,061 FIRST GOT STARTED THE COMPANY 3461 02:46:06,061 --> 02:46:07,696 GAVE INFORMATION ON THE COMPANY 3462 02:46:07,696 --> 02:46:11,266 AND THINGS LIKE THAT NO LONGER 3463 02:46:11,266 --> 02:46:14,136 DO WE DO THAT AND WE HAD BASIC 3464 02:46:14,136 --> 02:46:15,571 INTRODUCTIONS AND THAT ALLOWS 3465 02:46:15,571 --> 02:46:19,808 FOR THE NEXT 50 MINUTES FOR 3466 02:46:19,808 --> 02:46:21,376 DISCUSSION OF THE QUESTIONS 3467 02:46:21,376 --> 02:46:23,212 AGAIN IN THE ORDER YOU NOTIFIED 3468 02:46:23,212 --> 02:46:33,622 THE RPM AS THE PRIORITY. 3469 02:46:39,294 --> 02:46:41,563 THE SUBJECT MATTER EXPERT CAN 3470 02:46:41,563 --> 02:46:42,931 GIVE A BRIEF EXPOSITION OR 3471 02:46:42,931 --> 02:46:45,334 BACKGROUND ON THE SPECIFIC 3472 02:46:45,334 --> 02:46:48,870 QUESTION. 3473 02:46:48,870 --> 02:46:50,505 USUALLY THAT'S THE MOST 3474 02:46:50,505 --> 02:46:52,507 INFORMATION OR EXPLANATORY 3475 02:46:52,507 --> 02:46:53,408 INFORMATION YOU'LL HAVE. 3476 02:46:53,408 --> 02:46:59,681 AND LIST OF PRIMARY QUESTIONS 3477 02:46:59,681 --> 02:47:00,682 FIRST THEN FIVE MINUTES BEFORE 3478 02:47:00,682 --> 02:47:02,484 THE MEETING ENDS IT'S A GOOD 3479 02:47:02,484 --> 02:47:06,054 IDEA FOR THE SPONSOR TO GIVE A 3480 02:47:06,054 --> 02:47:08,457 SUMMARY STATEMENT OF BASICALLY 3481 02:47:08,457 --> 02:47:09,758 THEIR UNDERSTANDING AND 3482 02:47:09,758 --> 02:47:11,760 TAKEAWAYS AND ACTION ITEMS. 3483 02:47:11,760 --> 02:47:14,963 AND AGAIN IT'S REALLY IMPORTANT 3484 02:47:14,963 --> 02:47:19,534 TO LISTEN AND TRY NOT TO ARGUE 3485 02:47:19,534 --> 02:47:20,269 WITH THE FDA. 3486 02:47:20,269 --> 02:47:24,039 AUTHOR EASY TO TALK TO IN MY 3487 02:47:24,039 --> 02:47:25,040 EXPERIENCE AND REALLY WANT TO 3488 02:47:25,040 --> 02:47:26,375 HELP YOU SO YOU NEED TO GO INTO 3489 02:47:26,375 --> 02:47:33,548 THE MEETING WITH THAT IDEA. 3490 02:47:33,548 --> 02:47:35,350 SO THE POST MEETING WRITE UP 3491 02:47:35,350 --> 02:47:36,385 YOUR MEETING MINUTES IMMEDIATELY 3492 02:47:36,385 --> 02:47:37,486 AFTER THE MEETING AND CIRCULATE 3493 02:47:37,486 --> 02:47:39,154 TO THE INTERNAL TEAM. 3494 02:47:39,154 --> 02:47:40,889 SO EVERYBODY ON THE TEAM SHOULD 3495 02:47:40,889 --> 02:47:44,760 BE TAKING NOTES WHILE THE 3496 02:47:44,760 --> 02:47:45,827 MEETING'S GOING ON. 3497 02:47:45,827 --> 02:47:47,596 YOU PUT YOUR NOTES TOGETHER AND 3498 02:47:47,596 --> 02:47:51,366 MAKE SURE THAT YOU ALL ARE 3499 02:47:51,366 --> 02:47:54,503 UNDERSTANDING WHAT YOU THINK 3500 02:47:54,503 --> 02:48:05,013 YOU'VE AGREED WITH THE FDA I 3501 02:48:08,183 --> 02:48:11,987 IT'S NOT THE FORM TO SEND THE 3502 02:48:11,987 --> 02:48:13,722 MEETING MINUTES BUT IT USED TO 3503 02:48:13,722 --> 02:48:16,591 BE AND THEY'LL SEND THEM 30 DAYS 3504 02:48:16,591 --> 02:48:17,726 WITHIN THE MEETING AND IT'S WEST 3505 02:48:17,726 --> 02:48:23,231 TO PUT YOUR TEAM TOGETHER, 3506 02:48:23,231 --> 02:48:24,900 REVIEW THE FDA'S INFORMATION 3507 02:48:24,900 --> 02:48:27,102 MAKE SURE THE INFORMATION THE 3508 02:48:27,102 --> 02:48:28,603 FDA PROVIDED IS RELEVANT AND 3509 02:48:28,603 --> 02:48:29,771 APPROPRIATE FOR WHAT YOU THINK 3510 02:48:29,771 --> 02:48:36,178 YOU DISCUSSED AND WHAT YOU 3511 02:48:36,178 --> 02:48:37,079 AGREED AND IF THERE'S ANYTHING 3512 02:48:37,079 --> 02:48:39,348 YOU THINK IS NOT APPROPRIATE OR 3513 02:48:39,348 --> 02:48:44,686 NOT EXACTLY RIGHT THE SPONSOR 3514 02:48:44,686 --> 02:48:47,989 CAN SUBMIT A REQUEST FOR 3515 02:48:47,989 --> 02:48:49,024 CLARIFICATION WITHIN 30 DAYS OF 3516 02:48:49,024 --> 02:48:50,892 THE RECEIPT OF THE MEETING AND 3517 02:48:50,892 --> 02:48:52,527 COME BACK TO YOU WITH RESPONSES 3518 02:48:52,527 --> 02:49:02,571 TO YOUR CLARIFICATION. 3519 02:49:02,571 --> 02:49:09,811 AND WE'LL PREPARE THE FDA SMICKS 3520 02:49:09,811 --> 02:49:10,579 WHAT'S AN IND? 3521 02:49:10,579 --> 02:49:12,647 AN IND IS A DOCUMENT YOU SUBMIT 3522 02:49:12,647 --> 02:49:14,116 TO THE AGENCY TO ALLOW YOU TO GO 3523 02:49:14,116 --> 02:49:18,787 INTO CLINICAL STUDIES. 3524 02:49:18,787 --> 02:49:20,322 THERE'S THREE MAIN PARTS TO THE 3525 02:49:20,322 --> 02:49:20,889 IND. 3526 02:49:20,889 --> 02:49:22,290 THE NON-CLINICAL INFORMATION, 3527 02:49:22,290 --> 02:49:26,495 WHICH IS THE RESULTS OF YOUR 3528 02:49:26,495 --> 02:49:29,498 PRE-CLINICAL DEVELOPMENT PROGRAM 3529 02:49:29,498 --> 02:49:31,933 INCLUDING YOUR GLP TOXICOLOGY 3530 02:49:31,933 --> 02:49:32,167 STUDIES. 3531 02:49:32,167 --> 02:49:33,602 THE OVER ALL GOAL OF THAT IS TO 3532 02:49:33,602 --> 02:49:41,243 ASSURE YOU HAVE ADEQUATE SAFETY 3533 02:49:41,243 --> 02:49:44,546 AND THE CHEMISTRY CONTROL WHICH 3534 02:49:44,546 --> 02:49:46,915 IS INFORMATION ON THE DETAILS OF 3535 02:49:46,915 --> 02:49:49,651 YOUR DRUG SUBSTANCE OR API SOME 3536 02:49:49,651 --> 02:49:50,819 CALL IT AND THE DRUG PRODUCT 3537 02:49:50,819 --> 02:49:59,161 MANUFACTURING. 3538 02:49:59,161 --> 02:50:02,130 YOU CAN MAKE AND TEST YOUR 3539 02:50:02,130 --> 02:50:05,267 PRODUCT USING GOOD MANUFACTURING 3540 02:50:05,267 --> 02:50:06,468 PRACTICE AND A BRIDGE BETWEEN 3541 02:50:06,468 --> 02:50:08,904 THE MATERIAL YOU USED IN YOUR 3542 02:50:08,904 --> 02:50:15,343 NON-CLINICAL GLP STUDIES TO THE 3543 02:50:15,343 --> 02:50:17,012 MATERIAL YOU'RE GOING TO USE IN 3544 02:50:17,012 --> 02:50:18,313 YOUR CLINICAL TRIALS. 3545 02:50:18,313 --> 02:50:19,414 IT DOESN'T HAVE TO BE EXACTLY 3546 02:50:19,414 --> 02:50:20,682 THE SAME BUT THE FDA WILL REVIEW 3547 02:50:20,682 --> 02:50:27,722 THE TATE FROM THE NON-CLINICAL 3548 02:50:27,722 --> 02:50:30,358 MATERIAL AND CLINICAL MATERIAL 3549 02:50:30,358 --> 02:50:32,861 TO MAKE SURE YOU HAVE COVERAGE. 3550 02:50:32,861 --> 02:50:36,031 INCLUDING THE PROTOCOL FOR THE 3551 02:50:36,031 --> 02:50:37,766 PHASE 1 CLINICAL TRIAL AND 3552 02:50:37,766 --> 02:50:38,467 INVESTIGATOR BROCHURE. 3553 02:50:38,467 --> 02:50:42,370 YOU NEED TO REASSURE THE FDA THE 3554 02:50:42,370 --> 02:50:45,373 PROPOSED STUDIES WILL BE SAFE, 3555 02:50:45,373 --> 02:50:53,982 THEY'RE SCIENTIFICALLY VALID AND 3556 02:50:53,982 --> 02:50:56,685 NOT EXCESSIVELY BURDENSOME AND 3557 02:50:56,685 --> 02:51:03,825 GOOD CONTENT AND FORMAT FOR THE 3558 02:51:03,825 --> 02:51:04,860 GUIDANCE DOCUMENT AND STILL VOLE 3559 02:51:04,860 --> 02:51:15,437 RANT AND APPROPRIATE NOW. 3560 02:51:15,437 --> 02:51:17,706 THERE'S AN INTRODUCTORY FORM OF 3561 02:51:17,706 --> 02:51:21,343 THE 1571 IN YOUR COVER LETTER. 3562 02:51:21,343 --> 02:51:22,477 THAT'S THE ADMINISTRATIVE 3563 02:51:22,477 --> 02:51:22,777 INFORMATION. 3564 02:51:22,777 --> 02:51:28,383 THEN YOU PROVIDE AN INTRODUCTORY 3565 02:51:28,383 --> 02:51:30,819 SUMMARY AND WHAT YOU WANT TO GET 3566 02:51:30,819 --> 02:51:32,554 ACROSS TO THE AGENCY. 3567 02:51:32,554 --> 02:51:33,755 THEN THERE'S THE GENERAL 3568 02:51:33,755 --> 02:51:34,990 INVESTIGATIONAL PLAN AND THAT'S 3569 02:51:34,990 --> 02:51:36,925 USUALLY ONE TO TWO PAGES AND THE 3570 02:51:36,925 --> 02:51:39,227 PURPOSE IS TO LET THE AGENCY 3571 02:51:39,227 --> 02:51:42,964 KNOW WHAT YOU'RE GOING TO DO. 3572 02:51:42,964 --> 02:51:43,932 NON CLINICALLY AND CLINICALLY 3573 02:51:43,932 --> 02:51:54,543 FROM THE NEXT YEAR REALLY. 3574 02:51:54,543 --> 02:51:56,177 PROVIDE YOUR PROTOCOL AND 3575 02:51:56,177 --> 02:51:58,113 STARTED SIX TO 12 MONTHS BEFORE 3576 02:51:58,113 --> 02:52:02,484 YOUR IND AND I LIKE TO INCLUDE A 3577 02:52:02,484 --> 02:52:05,420 DRAFT PROTOCOL IN THE PRE-IND 3578 02:52:05,420 --> 02:52:06,054 BRIEFING DOCUMENT BECAUSE THE 3579 02:52:06,054 --> 02:52:07,989 FDA VEEP FOR QUESTIONS, EVEN FOR 3580 02:52:07,989 --> 02:52:13,562 THINGS IRE IN YOUR PROTOCOL YOU 3581 02:52:13,562 --> 02:52:15,964 MAY NOT HAVE ASKED A QUESTION 3582 02:52:15,964 --> 02:52:18,833 OFTEN THE AGENCY NOTICES A FLAG 3583 02:52:18,833 --> 02:52:21,570 THEY'LL GIVE YOU ADVICE ON 3584 02:52:21,570 --> 02:52:23,772 SPECIFIC INFORMATION IN YOUR 3585 02:52:23,772 --> 02:52:25,674 PROTOCOL THAT MAYBE YOU DID NOT 3586 02:52:25,674 --> 02:52:32,981 HAVE THE QUESTION FOR THE PR 3587 02:52:32,981 --> 02:52:35,550 PRE-IND THEN YOU WANT THE 3588 02:52:35,550 --> 02:52:36,751 INVESTIGATOR'S BROCHURE AND 3589 02:52:36,751 --> 02:52:38,219 START THAT NINE MONTHS BEFORE 3590 02:52:38,219 --> 02:52:44,059 YOUR IND SUBMISSION AND IT'S 3591 02:52:44,059 --> 02:52:46,494 REALLY TO COVER IN SUMMARY FORM 3592 02:52:46,494 --> 02:52:51,366 THE INVESTIGATORS CAN UNDERSTAND 3593 02:52:51,366 --> 02:52:57,806 THE INFORMATION KWLUN CAL 3594 02:52:57,806 --> 02:52:59,608 INFORMATION YOU THINK IS 3595 02:52:59,608 --> 02:53:02,477 IMPORTANT FOR THE INVESTIGATOR 3596 02:53:02,477 --> 02:53:12,721 TO UNDERSTAND. 3597 02:53:18,560 --> 02:53:22,497 INCLUDE INVESTIGATOR ON THE DATA 3598 02:53:22,497 --> 02:53:26,234 ON FORM 1572 AND PRESENT THE CVs 3599 02:53:26,234 --> 02:53:27,569 OF YOUR INVESTIGATORS. 3600 02:53:27,569 --> 02:53:31,673 THE IND DATA AND PROVIDE AN IND 3601 02:53:31,673 --> 02:53:34,075 ROSTER SO THE AGENCY KNOWS WHO 3602 02:53:34,075 --> 02:53:36,344 THE IRB WAS THAT REVIEWED YOUR 3603 02:53:36,344 --> 02:53:39,681 CLINICAL PROTOCOL. 3604 02:53:39,681 --> 02:53:41,683 YOU CAN PROVIDE YOUR INFORMED 3605 02:53:41,683 --> 02:53:46,521 CONSENT IF THERE'S SOMETHING 3606 02:53:46,521 --> 02:53:51,393 SPECIFIC OR IF YOU HAVE A 3607 02:53:51,393 --> 02:53:53,328 DIFFICULT PROTOCOL OR PATIENT 3608 02:53:53,328 --> 02:53:54,929 POPULATION, YOU MAY WANT TO 3609 02:53:54,929 --> 02:53:56,398 INCLUDE YOUR INFORMED CONSENT 3610 02:53:56,398 --> 02:53:57,365 FORM AND ASK THE FDA FOR 3611 02:53:57,365 --> 02:54:07,542 FEEDBACK. 3612 02:54:09,010 --> 02:54:11,680 IF YOU DO A LITERATURE SEARCH IF 3613 02:54:11,680 --> 02:54:13,615 THERE'S RELEVANCE TO INCLUDE ANY 3614 02:54:13,615 --> 02:54:14,516 INFORMATION ON YOUR PRODUCT OR 3615 02:54:14,516 --> 02:54:21,189 VERY SIMILAR PRODUCTS. 3616 02:54:21,189 --> 02:54:26,761 YOU HAVE TO SUBMIT THE FORM 3674 3617 02:54:26,761 --> 02:54:28,797 SAYING YOU'LL REGISTER YOUR 3618 02:54:28,797 --> 02:54:30,832 STUDY WITH CLINICALTRIALS.gov. 3619 02:54:30,832 --> 02:54:35,203 MOST THE TIME YOUR PHASE I 3620 02:54:35,203 --> 02:54:36,971 PROTOCOL IS INCLUDED BUT LOOK AT 3621 02:54:36,971 --> 02:54:40,442 THE FORM AND MAKE SURE THAT 3622 02:54:40,442 --> 02:54:47,716 YOU'RE PHASE 1 IS EXCLUDED. 3623 02:54:47,716 --> 02:54:50,852 A RISK ASSESSMENT STATEMENT AND 3624 02:54:50,852 --> 02:54:53,221 BASIC INFORMATION ON LABELLING 3625 02:54:53,221 --> 02:54:58,493 AND INCLUDE THE COVER SHEET IF 3626 02:54:58,493 --> 02:55:04,199 IT'S RELEVANT BUT IT'S USUALLY 3627 02:55:04,199 --> 02:55:05,567 NOT NEEDED. 3628 02:55:05,567 --> 02:55:11,272 SO NOW FOR ALL COMMERCIAL 3629 02:55:11,272 --> 02:55:13,041 SUBMISSIONS, WHICH ARE MOST IND 3630 02:55:13,041 --> 02:55:16,678 SUBMISSIONS, THE IND HAS TO BE 3631 02:55:16,678 --> 02:55:18,146 SUBMITTED IN THE ELECTRONIC 3632 02:55:18,146 --> 02:55:20,982 COMMON DOCUMENT FORMAT. 3633 02:55:20,982 --> 02:55:26,187 THIS IS THE INFORMATION THERE'S 3634 02:55:26,187 --> 02:55:29,290 FIVE MODULES IN THE ECTD. 3635 02:55:29,290 --> 02:55:30,492 MODULE 1 IS ADMINISTRATIVE THE 3636 02:55:30,492 --> 02:55:34,262 COVER LETTER AND 1571 GOES AND 3637 02:55:34,262 --> 02:55:38,466 INTRODUCTORY STATEMENT AND 3638 02:55:38,466 --> 02:55:39,400 INVESTIGATOR BROCHURES AND 3639 02:55:39,400 --> 02:55:45,373 INCLUDES SUMMARIES FOR 3640 02:55:45,373 --> 02:55:50,278 NON-CLINICAL CMC AND CLINICAL 3641 02:55:50,278 --> 02:55:53,414 SUMMARY IF APPLICABLE BUT OFTEN 3642 02:55:53,414 --> 02:55:59,821 FOR PHASE I IT'S NOT AND MODULE 3643 02:55:59,821 --> 02:56:03,324 4 IS THE STUDY REPORT AND MODULE 3644 02:56:03,324 --> 02:56:06,461 5 ARE STUDY REPORTS. 3645 02:56:06,461 --> 02:56:09,130 IT'S IMPORTANT TO GET REGULATORY 3646 02:56:09,130 --> 02:56:12,267 ASSISTANCE NOW BECAUSE NOT ONLY 3647 02:56:12,267 --> 02:56:19,941 IS THERE SPECIFIC FORMAT FOR THE 3648 02:56:19,941 --> 02:56:27,382 ECTD YOU CAN GET WITH RTI AND WE 3649 02:56:27,382 --> 02:56:37,625 CAN HELP YOU. 3650 02:56:41,763 --> 02:56:42,497 WE'RE GOING TO TALK ABOUT 3651 02:56:42,497 --> 02:56:43,965 PROGRAMS FOR EXPIRED CONDITIONS 3652 02:56:43,965 --> 02:56:44,999 AND THERE'S FAST TRACK, WHICH IS 3653 02:56:44,999 --> 02:56:50,605 WHEN YOU HAVE NON-CLINICAL OR 3654 02:56:50,605 --> 02:56:52,674 CLINICAL DATA THAT POTENTIALLY 3655 02:56:52,674 --> 02:56:56,911 ADDRESS AN UNMET MEDICAL NEED. 3656 02:56:56,911 --> 02:56:58,479 ALSO WHEN YOUR PRODUCT'S BEEN 3657 02:56:58,479 --> 02:57:00,048 DESIGNATED AS A QUALIFIED 3658 02:57:00,048 --> 02:57:05,019 INFECTIOUS DISEASE PRODUCT. 3659 02:57:05,019 --> 02:57:13,628 YOU CAN SUBMIT AND THE PRE-IND 3660 02:57:13,628 --> 02:57:15,763 MEETING AND IT GRANTS YOU 3661 02:57:15,763 --> 02:57:18,466 ACTIACTION 3662 02:57:18,466 --> 02:57:20,635 S EXPEDITE ROLLING REVIEW WHICH 3663 02:57:20,635 --> 02:57:24,572 IS A REVIEW WHERE YOU SUBMIT 3664 02:57:24,572 --> 02:57:30,478 PORTIONS OF YOUR MARKETING 3665 02:57:30,478 --> 02:57:36,651 APPLICATION PERIODICALLY AND 3666 02:57:36,651 --> 02:57:40,421 THEN THERE'S BREAKTHROUGH AND 3667 02:57:40,421 --> 02:57:42,290 IT'S HARDER TO GET A 3668 02:57:42,290 --> 02:57:43,558 BREAKTHROUGH INDICATION. 3669 02:57:43,558 --> 02:57:46,327 IT'S WHERE YOU PRESENT 3670 02:57:46,327 --> 02:57:47,662 PRELIMINARY CLINICAL EVIDENCE 3671 02:57:47,662 --> 02:57:49,831 THAT DEMONSTRATES THIS IS 3672 02:57:49,831 --> 02:57:52,567 IMPORTANT -- THAT DEMONSTRATES 3673 02:57:52,567 --> 02:57:55,303 SUBSTANTIAL IMPROVEMENT ON A 3674 02:57:55,303 --> 02:57:56,604 CLINICALLY SIGNIFICANT END POINT 3675 02:57:56,604 --> 02:58:02,243 OVER AVAILABLE THERAPIES. 3676 02:58:02,243 --> 02:58:04,579 SUBMIT THE APPLICATION WITH OR 3677 02:58:04,579 --> 02:58:06,981 WITHOUT THE IND BUT BEFORE THE 3678 02:58:06,981 --> 02:58:09,851 END OF PHASE II AND GRANTS YOU 3679 02:58:09,851 --> 02:58:15,023 INTENSIVE GUIDANCE AND ROLLING 3680 02:58:15,023 --> 02:58:18,559 REVIEW. 3681 02:58:18,559 --> 02:58:22,897 SO SOME TALK HOME PEARLS, DO 3682 02:58:22,897 --> 02:58:24,599 ENGAGE THE TEAM EARLY AND 3683 02:58:24,599 --> 02:58:26,467 CONSIDER AN INTERACT MEETING AND 3684 02:58:26,467 --> 02:58:31,806 PRE-IND MEETING IF YOUR PRODUCT 3685 02:58:31,806 --> 02:58:32,707 IS NOVEL. 3686 02:58:32,707 --> 02:58:39,213 FOR ME FAMILIARIZE YOUR GUIDANCE 3687 02:58:39,213 --> 02:58:40,815 AND START NINE TO 12 MONTHS 3688 02:58:40,815 --> 02:58:41,449 BEFORE SUBMISSION AND EARLIER IF 3689 02:58:41,449 --> 02:58:47,789 YOU CAN. 3690 02:58:47,789 --> 02:58:49,557 DON'T ASK THE FDA OPEN ENDED 3691 02:58:49,557 --> 02:58:50,258 QUESTIONS. 3692 02:58:50,258 --> 02:58:51,392 ASSUME INTERACTIONS WITH THE FDA 3693 02:58:51,392 --> 02:58:57,231 ARE IN FORMAL. 3694 02:58:57,231 --> 02:58:58,900 TREATS THEM AS FORMAL. 3695 02:58:58,900 --> 02:59:04,505 HAVE YOUR QUESTIONS WORDED 3696 02:59:04,505 --> 02:59:14,749 APPROPRIA 3697 02:59:20,488 --> 02:59:23,057 APPROPRIATELY AND IT'S A BEST TO 3698 02:59:23,057 --> 02:59:27,095 KNOW THE ANSWERS NOW BEFORE YOUR 3699 02:59:27,095 --> 02:59:30,465 IND THAN IT IS TO GET TO YOUR 3700 02:59:30,465 --> 02:59:40,408 IND CLINICAL. 3701 02:59:40,408 --> 02:59:41,275 AND THERE'S DIFFERENT TYPES OF 3702 02:59:41,275 --> 02:59:44,045 FDA MEETINGS AND ABCD AND 3703 02:59:44,045 --> 02:59:44,312 INTERACT. 3704 02:59:44,312 --> 02:59:46,147 WE'RE NOT GOING TO GO THROUGH 3705 02:59:46,147 --> 02:59:46,347 THOSE. 3706 02:59:46,347 --> 02:59:50,918 THOSE ARE THE FORMAL MEETINGS. 3707 02:59:50,918 --> 02:59:54,622 WE CAN DISCUSS THOSE AT A LATER 3708 02:59:54,622 --> 02:59:57,392 POINT IN TIME. 3709 02:59:57,392 --> 03:00:00,194 AND HO DO YOU SUBMIT AN FDA 3710 03:00:00,194 --> 03:00:00,795 MEETING REQUEST? 3711 03:00:00,795 --> 03:00:01,863 WE'RE FOT GOING TO GO THROUGH 3712 03:00:01,863 --> 03:00:06,467 THE SPECIFICS OF THAT BUT IT'S 3713 03:00:06,467 --> 03:00:09,270 VERY SCRIPTED AND IN THE FORMAL 3714 03:00:09,270 --> 03:00:10,471 MEETINGS BETWEEN THE FDA 3715 03:00:10,471 --> 03:00:16,611 SPONSORS AND/OR APPLICANTS. 3716 03:00:16,611 --> 03:00:18,046 THE INFORMATION THAT GOES IN A 3717 03:00:18,046 --> 03:00:21,549 BRIEFLY BOOK YOU ASKED FOR A 3718 03:00:21,549 --> 03:00:21,816 TEMPLATE. 3719 03:00:21,816 --> 03:00:23,117 WE CAN PROVIDE YOU WITH ONE IF 3720 03:00:23,117 --> 03:00:25,086 YOU DON'T HAVE ONE. 3721 03:00:25,086 --> 03:00:28,022 THERE'S NO SPECIFIC FDA GUIDANCE 3722 03:00:28,022 --> 03:00:31,159 ON YOUR BRIEFING BOOK BUT WE CAN 3723 03:00:31,159 --> 03:00:33,394 PROVIDE YOU WITH FEEDBACK. 3724 03:00:33,394 --> 03:00:35,229 FINALIZE QUESTIONS. 3725 03:00:35,229 --> 03:00:36,631 THE BACKGROUND INFORMATION MEDED 3726 03:00:36,631 --> 03:00:39,634 FOR THE FDA TO ANSWER YOUR 3727 03:00:39,634 --> 03:00:39,901 QUESTIONS. 3728 03:00:39,901 --> 03:00:45,673 YOUR DATA SHOULD BE SUMMARIZED 3729 03:00:45,673 --> 03:00:46,507 AND SUCCINCT. 3730 03:00:46,507 --> 03:00:47,708 REMEMBER THEY HAVE I ASHORT 3731 03:00:47,708 --> 03:00:49,077 PERIOD OF TIME TO REVIEW YOUR 3732 03:00:49,077 --> 03:00:50,244 INFORMATION SO YOU WA IN THE TO 3733 03:00:50,244 --> 03:00:52,246 MAKE SURE IT'S SUMMARIZED AND 3734 03:00:52,246 --> 03:00:54,715 VERY SUCCINCT. 3735 03:00:54,715 --> 03:01:00,755 AGAIN, AFTER YOU SUBMIT YOUR 3736 03:01:00,755 --> 03:01:03,691 BRIEFING BOOK, YOU CANNOT 3737 03:01:03,691 --> 03:01:06,494 PROVIDE NEW INFORMATION TO THE 3738 03:01:06,494 --> 03:01:16,938 AGENCY DURING THE MEETING. 3739 03:01:21,809 --> 03:01:26,781 DON'T PANIC IT DOESN'T MEAN THE 3740 03:01:26,781 --> 03:01:29,150 FDA THINK THERE ARE MAJOR ISSUES 3741 03:01:29,150 --> 03:01:30,785 THEY ARE CAN'T ADDRESS IN THE 3742 03:01:30,785 --> 03:01:33,387 WRITTEN RESPONSE AND GIVEN THE 3743 03:01:33,387 --> 03:01:39,026 DETAILED WRIT ENRESPONSE -- 3744 03:01:39,026 --> 03:01:43,264 WRITTEN RESPONSE AND THE SILVER 3745 03:01:43,264 --> 03:01:44,866 LINING IS YOU GET IT 30 DAYS 3746 03:01:44,866 --> 03:01:45,833 EARLIER FAN IF YOU HAD A FACE TO 3747 03:01:45,833 --> 03:01:54,809 FACE MEETING. 3748 03:01:54,809 --> 03:01:58,212 THE INFORMATION YOU PUT IN THE 3749 03:01:58,212 --> 03:01:59,647 PROTOCOL IS IN THE GUIDANCE 3750 03:01:59,647 --> 03:02:01,082 DOCUMENT BUT YOU PROVIDE THE 3751 03:02:01,082 --> 03:02:04,018 TITLE PAGE AND OBJECTIVES AND 3752 03:02:04,018 --> 03:02:06,254 STUDY DESIGN. 3753 03:02:06,254 --> 03:02:08,523 THE STUDY PROCEDURES AND YOUR 3754 03:02:08,523 --> 03:02:13,761 SAFETY REPORTING AND MONITORING 3755 03:02:13,761 --> 03:02:17,131 AND REPORTING YOUR STATISTICAL 3756 03:02:17,131 --> 03:02:21,035 ANALYSIS PLAN AND ETHICS AND 3757 03:02:21,035 --> 03:02:21,802 CONSIDERATIONS FOR QUALITY 3758 03:02:21,802 --> 03:02:23,905 ASSURANCE AND INFORMING ON DATA 3759 03:02:23,905 --> 03:02:27,975 MANAGEMENT AND MANAGING AND 3760 03:02:27,975 --> 03:02:30,478 AUDITING AND YOUR INFORMED 3761 03:02:30,478 --> 03:02:35,283 CONSENT IS OPTIONAL. 3762 03:02:35,283 --> 03:02:36,918 SO THE INFORMATION THAT GOES IN 3763 03:02:36,918 --> 03:02:40,154 THE TOP SECTION OF YOUR IND IS 3764 03:02:40,154 --> 03:02:41,689 THE DESCRIPTION OF THE 3765 03:02:41,689 --> 03:02:42,490 PHARMACOLOGIC EFFECTS AND 3766 03:02:42,490 --> 03:02:44,659 MECHANISMS OF THE ACTIONS IN 3767 03:02:44,659 --> 03:02:51,933 YOUR ANIMAL STUDIES AND DATA. 3768 03:02:51,933 --> 03:02:53,267 YOU INCLUDE AN INTEGRATED 3769 03:02:53,267 --> 03:02:55,536 SUMMARY OF YOUR TOXICOLOGY WHICH 3770 03:02:55,536 --> 03:02:58,439 IS A BRIEF DESCRIPTION OF THE 3771 03:02:58,439 --> 03:02:59,974 TRIALS AND ANY DEVIATIONS OR 3772 03:02:59,974 --> 03:03:02,476 ANYTHING LIKE THAT. 3773 03:03:02,476 --> 03:03:06,981 YOU PROVIDE A TOXICOLOGY FULL 3774 03:03:06,981 --> 03:03:09,383 TABULATION IS FOR EACH 3775 03:03:09,383 --> 03:03:11,886 TOXICOLOGY STUDY YOU PROVIDE A 3776 03:03:11,886 --> 03:03:13,521 FULL TABULATION OF THE DATA 3777 03:03:13,521 --> 03:03:23,631 SUITABLE FOR DETAILED REVIEW. 3778 03:03:23,631 --> 03:03:25,399 INFORMATION ON YOUR DRUG 3779 03:03:25,399 --> 03:03:26,467 SUBSTANCE. 3780 03:03:26,467 --> 03:03:31,606 IT'S THE CHEMICAL, PHYSICAL, 3781 03:03:31,606 --> 03:03:33,374 BIOLOGICAL CHARACTERISTICS AND 3782 03:03:33,374 --> 03:03:37,245 FLOW CHART FOR YOUR 3783 03:03:37,245 --> 03:03:38,379 MANUFACTURING PROCESS YOUR 3784 03:03:38,379 --> 03:03:45,386 LIMITS AND ANALYTICAL 3785 03:03:45,386 --> 03:03:50,925 SPECIFICATIONS YOU WANT TO 3786 03:03:50,925 --> 03:03:53,694 EXPERIENCE SUPPORT FROM YOUR 3787 03:03:53,694 --> 03:03:56,497 CDMO EARLY ON AND THE DRUG 3788 03:03:56,497 --> 03:03:57,798 PRODUCT INCLUDE THE COMPONENT 3789 03:03:57,798 --> 03:04:02,403 USED IN THE FORMERLATION. 3790 03:04:02,403 --> 03:04:04,338 THE QUANTITATIVE COMPOSITION AND 3791 03:04:04,338 --> 03:04:08,309 NAME AND ADDRESS AND 3792 03:04:08,309 --> 03:04:10,144 MANUFACTURING PROCESS AND 3793 03:04:10,144 --> 03:04:13,214 ACCEPTABLE LIMITS WITH 3794 03:04:13,214 --> 03:04:14,949 SPECIFICATIONS AND ANALYTICAL 3795 03:04:14,949 --> 03:04:15,316 METHOD. 3796 03:04:15,316 --> 03:04:16,517 INFORMATION ON THE STABILITY OF 3797 03:04:16,517 --> 03:04:17,652 THE DRUG PRODUCT AND PLACEBO IF 3798 03:04:17,652 --> 03:04:28,062 YOU'RE USING A PLACEBO. 3799 03:04:35,870 --> 03:04:39,307 >> AFTER YOU SUBMIT THE IND TOTE 3800 03:04:39,307 --> 03:04:40,574 FDA, FDA HAS 03 DAYS TO 3801 03:04:40,574 --> 03:04:45,780 ACKNOWLEDGE AND REVIEW RECEIPT 3802 03:04:45,780 --> 03:04:49,317 AND BEFORE THEY PUT YOU ON A 3803 03:04:49,317 --> 03:04:50,117 CLINICAL HOLD. 3804 03:04:50,117 --> 03:04:51,752 IF THEY DON'T HEAR FROM THE FDA 3805 03:04:51,752 --> 03:04:53,154 WITHIN 30 DAYS YOU CAN PROCEED 3806 03:04:53,154 --> 03:04:54,422 WITH YOUR STUDY, YOUR CLINICAL 3807 03:04:54,422 --> 03:05:02,096 STUDY. 3808 03:05:02,096 --> 03:05:10,037 IT'S BEST PRACTICE TO SAY IT'S 3809 03:05:10,037 --> 03:05:16,077 BEEN 30 DAYS AND AFTER THE 30 3810 03:05:16,077 --> 03:05:26,253 DAYS WITH COMMENTS AND YOU NEED 3811 03:05:26,253 --> 03:05:28,789 TO ACKNOWLEDGE. 3812 03:05:28,789 --> 03:05:34,328 AND WE HAVE A SHORT PERIOD OF 3813 03:05:34,328 --> 03:05:43,137 TIME AND SO ACCELERATED APPROVAL 3814 03:05:43,137 --> 03:05:46,040 AND PRIORITY REVIEW AND 3815 03:05:46,040 --> 03:05:47,308 ACCELERATE APPROVAL IS BASICALLY 3816 03:05:47,308 --> 03:05:51,345 A DRUG THAT PROVIDES THE 3817 03:05:51,345 --> 03:05:54,482 MEANINGFUL ADVANTAGE OF 3818 03:05:54,482 --> 03:05:56,317 AVAILABLE THERAPIES AND 3819 03:05:56,317 --> 03:06:01,455 DEMONSTRATE END POINT AND THAT'S 3820 03:06:01,455 --> 03:06:11,999 REALLY IMPORTANT AND ACCELERATED 3821 03:06:17,872 --> 03:06:22,209 APPROVAL AND 50USH8LY WITH 3822 03:06:22,209 --> 03:06:24,512 ONCOLOGY AND HIGH RISK, HIGH 3823 03:06:24,512 --> 03:06:27,081 REWARD AND POST APPROVAL YOU 3824 03:06:27,081 --> 03:06:30,551 HAVE TO VAL TATE THE SIR GAT END 3825 03:06:30,551 --> 03:06:39,326 POINT USED DURING DEVELOPMENT. 3826 03:06:39,326 --> 03:06:40,661 AND YOU NEED SUCH MONTHS RATHER 3827 03:06:40,661 --> 03:06:50,471 THAN A SOW MONTH REVIEW. 3828 03:06:50,471 --> 03:06:52,973 >> CARAMELA THANK YOU FOR THE 3829 03:06:52,973 --> 03:06:54,175 WONDERFUL OVERVIEW. 3830 03:06:54,175 --> 03:06:55,409 I THOUGHT IT WAS FANTASTIC. 3831 03:06:55,409 --> 03:06:57,478 A REMINDER TO FOLKS, PLEASE 3832 03:06:57,478 --> 03:07:01,549 UPLOAD QUESTIONS FOR CARAMELA IN 3833 03:07:01,549 --> 03:07:02,683 THE Q&A SECTION AND WE'LL COME 3834 03:07:02,683 --> 03:07:03,250 BACK TO THAT. 3835 03:07:03,250 --> 03:07:08,856 WITH THAT I'LL TURN IT OVER TO 3836 03:07:08,856 --> 03:07:09,757 DR. KEVIN WHITTLESEY. 3837 03:07:09,757 --> 03:07:12,526 >> THANK YOU FOR BEING HERE AND 3838 03:07:12,526 --> 03:07:23,070 THANKS FOR THE ORG -- ORGANIZER 3839 03:07:25,639 --> 03:07:29,977 AROUND CONSULTANT AND WORKED IN 3840 03:07:29,977 --> 03:07:31,312 PRODUCT DEVELOPMENT. 3841 03:07:31,312 --> 03:07:37,585 I WENT WANT TO TALK ABOUT 3842 03:07:37,585 --> 03:07:38,486 AEROSOL DEVELOPMENT AND IT'S 3843 03:07:38,486 --> 03:07:39,787 IMPORTANT CONSIDERATIONS AS A 3844 03:07:39,787 --> 03:07:40,354 PRODUCT FOR DELIVERY TO THE 3845 03:07:40,354 --> 03:07:49,363 AIRWAY. 3846 03:07:49,363 --> 03:07:52,366 AND IN SETTING YOURSELF UP AND 3847 03:07:52,366 --> 03:07:53,968 SHE GAVE A NICE OVERVIEW OF THE 3848 03:07:53,968 --> 03:07:57,404 AND TALK ABOUT THE DELIVERY 3849 03:07:57,404 --> 03:08:04,512 DEVICE CONSIDERATIONS AND HOW IT 3850 03:08:04,512 --> 03:08:06,180 INTEGRATES WITH THE EXPOSURE AND 3851 03:08:06,180 --> 03:08:10,317 MY PRIMARY SPACE IS IN GENE 3852 03:08:10,317 --> 03:08:10,651 THERAPIES. 3853 03:08:10,651 --> 03:08:11,519 THERE'S KEY DIFFERENCES I'LL 3854 03:08:11,519 --> 03:08:21,896 WORK ON HIGHLIGHTING. 3855 03:08:26,600 --> 03:08:32,473 SO THINKING ABOUT SOME OF THE 3856 03:08:32,473 --> 03:08:33,707 CONSIDERATIONS FOR AEROSOL 3857 03:08:33,707 --> 03:08:37,111 DEVELOPMENT IN TERMS OF THE 3858 03:08:37,111 --> 03:08:38,012 THERAPEUTIC MODALITIES SAY SMALL 3859 03:08:38,012 --> 03:08:39,813 MOLECULE DRUG AND GENE THERAPY 3860 03:08:39,813 --> 03:08:47,888 PRODUCTS OR OTHER BIOLOGICALS. 3861 03:08:47,888 --> 03:08:58,365 AND BY CONTRACT IN A GENES 3862 03:09:01,302 --> 03:09:02,603 THERAPY THE DEVELOPMENT 3863 03:09:02,603 --> 03:09:05,272 NECESSARY IN ENSURING AN 3864 03:09:05,272 --> 03:09:07,441 ACCURATE AND EFFECTIVE DOSE THE 3865 03:09:07,441 --> 03:09:12,980 ONUS IS HIGHER FOR GENE THERAPY 3866 03:09:12,980 --> 03:09:20,220 PRODUCT. 3867 03:09:20,220 --> 03:09:25,192 AND WE CONTRAST AND OTHER 3868 03:09:25,192 --> 03:09:26,994 BIOLOGICS CAN BE ADVERSELY 3869 03:09:26,994 --> 03:09:31,365 AFFECTED BY THE. 3870 03:09:31,365 --> 03:09:38,472 NEBULIZATION PROCESS AND MUST BE 3871 03:09:38,472 --> 03:09:38,706 TESTED. 3872 03:09:38,706 --> 03:09:44,545 AND REPEAT DOSE ON A WEEKLY OR 3873 03:09:44,545 --> 03:09:52,486 SOMETIMES DAILY BASIS AND FOR A 3874 03:09:52,486 --> 03:09:54,088 SINGLE ADMINISTRATION THE 3875 03:09:54,088 --> 03:09:56,056 PATIENTS ARE ABLE TO RECEIVING 3876 03:09:56,056 --> 03:09:57,391 ARE CRITICALLY IMPORTANT AND 3877 03:09:57,391 --> 03:09:58,459 ANYTHING THE FDA PUTS A LOT OF 3878 03:09:58,459 --> 03:10:00,294 EMPHASIS ON. 3879 03:10:00,294 --> 03:10:02,463 AND FINALLY COST IN THE SMALL 3880 03:10:02,463 --> 03:10:05,566 MOLECULES CANNOT BE MASS 3881 03:10:05,566 --> 03:10:07,001 PRODUCED IN LARGE QUANTITIES 3882 03:10:07,001 --> 03:10:08,202 EFFECTIVELY AND OTHER BIOLOGICS 3883 03:10:08,202 --> 03:10:12,106 CAN BE DIFFICULT AND EXPENSIVE 3884 03:10:12,106 --> 03:10:14,141 TO PRODUCE. 3885 03:10:14,141 --> 03:10:18,779 THE PRODUCT LOST DURING THE 3886 03:10:18,779 --> 03:10:19,546 AEROSOLIZATION PROCESS 3887 03:10:19,546 --> 03:10:21,415 ULTIMATELY BECOMES THE COST OF 3888 03:10:21,415 --> 03:10:22,683 THE PRODUCT IF YOU'RE MARKETING 3889 03:10:22,683 --> 03:10:32,893 THE PRODUCT. 3890 03:10:37,531 --> 03:10:39,400 IN THINKING OF SELECTION AND 3891 03:10:39,400 --> 03:10:41,135 IMPORTANT TO THINK THROUGH THE 3892 03:10:41,135 --> 03:10:45,873 RIGHT QUESTIONS IN TERMS OF 3893 03:10:45,873 --> 03:10:50,477 SELECTING THE DEVICE TO MOVE 3894 03:10:50,477 --> 03:10:51,679 FORWARD WITH. 3895 03:10:51,679 --> 03:10:54,748 FOR RESPIRATORY DISEASES ARE YOU 3896 03:10:54,748 --> 03:10:56,684 LOOKING TO TARGET MORE OF THE 3897 03:10:56,684 --> 03:10:58,819 UPPER AIRWAYS VERSUS THE LOWER 3898 03:10:58,819 --> 03:11:00,220 MORE DISTAL AIRWAYS? 3899 03:11:00,220 --> 03:11:03,190 AND SO WHAT IS YOUR TARGET SITE 3900 03:11:03,190 --> 03:11:05,125 FOR DEPOSITION NECESSARY FOR 3901 03:11:05,125 --> 03:11:06,894 YOUR ACTUAL THERAPEUTIC PRODUCT. 3902 03:11:06,894 --> 03:11:10,130 AND THEN WHAT TECHNOLOGY DO YOU 3903 03:11:10,130 --> 03:11:10,464 SELECT? 3904 03:11:10,464 --> 03:11:14,134 THE THREE CORE TECHNOLOGIES 3905 03:11:14,134 --> 03:11:19,740 INCORPORATED INTO JET NEBULIZER 3906 03:11:19,740 --> 03:11:20,974 AND VIBRATING MESH AND IT'S 3907 03:11:20,974 --> 03:11:22,242 IMPORTANT TO THINK ABOUT WHAT 3908 03:11:22,242 --> 03:11:25,813 TECHNOLOGY YOU'RE USING AND THE 3909 03:11:25,813 --> 03:11:26,580 SUITABILITY FOR YOUR PARTICULAR 3910 03:11:26,580 --> 03:11:27,981 DRUG PRODUCT. 3911 03:11:27,981 --> 03:11:31,285 FOR A FEW EXAMPLES JET 3912 03:11:31,285 --> 03:11:34,154 NEBULIZERS SUBJECT THE DRUG TO 3913 03:11:34,154 --> 03:11:35,456 NEB YOU'LL I'DATION FOR TIMES 3914 03:11:35,456 --> 03:11:42,463 OVER AND OVER WHICH CAN BE 3915 03:11:42,463 --> 03:11:45,399 DESTABILIZING AND INCREASE THE 3916 03:11:45,399 --> 03:11:46,500 RESERVOIR AFFECTING THE PRODUCT 3917 03:11:46,500 --> 03:11:48,669 OR IF THE PATIENT'S IMMUNE 3918 03:11:48,669 --> 03:11:51,205 RESPONSE AS THE CONCENTRATION OF 3919 03:11:51,205 --> 03:11:54,041 THE BUFFER SOLUTION INCREASES 3920 03:11:54,041 --> 03:11:56,076 AND LASTLY SHEER FORCES DIFFER 3921 03:11:56,076 --> 03:12:01,582 BETWEEN NEBULIZER AND MAY NEED 3922 03:12:01,582 --> 03:12:03,383 TO BE TESTED TO WHAT 3923 03:12:03,383 --> 03:12:06,353 TECHNOLOGIES ARE COMPATIBLE TO 3924 03:12:06,353 --> 03:12:08,288 THE THERAPEUTIC PRODUCT AND NEB 3925 03:12:08,288 --> 03:12:14,461 YOU'LLNEBULIZERS HAVE DIFFERENT 3926 03:12:14,461 --> 03:12:15,562 CAPACITIES DEPENDING ON HOW CON 3927 03:12:15,562 --> 03:12:17,030 OF CONCENTRATED THE SOLUTION AND 3928 03:12:17,030 --> 03:12:24,972 DEPENDS ON THE VOLUME 3929 03:12:24,972 --> 03:12:26,507 ADMINISTERED WHERE THERE'S 3930 03:12:26,507 --> 03:12:27,441 PATIENT COMPLIANCES THAT MAY 3931 03:12:27,441 --> 03:12:34,014 NEED TO BE INCLUDED. 3932 03:12:34,014 --> 03:12:36,617 TAKING THIS INTO THE 3933 03:12:36,617 --> 03:12:38,619 TECHNOLOGIES SHOWN AND ULTRA 3934 03:12:38,619 --> 03:12:42,022 SONIC VIBRATING MESH WHICH I'VE 3935 03:12:42,022 --> 03:12:43,190 REFERENCED AND THEY ARE HAVE 3936 03:12:43,190 --> 03:12:44,725 SLIGHTLY DIFFERENT REQUIREMENTS 3937 03:12:44,725 --> 03:12:46,527 IN TERMS OF THE CLINICAL SITE 3938 03:12:46,527 --> 03:12:48,562 ALL THREE REQUIRE ELECTRICITY 3939 03:12:48,562 --> 03:12:53,033 BUT A JET NEB YOU'LL I'DER 3940 03:12:53,033 --> 03:12:57,437 REQUIRE THE EXPRESSED SOURCE AND 3941 03:12:57,437 --> 03:12:58,539 SEEMS STRAIGHTFORWARD BUT 3942 03:12:58,539 --> 03:13:00,174 IMPORTANT TO UNDERSTAND MAYBE A 3943 03:13:00,174 --> 03:13:01,341 RARE DISEASE IN LESS DEVELOPED 3944 03:13:01,341 --> 03:13:01,875 AREAS WHERE THERE'S 3945 03:13:01,875 --> 03:13:02,509 INFRASTRUCTURE CHALLENGES AN 3946 03:13:02,509 --> 03:13:04,511 ENSURE YOU HAVE ACCESS TO THE 3947 03:13:04,511 --> 03:13:05,112 RESOURCES NECESSARY AT THE 3948 03:13:05,112 --> 03:13:14,988 INTENDED CLINICAL SITE. 3949 03:13:14,988 --> 03:13:25,265 AND THERE'S HETEROGENEITY AND 3950 03:13:25,265 --> 03:13:27,134 INDICATORS OF THE BOTTOM 3951 03:13:27,134 --> 03:13:28,635 RESERVOIR IS WHERE THE EXPRESSED 3952 03:13:28,635 --> 03:13:32,339 AIR SOURCE COMES IN AND THAT 3953 03:13:32,339 --> 03:13:34,708 THEN GENERATES THE VENTURI 3954 03:13:34,708 --> 03:13:35,709 EFFECT WHICH DRAWS FLUID FROM 3955 03:13:35,709 --> 03:13:39,446 THE SURFACE INTO THE AIR STREAM 3956 03:13:39,446 --> 03:13:43,383 THEN AEROSOLIZED. 3957 03:13:43,383 --> 03:13:46,286 THE BAFFLE IS WHERE LARGER 3958 03:13:46,286 --> 03:13:52,426 PARTICLES ARE DEFLECTED TO BE 3959 03:13:52,426 --> 03:13:54,494 RE-NEBULIZED IN THE EFFECT FOR 3960 03:13:54,494 --> 03:13:55,262 RE. 3961 03:13:55,262 --> 03:13:56,897 YOU'LLIZATION MANY TIMES IN THE 3962 03:13:56,897 --> 03:13:59,166 JET NEBULIZER. 3963 03:13:59,166 --> 03:14:02,035 THEY HAVE THE BROADEST RANGE OF 3964 03:14:02,035 --> 03:14:03,303 PARTICLE SIDES WITHIN THE 3965 03:14:03,303 --> 03:14:03,837 AEROSOL GENERATED. 3966 03:14:03,837 --> 03:14:06,440 THAT CAN BE TAILORED BASED ON A 3967 03:14:06,440 --> 03:14:09,877 NUMBER OF PROPERTIES BUT HAVE A 3968 03:14:09,877 --> 03:14:11,812 MORE DIVERSE RANGE BY CONTRAST 3969 03:14:11,812 --> 03:14:14,481 AND ULTRA SONIC HAVE MORE 3970 03:14:14,481 --> 03:14:15,382 CONSISTENT SIZED PARTICLES THAT 3971 03:14:15,382 --> 03:14:18,018 SIT AT THE BOTTOM OF THE 3972 03:14:18,018 --> 03:14:22,522 RESERVOIR AND GENERATES 3973 03:14:22,522 --> 03:14:24,958 ULTRASOUND AND AEROSOL ON THAT 3974 03:14:24,958 --> 03:14:29,196 AND THE VIBRATING MESH HAS A 3975 03:14:29,196 --> 03:14:30,998 PHYSICAL SCREEN WITH HOLES 3976 03:14:30,998 --> 03:14:33,267 PUNCHED IN IT AND THEY DEFINE 3977 03:14:33,267 --> 03:14:35,936 THE PARTICLE SIZE AND 3978 03:14:35,936 --> 03:14:39,439 SUBSEQUENTLY HAS THE SIZE 3979 03:14:39,439 --> 03:14:49,917 DISTRIBUTION OF THE SIZES. 3980 03:14:49,917 --> 03:14:51,785 AND IN TERMS OF THE ADDITIONAL 3981 03:14:51,785 --> 03:14:55,689 SHEER FORCES AND ULTRA SONIC 3982 03:14:55,689 --> 03:14:57,958 GENERATES HEAT IN THE REDS 3983 03:14:57,958 --> 03:15:02,162 VOYEUR AND NOT FOR THERMAL 3984 03:15:02,162 --> 03:15:05,399 PRODUCTS BECAUSE OF THE 3985 03:15:05,399 --> 03:15:08,735 SOLUTION. 3986 03:15:08,735 --> 03:15:10,504 VIBRATING MESH AND THE RESERVOIR 3987 03:15:10,504 --> 03:15:11,838 SITS OVER THE TOP AND THE 3988 03:15:11,838 --> 03:15:13,874 SOLUTION IS THEREFORE ONLY 3989 03:15:13,874 --> 03:15:16,510 NEBULIZED ONCE PASSING THROUGH 3990 03:15:16,510 --> 03:15:18,045 THE SCREEN WHICH MAY BE 3991 03:15:18,045 --> 03:15:19,012 ADVANTAGEOUS TO SOME PRODUCTS. 3992 03:15:19,012 --> 03:15:22,516 IN TERMS OF WHAT'S GOING ON IN 3993 03:15:22,516 --> 03:15:25,252 THE RESERVOIR, JET AND ULTRA 3994 03:15:25,252 --> 03:15:32,059 SONIC NEBULIZERS ARE SUBJECT TO 3995 03:15:32,059 --> 03:15:33,260 EVAPORATIVE LOSS IN THE SOLUTION 3996 03:15:33,260 --> 03:15:42,502 ACROSS THE VOLUME OF THE BOTTOM 3997 03:15:42,502 --> 03:15:49,609 AND THERE'S HIGH OSMOLALITY 3998 03:15:49,609 --> 03:15:50,644 CHANGE AND SEE DIFFERENCES IN 3999 03:15:50,644 --> 03:16:01,121 TERMS OF THE PRODUCT THAT'S 4000 03:16:04,992 --> 03:16:06,126 EXPENSIVE TO MANUFACTURING AND 4001 03:16:06,126 --> 03:16:09,196 JET AND ULTRA SONIC EXPERIENCE A 4002 03:16:09,196 --> 03:16:12,733 LOSS WHICH IS IN TERMS OF COST 4003 03:16:12,733 --> 03:16:18,338 OF GOODS AND WHAT THAT DOES IN 4004 03:16:18,338 --> 03:16:28,715 TERMS OF THE PROGRAM. 4005 03:16:40,627 --> 03:16:43,430 AND THERE'S IMPORTANT OSMALALITY 4006 03:16:43,430 --> 03:16:49,970 AND AFFECT THE AEROSOL. 4007 03:16:49,970 --> 03:16:57,110 IN THE CASE OF JET THE PARTICLE 4008 03:16:57,110 --> 03:17:02,949 SIZE AND DISTRIBUTION TO TARGET 4009 03:17:02,949 --> 03:17:10,791 THE AEROSOL YOU NEED TO CONSIDER 4010 03:17:10,791 --> 03:17:20,767 THESE OF THE THERAPEUTICS. 4011 03:17:20,767 --> 03:17:23,403 SO NOW IN THINKING IN TERMS OF 4012 03:17:23,403 --> 03:17:25,639 HOW YOU ARE GOING TO DELIVER 4013 03:17:25,639 --> 03:17:33,213 YOUR AEROSOL NON CLINICALLY. 4014 03:17:33,213 --> 03:17:34,514 THERE'S EXPOSURE SYSTEMS FOR 4015 03:17:34,514 --> 03:17:36,016 DIFFERENT ANIMALS AND ANIMAL 4016 03:17:36,016 --> 03:17:38,185 MELDS AND IN THE LEFT AND MIDDLE 4017 03:17:38,185 --> 03:17:40,787 ARE DELIVERY SYSTEMS FOR SMALL 4018 03:17:40,787 --> 03:17:46,326 ANIMAL FOR RODENTS. 4019 03:17:46,326 --> 03:17:55,569 WHAT YOU CAN APPRECIATE AND 4020 03:17:55,569 --> 03:17:56,703 INHALED THROUGH THEIR NESS AND 4021 03:17:56,703 --> 03:17:58,171 MOUTH. 4022 03:17:58,171 --> 03:18:00,040 THAT'S QUITE DIFFERENT FROM THE 4023 03:18:00,040 --> 03:18:03,176 WAY A PATIENT WILL EXPERIENCE 4024 03:18:03,176 --> 03:18:05,812 AEROSOL WHEREBY THEY'RE 4025 03:18:05,812 --> 03:18:06,847 TYPICALLY BREATHING OFF THE 4026 03:18:06,847 --> 03:18:09,082 MOUTH PIECE OF A NEBULIZER SO IN 4027 03:18:09,082 --> 03:18:10,717 THE CASE OF A SMALL ANIMAL 4028 03:18:10,717 --> 03:18:15,822 YOU'RE PRESENTING LESS MATERIAL 4029 03:18:15,822 --> 03:18:21,461 GOING TO INTO WHICH NEEDS TO BE 4030 03:18:21,461 --> 03:18:31,671 CONSIDERED. 4031 03:18:37,277 --> 03:18:39,446 AND THE NHP BREATHING THROUGH 4032 03:18:39,446 --> 03:18:41,148 BOTH THE NOSE AND THE MOUTH 4033 03:18:41,148 --> 03:18:42,916 LEADING TO POTENTIALLY MORE 4034 03:18:42,916 --> 03:18:46,853 PRODUCT BEING EXPOSED TO THE 4035 03:18:46,853 --> 03:18:47,921 UPPER FROM THE LOWER AIRWAYS 4036 03:18:47,921 --> 03:18:49,689 FROM THE CLINICAL SETTING. 4037 03:18:49,689 --> 03:18:50,490 IT NEEDS TO BE CONSIDERED IN 4038 03:18:50,490 --> 03:18:56,363 TERMS OF WHAT IMPACTS THE 4039 03:18:56,363 --> 03:19:00,000 DIFFERENCES MAY HAVE IN TERMS OF 4040 03:19:00,000 --> 03:19:02,502 THE SAFETY AND EFFICACY 4041 03:19:02,502 --> 03:19:12,712 ASSESSMENT. 4042 03:19:15,382 --> 03:19:20,554 AND THEY CAN BE USEFUL IN 4043 03:19:20,554 --> 03:19:27,460 DEMONSTRATE WITH EFFICACY AND 4044 03:19:27,460 --> 03:19:32,399 DELIVERY REPRESENTATIVE OF THE 4045 03:19:32,399 --> 03:19:33,300 CLINICAL SETTING IS DIFFICULT 4046 03:19:33,300 --> 03:19:37,671 AND DEMONSTRATING THEY'RE 4047 03:19:37,671 --> 03:19:39,439 INTENDED CLINICAL USE OF THE 4048 03:19:39,439 --> 03:19:40,073 PRODUCT. 4049 03:19:40,073 --> 03:19:42,242 WITH SMALL ANIMALS INHALATION 4050 03:19:42,242 --> 03:19:43,577 RESULTS IN THE LARGE FRACTION OF 4051 03:19:43,577 --> 03:19:45,445 THE DOSE IN THE UPPER AIRWAYS 4052 03:19:45,445 --> 03:19:48,448 WHICH MAY BE IMPACTFUL IN 4053 03:19:48,448 --> 03:19:51,251 ASSESSMENT OF SAFETY AND 4054 03:19:51,251 --> 03:19:51,885 EFFICACY IN THE MODEL. 4055 03:19:51,885 --> 03:19:53,987 AND A COMMON ROUTE OF 4056 03:19:53,987 --> 03:19:57,557 ADMINISTRATION IN MICE AND RATS 4057 03:19:57,557 --> 03:20:02,495 IS WHEREBY LIQUID IS DIRECTLY IN 4058 03:20:02,495 --> 03:20:04,164 THE TRACHEA AND GETS IN THE 4059 03:20:04,164 --> 03:20:08,535 LOWER AIRWAYS OPPOSED TO THE 4060 03:20:08,535 --> 03:20:10,303 NASAL INHALATION BUT CAN STILL 4061 03:20:10,303 --> 03:20:11,938 BE USEFUL IN DEMONSTRATION OF 4062 03:20:11,938 --> 03:20:13,373 EFFICACY OF THE PRODUCT. 4063 03:20:13,373 --> 03:20:15,475 IT'S AN DIFFERENCE BETWEEN THE 4064 03:20:15,475 --> 03:20:16,710 CLINICAL PRESENTATION THAT NEED 4065 03:20:16,710 --> 03:20:17,410 TO BE CONSIDERED AND 4066 03:20:17,410 --> 03:20:18,511 APPROPRIATELY JUSTIFIED TO THE 4067 03:20:18,511 --> 03:20:20,313 FDA. 4068 03:20:20,313 --> 03:20:24,818 LARGE ANIMALS ESPECIALLY LARGE 4069 03:20:24,818 --> 03:20:26,253 HUMAN PRIMATES DO NEED THE 4070 03:20:26,253 --> 03:20:28,054 CLINICAL DEVICE BUT THEY ARE 4071 03:20:28,054 --> 03:20:29,789 CANNOT BE TRAINED TO BREATHE 4072 03:20:29,789 --> 03:20:31,191 THROUGH A CLINICAL MOUTH PIECE 4073 03:20:31,191 --> 03:20:34,394 YOU HAVE TO USE THE PEDIATRIC 4074 03:20:34,394 --> 03:20:35,996 MASK WHICH ALSO RESULTS IN 4075 03:20:35,996 --> 03:20:37,631 SIGNIFICANT LOSS OF THE 4076 03:20:37,631 --> 03:20:39,065 DELIVERED DOSE AND DIFFERENT 4077 03:20:39,065 --> 03:20:40,100 PRESENTATION THAT WOULD BE USED 4078 03:20:40,100 --> 03:20:41,534 CLINICALLY AND ALTERNATIVE IS 4079 03:20:41,534 --> 03:20:44,738 THE ANIMALS CAN BE -- YOU CAN 4080 03:20:44,738 --> 03:20:52,345 DELIVER TO THE ANIMALS USING AN 4081 03:20:52,345 --> 03:20:56,049 ENDOTRACHEAL TUBE AND USE THE 4082 03:20:56,049 --> 03:20:57,684 DEVICE DELIVERED TO THE LOWER 4083 03:20:57,684 --> 03:21:01,421 AIRWAYS AND THESE ARE 4084 03:21:01,421 --> 03:21:03,490 ANESTHETIZED ANIMALS AN IT MAY 4085 03:21:03,490 --> 03:21:04,958 LEAD TO A DIFFERENT 4086 03:21:04,958 --> 03:21:06,293 UNDERSTANDING OF THE SAFETY AND 4087 03:21:06,293 --> 03:21:08,561 EFFICACY OF THE PRODUCT AND 4088 03:21:08,561 --> 03:21:09,229 DELIVERED DOSE. 4089 03:21:09,229 --> 03:21:10,697 THESE ARE REALLY IMPORTANT 4090 03:21:10,697 --> 03:21:14,868 QUESTIONS TO PUT FORWARD TO THE 4091 03:21:14,868 --> 03:21:15,935 FDA. 4092 03:21:15,935 --> 03:21:17,671 CARAMELA TOUCHED ON THIS IN 4093 03:21:17,671 --> 03:21:22,742 TERMS OF A PRE-IND QUESTION 4094 03:21:22,742 --> 03:21:27,480 SEEKING THE APPROPRIATENESS OF 4095 03:21:27,480 --> 03:21:29,349 AN ANIMAL MODEL AND SAY HERE'S 4096 03:21:29,349 --> 03:21:30,483 WHAT WE'RE THINKING. 4097 03:21:30,483 --> 03:21:31,818 WE UNDERSTAND THE DIFFERENCES 4098 03:21:31,818 --> 03:21:33,553 FROM OUR INTENDED CLINICAL USE 4099 03:21:33,553 --> 03:21:36,723 AND WHY WE THINK IT'S AN 4100 03:21:36,723 --> 03:21:38,325 APPROPRIATE MODEL AND DOES THE 4101 03:21:38,325 --> 03:21:40,694 FDA AGREE. 4102 03:21:40,694 --> 03:21:42,329 IT'S COMMON AND CAN BE A USEFUL 4103 03:21:42,329 --> 03:21:43,196 THING TO DO BEFORE YOU GO DOWN 4104 03:21:43,196 --> 03:21:51,771 THE WRONG PATH. 4105 03:21:51,771 --> 03:21:53,606 YOU WANTED TO TALK ABOUT 4106 03:21:53,606 --> 03:21:54,641 DELIVERY DEVICE TESTING. 4107 03:21:54,641 --> 03:21:57,243 IT'S IMPORTANT YOU CHARACTERIZE 4108 03:21:57,243 --> 03:21:58,244 YOUR PRODUCT AND ONE OF THE 4109 03:21:58,244 --> 03:22:00,947 POINTS I MENTIONED EARLIER ON 4110 03:22:00,947 --> 03:22:02,382 WAS ESPECIALLY WITH THE GENE 4111 03:22:02,382 --> 03:22:04,851 THERAPY PRODUCT AND LOOK AT THE 4112 03:22:04,851 --> 03:22:05,919 INTENDED DELIVERED DOSE IS. 4113 03:22:05,919 --> 03:22:09,122 THIS IS USUALLY DONE AS 4114 03:22:09,122 --> 03:22:10,490 EMPIRICAL LABORATORY BENCH 4115 03:22:10,490 --> 03:22:12,225 TESTING WITH YOUR AEROSOL IN 4116 03:22:12,225 --> 03:22:14,294 SOME CASES COUPLED TO IN VIVO 4117 03:22:14,294 --> 03:22:15,495 STUDIES AS WELL BUT SOME 4118 03:22:15,495 --> 03:22:16,696 CONSIDERATIONS INCORPORATED 4119 03:22:16,696 --> 03:22:17,964 FIRSTLY WHAT ARE THE PROPERTIES 4120 03:22:17,964 --> 03:22:23,970 OF THE AEROSOL AND KEY 4121 03:22:23,970 --> 03:22:27,507 PARAMETERS ASSESSED AND THE 4122 03:22:27,507 --> 03:22:28,575 DYNAMIC DIAMETER AND THE 4123 03:22:28,575 --> 03:22:31,111 STANDARD DEVIATION AND FRACTION. 4124 03:22:31,111 --> 03:22:33,346 THIS IS CHARACTERIZING THE 4125 03:22:33,346 --> 03:22:39,919 DISTRIBUTION OF SIZE PARTICLES 4126 03:22:39,919 --> 03:22:44,591 AND IF THEY NEED TONE LESS THAN 4127 03:22:44,591 --> 03:22:46,526 FIVE MICRONS TO BE INHALED IN 4128 03:22:46,526 --> 03:22:49,095 THE LUNGS AND WHAT FRACTION OF 4129 03:22:49,095 --> 03:22:54,267 YOUR PRODUCT IS WITHIN THE 4130 03:22:54,267 --> 03:22:56,736 RANGE. 4131 03:22:56,736 --> 03:22:58,772 ARE THERE CONCENTRATIONS 4132 03:22:58,772 --> 03:23:01,841 INSTABILITY OR BIOLOGICAL 4133 03:23:01,841 --> 03:23:03,910 STABILITY OF YOUR PRODUCT IN 4134 03:23:03,910 --> 03:23:05,111 TERMS OF STRAIGHT OUT OF THE 4135 03:23:05,111 --> 03:23:06,646 VIAL FROM THE MANUFACTURER 4136 03:23:06,646 --> 03:23:10,417 VERSUS GOING TO THROUGH THE 4137 03:23:10,417 --> 03:23:13,553 NEBULIZATION PROCESS AND 4138 03:23:13,553 --> 03:23:14,487 ASSESSED AND THAT'S AN IMPORTANT 4139 03:23:14,487 --> 03:23:15,588 ASPECT TO UNDERSTAND. 4140 03:23:15,588 --> 03:23:16,890 AND THE DELIVERED DOSE PRESENTED 4141 03:23:16,890 --> 03:23:22,495 TO THE PATIENT AIRWAY? 4142 03:23:22,495 --> 03:23:32,572 THE. 4143 03:23:46,052 --> 03:23:48,855 AND WHAT YOU'LL SEE IN THE CUP 4144 03:23:48,855 --> 03:23:50,523 OF THE NEBULIZER AND TYPICALLY 4145 03:23:50,523 --> 03:23:53,993 THE FDA ASKS TO COLLECT BENCH 4146 03:23:53,993 --> 03:23:56,029 TESTING DATA AND UNDER 4147 03:23:56,029 --> 03:23:56,629 WORST-CASE SCENARIO EXPECTED 4148 03:23:56,629 --> 03:23:58,064 DURING THE TRIAL AND IF 4149 03:23:58,064 --> 03:23:59,566 SOMETHING GOES WRONG DURING THE 4150 03:23:59,566 --> 03:23:59,933 ADMINISTRATION. 4151 03:23:59,933 --> 03:24:04,471 A FEW EXAMPLES MIGHT BE A THEY 4152 03:24:04,471 --> 03:24:06,105 ARE. 4153 03:24:06,105 --> 03:24:07,340 -- A DELAY AND THERE'S SOME 4154 03:24:07,340 --> 03:24:12,412 THEY ARE IN TERMS OF LOGISTICS 4155 03:24:12,412 --> 03:24:16,049 BEFORE THE PATIENT CAN START 4156 03:24:16,049 --> 03:24:20,119 TAKING THE NEBULIZED DOSE AND 4157 03:24:20,119 --> 03:24:22,055 HOW LONG CAN IT TAKE APPROPRIATE 4158 03:24:22,055 --> 03:24:23,923 CONCENTRATION AND ENSURE THERE'S 4159 03:24:23,923 --> 03:24:27,060 NO COMPATIBILITY ISSUES? 4160 03:24:27,060 --> 03:24:29,996 ADDITIONALLY, MAYBE THE PATIENT 4161 03:24:29,996 --> 03:24:32,832 IF IT'S RESPIRATORY DISEASE 4162 03:24:32,832 --> 03:24:35,835 PERHAPS THEY'LL EXPERIENCE A 4163 03:24:35,835 --> 03:24:36,469 PULMONARY EXACERBATION AND THE 4164 03:24:36,469 --> 03:24:39,038 CLINICIAN NEEDS TO INTERRUPT THE 4165 03:24:39,038 --> 03:24:46,246 NEB YOU'LL I'D -- NEBULIZER AND 4166 03:24:46,246 --> 03:24:56,789 RESUME DOES IT BEHAVE THE SAME? 4167 03:25:04,497 --> 03:25:09,435 YOU NEED TO UNDERSTAND BASED ON 4168 03:25:09,435 --> 03:25:11,170 THE PATIENT POPULATION WHAT ARE 4169 03:25:11,170 --> 03:25:13,039 THIS THINGS THAT CAN GO WRONG 4170 03:25:13,039 --> 03:25:16,910 AND DO WE NEED TO MODEL 4171 03:25:16,910 --> 03:25:17,610 NON-CLINICALLY AND ASSESS OUR 4172 03:25:17,610 --> 03:25:19,512 PRODUCT WILL PERFORM AS 4173 03:25:19,512 --> 03:25:21,347 EXPECTED? 4174 03:25:21,347 --> 03:25:23,650 SO THIS TOPIC OF TESTING IS 4175 03:25:23,650 --> 03:25:25,618 SOMETHING THAT IS APPROPRIATE TO 4176 03:25:25,618 --> 03:25:31,057 TALK ABOUT WITH THE FDA AS PART 4177 03:25:31,057 --> 03:25:33,526 OF THE PRE-IND MEETING AND LAID 4178 03:25:33,526 --> 03:25:37,363 OUT A CLEAR PLAN TO HEAR ALL THE 4179 03:25:37,363 --> 03:25:38,064 THINGS WE'RE PLANNING TO DO AND 4180 03:25:38,064 --> 03:25:39,832 HOW WE'RE PLANNING TO ASSESS 4181 03:25:39,832 --> 03:25:43,703 THEM AND DOES THE FDA AGREE IT 4182 03:25:43,703 --> 03:25:45,204 CHARACTERIZES THE AEROSOL FOR 4183 03:25:45,204 --> 03:25:54,814 OUR INTENDED TARGET POPULATION. 4184 03:25:54,814 --> 03:25:57,483 LAST THING I WANT TO TOUCH ON 4185 03:25:57,483 --> 03:25:59,052 ARE TO SHOW THE MEANS BY WHICH 4186 03:25:59,052 --> 03:26:01,120 THE ASSESSMENTS ARE CONDUCTED? 4187 03:26:01,120 --> 03:26:04,090 SO SHOWN ON THE LEFT IS A 4188 03:26:04,090 --> 03:26:07,860 CASCADE IMPACTER AND USED TO 4189 03:26:07,860 --> 03:26:08,861 CHARACTERIZE AEROSOLS. 4190 03:26:08,861 --> 03:26:13,700 YOU SEE ON THE OTHER SIDE OF THE 4191 03:26:13,700 --> 03:26:17,670 LID A SERIES OF SILVER METAL 4192 03:26:17,670 --> 03:26:20,707 SCREENS WITH INCREASINGLY FINE 4193 03:26:20,707 --> 03:26:24,844 MESH FROM LEFT TO RIGHT COARSEST 4194 03:26:24,844 --> 03:26:27,413 TO THE FINEST AND AEROSOLS FLOAT 4195 03:26:27,413 --> 03:26:30,316 IN ON THE LEFT AND FROM THE LEFT 4196 03:26:30,316 --> 03:26:32,151 SIDE AND AS THE AEROSOL GOES 4197 03:26:32,151 --> 03:26:34,487 THROUGH THE CLAIM BERS THE 4198 03:26:34,487 --> 03:26:36,089 PARTICLES OF THAT SIZE ARE 4199 03:26:36,089 --> 03:26:39,492 RETAINED AND CAN BE CAPTURED ON 4200 03:26:39,492 --> 03:26:43,830 FILTERS FOR SUBSEQUENT ANALYSIS. 4201 03:26:43,830 --> 03:26:46,733 IT'S AN ACTUAL PHYSICAL 4202 03:26:46,733 --> 03:26:47,800 COLLECTION AND DETERMINE HOW 4203 03:26:47,800 --> 03:26:49,469 MUCH OF YOUR PRODUCT ARE IN THE 4204 03:26:49,469 --> 03:26:51,504 SIZE RANGE PARTICLES WITHIN THE 4205 03:26:51,504 --> 03:26:51,971 CHAUM BERS. 4206 03:26:51,971 --> 03:26:53,373 AND WHAT PERCENTAGE TO 4207 03:26:53,373 --> 03:26:56,709 UNDERSTAND WHAT FRACTION OF YOUR 4208 03:26:56,709 --> 03:27:00,079 DOSE IS WITHIN THE AEROSOL AND 4209 03:27:00,079 --> 03:27:02,015 CHARACTERIZATION AND BY CONTRAST 4210 03:27:02,015 --> 03:27:05,318 IS THE TESTING SCHEME USING A 4211 03:27:05,318 --> 03:27:07,420 LASER DETECTION METHOD WHEREBY 4212 03:27:07,420 --> 03:27:09,222 YOU USE LASER TO MEASURE IN REAL 4213 03:27:09,222 --> 03:27:10,456 TIME THE DISTRIBUTION OF 4214 03:27:10,456 --> 03:27:11,324 PARTICLES GENERATED BY AN 4215 03:27:11,324 --> 03:27:15,495 AEROSOL. 4216 03:27:15,495 --> 03:27:18,531 IT'S MORE DIFFICULT TO COLLECT 4217 03:27:18,531 --> 03:27:20,700 BUT HIGH THROUGHPUT AND 4218 03:27:20,700 --> 03:27:20,967 ACCURATE. 4219 03:27:20,967 --> 03:27:24,037 THESE ARE TWO COMMON METHODS 4220 03:27:24,037 --> 03:27:27,607 USED TO CHARACTERIZE AEROSOLS IN 4221 03:27:27,607 --> 03:27:29,942 UNDERSTANDING WHAT IS YOUR 4222 03:27:29,942 --> 03:27:33,479 PRODUCT LOOKING LIKE AND HOW IS 4223 03:27:33,479 --> 03:27:36,382 IT PERFORMING. 4224 03:27:36,382 --> 03:27:38,985 TO WRAP UP A COUPLE KEY POINTS 4225 03:27:38,985 --> 03:27:41,988 IS SELECTION OF YOUR NEBULIZER 4226 03:27:41,988 --> 03:27:43,790 TECHNOLOGY IS IMPORTANT AND 4227 03:27:43,790 --> 03:27:45,491 NEEDS TON THE MOST APPROPRIATE 4228 03:27:45,491 --> 03:27:47,260 FOR YOUR TARGET INDICATION AND 4229 03:27:47,260 --> 03:27:48,327 FOR YOUR THERAPEUTIC PRODUCT AND 4230 03:27:48,327 --> 03:27:52,598 THAT'S INFLUENCED BY A NUMBER OF 4231 03:27:52,598 --> 03:27:54,500 CONSIDERATIONS. 4232 03:27:54,500 --> 03:27:57,003 ANIMAL MODELS EXHIBIT 4233 03:27:57,003 --> 03:27:57,603 SIGNIFICANT INDICATIONS FOR 4234 03:27:57,603 --> 03:27:58,504 AEROSOL DELIVERY AND IT'S 4235 03:27:58,504 --> 03:27:59,839 IMPORTANT TO UNDERSTAND WHAT 4236 03:27:59,839 --> 03:28:02,075 THEY ARE AND THINK ABOUT THE 4237 03:28:02,075 --> 03:28:03,509 APPROPRIATE SCIENTIFIC 4238 03:28:03,509 --> 03:28:05,144 JUSTIFICATION FOR UTILIZATION OF 4239 03:28:05,144 --> 03:28:06,946 THE RIGHT ANIMAL AND GET 4240 03:28:06,946 --> 03:28:08,815 AGREEMENT FROM THE FDA AROUND 4241 03:28:08,815 --> 03:28:11,951 YOUR RATIONALE AND ANIMAL MODELS 4242 03:28:11,951 --> 03:28:14,620 AS APPROPRIATE. 4243 03:28:14,620 --> 03:28:20,293 DETERMINE STARTING CLINICAL 4244 03:28:20,293 --> 03:28:21,494 DOSE TO ENSURE PATIENTS ARE 4245 03:28:21,494 --> 03:28:26,065 GOING TO SEE NOT ONLY SAFE BUT 4246 03:28:26,065 --> 03:28:27,333 EFFICACIOUS DOSE AND CONSIDER 4247 03:28:27,333 --> 03:28:28,367 DEVELOPMENT PLAN TIME LINE AND 4248 03:28:28,367 --> 03:28:33,406 WHEN TO SEEK INPUT ON YOUR PLAN 4249 03:28:33,406 --> 03:28:34,707 FROM THE FDA AND THANK YOU FOR 4250 03:28:34,707 --> 03:28:35,341 YOUR TAKES AND LOOK FORWARD TO 4251 03:28:35,341 --> 03:28:41,314 THE DISCUSSION. 4252 03:28:41,314 --> 03:28:42,482 >> THANK YOU. 4253 03:28:42,482 --> 03:28:45,985 A GREAT SUMMARY OF A DETAILED 4254 03:28:45,985 --> 03:28:47,353 APPROACH OVER YEARS OF 4255 03:28:47,353 --> 03:28:52,091 EXPERIENCE AND WORKING WITH 4256 03:28:52,091 --> 03:28:52,825 REGULATORS DIRECTLY. 4257 03:28:52,825 --> 03:28:54,460 IF THERE'S QUESTIONS FOR KEVIN 4258 03:28:54,460 --> 03:28:56,429 BEFORE YOU E-MAIL HIM PERSONALLY 4259 03:28:56,429 --> 03:28:57,396 ASK HIM IN YOUR DISCUSSION AT 4260 03:28:57,396 --> 03:28:58,231 THE END OF TODAY AND E-MAIL HIM 4261 03:28:58,231 --> 03:29:04,036 LATER. 4262 03:29:04,036 --> 03:29:07,740 NEXT UP IS DR. HOLLY CLARK 4263 03:29:07,740 --> 03:29:12,678 >> GOOD AFTERNOON MY NAME IS 4264 03:29:12,678 --> 03:29:15,481 HOLLY CLARK AND I'M U.K. 4265 03:29:15,481 --> 03:29:19,318 INNOVATE AT THE UNIVERSITY OF 4266 03:29:19,318 --> 03:29:20,920 KENTUCKY AND WE THINK AHEAD TO 4267 03:29:20,920 --> 03:29:24,824 MAKE A PRODUCT OR PATIENT FROM 4268 03:29:24,824 --> 03:29:26,058 YOUR INNOVATION. 4269 03:29:26,058 --> 03:29:30,329 AND YOU'VE HEARD A LOT OF VERY 4270 03:29:30,329 --> 03:29:32,231 VALUABLE INFORMING ABOUT THE 4271 03:29:32,231 --> 03:29:34,934 DRUG DEVELOPMENT PROCESS AND TOX 4272 03:29:34,934 --> 03:29:37,603 STUDIES AND REGULATORY MODELS 4273 03:29:37,603 --> 03:29:39,739 AND REQUIREMENTED AND MORE AND 4274 03:29:39,739 --> 03:29:41,340 TO HAVE THE NEW THERAPEUTIC EN 4275 03:29:41,340 --> 03:29:43,576 TORE FOR A NEW PATIENT YOU NEED 4276 03:29:43,576 --> 03:29:45,011 TO THINK OF THE 4277 03:29:45,011 --> 03:29:48,181 COMMERCIALIZATION PROCESS. 4278 03:29:48,181 --> 03:29:50,483 SO, IT'S ALSO OTHER WISE KNOWN 4279 03:29:50,483 --> 03:29:52,985 AS WHY AND WHEN TO CONTACT THE 4280 03:29:52,985 --> 03:30:00,426 TECHNOLOGY TRANSFER OFFICE. 4281 03:30:00,426 --> 03:30:02,895 THE FIRST QUESTION IS THE WHY. 4282 03:30:02,895 --> 03:30:04,630 I USE THE SLIDE WHEN I'M TALKING 4283 03:30:04,630 --> 03:30:07,667 TO FACULTY AND OTHER RESEARCHERS 4284 03:30:07,667 --> 03:30:09,135 ACROSS CAMPUS AND I HEAR I TO MY 4285 03:30:09,135 --> 03:30:11,003 RESEARCH AND I PUBLISH AND 4286 03:30:11,003 --> 03:30:12,672 PRESENT IT AND GO TO CONFERENCES 4287 03:30:12,672 --> 03:30:18,477 BUT WHY SHOULD I DO THIS 4288 03:30:18,477 --> 03:30:19,245 INTELLECTUAL PROPERTY 4289 03:30:19,245 --> 03:30:20,179 COMMERCIALIZATION THING? 4290 03:30:20,179 --> 03:30:21,547 PROTECTING YOUR INNOVATION IS 4291 03:30:21,547 --> 03:30:24,250 NECESSARY TO GET YOUR NEW 4292 03:30:24,250 --> 03:30:25,351 THERAPEUTIC TO A PATIENT. 4293 03:30:25,351 --> 03:30:28,554 OF COURSE THERE'S MUCH VALUE TO 4294 03:30:28,554 --> 03:30:29,856 YOUR UNIVERSITY OR RESEARCH 4295 03:30:29,856 --> 03:30:33,259 INSTITUTION AND THE INNOVATOR IN 4296 03:30:33,259 --> 03:30:34,293 THE PROCESS. 4297 03:30:34,293 --> 03:30:37,730 IT'S GETTING NEW UNIVERSITY OR 4298 03:30:37,730 --> 03:30:39,432 RESEARCH INNOVATIONS ON THE 4299 03:30:39,432 --> 03:30:40,800 MARKET. 4300 03:30:40,800 --> 03:30:42,001 NEW PRODUCTS TO IMPROVE QUALITY 4301 03:30:42,001 --> 03:30:45,705 OF LIFE FOR A PATIENT. 4302 03:30:45,705 --> 03:30:47,273 IF YOUR TALKING ABOUT STARTING A 4303 03:30:47,273 --> 03:30:49,442 COMPANY AND BUILDING LOCALLY 4304 03:30:49,442 --> 03:30:54,480 IT'S ECONOMIC DEVELOPMENT. 4305 03:30:54,480 --> 03:30:57,516 AND RESEARCH INSTITUTION THAT 4306 03:30:57,516 --> 03:31:02,488 HAS A ROBUST PROGRAM IN THIS 4307 03:31:02,488 --> 03:31:05,992 AREA CAN ATTRACT INNOVATIVE 4308 03:31:05,992 --> 03:31:08,060 FACULTY AND RETAIN STUDENTS AND 4309 03:31:08,060 --> 03:31:10,496 POSTTOCK. 4310 03:31:10,496 --> 03:31:13,432 WITH PROMOTE INDUSTRIAL 4311 03:31:13,432 --> 03:31:14,500 RELATIONS TO LICENSE NOVE RATION 4312 03:31:14,500 --> 03:31:19,338 AND SUPPORTING NEW RESEARCH AND 4313 03:31:19,338 --> 03:31:20,873 THE RIGS GOES TO THE PERSONAL 4314 03:31:20,873 --> 03:31:26,512 SIDE TO THE INNOVATORS. 4315 03:31:26,512 --> 03:31:29,749 PERSONAL SATISFACTION OF THE 4316 03:31:29,749 --> 03:31:31,083 DISCOVERY OF A PATIENT HELPING A 4317 03:31:31,083 --> 03:31:32,285 PATIENT. 4318 03:31:32,285 --> 03:31:33,886 I ALSO WANT TO MENTION MOST 4319 03:31:33,886 --> 03:31:37,023 INSTITUTIONS, IF NOT ALL, OUR 4320 03:31:37,023 --> 03:31:38,457 INSTITUTION AND OTHERS DO SHARE 4321 03:31:38,457 --> 03:31:41,727 LICENSE INCOME WITH INNOVATORS 4322 03:31:41,727 --> 03:31:42,161 DIRECTLY. 4323 03:31:42,161 --> 03:31:47,633 THERE'S VALUE IN KNOWING YOUR 4324 03:31:47,633 --> 03:31:54,507 INNOVATION GOT OUT THERE AND THE 4325 03:31:54,507 --> 03:31:55,508 INITIAL INNOVATION RAND 4326 03:31:55,508 --> 03:31:57,143 TECHNOLOGY TRANSFER PROCESS IS 4327 03:31:57,143 --> 03:31:58,077 SUMMED UP ON THE SLIDE. 4328 03:31:58,077 --> 03:32:00,279 FIRST, GIVE US A CALL. 4329 03:32:00,279 --> 03:32:03,149 TALK TO YOUR TECH TRANSFER 4330 03:32:03,149 --> 03:32:03,382 OFFICE. 4331 03:32:03,382 --> 03:32:05,818 SUBMIT A DESCRIPTION OF YOUR 4332 03:32:05,818 --> 03:32:07,853 INNOVATION THROUGH WHATEVER 4333 03:32:07,853 --> 03:32:08,587 PORTAL SYSTEM PROCESS YOU'RE 4334 03:32:08,587 --> 03:32:09,555 INSTITUTION USES. 4335 03:32:09,555 --> 03:32:15,561 WE HAVE AN ONLINE PROGRAM 4336 03:32:15,561 --> 03:32:20,666 PORTAL. 4337 03:32:20,666 --> 03:32:22,468 I USUAL HAVE A NOTE SAYING 4338 03:32:22,468 --> 03:32:23,703 BEFORE YOU PUBLISH OR PRESENT. 4339 03:32:23,703 --> 03:32:28,407 SO IF YOU'RE TAKING NOTES RIGHT 4340 03:32:28,407 --> 03:32:31,777 NOW, PLEASE WRITE DOWN CONTACT 4341 03:32:31,777 --> 03:32:34,113 MY TECH TRANSFER OFFICE BEFORE I 4342 03:32:34,113 --> 03:32:36,949 PRESENT AND YOU'LL SEE WHY IN A 4343 03:32:36,949 --> 03:32:37,883 FEW SLIDE. 4344 03:32:37,883 --> 03:32:40,686 THAT'S THE FIRST PART. 4345 03:32:40,686 --> 03:32:41,554 LET US KNOW ABOUT YOUR 4346 03:32:41,554 --> 03:32:42,088 INNOVATION. 4347 03:32:42,088 --> 03:32:43,889 AS SOON AS WE KNOW ABOUT YOUR 4348 03:32:43,889 --> 03:32:44,657 INNOVATION WE WELL LEARN MORE 4349 03:32:44,657 --> 03:32:47,159 AND LIKE TO SEE DATA AND LIKE TO 4350 03:32:47,159 --> 03:32:47,493 LEARN. 4351 03:32:47,493 --> 03:32:56,369 WE'LL THEN DO A PRETTY 4352 03:32:56,369 --> 03:32:57,036 MARKETABILITY ASSESSMENT TO SEE 4353 03:32:57,036 --> 03:33:03,609 HOW TO PROTECT THE INNOVATION 4354 03:33:03,609 --> 03:33:06,212 AND INTELLECTUAL PROPERTY. 4355 03:33:06,212 --> 03:33:15,287 WE'RE NONPROFIT AND NEED TO GO 4356 03:33:15,287 --> 03:33:15,821 FORWARD TO CREATE A NEW 4357 03:33:15,821 --> 03:33:25,498 THERAPEUTIC OR DRUG. 4358 03:33:25,498 --> 03:33:28,234 WE WANT TO PROTECT THE 4359 03:33:28,234 --> 03:33:29,035 INTELLECTUAL PROPERTY. 4360 03:33:29,035 --> 03:33:33,439 THIS SLIDE SUMMARIZES THE FOYER 4361 03:33:33,439 --> 03:33:34,707 PLAIN WAYS INTELLECTUAL PROPERTY 4362 03:33:34,707 --> 03:33:37,009 IS PROTECTED FOR RESEARCH 4363 03:33:37,009 --> 03:33:38,477 INSTITUTIONS. 4364 03:33:38,477 --> 03:33:44,550 WE FOCUS ON PATENT COPYRIGHT AND 4365 03:33:44,550 --> 03:33:47,319 TRADEMARK AND I PUT TRADE SECRET 4366 03:33:47,319 --> 03:33:49,622 TO THE SIDE BECAUSE THEY'RE 4367 03:33:49,622 --> 03:33:49,855 SECRET. 4368 03:33:49,855 --> 03:33:52,258 SOME ARE USED AND THEY'RE MEANT 4369 03:33:52,258 --> 03:34:00,099 TO BE CONFIDENT CONFIDENTIAL AND 4370 03:34:00,099 --> 03:34:01,967 THAT'S FOR FUNDING WHERE WE WANT 4371 03:34:01,967 --> 03:34:04,703 TO DISSEMINATE RESULTS BROADLY 4372 03:34:04,703 --> 03:34:06,472 TO THE PUBLIC. 4373 03:34:06,472 --> 03:34:08,741 WE DON'T TEND TO DO TRADE 4374 03:34:08,741 --> 03:34:10,242 SECRETS SO I'LL FOCUS ON PATENTS 4375 03:34:10,242 --> 03:34:11,944 AND WHAT DOES IT GET YOU IF YOU 4376 03:34:11,944 --> 03:34:16,182 HAVE AN ISSUED PATENT? 4377 03:34:16,182 --> 03:34:18,451 THE RIGHT TO EXCLUDE USING A 4378 03:34:18,451 --> 03:34:20,119 CLAIMED INVENTION FOR A 4379 03:34:20,119 --> 03:34:23,322 CERTAINLY PERIOD OF TIME, A 20 4380 03:34:23,322 --> 03:34:26,692 YEAR PERIOD AND TRANSLATES TO A 4381 03:34:26,692 --> 03:34:34,500 PERIOD OF EXCLUSIVITY. 4382 03:34:34,500 --> 03:34:38,904 I MENTIONED IT EXCLUDES OTHERS 4383 03:34:38,904 --> 03:34:41,507 BUT IT WAS SET UP TO ENCOURAGE 4384 03:34:41,507 --> 03:34:45,544 INNOVATION AND ENCOURAGES 4385 03:34:45,544 --> 03:34:47,279 THE DISCLOSURE OF KNOWLEDGE 4386 03:34:47,279 --> 03:34:49,982 BECAUSE PRAT ENTS ARE PUBLISHED 4387 03:34:49,982 --> 03:34:52,885 YOU CAN SEE THE LATEST AND EST 4388 03:34:52,885 --> 03:34:54,487 IN UPCOMING INNOVATIONS IN THE 4389 03:34:54,487 --> 03:34:57,623 FIELD AND HOW YOU MIGHT FURTHER 4390 03:34:57,623 --> 03:34:58,757 INNOVATE IN THE FIELD. 4391 03:34:58,757 --> 03:35:01,360 MOST IMPORTANTLY FOR THE 4392 03:35:01,360 --> 03:35:04,096 PURPOSES OF COMMERCIALIZATION 4393 03:35:04,096 --> 03:35:05,164 PATENTS PROTECTION INTELLECTUAL 4394 03:35:05,164 --> 03:35:05,831 PROPERTY PROTECTION IS USUALLY 4395 03:35:05,831 --> 03:35:08,434 THE BEST WAY TO BENEFIT THE 4396 03:35:08,434 --> 03:35:10,202 PUBLIC HEALTH BECAUSE OF THAT 4397 03:35:10,202 --> 03:35:11,604 RIGHT TO EXCLUDE OTHERS FROM 4398 03:35:11,604 --> 03:35:13,606 MAKING, AND SELLING. 4399 03:35:13,606 --> 03:35:15,441 THAT ABILITY SO EXCLUSIVITY AND 4400 03:35:15,441 --> 03:35:18,511 A COMPANY PARTNER IS GOING TO 4401 03:35:18,511 --> 03:35:21,013 WANT EXCLUSIVITY TO KNOW WHEN 4402 03:35:21,013 --> 03:35:22,581 THEY'RE PUTTING IN MILLIONS OF 4403 03:35:22,581 --> 03:35:25,451 DOLLARS TO DEVELOP A NEW 4404 03:35:25,451 --> 03:35:26,485 THERAPEUTIC, THERE'S AN A PERIOD 4405 03:35:26,485 --> 03:35:36,729 OF EXCLUSIVY. 4406 03:35:37,429 --> 03:35:42,268 VERY QUICKLY WHAT CAN BE PR 4407 03:35:42,268 --> 03:35:43,335 PATENTED? 4408 03:35:43,335 --> 03:35:44,737 RATE. 4409 03:35:44,737 --> 03:35:51,544 I'LL FOCUS ON THE SLIDE 4410 03:35:51,544 --> 03:35:54,280 COMPOSITIONAL MATTER YOUR NEW 4411 03:35:54,280 --> 03:35:56,115 THERAPEUTIC OR BIOLOGIC AND THE 4412 03:35:56,115 --> 03:35:57,383 NEW INNOVATION AND METHOD OF 4413 03:35:57,383 --> 03:35:57,883 TREATMENT. 4414 03:35:57,883 --> 03:35:59,919 YOU PLAY HAVE A NEW INNOVATION. 4415 03:35:59,919 --> 03:36:04,623 YOU MAY BE REPURPOSING A NEW 4416 03:36:04,623 --> 03:36:07,159 DRUG AND IT MIGHT BE REPURPOSING 4417 03:36:07,159 --> 03:36:08,928 A NEW DRUG FOR A NEW INDICATION. 4418 03:36:08,928 --> 03:36:11,130 IT WOULD BE A METHOD OF NEW 4419 03:36:11,130 --> 03:36:20,873 TREATMENT FOR A NEW DRUG. 4420 03:36:20,873 --> 03:36:23,042 I MENTIONED THE VAECHLT PROCESS 4421 03:36:23,042 --> 03:36:24,643 IN YOUR UNIVERSITY TECH TRANSFER 4422 03:36:24,643 --> 03:36:25,311 OFFICE. 4423 03:36:25,311 --> 03:36:27,446 IT'S IMPORTANT TO HAVE THEM 4424 03:36:27,446 --> 03:36:30,282 CONDUCT A VERY THOROUGH PATENT 4425 03:36:30,282 --> 03:36:31,250 ABILITY ASSESSMENT. 4426 03:36:31,250 --> 03:36:32,117 YOU CERTAINLY ARE EXPERTS IN 4427 03:36:32,117 --> 03:36:33,285 YOUR FIELD AND KNOW THE 4428 03:36:33,285 --> 03:36:33,586 LITERATURE. 4429 03:36:33,586 --> 03:36:38,490 BUT PUBLISHED PAPERS DO NOT 4430 03:36:38,490 --> 03:36:40,326 INCLUDE EVERYTHING MOST 4431 03:36:40,326 --> 03:36:41,594 COMPANIES DON'T PUBLISH ON THEIR 4432 03:36:41,594 --> 03:36:42,528 LEAD DRUG. 4433 03:36:42,528 --> 03:36:45,030 INSTEAD THEY CERTAINLY ARE GOING 4434 03:36:45,030 --> 03:36:45,598 TO PROTECT THEM. 4435 03:36:45,598 --> 03:36:49,568 SO TECH TRANSFER OFFICES WILL 4436 03:36:49,568 --> 03:36:52,238 SEARCH BOTH THE U.S. AND WORLD 4437 03:36:52,238 --> 03:36:54,473 WIDE PATENT DATA OFFICES AND 4438 03:36:54,473 --> 03:36:55,808 WHEN THEY FIND SOMETHING CLOSE 4439 03:36:55,808 --> 03:36:57,243 THEY'LL LET YOU KNOW. 4440 03:36:57,243 --> 03:36:59,144 WE ENGAGE THE INNOVATORS. 4441 03:36:59,144 --> 03:37:01,380 IT'S A TIME AND COST SAVING WITH 4442 03:37:01,380 --> 03:37:03,215 PAT IN THE PROSECUTION AND CAN 4443 03:37:03,215 --> 03:37:06,852 HELP US GUIDE THE INNOVATION AND 4444 03:37:06,852 --> 03:37:08,320 HOW THE CLAIMS WILL BE 4445 03:37:08,320 --> 03:37:08,621 STRUCTURED. 4446 03:37:08,621 --> 03:37:09,555 THE EARLIER THE BETTER. 4447 03:37:09,555 --> 03:37:11,890 THIS WILL BE A THEME OF MY TALK. 4448 03:37:11,890 --> 03:37:13,826 THE EARLIER THE BETTER YOU TALK 4449 03:37:13,826 --> 03:37:15,327 TO YOUR TECH TRANSFER OFFICE IS 4450 03:37:15,327 --> 03:37:16,362 THE BETTER. 4451 03:37:16,362 --> 03:37:19,398 GIVE YOUR TECH TRANSFER OFFICE 4452 03:37:19,398 --> 03:37:21,567 TIME TO CONDUCT A THOROUGH 4453 03:37:21,567 --> 03:37:29,408 ASSESSMENT. 4454 03:37:29,408 --> 03:37:32,278 WE'VE DONE AN ASSESSMENT AND IT 4455 03:37:32,278 --> 03:37:35,047 LOOKS LIKE WE'LL HAVE ROOM TO 4456 03:37:35,047 --> 03:37:36,081 GAIN CLAIMS AND LOOKS LIKE 4457 03:37:36,081 --> 03:37:40,152 THERE'S AN AREA WHAT WE FOUND IS 4458 03:37:40,152 --> 03:37:43,455 CERTAINLY NEW, USEFUL, OFFICE. 4459 03:37:43,455 --> 03:37:46,525 BECAUSE IT'S THE INVENTION MAY 4460 03:37:46,525 --> 03:37:48,761 BE PATENTABLE DOESN'T MEAN 4461 03:37:48,761 --> 03:37:50,963 ANYONE WILL PICK UP THE PRODUCT. 4462 03:37:50,963 --> 03:37:54,600 WE ALSO LOOK IN THE MARKET. 4463 03:37:54,600 --> 03:37:59,672 WHAT'S THE MARKET POTENTIAL AND 4464 03:37:59,672 --> 03:38:03,008 BETTER THAN WHAT IS OUT THERE 4465 03:38:03,008 --> 03:38:05,844 AND THIS IS SOMETHING THE TECH 4466 03:38:05,844 --> 03:38:08,013 TRANSFER OFFICE WILL WORK WITH 4467 03:38:08,013 --> 03:38:09,548 YOU ON. 4468 03:38:09,548 --> 03:38:11,784 THE THIRD PART OF THE ASSESSMENT 4469 03:38:11,784 --> 03:38:13,218 PROCESS IS THE COMMERCIALIZATION 4470 03:38:13,218 --> 03:38:13,419 PART. 4471 03:38:13,419 --> 03:38:20,559 AS I MENTIONED BEFORE, AND WE 4472 03:38:20,559 --> 03:38:22,494 DON'T PUT THINGS IN A BOTTLE AND 4473 03:38:22,494 --> 03:38:25,431 MARKET AND SELL TO THE PUBLIC 4474 03:38:25,431 --> 03:38:25,831 FOR PUBLIC HEALTH. 4475 03:38:25,831 --> 03:38:27,833 OUR GOAL IS TO HAVE THE 4476 03:38:27,833 --> 03:38:30,135 TECHNOLOGY DEVELOPED TO BENEFIT 4477 03:38:30,135 --> 03:38:31,970 THE PUBLIC AND TO FIND AN 4478 03:38:31,970 --> 03:38:35,240 INDUSTRY PARTNER TO HELP DEVELOP 4479 03:38:35,240 --> 03:38:37,042 THAT TECHNOLOGY. 4480 03:38:37,042 --> 03:38:38,143 THERE ARE MANY TIMES OF 4481 03:38:38,143 --> 03:38:40,312 COMMERCIALIZATION PATHWAYS THAT 4482 03:38:40,312 --> 03:38:42,481 CAN LEAD TO PARTNERSHIP. 4483 03:38:42,481 --> 03:38:44,717 LIKE I SAID IT MIGHT BE WE HAVE 4484 03:38:44,717 --> 03:38:47,786 A PARTNER THAT WANTS TO HELP 4485 03:38:47,786 --> 03:38:49,021 SPONSOR DEVELOPMENT OF A 4486 03:38:49,021 --> 03:38:49,922 TECHNOLOGY GOING FORWARD AND 4487 03:38:49,922 --> 03:38:57,563 RESEARCH IN A LAB. 4488 03:38:57,563 --> 03:38:58,263 LICENSING. 4489 03:38:58,263 --> 03:38:59,164 WE HAVE PROGRAMS THAT START NEW 4490 03:38:59,164 --> 03:39:05,504 COMPANIES. 4491 03:39:05,504 --> 03:39:08,507 THIS SLIDE TALKS ABOUT 4492 03:39:08,507 --> 03:39:09,141 COMMERCIALIZATION PATHWAYS 4493 03:39:09,141 --> 03:39:10,909 FINDING A COMMERCIALIZATION 4494 03:39:10,909 --> 03:39:11,477 PARTNER. 4495 03:39:11,477 --> 03:39:13,712 WHEN I STARTED IN TECH TRANSFER 4496 03:39:13,712 --> 03:39:16,749 FOR A NEW THERAPEUTIC THERE WERE 4497 03:39:16,749 --> 03:39:17,783 LICENSING TO ESTABLISH A COMPANY 4498 03:39:17,783 --> 03:39:18,417 AND POTENTIALLY STARTING A NEW 4499 03:39:18,417 --> 03:39:25,290 COMPANY. 4500 03:39:25,290 --> 03:39:26,592 THERE'S ADVANTAGES TO WORKING 4501 03:39:26,592 --> 03:39:29,094 WITH A BIG PHARMA OR ESTABLISHED 4502 03:39:29,094 --> 03:39:30,729 BIO TECH AND THEY'RE WELL FUNDED 4503 03:39:30,729 --> 03:39:33,232 AND BEEN THERE, DONE THAT. 4504 03:39:33,232 --> 03:39:35,167 THEY HAVE THE PROCESS ALREADY 4505 03:39:35,167 --> 03:39:35,801 THERE, HOWEVER, THERE ARE THINGS 4506 03:39:35,801 --> 03:39:46,011 TO CONSIDER. 4507 03:39:49,615 --> 03:39:51,550 I'VE HEARD FROM THE PARTNERS, 4508 03:39:51,550 --> 03:39:53,719 THE BIG PLAYERS IT'S AN 4509 03:39:53,719 --> 03:39:54,787 INTERESTING MECHANISM AND 4510 03:39:54,787 --> 03:39:57,456 INTRIGUING DATA BUT CALL US WHEN 4511 03:39:57,456 --> 03:40:00,325 IT'S IN PHASE II RAND IT'S HARD 4512 03:40:00,325 --> 03:40:02,494 TO GET THERE. 4513 03:40:02,494 --> 03:40:06,165 YOU MAY THINK I KNOW MY 4514 03:40:06,165 --> 03:40:07,566 TECHNOLOGY THE POST AND WILL 4515 03:40:07,566 --> 03:40:09,902 START A COMPANY. 4516 03:40:09,902 --> 03:40:12,438 OUR COMPANIES HAVE PROGRAMS TO 4517 03:40:12,438 --> 03:40:14,339 HELP AND HAVE ENTREPRENEURSHIP 4518 03:40:14,339 --> 03:40:15,941 TRAINING AND HELP WITH FUNDING 4519 03:40:15,941 --> 03:40:18,110 AND YOU'LL HEAR THE NEXT TALK IS 4520 03:40:18,110 --> 03:40:24,783 ABOUT SOME FUNDING IN THAT AREA 4521 03:40:24,783 --> 03:40:29,087 YOU NEED TO CONSIDER YOUR AND 4522 03:40:29,087 --> 03:40:30,289 STARTING A START UP PLAY BE 4523 03:40:30,289 --> 03:40:33,125 DIFFICULT FOR A ONE-PRODUCT TYPE 4524 03:40:33,125 --> 03:40:35,661 OF TECHNOLOGY OR MAYBE A SMALL 4525 03:40:35,661 --> 03:40:36,094 MARKET. 4526 03:40:36,094 --> 03:40:38,130 IT'S TIME. 4527 03:40:38,130 --> 03:40:39,031 IT'S FUNDING. 4528 03:40:39,031 --> 03:40:40,599 FUNDING -- THERE ARE CHALLENGES. 4529 03:40:40,599 --> 03:40:42,501 TIME AND FUNDING. 4530 03:40:42,501 --> 03:40:43,836 SO THINGS TO CONSIDER. 4531 03:40:43,836 --> 03:40:48,407 OVER THE PAST DECADE THOUGH A 4532 03:40:48,407 --> 03:40:49,675 NEW COMMERCIALIZATION PATH HAS 4533 03:40:49,675 --> 03:40:51,577 ARISEN WHICH IS GOOD FOR NEW 4534 03:40:51,577 --> 03:40:54,480 THERAPEUTIC TECHNOLOGIES. 4535 03:40:54,480 --> 03:40:57,015 AND IT'S THE VENTURE BUILDER OR 4536 03:40:57,015 --> 03:41:01,687 VENTURE STUDIO. 4537 03:41:01,687 --> 03:41:03,322 THESE ARE VENTURE CAPITAL 4538 03:41:03,322 --> 03:41:05,824 ACTUALLY STARTING NEW START UPS 4539 03:41:05,824 --> 03:41:09,561 BUT HAVE SAID, HMM, MAYBE WE CAN 4540 03:41:09,561 --> 03:41:11,096 REDUCE OUR RISK BY AN 4541 03:41:11,096 --> 03:41:12,130 INTERESTING ACADEMIC TECHNOLOGY 4542 03:41:12,130 --> 03:41:14,366 AND LICENSE IT AND BUILD THE 4543 03:41:14,366 --> 03:41:15,567 COMPANY FROM WITHIN BECAUSE WE 4544 03:41:15,567 --> 03:41:17,202 HAVE THE FUND AND CAN HAVE A 4545 03:41:17,202 --> 03:41:17,703 MANAGEMENT TEAM. 4546 03:41:17,703 --> 03:41:19,171 WE HAVE THE EXPERTISE. 4547 03:41:19,171 --> 03:41:21,540 AND THEY WORK WITH THE 4548 03:41:21,540 --> 03:41:22,741 INSTITUTION, WITH THEY ARE 4549 03:41:22,741 --> 03:41:24,776 LICENSE THE TECHNOLOGY, WORK 4550 03:41:24,776 --> 03:41:27,779 WITH THE INNOVATOR AND HELP 4551 03:41:27,779 --> 03:41:31,617 DEVELOP IT SO IT'S MORE 4552 03:41:31,617 --> 03:41:33,552 ATTRACTIVE FOR THE BIGGER 4553 03:41:33,552 --> 03:41:39,892 PLAYERS. 4554 03:41:39,892 --> 03:41:42,494 A PATENT EXCLUDE OTHERS FROM 4555 03:41:42,494 --> 03:41:44,997 USING AND SELLING AND LICENSE IT 4556 03:41:44,997 --> 03:41:45,697 THROUGH AN AGREEMENT. 4557 03:41:45,697 --> 03:41:48,834 IT'S A PERMISSION SLIP AND 4558 03:41:48,834 --> 03:41:50,936 IMPORT THE INVENTION. 4559 03:41:50,936 --> 03:41:53,105 THEY CAN BE EXCLUSIVE TO ONE 4560 03:41:53,105 --> 03:41:54,339 COMPANY OR NON-EXCLUSIVE IF YOU 4561 03:41:54,339 --> 03:41:56,108 HAVE A PLATFORM TECHNOLOGY AND 4562 03:41:56,108 --> 03:41:58,810 WANT TO HAVE SEVERAL LICENSEES 4563 03:41:58,810 --> 03:42:00,812 AND IT MAY BE NON-EXCLUSIVE. 4564 03:42:00,812 --> 03:42:04,049 THERE'S A LOT I CAN GET INTO 4565 03:42:04,049 --> 03:42:05,784 WITH HOW A LICENSE WORKS BUT THE 4566 03:42:05,784 --> 03:42:07,486 MAJOR BENEFITS TO DOING A 4567 03:42:07,486 --> 03:42:09,488 LICENSE IS YOU'RE FINDING A 4568 03:42:09,488 --> 03:42:13,625 PARTNER AND YOU'RE WORKING ONE A 4569 03:42:13,625 --> 03:42:17,462 PARTNER TO GET THE PRODUCT 4570 03:42:17,462 --> 03:42:17,729 DEVELOPED. 4571 03:42:17,729 --> 03:42:19,331 THERE MAY BE RESEARCH SHARED 4572 03:42:19,331 --> 03:42:20,599 RESOURCES AND MAY BE SPONSORED 4573 03:42:20,599 --> 03:42:23,068 RESEARCH A COMPANY MAY SAY WE'RE 4574 03:42:23,068 --> 03:42:24,670 GOING TO LICENSE THE TECHNOLOGY 4575 03:42:24,670 --> 03:42:25,871 AND SPONSOR RESEARCH IN THE LAB 4576 03:42:25,871 --> 03:42:27,839 TO DEVELOP IT FURTHER. 4577 03:42:27,839 --> 03:42:31,977 IN TERMS OF INCOME, THE 4578 03:42:31,977 --> 03:42:33,078 UNIVERSITY CAN RECOUP THE 4579 03:42:33,078 --> 03:42:33,812 INTELLECTUAL PROPERTY COST. 4580 03:42:33,812 --> 03:42:35,714 THERE MAY BE ROYALTIES OR OTHER 4581 03:42:35,714 --> 03:42:37,115 PAYMENTS FOR DEVELOPMENT. 4582 03:42:37,115 --> 03:42:38,216 THERE'S A LOT THAT CAN COME FROM 4583 03:42:38,216 --> 03:42:48,694 THE LICENSE OF AN INVENTION. 4584 03:42:51,163 --> 03:42:53,298 ANOTHER REASON TO CONTACT THE 4585 03:42:53,298 --> 03:42:55,267 TECH TRANSFER OFFICE WE DO A LOT 4586 03:42:55,267 --> 03:42:57,336 OF OTHER THINGS. 4587 03:42:57,336 --> 03:43:00,172 A LOT OF OTHER AGREEMENTS. 4588 03:43:00,172 --> 03:43:02,307 PROTECTING THE EXCHANGE OF 4589 03:43:02,307 --> 03:43:02,608 INFORMATION. 4590 03:43:02,608 --> 03:43:04,343 IT'S VERY IMPORTANT AMONG 4591 03:43:04,343 --> 03:43:05,477 RESEARCH INSTITUTIONS AND 4592 03:43:05,477 --> 03:43:07,245 COLLABORATORS TO SHARE DATA AND 4593 03:43:07,245 --> 03:43:08,614 INFORMATION AND MATERIALS AND WE 4594 03:43:08,614 --> 03:43:12,451 CAN HANDLE ALL THAT AGREEMENT TO 4595 03:43:12,451 --> 03:43:14,119 PROTECT YOU IN THAT SHARING. 4596 03:43:14,119 --> 03:43:14,853 WHEN THERE'S A JOINT TECHNOLOGY 4597 03:43:14,853 --> 03:43:19,458 WE WORK IT OUT WITH THE OTHER 4598 03:43:19,458 --> 03:43:21,193 COLLABORATING INSTITUTION TO 4599 03:43:21,193 --> 03:43:22,861 COME UP WITH AN AGREEMENT WHICH 4600 03:43:22,861 --> 03:43:28,033 SETS THE TERMS OF THE AGREEMENT 4601 03:43:28,033 --> 03:43:30,502 AND HOW A JOINT TECHNOLOGY 4602 03:43:30,502 --> 03:43:34,873 WESTBOUND -- WILL BE PROTECTED 4603 03:43:34,873 --> 03:43:35,307 AND COMMERCIALIZED. 4604 03:43:35,307 --> 03:43:38,410 COMING BACK TO WHEN SHOULD YOU 4605 03:43:38,410 --> 03:43:40,846 CONTACT MY TECH TRANSFER OFFICE? 4606 03:43:40,846 --> 03:43:41,113 EARLY. 4607 03:43:41,113 --> 03:43:43,849 WE LIKE TO SAY IT'S NEVER TOO 4608 03:43:43,849 --> 03:43:45,784 EARLY BEFORE YOU PUBLISH OR 4609 03:43:45,784 --> 03:43:47,085 PRESENT HOWEVER IT CAN BE TOO 4610 03:43:47,085 --> 03:43:47,285 LATE. 4611 03:43:47,285 --> 03:43:52,257 YOU WANT TO MAKE SURE YOU 4612 03:43:52,257 --> 03:43:54,059 PROTECT WORLDWIDE PATENT RIGHTS. 4613 03:43:54,059 --> 03:43:55,861 CONTACT US FOR TRANSFERS OF 4614 03:43:55,861 --> 03:43:56,728 MATERIALS, CONFIDENTIAL 4615 03:43:56,728 --> 03:44:02,200 INFORMATION, CONNECTIONS WITH 4616 03:44:02,200 --> 03:44:03,735 RESEARCHERS -- REGULATORY AND 4617 03:44:03,735 --> 03:44:09,307 OTHER PARTNERS. 4618 03:44:09,307 --> 03:44:19,151 I GET INNOVATORS WHO ARE WRITING 4619 03:44:19,151 --> 03:44:19,985 FUNDING OPPORTUNITIES, I WILL 4620 03:44:19,985 --> 03:44:24,856 MENTION A FEW IN A MOMENT AND 4621 03:44:24,856 --> 03:44:28,627 LETTERS OF MENTION, NEXT SLIDE, 4622 03:44:28,627 --> 03:44:29,528 PLEASE. 4623 03:44:29,528 --> 03:44:30,162 NEXT SLIDE, PLEASE. 4624 03:44:30,162 --> 03:44:31,096 VERY QUICKLY I WOULD LIKE TO 4625 03:44:31,096 --> 03:44:36,468 INTRODUCE YOU TO OUR OFFICE, UK 4626 03:44:36,468 --> 03:44:36,735 INNOVATE. 4627 03:44:36,735 --> 03:44:39,838 ACTUALLY NEXT SLIDE, GO,A HEAD. 4628 03:44:39,838 --> 03:44:40,806 -- GO,A HEAD. 4629 03:44:40,806 --> 03:44:43,542 WE ARE A BIT UNIQUE IN THAT ALL 4630 03:44:43,542 --> 03:44:45,644 AREAS OF COMMERCIALIZATION AND 4631 03:44:45,644 --> 03:44:47,979 ENTREPRENEURSHIP ARE LOCATED 4632 03:44:47,979 --> 03:44:53,118 UNDER 1 ROOF, THAT'S UKINNOVATE, 4633 03:44:53,118 --> 03:44:54,419 THE COMMERCIALIZATION PROCESS IS 4634 03:44:54,419 --> 03:44:55,587 UNDER OUR COMMERCIALIZATION 4635 03:44:55,587 --> 03:44:57,489 PILLAR. 4636 03:44:57,489 --> 03:44:59,458 OUR INNOVATION TRAINING AND 4637 03:44:59,458 --> 03:45:01,026 ENTREPRENEURSHIP TRAINING IS 4638 03:45:01,026 --> 03:45:02,427 UNDER OUR ECOSYSTEM PILLAR WHERE 4639 03:45:02,427 --> 03:45:07,632 WE HELP TEACH OUR INNOVATORS 4640 03:45:07,632 --> 03:45:08,900 ABOUT THIS PROCESS. 4641 03:45:08,900 --> 03:45:11,837 INNOVATION CONNECT IS OUR 4642 03:45:11,837 --> 03:45:12,437 INDUSTRY PARTNERSHIP'S GROUP. 4643 03:45:12,437 --> 03:45:14,740 THIS IS A GROWING AREA AND I'M 4644 03:45:14,740 --> 03:45:17,242 HAPPY TO SAY UK'S IN THE LEAD IN 4645 03:45:17,242 --> 03:45:21,947 THIS AREA AND INNOVATIONS THAT 4646 03:45:21,947 --> 03:45:23,415 HAVE SOCIETAL IMPACT AND EXIST 4647 03:45:23,415 --> 03:45:28,120 WITH AND FOR THE COMMUNITY FOR 4648 03:45:28,120 --> 03:45:31,022 THE PUBLIC BENEFIT AND NEXT 4649 03:45:31,022 --> 03:45:31,790 SLIDE, PLEASE. 4650 03:45:31,790 --> 03:45:33,091 AND JUST HIGHLIGHTING A FEW 4651 03:45:33,091 --> 03:45:34,726 PROGRAMS, I MENTIONED FUNDING, 4652 03:45:34,726 --> 03:45:37,963 UK IS PART OF THE MIDSOUTH HUB 4653 03:45:37,963 --> 03:45:45,570 WHICH IS A 4 STATE HUB FOR BOTH 4654 03:45:45,570 --> 03:45:47,939 NSF I-CORP AND RESEARCH AND 4655 03:45:47,939 --> 03:45:49,007 EVALUATION HUB. 4656 03:45:49,007 --> 03:45:51,009 IT'S A FUNDING PROGRAM FOCUSED 4657 03:45:51,009 --> 03:45:51,810 ON PRODUCT DEVELOPMENT. 4658 03:45:51,810 --> 03:45:53,512 WE HAVE OTHER PROGRAMS THAT ARE 4659 03:45:53,512 --> 03:45:56,114 ON THIS SLIDE, IN BLUE IS A 4660 03:45:56,114 --> 03:45:57,449 BRAND NEW, WE JUST ROLLED THAT 4661 03:45:57,449 --> 03:45:57,616 OUT. 4662 03:45:57,616 --> 03:46:02,721 IT'S A NEOF THE -- NETWORK AND 4663 03:46:02,721 --> 03:46:04,156 TRAINING FOR ANGEL INVESTORS TO 4664 03:46:04,156 --> 03:46:06,258 INVEST IN OUR START-UP 4665 03:46:06,258 --> 03:46:06,925 COMPANIES. 4666 03:46:06,925 --> 03:46:07,959 NEXT SLIDE, PLEASE. 4667 03:46:07,959 --> 03:46:09,861 WITH THAT, THANK YOU VERY MUCH. 4668 03:46:09,861 --> 03:46:11,830 ONCE AGAIN I'M HOLLI AND THIS IS 4669 03:46:11,830 --> 03:46:14,966 WHERE TO FIND ME. 4670 03:46:14,966 --> 03:46:17,736 >> HOLLY, THANKS SO MUCH IF ARE 4671 03:46:17,736 --> 03:46:18,170 THAT WONDERFUL TALK. 4672 03:46:18,170 --> 03:46:20,038 WORKING WITH TECH TRANSFER 4673 03:46:20,038 --> 03:46:21,306 OFFICES, I CAN UNDERSCORE HOW 4674 03:46:21,306 --> 03:46:22,374 IMPORTANT IT IS THAT INDUSTRY 4675 03:46:22,374 --> 03:46:24,009 LOVES TO WORK WITH FOLKS THAT 4676 03:46:24,009 --> 03:46:25,710 ARE REALLY ORGANIZED, HAVE THEIR 4677 03:46:25,710 --> 03:46:26,912 ACTS TOGETHER AND KNOW EXACTLY 4678 03:46:26,912 --> 03:46:28,079 HOW TO COMMUNICATE WITH US 4679 03:46:28,079 --> 03:46:29,481 BECAUSE OF WHAT WE'RE LOOKING 4680 03:46:29,481 --> 03:46:31,449 FOR, SO THANKS FOR THAT GREAT 4681 03:46:31,449 --> 03:46:32,851 OVERVIEW THEY THINK REALLY 4682 03:46:32,851 --> 03:46:34,886 CAPTURES IT. 4683 03:46:34,886 --> 03:46:35,153 THANK YOU. 4684 03:46:35,153 --> 03:46:39,424 ALL RIGHT, SO NEXT UP IS 4685 03:46:39,424 --> 03:46:40,826 DR. STEPHANIE DAVIS. 4686 03:46:40,826 --> 03:46:41,393 >> THANK YOU JEFF. 4687 03:46:41,393 --> 03:46:43,328 IF YOU COULD ADVANCE TO THE NEXT 4688 03:46:43,328 --> 03:46:43,895 SLIDE. 4689 03:46:43,895 --> 03:46:45,831 I WILL TRY TO ZIP THROUGH THESE 4690 03:46:45,831 --> 03:46:47,465 WITH MY COLLEAGUE DR. MIKE PECK, 4691 03:46:47,465 --> 03:46:48,633 NEXT SLIDE, THERE WE GO. 4692 03:46:48,633 --> 03:46:51,136 SO WE'RE GOING TO BE COVERING 2 4693 03:46:51,136 --> 03:46:54,406 PROGRAMS THAT CAN HELP FUND 4694 03:46:54,406 --> 03:46:55,874 TRANSLATIONAL TECHNOLOGIES IN 4695 03:46:55,874 --> 03:46:57,809 THE HEART, LUNG, BLOOD AND SLEEP 4696 03:46:57,809 --> 03:46:58,043 SPACE. 4697 03:46:58,043 --> 03:47:00,445 I WILL TALK ABOUT THE SMALL 4698 03:47:00,445 --> 03:47:03,915 BUSINESS, ALSO KNOWN AS THE 4699 03:47:03,915 --> 03:47:06,418 SBIR/STTR PROGRAMS AND DR. PECK 4700 03:47:06,418 --> 03:47:07,519 WILL COVER CATALYZE. 4701 03:47:07,519 --> 03:47:10,522 SO WE WILL NEXT THIS EFFICIENT. 4702 03:47:10,522 --> 03:47:11,323 NEXT SLIDE, PLEASE. 4703 03:47:11,323 --> 03:47:14,259 NEXT SLIDE, PLEASE. 4704 03:47:14,259 --> 03:47:15,360 THERE WE GO. 4705 03:47:15,360 --> 03:47:17,562 SO IT WAS A GREAT THING THAT 4706 03:47:17,562 --> 03:47:18,496 DR. CLARK WENT BEFORE US 4707 03:47:18,496 --> 03:47:21,900 BECAUSE, YOU KNOW IF YOU ARE AN 4708 03:47:21,900 --> 03:47:23,101 ACADEMIC RESEARCHER YOUR TECH 4709 03:47:23,101 --> 03:47:25,003 TRANSFER OFFICE WILL BE A GREAT 4710 03:47:25,003 --> 03:47:27,105 RESOURCE FOR ANYTHING HAVE TO DO 4711 03:47:27,105 --> 03:47:28,874 FOR APPLYING FOR SMALL BUSINESS 4712 03:47:28,874 --> 03:47:29,107 FUNDING. 4713 03:47:29,107 --> 03:47:30,242 SO FOR THOSE WHO ARE UNFAMILIAR 4714 03:47:30,242 --> 03:47:33,945 WITH THE PROGRAMS, THE SBIR, TCR 4715 03:47:33,945 --> 03:47:35,347 PROGRAMS MAKE UP THE AMERICA'S 4716 03:47:35,347 --> 03:47:37,616 SEED FUND OR THE SMALL BUSINESS 4717 03:47:37,616 --> 03:47:38,316 PROGRAM. 4718 03:47:38,316 --> 03:47:41,386 AT THE NIH WE SET ASIDE 1.4 4719 03:47:41,386 --> 03:47:43,321 BILLION DOLLARS TOWARDS FUNDING 4720 03:47:43,321 --> 03:47:44,389 EARLY STAGE TECHNOLOGIES THAT 4721 03:47:44,389 --> 03:47:45,857 CAN HELP ADVANCE THE MISSION OF 4722 03:47:45,857 --> 03:47:46,491 THE NIH. 4723 03:47:46,491 --> 03:47:47,192 OH, GO BACK. 4724 03:47:47,192 --> 03:47:48,693 THANK YOU. 4725 03:47:48,693 --> 03:47:50,862 SO THESE PROGRAMS CONSIST OF THE 4726 03:47:50,862 --> 03:47:52,464 SMALL BUSINESS INNOVATION 4727 03:47:52,464 --> 03:47:53,531 RESEARCH, OR SBIR, WHICH THE IS 4728 03:47:53,531 --> 03:47:55,267 PARENT PROGRAM AND THIS IS 4729 03:47:55,267 --> 03:47:56,101 DESIGNED TO SUPPORT SMALL 4730 03:47:56,101 --> 03:47:57,168 BUSINESS CONCERNS THAT ARE 4731 03:47:57,168 --> 03:47:58,236 DEVELOPING NEW TECHNOLOGIES FOR 4732 03:47:58,236 --> 03:47:59,971 THE POTENTIAL FOR COMMERCIAL 4733 03:47:59,971 --> 03:48:01,606 ARIZATION, AND THE SISTER 4734 03:48:01,606 --> 03:48:02,540 PROGRAM, THE STTR PROGRAM. 4735 03:48:02,540 --> 03:48:05,477 THIS IS VERY SIMILAR TO THE 4736 03:48:05,477 --> 03:48:06,811 SBIR, WITH 1 MAJOR DIFFERENCE IN 4737 03:48:06,811 --> 03:48:10,048 TERMS OF ITS GOAL AND THAT IS TO 4738 03:48:10,048 --> 03:48:11,249 FACILITATE PARTNERSHIPS BETWEEN 4739 03:48:11,249 --> 03:48:14,552 ACADEMIC INSTITUTIONS AND SMALL 4740 03:48:14,552 --> 03:48:14,853 BUSINESSES. 4741 03:48:14,853 --> 03:48:15,053 OKAY. 4742 03:48:15,053 --> 03:48:23,528 JUST GO TO THE NEXT SLIDE. 4743 03:48:23,528 --> 03:48:25,330 THERE WE G. BOTH OF THESE 4744 03:48:25,330 --> 03:48:26,564 PROGRAMS HAVE A SIMILAR GOAL. 4745 03:48:26,564 --> 03:48:28,867 AND THROUGH BOTH OF THESE 4746 03:48:28,867 --> 03:48:30,602 PROGRAMS, THE NHIERARCHIES H IS 4747 03:48:30,602 --> 03:48:31,670 STAGED AS THE EARLY CAPITAL FOR 4748 03:48:31,670 --> 03:48:35,707 STAGES IN THE U.S., SO RO-1, 4749 03:48:35,707 --> 03:48:38,743 R23S, OTHER BASIC GRANTS TEND TO 4750 03:48:38,743 --> 03:48:40,145 FUND SMALL BUSINESS SCIENCE, 4751 03:48:40,145 --> 03:48:41,947 SMALL BUSINESS FUNDS WILL FUND 4752 03:48:41,947 --> 03:48:43,581 EVERYTHING FROM EARLY STAGE, 4753 03:48:43,581 --> 03:48:45,016 PROOF OF CONCEPT, TECHNOLOGICAL 4754 03:48:45,016 --> 03:48:46,551 DEVELOPMENT ALL THE WAY UP TO 4755 03:48:46,551 --> 03:48:47,085 SCALE AND MANUFACTURING. 4756 03:48:47,085 --> 03:48:50,021 AND WE ARE THERE TO FUND THESE 4757 03:48:50,021 --> 03:48:51,389 INNOVATIONS WHEN PRIVATE 4758 03:48:51,389 --> 03:48:54,259 INVESTORS SUCH AS ANGEL 4759 03:48:54,259 --> 03:48:59,698 INVESTORS, VC TIRMS AND PART 4760 03:48:59,698 --> 03:49:02,133 MERS ARE NOT TO RISK TOO MUCH. 4761 03:49:02,133 --> 03:49:04,269 SO OUR GOAL IS TO RISK ENOUGH 4762 03:49:04,269 --> 03:49:06,705 THAT THEY ARE ATTRACTED FOR 4763 03:49:06,705 --> 03:49:07,439 THESE PRIVATE INVESTORS. 4764 03:49:07,439 --> 03:49:11,409 WHEN YOU APPLY FOR AN NIH GRANT, 4765 03:49:11,409 --> 03:49:12,377 IT'S NONDILUTIVE, WE'RE NOT 4766 03:49:12,377 --> 03:49:14,312 TAKING MONEY OUT OF YOUR COMPANY 4767 03:49:14,312 --> 03:49:16,314 AND IT'S A LOAN THAT YOU DON'T 4768 03:49:16,314 --> 03:49:17,382 HAVE TO PAY BACK. 4769 03:49:17,382 --> 03:49:18,984 AND WHEN YOU GET THESE GRANTS 4770 03:49:18,984 --> 03:49:22,520 YOU HAVE TO GO THROUGH THE 4771 03:49:22,520 --> 03:49:23,788 RIGOROUS PEER REVIEW PROCESS AS 4772 03:49:23,788 --> 03:49:33,298 YOU WOULD WITH ANYTHING ELSE AT 4773 03:49:33,298 --> 03:49:34,566 THE NIH. 4774 03:49:34,566 --> 03:49:38,570 NEXT SLIDE, PLEASE. 4775 03:49:38,570 --> 03:49:40,872 SO AS I MENTIONED THE SMALL 4776 03:49:40,872 --> 03:49:43,875 BUSINESS PROGRAMS ARE MADE UP OF 4777 03:49:43,875 --> 03:49:45,343 SBIR AND STTR GRANTS AND THEY 4778 03:49:45,343 --> 03:49:46,845 ARE MORE SIMILAR THAN THEY ARE 4779 03:49:46,845 --> 03:49:48,747 DIFFERENT BUT THERE ARE A FEW 4780 03:49:48,747 --> 03:49:50,415 KEY DIFFERENCES. 4781 03:49:50,415 --> 03:49:51,916 SO SBIR GRANTS DON'T REQUIRE 4782 03:49:51,916 --> 03:49:53,752 PARTNERING WITH BUT THEY CAN 4783 03:49:53,752 --> 03:49:55,754 ALLOW FOR PARTNERING TO OCCUR, 4784 03:49:55,754 --> 03:49:57,155 THERE ARE GUIDELINES WHERE FOR 4785 03:49:57,155 --> 03:49:58,456 EARLY STAGE GRANTS ALSO KNOWN AS 4786 03:49:58,456 --> 03:50:00,392 PHASE 1S ISSUES THE COMPANY CAN 4787 03:50:00,392 --> 03:50:05,030 OUTSOURCE UP TO 33% OF THE 4788 03:50:05,030 --> 03:50:06,164 BUDGET AND 50% OF THE BUDGET IN 4789 03:50:06,164 --> 03:50:08,733 PHASE 2 AND THERE IS A 4790 03:50:08,733 --> 03:50:10,468 REQUIREMENT FOR AN SBIR ON THE 4791 03:50:10,468 --> 03:50:13,338 GRANT TO BE PRIMARILY EMPLOYED 4792 03:50:13,338 --> 03:50:14,806 BY THE BUSINESS AT THE TIME OF 4793 03:50:14,806 --> 03:50:16,107 THE AWARD. 4794 03:50:16,107 --> 03:50:17,842 SO THE STTR, IT'S THE PRIME 4795 03:50:17,842 --> 03:50:21,212 OPTION FOR EARLY STAGE ACADEMIC 4796 03:50:21,212 --> 03:50:22,013 SPIN-OUTS A-BECAUSE THERE'S A 4797 03:50:22,013 --> 03:50:23,548 REQUIREMENT TO HAVE A RESEARCH 4798 03:50:23,548 --> 03:50:26,117 INSTITUTION PARTNER WITH THE 4799 03:50:26,117 --> 03:50:27,052 SMALL BUSINESS THAT THAT 4800 03:50:27,052 --> 03:50:28,119 RESEARCH INSTITUTION AND PARTNER 4801 03:50:28,119 --> 03:50:30,221 WILL BE A SMALL ORDER RECIPIENT. 4802 03:50:30,221 --> 03:50:31,122 THERE ARE MINIMUM WORK 4803 03:50:31,122 --> 03:50:32,290 REQUIREMENTS OR BUDGET 4804 03:50:32,290 --> 03:50:33,224 REQUIREMENTS FOR BOTH THE SMALL 4805 03:50:33,224 --> 03:50:34,392 BUSINESS AND RESEARCH 4806 03:50:34,392 --> 03:50:35,794 INSTITUTION PARTNER AND MOST 4807 03:50:35,794 --> 03:50:37,395 IMPORTANTLY, THE PI CAN BE 4808 03:50:37,395 --> 03:50:39,230 EMPLOYED EITHER BY THE RESEARCH 4809 03:50:39,230 --> 03:50:40,498 INSTITUTION OR BY THE SMALL 4810 03:50:40,498 --> 03:50:40,932 BUSINESS. 4811 03:50:40,932 --> 03:50:43,835 SO IF YOU'RE A FULL-TIME FACULTY 4812 03:50:43,835 --> 03:50:45,703 MEMBER WITH A COMPANY, STTR A 4813 03:50:45,703 --> 03:50:47,372 GREAT OPTION FOR YOU BUT IN BOTH 4814 03:50:47,372 --> 03:50:51,409 CASES THE AWARD IS MADE TO SMALL 4815 03:50:51,409 --> 03:50:56,314 BUSINESSES. 4816 03:50:56,314 --> 03:50:57,215 NEXT SLIDE. 4817 03:50:57,215 --> 03:50:59,284 SO THERE ARE ELIGIBILITY 4818 03:50:59,284 --> 03:51:01,119 CRITERIA THAT NEED TO BE MADE 4819 03:51:01,119 --> 03:51:03,221 THROUGH THE TIME OF THEARS WARDS 4820 03:51:03,221 --> 03:51:05,390 BUT IN SUMMARY IN ORDER FOR YOUR 4821 03:51:05,390 --> 03:51:07,258 COMPANY TO BE ELIGIBLE FOR A 4822 03:51:07,258 --> 03:51:09,594 GRANT, IT MUST BE ORGANIZE AS A 4823 03:51:09,594 --> 03:51:11,563 U.S. BUSINESS, SMALLER THAN 500 4824 03:51:11,563 --> 03:51:12,497 EMPLOYEES, ALTHOUGH MOST OF THE 4825 03:51:12,497 --> 03:51:13,565 COMPANIES WE FUND ARE MUCH 4826 03:51:13,565 --> 03:51:14,632 SMALLER THAN THIS AND THE WORK 4827 03:51:14,632 --> 03:51:16,201 ON THE PROJECT MUST BE DONE 4828 03:51:16,201 --> 03:51:19,737 WITHIN THE U.S. WITH A FEW VERY 4829 03:51:19,737 --> 03:51:20,872 CASE BY CASE EXEMPTIONS. 4830 03:51:20,872 --> 03:51:25,310 SO THE COMPANY MUST BE AT LEAST 4831 03:51:25,310 --> 03:51:27,946 50% U.S. OWNED AND INDEPENDENTLY 4832 03:51:27,946 --> 03:51:29,247 OPERATED SO KEEP IN MIND ALL 4833 03:51:29,247 --> 03:51:30,248 THESE THINGS NEED TO BE MET AT 4834 03:51:30,248 --> 03:51:32,917 THE TIME OF THE AWARD, BUT DUE 4835 03:51:32,917 --> 03:51:36,254 TO THE SBIR AND STTR POLICY 4836 03:51:36,254 --> 03:51:37,755 DIRECTIVE, ALL ORGANIZATIONS 4837 03:51:37,755 --> 03:51:39,357 THAT RECEIVE GRANTS NEED TO 4838 03:51:39,357 --> 03:51:40,692 ADHERE TO THIS CRITERIA. 4839 03:51:40,692 --> 03:51:41,159 NEXT SLIDE, PLEASE. 4840 03:51:41,159 --> 03:51:42,794 SO AS I MENTIONED THERE ARE 4841 03:51:42,794 --> 03:51:43,628 DIFFERENT PHASES OF SMALL 4842 03:51:43,628 --> 03:51:44,462 BUSINESS GRANTS AND THESE ARE 4843 03:51:44,462 --> 03:51:47,332 NOT THE SAME AS CLINICAL TRIAL 4844 03:51:47,332 --> 03:51:47,732 PHASES. 4845 03:51:47,732 --> 03:51:50,201 THEY HAVE SAID THEY REFER TO 4846 03:51:50,201 --> 03:51:50,969 STAGE OF DEVELOP. 4847 03:51:50,969 --> 03:51:52,003 SO EARLY STAGE INVESTIGATORS 4848 03:51:52,003 --> 03:51:54,239 TEND TO COME IN WITH A PHASE 1 4849 03:51:54,239 --> 03:51:55,840 GRANT AND THIS IS A SMALL GRANT 4850 03:51:55,840 --> 03:51:57,609 THAT SUPPORTS PROOF OF CONCEPT 4851 03:51:57,609 --> 03:52:00,512 WORK, USUALLY IT'S AROUND 4852 03:52:00,512 --> 03:52:01,546 $314,000 TOTAL COSTS, AND 4853 03:52:01,546 --> 03:52:03,848 BETWEEN 1 AND 2 YEARS IN LENGTH. 4854 03:52:03,848 --> 03:52:05,583 AND ONCE THE PHASE 1 IS DONE, 4855 03:52:05,583 --> 03:52:06,985 THE COMPANY CAN APPLY FOR A 4856 03:52:06,985 --> 03:52:10,054 PHASE 2 GRANT WHICH SUPPORTS 4857 03:52:10,054 --> 03:52:11,956 MORE EFFICACY ORIENTED WORK AND 4858 03:52:11,956 --> 03:52:13,658 MORE EXTENSIVE R&D ACTIVITIES 4859 03:52:13,658 --> 03:52:15,059 COMPARED TO THE PHASE 1. 4860 03:52:15,059 --> 03:52:17,061 SO THESE GRANTS CAN BE BETWEEN 1 4861 03:52:17,061 --> 03:52:20,231 AND 3 YEARS LONG AND USUALLY 4862 03:52:20,231 --> 03:52:22,133 THEY'RE A LITTLE BIT OVER 4863 03:52:22,133 --> 03:52:23,067 $2 MILLION TOTAL COST. 4864 03:52:23,067 --> 03:52:24,369 THERE ARE ADDITIONAL OPTIONS, SO 4865 03:52:24,369 --> 03:52:26,237 IF A COMPANY WANTS TO APPLY FOR 4866 03:52:26,237 --> 03:52:28,540 BOTH THE PHASE 1 AND PHASE 2 4867 03:52:28,540 --> 03:52:29,674 SIMULTANEOUSLY, THEY CAN DO IT 4868 03:52:29,674 --> 03:52:32,243 FAST TRACK AND ALSO FOR SBIR 4869 03:52:32,243 --> 03:52:33,511 APPLICANTS, IF A COMPANY HAS 4870 03:52:33,511 --> 03:52:35,346 ALREADY DONE WHAT WOULD AMOUNT 4871 03:52:35,346 --> 03:52:36,748 TO A PHASE 1 GRANT, THEY CAN DO 4872 03:52:36,748 --> 03:52:38,183 A DIRECT TO PHASE 2. 4873 03:52:38,183 --> 03:52:40,952 AND SOME INSTITUTES AND CENTERS 4874 03:52:40,952 --> 03:52:43,121 INCLUDING THE NHLBI OFFER 4875 03:52:43,121 --> 03:52:43,821 ADDITIONAL FUNDING OPPORTUNITIES 4876 03:52:43,821 --> 03:52:44,789 BEYOND THE PHASE 2. 4877 03:52:44,789 --> 03:52:48,193 HOWEVER, WE DON'T HAVE PHASE 3 4878 03:52:48,193 --> 03:52:48,726 AWARDS. 4879 03:52:48,726 --> 03:52:54,532 SOME AGENCIES WILL ACCESS THESE 4880 03:52:54,532 --> 03:52:55,934 WHERE THE BUYER ACCESSES THE 4881 03:52:55,934 --> 03:52:57,669 INFORMATION, WE DON'T DO THAT. 4882 03:52:57,669 --> 03:52:59,737 WE HAVE THE IDEA THAT BEYOND 4883 03:52:59,737 --> 03:53:04,175 THESE FUNDING OPPORTUNITIES THE 4884 03:53:04,175 --> 03:53:07,278 COMPANY WILL BE SUPPORTED BY A 4885 03:53:07,278 --> 03:53:08,346 STRATEGIC PARTNER OR SUPPORTED 4886 03:53:08,346 --> 03:53:09,914 BY PRIVATE FUNDS AND WON'T NEED 4887 03:53:09,914 --> 03:53:13,418 US ANYMORE. 4888 03:53:13,418 --> 03:53:14,185 NEXT SLIDE. 4889 03:53:14,185 --> 03:53:16,254 SO I RECOMMEND IN ANYBODY HAS 4890 03:53:16,254 --> 03:53:17,555 QUESTIONS ABOUT PUTTING TOGETHER 4891 03:53:17,555 --> 03:53:19,624 AN APPLICATION, THE NIH SEED 4892 03:53:19,624 --> 03:53:21,926 OFFICE WEBSITE HAS A LOT OF 4893 03:53:21,926 --> 03:53:24,996 REALLY GREAT RESOURCES AND THESE 4894 03:53:24,996 --> 03:53:26,931 INCLUDE THE SF424 APPLICATION 4895 03:53:26,931 --> 03:53:29,234 MANUEL FOR SMALL BUSINESS 4896 03:53:29,234 --> 03:53:30,568 GRANTS, ANTIINFORM SET AND 4897 03:53:30,568 --> 03:53:32,136 SAMPLE APPLICATIONS FROM REAL 4898 03:53:32,136 --> 03:53:33,705 LIFE SMALL BUSINESS GRANTEES. 4899 03:53:33,705 --> 03:53:36,107 I ALSO RECOMMEND THAT YOU LOOK 4900 03:53:36,107 --> 03:53:37,575 THROUGH STATE RESOURCES, THROUGH 4901 03:53:37,575 --> 03:53:40,345 THE SBA FAST PROGRAM, AND OTHER 4902 03:53:40,345 --> 03:53:41,746 RESOURCES THAT HOLLY SHOUTED OUT 4903 03:53:41,746 --> 03:53:43,715 TO IN HER PRESENTATION, IF YOU 4904 03:53:43,715 --> 03:53:45,950 HAVE ANY NIH FUNDED ACADEMIC 4905 03:53:45,950 --> 03:53:47,452 PROOF OF CONCEPT PROGRAMS, SUCH 4906 03:53:47,452 --> 03:53:49,554 AS THE REACH PROGRAM, WHICH RUNS 4907 03:53:49,554 --> 03:53:51,289 THE MIDSOUTH HUB, I WOULD 4908 03:53:51,289 --> 03:53:52,323 STRONGLY RECOMMEND TAKE 8 4909 03:53:52,323 --> 03:53:54,025 HOURSING ADVANTAGE OF THOSE TO 4910 03:53:54,025 --> 03:53:55,560 HELP MAKE YOURSELF MORE 4911 03:53:55,560 --> 03:53:58,263 COMPETITIVE. 4912 03:53:58,263 --> 03:53:59,764 NEXT SLIDE, PLEASE. 4913 03:53:59,764 --> 03:54:01,633 >> SO THE NHLBI SMALL BUSINESS 4914 03:54:01,633 --> 03:54:04,235 PROGRAM, WE HAVE APPROXIMATELY 4915 03:54:04,235 --> 03:54:06,638 $136 MILLION EVERY YEAR IN 4916 03:54:06,638 --> 03:54:08,139 NONDILUTED FUNDING TO SUPPORT 4917 03:54:08,139 --> 03:54:14,679 OVER 300 ACTIVE PROJECTS THAT 4918 03:54:14,679 --> 03:54:17,415 ARE MEANT TO PREVENT, TREAT AND 4919 03:54:17,415 --> 03:54:18,583 DIAGNOSE LUNG DISEASES, SO AS 4920 03:54:18,583 --> 03:54:19,751 YOU SEE BY THIS PIE CHART WE 4921 03:54:19,751 --> 03:54:21,152 HAVE A LOT OF TECHNOLOGIES WE 4922 03:54:21,152 --> 03:54:22,820 FUND AND THIS BREAK DOWN VARIES 4923 03:54:22,820 --> 03:54:27,358 FROM YEAR TO YEAR BUT ABOUT 33% 4924 03:54:27,358 --> 03:54:29,560 OF OUR PORTFOLIO CONSISTS OF 4925 03:54:29,560 --> 03:54:31,429 THERAPEUTICS BOTH SMALL 4926 03:54:31,429 --> 03:54:33,331 MOLECULES AND BIOLOGICS. 4927 03:54:33,331 --> 03:54:33,931 NEXT SLIDE, PLEASE. 4928 03:54:33,931 --> 03:54:37,101 SO HERE IS JUST A BRIEF SAMPLING 4929 03:54:37,101 --> 03:54:39,437 OF DISEASES THAT FALL WITHIN THE 4930 03:54:39,437 --> 03:54:42,373 NHLBI MISSION SPACE. THIS IS 4931 03:54:42,373 --> 03:54:43,574 NOT AN EXHAUSTIVE LIST THOUGH SO 4932 03:54:43,574 --> 03:54:45,643 IF YOU HAVE A CONDITION THAT'S 4933 03:54:45,643 --> 03:54:47,679 NOT LISTED HERE AND YOU'RE NOT 4934 03:54:47,679 --> 03:54:49,314 SURE WHETHER IT'S WITH OUR 4935 03:54:49,314 --> 03:54:50,815 MISSIONS BASE, WE STRONGLY 4936 03:54:50,815 --> 03:54:51,949 RECOMMEND REACHING OUT TO US 4937 03:54:51,949 --> 03:54:54,786 FIRST AND IF IT DOESN'T WORK 4938 03:54:54,786 --> 03:54:58,289 WITH US, WE CAN DIRECT YOU TO 4939 03:54:58,289 --> 03:54:59,691 THE INSTITUTION OR BEST FIT. 4940 03:54:59,691 --> 03:55:02,193 SO I WILL NOT GO INTO ALL THE 4941 03:55:02,193 --> 03:55:03,227 DETAILTHIS SLIDE BUT THIS 4942 03:55:03,227 --> 03:55:04,896 PROVIDES A BRIEF SUMMARY OF WHAT 4943 03:55:04,896 --> 03:55:07,231 MY OFFICE, THE INNOVATION AND 4944 03:55:07,231 --> 03:55:09,534 COMMERCIALIZATION OFFICE DOES SO 4945 03:55:09,534 --> 03:55:10,702 OUR OFFICE PROVIDES SUPPORT IN 4946 03:55:10,702 --> 03:55:12,370 THE FORM OF APPLICATION SERVICES 4947 03:55:12,370 --> 03:55:15,373 SO THIS CAN INCLUDE OUTREACH AND 4948 03:55:15,373 --> 03:55:18,643 EDUCATION EVENTS, PREAPPLICATION 4949 03:55:18,643 --> 03:55:19,344 CONSULTS, AND ASSISTANCE 4950 03:55:19,344 --> 03:55:22,480 PROGRAMS TO HELP COMPANIES 4951 03:55:22,480 --> 03:55:23,247 BECOME COMPETITIVE APPLICANTS. 4952 03:55:23,247 --> 03:55:28,319 WE OFFER SMALL BUSINESS GRANTS, 4953 03:55:28,319 --> 03:55:30,288 PHASE 1 AND PHASE 2 AND 4954 03:55:30,288 --> 03:55:31,222 ADDITIONAL FUNDING BEYOND PHASE 4955 03:55:31,222 --> 03:55:33,758 2 AND FOR AWARDEES THEY HAVE A 4956 03:55:33,758 --> 03:55:35,526 LOT OF DIFFERENT RESOURCES THEY 4957 03:55:35,526 --> 03:55:37,862 CAN TAKE ADVANTAGE OF FOR THEIR 4958 03:55:37,862 --> 03:55:38,663 PRODUCT DEVELOPMENT JOURNEY. 4959 03:55:38,663 --> 03:55:41,766 SO THESE CAN INCLUDE CONSULTS 4960 03:55:41,766 --> 03:55:42,834 FROM OUR PART-TIME ENTREPRENEUR 4961 03:55:42,834 --> 03:55:44,268 AND RESIDENT WHO IS CAN PROVIDE 4962 03:55:44,268 --> 03:55:46,671 FEEDBACK IN AREAS SUCH AS 4963 03:55:46,671 --> 03:55:48,639 INTELLECTUAL PROPERTY, 4964 03:55:48,639 --> 03:55:50,074 REGULATORY AFFAIRS, 4965 03:55:50,074 --> 03:55:50,708 REIMBURSEMENT, HEALTH ECONOMICS 4966 03:55:50,708 --> 03:55:51,909 CLINICAL TRIALS AND FUNDRAISING 4967 03:55:51,909 --> 03:55:55,179 AND THESE EE Rs HELP US PUT ON 4968 03:55:55,179 --> 03:55:59,684 WEBINARS AND EDUCATIONAL EVENTS. 4969 03:55:59,684 --> 03:56:01,953 SO WE HAVE ADDITIONAL 4970 03:56:01,953 --> 03:56:03,121 ADMINISTRATIVE SUPPLEMENTS SUCH 4971 03:56:03,121 --> 03:56:05,022 AS RECRUITING NEW TALENT TO 4972 03:56:05,022 --> 03:56:05,790 ENHANCE THE DIVERSITY OF THE 4973 03:56:05,790 --> 03:56:08,359 PROGRAM, WE HAVE A SPECIAL 4974 03:56:08,359 --> 03:56:09,260 DIVERSITY SUPPLEMENT PROGRAM 4975 03:56:09,260 --> 03:56:10,428 SPECIFICALLY FOR SMALL BUSINESS 4976 03:56:10,428 --> 03:56:10,795 GRANTS. 4977 03:56:10,795 --> 03:56:15,199 WE SUPPORT COMPANIES THROUGH THE 4978 03:56:15,199 --> 03:56:17,535 ICHOR PROGRAM WHICH HELPS WITH 4979 03:56:17,535 --> 03:56:20,438 DORPHY, WE PROVIDE TECHNICAL AND 4980 03:56:20,438 --> 03:56:21,005 BUSINESS ASSISTANCE RELATED 4981 03:56:21,005 --> 03:56:21,706 ACTIVITIES AND BEYOND THE PHASE 4982 03:56:21,706 --> 03:56:23,908 2 WE OFFER SPECIAL AWARDS 4983 03:56:23,908 --> 03:56:25,243 THROUGH THE COMMERCIALIZATION 4984 03:56:25,243 --> 03:56:29,147 READINESS PILOT, AWARD PROGRAM. 4985 03:56:29,147 --> 03:56:31,916 WE ALSO HAVE A LOT OF NEW 4986 03:56:31,916 --> 03:56:33,451 ACTIVITIES, WE'RE DOING AS PART 4987 03:56:33,451 --> 03:56:35,653 OF OUR INVESTOR INITIATIVES. 4988 03:56:35,653 --> 03:56:38,689 SO THIS CAN INCLUDE COMPANIES TO 4989 03:56:38,689 --> 03:56:40,658 PRESENT AT SHOWCASE EVENTS WHERE 4990 03:56:40,658 --> 03:56:42,827 THEY'RE COACHED BY OUR EIR TEAM 4991 03:56:42,827 --> 03:56:45,730 SO THEY CAN PUT TOGETHER A GREAT 4992 03:56:45,730 --> 03:56:46,697 PRESENTATION THAT ATTRACTS 4993 03:56:46,697 --> 03:56:48,499 INVESTORS IN ATTENDANCE, WE HAVE 4994 03:56:48,499 --> 03:56:51,169 ALSO RECENTLY DEVELOPED AN AI 4995 03:56:51,169 --> 03:56:52,437 POWERED PARTNERING PLATFORM TO 4996 03:56:52,437 --> 03:56:54,772 BETTER HELP OUR AWARDYS CONNECT 4997 03:56:54,772 --> 03:56:56,774 WITH POTENTIAL INVESTORS AND 4998 03:56:56,774 --> 03:56:57,742 COLLABORATORS AND STRATEGIC 4999 03:56:57,742 --> 03:57:04,549 PARTNERS. 5000 03:57:04,549 --> 03:57:04,982 NEXT SLIDE, PLEASE. 5001 03:57:04,982 --> 03:57:08,152 HERE IS THE TARGETING 5002 03:57:08,152 --> 03:57:11,823 OPPORTUNITIES THAT THE NHLBI 5003 03:57:11,823 --> 03:57:14,492 FOCUSES ON, MOST OF THESE COME 5004 03:57:14,492 --> 03:57:15,893 IN AS OMNIBUS SOLICITATIONS BUT 5005 03:57:15,893 --> 03:57:17,428 THERE ARE A FEW SELECTED 5006 03:57:17,428 --> 03:57:19,430 OPPORTUNITIES THAT HAVE SPECIAL 5007 03:57:19,430 --> 03:57:22,200 DUE DATES OR SPECIAL REVIEW 5008 03:57:22,200 --> 03:57:24,268 CRITERIA OR IN SOME CASES SET 5009 03:57:24,268 --> 03:57:25,102 ASIDE FUNDS. 5010 03:57:25,102 --> 03:57:26,737 SO HERE'S EXAMPLES OF SPECIAL 5011 03:57:26,737 --> 03:57:27,605 FUNDING OPPORTUNITY WE SUPPORT, 5012 03:57:27,605 --> 03:57:33,644 SO WE HAVE OUR SPECIAL PHASE 2 5013 03:57:33,644 --> 03:57:36,180 IIB-BRIDGE AND SMALL MARKET 5014 03:57:36,180 --> 03:57:39,083 RFAs WHICH PROVIDE FUNDING FOR 5015 03:57:39,083 --> 03:57:40,017 COMMERCIALIZATION, THE 5016 03:57:40,017 --> 03:57:41,118 COMMERCIALIZATION PILOT 5017 03:57:41,118 --> 03:57:42,587 READINESS AWARDS WHICH CAN 5018 03:57:42,587 --> 03:57:44,555 PROVIDE UP TO $500,000 IN 5019 03:57:44,555 --> 03:57:47,492 EXPANSE PENSS TO SUPPORT LATE 5020 03:57:47,492 --> 03:57:49,894 STAGE RND AND TECHNICAL 5021 03:57:49,894 --> 03:57:50,495 ASSISTANCE. 5022 03:57:50,495 --> 03:57:52,096 FOR COMPANIES DEVELOPING 5023 03:57:52,096 --> 03:57:53,598 TECHNOLOGYINGS FOCUSED ON PANE 5024 03:57:53,598 --> 03:57:56,400 MANAGEMENT WE PARTICIPATE IN THE 5025 03:57:56,400 --> 03:57:58,269 HEAL INITIATIVE RFAs, TODAY WE 5026 03:57:58,269 --> 03:58:00,104 SUPPORTED 3 PROJECTS TOTAL 2 OF 5027 03:58:00,104 --> 03:58:02,406 WHICH FOCUSED ON PROJECTS IN THE 5028 03:58:02,406 --> 03:58:03,708 LUNG DISEASES MISSION SPACE. 5029 03:58:03,708 --> 03:58:05,543 IF YOU'RE DEVELOPING ANYTHING 5030 03:58:05,543 --> 03:58:08,713 FOCUSED ON HEALTH DISPARITIES OR 5031 03:58:08,713 --> 03:58:09,747 TREATING MINORITY HEALTH 5032 03:58:09,747 --> 03:58:12,216 PATIENTS WITH HEART, LUNG, BLOOD 5033 03:58:12,216 --> 03:58:14,385 AND SLEEP DISORDERS, WE STRONGLY 5034 03:58:14,385 --> 03:58:16,254 RECOMMEND LIVING INTO THE 5035 03:58:16,254 --> 03:58:17,855 HEALTHY LIVING RNA AND FINALLY 5036 03:58:17,855 --> 03:58:19,390 WE HAVE 4 NOTICES OF FUNDING 5037 03:58:19,390 --> 03:58:22,360 OPPORTUNITY THAT SERVE AS AN 5038 03:58:22,360 --> 03:58:24,295 OMNIBUS SET FOR OUR NEW 5039 03:58:24,295 --> 03:58:25,229 ENTREPRENEURS AND EARLY STAGE 5040 03:58:25,229 --> 03:58:26,731 INVESTIGATORS WHO WANT TO SERVE 5041 03:58:26,731 --> 03:58:30,601 AS PIs ON SMALL BUSINESS 5042 03:58:30,601 --> 03:58:35,339 GRANTS. 5043 03:58:35,339 --> 03:58:35,840 NEXT SLIDE, PLEASE. 5044 03:58:35,840 --> 03:58:38,009 AND EACH IF YOU'RE NOT APPLYING 5045 03:58:38,009 --> 03:58:43,414 FOR THE OPPORTUNITIES AND GOING 5046 03:58:43,414 --> 03:58:46,150 THROUGH THE OMNIBUS, WE 5047 03:58:46,150 --> 03:58:48,586 RECOMMEND LOOKING AT THIS FOR 5048 03:58:48,586 --> 03:58:50,688 PRIORITIZING HIGH AREAS OF 5049 03:58:50,688 --> 03:58:51,889 SCIENTIFIC ACTIVITY. 5050 03:58:51,889 --> 03:58:54,992 YOU CAN PUT OMNIBUS BUT IF PUT 5051 03:58:54,992 --> 03:58:57,428 THE NOCI IN THE PAGE 4, YOU CAN 5052 03:58:57,428 --> 03:58:58,829 GET THE APPLICATION TAGGED AS 5053 03:58:58,829 --> 03:59:00,831 BEING A PRIORITY AREA, SO HAVE 5054 03:59:00,831 --> 03:59:03,768 YOU A PROPOSAL THAT RELATES TO 1 5055 03:59:03,768 --> 03:59:05,636 OF THESE NOCIs, WE RECOMMEND 5056 03:59:05,636 --> 03:59:11,008 APPLYING THROUGH IT. 5057 03:59:11,008 --> 03:59:11,442 NEXT SLIDE, PLEASE. 5058 03:59:11,442 --> 03:59:12,743 ALL RIGHT AND SO IF YOU HAVE ANY 5059 03:59:12,743 --> 03:59:14,045 QUESTIONS OR WANT TO FIND OUT 5060 03:59:14,045 --> 03:59:14,946 ANYTHING ABOUT THE SMALL 5061 03:59:14,946 --> 03:59:17,682 BUSINESS PROGRAM AND 5062 03:59:17,682 --> 03:59:18,649 COMMERCIALIZATION OFFICE, I 5063 03:59:18,649 --> 03:59:23,588 RECOMMEND FOLLOWING US ON X, 5064 03:59:23,588 --> 03:59:24,522 VISITING OUR WEBSITE OR IF HAVE 5065 03:59:24,522 --> 03:59:26,257 YOU ANY QUESTIONS YOU CAN REACH 5066 03:59:26,257 --> 03:59:34,799 OUT TO US AT NHLBISCOAR 5067 03:59:34,799 --> 03:59:38,302 SBIR@MAIL.NIH .GOV. 5068 03:59:38,302 --> 03:59:40,905 AND WITH THAT I WILL TURN IT 5069 03:59:40,905 --> 03:59:44,542 OVER TO MY COLLEAGUE DR. PECK TO 5070 03:59:44,542 --> 03:59:44,942 DISCUSS CATALYZE. 5071 03:59:44,942 --> 03:59:46,978 >> I THINK I AM THE LAST SPEAKER 5072 03:59:46,978 --> 03:59:48,879 IF THIS SESSION SO I WILL TRY TO 5073 03:59:48,879 --> 03:59:49,880 BE SUCCINCT. 5074 03:59:49,880 --> 03:59:52,583 SO WE TOLD YOU ABOUT THE 5075 03:59:52,583 --> 03:59:53,417 SBIR/STTR, WHERE YOU HAVE TO 5076 03:59:53,417 --> 03:59:57,154 HAVE A SMALL BUSINESS TO APPLY, 5077 03:59:57,154 --> 04:00:00,091 CATALYZE SUPPORTS ALL U.S. BASED 5078 04:00:00,091 --> 04:00:05,262 ORGANIZATIONS, FOR PROFIT, 5079 04:00:05,262 --> 04:00:05,529 NONPROFIT. 5080 04:00:05,529 --> 04:00:06,464 PREACADEMIC, ALL OF IT. 5081 04:00:06,464 --> 04:00:08,099 SO WE'RE TAKING A SLIGHTLY 5082 04:00:08,099 --> 04:00:10,301 DIFFERENT APPROACH THAN THE SBIR 5083 04:00:10,301 --> 04:00:12,637 AND OTHER FUNDING PROGRAMS AT 5084 04:00:12,637 --> 04:00:13,938 THE NHLBI, SO INSTEAD OF GIVING 5085 04:00:13,938 --> 04:00:16,907 YOU MONEY AND FINDING ONCE A 5086 04:00:16,907 --> 04:00:18,643 YEAR, WE BECOME A PARTNER AND 5087 04:00:18,643 --> 04:00:20,845 EXTENSION OF YOUR TEAM THROUGH 5088 04:00:20,845 --> 04:00:21,912 OUR RECORDING CENTER AND HELP 5089 04:00:21,912 --> 04:00:22,947 YOU ACHIEVE WHAT YOU'RE TRYING 5090 04:00:22,947 --> 04:00:24,915 TO DO OR LET THE TECHNOLOGY FAIL 5091 04:00:24,915 --> 04:00:28,552 WITH WRAP AROUND SUPPORT WITH 5092 04:00:28,552 --> 04:00:31,188 EXPERTS AND REALLY 3 KEY AREAS, 5093 04:00:31,188 --> 04:00:32,957 EXPERTISE WHEN YOU NEED IT IN 5094 04:00:32,957 --> 04:00:34,892 TECHNICAL AND BUSINESS, AS 5095 04:00:34,892 --> 04:00:37,428 CARMEN MENTIONED THERE'S A 5096 04:00:37,428 --> 04:00:40,164 REGULATORY PART THAT COMES WITH 5097 04:00:40,164 --> 04:00:41,999 THE PROGRAM, AND VALIDATION OFF 5098 04:00:41,999 --> 04:00:43,968 THE BASIC RO-1 OR R35 AWARD, ALL 5099 04:00:43,968 --> 04:00:46,303 THE WAY UP TO MAYBE IN BETWEEN 5100 04:00:46,303 --> 04:00:50,207 SBIR PHASE 2, AND 2 A PHASE 2 B, 5101 04:00:50,207 --> 04:00:54,578 FOR THE STUDIES. 5102 04:00:54,578 --> 04:00:55,279 NEXT SLIDE, PLEASE. 5103 04:00:55,279 --> 04:00:58,182 AND WE'RE REALLY HERE FOR THE 5104 04:00:58,182 --> 04:00:59,550 ENTIRE NHLBI COMMUNITY, SO HEART 5105 04:00:59,550 --> 04:01:01,485 LUNG, BLOOD, SLEEP AND 5 5106 04:01:01,485 --> 04:01:03,220 DIFFERENT TRACTS OF TECHNOLOGY, 5107 04:01:03,220 --> 04:01:04,622 I GUESS MOST RELEVANT TO THIS 5108 04:01:04,622 --> 04:01:07,391 TALK WOULD BE THE FIRST 2 ROWS 5109 04:01:07,391 --> 04:01:08,426 OF THE THERAPEUTICS BUT THEN 5110 04:01:08,426 --> 04:01:12,129 ALSO WE DO HAVE SOME COME IN FOR 5111 04:01:12,129 --> 04:01:13,531 ENABLING TECHNOLOGY AND 5112 04:01:13,531 --> 04:01:14,231 TRANSFORMATIVE PLATFORMS I WILL 5113 04:01:14,231 --> 04:01:15,366 WALK YOU THROUGH AND AGAINOT 5114 04:01:15,366 --> 04:01:17,768 LEFT SIDE ARE WHAT WE FOUND 5115 04:01:17,768 --> 04:01:19,503 THROUGH, WHAT WE CALL THE 5116 04:01:19,503 --> 04:01:20,304 PRODUCT DEFINITION, GRANT 5117 04:01:20,304 --> 04:01:21,072 FUNDING PROGRAM AND ON THE RIGHT 5118 04:01:21,072 --> 04:01:22,540 SIDE OF THE BLUE, THE 5119 04:01:22,540 --> 04:01:24,408 PRECLINICAL WE HAVE A STAND 5120 04:01:24,408 --> 04:01:25,242 ALONE PRECLINICAL SERVICES 5121 04:01:25,242 --> 04:01:26,877 PROGRAM TO SUPPORT TARGETED 5122 04:01:26,877 --> 04:01:28,279 ACTIVITIES IN THIS BUCKET TO GET 5123 04:01:28,279 --> 04:01:34,685 YOU TO THE FDA, TO 5124 04:01:34,685 --> 04:01:40,558 [INDISCERNIBLE]. 5125 04:01:40,558 --> 04:01:42,860 NEXT SLIDE. 5126 04:01:42,860 --> 04:01:46,197 SO WE HAVE SUITE AS A STAND 5127 04:01:46,197 --> 04:01:47,932 ALONE TECHNOLOGY, AND 5128 04:01:47,932 --> 04:01:58,476 INFORMATIVE PLATFORM, AND PHASE 5129 04:01:58,476 --> 04:02:03,080 2, WE HAVE GENE THERAPY TEAM FOR 5130 04:02:03,080 --> 04:02:03,914 DEVELOPING NEW TARGETING 5131 04:02:03,914 --> 04:02:06,183 VEHICLES FOR THE TEAM DELIVERY 5132 04:02:06,183 --> 04:02:08,586 FOR EXAMPLE, IN THE MIDDLE, THIS 5133 04:02:08,586 --> 04:02:10,855 TALK OR THE SMALL MOLECULE 5134 04:02:10,855 --> 04:02:14,125 BIOLOGICS SO WE HAVE A BI-PHASIC 5135 04:02:14,125 --> 04:02:17,728 R33 AND THIS IS FOR SMALL 5136 04:02:17,728 --> 04:02:18,395 MOLECULES, BIOLOGICS, GENE 5137 04:02:18,395 --> 04:02:20,030 THERAPY AND ALSO THIS NEW THIS 5138 04:02:20,030 --> 04:02:21,999 YEAR AND NEW IN ROUND ARE FOR 5139 04:02:21,999 --> 04:02:23,634 ACCOMMODATION PROD UBTS THAT 5140 04:02:23,634 --> 04:02:25,469 HAVE A COMPONENT AND THEN FOR A 5141 04:02:25,469 --> 04:02:27,138 SLIGHTLY LATER STAGE PROJECTS WE 5142 04:02:27,138 --> 04:02:29,607 HAVE A STAND ALONE R33 PROGRAM. 5143 04:02:29,607 --> 04:02:32,643 ALL OF THE DIRECT COSTS ARE 5144 04:02:32,643 --> 04:02:34,712 LISTED HERE AND AGAIN THE MAIN 5145 04:02:34,712 --> 04:02:35,546 DIFFERENTIATOR BETWEEN THIS 5146 04:02:35,546 --> 04:02:36,514 PROGRAM AND WHAT WAS MENTIONED 5147 04:02:36,514 --> 04:02:41,418 IS THAT WE DON'T HAVE THE SAME 5148 04:02:41,418 --> 04:02:42,686 PERCENT REQUIREMENTS OR THE 5149 04:02:42,686 --> 04:02:44,355 ORGANIZE IEGZ REQUIREMENTS OF 5150 04:02:44,355 --> 04:02:45,089 THE SMALL BUSINESS PROGRAM 5151 04:02:45,089 --> 04:02:47,858 REQUIRES AND WE DO ALLOW YOU TO 5152 04:02:47,858 --> 04:02:52,129 OUTSOURCE MUCH OF YOUR WORK IF 5153 04:02:52,129 --> 04:02:57,034 IT'S JUSTIFIED TO CONTRACT 5154 04:02:57,034 --> 04:02:57,401 ORGANIZATIONS. 5155 04:02:57,401 --> 04:02:58,102 NEXT SLIDE, PLEASE. 5156 04:02:58,102 --> 04:03:00,037 SO BAKED INTO THESE PROJECTS ARE 5157 04:03:00,037 --> 04:03:04,041 A FOCUS ON PROJECT MANAGEMENT, 5158 04:03:04,041 --> 04:03:06,310 MILESTONES AND TIMELINES AND THE 5159 04:03:06,310 --> 04:03:08,245 IMPORTANCE OF HOLLY MENTIONED 5160 04:03:08,245 --> 04:03:09,280 INTELLECTUAL PROPERTY BUT THEN 5161 04:03:09,280 --> 04:03:11,115 ALSO A FOCUS EVEN AT THE 5162 04:03:11,115 --> 04:03:12,082 APPLICATION STAGE THAT YOU MUST 5163 04:03:12,082 --> 04:03:14,585 HAVE SOME SORT OF REGULATORY 5164 04:03:14,585 --> 04:03:15,786 STRATEGY, DEVELOPED AND THAT 5165 04:03:15,786 --> 04:03:18,289 COULD BE AS BASIC AS WE WILL GO, 5166 04:03:18,289 --> 04:03:20,491 THIS IS A DRUG THAT HAS TO GET 5167 04:03:20,491 --> 04:03:23,894 AN IND AND IF YOU HAVE A MORE 5168 04:03:23,894 --> 04:03:25,429 MATURE PROJECT, WE HAVE TO HAVE 5169 04:03:25,429 --> 04:03:30,067 MORE DETAIL ABOUT WHAT THAT 5170 04:03:30,067 --> 04:03:30,501 ENTAILS. 5171 04:03:30,501 --> 04:03:32,870 FOR THE R33, WE HAVE A MATCHING 5172 04:03:32,870 --> 04:03:35,172 FUNDS EXECATION AS WELL AS 5173 04:03:35,172 --> 04:03:38,876 ACRAILTOR PARTNER AND AGAIN THE 5174 04:03:38,876 --> 04:03:40,144 KENTUCKY ORGANIZATION WOULD BE 5175 04:03:40,144 --> 04:03:41,812 AN EXAMPLE OF AN ACCELERATOR 5176 04:03:41,812 --> 04:03:43,113 PARTNER AND THE GOAL OF THIS IS 5177 04:03:43,113 --> 04:03:45,583 TO KIND OF HELP ACADEMIC 5178 04:03:45,583 --> 04:03:47,651 INVESTIGATORS CHANGE THEIR FOCUS 5179 04:03:47,651 --> 04:03:50,287 FROM THAT RO-1 HYPOTHESIS DRIVEN 5180 04:03:50,287 --> 04:03:51,889 RESEARCH TO NOW, WORK TOWARD 5181 04:03:51,889 --> 04:03:53,624 PRODUCT DEVELOPMENT AND GETTING 5182 04:03:53,624 --> 04:03:54,792 THEM FOCUSED ON ACCELERATING 5183 04:03:54,792 --> 04:03:58,529 THIS PROJECT TO BECOME A 5184 04:03:58,529 --> 04:04:02,766 THERAPY. 5185 04:04:02,766 --> 04:04:03,334 NEXT SLIDE. 5186 04:04:03,334 --> 04:04:04,835 SO IN ADDITION TO THE GRANT 5187 04:04:04,835 --> 04:04:06,403 FINISHED BE SITE, WE ARE A 5188 04:04:06,403 --> 04:04:07,338 PRECLINICAL SERVICES PROGRAM 5189 04:04:07,338 --> 04:04:10,975 WITH YOU APPLY THROUGH OUR 5190 04:04:10,975 --> 04:04:12,309 CODING CENTER, RTI, FOR A MORE 5191 04:04:12,309 --> 04:04:14,378 TARGETED POINT TO GET YOU TO 5192 04:04:14,378 --> 04:04:17,147 AIAN POINT TO FINALIZE YOUR YOUR 5193 04:04:17,147 --> 04:04:19,250 IND OR GET YOU DATA TO THEN 5194 04:04:19,250 --> 04:04:21,585 APPLY FOR AN SPWITH IRPHASE 2 5195 04:04:21,585 --> 04:04:22,853 AND REALLY WHERE THE ENTRY POINT 5196 04:04:22,853 --> 04:04:25,189 OF THIS IS FOR THE DRUG OF 5197 04:04:25,189 --> 04:04:26,790 THERAPEUTICS IS, YOU MAY NOT 5198 04:04:26,790 --> 04:04:28,559 HAVE HAD YOUR PREIND YET BUT YOU 5199 04:04:28,559 --> 04:04:30,527 SHOULD HAVE ALL YOUR DATA TO 5200 04:04:30,527 --> 04:04:32,296 SUPPORT A PREIND AND WE CAN 5201 04:04:32,296 --> 04:04:34,398 SUPPORT THE PREIND THROUGH OUR 5202 04:04:34,398 --> 04:04:35,766 REGULATORY SERVICES AND THEN 5203 04:04:35,766 --> 04:04:37,935 ONCE THAT'S COMPLETE, WE WILL 5204 04:04:37,935 --> 04:04:40,938 INVEST IN THOSE SCALE TO THE GMP 5205 04:04:40,938 --> 04:04:45,943 QUALITY MATERIALS FOR THE IND 5206 04:04:45,943 --> 04:04:46,510 ENABLING TECHNOLOGIES. 5207 04:04:46,510 --> 04:04:48,913 AND AGAIN WE'RE NOT SUPPORTING 5208 04:04:48,913 --> 04:04:49,880 THE ENTIRE PRECLINICAL PROGRAM, 5209 04:04:49,880 --> 04:04:51,815 WE COME IN AND IDENTIFY KEY 5210 04:04:51,815 --> 04:04:53,751 ACTIVITIES THAT WILL MAKE YOUR 5211 04:04:53,751 --> 04:04:55,152 -- DERISK YOUR TECHNOLOGY AND 5212 04:04:55,152 --> 04:04:56,687 MAKING IT MORE COMPETITIVE FOR 5213 04:04:56,687 --> 04:04:57,621 TRADITIONAL GRANT FUNDING OR IF 5214 04:04:57,621 --> 04:04:59,690 YOU HAVE AN INVESTOR IN MIND WHO 5215 04:04:59,690 --> 04:05:02,660 NEEDS TO SEE CERTAIN DATA IN 5216 04:05:02,660 --> 04:05:03,861 ORDER TO INVEST, WE ALSO 5217 04:05:03,861 --> 04:05:06,363 EVALUATE THOSE TYPE OF 5218 04:05:06,363 --> 04:05:11,435 APPLICATIONS, TOO. 5219 04:05:11,435 --> 04:05:11,869 NEXT SLIDE. 5220 04:05:11,869 --> 04:05:14,705 GREAT SO THIS A PARTNERSHIP 5221 04:05:14,705 --> 04:05:16,807 BETWEEN MYSELF, AND I SIT ACROSS 5222 04:05:16,807 --> 04:05:20,144 ALL THE DIVISIONS OF THE NHLBI 5223 04:05:20,144 --> 04:05:21,979 ISSUES THE PROGRAMMATICS SUBJECT 5224 04:05:21,979 --> 04:05:23,514 MATTER EXPERT WITHIN THE NHLBI 5225 04:05:23,514 --> 04:05:26,350 AND THEN WE ALSO HAVE STEF AND 5226 04:05:26,350 --> 04:05:28,752 HER TEAM IN THE INNOVATION 5227 04:05:28,752 --> 04:05:30,821 OFFICE SUPPORT THESE 5228 04:05:30,821 --> 04:05:34,959 INVESTIGATORS AND THIS IS WITHIN 5229 04:05:34,959 --> 04:05:36,694 PARTNERSHIP WITH THE 5230 04:05:36,694 --> 04:05:38,495 COORDINATING CENTER, THE RTI 5231 04:05:38,495 --> 04:05:40,030 WHICH HAS THE INFRASTRUCTURE TO 5232 04:05:40,030 --> 04:05:41,498 SUPPORT A BROADER ARRAY OF 5233 04:05:41,498 --> 04:05:42,099 TECHNOLOGY TYPES. 5234 04:05:42,099 --> 04:05:50,908 SO WE CAN GO TO THE NEXT LIED. 5235 04:05:50,908 --> 04:05:52,676 AND REALLY THIS IS A TEAM OF 5236 04:05:52,676 --> 04:05:57,881 EXPERTS, EACH TEAM IS ASSIGNED, 5237 04:05:57,881 --> 04:05:59,984 A PROGRAM MANAGER, OR A EXPERT 5238 04:05:59,984 --> 04:06:01,151 AND THEN HAVE YOU ACCESS WHEN 5239 04:06:01,151 --> 04:06:03,988 YOU NEED IT, AND THEN ALSO WE 5240 04:06:03,988 --> 04:06:06,323 HAVE A THE LARGE ARRAY OF 5241 04:06:06,323 --> 04:06:07,491 INVESTIGATORS, SOME ARE HARD 5242 04:06:07,491 --> 04:06:08,325 CORE ACADEMICS AND THEY KOANT 5243 04:06:08,325 --> 04:06:10,160 WANT TO START A COMPANY, THEY 5244 04:06:10,160 --> 04:06:12,796 JUST WANT THE TECHNOLOGY 5245 04:06:12,796 --> 04:06:14,298 DEVELOPED, WE HAVE SOME 5246 04:06:14,298 --> 04:06:15,366 ACADEMICS WHO WANT TO START A 5247 04:06:15,366 --> 04:06:16,433 BUSINESS BUT THEY DON'T KNOW 5248 04:06:16,433 --> 04:06:20,070 HOW, AND THEN WE HAVE 5249 04:06:20,070 --> 04:06:20,704 START-AUTOPSIES WHO UNDERSTAND 5250 04:06:20,704 --> 04:06:22,139 THE START UP BUT DON'T 5251 04:06:22,139 --> 04:06:23,540 UNDERSTAND THE NEXT STAGES OF 5252 04:06:23,540 --> 04:06:24,808 COMPANY DEVELOPMENT SO WE WORK 5253 04:06:24,808 --> 04:06:29,246 ACROSS THIS FULL GROUP OF TEAMS 5254 04:06:29,246 --> 04:06:30,647 TO HELP THEM MEET THEM WHERE 5255 04:06:30,647 --> 04:06:31,815 THEY'RE AT AND GET THEM TO WHERE 5256 04:06:31,815 --> 04:06:36,954 THEY WANT TO GO AS FAR AS THE 5257 04:06:36,954 --> 04:06:38,222 ENTREPRENEURIAL POSITION GOES. 5258 04:06:38,222 --> 04:06:39,390 AND THE PI IS A GROUP WE BRING 5259 04:06:39,390 --> 04:06:40,924 TO THE STABLE AND THE NEXT SLIDE 5260 04:06:40,924 --> 04:06:42,326 SHOWS WHAT WE -- THE 5261 04:06:42,326 --> 04:06:43,360 EXPECTATIONS AND THE OFFER OF 5262 04:06:43,360 --> 04:06:45,329 WHAT WE PROVIDE TO YOU. 5263 04:06:45,329 --> 04:06:47,398 SO EVEN AS EARLY AS POST PEER 5264 04:06:47,398 --> 04:06:49,600 REVIEW, WE WORK WITH THE 5265 04:06:49,600 --> 04:06:51,101 INVESTIGATORS TO RIGHT SIZE 5266 04:06:51,101 --> 04:06:51,969 MILESTONES, IF THERE'S SOMETHING 5267 04:06:51,969 --> 04:06:53,470 MISSING WE KNOW THE FDA WILL 5268 04:06:53,470 --> 04:06:55,539 WANT DOWN THE ROAD, WE BAKE 5269 04:06:55,539 --> 04:06:57,174 THOSE IN BEFORE WE FUND YOU. 5270 04:06:57,174 --> 04:06:58,142 AT THE KICKOFF MEETING WE 5271 04:06:58,142 --> 04:06:59,043 DEVELOP A PRODUCT DEVELOPMENT 5272 04:06:59,043 --> 04:07:01,578 PLAN WHICH I THINK IS PART OF 5273 04:07:01,578 --> 04:07:03,347 TOMORROW'S TALK, AND THEN, LONG 5274 04:07:03,347 --> 04:07:05,082 YOUR JOURNEY, WE MEET WITH YOU 5275 04:07:05,082 --> 04:07:09,753 QUARTERLY TO GO OVER ANY 5276 04:07:09,753 --> 04:07:10,387 TECHNICAL CHALLENGES, MILESTONE 5277 04:07:10,387 --> 04:07:11,989 REVIEW AND THEN YOU ALSO HAVE 5278 04:07:11,989 --> 04:07:15,359 ACCESS TO OUR TECHNICAL TEAM 5279 04:07:15,359 --> 04:07:17,361 ADHOC TO THEN IF YOU HAVE, YOU 5280 04:07:17,361 --> 04:07:20,197 KNOW, NEED TO SPEAK WITH OUR 5281 04:07:20,197 --> 04:07:23,967 MEDICINAL CHEMIST ABOUT YOUR 5282 04:07:23,967 --> 04:07:24,501 STRATEGY FOR STREAMING 5283 04:07:24,501 --> 04:07:25,969 MOLECULINGS OR IF YOU HAVE AN 5284 04:07:25,969 --> 04:07:27,271 ASSAY THAT'S NOT WORKING OUT WE 5285 04:07:27,271 --> 04:07:29,740 CAN TRY TO HELP TO IDENTIFY A 5286 04:07:29,740 --> 04:07:31,775 STRATEGY TO IDENTIFY AND GET 5287 04:07:31,775 --> 04:07:35,179 AROUND THE RISK THAT YOU'RE 5288 04:07:35,179 --> 04:07:37,181 HAVING. 5289 04:07:37,181 --> 04:07:46,457 NEXT SLIDE. 5290 04:07:46,457 --> 04:07:46,690 PLEASE. 5291 04:07:46,690 --> 04:07:48,792 AND WE ALSO ARE A STAND ALONE 5292 04:07:48,792 --> 04:07:49,726 PROGRAM, SO IF HAVE YOU SOME 5293 04:07:49,726 --> 04:07:51,695 DATA AND YOU WANT A GAP 5294 04:07:51,695 --> 04:07:52,896 ASSESSMENT TO SAY WHAT DO YOU 5295 04:07:52,896 --> 04:07:53,697 THINK I HAVE? 5296 04:07:53,697 --> 04:07:56,533 WHAT DO YOU THINK THE FDA WILL 5297 04:07:56,533 --> 04:07:56,900 NEED? 5298 04:07:56,900 --> 04:07:58,635 AS CARMEN MENTIONED WE CAN HELP 5299 04:07:58,635 --> 04:08:01,238 WITH THAT, AND WE CAN DO GAP 5300 04:08:01,238 --> 04:08:02,973 ASSESSMENT AND WE CAN HELP 5301 04:08:02,973 --> 04:08:06,610 PREPARE THE I90 AND HELP ENGAGE 5302 04:08:06,610 --> 04:08:11,081 WITH THE FDA AND IT'S A FULL 5303 04:08:11,081 --> 04:08:12,249 SPECTRUM OF RESOURCES, YOU NOW 5304 04:08:12,249 --> 04:08:14,551 HAVE TO HAVE CURRENT ACTIVE 5305 04:08:14,551 --> 04:08:18,155 AWARD, HOWEVER, IF YOU HAVE A 5306 04:08:18,155 --> 04:08:19,156 CATALYZE AWARD, REGULATORY 5307 04:08:19,156 --> 04:08:20,824 SERVICES COME AS A PART OF THE 5308 04:08:20,824 --> 04:08:22,693 PACKAGING, YOU DO NOT NEED TO 5309 04:08:22,693 --> 04:08:23,427 APPLY SEPARATELY FROM THAT. 5310 04:08:23,427 --> 04:08:25,829 AND AGAIN THIS IS TO GET YOU TO 5311 04:08:25,829 --> 04:08:27,831 THE IND AND HAND YOU OFF TO 5312 04:08:27,831 --> 04:08:29,133 OTHERS TO TAKE YOU THROUGH THE 5313 04:08:29,133 --> 04:08:33,770 CLINICAL TRIALS BECAUSE WE HAVE 5314 04:08:33,770 --> 04:08:35,506 ADDITIONAL FUNDING FOR THAT 5315 04:08:35,506 --> 04:08:39,409 STAGE OF DEVELOPMENT. 5316 04:08:39,409 --> 04:08:40,544 NEXT SLIDE. 5317 04:08:40,544 --> 04:08:40,777 GREAT. 5318 04:08:40,777 --> 04:08:43,180 SO UPPER LEFT HAND SIDE, 5319 04:08:43,180 --> 04:08:44,781 CATALYZE, THERE IS A SIGN UP 5320 04:08:44,781 --> 04:08:48,719 THERE WHERE YOU CAN GET OUR NEWS 5321 04:08:48,719 --> 04:08:49,386 LETTERS AND E-MAILS. 5322 04:08:49,386 --> 04:08:50,921 AGAIN, REACH OUT TO US IF YOU 5323 04:08:50,921 --> 04:08:52,856 HAVE AN IDEA OR WANT TO GET 5324 04:08:52,856 --> 04:08:54,057 FEEDBACK ON MORE DETAILS OF THE 5325 04:08:54,057 --> 04:08:54,858 PROGRAM. 5326 04:08:54,858 --> 04:08:59,263 WE ALSO HAVE A VERY ROBUST FAQ 5327 04:08:59,263 --> 04:09:01,265 PAGE AND WE ALSO SEND OUT 5328 04:09:01,265 --> 04:09:02,533 QUARTERLY NEWS LETTERS SO IF YOU 5329 04:09:02,533 --> 04:09:03,967 WANT TO GET THOSE, REACH OUT TO 5330 04:09:03,967 --> 04:09:05,602 US OR SIGN UP ON THE WEBSITE. 5331 04:09:05,602 --> 04:09:14,044 I THINK THAT'S MY LAST SLIDE. 5332 04:09:14,044 --> 04:09:14,378 >> AWESOME. 5333 04:09:14,378 --> 04:09:14,912 THANKS SO MUCH MIKE. 5334 04:09:14,912 --> 04:09:16,413 THAT WAS A FANTASTIC OVERVIEW, 5335 04:09:16,413 --> 04:09:18,448 SO MAYBE I COULD INVITE OUR 5336 04:09:18,448 --> 04:09:19,283 SPEAKERS FROM THE SESSION TO 5337 04:09:19,283 --> 04:09:22,152 COME BACK ON CAMERA, AND I THINK 5338 04:09:22,152 --> 04:09:24,021 YOU KNOW JUST TO KIND OF SUM UP 5339 04:09:24,021 --> 04:09:25,556 THAT SESSION, I KNOW WE COVERED 5340 04:09:25,556 --> 04:09:28,192 A LOT OF TERRITORY HERE FROM 5341 04:09:28,192 --> 04:09:29,860 REGULATORY ALL THE WAY UP TO 5342 04:09:29,860 --> 04:09:32,062 GENERATING FUNDING BUT I THINK 5343 04:09:32,062 --> 04:09:32,763 IT UNDERSCORES SOMETHING HOLLY 5344 04:09:32,763 --> 04:09:35,399 BROUGHT UP, THERE ARE A LOT OF 5345 04:09:35,399 --> 04:09:36,033 ONGOING CONCURRENT ACTIVITIES 5346 04:09:36,033 --> 04:09:37,201 THAT HAVE TO HAPPEN DURING THIS 5347 04:09:37,201 --> 04:09:39,036 PHASE IN ORDER TO BE SUCCESSFUL 5348 04:09:39,036 --> 04:09:41,238 AND THEN TRANSITION YOUR IDEA 5349 04:09:41,238 --> 04:09:42,306 INTO AN ASSET GOING FORWARD. 5350 04:09:42,306 --> 04:09:44,708 SO I THINK THAT'S REALLY WHAT 5351 04:09:44,708 --> 04:09:46,009 WE'RE TRYING TO CAPTURE IN THIS 5352 04:09:46,009 --> 04:09:46,210 GROUP. 5353 04:09:46,210 --> 04:09:48,979 SO MAYBE TO KIND OF KICKOFF ANY 5354 04:09:48,979 --> 04:09:50,814 -- FIRST OF ALL TO INVITE 5355 04:09:50,814 --> 04:09:51,882 EVERYBODY TO SEND THEIR 5356 04:09:51,882 --> 04:09:54,952 QUESTIONS TO THE Q&A LINK,IME 5357 04:09:54,952 --> 04:09:56,587 HAPPY TO SHARE THOSE WITH THE 5358 04:09:56,587 --> 04:10:00,257 SPEAKERS AND ASK THEM, BUT MAYBE 5359 04:10:00,257 --> 04:10:02,593 TO KIND OF KICK THINGS OFF, I 5360 04:10:02,593 --> 04:10:04,328 CAN ASK STEPHAN EXPE MIKE WHAT 5361 04:10:04,328 --> 04:10:05,596 ARE THE ATTRIBUTES YOU'VE SEEN 5362 04:10:05,596 --> 04:10:06,663 FOR THESE DIFFERENT SUBMISSIONS 5363 04:10:06,663 --> 04:10:08,732 THAT ARE LIKE ASSOCIATE WIDE 5364 04:10:08,732 --> 04:10:09,967 HIGH QUALITY SUBMISSIONS. 5365 04:10:09,967 --> 04:10:11,535 I MEAN, WHAT'S THAT PHENOTYPE OR 5366 04:10:11,535 --> 04:10:12,803 ATTRIBUTES THAT YOU'RE LOOKING 5367 04:10:12,803 --> 04:10:15,572 FOR THAT HAVE BEEN HISTORICALLY 5368 04:10:15,572 --> 04:10:23,880 SUCCESSFUL IN THIS SPACE? 5369 04:10:23,880 --> 04:10:24,648 >> YEAH, ABSOLUTELY. 5370 04:10:24,648 --> 04:10:26,149 SOPHISTICATED THERE ARE SEVERAL 5371 04:10:26,149 --> 04:10:27,251 AREAS OF MERITORIOUS 5372 04:10:27,251 --> 04:10:28,485 APPLICATIONS WE SEE THROUGH THE 5373 04:10:28,485 --> 04:10:29,186 SMALL BUSINESS PROGRAM. 5374 04:10:29,186 --> 04:10:30,153 ONE OF THE BIGGEST THINGS I SEE 5375 04:10:30,153 --> 04:10:32,256 THAT I WOULD SAY IS ASSOCIATED 5376 04:10:32,256 --> 04:10:34,091 WITH HIGH SCORING APPLICATIONS 5377 04:10:34,091 --> 04:10:36,627 IS TEAMS THAT DID THEIR HOME 5378 04:10:36,627 --> 04:10:38,161 WORK, ESPECIALLY EVEN IF IT'S AN 5379 04:10:38,161 --> 04:10:39,329 EARLY STAGE COMPANY, OR A NEW 5380 04:10:39,329 --> 04:10:41,198 SPIN OUT FROM AN ACADEMIC 5381 04:10:41,198 --> 04:10:43,133 INSTITUTION, WE WANT YOU TO BE 5382 04:10:43,133 --> 04:10:45,202 COMING IN WITH A GOOD IDEA ABOUT 5383 04:10:45,202 --> 04:10:47,170 WHAT YOUR UNMET MEDICAL NEED IS 5384 04:10:47,170 --> 04:10:49,106 AND HOW YOUR PROPOSED SOLUTION 5385 04:10:49,106 --> 04:10:51,108 WILL MEET IT AND ALSO WHAT'S 5386 04:10:51,108 --> 04:10:52,376 INNOVATIVE ABOUT YOUR PROPOSED 5387 04:10:52,376 --> 04:10:52,709 SOLUTION. 5388 04:10:52,709 --> 04:10:55,012 SO IF YOU HAVE SOMETHING THAT IS 5389 04:10:55,012 --> 04:10:56,413 SIMILAR TO OTHER DEVICES OR 5390 04:10:56,413 --> 04:10:58,181 DRUGS ON THE MARKET, WHAT MAKE 5391 04:10:58,181 --> 04:10:59,916 ITS BETTER? 5392 04:10:59,916 --> 04:11:01,385 IS IT SAFER? 5393 04:11:01,385 --> 04:11:02,286 EASIER TO USE? 5394 04:11:02,286 --> 04:11:03,253 LOWER COST TO MANUFACTURE? 5395 04:11:03,253 --> 04:11:05,455 THOSE ARE THINGS THAT IT'S 5396 04:11:05,455 --> 04:11:06,456 IMPORTANT TO EMPHASIZE. 5397 04:11:06,456 --> 04:11:07,524 YOU KNOW 1 OF THE OTHER THINGS I 5398 04:11:07,524 --> 04:11:11,662 SEE A LOT IS IF YOU ARE USED TO 5399 04:11:11,662 --> 04:11:14,531 WRITING RO-1S, THE THING TO KEEP 5400 04:11:14,531 --> 04:11:16,900 IN MIND WITH THESE PHASE 1 SMALL 5401 04:11:16,900 --> 04:11:19,670 BUSINESS GRANTS IS IT'S A MUCH 5402 04:11:19,670 --> 04:11:21,538 SMALLER GRANT, 1-2 YEARS, A FEW 5403 04:11:21,538 --> 04:11:23,140 THOUSAND THOUSAND DOLLARS, I 5404 04:11:23,140 --> 04:11:25,842 HAVE SEEN PIs GET TOO 5405 04:11:25,842 --> 04:11:27,344 AMBITIOUS AND GET DINGED ON 5406 04:11:27,344 --> 04:11:29,913 REVIEW ON APPROACH. 5407 04:11:29,913 --> 04:11:31,748 SO PHASE 1 IS JUST PROOF OF 5408 04:11:31,748 --> 04:11:32,949 CONCEPT, DON'T PUT TOO MUCH, 5409 04:11:32,949 --> 04:11:34,351 THERE ARE OTHER PHASES FOR THAT 5410 04:11:34,351 --> 04:11:35,719 AND FINALLY NOT HAVING THE 5411 04:11:35,719 --> 04:11:36,453 APPROPRIATE EXPERTISE. 5412 04:11:36,453 --> 04:11:37,921 SO IF YOU DON'T HAVE EXPERTISE 5413 04:11:37,921 --> 04:11:38,955 IN A PARTICULAR AREA THAT'S 5414 04:11:38,955 --> 04:11:40,557 NECESSARY FOR YOUR PROJECT, CALL 5415 04:11:40,557 --> 04:11:43,660 UP 1 OF YOUR COLLABORATORS, FIND 5416 04:11:43,660 --> 04:11:46,730 SOMEONE ELSE TO PROVIDE ADVISORY 5417 04:11:46,730 --> 04:11:48,031 SERVICES, SO IT'S OFTEN, THERE'S 5418 04:11:48,031 --> 04:11:50,133 A BIG FOCUS ON THE TEAM NOT JUST 5419 04:11:50,133 --> 04:11:54,905 THE CONTACT PI FOR THESE TYPES 5420 04:11:54,905 --> 04:11:55,539 OF APPLICATIONS. 5421 04:11:55,539 --> 04:11:56,873 >> IN ADDITION TO ALL THOSE 5422 04:11:56,873 --> 04:11:58,642 THINGS WHICH ARE TRUE FOR THE 5423 04:11:58,642 --> 04:12:00,277 CATALYZE PROGRAM, HAVING CLEAR 5424 04:12:00,277 --> 04:12:00,977 MEASURABLE MILESTONES FOR 5425 04:12:00,977 --> 04:12:03,613 CATARISE IS REALLY ESSENTIAL SO 5426 04:12:03,613 --> 04:12:06,316 THAT WE UNDERSTAND WHAT YOU 5427 04:12:06,316 --> 04:12:07,517 DETERMINED IS YOUR SUCCESS OR 5428 04:12:07,517 --> 04:12:11,388 FAILURE, AND THEN TIE TO THAT IS 5429 04:12:11,388 --> 04:12:13,457 GETTING OFTEN TIMES THE BEST 5430 04:12:13,457 --> 04:12:14,991 APPLICATIONS THAT I HAVE SPOKEN 5431 04:12:14,991 --> 04:12:16,059 TO US BEFORE HAND SO THEY 5432 04:12:16,059 --> 04:12:17,394 UNDERSTAND WHAT THE EXPECTATIONS 5433 04:12:17,394 --> 04:12:23,266 ARE EVEN BEFORE THE REVIEW 5434 04:12:23,266 --> 04:12:23,767 HAPPENS. 5435 04:12:23,767 --> 04:12:26,136 >> I THINK THAT'S GREAT FEEDBACK 5436 04:12:26,136 --> 04:12:27,371 THERE. 5437 04:12:27,371 --> 04:12:29,106 YOU KNOW, WHAT ARE SOME MAYBE 5438 04:12:29,106 --> 04:12:30,307 JUST KIND OF WORKING ALONG WITH 5439 04:12:30,307 --> 04:12:32,609 THAT, TOO, WHAT ARE THE TYPICAL 5440 04:12:32,609 --> 04:12:33,777 MISTAKES YOU SEE FOLKS MAKING 5441 04:12:33,777 --> 04:12:34,978 WITH THE SUBMISSION THAT THEY 5442 04:12:34,978 --> 04:12:38,482 SHOULD TRY AND AVOID. 5443 04:12:38,482 --> 04:12:40,751 >> I WILL JUST REITERATE, A LOT 5444 04:12:40,751 --> 04:12:42,686 OF TEAMS ARE OVERLY AMBITIOUS 5445 04:12:42,686 --> 04:12:46,990 ESPECIALLY IF WE ARE A 3 OR 2 5446 04:12:46,990 --> 04:12:48,125 YEAR PEER PROGRAM, AND SAY 5447 04:12:48,125 --> 04:12:49,626 YOU'RE GOING FROM SCREENING UP 5448 04:12:49,626 --> 04:12:50,827 TO YOUR LEAD MOLECULE ALL THE 5449 04:12:50,827 --> 04:12:54,531 WAY UP TO PREIND, OR IND, YOU 5450 04:12:54,531 --> 04:12:57,868 AGAIN, YOU GOT A LOT OF OVERLY 5451 04:12:57,868 --> 04:12:59,302 AMBITIOUS APPLICATIONS SO HAVING 5452 04:12:59,302 --> 04:13:00,103 REALISTIC TARGETS IN MIND IS 5453 04:13:00,103 --> 04:13:02,372 SOMETHING WE CAN GIVE YOU 5454 04:13:02,372 --> 04:13:03,306 FEEDBACK ON BEFORE HAND BUT IF 5455 04:13:03,306 --> 04:13:05,075 YOU COME IN KIND OF COLD, YOU 5456 04:13:05,075 --> 04:13:06,610 MAY ASSUME THAT THAT'S -- YOU 5457 04:13:06,610 --> 04:13:10,814 CAN ACTUALLY DO IT AND WE 5458 04:13:10,814 --> 04:13:11,848 ACTUALLY TERMINATE AWARDS EARLY 5459 04:13:11,848 --> 04:13:13,383 AND THAT'S 1 OF THE KIND OF 5460 04:13:13,383 --> 04:13:14,785 REOCCURRING PROBLEMS WITH THE 1 5461 04:13:14,785 --> 04:13:15,786 THAT HAVE DETERMINED IS THEY ARE 5462 04:13:15,786 --> 04:13:18,054 ABLE TO MEET THE MILESTONES 5463 04:13:18,054 --> 04:13:21,725 BECAUSE THEY SET THE BAR 5464 04:13:21,725 --> 04:13:22,426 UNREALISTICALLY. 5465 04:13:22,426 --> 04:13:23,593 NYEAH, I DEFINITELY AGREE WITH 5466 04:13:23,593 --> 04:13:26,997 WHAT MIKE SAID, YOU KNOW, A LOT 5467 04:13:26,997 --> 04:13:28,965 OF PEOPLE SEE BEING AMBITIOUS AS 5468 04:13:28,965 --> 04:13:30,534 A GOOD THING AND MANY CASES IT 5469 04:13:30,534 --> 04:13:32,769 IS, BUT NOT FOR THESE TYPES OF 5470 04:13:32,769 --> 04:13:33,036 PROJECTS. 5471 04:13:33,036 --> 04:13:34,171 THE REVIEWERS ARE LOOKING FOR A 5472 04:13:34,171 --> 04:13:35,105 TEAM THAT NOT ONLY KNOW WHAT IS 5473 04:13:35,105 --> 04:13:37,774 THEY WANT TO DO BUT ALSO IS 5474 04:13:37,774 --> 04:13:39,075 REALISTIC ABOUT THEIR 5475 04:13:39,075 --> 04:13:40,010 LIMITATIONS BOG BUDGETAR EXPE 5476 04:13:40,010 --> 04:13:41,845 TIME RELATED ALSO IN TERMS OF 5477 04:13:41,845 --> 04:13:43,013 THE BAND WIDTH OF THE TEAM. 5478 04:13:43,013 --> 04:13:45,449 SOME OF THE OTHER THINGS I SEE 5479 04:13:45,449 --> 04:13:47,884 ARE -- AND THESE ARE MORE 5480 04:13:47,884 --> 04:13:49,186 ADMINISTRATIVE MISTAKES BUT IT 5481 04:13:49,186 --> 04:13:50,320 HAPPENS A LOT. 5482 04:13:50,320 --> 04:13:51,955 SO FOR EXAMPLE, IF YOU'RE DOING 5483 04:13:51,955 --> 04:13:53,657 A HUMAN SUBJECT STUDY, IT'S 5484 04:13:53,657 --> 04:13:54,391 IMPORTANT WHETHER YOU KNOW 5485 04:13:54,391 --> 04:13:56,293 WHETHER IT'S FALLS UNDER THE NIH 5486 04:13:56,293 --> 04:13:57,127 DEFINITION OF A CLINICAL TRIAL 5487 04:13:57,127 --> 04:13:58,528 EMPLOY SO WE ALWAYS RECOMMEND 5488 04:13:58,528 --> 04:13:59,896 REACHING OUT TO I PROGRAM 5489 04:13:59,896 --> 04:14:01,198 OFFICER AT LEAST 1 MONTH IN 5490 04:14:01,198 --> 04:14:02,599 ADVANCE TO DETERMINE YOU A-KNOW 5491 04:14:02,599 --> 04:14:04,234 WHAT YOUR STUDY IS CLASSIFIED AS 5492 04:14:04,234 --> 04:14:05,969 AND THAT YOU'RE APPLYING TO 5493 04:14:05,969 --> 04:14:07,137 RIGHT NOTICE OF FUNDING 5494 04:14:07,137 --> 04:14:07,938 OPPORTUNITY. 5495 04:14:07,938 --> 04:14:09,206 FOR A SMALL BUSINESS GRANTS IN 5496 04:14:09,206 --> 04:14:11,208 PARTICULAR, THEY ARE THE OMNIBUS 5497 04:14:11,208 --> 04:14:12,609 GRANTS ARE SEPARATED INTO 5498 04:14:12,609 --> 04:14:15,245 CLINICAL TRIAL REQUIRED AND 5499 04:14:15,245 --> 04:14:16,713 CLINICAL TRIAL NOT ALLOWED SO 5500 04:14:16,713 --> 04:14:20,183 YOU DON'T WANT YOUR GRANT TO END 5501 04:14:20,183 --> 04:14:21,985 UP AS A MISCLASSIFIED CLINICAL 5502 04:14:21,985 --> 04:14:22,686 TRIAL. 5503 04:14:22,686 --> 04:14:23,653 ANOTHER THING IS IT'S REALLY 5504 04:14:23,653 --> 04:14:24,955 IMPORTANT TO READ THE INTRUKSS 5505 04:14:24,955 --> 04:14:27,390 SO THINGS LIKE THE PAGE LIMITS, 5506 04:14:27,390 --> 04:14:30,494 LOOKING OVER THE SF424, IT'S NOT 5507 04:14:30,494 --> 04:14:32,062 THE MOST INTERESTING DOCUMENT, 5508 04:14:32,062 --> 04:14:33,263 BUT TRUST ME WHEN I SAY THIS IT 5509 04:14:33,263 --> 04:14:34,531 IS 1 YOU WANT TO KEEP ON 5510 04:14:34,531 --> 04:14:36,166 MANDATORY BECAUSE A LOT OF YOUR 5511 04:14:36,166 --> 04:14:37,767 MOST COMMON ANSWERS WILL BE IN 5512 04:14:37,767 --> 04:14:41,404 THAT DOCUMENT. 5513 04:14:41,404 --> 04:14:41,705 >> GREAT. 5514 04:14:41,705 --> 04:14:43,306 I THINK WE WILL JUMP AROUND A 5515 04:14:43,306 --> 04:14:43,473 BIT. 5516 04:14:43,473 --> 04:14:44,941 THE NEXT QUESTION IS FOR KEVIN 5517 04:14:44,941 --> 04:14:47,878 THAT CAME FROM ONLINE HERE. 5518 04:14:47,878 --> 04:14:49,746 HOW DOES 1 MAKE A DECISION 5519 04:14:49,746 --> 04:14:51,681 BETWEEN THE DPI, THE DRUG 5520 04:14:51,681 --> 04:14:53,216 PRODUCT, I ASSUME FORMULATION 5521 04:14:53,216 --> 04:14:55,452 AND AEROSOL OR BOTH? 5522 04:14:55,452 --> 04:14:58,221 AS IT'S COSTLY TO DO DIFFERENT 5523 04:14:58,221 --> 04:14:58,622 FORMULATIONS. 5524 04:14:58,622 --> 04:15:02,359 WHAT DATA WOULD HELP TO MAKE 5525 04:15:02,359 --> 04:15:03,793 THOSE DECISIONS? 5526 04:15:03,793 --> 04:15:05,395 >> WOW, WE COULD SPEND THE REST 5527 04:15:05,395 --> 04:15:07,931 OF THE DAY ON THIS TOPIC 5528 04:15:07,931 --> 04:15:08,632 ACTUALLY. 5529 04:15:08,632 --> 04:15:09,232 [LAUGHTER] 5530 04:15:09,232 --> 04:15:11,134 I MEAN, IT'S A VERY REAL 5531 04:15:11,134 --> 04:15:12,335 QUESTION AND THE FORMULATION 5532 04:15:12,335 --> 04:15:14,070 WORK IS SO HARD, IT IS SO 5533 04:15:14,070 --> 04:15:18,475 EXPENSIVE, IT CAN BE SO TIME 5534 04:15:18,475 --> 04:15:21,311 CONSUMING AND I DON'T THINK -- I 5535 04:15:21,311 --> 04:15:23,380 DON'T THINK I HAVE A GOOD ANSWER 5536 04:15:23,380 --> 04:15:27,183 THERE OTHER THAN DON'T LET THE 5537 04:15:27,183 --> 04:15:28,451 [INDISCERNIBLE] GOOD THAT VERY 5538 04:15:28,451 --> 04:15:31,788 COMMONLY FORMULATION WORK IS 5539 04:15:31,788 --> 04:15:33,156 NECESSARILY ITERATIVE. 5540 04:15:33,156 --> 04:15:34,591 APPROACHES THAT I'VE WORKED SORT 5541 04:15:34,591 --> 04:15:37,494 OF WITH MYSELF AND CLIENTS ON IS 5542 04:15:37,494 --> 04:15:39,329 INITIALLY DON'T REINVENT THE 5543 04:15:39,329 --> 04:15:39,863 WHEEL. 5544 04:15:39,863 --> 04:15:42,265 IF THERE IS GOOD PRECEDENT OUT 5545 04:15:42,265 --> 04:15:43,567 THERE OF, OH, GREAT, HERE'S 5546 04:15:43,567 --> 04:15:46,770 SOMEBODY THAT HAS USED 5547 04:15:46,770 --> 04:15:47,837 X-FORMULATION BUFFER WITH A 5548 04:15:47,837 --> 04:15:48,772 PRODUCT THAT LOOKS SIMILAR TO 5549 04:15:48,772 --> 04:15:51,074 MINE, THAT WOULD BE A REALLY 5550 04:15:51,074 --> 04:15:52,142 GOOD PLACE TO START AND IF 5551 04:15:52,142 --> 04:15:53,343 YOU'RE GETTING THE PROPERTIES 5552 04:15:53,343 --> 04:15:58,415 THAT YOU NEEDED, YOU ARE GETTING 5553 04:15:58,415 --> 04:15:59,182 REASONABLE REASONABLE PARTICLE 5554 04:15:59,182 --> 04:16:00,850 DISTRIBUTION, IF YOU'RE GETTING 5555 04:16:00,850 --> 04:16:05,855 REASONABLE PRODUCT IN THE RIGHT 5556 04:16:05,855 --> 04:16:06,189 RANGE, GREAT. 5557 04:16:06,189 --> 04:16:08,992 BUT YOU NEED TO BE PREPARED FOR 5558 04:16:08,992 --> 04:16:10,860 -- YOU TALKED ABOUT CMC, EARLIER 5559 04:16:10,860 --> 04:16:12,162 TODAY, IF YOU'RE FOLKS ARE 5560 04:16:12,162 --> 04:16:13,129 LOOKING AT STABILITY, IF IT 5561 04:16:13,129 --> 04:16:14,297 TURNS OUT THAT STABILITY IS NOT 5562 04:16:14,297 --> 04:16:16,066 GREAT IN YOUR FORMULATION BUFFER 5563 04:16:16,066 --> 04:16:17,133 THAT MIGHT BE A SITUATION WHERE 5564 04:16:17,133 --> 04:16:18,935 YOU NEED TO GO BACK AND LOOK AT 5565 04:16:18,935 --> 04:16:19,869 IT AND UNFORTUNATELY IF THAT'S 5566 04:16:19,869 --> 04:16:24,074 WHAT YOU NEED DO, IT WILL 5567 04:16:24,074 --> 04:16:26,176 REQUIRE RETREADING SOME OF THE 5568 04:16:26,176 --> 04:16:30,680 SAME GROUND , SO NECESSARILY 5569 04:16:30,680 --> 04:16:32,148 PRODUCT DEVELOPMENT IS NOT 5570 04:16:32,148 --> 04:16:34,784 LINEAR IT'S ITERATIVE AND 5571 04:16:34,784 --> 04:16:35,952 UNFORTUNATELY THAT'S THE REALITY 5572 04:16:35,952 --> 04:16:37,454 WE WORK IN. 5573 04:16:37,454 --> 04:16:39,055 AEROSOL PRODUCTS ARE COMPLICATED 5574 04:16:39,055 --> 04:16:40,790 AND EXPENSIVE AND THAT'S THE 5575 04:16:40,790 --> 04:16:42,959 REALITY BUT IT GIVES YOU THE 5576 04:16:42,959 --> 04:16:45,328 ABILITY TO GO AFTER DISEASES 5577 04:16:45,328 --> 04:16:48,398 THAT YOU CAN'T WITH OTHER FORMS 5578 04:16:48,398 --> 04:16:51,768 OF RESPIRAIGZ SO I'M SORRY BUT 5579 04:16:51,768 --> 04:16:52,335 IT'S THE ANSWER. 5580 04:16:52,335 --> 04:16:53,370 >> IT'S A GOOD 1. 5581 04:16:53,370 --> 04:16:56,506 SO OUR NEXT QUESTION IS FOR 5582 04:16:56,506 --> 04:16:56,773 CARMELLA. 5583 04:16:56,773 --> 04:16:57,807 YOU CAN IMAGINE A LOT OF FOLKS 5584 04:16:57,807 --> 04:16:59,809 ON THIS CALL MAY BE INTERESTED 5585 04:16:59,809 --> 04:17:03,713 WITH THEIR FIRST REGULATORY IRPT 5586 04:17:03,713 --> 04:17:05,682 ACTION BETWEEN AN INTERACT 5587 04:17:05,682 --> 04:17:07,217 MEETING AND THEY APPLY AND A LOT 5588 04:17:07,217 --> 04:17:08,985 OF FOLKS GET SHOT DOWN TO HAVE 5589 04:17:08,985 --> 04:17:11,621 THAT MEETING SO MAYBE YOU COULD 5590 04:17:11,621 --> 04:17:12,622 TALK AROUND WHY FOLKS GET SHOT 5591 04:17:12,622 --> 04:17:14,157 DOWN FOR THAT MEETING AND THEN 5592 04:17:14,157 --> 04:17:15,792 NOT TO DESPAIR IN HOW THEY CAN 5593 04:17:15,792 --> 04:17:17,327 KIND OF SHIFT AND WHAT THEIR 5594 04:17:17,327 --> 04:17:21,765 NEXT STEPS ARE GOING FORWARD. 5595 04:17:21,765 --> 04:17:25,235 >> WELL THE INTERACT MEETING IS 5596 04:17:25,235 --> 04:17:30,874 REALLY -- IT'S GOT STARTED IN 5597 04:17:30,874 --> 04:17:35,578 SELLING GENE THERAPY. 5598 04:17:35,578 --> 04:17:38,348 AND REALLY LOOKING AT NEW AND 5599 04:17:38,348 --> 04:17:39,282 VERY INNOVATIVE TECHNOLOGIES, 5600 04:17:39,282 --> 04:17:42,786 TECHNOLOGIES WHERE THERE WEREN'T 5601 04:17:42,786 --> 04:17:45,388 GOOD GUIDANCE DOCUMENTS 5602 04:17:45,388 --> 04:17:49,959 AVAILABLE FOR REVIEW AND SO, 5603 04:17:49,959 --> 04:17:53,530 IT'S REALLY TRANSFERRED OVER 5604 04:17:53,530 --> 04:17:56,332 INTO ANYTHING UNDER CDER OR CBER 5605 04:17:56,332 --> 04:18:00,070 NOW, BUT THAT'S WHAT YOU NEED TO 5606 04:18:00,070 --> 04:18:02,505 CONSIDER IS THAT USUALLY IF IT'S 5607 04:18:02,505 --> 04:18:04,708 REALLY NEW, REALLY INMODEL 5608 04:18:04,708 --> 04:18:07,744 CITIZENIVATIVE, REALLY, THERE'S 5609 04:18:07,744 --> 04:18:09,679 NO SPECIFICKIFIEDANCE DOCUMS OUT 5610 04:18:09,679 --> 04:18:12,148 THERE, THEN YOU MIGHT GET SHUT 5611 04:18:12,148 --> 04:18:12,382 DOWN. 5612 04:18:12,382 --> 04:18:14,384 THE OTHER -- I MEAN, OR YOU 5613 04:18:14,384 --> 04:18:17,554 WOULD GET A MEETING. 5614 04:18:17,554 --> 04:18:21,624 THE OTHER THINGS THAT ARE OFTEN 5615 04:18:21,624 --> 04:18:25,862 TIMES SELECTED IF YOU HAVE SAY 5616 04:18:25,862 --> 04:18:29,499 AN ISSUE WITH YOUR ANIMAL MODEL 5617 04:18:29,499 --> 04:18:32,936 OR YOUR END POINT, THEN USUALLY, 5618 04:18:32,936 --> 04:18:35,338 IF THERE'S NOT A GOOD ANIMAL 5619 04:18:35,338 --> 04:18:37,407 MODEL AND YOU'RE COMING UP WITH 5620 04:18:37,407 --> 04:18:39,876 A NEW ANIMAL MODEL OR A NEW 5621 04:18:39,876 --> 04:18:41,144 STRATEGY, THEN USUALLY THOSE ARE 5622 04:18:41,144 --> 04:18:49,819 THE KINDS OF THINGS THAT GET 5623 04:18:49,819 --> 04:18:52,355 SELECTED FOR AN INTERACT 5624 04:18:52,355 --> 04:18:52,889 MEETING. 5625 04:18:52,889 --> 04:18:53,189 HOW'S THAT? 5626 04:18:53,189 --> 04:18:54,524 >> THAT IS I THINK A GREAT PLACE 5627 04:18:54,524 --> 04:18:56,826 TO START. 5628 04:18:56,826 --> 04:18:57,327 THANKS CARMELLA. 5629 04:18:57,327 --> 04:18:59,028 SO GOING BACK TO SOME OF THE 5630 04:18:59,028 --> 04:19:00,730 QUESTIONS ONLINE, I THINK THE 5631 04:19:00,730 --> 04:19:03,133 NEXT QUESTION'S FOR MIKE, A 5632 04:19:03,133 --> 04:19:07,771 QUESTION HERE IS FOR CATALYZE, 5633 04:19:07,771 --> 04:19:09,739 DOES NHLBI REQUIRE THAT THE 5634 04:19:09,739 --> 04:19:11,708 START-UP HAS ALREADY LICENSED 5635 04:19:11,708 --> 04:19:11,941 THE IP? 5636 04:19:11,941 --> 04:19:13,810 USUALLY THIS IS OWNED BY THE 5637 04:19:13,810 --> 04:19:16,012 UNIVERSITY AND OURS REQUIRES THE 5638 04:19:16,012 --> 04:19:17,947 START-UP COMPANY TO BE QUITE FAR 5639 04:19:17,947 --> 04:19:19,716 ALONG BEFORE THEY WILL LICENSE 5640 04:19:19,716 --> 04:19:21,050 IT TO THEM? 5641 04:19:21,050 --> 04:19:22,418 >> SO, THERE'S NO REQUIREMENT TO 5642 04:19:22,418 --> 04:19:24,087 HAVE IP AT THE TIME OF 5643 04:19:24,087 --> 04:19:25,789 APPLICATION, WHAT WE'RE LOOKING 5644 04:19:25,789 --> 04:19:29,292 FOR IS INDICATION IN THAT IP 5645 04:19:29,292 --> 04:19:30,693 STRATEGY THAT MAYBE YOU SPOKEN 5646 04:19:30,693 --> 04:19:32,629 TO THE TECH TRANSFER OFFICE OR 5647 04:19:32,629 --> 04:19:34,330 HAVE YOU SOME LINE OF 5648 04:19:34,330 --> 04:19:35,732 COMMUNICATION SO THAT THEY'RE 5649 04:19:35,732 --> 04:19:36,833 AWARE THAT YOU ACTUALLY WANT 5650 04:19:36,833 --> 04:19:38,101 THEIR TECHNOLOGY AND THAT'S WHAT 5651 04:19:38,101 --> 04:19:39,135 WE'RE REALLY LOOKING FOR AND 5652 04:19:39,135 --> 04:19:40,270 THEN ONCE YOU'RE IN THE PROGRAM, 5653 04:19:40,270 --> 04:19:42,238 WE WILL WORK WITH YOU AND INSURE 5654 04:19:42,238 --> 04:19:44,274 THAT THE RIGHT PEOPLE ARE AT THE 5655 04:19:44,274 --> 04:19:45,809 MEETINGS, WHEN WE KIND OF 5656 04:19:45,809 --> 04:19:49,179 DISCUSS THE TECHNOLOGY BEING 5657 04:19:49,179 --> 04:19:49,445 DEVELOPED. 5658 04:19:49,445 --> 04:19:51,147 THE OTHER PART I SHOULD NOTE IS 5659 04:19:51,147 --> 04:19:53,850 THAT IF YOU ARE DOING ANY KIND 5660 04:19:53,850 --> 04:19:55,752 OF RESEARCH ON A -- SOMETHING 5661 04:19:55,752 --> 04:19:57,253 THAT'S IP PROTECTED LIKE A 5662 04:19:57,253 --> 04:19:59,322 COMPOUND FOR EVEN AN OFF LABEL 5663 04:19:59,322 --> 04:20:00,523 USE, WE DO EXPECT YOU TO HAVE A 5664 04:20:00,523 --> 04:20:02,258 LETTER OF SUPPORT FROM THE IP 5665 04:20:02,258 --> 04:20:04,460 HOLDER OF THAT MOLECULE OR 5666 04:20:04,460 --> 04:20:10,900 COMPOUND AT THE TIME OF 5667 04:20:10,900 --> 04:20:11,868 APPLICATION. 5668 04:20:11,868 --> 04:20:12,268 >> THANKS MIKE. 5669 04:20:12,268 --> 04:20:13,336 SO, I THINK THE LAST QUESTION 5670 04:20:13,336 --> 04:20:15,471 WE'RE GOING TO TAKE FOR THE SAKE 5671 04:20:15,471 --> 04:20:17,507 OF TIME WILL PROBABLY BE 5672 04:20:17,507 --> 04:20:19,676 SOMETHING KEVIN AND I MIGHT 5673 04:20:19,676 --> 04:20:21,077 SPLIT BUT I'LL LET HIM TAKE THIS 5674 04:20:21,077 --> 04:20:21,778 1 FIRST. 5675 04:20:21,778 --> 04:20:23,179 THE QUESTION IS CONCERNING A 5676 04:20:23,179 --> 04:20:27,150 PEPTIDE THAT WILL BE 5677 04:20:27,150 --> 04:20:28,785 ADMINISTERED INTRA FECALLY, 5678 04:20:28,785 --> 04:20:30,887 WOULD THE PANELISTS SUGGIEST ANY 5679 04:20:30,887 --> 04:20:33,656 INVITRO OR IN VIVO IMMUNOLOGICAL 5680 04:20:33,656 --> 04:20:36,259 PRECLINICAL TESTING TO EVALUATE 5681 04:20:36,259 --> 04:20:36,492 SAFETY? 5682 04:20:36,492 --> 04:20:41,865 YOU WANT TO TAKE THAT 1 KEVIN? 5683 04:20:41,865 --> 04:20:44,367 >> THAT WAS A VERY DIFFICULT 5684 04:20:44,367 --> 04:20:47,303 QUESTION TO GET INTO WITHOUT 5685 04:20:47,303 --> 04:20:48,238 KNOWING THE SPECIFIC INDICATION 5686 04:20:48,238 --> 04:20:52,075 THAT -- SO THAT'S REALLY 5687 04:20:52,075 --> 04:20:52,342 IMPORTANT. 5688 04:20:52,342 --> 04:20:56,679 I MEAN REALLY IT AMOUNTS TO A 5689 04:20:56,679 --> 04:20:57,714 RISK BENEFIT ASSESSMENT. 5690 04:20:57,714 --> 04:20:59,482 SO VERY CALMLY, SO INTRA FECAL 5691 04:20:59,482 --> 04:21:01,217 IS AN INTERESTING 1, I CERTAINLY 5692 04:21:01,217 --> 04:21:04,120 HAVE SEEN THE FDA BE ACCEPTING 5693 04:21:04,120 --> 04:21:05,755 OF IND ENABLING PACKAGES THAT 5694 04:21:05,755 --> 04:21:08,024 DID NOT NECESSARILY REQUIRE 5695 04:21:08,024 --> 04:21:10,093 LARGE ANIMAL MODELS IN CONTRAST, 5696 04:21:10,093 --> 04:21:12,061 IF IT'S AN INJECTION COMMONLY, 5697 04:21:12,061 --> 04:21:19,435 YOU WILL NEED A LARGE ANIMAL 5698 04:21:19,435 --> 04:21:21,537 MODEL, SO AND WHAT IS THE 5699 04:21:21,537 --> 04:21:24,474 MECHANISM OF ACTION, HOW DOES IT 5700 04:21:24,474 --> 04:21:26,643 INTERACT WITH, IS THERE 5701 04:21:26,643 --> 04:21:28,044 SUFFICIENT HOMOLOGY THAT 5702 04:21:28,044 --> 04:21:29,112 INTERACTS WITH THE SPECIES 5703 04:21:29,112 --> 04:21:30,647 APPROPRIATELY, THERE ARE A LOT 5704 04:21:30,647 --> 04:21:31,681 OF DIFFERENT CONSIDERATIONS 5705 04:21:31,681 --> 04:21:32,582 AROUND THIS. 5706 04:21:32,582 --> 04:21:37,487 NHEY, KEVIN, I HAVE TO CUT YOU 5707 04:21:37,487 --> 04:21:43,126 OFF THEIR 1 SECOND, I MISSPOKE, 5708 04:21:43,126 --> 04:21:46,496 AND KEVIN, THANK YOU. 5709 04:21:46,496 --> 04:21:48,398 INTRA TRACHEALLY. 5710 04:21:48,398 --> 04:21:49,532 I'M SORRY. 5711 04:21:49,532 --> 04:21:51,200 >> OH, OKAY. 5712 04:21:51,200 --> 04:21:53,836 >> IT MAKES MORE SENSE FOR OUR 5713 04:21:53,836 --> 04:21:55,972 DISCUSSION. 5714 04:21:55,972 --> 04:22:00,176 >> THIS 1'S AN OUTLIAISONNER, SO 5715 04:22:00,176 --> 04:22:02,512 AEROSOL VERSUS INTRA TRACHEAL 5716 04:22:02,512 --> 04:22:03,079 INSTALLATION. 5717 04:22:03,079 --> 04:22:03,379 >> YEAH. 5718 04:22:03,379 --> 04:22:05,648 >> SO THIS IS AN INTERESTING 5719 04:22:05,648 --> 04:22:07,116 QUESTION, SO INTRA TRACHEAL 5720 04:22:07,116 --> 04:22:10,453 INSTALLATION HAS BEEN USED VERY 5721 04:22:10,453 --> 04:22:13,189 SUCCESSFULLY FOR IN SMALL ANIMAL 5722 04:22:13,189 --> 04:22:14,557 EFFICACY MODELS WHERE YOU'RE 5723 04:22:14,557 --> 04:22:16,192 LOOKING TO SHOW BIOLOGICAL 5724 04:22:16,192 --> 04:22:17,393 ACTIVITY OF YOUR PRODUCT, WHICH 5725 04:22:17,393 --> 04:22:20,029 CAN BE REALLY USEFUL PROOF OF 5726 04:22:20,029 --> 04:22:22,265 PRINCIPLE, GETTING FROM THE -- 5727 04:22:22,265 --> 04:22:24,867 EXTRAPOLATING FROM THAT TO AN 5728 04:22:24,867 --> 04:22:26,836 AEROSOLIZED DOSE CAN BE QUITE 5729 04:22:26,836 --> 04:22:27,904 CHALLENGING, SO, I THINK IT 5730 04:22:27,904 --> 04:22:29,672 THINK IT WOULD BE GREAT, VERY 5731 04:22:29,672 --> 04:22:31,975 USEFUL TO DEMON TRAIT EFFICACY. 5732 04:22:31,975 --> 04:22:33,376 THERE WON'T NECESSARILY BE A BIG 5733 04:22:33,376 --> 04:22:36,546 TRANSITION TO MOVE FROM THAT TO 5734 04:22:36,546 --> 04:22:38,614 DEVELOPMENT OF YOUR AEROSOL AND 5735 04:22:38,614 --> 04:22:40,883 COLLECTING APPROPRIATE SAFETY 5736 04:22:40,883 --> 04:22:43,786 DATA IN AN HAN MALFOR WHICH YOU 5737 04:22:43,786 --> 04:22:46,222 CAN DELIVER AEROSOL. 5738 04:22:46,222 --> 04:22:48,157 SO INTRA TRACHEA INSTALLATION, 5739 04:22:48,157 --> 04:22:50,793 IN AND OF ITSELF WILL BE 5740 04:22:50,793 --> 04:22:52,095 DIFFICULT FOR SINGULAR IND 5741 04:22:52,095 --> 04:22:53,930 ENABLING, IT WOULD BE IND 5742 04:22:53,930 --> 04:22:55,798 SUPPORTED AND WOULD NEED TO BE 5743 04:22:55,798 --> 04:22:58,234 PAIRED WITH SOME OTHER STUDY 5744 04:22:58,234 --> 04:23:01,004 SAYS ASSUMING AEROSOL WILL BE 5745 04:23:01,004 --> 04:23:02,038 INTENDED CLINICAL ROUTE. 5746 04:23:02,038 --> 04:23:03,439 >> CARMELA DO YOU HAVE ANYTHING 5747 04:23:03,439 --> 04:23:13,850 TO ADD TO THAT FROM YOUR 5748 04:23:18,054 --> 04:23:18,287 PERSPECTIVE? 5749 04:23:18,287 --> 04:23:20,256 >> RIGHT, BASICALLY IT'S WHAT WE 5750 04:23:20,256 --> 04:23:26,295 TRY TO TELL IS TO START OUT 5751 04:23:26,295 --> 04:23:28,131 WITH, YOU KNOW THE ROUTE THAT 5752 04:23:28,131 --> 04:23:29,065 YOU'RE GOING TO GO WITH 5753 04:23:29,065 --> 04:23:37,073 APPROXIMATE YOU -- IF YOU KNOT 5754 04:23:37,073 --> 04:23:37,673 THAT IS. 5755 04:23:37,673 --> 04:23:39,675 AND WHAT I WANT TO BRING UP IN 5756 04:23:39,675 --> 04:23:41,110 THE PRODUCT SYSTEM THAT REMEMBER 5757 04:23:41,110 --> 04:23:45,815 BY PHASE 2, YOU HAVE TO HAVE 5758 04:23:45,815 --> 04:23:48,651 YOUR DEVICE DESIGN ESTABLISHED 5759 04:23:48,651 --> 04:23:55,191 AND IF YOU ARE GOING TO HAVE A 5760 04:23:55,191 --> 04:23:57,894 NEBUEALIZED PRODUCT, YOU HAVE TO 5761 04:23:57,894 --> 04:24:03,866 INCLUDE THE SPECIFIC NEBULIZER 5762 04:24:03,866 --> 04:24:04,567 IN YOUR LABEL. 5763 04:24:04,567 --> 04:24:04,867 >> GREAT. 5764 04:24:04,867 --> 04:24:06,235 THANK YOU VERY MUCH. 5765 04:24:06,235 --> 04:24:08,037 FOLKS, I REALLY APPRECIATE THE 5766 04:24:08,037 --> 04:24:10,740 PANEL'S FEEDBACK HERE. 5767 04:24:10,740 --> 04:24:11,574 I'M SORRY, COULD PROBABLY KEEP 5768 04:24:11,574 --> 04:24:13,109 GOING BUT TO STAY ON SCHEDULE, I 5769 04:24:13,109 --> 04:24:14,377 THINK WE WILL CALL IT THERE AND 5770 04:24:14,377 --> 04:24:18,114 MAYBE I CAN TURN IT BACK OVER 5771 04:24:18,114 --> 04:24:19,549 TOMORROW FOR OUR TRANSITION TO 5772 04:24:19,549 --> 04:24:22,585 THE NEXT PHASE. 5773 04:24:22,585 --> 04:24:23,319 THANK YOU. 5774 04:24:23,319 --> 04:24:24,287 NTHANK YOU ALL. 5775 04:24:24,287 --> 04:24:27,723 SO WE HAVE ABOUT 20 MINUTES LEFT 5776 04:24:27,723 --> 04:24:29,492 IN THE AGENDA FOR A NETWORKING 5777 04:24:29,492 --> 04:24:29,725 BREAK. 5778 04:24:29,725 --> 04:24:33,463 AND SO THIS IS AN OPPORTUNITY 5779 04:24:33,463 --> 04:24:34,530 FOR INDIVIDUALS ONLINE TO FEEL 5780 04:24:34,530 --> 04:24:38,668 FREE TO COME ON CAMERA AND CHAT 5781 04:24:38,668 --> 04:24:42,105 WITH ANY OF THE PANELISTS, WHO 5782 04:24:42,105 --> 04:24:43,506 SPOKE TODAY OR ANY OF THE 5783 04:24:43,506 --> 04:24:45,441 INDIVIDUALS IF THE MEETING AND 5784 04:24:45,441 --> 04:24:52,281 THEN WE WILL BEGIN SESSION 3, 5785 04:24:52,281 --> 04:24:53,478 WHICH IS DEFINING THE TARGET 5786 04:24:53,478 --> 04:24:55,842 PROFILE AT PROMPTLY 3:00 P.M. EASTERN TIME. 5787 04:24:55,842 --> 04:25:00,313 DEFINING THE PRODUCT 5788 04:25:00,313 --> 04:25:03,049 PROFILE AND DR. ZIADY AND 5789 04:25:03,049 --> 04:25:04,217 DR. WEST WILL BE YOUR MODERATORS 5790 04:25:04,217 --> 04:25:07,087 AND I WILL TURN IT OVER TO THEM. 5791 04:25:07,087 --> 04:25:09,322 >> HI, EVERYBODY, JUST A BIT 5792 04:25:09,322 --> 04:25:11,758 ABOUT MYSELF AND THEN JAMES CAN 5793 04:25:11,758 --> 04:25:12,325 GO. 5794 04:25:12,325 --> 04:25:18,765 I'M A PROPESESSOR AT SEN 5795 04:25:18,765 --> 04:25:19,065 CINCINNATI 5796 04:25:19,065 --> 04:25:21,167 CHILDREN'S MEDICAL CENTER AND 5797 04:25:21,167 --> 04:25:24,137 HOSPITAL, I'M JUST A Ph.D., I 5798 04:25:24,137 --> 04:25:25,372 HAVE TAKEN QUITE A FEW BUSINESS 5799 04:25:25,372 --> 04:25:27,173 CLASSES AND I WAS ASKED TO DO 5800 04:25:27,173 --> 04:25:32,979 THIS BECAUSE OF MY BACKGROUND IN 5801 04:25:32,979 --> 04:25:34,781 SOME COMMERCIALIZATION 5802 04:25:34,781 --> 04:25:35,815 DEVELOPMENT AND I'VE BEEN 5803 04:25:35,815 --> 04:25:38,585 INVENTOR ON A NUMBER OF PATENTS 5804 04:25:38,585 --> 04:25:41,221 GRANTED AND SOME PROVISIONAL 5805 04:25:41,221 --> 04:25:43,056 PATENTS THAT ARE PENTINE REGIMEN 5806 04:25:43,056 --> 04:25:44,224 NOTHING TECHNOLOGIES THAT WE'VE 5807 04:25:44,224 --> 04:25:46,426 WORKED WITH AT CHILDREN'S, EMORY 5808 04:25:46,426 --> 04:25:47,927 AND CASE WESTERN SO WE'LL CHAT 5809 04:25:47,927 --> 04:25:49,663 ABOUT THAT IN MY LITTLE 10 5810 04:25:49,663 --> 04:25:53,099 MINUTE SPEECH. 5811 04:25:53,099 --> 04:25:56,436 >> THANK YOU AND I'M JAIPS WEST, 5812 04:25:56,436 --> 04:25:57,671 PROFESSOR AT VANDERBILT. 5813 04:25:57,671 --> 04:25:59,439 I'M FAIRLY SURE I WAS ASKED 5814 04:25:59,439 --> 04:26:01,875 BECAUSE I HAVE GOTTEN A FAIR 5815 04:26:01,875 --> 04:26:03,943 NUMBER OF DRUGS THROUGH FROM THE 5816 04:26:03,943 --> 04:26:05,979 CLINIC TO THE BENCH AND HAD A 5817 04:26:05,979 --> 04:26:07,614 LOT OF INDUSTRY COLLABORATIONS 5818 04:26:07,614 --> 04:26:09,082 SO HAVE A FAIR AMOUNT OF 5819 04:26:09,082 --> 04:26:14,854 EXPERIENCE IN THIS SPACE AS 5820 04:26:14,854 --> 04:26:15,088 WELL. 5821 04:26:15,088 --> 04:26:17,257 >> I THINK THE SESSION WAS PUT 5822 04:26:17,257 --> 04:26:18,825 TOGETHER PRETTY NICELY. 5823 04:26:18,825 --> 04:26:22,362 IT WILL EXPOSE THE VIEWERS TO A 5824 04:26:22,362 --> 04:26:24,731 MIX OF ENTREPRENEURS THAT HAVE 5825 04:26:24,731 --> 04:26:27,534 ACTUALLY BEEN IN THE SMALL 5826 04:26:27,534 --> 04:26:29,035 BUSINESS PLACE AND YOU KNOW 5827 04:26:29,035 --> 04:26:33,440 BASICALLY WORKED ON TAKING THEIR 5828 04:26:33,440 --> 04:26:35,208 DRUGS TO MARKET AND CREATING 5829 04:26:35,208 --> 04:26:37,110 SMALL COMPANIES AND SORT OF 5830 04:26:37,110 --> 04:26:38,712 BRINGING THAT TO MARKET AND THEN 5831 04:26:38,712 --> 04:26:42,382 WE'LL ALSO HEAR FROM A COUPLE OF 5832 04:26:42,382 --> 04:26:44,751 SPEAKERS ON FUNDING AND SUPPORT 5833 04:26:44,751 --> 04:26:46,252 AND VENTURE CAPITAL SUPPORT FOR 5834 04:26:46,252 --> 04:26:49,189 THIS WORK, SO I THINK OUR FIRST 5835 04:26:49,189 --> 04:26:54,027 TALK WILL BE BY DR. HOLTZMAN 5836 04:26:54,027 --> 04:26:59,332 WHO'S FOUNDER AND PRESIDENT AT 5837 04:26:59,332 --> 04:27:05,171 NUPEAK AND THEN WE WILL HEAR 5838 04:27:05,171 --> 04:27:06,840 FROM ENRIQUE SHIAO, FROM THE 5839 04:27:06,840 --> 04:27:09,909 HEAD OF SEARCH AND EVALUATION 5840 04:27:09,909 --> 04:27:13,346 AND THEN LUCY LIU AT LONG WOOD 5841 04:27:13,346 --> 04:27:17,217 FUND AND THEN WE WILL WRAP UP 5842 04:27:17,217 --> 04:27:23,022 WITH STEPHEN BENOIT FROM MDI 5843 04:27:23,022 --> 04:27:23,389 THERAPEUTICS. 5844 04:27:23,389 --> 04:27:26,659 >> OKAY, I'M ON, I GUESS. 5845 04:27:26,659 --> 04:27:27,961 FIRST LET ME THANK THE 5846 04:27:27,961 --> 04:27:31,030 ORGANIZERS AND THE INTRODUCERS 5847 04:27:31,030 --> 04:27:31,698 FOR THE OPPORTUNITY. 5848 04:27:31,698 --> 04:27:33,700 IT'S BEEN A TERRIFIC MEETING FOR 5849 04:27:33,700 --> 04:27:37,203 ME SO FAR AND I APPRECIATE BEING 5850 04:27:37,203 --> 04:27:37,804 PART OF IT. 5851 04:27:37,804 --> 04:27:39,739 MY TALK'S GOING TO BE A BIT 5852 04:27:39,739 --> 04:27:42,208 DIFFERENT I THINK THAN SOME OF 5853 04:27:42,208 --> 04:27:43,343 THE 1S YOU'VE HEARD PREVIOUSLY 5854 04:27:43,343 --> 04:27:45,445 AND I WILL TRY TO CONVEY THE 5855 04:27:45,445 --> 04:27:47,747 VIEW I HAVE FROM, YOU KNOW OUR 5856 04:27:47,747 --> 04:27:51,484 YOWRNY IF YOU WILL FROM INITIAL 5857 04:27:51,484 --> 04:27:54,687 DISCOVERY TO WHERE WE'RE AT NOW 5858 04:27:54,687 --> 04:27:55,421 WHICH IS ESSENTIALLY PREIND 5859 04:27:55,421 --> 04:27:58,324 STAGE. 5860 04:27:58,324 --> 04:27:59,325 SO NEXT SLIDE. 5861 04:27:59,325 --> 04:28:00,727 FOR SOMETHING A LITTLE 5862 04:28:00,727 --> 04:28:01,761 DIFFERENT, FIRST I JUST WANT TO 5863 04:28:01,761 --> 04:28:03,263 INTRODUCE WHO I AM AND WHERE I'M 5864 04:28:03,263 --> 04:28:05,231 AT AND THEN I WILL SPEND THE 5865 04:28:05,231 --> 04:28:08,067 MAIORITY OF MY TEAM IN A MORE 5866 04:28:08,067 --> 04:28:09,369 GENERAL MODE TO TRY AND GIVE YOU 5867 04:28:09,369 --> 04:28:12,005 THINGS THAT MIGHT BE HELPFUL. 5868 04:28:12,005 --> 04:28:13,706 SO THE FIRST POINT, I WANT TO 5869 04:28:13,706 --> 04:28:18,211 MAKE IS THIS IS THE WAY I DID IT 5870 04:28:18,211 --> 04:28:19,512 AND THOSE OF YOU IN THIS 5871 04:28:19,512 --> 04:28:21,047 AUDIENCE WHO HAVE A BIT MORE 5872 04:28:21,047 --> 04:28:24,017 YEARS ON THEM WILL REMEMBER 5873 04:28:24,017 --> 04:28:28,488 FRANK SINAT RA, THE ORIGINAL 5874 04:28:28,488 --> 04:28:30,323 HEAD OF THE BOARD WHO HAD THE 5875 04:28:30,323 --> 04:28:32,325 FAMOUS SONG, I DID IT MY WAY AND 5876 04:28:32,325 --> 04:28:33,893 I DID, BUT I WANT TO MAKE MY 5877 04:28:33,893 --> 04:28:36,763 POINT THAT IN SPITE OF ALL THE 5878 04:28:36,763 --> 04:28:37,630 SUGGESTIONS AND RECOMMENDATIONS 5879 04:28:37,630 --> 04:28:38,464 AND TEMPLATES THAT YOU WILL SEE, 5880 04:28:38,464 --> 04:28:42,669 YOU WILL HAVE TO DO IT YOUR WAY. 5881 04:28:42,669 --> 04:28:44,103 EACH PROJECT IS DIFFERENT AND A 5882 04:28:44,103 --> 04:28:45,138 LOT OF THE PERSPECTIVE HERE WILL 5883 04:28:45,138 --> 04:28:46,339 BE BASED ON MY EXPERIENCE BUT 5884 04:28:46,339 --> 04:28:48,842 YOU WILL HAVE TO FIND SOMETHING 5885 04:28:48,842 --> 04:28:50,476 THAT'S MORE TAILORED TO YOUR 5886 04:28:50,476 --> 04:28:51,544 PROJECT, SO IF YOU DON'T 5887 04:28:51,544 --> 04:28:52,912 REMEMBER ANYTHING ELSE I SAID, 5888 04:28:52,912 --> 04:28:54,347 REMEMBER THAT ADVICE IS GREAT, 5889 04:28:54,347 --> 04:28:55,982 BUT IT'S REALLY UP TO YOU TO BE 5890 04:28:55,982 --> 04:29:00,019 THE BEST PERSON TO FIGURE IT 5891 04:29:00,019 --> 04:29:01,354 OUT. 5892 04:29:01,354 --> 04:29:01,821 NEXT SLIDE. 5893 04:29:01,821 --> 04:29:07,193 AND TO DO THAT, YOU WILL NEED A 5894 04:29:07,193 --> 04:29:08,828 TEAM OF PEOPLE AND FIRST TO 5895 04:29:08,828 --> 04:29:11,564 THANK THESE GUYS AND TO SHOW YOU 5896 04:29:11,564 --> 04:29:13,967 THAT THAT EXISTS IN MY CASE. 5897 04:29:13,967 --> 04:29:16,169 I'VE TAKEN A HYBRID APPROACH, SO 5898 04:29:16,169 --> 04:29:17,570 ON THE LEFT SIDE YOU WILL SEE 5899 04:29:17,570 --> 04:29:20,640 THE TEAM AT WASH-U AND ST. LOUIS 5900 04:29:20,640 --> 04:29:22,909 IN THE RIGHT SIDE YOU WILL SEE 5901 04:29:22,909 --> 04:29:24,444 THE TEAM AT NUPEAK THERAPEUTICS 5902 04:29:24,444 --> 04:29:25,945 THAT I STARTED IN 2012 EMPLOY 5903 04:29:25,945 --> 04:29:27,914 YOU CAN SEE THAT BOTH HAVE GROWN 5904 04:29:27,914 --> 04:29:29,215 INTO A VERY EXTENSIVE CAST TO 5905 04:29:29,215 --> 04:29:32,385 COVER WHAT I CALL THE FULL 5906 04:29:32,385 --> 04:29:37,924 SPECTRUM DRUG DISCOVERY AND 5907 04:29:37,924 --> 04:29:39,192 DEVELOPMENT TO THE PROGRAM. 5908 04:29:39,192 --> 04:29:42,595 SO THE LEFT SIDE OF THE SCREEN 5909 04:29:42,595 --> 04:29:43,296 IS DISCOVERY EMECHANISM AND 5910 04:29:43,296 --> 04:29:44,564 SCIENCE AND THE RIGHT SIDE OF 5911 04:29:44,564 --> 04:29:46,065 THE TEAM IS RESPONSIBLE FOR 5912 04:29:46,065 --> 04:29:47,700 BRINGING IT INTO THE 5913 04:29:47,700 --> 04:29:49,402 COMMERCIALIZATION PROCESS AND 5914 04:29:49,402 --> 04:29:50,570 I'M FAMOUSLY KNOWN FOR NOT 5915 04:29:50,570 --> 04:29:51,771 KNOWING ENOUGH ABOUT EITHER SO 5916 04:29:51,771 --> 04:29:53,907 BOTH SIDES ARE ABLE TO CRITICIZE 5917 04:29:53,907 --> 04:29:57,577 ME ON A PRETTY SIGNIFICANT BASIS 5918 04:29:57,577 --> 04:29:58,978 BUT IN GENERAL, THIS KIND OF 5919 04:29:58,978 --> 04:30:01,047 APPROACH HAS WORKED WELL FOR ME. 5920 04:30:01,047 --> 04:30:02,682 I DON'T RECOMMEND IT TO 5921 04:30:02,682 --> 04:30:04,183 EVERYONE, BUT IT DOES ALLOW YOU 5922 04:30:04,183 --> 04:30:06,920 TO COVER THE FULL GAMUT OF THE 5923 04:30:06,920 --> 04:30:09,956 APPROACHES WHICH HAS BEEN 5924 04:30:09,956 --> 04:30:12,191 HELPFUL. 5925 04:30:12,191 --> 04:30:15,561 NEXT SLIDE. 5926 04:30:15,561 --> 04:30:16,429 NEXT SLIDE, PLEASE. 5927 04:30:16,429 --> 04:30:17,530 SO JUST 1 WORD ABOUT WHAT I'M 5928 04:30:17,530 --> 04:30:19,732 DOING AND THEN I WILL GO INTO A 5929 04:30:19,732 --> 04:30:20,867 MORE GENERAL MODE. 5930 04:30:20,867 --> 04:30:22,635 SO THIS CARTOON SYMBOLIZES MY 5931 04:30:22,635 --> 04:30:24,370 LIFE OVER THE LAST DECADE, AND 5932 04:30:24,370 --> 04:30:25,672 THE APPROACH THAT WE'VE TAKEN TO 5933 04:30:25,672 --> 04:30:29,409 FIGURE OUT A NEW DRUG FOR 5934 04:30:29,409 --> 04:30:31,444 PREDOMINANTLY COMMON LUNG 5935 04:30:31,444 --> 04:30:34,514 DISEASES AS AMONG COPD AND IT 5936 04:30:34,514 --> 04:30:35,248 JUST DEPICTS THE NOTION THAT I 5937 04:30:35,248 --> 04:30:36,649 WILL MAKE TO YOU SEVERAL TIMES 5938 04:30:36,649 --> 04:30:40,286 THAT WE'VE GONE AFTER NEW 5939 04:30:40,286 --> 04:30:42,255 CELLULAR AND MOLECULAR TRARGETS 5940 04:30:42,255 --> 04:30:44,090 IN EPITHELIAL CELLS AND STRESS 5941 04:30:44,090 --> 04:30:45,491 KINASES AND WE STARTED OFF A 5942 04:30:45,491 --> 04:30:47,527 SCREAM FROM THE LEFT TO RIGHT 5943 04:30:47,527 --> 04:30:48,928 WHERE THERE'S INITIAL INJURY AND 5944 04:30:48,928 --> 04:30:53,566 THEN STEM CELLS ARE REPROGRAMMED 5945 04:30:53,566 --> 04:30:57,103 TO CAUSE GROWTH, EXCESS, 5946 04:30:57,103 --> 04:30:58,037 ACTIVATION, INFLAMMATION, MUCUS 5947 04:30:58,037 --> 04:30:59,672 PRODUCTION WHICH ARE ALL 5948 04:30:59,672 --> 04:31:01,040 HALLMARKS OF CHRONIC LUNG DEC 5949 04:31:01,040 --> 04:31:03,009 AND WE DEVELOPED A SPECIFIC 5950 04:31:03,009 --> 04:31:05,178 KINASE INHIBITOR TO TRY TO DOWN 5951 04:31:05,178 --> 04:31:06,112 REGULATE THAT PROCESS AND 5952 04:31:06,112 --> 04:31:08,648 THEREBY FIX THE DEC. 5953 04:31:08,648 --> 04:31:10,483 SO THAT'S THE PERSPECTIVE I'M 5954 04:31:10,483 --> 04:31:11,784 COMING FROM, SMALL MOLECULE DRUG 5955 04:31:11,784 --> 04:31:13,052 DEVELOPER WORLD BUT I WANT TO 5956 04:31:13,052 --> 04:31:15,221 TAKE WHAT I'VE LEARNED THERE, 5957 04:31:15,221 --> 04:31:16,756 NOT TELL YOU ABOUT ALL THE 5958 04:31:16,756 --> 04:31:17,757 DETAILS OF THIS, COMPARED TO 5959 04:31:17,757 --> 04:31:19,492 SOME OF THE SPEAKERS, BUT TRY TO 5960 04:31:19,492 --> 04:31:23,629 TAKE WHAT I'VE LEARNED THERE AND 5961 04:31:23,629 --> 04:31:25,031 PROVIDE THE PEARLS FROM THAT IN 5962 04:31:25,031 --> 04:31:28,735 A MORE GENERAL CONTEXT. 5963 04:31:28,735 --> 04:31:29,168 NEXT SLIDE. 5964 04:31:29,168 --> 04:31:31,938 SO TO DO THAT, I WILL RUN 5965 04:31:31,938 --> 04:31:33,573 THROUGH PRETTY QUICKLY 5-POINTS 5966 04:31:33,573 --> 04:31:36,843 LISTED HERE, AS WHAT I CALL THE 5967 04:31:36,843 --> 04:31:38,044 BIG PICTURE MILESTONES THAT GOT 5968 04:31:38,044 --> 04:31:39,145 US AND HOPEFULLY CAN GET YOU 5969 04:31:39,145 --> 04:31:41,614 FROM THE BEGINNING TO THE END OF 5970 04:31:41,614 --> 04:31:42,782 THIS PATHWAY. 5971 04:31:42,782 --> 04:31:43,950 SO FIRST WE'LL DISCOVER, YOU 5972 04:31:43,950 --> 04:31:46,052 KNOW THE NEW TARGET, SMALL 5973 04:31:46,052 --> 04:31:49,055 MOLECULE, THEN THE DRUG, THEN 5974 04:31:49,055 --> 04:31:49,922 THE REGULATORY PROCESS, THEN THE 5975 04:31:49,922 --> 04:31:53,459 TRIALS AND THEN THE PAYMENT 5976 04:31:53,459 --> 04:31:53,960 STORY. 5977 04:31:53,960 --> 04:31:56,729 SO INCOME SLIDE. 5978 04:31:56,729 --> 04:32:00,333 SO WE WILL START WITH FIRST 1 5979 04:32:00,333 --> 04:32:03,403 WHICH IS AS A MENTIONED TO YOU 5980 04:32:03,403 --> 04:32:04,704 WE DID FOR OURSELVES IN THE WAY 5981 04:32:04,704 --> 04:32:06,239 OF STEM CELLS AND KINASES AND 5982 04:32:06,239 --> 04:32:08,608 NOW TRY TO TAKE YOU A LITTLE BIT 5983 04:32:08,608 --> 04:32:12,311 THROUGH SOME OF THE PRIORITIES 5984 04:32:12,311 --> 04:32:13,813 AND HELPFUL GUIDES, HOPEFULLY IN 5985 04:32:13,813 --> 04:32:19,352 DOING THAT FOR YOU ALL. 5986 04:32:19,352 --> 04:32:19,952 NEXT SLIDE. 5987 04:32:19,952 --> 04:32:21,020 NEXT SLIDE. 5988 04:32:21,020 --> 04:32:23,623 THERE WE GO. 5989 04:32:23,623 --> 04:32:24,991 SO THE FIRST THING TO SAY IN 5990 04:32:24,991 --> 04:32:27,527 GETTING A NEW TARGET IS THAT IT 5991 04:32:27,527 --> 04:32:27,994 SHOULD BE NEW. 5992 04:32:27,994 --> 04:32:32,865 SO I WANT TO EMPHASIZE THAT NOT 5993 04:32:32,865 --> 04:32:34,233 TO DO WHAT'S BEEN DONE BEFORE 5994 04:32:34,233 --> 04:32:36,669 BUT TO DO SOMETHING ENTIRELY 5995 04:32:36,669 --> 04:32:37,537 DIFFERENT AND NOVEL. 5996 04:32:37,537 --> 04:32:39,739 THIS WILL BE PROJECT SPECIFIC, 5997 04:32:39,739 --> 04:32:41,641 AS I MENTIONED WE'RE ON TO STEM 5998 04:32:41,641 --> 04:32:43,676 CELLS AND KINASES BUT IT'S GOING 5999 04:32:43,676 --> 04:32:45,545 TO BE DIFFERENT FOR YOU. 6000 04:32:45,545 --> 04:32:47,013 IN SPITE OF THAT DIFFERENCE 6001 04:32:47,013 --> 04:32:48,948 THERE ARE DIFFERENT TIPS IN 6002 04:32:48,948 --> 04:32:51,017 GENERAL, I FELT TO LOOK AT WHAT 6003 04:32:51,017 --> 04:32:51,918 WE'VE DONE. 6004 04:32:51,918 --> 04:32:55,154 FIRST AS I'M UNDERLINING HERE, 6005 04:32:55,154 --> 04:32:56,522 AIM FOR NOVELTY, PARTICULARLY ON 6006 04:32:56,522 --> 04:32:58,224 THE SCIENCE SIDE BUT ALSO ON THE 6007 04:32:58,224 --> 04:32:59,592 TRANSLATION OF THAT INTO THE 6008 04:32:59,592 --> 04:33:01,427 COMMERCIAL END. 6009 04:33:01,427 --> 04:33:04,597 SO YOU WANT NEW SCIENCE AND A 6010 04:33:04,597 --> 04:33:06,199 NEW INDICATION AS YOUR BEST 6011 04:33:06,199 --> 04:33:08,201 STRATEGY, I THINK TO BE 6012 04:33:08,201 --> 04:33:08,935 INNOVATIVE AND APPEALING AND TO 6013 04:33:08,935 --> 04:33:11,871 MAKE IT TO THE GOALPOST. 6014 04:33:11,871 --> 04:33:14,240 AND 2 OTHER POINTS I WANT TO 6015 04:33:14,240 --> 04:33:16,709 EMPHASIZE HERE, 1 EARLY ON TO 6016 04:33:16,709 --> 04:33:17,977 VALIDATE THESE TARGETS IN 6017 04:33:17,977 --> 04:33:20,480 PRECLINICAL MODELS THAT ARE HIGH 6018 04:33:20,480 --> 04:33:21,747 FIDELITY AND THAT MEANS BEING 6019 04:33:21,747 --> 04:33:24,984 ABLE TO TRACK THE TARGETS, 6020 04:33:24,984 --> 04:33:26,419 APPROPRIATELY AND HOPEFULLY, IN 6021 04:33:26,419 --> 04:33:29,255 MOST CASES KNOCK OUT THE TARGET 6022 04:33:29,255 --> 04:33:30,423 BOTH EXVIVO AND IN VIVO, TO BE 6023 04:33:30,423 --> 04:33:32,825 SURE THAT YOU HAVE THE RIGHT 6024 04:33:32,825 --> 04:33:33,059 TARGET. 6025 04:33:33,059 --> 04:33:37,330 AND I CAN TELL YOU, I KNOW 90 6026 04:33:37,330 --> 04:33:39,298 TIMES OUT OF A HUNDRED, THE 6027 04:33:39,298 --> 04:33:40,700 PROJECTS I FEEL HAVE NOT DONE 6028 04:33:40,700 --> 04:33:42,535 THAT, SO EARLY ON, YOU WANT THAT 6029 04:33:42,535 --> 04:33:44,270 INFORMATION AND THEN SECONDLY, 6030 04:33:44,270 --> 04:33:46,105 ALSO RARELY DONE, TRY TO 6031 04:33:46,105 --> 04:33:48,174 VALIDATE IT ALSO IN THE HUMAN 6032 04:33:48,174 --> 04:33:48,608 MODEL. 6033 04:33:48,608 --> 04:33:51,010 BOTH IN CELLULAR MOLECULAR 6034 04:33:51,010 --> 04:33:52,545 MODELS AND ALSO IN CLINICAL 6035 04:33:52,545 --> 04:33:53,846 SAMPLES THAT ARE RELEVANT TO YOU 6036 04:33:53,846 --> 04:33:55,381 WHAT YOU'RE TRYING TO DO. 6037 04:33:55,381 --> 04:33:57,116 AGAIN, YOU WANT TO TRACK THAT 6038 04:33:57,116 --> 04:33:59,886 CAREFULLY, SO YOU KNOW IF YOUR 6039 04:33:59,886 --> 04:34:02,155 TARGET IS REPRESENTATIVE AND 6040 04:34:02,155 --> 04:34:03,289 FUNCTIONAL AND ALSO WHEN 6041 04:34:03,289 --> 04:34:05,491 POSSIBLE, TRY TO KNOCK IT OUT AT 6042 04:34:05,491 --> 04:34:08,261 LEAST IN A CELL MODEL TO MAKE 6043 04:34:08,261 --> 04:34:15,234 SURE IT'S VALID. 6044 04:34:15,234 --> 04:34:18,437 NEXT SLIDE. 6045 04:34:18,437 --> 04:34:19,205 THERE WE GO. 6046 04:34:19,205 --> 04:34:21,440 SO STEP 2, ONCE YOU HAVE A CELL 6047 04:34:21,440 --> 04:34:22,875 OF TARGET AND INTEREST, THEN OF 6048 04:34:22,875 --> 04:34:25,378 COURSE YOU HAVE TO DISCOVER AND 6049 04:34:25,378 --> 04:34:27,079 OPTIMIZE A DRUG CANDIDATE TO HIT 6050 04:34:27,079 --> 04:34:27,713 THAT TARGET. 6051 04:34:27,713 --> 04:34:28,281 NEXT SLIDE. 6052 04:34:28,281 --> 04:34:31,083 SO 2 WORDS OF ADVICE HERE, FIRST 6053 04:34:31,083 --> 04:34:32,151 IN THE PRECLINICAL SPACE AND 6054 04:34:32,151 --> 04:34:34,153 THEN IN THE CLENICAL SPACE. 6055 04:34:34,153 --> 04:34:34,854 IN THE PRECLINICAL SPACE AFTER 6056 04:34:34,854 --> 04:34:36,622 YOU HAVE YOUR TARGET, IN THE 6057 04:34:36,622 --> 04:34:38,824 CASE OF SMALL MOLECULES THAT 6058 04:34:38,824 --> 04:34:41,093 MEANS STRUCTURE BASED DRUG 6059 04:34:41,093 --> 04:34:44,564 DESIGN NOWADAYS AIDED BY AI 6060 04:34:44,564 --> 04:34:45,598 METHODS, EDITORIALLY SPEAKING AI 6061 04:34:45,598 --> 04:34:47,066 METHODS ARE NOT SUFFICIENT IN 6062 04:34:47,066 --> 04:34:50,903 THEMSELVES, DON'T BELIEVE THAT 6063 04:34:50,903 --> 04:34:53,139 ADVERTISING, BUT YOU KNOW A LINK 6064 04:34:53,139 --> 04:34:55,074 TO CONVENTIONAL TECHNIQUES CAN 6065 04:34:55,074 --> 04:34:55,775 BE VERY VALUABLE. 6066 04:34:55,775 --> 04:34:57,310 THE END POINTS THERE THAT I 6067 04:34:57,310 --> 04:35:00,580 WANTED TO EMPHASIZE, VERY 6068 04:35:00,580 --> 04:35:03,749 POTENT, VERY SAFE, VERY 6069 04:35:03,749 --> 04:35:05,351 SELECTIVE, AND HOPEFULLY 6070 04:35:05,351 --> 04:35:09,789 DEVELOPED IN A HIGH FIDELITY 6071 04:35:09,789 --> 04:35:10,856 CELLULAR MODEL SYSTEM. 6072 04:35:10,856 --> 04:35:12,225 THOSE PIECES OF INFORMATION WILL 6073 04:35:12,225 --> 04:35:13,626 BE VERY VALUABLE TO YOU AS YOU 6074 04:35:13,626 --> 04:35:15,494 GO THROUGH THE NEXT STEPS I WILL 6075 04:35:15,494 --> 04:35:16,229 SHOW YOU. 6076 04:35:16,229 --> 04:35:17,063 ONCE YOU'VE GOTTEN THROUGH THAT, 6077 04:35:17,063 --> 04:35:21,267 YOU NEED TO MAKE IT PROPERLY, 6078 04:35:21,267 --> 04:35:22,535 FORMULATE IT PROPERLY, AGAIN 6079 04:35:22,535 --> 04:35:24,503 THINKING ABOUT SAFETY AND 6080 04:35:24,503 --> 04:35:26,205 SPECIFICITY AND SELECTIVITY AS 6081 04:35:26,205 --> 04:35:29,075 KEY END POINTS TO SUCCESS. 6082 04:35:29,075 --> 04:35:32,111 THIRDLY, IN THIS PROCESS, TALKED 6083 04:35:32,111 --> 04:35:33,646 A LITTLE BIT ABOUT THIS BUT YOU 6084 04:35:33,646 --> 04:35:36,382 WANT A MECHANISM OF ACTION, IT'S 6085 04:35:36,382 --> 04:35:37,650 UNABLE HOW MANY DRUG CANS GO 6086 04:35:37,650 --> 04:35:39,085 FORWARD WITH NO KNOWLEDGE OF 6087 04:35:39,085 --> 04:35:39,352 MECHANISM. 6088 04:35:39,352 --> 04:35:41,387 YOU WANT INSTEAD TO HAVE A 6089 04:35:41,387 --> 04:35:42,922 MECHANISM THAT SHOWS POTENCY, 6090 04:35:42,922 --> 04:35:44,824 AGAIN, SAFETY, AND AGAIN, 6091 04:35:44,824 --> 04:35:45,691 SCIENTIFIC NOVELTY. 6092 04:35:45,691 --> 04:35:47,526 THAT WILL ALL SERVICE YOU VERY 6093 04:35:47,526 --> 04:35:49,595 WELL AS YOU ANY THROUGH THIS 6094 04:35:49,595 --> 04:35:50,396 PROCESS. 6095 04:35:50,396 --> 04:35:51,697 AND THEN LASTLY THE END POINT OF 6096 04:35:51,697 --> 04:35:53,666 THIS IS PROOF OF CONCEPT AND 6097 04:35:53,666 --> 04:35:54,500 PRECLINICAL AND CLENICAL 6098 04:35:54,500 --> 04:35:59,171 GUIDANCE AND ONCE AGAIN, I WOULD 6099 04:35:59,171 --> 04:36:00,539 EMPHASIZE, POTENCY, SAFETY, 6100 04:36:00,539 --> 04:36:02,141 VALIDATE YOUR TARGET, MAKE SURE 6101 04:36:02,141 --> 04:36:05,044 THAT IT'S HIT, ENGAGED AND 6102 04:36:05,044 --> 04:36:06,912 BLOCKED AND ALL THAT IS BEST 6103 04:36:06,912 --> 04:36:10,283 DONE IN A HIGH FIDELITY 6104 04:36:10,283 --> 04:36:10,816 PRECLINICAL ANIMAL MODEL. 6105 04:36:10,816 --> 04:36:11,951 THERE AGAIN A LOT OF MILES USED 6106 04:36:11,951 --> 04:36:14,387 THAT ARE NOT WHAT I WOULD CALL 6107 04:36:14,387 --> 04:36:17,690 HIGH FIDELITY TO THE CLINICAL 6108 04:36:17,690 --> 04:36:19,058 CONDITION. 6109 04:36:19,058 --> 04:36:21,927 NEXT SLIDE. 6110 04:36:21,927 --> 04:36:25,264 SO THAT'S THE CLINICAL END, THE 6111 04:36:25,264 --> 04:36:26,932 PRECLINICAL PART TO THIS STORY, 6112 04:36:26,932 --> 04:36:28,200 VERY SIMILAR TO WHAT I SHUOF THE 6113 04:36:28,200 --> 04:36:29,702 SHOWED YOU. 6114 04:36:29,702 --> 04:36:30,970 AGAIN, DATA PROJECT SPECIFIC, 6115 04:36:30,970 --> 04:36:33,372 JUST AS OTHER DATA BUT AGAIN, 6116 04:36:33,372 --> 04:36:34,607 GENERAL GUIDE LINES THAT COULD 6117 04:36:34,607 --> 04:36:37,076 BE HELPFUL EMPLOY ONCE IMEAN, I 6118 04:36:37,076 --> 04:36:39,245 EMPHASIZE 3 THINGS, FIRST AGAIN 6119 04:36:39,245 --> 04:36:41,113 AIM FOR NOVELTY IN PARTICULAR 6120 04:36:41,113 --> 04:36:42,715 RELEVANCE, YOU KNOW THE 6121 04:36:42,715 --> 04:36:45,017 INDICATION THAT YOU'RE WORKING 6122 04:36:45,017 --> 04:36:47,153 TOWARDS, I THINK THE NOVEL 6123 04:36:47,153 --> 04:36:52,925 ASPECT IS EXTREMELY USEFUL FOR 6124 04:36:52,925 --> 04:36:54,193 MANY REASONS, AS WE'LL ROLL OUT 6125 04:36:54,193 --> 04:36:56,162 HERE IN THE NEXT FEW SLIDES. 6126 04:36:56,162 --> 04:36:57,663 AGAIN, I THINK IT'S IMPORTANT TO 6127 04:36:57,663 --> 04:36:59,365 VALIDATE WHAT YOU FIND IN 6128 04:36:59,365 --> 04:37:00,032 CLINICAL SAMPLES. 6129 04:37:00,032 --> 04:37:03,235 MAKE SURE THE TARGET'S THERE, 6130 04:37:03,235 --> 04:37:04,036 IT'S UPREGULATED, POTENTIALLY IN 6131 04:37:04,036 --> 04:37:07,073 YOUR DISEASE AND ALSO, I REALLY 6132 04:37:07,073 --> 04:37:09,241 WANT TO EMPHASIZE IS THAT WHEN 6133 04:37:09,241 --> 04:37:11,110 YOU'RE DOING THIS, CONSIDER THIS 6134 04:37:11,110 --> 04:37:12,878 AS EXTENDING IT INTO THE 6135 04:37:12,878 --> 04:37:14,246 DEVELOPMENT OF BIOMARKERS AND 6136 04:37:14,246 --> 04:37:16,115 YOU'LL NEED THOSE BIOMARKERS FOR 6137 04:37:16,115 --> 04:37:18,617 PATIENT SELECTION AND MONITORING 6138 04:37:18,617 --> 04:37:20,686 FOR PROOF OF CONCEPT AND EARLY 6139 04:37:20,686 --> 04:37:23,322 CLINICAL PHASE TRIALS, AND TO 6140 04:37:23,322 --> 04:37:25,524 DEMONSTRATE ONCE AGAIN THAT YOU 6141 04:37:25,524 --> 04:37:26,926 HAVE TARGET ENGAGEMENT AND 6142 04:37:26,926 --> 04:37:28,561 BLOCKADE OR PROMOTION, OR 6143 04:37:28,561 --> 04:37:29,362 WHATEVER THE END POINT HAPPENED 6144 04:37:29,362 --> 04:37:31,364 TO BE BUT THOSE BIOMARKERS AS I 6145 04:37:31,364 --> 04:37:32,898 WILL SHOW YOU IN JUST A SECOND, 6146 04:37:32,898 --> 04:37:34,533 CAN BE VERY USEFUL IN DESIGNING 6147 04:37:34,533 --> 04:37:35,401 THE CLINICAL TRIAL AND FOR 6148 04:37:35,401 --> 04:37:39,338 PROVING THAT YOU HAVE SOMETHING 6149 04:37:39,338 --> 04:37:40,740 USEFUL. 6150 04:37:40,740 --> 04:37:41,841 NEXT SLIDE. 6151 04:37:41,841 --> 04:37:43,142 SO AFTER DISCOVERING THE TARGET 6152 04:37:43,142 --> 04:37:45,845 AND DISCOVERING THE DRUG TO 6153 04:37:45,845 --> 04:37:47,012 BLOCK IT, YOU GET THE 6154 04:37:47,012 --> 04:37:49,348 OPPORTUNITY OF RUNNING THROUGH 6155 04:37:49,348 --> 04:37:50,850 THE MANUFACTURING AND SAFETY 6156 04:37:50,850 --> 04:37:52,852 WHAT I CALL GAUNTLET TO IND 6157 04:37:52,852 --> 04:37:54,854 APPROVAL AND PART OF THAT IND 6158 04:37:54,854 --> 04:37:56,689 PROCESS WE'LL DISCUSS IN JUST A 6159 04:37:56,689 --> 04:37:58,457 SECOND IS DESIGNING AND THEN 6160 04:37:58,457 --> 04:38:02,294 PERFORMING YOUR CLINICAL TRIALS. 6161 04:38:02,294 --> 04:38:02,862 NEXT SLIDE. 6162 04:38:02,862 --> 04:38:06,132 SO HERE I JUST TRIED TO DISTILL 6163 04:38:06,132 --> 04:38:08,234 DOWN AS I CHECK LIST. 6164 04:38:08,234 --> 04:38:10,169 IT WAS DIFFICULT FOR ME TO GET 6165 04:38:10,169 --> 04:38:11,904 THIS LIST IN ORDER OVER THE 6166 04:38:11,904 --> 04:38:13,406 YEARS AND NOW I WOULD LIKE TO 6167 04:38:13,406 --> 04:38:15,408 SHARE IT WITH THE WORLD IN TERMS 6168 04:38:15,408 --> 04:38:16,809 OF DOING THE MANUFACTURING AND 6169 04:38:16,809 --> 04:38:17,443 GETTING THE SAFETY DONE. 6170 04:38:17,443 --> 04:38:19,044 I KNOW SOME OF THIS HAS BEEN 6171 04:38:19,044 --> 04:38:21,680 TALKED ABOUT ALREADY IN TERMS OF 6172 04:38:21,680 --> 04:38:24,383 THE IND PROCESS, BUT IN SIMPLE 6173 04:38:24,383 --> 04:38:26,752 TERMS, CMC FIRST OF ALL, YOU'RE 6174 04:38:26,752 --> 04:38:28,687 GOING TO WAIT ON MANUFACTURE, 6175 04:38:28,687 --> 04:38:32,558 YOU'LL GOING TO WAIT ON GMP AND 6176 04:38:32,558 --> 04:38:38,597 JOHN GMP, SO YOU CAN DO GLP AND 6177 04:38:38,597 --> 04:38:41,567 NONGLP TRIALS, BE CAREFUL HOW 6178 04:38:41,567 --> 04:38:43,903 YOU DO THIS AND CHECK WITH 6179 04:38:43,903 --> 04:38:46,205 EXPERTS BEFORE, BECAUSE IT'S A 6180 04:38:46,205 --> 04:38:47,573 TRICKY BUSINESS COMING FROM 1 6181 04:38:47,573 --> 04:38:48,307 ACADEMIC BACKGROUND AND THEN YOU 6182 04:38:48,307 --> 04:38:50,509 WANT TO GO ON AND DO THE 6183 04:38:50,509 --> 04:38:53,179 TOXICOLOGY, BOTH INVITRO AND IN 6184 04:38:53,179 --> 04:38:54,914 VIVO, THIS HASN'T BEEN SAID 6185 04:38:54,914 --> 04:38:56,749 BEFORE, THE INVITRO IS USEFUL 6186 04:38:56,749 --> 04:38:57,917 RELATIVELY CHEAP AND FOOF THE 6187 04:38:57,917 --> 04:39:01,454 AND INFORMATIVE AND THEN YOU 6188 04:39:01,454 --> 04:39:07,259 MOVE TO TOX IN VIVO USING ANIMAL 6189 04:39:07,259 --> 04:39:11,564 MODEL, USUALLY 2 SPECIES, SO 6190 04:39:11,564 --> 04:39:14,133 MTD-DRF, IN 2 SPECS, RAT AND DOG 6191 04:39:14,133 --> 04:39:20,105 IS THE GO TO, AND THEN YOU MOVE 6192 04:39:20,105 --> 04:39:22,341 TO GLP TO TOCKSITY TO WRAP UP 6193 04:39:22,341 --> 04:39:23,709 WHAT THE FDA WILL WANT. 6194 04:39:23,709 --> 04:39:24,944 I JUST WANT TO EMPHASIZE HERE -- 6195 04:39:24,944 --> 04:39:28,814 OOPS CAN YOU GO BACK. 6196 04:39:28,814 --> 04:39:30,349 GO -- OKAY, WHERE ARE WE GOING. 6197 04:39:30,349 --> 04:39:33,552 SO JUST TO EMPHASIZE HERE, THE 6198 04:39:33,552 --> 04:39:35,754 PK ANALYSIS I BELIEVE IS VERY 6199 04:39:35,754 --> 04:39:36,856 USEFUL UNDER THESE CONDITIONS, 6200 04:39:36,856 --> 04:39:38,491 YOU KNOW TO DETERMINE WHAT KIND 6201 04:39:38,491 --> 04:39:40,326 OF DOZING, WHEN YOU DOSE, HOW 6202 04:39:40,326 --> 04:39:41,760 YOU DOSE, HOW MUCH YOU DOSE, AND 6203 04:39:41,760 --> 04:39:44,864 A LOT OF TIMES PEOPLE JUMP INTO 6204 04:39:44,864 --> 04:39:46,031 TOXICITY WITHOUT HAVING THE FULL 6205 04:39:46,031 --> 04:39:48,767 KNOWLEDGE OF THAT DATA IN A FULL 6206 04:39:48,767 --> 04:39:49,602 RAINCHL OF SPECIES IN OUR CASE 6207 04:39:49,602 --> 04:39:52,571 AND I BELIEVE IN OTHERS THAT 6208 04:39:52,571 --> 04:39:55,174 WILL BE VERY USEFUL TO YOU AS 6209 04:39:55,174 --> 04:39:56,475 YOU MARCH THROUGH DESIGN HOW TO 6210 04:39:56,475 --> 04:39:57,643 SET UP THOSE STUDIES TO MAKE 6211 04:39:57,643 --> 04:39:59,345 SURE YOU DON'T NEED TO RUN THEM 6212 04:39:59,345 --> 04:40:00,980 2 AND 3 TIMES. 6213 04:40:00,980 --> 04:40:02,381 AND THE OTHER THING I WANT TO 6214 04:40:02,381 --> 04:40:03,449 EMPHASIZE ALTHOUGH I THINK THIS 6215 04:40:03,449 --> 04:40:04,517 WAS TALKED ABOUT SIGNIFICANTLY 6216 04:40:04,517 --> 04:40:07,052 IN THE LAST SESSION IS THE RULES 6217 04:40:07,052 --> 04:40:10,856 DIFFER, THIS LIST CHANGES FOR 6218 04:40:10,856 --> 04:40:11,824 INHALED VERSUS SYSTEMIC DELIVERY 6219 04:40:11,824 --> 04:40:15,327 AND WE WON'T HAVE THE SAME TO 6220 04:40:15,327 --> 04:40:17,162 DISCUSS THAT EXTENSIVELY, BUT 6221 04:40:17,162 --> 04:40:18,931 THE INHALED IS A TREMENDOUS 6222 04:40:18,931 --> 04:40:20,199 ADVANTAGE IF YOU CAN TAKE IT BUT 6223 04:40:20,199 --> 04:40:24,169 IT DOES HAVE A DIFFERENT SET OF 6224 04:40:24,169 --> 04:40:26,539 PROBLEMS AND ISSUES COMPARED TO 6225 04:40:26,539 --> 04:40:32,244 SYSTEMIC DELIVERY. 6226 04:40:32,244 --> 04:40:32,978 NEXT SLIDE. 6227 04:40:32,978 --> 04:40:35,281 AND THEN, YOU WANT TO TAKE ALL 6228 04:40:35,281 --> 04:40:38,984 OF THAT INFORMATION ON YOUR 6229 04:40:38,984 --> 04:40:40,986 PHARMACOLOGY MANUFACTURING AND 6230 04:40:40,986 --> 04:40:43,188 INTOXICOLOGY AND RUN THROUGH IN 6231 04:40:43,188 --> 04:40:44,790 TERMS OF THE SPECTRUM WE'RE 6232 04:40:44,790 --> 04:40:46,392 LOOKING AT TODAY WHAT I WOULD 6233 04:40:46,392 --> 04:40:51,430 CONSIDER PHASE 1 A AND B AND 2 A 6234 04:40:51,430 --> 04:40:54,300 CLINICAL TRIALS. 6235 04:40:54,300 --> 04:40:54,867 NEXT SLIDE. 6236 04:40:54,867 --> 04:40:58,170 SO SOME OF THIS YOU ALREADY 6237 04:40:58,170 --> 04:41:02,141 HEARD BUT PHASE 1 A AND B ARE 6238 04:41:02,141 --> 04:41:03,042 ASCENDING, MULTILE ASCENDING 6239 04:41:03,042 --> 04:41:04,677 DOSE TRIALS AND PHASE 2 IS THE 6240 04:41:04,677 --> 04:41:06,178 SAIOF THE AND EFFICACY TRIAL. 6241 04:41:06,178 --> 04:41:07,279 I WANT TO EMPHASIZE COUPLE 6242 04:41:07,279 --> 04:41:09,181 THINGS HERE WHERE I THINK A LOT 6243 04:41:09,181 --> 04:41:11,750 OF PROJECT VS RUN INTO TROUBLE. 6244 04:41:11,750 --> 04:41:14,887 SO FIRST IN THIS PHASE 1 AND 6245 04:41:14,887 --> 04:41:16,722 PHASE B FREQUENTLY DESIGNED FOR 6246 04:41:16,722 --> 04:41:18,757 SAFETY, BUT IT'S AN OPPORTUNITY 6247 04:41:18,757 --> 04:41:20,693 EARLY ON TO INCLUDE A PATIENT 6248 04:41:20,693 --> 04:41:22,695 ARM FOR AN EARLY READ OUT BOTH A 6249 04:41:22,695 --> 04:41:24,396 AND B. 6250 04:41:24,396 --> 04:41:25,564 AND THAT'S TERRIFICALLY VALUABLE 6251 04:41:25,564 --> 04:41:27,866 BECAUSE IT CAN GIVE YOU FIRST OF 6252 04:41:27,866 --> 04:41:29,535 ALL SOME EVIDENCE THAT YOU ARE 6253 04:41:29,535 --> 04:41:31,470 HITTING YOUR TARGET, YOUR 6254 04:41:31,470 --> 04:41:32,871 TARGET'S ENGAGED AND BLOCKED AND 6255 04:41:32,871 --> 04:41:34,840 ALSO IF YOU'RE REALLY LUCKY AND 6256 04:41:34,840 --> 04:41:36,909 YOU'VE DONE YOUR BIOMARKERS 6257 04:41:36,909 --> 04:41:38,210 PROPERLY, IT MIGHT GIVE YOU 6258 04:41:38,210 --> 04:41:40,379 EARLY EVIDENT THAT YOUR APPROACH 6259 04:41:40,379 --> 04:41:41,547 IS WORKING. 6260 04:41:41,547 --> 04:41:43,582 SAME THING IN 2A, BE CAREFUL 6261 04:41:43,582 --> 04:41:45,317 ABOUT TRYING TO INCLUDE SOME 6262 04:41:45,317 --> 04:41:46,952 EVIDENCE OF VALIDATION FOR 6263 04:41:46,952 --> 04:41:51,590 THERAPEUTIC EFFECTIVENESS OR AT 6264 04:41:51,590 --> 04:41:52,391 LEAST BIOMARKER ENGAGEMENT. 6265 04:41:52,391 --> 04:41:55,794 SO THE PS HERE IS BE THOUGHTFUL 6266 04:41:55,794 --> 04:41:57,029 ON PATIENT SELECTION. 6267 04:41:57,029 --> 04:41:58,097 THINK ABOUT VALIDATION BASED ON 6268 04:41:58,097 --> 04:42:01,300 THE SCIENCE YOU HAVE AND NOT ON 6269 04:42:01,300 --> 04:42:02,034 CONVENTIONAL, TRADITIONAL MODELS 6270 04:42:02,034 --> 04:42:03,435 THAT HAVE BEEN TRIED OVER AND 6271 04:42:03,435 --> 04:42:04,737 OVER AND HAVE GENERALLY FAILED 6272 04:42:04,737 --> 04:42:08,507 IN THE SAME DEC. 6273 04:42:08,507 --> 04:42:09,274 -- DISEASE. 6274 04:42:09,274 --> 04:42:10,142 NEXT SLIDE. 6275 04:42:10,142 --> 04:42:12,745 LASTLY, BUT NOT LEASTLY OF 6276 04:42:12,745 --> 04:42:15,447 COURSE, IS PAIN FOR ALL THESE 6277 04:42:15,447 --> 04:42:16,982 THING -- PAYING FOR ALL THESE 6278 04:42:16,982 --> 04:42:18,951 THINGS, SINCE THE PRICE IS 6279 04:42:18,951 --> 04:42:20,486 SIGNIFICANTLY HIGHER THAN THE 6280 04:42:20,486 --> 04:42:21,520 KINDS OF USUAL PATHOGENESIS 6281 04:42:21,520 --> 04:42:23,322 RESEARCH THAT YOU DO OR THAT I 6282 04:42:23,322 --> 04:42:27,926 DO IN ACADEMIA. 6283 04:42:27,926 --> 04:42:28,360 NEXT SLIDE. 6284 04:42:28,360 --> 04:42:29,895 SO FIRST THE WAY I DID IT AND 6285 04:42:29,895 --> 04:42:31,063 THEN I WILL JUST TOUCH ON THE 6286 04:42:31,063 --> 04:42:32,731 WAY A LOT OF OTHER IT IS DO IT, 6287 04:42:32,731 --> 04:42:33,799 I'VE GONE THROUGH THE 6288 04:42:33,799 --> 04:42:37,202 GOVERNMENT, SO I DORPHED THE 6289 04:42:37,202 --> 04:42:40,005 TARGET WITH RO-1, COULD ADD R35 6290 04:42:40,005 --> 04:42:41,273 GRANTS, I'VE DISCOVERED THE 6291 04:42:41,273 --> 04:42:42,074 CANDIDATE AGAIN WITH ANOTHER 6292 04:42:42,074 --> 04:42:45,144 SERIES OF GRANT AND THEN 6293 04:42:45,144 --> 04:42:46,378 TRANSITIONED INTO STTR, 6294 04:42:46,378 --> 04:42:49,014 FOUNDATION AND D.O.D. GRAPTS, I 6295 04:42:49,014 --> 04:42:50,649 RUN THE GAUNTLET WITH THOSE 6296 04:42:50,649 --> 04:42:52,184 GRANTS AT A HIGHER LEVEL AND I 6297 04:42:52,184 --> 04:42:53,752 PLAN ON DO THE CLINICAL TRIALS 6298 04:42:53,752 --> 04:42:55,120 WITH THE CLINICAL TRIALS AWARDS 6299 04:42:55,120 --> 04:42:56,422 FROM THE SAME AGENCIES, SO 6300 04:42:56,422 --> 04:42:59,391 THAT'S HOW I DID IT, THAT WAS MY 6301 04:42:59,391 --> 04:43:01,960 WAY BUT THERE'S AS YOU KNOW 6302 04:43:01,960 --> 04:43:05,330 SIGNIFICANT DELAYS, DOWN SIDES 6303 04:43:05,330 --> 04:43:07,066 AND PROBLEMS WITH THAT SOLE 6304 04:43:07,066 --> 04:43:07,800 GOVERNMENT FUNDING APPROACH 6305 04:43:07,800 --> 04:43:09,001 EMPLOY SO THEN THERE'S THE 6306 04:43:09,001 --> 04:43:09,535 PRIVATE WORLD. 6307 04:43:09,535 --> 04:43:10,536 NEXT SLIDE. 6308 04:43:10,536 --> 04:43:13,138 I WILL JUST HAVE 1 SLIDE ON THIS 6309 04:43:13,138 --> 04:43:18,811 FROM WHAT I'VE GLEANED FROM MY 6310 04:43:18,811 --> 04:43:21,680 DISCUSSIONS WITH VARIOUS VCs 6311 04:43:21,680 --> 04:43:23,282 AND PRIVATE INVESTORS, JUST A 6312 04:43:23,282 --> 04:43:24,917 QUICK LIST YOU COULD USE OR NOT 6313 04:43:24,917 --> 04:43:26,785 USE, TO GUIDE YOU HERE, SO FIRST 6314 04:43:26,785 --> 04:43:29,555 THEY'RE LOOKING FOR HIGH 6315 04:43:29,555 --> 04:43:30,823 QUALITY, DIFFERENT TECHNOLOGY, 6316 04:43:30,823 --> 04:43:32,224 ASSETS, HIGH LINE PLATFORM, 6317 04:43:32,224 --> 04:43:33,659 THAT'S ALL YOU GET OUT OF THE 6318 04:43:33,659 --> 04:43:35,627 FIRST COUPLE SLIDES I SHOWED 6319 04:43:35,627 --> 04:43:35,961 YOU. 6320 04:43:35,961 --> 04:43:37,763 THEY WANT COMPELLING DATA, THEY 6321 04:43:37,763 --> 04:43:38,964 WANT NEAR TERM CATALYSTS SO 6322 04:43:38,964 --> 04:43:40,599 THEY'RE IN THERE TO INCREASE 6323 04:43:40,599 --> 04:43:40,799 VALUE. 6324 04:43:40,799 --> 04:43:44,770 EVERYBODY WANTS TO GET TO HELP 6325 04:43:44,770 --> 04:43:46,505 PATIENTS THEY SAY BUT THEY'RE 6326 04:43:46,505 --> 04:43:47,806 ALSO LOOKING FOR CATALYST TO 6327 04:43:47,806 --> 04:43:49,808 RAISE THE VALUE OF YOUR PROJECT. 6328 04:43:49,808 --> 04:43:51,744 ONCE AGAIN, THE TIPS I GAVE YOU 6329 04:43:51,744 --> 04:43:53,245 WILL PROVIDE THAT INFORMATION. 6330 04:43:53,245 --> 04:43:55,347 STRONG IP, BE SURE YOU WORK OUT 6331 04:43:55,347 --> 04:44:00,185 CAREFULLY A MARKET STRATEGY AND 6332 04:44:00,185 --> 04:44:00,486 OPPORTUNITY. 6333 04:44:00,486 --> 04:44:02,387 DEFINITELY HAVE AN EXPERIENCED 6334 04:44:02,387 --> 04:44:03,088 MANAGEMENT TEAM, HOPEFULLY 6335 04:44:03,088 --> 04:44:04,156 PEOPLE WHO HAVE BEEN THERE AND 6336 04:44:04,156 --> 04:44:05,090 DONE THIS BEFORE EMPLOY THEY 6337 04:44:05,090 --> 04:44:06,525 LOVE TO SEE STAGES OF 6338 04:44:06,525 --> 04:44:11,764 DEVELOPMENT, IF YOU'RE NOT A G 6339 04:44:11,764 --> 04:44:14,266 ANTT LOVER ALREADY, YOU WILL 6340 04:44:14,266 --> 04:44:15,567 NEED TO BECOME 1 AND CONVINCE 6341 04:44:15,567 --> 04:44:16,602 PEOPLE OVER AND OVER THAT YOU'RE 6342 04:44:16,602 --> 04:44:18,137 ON TRACK AND THEY CAN TRACK YOU. 6343 04:44:18,137 --> 04:44:22,207 YOU WANT TO HAVE STRATEGIC 6344 04:44:22,207 --> 04:44:24,710 INTERESTS AND IDENTIFIABLE EXITS 6345 04:44:24,710 --> 04:44:26,378 IN ORDER FOR THEM TO SEE THE 6346 04:44:26,378 --> 04:44:27,880 VALUE AND INVESTMENT AND YOU 6347 04:44:27,880 --> 04:44:30,015 WOULD LIKE TO SHOW SOME SUPPORT 6348 04:44:30,015 --> 04:44:32,351 FROM LEADING INVESTORS. 6349 04:44:32,351 --> 04:44:33,852 THESE GUYS MOVE, NO OFFENSE 6350 04:44:33,852 --> 04:44:35,254 INTENDED HERE FOR ANYONE ON THE 6351 04:44:35,254 --> 04:44:39,057 CALL, THEY MOVE AS A HEARD, IT'S 6352 04:44:39,057 --> 04:44:40,425 A PENGUIN MENTALITY, 1 6353 04:44:40,425 --> 04:44:42,728 INVESTMENT FOLLOWS THE NEXT 6354 04:44:42,728 --> 04:44:44,630 INVESTMENT PERSON, SO IT'S GOOD 6355 04:44:44,630 --> 04:44:46,498 FOR YOU TO INCLUDE AT LEAST AS 6356 04:44:46,498 --> 04:44:49,802 BEST YOU CAN, SOME EVIDENCE OF 6357 04:44:49,802 --> 04:44:51,270 SUPPORT IN INVESTORS WHO SEEM TO 6358 04:44:51,270 --> 04:44:55,240 KNOW SOMETHING. 6359 04:44:55,240 --> 04:44:56,809 NEXT SLIDE. 6360 04:44:56,809 --> 04:44:58,477 ONE MORE. 6361 04:44:58,477 --> 04:44:59,178 THANK YOU. 6362 04:44:59,178 --> 04:45:02,181 SO TO RECAP, THAT WAS A LOT, A 6363 04:45:02,181 --> 04:45:03,715 LOT OF MILEAGE, A LOT OF ISSUES, 6364 04:45:03,715 --> 04:45:05,184 A LOT OF DETAILS. 6365 04:45:05,184 --> 04:45:07,419 SO RETURNING BACK TO THE BIG 6366 04:45:07,419 --> 04:45:09,254 PICTURE TO SOME UP, I'VE TRIED 6367 04:45:09,254 --> 04:45:10,989 TO GIVE YOU 5-POINTS HERE ALONG 6368 04:45:10,989 --> 04:45:14,159 THE JOURNEY THAT ARE KEY TO 6369 04:45:14,159 --> 04:45:16,728 GETTING TO THE GOAL, DORPHING 6370 04:45:16,728 --> 04:45:17,963 NEW CANDIDATE, DISCOVERING NEW 6371 04:45:17,963 --> 04:45:20,699 DRUG FOR THE CANDIDATE, 6372 04:45:20,699 --> 04:45:22,768 TRANSLATING THOSE FINDINGS INTO 6373 04:45:22,768 --> 04:45:24,903 MANUFACTURING AND SAFETY, 6374 04:45:24,903 --> 04:45:26,572 TRANSLATING THAT INFORMATION AND 6375 04:45:26,572 --> 04:45:28,040 ALL OF THAT INFORMATION ACTUALLY 6376 04:45:28,040 --> 04:45:30,209 INTO A PROPERLY DESIGNED PHASE 6377 04:45:30,209 --> 04:45:32,711 1-2 TRIALS AND HAVING SOME CLUES 6378 04:45:32,711 --> 04:45:35,447 AT LEAST INTO HOW TO FUND IT ALL 6379 04:45:35,447 --> 04:45:36,715 IN AN EFFICIENT WAY. 6380 04:45:36,715 --> 04:45:38,684 AND I WILL STOP THERE AND TURN 6381 04:45:38,684 --> 04:45:46,859 IT OVER TO THE NEXT PERSON. 6382 04:45:46,859 --> 04:45:50,696 THANK YOU. 6383 04:45:50,696 --> 04:45:51,496 >> THANKS DR. HOLTZMAN. 6384 04:45:51,496 --> 04:45:55,100 NEXT WE WILL HAVE D 6385 04:45:55,100 --> 04:45:56,935 R. ENRIQUE SHIAO WHO HEADS THE 6386 04:45:56,935 --> 04:45:58,203 SEARCH AND EVALUATION VENTURE 6387 04:45:58,203 --> 04:45:59,838 GROUP AT THE CF FOUNDATION WHICH 6388 04:45:59,838 --> 04:46:02,574 HAS BEEN LOOKING INTO 1 TIME 6389 04:46:02,574 --> 04:46:07,145 CURES AND OTHER THERAPIES FOR 6390 04:46:07,145 --> 04:46:07,646 CYSTIC FIBROSIS. 6391 04:46:07,646 --> 04:46:08,881 >> HI, EVERYONE EEXSEATED TO BE 6392 04:46:08,881 --> 04:46:10,649 AS PART OF THIS PANEL AND IN 6393 04:46:10,649 --> 04:46:12,050 GENERAL AS PART OF THIS 6394 04:46:12,050 --> 04:46:12,584 WORKSHOP. 6395 04:46:12,584 --> 04:46:14,152 THANKS AGAIN TO THE ORGANIZERS 6396 04:46:14,152 --> 04:46:17,656 FOR PUTTING THIS ALTOGETHER AND 6397 04:46:17,656 --> 04:46:20,225 DR. WEST AND DR. ZIADY FOR 6398 04:46:20,225 --> 04:46:22,561 MODERATING THE PANEL. 6399 04:46:22,561 --> 04:46:25,264 YOU'VE ALREADY HEARD ABOUT CF 6400 04:46:25,264 --> 04:46:26,632 TODAY, SO YOU'VE HEARD 6401 04:46:26,632 --> 04:46:28,734 INFORMATION AND KEY ADVANCES 6402 04:46:28,734 --> 04:46:30,469 AROUND MAN MALMODELS AND SOME 6403 04:46:30,469 --> 04:46:32,437 ASPECTS OF WHAT COULD CONSITUTE 6404 04:46:32,437 --> 04:46:33,839 A TARGET PROFILE IN CF AND I 6405 04:46:33,839 --> 04:46:36,575 WANT TO SPEND TIME TO INTRODUCE 6406 04:46:36,575 --> 04:46:37,509 THE CYSTIC PHOBEROSIS FOUNDATION 6407 04:46:37,509 --> 04:46:40,045 AND HOW YOU CAN PARTNER FROM 6408 04:46:40,045 --> 04:46:40,879 EARLY STAGE ACADEMIC WORK ALL 6409 04:46:40,879 --> 04:46:42,881 THE WAY TO THE CLINIC AND THEN 6410 04:46:42,881 --> 04:46:46,919 TO THE APPROVED PRODUCT. 6411 04:46:46,919 --> 04:46:48,020 NEXT SLIDE. 6412 04:46:48,020 --> 04:46:50,155 SO THE CF FOUNDATION HAS BEEN 6413 04:46:50,155 --> 04:46:51,290 AROUND FOR ALMOST 70 YEARS NOW. 6414 04:46:51,290 --> 04:46:52,724 WE WERE FIRST ESTABLISHED IN 6415 04:46:52,724 --> 04:46:55,027 1955 AT A TIME WHEN CF WAS 6416 04:46:55,027 --> 04:46:56,762 ALMOST SOLELY A PEDIATRIC 6417 04:46:56,762 --> 04:46:56,995 DISEASE. 6418 04:46:56,995 --> 04:46:58,797 TODAY BECAUSE OF TREATMENTS 6419 04:46:58,797 --> 04:47:00,465 AVAILABLE AND THE STANDARD OF 6420 04:47:00,465 --> 04:47:02,301 CARE ASSOCIATE WIDE CF, MANY 6421 04:47:02,301 --> 04:47:03,769 PEOPLE ARE LIVING INTO THEIR 6422 04:47:03,769 --> 04:47:05,470 LATE 50S AND BEYOND AND NEARLY 6423 04:47:05,470 --> 04:47:09,074 60% OF THE PEOPLE WITH CF ARE 6424 04:47:09,074 --> 04:47:09,474 NOW ADULTS. 6425 04:47:09,474 --> 04:47:11,410 IN TERMS OF MISSION OF THE CF 6426 04:47:11,410 --> 04:47:13,679 FOUNDATION IT IS TO CURE CF AND 6427 04:47:13,679 --> 04:47:16,415 PROVIDE ALL PEOPLE WITH CF THE 6428 04:47:16,415 --> 04:47:17,816 OPPORTUNITY TO LEAD LONG 6429 04:47:17,816 --> 04:47:18,951 FULFILLING LIVES BY FUNDING 6430 04:47:18,951 --> 04:47:20,752 RESEARCH AND DRUG DEVELOPMENT, 6431 04:47:20,752 --> 04:47:22,454 PARTNERING WITH THE CF COMMUNITY 6432 04:47:22,454 --> 04:47:24,756 AND ADVANCING HIGH QUALITY 6433 04:47:24,756 --> 04:47:26,124 SPECIALIZED CARE. 6434 04:47:26,124 --> 04:47:27,559 NEARLY ALL OF THE 16 APPROVED 6435 04:47:27,559 --> 04:47:30,762 THERAPIES HAVE BEEN APPROVED FOR 6436 04:47:30,762 --> 04:47:31,697 CYSTIC FIBROSIS WERE DEVELOPED 6437 04:47:31,697 --> 04:47:32,664 WITH THE FOUNDATION'S SUPPORT 6438 04:47:32,664 --> 04:47:35,567 AND TODAY THERE ARE MORE THAN 6439 04:47:35,567 --> 04:47:37,536 THE PIPE LENGTH TO ADDRESS THE 6440 04:47:37,536 --> 04:47:43,475 COST AND COMPLICATIONS OF THE 6441 04:47:43,475 --> 04:47:43,709 DISEASE. 6442 04:47:43,709 --> 04:47:44,476 NEXT SLIDE. 6443 04:47:44,476 --> 04:47:47,646 AND THEN, MORE BROADLY, WE ARE 6444 04:47:47,646 --> 04:47:50,849 IN A UNIQUE POSITION TO RISK AND 6445 04:47:50,849 --> 04:47:54,686 DECELERATE PROGRAMS THANKS TO 6446 04:47:54,686 --> 04:47:55,520 OUR WORK THROUGH PHILANTHROPY 6447 04:47:55,520 --> 04:47:56,822 AND OUR WORK AT THE COMMUNITY. 6448 04:47:56,822 --> 04:47:59,791 WE PLAN TO INVEST $3.5 MILLION 6449 04:47:59,791 --> 04:48:05,163 IN RND OVER THE NEXT FEW YEARS, 6450 04:48:05,163 --> 04:48:09,568 WE ARE NETWORK OF 100 + CENTERS 6451 04:48:09,568 --> 04:48:11,937 AND 47 MUSCULAR DYSTROPHY FTEs 6452 04:48:11,937 --> 04:48:14,439 AND BEST IN CLASS ASSAYS AND THE 6453 04:48:14,439 --> 04:48:15,907 LARGEST DATA BANK OF PATIENT 6454 04:48:15,907 --> 04:48:17,609 DERIVED CELLS AS WELL. 6455 04:48:17,609 --> 04:48:20,412 AND THEN WE'VE ALSO INVESTED IN 6456 04:48:20,412 --> 04:48:21,947 CF ANIMAL MODELS SOME OF WHICH 6457 04:48:21,947 --> 04:48:24,950 YOU HEARD TODAY, RODENTS, 6458 04:48:24,950 --> 04:48:27,953 FERRETS, PIG, SHEEP, AND ALSO 6459 04:48:27,953 --> 04:48:33,125 HAVE OUR BEST IN CLASS PATIENT 6460 04:48:33,125 --> 04:48:33,859 REGISTRY CAPTURING 90% OF THE 6461 04:48:33,859 --> 04:48:38,530 PATIENTS IN THE U.S., 90 + SITES 6462 04:48:38,530 --> 04:48:40,365 IN CF FOCUSED CLINICAL TRIALS 6463 04:48:40,365 --> 04:48:41,233 AND NETWORK, IN-HOUSE SCIENTIFIC 6464 04:48:41,233 --> 04:48:44,636 TEAM AND GLOBAL NETWORK OF 6465 04:48:44,636 --> 04:48:45,637 KOLs AND CLINICAL RESEARCH 6466 04:48:45,637 --> 04:48:47,105 DESIGN AND SUPPORT TEAM. 6467 04:48:47,105 --> 04:48:47,606 NEXT SLIDE. 6468 04:48:47,606 --> 04:48:49,374 IN TERMS OF HOW WE PARTNER WITH 6469 04:48:49,374 --> 04:48:51,109 TREY, WE HAVE,A PROACHS TO 6470 04:48:51,109 --> 04:48:52,511 INVEST IN CF PROGRAMS. 6471 04:48:52,511 --> 04:48:54,946 IT CAN BE AT PRODUCT BASES WITH 6472 04:48:54,946 --> 04:48:56,548 PRODUCT SPECIFIC ROALT GRAIMENTS 6473 04:48:56,548 --> 04:48:57,849 FOR LATE STAGE CLINICAL OR 6474 04:48:57,849 --> 04:49:00,819 COMMERCIAL PRODUCTS WE CAN ALSO 6475 04:49:00,819 --> 04:49:03,822 DO PREFERRED EQUITY SEED THROUGH 6476 04:49:03,822 --> 04:49:05,190 PRE-IPO, WHICH IS THE MOST 6477 04:49:05,190 --> 04:49:06,792 COMMON EARLY STAGE COMPANIES, WE 6478 04:49:06,792 --> 04:49:09,928 CAN ALSO DO COMMON EQUITY IN 6479 04:49:09,928 --> 04:49:10,662 PUBLIC COMPANIES, CONVERTIBLE 6480 04:49:10,662 --> 04:49:12,464 NOTES AND SAVES FOR BRIDGE 6481 04:49:12,464 --> 04:49:14,866 FUNDING AND HYBRID INVESTMENT 6482 04:49:14,866 --> 04:49:15,834 COMBINING APPROACH ANDS THEN 6483 04:49:15,834 --> 04:49:18,437 WE'RE ALSO LOOKING FOR 6484 04:49:18,437 --> 04:49:18,770 PARTNERSHIPS. 6485 04:49:18,770 --> 04:49:21,840 WE WORK OR WE CAN DO LIMITED 6486 04:49:21,840 --> 04:49:23,809 PARTNERSHIP INVESTMENTS, ALONG 6487 04:49:23,809 --> 04:49:25,410 THE INCUBATORS, NEW COMPANY 6488 04:49:25,410 --> 04:49:26,278 INFORMATION FOR SPECIFIC 6489 04:49:26,278 --> 04:49:29,247 APPLICATIONS AND THEN WORK IN 6490 04:49:29,247 --> 04:49:30,315 ACCELERATORS OR INCUBATORS TO 6491 04:49:30,315 --> 04:49:32,384 BRING NEW TECHNOLOGIES TO THE 6492 04:49:32,384 --> 04:49:33,452 CYSTIC FIBROSIS AND THE EXAMPLE 6493 04:49:33,452 --> 04:49:36,288 HERE IS TO THE GOLDEN TICKET WE 6494 04:49:36,288 --> 04:49:39,658 SPONSOR AT THE LABS AT BERKELEY. 6495 04:49:39,658 --> 04:49:40,425 NEXT SLIDE, PLEASE. 6496 04:49:40,425 --> 04:49:42,694 IN TERMS OF THE AREAS OF FOCUS, 6497 04:49:42,694 --> 04:49:45,030 ESPECIALENTIALLY IN THE GENETIC 6498 04:49:45,030 --> 04:49:46,364 THERAPIES, THE CYSTIC FIBROSIS 6499 04:49:46,364 --> 04:49:48,066 FOUNDATION IS REALLY LOOKING TO 6500 04:49:48,066 --> 04:49:50,769 ADDED TO THE NEED FOR THERAPIES 6501 04:49:50,769 --> 04:49:53,905 THAT MAY NEED HELP WITH 6502 04:49:53,905 --> 04:49:54,506 CYSTIC FIBROSIS, ESPECIALLY 6503 04:49:54,506 --> 04:49:56,241 THOSE THAT CANNOT TOLERATE 6504 04:49:56,241 --> 04:49:57,542 EXISTING TREEPS FOR EXAMPLE 6505 04:49:57,542 --> 04:49:59,211 MODULATORS AND WE ALSO BELIEVE 6506 04:49:59,211 --> 04:50:00,612 THAT GENETIC BASED THERAPIES ARE 6507 04:50:00,612 --> 04:50:01,780 KEY IN DEVELOPING A CURE FOR THE 6508 04:50:01,780 --> 04:50:03,882 DEC EMPLOY SO WHEN IT COMES TO 6509 04:50:03,882 --> 04:50:05,717 GENETIC MEDICINE THERE ARE 3 KEY 6510 04:50:05,717 --> 04:50:06,918 BUCKET WE'RE LOOKING FOR, THE 6511 04:50:06,918 --> 04:50:08,820 FIRST 1 IS PROTEIN RESTORATION. 6512 04:50:08,820 --> 04:50:11,223 WE'RE LOOKING FOR IMPROVEMENTS 6513 04:50:11,223 --> 04:50:12,190 OVER EXISTING RNA TECHNOLOGIES 6514 04:50:12,190 --> 04:50:13,458 THAT ARE CURRENTLY IN THE 6515 04:50:13,458 --> 04:50:14,292 CLINIC. 6516 04:50:14,292 --> 04:50:15,460 SO WE'RE LOOKING FOR EXAMPLE, 6517 04:50:15,460 --> 04:50:16,428 FOR OPPORTUNITIES THAT ALLOW US 6518 04:50:16,428 --> 04:50:18,964 TO READ THOSE APPROACHES 6519 04:50:18,964 --> 04:50:20,565 TARGETING THE LUNG, SYSTEMIC 6520 04:50:20,565 --> 04:50:22,067 APPROACHES THAT TARGET THE 6521 04:50:22,067 --> 04:50:24,836 LIVER, IMPROVE DURATION OR TIME 6522 04:50:24,836 --> 04:50:27,939 TO REDOSE, IN TERMS OF GENE 6523 04:50:27,939 --> 04:50:28,974 DELIVERY, WE RECOGNIZE THAT THE 6524 04:50:28,974 --> 04:50:32,511 LUNG IS HARD TO ACCESS AS YOU 6525 04:50:32,511 --> 04:50:33,612 HEARD TODAY, SO WE'RE LOOKING 6526 04:50:33,612 --> 04:50:36,348 FOR TECHNOLOGIES THAT CAN DO 1 6527 04:50:36,348 --> 04:50:38,950 OR MORE OF THE FOLLOWING TARGETS 6528 04:50:38,950 --> 04:50:40,519 ORIGINS, AS I MENTIONED LUNG IS 6529 04:50:40,519 --> 04:50:42,154 WHERE THE HIGHEST UNMET NEED IS 6530 04:50:42,154 --> 04:50:44,089 BUT WE'RE ALSO LOOKING AT 6531 04:50:44,089 --> 04:50:47,092 PANCREAS AND THE GI TRACT AND 6532 04:50:47,092 --> 04:50:48,727 THEN WITHIN THOSE ORGANS WE ARE 6533 04:50:48,727 --> 04:50:49,594 LOOKING AT SPECIFIC CELL TYPES 6534 04:50:49,594 --> 04:50:50,862 AND THEN WE'RE LOOKING FOR 6535 04:50:50,862 --> 04:50:52,264 TECHNOLOGIES THAT ALLOW US TO 6536 04:50:52,264 --> 04:50:54,499 READ THOSE OR DELIVER CARGO 6537 04:50:54,499 --> 04:50:55,734 SYSTEMICALLY AS WELL. 6538 04:50:55,734 --> 04:50:57,502 AND FINALLY FOR GENE EDITING WE 6539 04:50:57,502 --> 04:50:59,771 ARE LOOKING FOR APPROACHES TO 6540 04:50:59,771 --> 04:51:03,642 ALLOW US TO INSERT GENES INTO 6541 04:51:03,642 --> 04:51:05,911 RESTORE GENE FUNCTION AND THEN 6542 04:51:05,911 --> 04:51:07,913 MAKE EDITS WITH LITTLE 6543 04:51:07,913 --> 04:51:10,582 OFF-TARGETSMENT NEXT SLIDE, 6544 04:51:10,582 --> 04:51:10,849 PLEASE. 6545 04:51:10,849 --> 04:51:13,218 AND THEN THIS TERMS OF OFTEN 6546 04:51:13,218 --> 04:51:14,319 TIMES WITH THE DISEASE, THIS 6547 04:51:14,319 --> 04:51:16,054 MIGHT NOT BE THE KEY FOCUS OF 6548 04:51:16,054 --> 04:51:17,989 THE MEETING TODAY BUT I DID WANT 6549 04:51:17,989 --> 04:51:19,858 TO JUST TOUCH ON THIS AREA SINCE 6550 04:51:19,858 --> 04:51:23,061 IT IS AN AREA WHERE WE CONTINUE 6551 04:51:23,061 --> 04:51:27,432 TO MAKE INVESTMENTS, 6552 04:51:27,432 --> 04:51:28,800 SPECIFICALLY FOR SUITABLE 6553 04:51:28,800 --> 04:51:30,969 DIAGNOSING OF PATIENTS, WE ARE 6554 04:51:30,969 --> 04:51:36,274 LOOKING FOR IMPROVEMENTS FOR THE 6555 04:51:36,274 --> 04:51:42,247 TREATMENT OF CHRONIC 6556 04:51:42,247 --> 04:51:44,549 PSEUDONOAMON AS, AND ALSO 6557 04:51:44,549 --> 04:51:50,088 PULMONARY INFECS ASSOCIATE WIDE 6558 04:51:50,088 --> 04:51:51,656 BURKHOLDERRIA SPECS AND ALSO 6559 04:51:51,656 --> 04:51:53,124 METHODS FOR PULMONARY METHODS 6560 04:51:53,124 --> 04:51:57,996 THAT DON'T RELY ON SPUTUM WITH 6561 04:51:57,996 --> 04:52:00,265 PSEUDOMONAS SCREENINGS AND THEN 6562 04:52:00,265 --> 04:52:00,932 FOR OTHER DIAGNOSE. 6563 04:52:00,932 --> 04:52:03,034 WE'RE ALSO LOOKING FOR MAJOR 6564 04:52:03,034 --> 04:52:05,203 IMPROVE AMS IN TREATMENTS FOR 6565 04:52:05,203 --> 04:52:06,471 OTHER COMMON PATHOGENS AFFECTING 6566 04:52:06,471 --> 04:52:07,639 PEOPLE WITH CYSTIC FIBROSIS. 6567 04:52:07,639 --> 04:52:10,542 NEXT SLIDE, PLEASE. 6568 04:52:10,542 --> 04:52:12,711 AND THEN HERE, I JUST ALSO 6569 04:52:12,711 --> 04:52:13,878 WANTED TO TOUCH REALLY BRIEFLY 6570 04:52:13,878 --> 04:52:16,948 ON MANY OF THE CHALLENGES THAT 6571 04:52:16,948 --> 04:52:18,683 WE HEARD MENTIONED TODAY AROUND 6572 04:52:18,683 --> 04:52:23,255 FUND XG AROUND MOVING A COMPANY 6573 04:52:23,255 --> 04:52:25,156 FORWARD, REALLY AMPLIFIED IN THE 6574 04:52:25,156 --> 04:52:26,758 CASE AND THE ANTIMICROBIAL 6575 04:52:26,758 --> 04:52:27,726 PROJECTS WHICH HAS AS I 6576 04:52:27,726 --> 04:52:29,027 MENTIONED MAYBE NOT BEEN THE 6577 04:52:29,027 --> 04:52:30,762 FOCUS TODAY BUT I WANT TO PLUG 6578 04:52:30,762 --> 04:52:32,764 THIS CONTINUES TO BE AN 6579 04:52:32,764 --> 04:52:34,332 IMPORTANT AREA FOR US AND HERE 6580 04:52:34,332 --> 04:52:35,634 WE PARTNERED CLOSELY WITH THE 6581 04:52:35,634 --> 04:52:37,502 NIH AND OTHER PROGRAMS FOR 6582 04:52:37,502 --> 04:52:38,336 EXAMPLE, THAT STEPHANIE DAVIS 6583 04:52:38,336 --> 04:52:40,538 MENTIONED AND OTHER PUBLIC 6584 04:52:40,538 --> 04:52:42,607 ENTITIES TO MOVE THERAPIES IN 6585 04:52:42,607 --> 04:52:43,508 THIS SPACE FURTHER. 6586 04:52:43,508 --> 04:52:51,683 NEXT SLIDE, PLEASE. 6587 04:52:51,683 --> 04:52:52,984 AND THEN BEYOND THIS DIRECT WAYS 6588 04:52:52,984 --> 04:52:54,853 IN WHICH WE ENGAGE COMPANIES WE 6589 04:52:54,853 --> 04:52:56,021 ALSO PROVIDE CLEAR GUIDANCE WHEN 6590 04:52:56,021 --> 04:52:58,523 IT COMES TO THE PRECLINICAL OR 6591 04:52:58,523 --> 04:52:59,557 EARLY STAGE DEVELOPMENT AND I 6592 04:52:59,557 --> 04:53:06,131 WANTED TO SHOW EXAMPLES FROM MY 6593 04:53:06,131 --> 04:53:07,165 COLLEAGUES, [INDISCERNIBLE] FROM 6594 04:53:07,165 --> 04:53:09,100 THE FOUNDATION, AS WELL AS JOHN 6595 04:53:09,100 --> 04:53:12,404 WHO IS HERE TODAY AS WELL. 6596 04:53:12,404 --> 04:53:13,872 NEXT SLIDE, PLEASE. 6597 04:53:13,872 --> 04:53:15,440 THIS IS AN SAMPLE DOCUMENT THAT 6598 04:53:15,440 --> 04:53:16,675 WE PROVIDE COMPANIES IN THE 6599 04:53:16,675 --> 04:53:17,742 MEDICINE SPACE. 6600 04:53:17,742 --> 04:53:18,576 IT DETAILS DIFFERENT ASSPEBTS 6601 04:53:18,576 --> 04:53:20,278 THAT ARE IMPORTANT WHEN YOU'RE 6602 04:53:20,278 --> 04:53:23,448 THINKING ABOUT FOR EXAMPLE, 6603 04:53:23,448 --> 04:53:26,685 HERE, A PRECLINICAL PACKAGE OR A 6604 04:53:26,685 --> 04:53:27,385 TRANSIENT THERAPY FOR REPEAT 6605 04:53:27,385 --> 04:53:28,486 DOSING WHAT ARE THE 6606 04:53:28,486 --> 04:53:29,921 CHARACTERISTICS YOU HAVE TO 6607 04:53:29,921 --> 04:53:33,291 THINK ABOUT AND WHAT ARE SOME OF 6608 04:53:33,291 --> 04:53:35,627 THE KEY AREAS WHERE SPECIFIC 6609 04:53:35,627 --> 04:53:37,362 ASSAYS THAT WERE DEVELOPED OR 6610 04:53:37,362 --> 04:53:39,264 THAT ARE DEVELOPED COULD HELP 6611 04:53:39,264 --> 04:53:40,465 YOU ANSWER SOME OF THE OPEN 6612 04:53:40,465 --> 04:53:40,832 QUESTIONS HERE. 6613 04:53:40,832 --> 04:53:46,171 NEXT SLIDE, PLEASE. 6614 04:53:46,171 --> 04:53:48,039 AS I MENTIONED AS WELL, WE ALSO 6615 04:53:48,039 --> 04:53:49,207 PROVIDE GUIDANCE IN TERMS OF 6616 04:53:49,207 --> 04:53:51,876 WHAT ARE THE KEY IN VIVO MODELS 6617 04:53:51,876 --> 04:53:53,945 THAT -- AS WELL AS CELL MODELS 6618 04:53:53,945 --> 04:53:55,413 IT CAN USE TO VALIDATE 6619 04:53:55,413 --> 04:53:56,414 TECHNOLOGIES, SOME OF WHICH WE 6620 04:53:56,414 --> 04:54:00,452 HAVE IN OUR LABS IN BOSTON, AND 6621 04:54:00,452 --> 04:54:03,455 THEN SOME OF THE MODELS THAT WE 6622 04:54:03,455 --> 04:54:05,657 HAVE THROUGH OUR PARTNERS, AND 6623 04:54:05,657 --> 04:54:07,292 THEN WE'RE HAPPY ALWAYS TO WALK 6624 04:54:07,292 --> 04:54:08,560 COMPANIES THROUGH WHAT ARE THE 6625 04:54:08,560 --> 04:54:10,095 DIFFERENT MODELS OUT THERE, 6626 04:54:10,095 --> 04:54:11,363 WHICH 1 IS MOST APPROPRIATE FOR 6627 04:54:11,363 --> 04:54:12,430 TECHNOLOGY THAT YOU'RE 6628 04:54:12,430 --> 04:54:13,598 DEVELOPING, AND WHICH 1S ARE 6629 04:54:13,598 --> 04:54:15,367 CRUCIAL WHEN YOU'RE THINKING 6630 04:54:15,367 --> 04:54:17,736 ABOUT PREPARING YOUR IND 6631 04:54:17,736 --> 04:54:20,572 PACKAGE. 6632 04:54:20,572 --> 04:54:21,239 NEXT SLIDE, PLEASE. 6633 04:54:21,239 --> 04:54:23,208 AND THEN THE NEXT 3 SLIDES 6634 04:54:23,208 --> 04:54:26,044 REALLY JUST FOCUS ON SOME OF THE 6635 04:54:26,044 --> 04:54:27,846 KEY ASSAYS THAT WE'VE DEVELOPED, 6636 04:54:27,846 --> 04:54:31,282 BUT THEN, WE ALSO THINK OUR CREW 6637 04:54:31,282 --> 04:54:32,484 [INDISCERNIBLE] WHEN YOU'RE 6638 04:54:32,484 --> 04:54:34,285 PREPARING THAT PACKAGE FOR THE 6639 04:54:34,285 --> 04:54:37,188 FDA AND ALSO FOR THE NETWORK TO 6640 04:54:37,188 --> 04:54:38,690 ASSESS THE VALIDITY OF YOUR 6641 04:54:38,690 --> 04:54:38,990 TECHNOLOGY. 6642 04:54:38,990 --> 04:54:40,125 SO I WON'T WALK YOU THROUGH ALL 6643 04:54:40,125 --> 04:54:41,292 OF THIS BUT THIS IS JUST AN 6644 04:54:41,292 --> 04:54:43,294 EXAMPLE OF THE DOCUMS THAT WE'RE 6645 04:54:43,294 --> 04:54:44,729 HAPPY TO PROVIDE OUR PARTNERS, 6646 04:54:44,729 --> 04:54:47,832 IF YOU'RE THINKING ABOUT THE 6647 04:54:47,832 --> 04:54:48,900 PPP AND CYSTIC FIBROSIS. 6648 04:54:48,900 --> 04:54:54,239 WE CAN SKIP TO THE NEXT SLIDE 6649 04:54:54,239 --> 04:54:59,177 AND THE NEXT. 6650 04:54:59,177 --> 04:54:59,878 NEXT SLIDE. 6651 04:54:59,878 --> 04:55:02,847 AND NEXT SLIDE, PLEASE. 6652 04:55:02,847 --> 04:55:05,116 AND THEN, FINALLY BECAUSE THE 6653 04:55:05,116 --> 04:55:07,051 TITLE OF THIS WORKSHOP IS FROM 6654 04:55:07,051 --> 04:55:08,686 CONCEPT TO CLINIC, I DID WANT TO 6655 04:55:08,686 --> 04:55:10,388 TOUCH ON ACADEMIC FUNDING 6656 04:55:10,388 --> 04:55:12,357 OPPORTUNITIES, WE HAVE A 6657 04:55:12,357 --> 04:55:15,960 PROLIFIC PORTFOLIO AND 6658 04:55:15,960 --> 04:55:17,095 MECHANISMS THAT CAN EXPLORE 6659 04:55:17,095 --> 04:55:18,663 PROGRAMS THAT CAN LEAD TO 6660 04:55:18,663 --> 04:55:19,063 COMPANY IDEAS. 6661 04:55:19,063 --> 04:55:21,366 IF YOU GO TO THE NEXT SLIDE. 6662 04:55:21,366 --> 04:55:23,101 SO OUR STANDARD FUNDED 6663 04:55:23,101 --> 04:55:26,604 MECHANISMS ARE RESEARCH GRANT, 3 6664 04:55:26,604 --> 04:55:29,073 YEARS, 150 K DIRECT PER YEE, 6665 04:55:29,073 --> 04:55:31,176 PLUS INDIRECT, PRELIMINARY DATA 6666 04:55:31,176 --> 04:55:31,676 REQUIRED. 6667 04:55:31,676 --> 04:55:31,976 NEXT SLIDE. 6668 04:55:31,976 --> 04:55:36,080 WE ALSO HAVE PILOT SIMULATED 6669 04:55:36,080 --> 04:55:43,021 GRANTS, 2 YEARS, 50 K PER YEAR, 6670 04:55:43,021 --> 04:55:44,422 PLUS [INDISCERNIBLE] PERCENT 6671 04:55:44,422 --> 04:55:44,656 DIRECT. 6672 04:55:44,656 --> 04:55:46,591 THAT'S NOT REQUIRED FOR THAT. 6673 04:55:46,591 --> 04:55:48,827 AND ALSO OFFER POST DOCTORAL 6674 04:55:48,827 --> 04:55:51,763 FELLOWSHIPS, 2 YEAR DURATION, 76 6675 04:55:51,763 --> 04:55:55,800 K IN YEAR 1 AND 76 IN YEAR 2. 6676 04:55:55,800 --> 04:55:58,670 NEXT YEAR AND THEN FINALLY WE 6677 04:55:58,670 --> 04:56:00,338 HAVE POST DOC FACULTY TRANSITION 6678 04:56:00,338 --> 04:56:03,174 AWARDS SIMILAR TO K99S, FUNDING 6679 04:56:03,174 --> 04:56:05,543 POST THE BOACT DOC PHASE AND THE 6680 04:56:05,543 --> 04:56:06,644 FACULTY PHASE. 6681 04:56:06,644 --> 04:56:08,279 APPLICATIONS ARE ACCEPTED IN 6682 04:56:08,279 --> 04:56:10,448 DECEMBER ONLY BUT IN GENERAL OUR 6683 04:56:10,448 --> 04:56:13,518 APPLICATION CYCLES ARE IN MAY 6684 04:56:13,518 --> 04:56:17,188 AND DECEMBER. 6685 04:56:17,188 --> 04:56:17,889 NEXT SLIDE. 6686 04:56:17,889 --> 04:56:20,158 AND THEN FINALLY WHEN IT COMES 6687 04:56:20,158 --> 04:56:23,161 TO PATH CHECK HERE WE HAVE 6688 04:56:23,161 --> 04:56:24,829 SPECIAL FUNDING MECHANISMS, FOR 6689 04:56:24,829 --> 04:56:26,698 EXAMPLE, OUR GOAL SUPPORT 6690 04:56:26,698 --> 04:56:27,398 INTEGRATED MULTIINVESTIGATOR 6691 04:56:27,398 --> 04:56:29,133 RESEARCH PROBABLES WITH THE 6692 04:56:29,133 --> 04:56:29,901 WELL-DEFINED CENTER OF FOCUS, 6693 04:56:29,901 --> 04:56:32,637 THIS IS UP TO 3 YEARS WITH 6694 04:56:32,637 --> 04:56:36,007 1 MILLION DIRECT PLUS 12% 6695 04:56:36,007 --> 04:56:37,842 INDIRECT FUNDING, RECEIPT DATE 6696 04:56:37,842 --> 04:56:40,078 IS JULY 29th. 6697 04:56:40,078 --> 04:56:40,278 NEXT. 6698 04:56:40,278 --> 04:56:42,213 AND THEN WE ALSO HAVE THE PIE O 6699 04:56:42,213 --> 04:56:44,182 NEAR AWARDS WITH THE GOAL TO 6700 04:56:44,182 --> 04:56:44,716 SUPPORT PARADIGM SHIFT IN 6701 04:56:44,716 --> 04:56:46,618 TECHNOLOGIES THAT HAVE THE 6702 04:56:46,618 --> 04:56:48,353 POTENTIAL TO CURE CF AT THE 6703 04:56:48,353 --> 04:56:50,755 CELLULAR OR THE GENETIC LEVEL 6704 04:56:50,755 --> 04:56:53,658 AFTER 3 YEARS AND FUNDING AS 6705 04:56:53,658 --> 04:56:55,960 AGREED UPON PLUS, 12% INDIRECT 6706 04:56:55,960 --> 04:56:56,995 ROLLING BASIS RECEIVE DATE AND 6707 04:56:56,995 --> 04:56:58,863 THIS 1 IS SIMILAR TO SOME OF THE 6708 04:56:58,863 --> 04:57:01,165 DISCUSSION WE HEARD IN THE PAST 6709 04:57:01,165 --> 04:57:02,133 PANEL AROUND RO-1S AND HOW 6710 04:57:02,133 --> 04:57:03,501 THEY'RE BEING USED TO THINK 6711 04:57:03,501 --> 04:57:07,939 ABOUT SOME OF THIS NEW 6712 04:57:07,939 --> 04:57:10,375 THERAPIES. 6713 04:57:10,375 --> 04:57:11,609 NEXT SLIDE. 6714 04:57:11,609 --> 04:57:14,178 SO YEAH, IN GENERAL, THE CFF IS 6715 04:57:14,178 --> 04:57:16,447 HERE REALLY TO PROVIDE 6716 04:57:16,447 --> 04:57:20,552 RESOURCES, THANK YOU SO MUCH 6717 04:57:20,552 --> 04:57:22,053 DR. HOLTZMAN, FOR MAKING THAT 6718 04:57:22,053 --> 04:57:24,222 PATH TOWARDS A THERAPEUTIC AND 6719 04:57:24,222 --> 04:57:25,523 WE'RE REALLY HOPING HERE TO BE 6720 04:57:25,523 --> 04:57:29,260 ABLE TO PROVIDE THE RESOURCES 6721 04:57:29,260 --> 04:57:30,795 THAT OUTLINED AS PEOPLE ARE 6722 04:57:30,795 --> 04:57:32,597 THINKING ABOUT CYSTIC FIBROSIS 6723 04:57:32,597 --> 04:57:34,365 AS AN INDICATION AND THEN IF YOU 6724 04:57:34,365 --> 04:57:35,700 ARE LOOKING FOR ADDITIONAL 6725 04:57:35,700 --> 04:57:37,268 INFORMATION, FEEL FREE TO 6726 04:57:37,268 --> 04:57:39,137 CONTACT ME OR VISIT THESE 2 6727 04:57:39,137 --> 04:57:39,337 SITES. 6728 04:57:39,337 --> 04:57:45,610 THANK YOU VERY MUCH. 6729 04:57:45,610 --> 04:57:53,585 >> THANKS DR. SHIAO. 6730 04:57:53,585 --> 04:57:57,021 >> SO OUR NEXT SPEAKER WILL BE 6731 04:57:57,021 --> 04:57:59,190 LUCY LIU, FROM THE LONG WOOD 6732 04:57:59,190 --> 04:58:01,125 FUND IN BOSTON AND SHE WILL 6733 04:58:01,125 --> 04:58:02,393 SHARE THEIR PRESENCE WITH 6734 04:58:02,393 --> 04:58:05,263 VENTURE CAPITAL THERE AND THE 6735 04:58:05,263 --> 04:58:06,564 STEPS THAT PEOPLE GO THROUGH TO 6736 04:58:06,564 --> 04:58:11,202 INTERACT WITH THEM AND THE 6737 04:58:11,202 --> 04:58:13,137 INVESTMENTS THEY MAKE WITH NEW 6738 04:58:13,137 --> 04:58:13,538 PATIENTS. 6739 04:58:13,538 --> 04:58:15,239 >> THANK YOU SO MUCH FOR THE 6740 04:58:15,239 --> 04:58:16,941 MODERATORS AND ALSO FOR THE 6741 04:58:16,941 --> 04:58:19,243 OPPORTUNITY TO SPEAK WITH 6742 04:58:19,243 --> 04:58:19,944 EVERYONE HERE TODAY. 6743 04:58:19,944 --> 04:58:22,313 WOULD LOVE TO PROVIDE AN 6744 04:58:22,313 --> 04:58:24,382 OVERVIEW OF HOW EARLY STAGE 6745 04:58:24,382 --> 04:58:27,885 VENTURE PERSPECTIVE, WE LOOK AT 6746 04:58:27,885 --> 04:58:33,257 BOTH ASSETS TO START A COMPANY 6747 04:58:33,257 --> 04:58:35,793 AND IF A COMPANY EXISTS AROUND 6748 04:58:35,793 --> 04:58:36,728 YOUR PARTICULAR TECHNOLOGY, THE 6749 04:58:36,728 --> 04:58:39,130 LINES WE HAVE AT EARLY STAGE 6750 04:58:39,130 --> 04:58:40,865 INVESTORS AND THINKING ABOUT 6751 04:58:40,865 --> 04:58:41,699 INVESTING OPPORTUNITIES THAT 6752 04:58:41,699 --> 04:58:44,135 WILL EVENTUALLY BECOME A DRUG, 6753 04:58:44,135 --> 04:58:47,138 SO I HAVE A FEW SLIDES HERE TO 6754 04:58:47,138 --> 04:58:48,606 HELP CONTEXTUALIZE MY 6755 04:58:48,606 --> 04:58:49,440 BACKGROUND, LONG BACKGROUND AND 6756 04:58:49,440 --> 04:58:52,110 HOW WE VOW THE WORD AS VENTURE 6757 04:58:52,110 --> 04:58:53,444 INVESTORS SO OFTEN TIME FIST YOU 6758 04:58:53,444 --> 04:58:56,414 INTERACTED WITH ANY OF US, THE 6759 04:58:56,414 --> 04:58:58,449 INTERACTIONS ARE LIKELY A LITTLE 6760 04:58:58,449 --> 04:58:58,883 BIT [INDISCERNIBLE]. 6761 04:58:58,883 --> 04:59:04,489 SO ON THE NEXT SLIDE, PLEASE, 6762 04:59:04,489 --> 04:59:05,623 WANTED TO HIGHLIGHT HOW WE VIEW 6763 04:59:05,623 --> 04:59:08,393 THE WORLD WHICH IS THAT WE PRIDE 6764 04:59:08,393 --> 04:59:09,794 OURSELVES ON BUILDING BIOTECHS 6765 04:59:09,794 --> 04:59:12,697 THAT CREATE DRUGS THAT HAVE A 6766 04:59:12,697 --> 04:59:14,666 LASTING IMPACT AND COVER HIGH 6767 04:59:14,666 --> 04:59:14,966 UNMET NEEDS. 6768 04:59:14,966 --> 04:59:17,301 WHAT I AM SHOWING ARE A FEW 6769 04:59:17,301 --> 04:59:18,603 EXAMPLES OF COMPANIES THAT ALONG 6770 04:59:18,603 --> 04:59:20,038 WITH PARTNER VS STARTED. 6771 04:59:20,038 --> 04:59:26,944 ALL OF THESE STARTED WITH AN 6772 04:59:26,944 --> 04:59:28,513 [INDISCERNIBLE] LAB AND WITH 10 6773 04:59:28,513 --> 04:59:30,415 + YEARS OR MORE THAN THAT AND 6774 04:59:30,415 --> 04:59:33,284 MILLIONS IF NOT BILLIONS IN 6775 04:59:33,284 --> 04:59:35,553 INVESTMENTS, THESE IDEA ANDS 6776 04:59:35,553 --> 04:59:38,056 CONCEPTS HAVE TURNED INTO OVER 6777 04:59:38,056 --> 04:59:40,258 20 DEFINITE MARKETED PRODUCTS, 6778 04:59:40,258 --> 04:59:41,926 AND ADDITIONAL THERAPIES AND 6779 04:59:41,926 --> 04:59:42,593 LATE STAGE DEVELOPMENT. 6780 04:59:42,593 --> 04:59:43,761 OT BOTTOM HERE HIGHLIGHTING A 6781 04:59:43,761 --> 04:59:47,432 FEW OF THE DRUGS THAT ALONG LONG 6782 04:59:47,432 --> 04:59:49,000 WOOD COMPANIES HAVE DEVELOPED 6783 04:59:49,000 --> 04:59:51,903 AND YOU KNOW 20 YEARS AGO 6784 04:59:51,903 --> 04:59:56,541 STARTED OUT AS A EXPERIMENT AND 6785 04:59:56,541 --> 04:59:57,575 EVENTUALLY IN A UNIVERSITY 6786 04:59:57,575 --> 04:59:57,842 SOMEWHERE. 6787 04:59:57,842 --> 05:00:02,113 SO ON THE NEXT SLIDE, PLEASE, 1 6788 05:00:02,113 --> 05:00:03,648 THING THAT I THINK WHAT NEEDS TO 6789 05:00:03,648 --> 05:00:06,617 BE QUITE CLEAR AND WHAT WE THINK 6790 05:00:06,617 --> 05:00:09,087 ABOUT DEEPLY IS THAT DRUG 6791 05:00:09,087 --> 05:00:10,822 DEVELOPMENT IS VERY EXPENSIVE IS 6792 05:00:10,822 --> 05:00:12,757 TAKES A VERY LONG TIME. 6793 05:00:12,757 --> 05:00:14,392 SO WE ALWAYS THINK ABOUT THE 6794 05:00:14,392 --> 05:00:16,661 PARTNERS THAT WE WILL HAVE TO 6795 05:00:16,661 --> 05:00:20,198 GET US THERE, GENERALLY IN TERMS 6796 05:00:20,198 --> 05:00:21,799 OF BIOTECH VENTURE CAPITAL, 6797 05:00:21,799 --> 05:00:25,603 WE'RE SPLIT INTO EARLY STAGE 6798 05:00:25,603 --> 05:00:27,138 GROWTH STAGE AND THEN 6799 05:00:27,138 --> 05:00:29,307 ESSENTIALLY GOING TO PUBLIC 6800 05:00:29,307 --> 05:00:31,142 INVESTORS AND THINGS GOING 6801 05:00:31,142 --> 05:00:32,610 BEYOND THERE. 6802 05:00:32,610 --> 05:00:34,812 AS EARLY STAGE INVESTORS, WE 6803 05:00:34,812 --> 05:00:36,047 THINK DEEPLY ABOUT THE PARTNERS 6804 05:00:36,047 --> 05:00:37,982 THAT HELP US GET THERE, I HAVE 6805 05:00:37,982 --> 05:00:39,851 LISTED SOME EXAMPLES HERE OF CO 6806 05:00:39,851 --> 05:00:41,586 INVESTORS THAT HAVE A SIMILAR 6807 05:00:41,586 --> 05:00:43,621 MIND SET TO US. 6808 05:00:43,621 --> 05:00:47,058 SO REALLY ON THE INVESTORS 6809 05:00:47,058 --> 05:00:49,427 GENERALLY TEND TO FLOCK 6810 05:00:49,427 --> 05:00:49,694 TOGETHER. 6811 05:00:49,694 --> 05:00:51,162 IT'S TRUE BECAUSE AT A VERY 6812 05:00:51,162 --> 05:00:52,764 EARLY STAGE OF THE COMPANY, 6813 05:00:52,764 --> 05:00:53,931 THERE WILL BE MANY DIRECTIONS 6814 05:00:53,931 --> 05:00:55,566 FOR THE TECHNOLOGY OR FOR THE 6815 05:00:55,566 --> 05:00:57,602 PLATFORM TO GO. 6816 05:00:57,602 --> 05:01:02,373 AND THOSE EARLY DECISIONS HELP 6817 05:01:02,373 --> 05:01:04,542 REALLY CRAFT THE PATH THAT YOUR 6818 05:01:04,542 --> 05:01:05,643 MOLECULE OR THAT YOUR PLATFORM 6819 05:01:05,643 --> 05:01:08,079 WILL TAKE TO DRIVE IT TOWARDS 6820 05:01:08,079 --> 05:01:08,546 SOMETHING MEANINGFUL. 6821 05:01:08,546 --> 05:01:11,149 AND THEN AT THE SAME TIME, WE'RE 6822 05:01:11,149 --> 05:01:13,217 VERY MUCH AWARE THAT EARLY 6823 05:01:13,217 --> 05:01:14,252 STAGES OF DEVELOPMENT, SMALL 6824 05:01:14,252 --> 05:01:16,954 COMPANY, YOU CAN GET STARTED ON 6825 05:01:16,954 --> 05:01:19,757 PRECLINICAL STUDIES, MAYBE YOU 6826 05:01:19,757 --> 05:01:21,125 CAN GO THROUGH YOUR EARLY PHASE 6827 05:01:21,125 --> 05:01:24,629 1 OR PHASE 2, BUT THEN GETTING 6828 05:01:24,629 --> 05:01:26,030 TO LATE STAGE DEVELOPMENT, IT'S 6829 05:01:26,030 --> 05:01:27,265 IMPORTANT THAT MOST OF THE TIME, 6830 05:01:27,265 --> 05:01:28,399 JUST GIVEN THE NUMBER OF 6831 05:01:28,399 --> 05:01:30,568 PATIENTS THAT YOU NEED TO 6832 05:01:30,568 --> 05:01:32,103 RECRUIT AND THE DURATION OF 6833 05:01:32,103 --> 05:01:34,172 CLINICAL STUDIES, THERE NEEDS TO 6834 05:01:34,172 --> 05:01:35,673 BE A STRATEGIC PARTNER SO IN 6835 05:01:35,673 --> 05:01:39,210 THIS CASE A PHARMA OR OTHER TO 6836 05:01:39,210 --> 05:01:40,812 REALLY HELP FINANCE THE REST OF 6837 05:01:40,812 --> 05:01:44,315 THE STUDIES AND THEN EVENTUALLY 6838 05:01:44,315 --> 05:01:45,216 BRING IT TO COMMERCIALIZATION. 6839 05:01:45,216 --> 05:01:49,453 AND THEN IN THE LAST BUCKET, 6840 05:01:49,453 --> 05:01:50,621 SCIENCE IS ALWAYS UNPREDICTABLE 6841 05:01:50,621 --> 05:01:54,792 AND WE LIKE TO WORK WITH 6842 05:01:54,792 --> 05:01:56,327 ACADEMICS THAT HELP REALLY SHAPE 6843 05:01:56,327 --> 05:01:57,728 OUR COMPANIES THAT WE BUILD AND 6844 05:01:57,728 --> 05:02:00,565 ALSO PROVIDE THE INITIAL 6845 05:02:00,565 --> 05:02:02,233 CATALYST THAT START A PARTICULAR 6846 05:02:02,233 --> 05:02:03,100 CONCEPT, SO JUST HIGHLIGHTING 6847 05:02:03,100 --> 05:02:05,469 SOME OF THE INSTITUTES THAT 6848 05:02:05,469 --> 05:02:08,239 WE'VE WORKED WITH, AND ALSO 6849 05:02:08,239 --> 05:02:10,641 WHERE LONG WOOD FOLKS HAVE 6850 05:02:10,641 --> 05:02:12,810 TRAINED TO REALLY START AND STEP 6851 05:02:12,810 --> 05:02:16,147 1 AS A CONCEPT TO BUILD A 6852 05:02:16,147 --> 05:02:22,687 COMPANY AROUND. 6853 05:02:22,687 --> 05:02:23,287 NEXT SLIDE, PLEASE. 6854 05:02:23,287 --> 05:02:26,591 SO TO GIVE YOU A SENSE OF THE 6855 05:02:26,591 --> 05:02:28,659 TEAM AND THIS -- THE TEAM THAT 6856 05:02:28,659 --> 05:02:32,797 WE CAPTURE AT LONG WOOD IS QUITE 6857 05:02:32,797 --> 05:02:34,632 SIMILAR IN PROFILE TO OTHER 6858 05:02:34,632 --> 05:02:37,869 TEAMS THAT YOU WILL FIND OTHER 6859 05:02:37,869 --> 05:02:40,037 COMPANY CREATION FIRMS AROUND 6860 05:02:40,037 --> 05:02:41,539 THE COUNTRY AND SO WHAT I'M 6861 05:02:41,539 --> 05:02:42,840 HIGHLIGHTING HERE IS THAT WE'RE 6862 05:02:42,840 --> 05:02:44,008 GENERALLY A VERY SMALL TEAM. 6863 05:02:44,008 --> 05:02:46,344 THERE'S 7 OF US IN THE 6864 05:02:46,344 --> 05:02:47,044 INVESTMENT TEAM, FIRST OFF WEST 6865 05:02:47,044 --> 05:02:50,348 FALL IS A CONFOUNDER AND OUR 6866 05:02:50,348 --> 05:02:51,849 GENERAL PARTNER, AND HE IS 6867 05:02:51,849 --> 05:02:53,251 BEHIND A NUMBER OF COMPANIES 6868 05:02:53,251 --> 05:02:57,288 WHERE HE WAS THE INITIAL 6869 05:02:57,288 --> 05:02:59,257 CONFOUNDER WITH AN ACADEMIC AND 6870 05:02:59,257 --> 05:03:00,858 ALSO THE INITIAL CEO TO HELP 6871 05:03:00,858 --> 05:03:03,561 BUILD OUT THESE COMPANIES. 6872 05:03:03,561 --> 05:03:06,831 AND THEN, THOSE ADDITIONAL TEAM 6873 05:03:06,831 --> 05:03:09,400 MEMBERS, ALEX WHO'S 1 OF THE 6874 05:03:09,400 --> 05:03:10,968 PARTNERS, AND 1 OF THE VENTURE 6875 05:03:10,968 --> 05:03:12,403 PARTNERS AND THE REST OF US ON 6876 05:03:12,403 --> 05:03:13,437 THE INVESTMENT TEAM, WE ALL WORK 6877 05:03:13,437 --> 05:03:14,872 TOGETHER TO CRAFT AREA ARES OF 6878 05:03:14,872 --> 05:03:18,609 FOCUS THAT WE LIKE TO DUE A DEEP 6879 05:03:18,609 --> 05:03:20,244 DIVE ON AND THEN START WORKING 6880 05:03:20,244 --> 05:03:23,314 AS A SMALLER GROUP ON COMPANY 6881 05:03:23,314 --> 05:03:24,181 CREATION. 6882 05:03:24,181 --> 05:03:27,051 SO IF WE -- IF YOU EVER SEE AN 6883 05:03:27,051 --> 05:03:29,153 E-MAIL FROM 1 OF US REACHING OUT 6884 05:03:29,153 --> 05:03:30,354 TO YOU TO TALK ABOUT A 6885 05:03:30,354 --> 05:03:31,389 PARTICULAR OPPORTUNITY OR TO GET 6886 05:03:31,389 --> 05:03:32,323 YOUR THOUGHTS ON AN AREA WHERE 6887 05:03:32,323 --> 05:03:35,192 WE WOULD LIKE TO GET A LITTLE 6888 05:03:35,192 --> 05:03:38,663 BIT DEEPER INFORMATION ON, 6889 05:03:38,663 --> 05:03:39,397 YOU'LL PROBABLY KNOW THAT IT'S 6890 05:03:39,397 --> 05:03:40,798 GENERALLY FOR US TO EVALUATE 6891 05:03:40,798 --> 05:03:43,968 WHETHER WE WANT TO START A 6892 05:03:43,968 --> 05:03:45,569 COMPANY IN A PARTICULAR AREA AND 6893 05:03:45,569 --> 05:03:47,071 WHETHER YOU WOULD HAVE 6894 05:03:47,071 --> 05:03:49,807 INTERESTING TECHNOLOGIES THAT WE 6895 05:03:49,807 --> 05:03:52,076 SHOULD BE DISCUSSING TO START 6896 05:03:52,076 --> 05:03:52,743 THESE COMPANIES. 6897 05:03:52,743 --> 05:03:55,479 AND SO 1 THING THEY WANT TO 6898 05:03:55,479 --> 05:03:57,448 POINT OUT IS THAT AS EARLY STAGE 6899 05:03:57,448 --> 05:03:59,083 COMPANY CREATORS AND INVESTORS, 6900 05:03:59,083 --> 05:04:01,285 ALL OF US PRIDE OURSELVES ON 6901 05:04:01,285 --> 05:04:02,987 BEING SCIENTISTS AT SOME POINT, 6902 05:04:02,987 --> 05:04:05,890 MANY OF US, YOU WILL SEE ON THE 6903 05:04:05,890 --> 05:04:09,427 TEAM HERE, HAVE PH Ds OR POST 6904 05:04:09,427 --> 05:04:10,328 DOCS OR BOTH. 6905 05:04:10,328 --> 05:04:11,629 AND REALLY PRY OURSELVES ON 6906 05:04:11,629 --> 05:04:14,165 BEING ABLE TO, IF WE NEEDED TO, 6907 05:04:14,165 --> 05:04:14,765 ALTHOUGH, GENERALLY PROBABLY 6908 05:04:14,765 --> 05:04:16,701 DON'T WANT US THERE, GO BACK ON 6909 05:04:16,701 --> 05:04:18,869 THE BENCH AND RUN AN EXPERIMENT 6910 05:04:18,869 --> 05:04:22,740 OR AT LEAST DESIGN, EXPERIMENTS 6911 05:04:22,740 --> 05:04:24,875 FOR CROs TO BE ABLE TO DO. 6912 05:04:24,875 --> 05:04:27,912 SO WE REALLY STRADDLE BOTH 6913 05:04:27,912 --> 05:04:30,281 SCIENTIFIC ASPECT OF EARLY STAGE 6914 05:04:30,281 --> 05:04:32,249 EXPERIMENTS THAT WE THINK WILL 6915 05:04:32,249 --> 05:04:34,719 GENERATE VALUE, TO VALIDATE THE 6916 05:04:34,719 --> 05:04:35,886 TECHNOLOGY AS WELL AS THE 6917 05:04:35,886 --> 05:04:37,621 BUSINESS SIDE OF THINGS TO MAKE 6918 05:04:37,621 --> 05:04:39,890 SURE THAT THE COMPANY IS BUILT 6919 05:04:39,890 --> 05:04:45,997 ON A SUSTAINABLE BASIS FOR THE 6920 05:04:45,997 --> 05:04:46,263 LONG-TERM. 6921 05:04:46,263 --> 05:04:50,167 SO ON THE NEXT SLIDE, NEXT 6922 05:04:50,167 --> 05:04:51,369 SLIDE, PLEASE, I WOULD LIKE TO 6923 05:04:51,369 --> 05:04:53,871 GIVE YOU A ERROR HIGH LEVEL VIEW 6924 05:04:53,871 --> 05:04:55,873 OF IF YOU HAVE AN ASSET, OR IF 6925 05:04:55,873 --> 05:04:58,376 YOU HAVE A PLATFORM TECHNOLOGY, 6926 05:04:58,376 --> 05:05:01,112 HOW IF YOU BRING IT TO A BIOTECH 6927 05:05:01,112 --> 05:05:02,747 VEBTURE FUND, HOW THEY WOULD 6928 05:05:02,747 --> 05:05:05,149 EVALUATE YOUR ASSET OR 6929 05:05:05,149 --> 05:05:05,449 TECHNOLOGY. 6930 05:05:05,449 --> 05:05:07,785 THIS OF COURSE IS NOT APPLICABLE 6931 05:05:07,785 --> 05:05:08,986 TO EVERY SINGLE TYPE OF 6932 05:05:08,986 --> 05:05:09,920 TECHNOLOGY BUT JUST TO IMIF YOU 6933 05:05:09,920 --> 05:05:13,457 A SENSE OF HOW WE VIEW 6934 05:05:13,457 --> 05:05:14,158 EVERYTHING, THERE'S DEPENDING ON 6935 05:05:14,158 --> 05:05:16,927 THE STAIM THAT YOU'RE AT, 6936 05:05:16,927 --> 05:05:18,095 ASSUMING PRECLINICAL, THE 6937 05:05:18,095 --> 05:05:20,931 BUCKETS THAT WE CARE A LOT ABOUT 6938 05:05:20,931 --> 05:05:23,167 FOR 1 IS, IF THERE IS A 6939 05:05:23,167 --> 05:05:24,535 PARTICULAR ASSET, IT'S REALLY 6940 05:05:24,535 --> 05:05:27,138 THE DISEASE BIOLOGY, AND JUST 6941 05:05:27,138 --> 05:05:30,107 KIND OF GOING THROUGH HOW 6942 05:05:30,107 --> 05:05:31,842 BIOTECH THINKS ABOUT THINGS, 1 6943 05:05:31,842 --> 05:05:33,978 THING IS OF COURSE IS THE DEC 6944 05:05:33,978 --> 05:05:35,913 WELL DEFINED AND BY THAT I MEAN, 6945 05:05:35,913 --> 05:05:38,182 HAVE THERE BEEN PRIOR STUDIES 6946 05:05:38,182 --> 05:05:40,651 AROUND THIS PARTICULAR DISEASE, 6947 05:05:40,651 --> 05:05:42,319 DO WE UNDERSTAND THE BLACK AND 6948 05:05:42,319 --> 05:05:44,488 WHITE NATURE OF HOW DO YOU KNOW 6949 05:05:44,488 --> 05:05:48,659 IF YOU'RE SICK, WHAT'S THE 6950 05:05:48,659 --> 05:05:50,361 DEMARCATION BETWEEN HAVING I 6951 05:05:50,361 --> 05:05:52,263 GUESS FULLY HAVING A PARTICULAR 6952 05:05:52,263 --> 05:05:54,098 DISEASE VERSUS NOT, AND THEN 6953 05:05:54,098 --> 05:05:56,200 HAVING DIFFERENT TYPES OF 6954 05:05:56,200 --> 05:05:58,702 CONVICTION TO PERHAPS STRATIFY 6955 05:05:58,702 --> 05:06:00,871 YOUR PATIENT POPULATION SO YOU 6956 05:06:00,871 --> 05:06:02,173 CAN -- YOUR DRUG COULD BE ARK 6957 05:06:02,173 --> 05:06:03,574 PLIED TO THE PATIENTS THAT WILL 6958 05:06:03,574 --> 05:06:07,978 MOST LIKELY SHOW A RESPONSE, SO, 6959 05:06:07,978 --> 05:06:09,747 IN THAT CASE WE OFTEN THINK 6960 05:06:09,747 --> 05:06:10,948 ABOUT HUMAN GENETICS OR IF 6961 05:06:10,948 --> 05:06:13,784 THERE'S OTHER WAYS FOR US TO 6962 05:06:13,784 --> 05:06:17,421 PARSE PATIENTS INTO DIFFERENT 6963 05:06:17,421 --> 05:06:17,721 CATEGORIES. 6964 05:06:17,721 --> 05:06:19,123 ONE THING IN ADDITION TO THAT 6965 05:06:19,123 --> 05:06:21,358 JUST GOING BEYOND DEC BIOLOGY IS 6966 05:06:21,358 --> 05:06:24,528 UNDERSTANDING IF THERE'S A GOOD 6967 05:06:24,528 --> 05:06:26,030 MODEL, WHETHER INVITRO OR IN 6968 05:06:26,030 --> 05:06:27,631 VIVO, FOR US TO BETTER 6969 05:06:27,631 --> 05:06:31,869 UNDERSTAND THE DISEASE AND 6970 05:06:31,869 --> 05:06:33,637 WHETHER OR NOT YOUR KRUG IF IT 6971 05:06:33,637 --> 05:06:35,139 WORKS IN A DISH, IT WILL WORK IN 6972 05:06:35,139 --> 05:06:35,873 A PERSON. 6973 05:06:35,873 --> 05:06:37,074 THAT'S OF COURSE A VERY HIGH BAR 6974 05:06:37,074 --> 05:06:39,844 AND I WILL SAY AS A PRIOR 6975 05:06:39,844 --> 05:06:40,945 TRAINED NEUROSCIENTIST, THERE'S 6976 05:06:40,945 --> 05:06:43,981 VERY FEW GOOD MODELS OF 6977 05:06:43,981 --> 05:06:44,815 NEURODEGENERATIVE DISEASE FOR 6978 05:06:44,815 --> 05:06:47,885 EXAMPLE, BUT IN THE CASE OF 6979 05:06:47,885 --> 05:06:49,987 CYSTIC FIBROSIS, THERE'S A 6980 05:06:49,987 --> 05:06:51,122 FANTASTIC INVITRO MODEL DISEASE 6981 05:06:51,122 --> 05:06:53,858 THAT REALLY GIVES YOU INSIGHT 6982 05:06:53,858 --> 05:06:55,826 INTO HOW A DRUG COULD WORK AND 6983 05:06:55,826 --> 05:06:58,129 YOU KNOW THAT OF COURSE DRIVES A 6984 05:06:58,129 --> 05:07:01,298 LOT OF WHERE YOU SEE MORE DRUG 6985 05:07:01,298 --> 05:07:04,568 DISCOVERY FOR AREAS OF UNMET 6986 05:07:04,568 --> 05:07:04,768 NEED. 6987 05:07:04,768 --> 05:07:10,708 AND THEN, IN TERMS OF ADDITIONL 6988 05:07:10,708 --> 05:07:12,910 THOUGHTS, THE WAY THAT EARLY 6989 05:07:12,910 --> 05:07:15,012 BIOTECH VENTURE GROUPS THINK IS 6990 05:07:15,012 --> 05:07:16,247 REALLY ON THE CLINICAL 6991 05:07:16,247 --> 05:07:18,716 DEVELOPMENT WHICH THEN BUILDS 6992 05:07:18,716 --> 05:07:21,185 INTO THE LAST ROW HERE WHICH IS 6993 05:07:21,185 --> 05:07:21,785 COMPANY BUILD. 6994 05:07:21,785 --> 05:07:23,721 ONE ASPECT IS THAT THESE 6995 05:07:23,721 --> 05:07:25,456 COMPANIES, YOU RAISE VERY SMALL 6996 05:07:25,456 --> 05:07:26,790 AMOUNTS OF CAPITAL ASK THEN YOU 6997 05:07:26,790 --> 05:07:28,159 END UP RAISING MORE AND MORE 6998 05:07:28,159 --> 05:07:30,127 MONEY AS YOU'RE CLOSER TO THE 6999 05:07:30,127 --> 05:07:32,463 CLINIC OR YOU'RE ALREADY IN THE 7000 05:07:32,463 --> 05:07:32,696 CLINIC. 7001 05:07:32,696 --> 05:07:33,731 AND SO, 1 THING THAT YOU WILL 7002 05:07:33,731 --> 05:07:36,400 PROBABLY NOTICE IS THAT THERE'S 7003 05:07:36,400 --> 05:07:39,570 FEWER BIOTECHS WORKING ON VERY, 7004 05:07:39,570 --> 05:07:40,838 VERY LARGE INDICATIONS, WHICH IN 7005 05:07:40,838 --> 05:07:43,140 A SENSE IS KIND OF A MAJOR 7006 05:07:43,140 --> 05:07:44,675 LIMITATION THAT THE FIELD HASN'T 7007 05:07:44,675 --> 05:07:48,112 REALLY SOLVED. 7008 05:07:48,112 --> 05:07:50,414 SO VERY FEW BIOTECHS WORKING ON 7009 05:07:50,414 --> 05:07:51,682 HEART FAILURE FOR EXAMPLE, GIVEN 7010 05:07:51,682 --> 05:07:53,984 THAT IT'S A VERY LARGE AND 7011 05:07:53,984 --> 05:07:54,852 HETEROGENEOUS POPULATION. 7012 05:07:54,852 --> 05:07:56,020 IT WILL TAKE MANY YEARS ISSUES 7013 05:07:56,020 --> 05:07:58,656 IT'S DIFFICULT TO GET THAT FIRST 7014 05:07:58,656 --> 05:07:59,456 PROOF OF CONCEPT. 7015 05:07:59,456 --> 05:08:05,529 AND THEN, AT THE SAME TIME ASIDE 7016 05:08:05,529 --> 05:08:07,364 FROM CLINICAL DEVELOPMENT WE DO 7017 05:08:07,364 --> 05:08:09,466 WANT TO HAVE A VIEW ON WHAT DOES 7018 05:08:09,466 --> 05:08:10,534 SUCCESS LOOK LIKE, WHAT IS A 7019 05:08:10,534 --> 05:08:12,636 MARKER YOU NEED TO REACH OR WHAT 7020 05:08:12,636 --> 05:08:17,007 IS SOMETHING THAT CAN TELL YOU 7021 05:08:17,007 --> 05:08:19,076 OR HELP YOU, PUSH YOU TOWARDS 7022 05:08:19,076 --> 05:08:20,477 THE LIKELIHOOD OF SUCCESS 7023 05:08:20,477 --> 05:08:22,413 TOWARDS THE POSITIVE END. 7024 05:08:22,413 --> 05:08:25,282 AND THEN, AT THE SAME TIME, 7025 05:08:25,282 --> 05:08:26,717 COMPETITION, OF COURSE, THIS IS 7026 05:08:26,717 --> 05:08:29,386 SOMETHING THAT'S A LITTLE BIT 7027 05:08:29,386 --> 05:08:32,690 MORE DIFFICULT TO STRICTLY 7028 05:08:32,690 --> 05:08:36,060 QUANTIFY BUT 1 ASPECT IS FOR 7029 05:08:36,060 --> 05:08:39,296 EXAMPLE, STANDARD OF CARE AND 7030 05:08:39,296 --> 05:08:42,032 WHETHER EVERY SINGLE TREATMENT 7031 05:08:42,032 --> 05:08:45,402 FOR EXAMPLE, IS ALREADY ALL 7032 05:08:45,402 --> 05:08:47,438 PATENT, COST PENNY SAYS, MAYBE 7033 05:08:47,438 --> 05:08:49,206 THERE'S SOME UNMET NEED LEFT BUT 7034 05:08:49,206 --> 05:08:50,174 NOT TERRIBLY MUCH, YOU CAN 7035 05:08:50,174 --> 05:08:53,677 IMAGINE HOW IF THAT'S A NO 7036 05:08:53,677 --> 05:08:56,013 ACROSS THE BOARD, OR A YES 7037 05:08:56,013 --> 05:08:57,715 ACROSS THE BOARD, IT BECOMES 7038 05:08:57,715 --> 05:08:59,717 MUCH MORE DIFFICULT FOR EARLY 7039 05:08:59,717 --> 05:09:02,553 STAGE INVESTORS TO GET EXCITED. 7040 05:09:02,553 --> 05:09:04,822 AND THEN, EVERYTHING ELSE KIND 7041 05:09:04,822 --> 05:09:07,091 OF GOES INTO THE ADDRESSABLE 7042 05:09:07,091 --> 05:09:09,727 MARKET AND THE PRICE OF YOUR 7043 05:09:09,727 --> 05:09:11,095 POTENTIAL DRUG DOWN THE ROAD AND 7044 05:09:11,095 --> 05:09:15,299 HOW MANY PEOPLE IT WILL HELP AND 7045 05:09:15,299 --> 05:09:17,234 SO, REALLY PUTTING EVERYTHING 7046 05:09:17,234 --> 05:09:19,937 TOGETHER, YOU WILL SEE THAT 7047 05:09:19,937 --> 05:09:25,542 THERE IS MAYBE A PARTICULAR 7048 05:09:25,542 --> 05:09:27,244 NICHE THAT BIOTECH INVESTORS 7049 05:09:27,244 --> 05:09:29,747 FOCUS ON AND SO FOR ANY ASSET OR 7050 05:09:29,747 --> 05:09:31,715 PLATFORM TECHNOLOGY THAT YOU MAY 7051 05:09:31,715 --> 05:09:35,886 BE DEVELOPING, YOU CAN SEE HOW 7052 05:09:35,886 --> 05:09:38,789 THERE'S PERHAPS A WAY TO EITHER 7053 05:09:38,789 --> 05:09:39,957 TAYLOR THE RESEARCH OR WEAVE 7054 05:09:39,957 --> 05:09:40,924 YOUR STORY. 7055 05:09:40,924 --> 05:09:44,128 SO THERE'S MULTIPLE YESS FOR THE 7056 05:09:44,128 --> 05:09:46,697 FIRST FEW BUCKETS, AND AS WELL 7057 05:09:46,697 --> 05:09:48,666 GETTING A SENSE OF HOW MANY 7058 05:09:48,666 --> 05:09:50,367 YEARS IT WILL TAKE FOR YOUR 7059 05:09:50,367 --> 05:09:55,839 PARTICULAR PROGRAM TO GET TO A 7060 05:09:55,839 --> 05:09:57,808 STAGE THAT VALIDATES SOMEONE'S 7061 05:09:57,808 --> 05:09:58,108 INVESTMENT. 7062 05:09:58,108 --> 05:10:01,312 AND YOU KNOW ON THE RIGHT HAND 7063 05:10:01,312 --> 05:10:03,614 SIDE JUST KIND OF HIGHLIGHTING 7064 05:10:03,614 --> 05:10:06,383 THAT IF THERE'S MULTIPLE NOs 7065 05:10:06,383 --> 05:10:09,987 OF A LIMITING INTEREST AND THEN, 7066 05:10:09,987 --> 05:10:11,922 IF THE ANSWERS, I DON'T KNOW 7067 05:10:11,922 --> 05:10:14,792 THAT ALSO MAKES THINGS A LITTLE 7068 05:10:14,792 --> 05:10:16,794 BIT MORE DIFFICULT. 7069 05:10:16,794 --> 05:10:18,295 BUT IN SPEAKING WITH VENTURE 7070 05:10:18,295 --> 05:10:20,864 CREATION TYPE OF FUNDS AS OPPOSE 7071 05:10:20,864 --> 05:10:24,068 TO JUST VENTURE INVESTORS, 7072 05:10:24,068 --> 05:10:29,206 GENERALLY, IF THE TECHNOLOGY IS 7073 05:10:29,206 --> 05:10:30,808 VERY INTERESTING, AND COULD 7074 05:10:30,808 --> 05:10:31,542 UNLOCK SOMETHING SPECIAL, 7075 05:10:31,542 --> 05:10:33,210 VENTURE GROUPS WOULD LIKE TO 7076 05:10:33,210 --> 05:10:35,045 HAVE JUST AN OPEN BRAINSTORM 7077 05:10:35,045 --> 05:10:38,515 TYPE OF CONVERSATION TO 7078 05:10:38,515 --> 05:10:39,683 UNDERSTAND WHERE YOUR TECHNOLOGY 7079 05:10:39,683 --> 05:10:42,086 COULD BE APPLIED SO IT'S 7080 05:10:42,086 --> 05:10:43,487 DEFINITELY, YOU NEED TO DO ALL 7081 05:10:43,487 --> 05:10:44,888 THIS WORK YOURSELF AHEAD OF TIME 7082 05:10:44,888 --> 05:10:46,724 BEFORE TALKING TO SOMEONE, IT'S 7083 05:10:46,724 --> 05:10:48,826 REALLY A -- LET'S BRAINSTORM AND 7084 05:10:48,826 --> 05:10:51,095 FIGURE OUT WHERE THEIR COULD BE 7085 05:10:51,095 --> 05:10:54,598 APPLICATIONS AND SO, THOSE OF US 7086 05:10:54,598 --> 05:10:57,668 AT LONG WOOD AND IN GENERAL MOST 7087 05:10:57,668 --> 05:10:58,736 CREATION VENTURE FUNDS ARE HAPPY 7088 05:10:58,736 --> 05:11:00,637 TO HAVE THAT CONVERSATION JUST 7089 05:11:00,637 --> 05:11:01,605 AS A BRAINSTORM BECAUSE AT THE 7090 05:11:01,605 --> 05:11:03,574 SAME TIME FOR US, IF SOMETHING'S 7091 05:11:03,574 --> 05:11:04,875 NOT READY NOW IT DOESN'T MEAN 7092 05:11:04,875 --> 05:11:07,044 THAT IT'S NEVER GOING TO BE 7093 05:11:07,044 --> 05:11:07,945 READY. 7094 05:11:07,945 --> 05:11:11,181 EVERYTHING IS TIMING DEPENDENT. 7095 05:11:11,181 --> 05:11:15,185 SO WITH ALL OF THAT SAID, NEXT 7096 05:11:15,185 --> 05:11:16,120 SLIDE, PLEASE. 7097 05:11:16,120 --> 05:11:21,625 I WANT TO GIVE JUST A VIEW INTO 7098 05:11:21,625 --> 05:11:23,160 HOW WE'VE APPLIED THIS IN THE 7099 05:11:23,160 --> 05:11:23,460 PAST. 7100 05:11:23,460 --> 05:11:26,764 SO, TO GIVE YOU A TANGIBLE 7101 05:11:26,764 --> 05:11:30,134 EXAMPLE, THERE'S I THINK SEVERAL 7102 05:11:30,134 --> 05:11:31,268 PEOPLE FROM CARBON BIOSCIENCES 7103 05:11:31,268 --> 05:11:34,805 HERE, THIS A COMPANY THAT WE 7104 05:11:34,805 --> 05:11:38,342 BUILT 2 YEARS AGO CONFOUNDED, 7105 05:11:38,342 --> 05:11:41,578 PROFESSORS JOHN INGLE HATTER AND 7106 05:11:41,578 --> 05:11:42,646 ROCK COTTON AND TOO KIND OF 7107 05:11:42,646 --> 05:11:44,047 BRING YOU ALL THE WAY BACK. 7108 05:11:44,047 --> 05:11:46,283 ONE OF THE AREAS WE HAD FOCUSED 7109 05:11:46,283 --> 05:11:49,553 ON, MAYBE 3 YEARS AGO, WAS 7110 05:11:49,553 --> 05:11:53,490 WANTING TO START AN EXPLORATION 7111 05:11:53,490 --> 05:11:55,559 AROUND GENE DELIVERY OR EFFORTS 7112 05:11:55,559 --> 05:11:59,363 AROUND HOW 1 DELIVERS A GENE. 7113 05:11:59,363 --> 05:12:01,565 THIS QUICKLY FOR US SORTED INTO 7114 05:12:01,565 --> 05:12:02,866 A FEW DIFFERENT CATEGORIES, SO 7115 05:12:02,866 --> 05:12:04,668 IN THE WORLD OF GENE DELIVERY, 7116 05:12:04,668 --> 05:12:07,271 THERE'S OF COURSE VIRAL, 7117 05:12:07,271 --> 05:12:10,140 NONVIRAL, THERE'S ALSO THINKING 7118 05:12:10,140 --> 05:12:13,877 DEEPLY ABOUT WHETHER IT'S THE 7119 05:12:13,877 --> 05:12:16,513 CALCIT OR ENVELOPE OR THE CARGO 7120 05:12:16,513 --> 05:12:16,780 ITSELF. 7121 05:12:16,780 --> 05:12:18,615 AND GENERALLY FOR A NEW COMPANY, 7122 05:12:18,615 --> 05:12:22,986 WE LIKE TO ARE 1 AREA OF 7123 05:12:22,986 --> 05:12:24,521 INNOVATION THAT WE REALLY FOCUS 7124 05:12:24,521 --> 05:12:26,657 ON WHERE EVERYTHING ELSE KIND OF 7125 05:12:26,657 --> 05:12:30,127 AT AS MORE MAYBE TRADITIONAL OR 7126 05:12:30,127 --> 05:12:31,161 STANDARD OR WELL-VALIDATED. 7127 05:12:31,161 --> 05:12:35,032 SO IN PARSING OUT THE WORLD INTO 7128 05:12:35,032 --> 05:12:37,768 THESE 4 CATEGORIES, WE STARTED 7129 05:12:37,768 --> 05:12:39,503 THINKING ABOUT, NOT JUST WHO WE 7130 05:12:39,503 --> 05:12:42,072 COULD TALK TO TO DISCOVER MORE 7131 05:12:42,072 --> 05:12:44,208 ABOUT THESE TECHNOLOGIES AND 7132 05:12:44,208 --> 05:12:48,078 APPROACHES, BUT MORE SO ON IF WE 7133 05:12:48,078 --> 05:12:52,216 HAD THE IDEAL, WHETHER IT'S 7134 05:12:52,216 --> 05:12:55,652 CARGO OR ENVELOPE OR VIRAL OR 7135 05:12:55,652 --> 05:12:58,121 NONVIRAL APPROACH, WHAT IS A 7136 05:12:58,121 --> 05:13:00,390 DISEASE THAT COULD BE APPLICABLE 7137 05:13:00,390 --> 05:13:01,992 HERE WHERE WE WOULD FIT MANY OF 7138 05:13:01,992 --> 05:13:04,895 THE CRITERIA ON THE PRIOR SLIDE 7139 05:13:04,895 --> 05:13:05,696 THAT I MENTIONED. 7140 05:13:05,696 --> 05:13:08,565 WHERE THE DISEASE IS WELL 7141 05:13:08,565 --> 05:13:09,833 UNDERSTOOD, THERE'S BIOMARKER OR 7142 05:13:09,833 --> 05:13:11,635 NATURAL HISTORY OR OTHER METRICS 7143 05:13:11,635 --> 05:13:14,404 FOR US TO KNOW WHAT GOOD LOOKS 7144 05:13:14,404 --> 05:13:17,207 LIKE AND THEN AT THE SAME TIME 7145 05:13:17,207 --> 05:13:20,644 HAS A HIGH UNMET NEED FOR US TO 7146 05:13:20,644 --> 05:13:22,379 REALLY BE ABLE TO FIND PATIENTS 7147 05:13:22,379 --> 05:13:25,449 IN A REASONABLE AMOUNT OF TIME 7148 05:13:25,449 --> 05:13:26,984 TO SHOW SIGNS OF EFFICACY. 7149 05:13:26,984 --> 05:13:30,287 SO KIND OF MOVING THROUGH THE 7150 05:13:30,287 --> 05:13:35,893 EVALUATION AND SPEAKING WITH A 7151 05:13:35,893 --> 05:13:37,528 NUMBER OF SCIENTISTS WORKING IN 7152 05:13:37,528 --> 05:13:40,297 DIFFERENT AREAS OF BIOLOGY, WE 7153 05:13:40,297 --> 05:13:47,938 TRIANGULATED ON 2 THINGS. 7154 05:13:47,938 --> 05:13:49,773 WE TRIANGULATED ON THE 7155 05:13:49,773 --> 05:13:52,943 [INDISCERNIBLE] TECHNOLOGY BEING 7156 05:13:52,943 --> 05:13:53,977 DEVELOPED AT THE ENGLAND 7157 05:13:53,977 --> 05:13:57,915 JOURNALLE HEART LAB AND THIS WAS 7158 05:13:57,915 --> 05:13:58,749 ALSO GEARED TOWARDS 7159 05:13:58,749 --> 05:13:59,116 CYSTIC FIBROSIS. 7160 05:13:59,116 --> 05:14:00,050 THIS IS EXCITING FOR US BECAUSE 7161 05:14:00,050 --> 05:14:04,388 IN THE WORLD OF THINKING ABOUT 7162 05:14:04,388 --> 05:14:05,222 CYSTIC FIBROSIS AS ENRIQUE JUST 7163 05:14:05,222 --> 05:14:06,523 MENTIONED IN THE PRIOR PANEL 7164 05:14:06,523 --> 05:14:09,459 THIS, 7165 05:14:09,459 --> 05:14:13,664 THIS IS A DISEASE THAT HAS VERY 7166 05:14:13,664 --> 05:14:15,699 WELL UNDERSTOOD GENETICS, 7167 05:14:15,699 --> 05:14:17,034 INVITRO MODELING THAT GIVES YOU 7168 05:14:17,034 --> 05:14:19,202 A SENSE OF WHAT SUCCESS COULD 7169 05:14:19,202 --> 05:14:22,806 LOOK LIKE AND THERE'S ALSO A 7170 05:14:22,806 --> 05:14:26,443 DEEP UNDERSTANDING OF YEEN 7171 05:14:26,443 --> 05:14:28,512 THERAPY AND WHAT BOCA VIRUSES 7172 05:14:28,512 --> 05:14:30,681 WHICH HAS A LARGER 7173 05:14:30,681 --> 05:14:32,616 CARBOCAPACKITY COULD OPEN UP FOR 7174 05:14:32,616 --> 05:14:34,318 DISEASE WHERE EXISTING 7175 05:14:34,318 --> 05:14:37,487 APPROACHES HAVE VERY SMALL 7176 05:14:37,487 --> 05:14:38,622 TRUNCATED VERSIONS OF THE 7177 05:14:38,622 --> 05:14:39,990 CYSTIC FIBROSIS GENE BEING 7178 05:14:39,990 --> 05:14:42,526 DELIVERED WHICH HAS ITS JUST 7179 05:14:42,526 --> 05:14:44,227 BIOLOGICAL LIMITATIONS GIVEN 7180 05:14:44,227 --> 05:14:46,863 THAT IT'S SYNTHETIC TO AN 7181 05:14:46,863 --> 05:14:47,097 EXTENT. 7182 05:14:47,097 --> 05:14:51,234 AND SO ALL OF THESE THINGS 7183 05:14:51,234 --> 05:14:53,136 CULMINATED IN US GETTING EXCITED 7184 05:14:53,136 --> 05:14:55,906 ABOUT A PRIMARY ARCS SET AND 7185 05:14:55,906 --> 05:14:57,741 THEN AT THE SAME TIME WE ALWAYS 7186 05:14:57,741 --> 05:15:01,111 KNOWING THAT IN EARLY STAGE 7187 05:15:01,111 --> 05:15:02,613 THERE'S A HIGH FAILURE RATE WE 7188 05:15:02,613 --> 05:15:04,514 WANT THERE TO BE A PLATFORM 7189 05:15:04,514 --> 05:15:07,117 TECHNOLOGY THAT ALLOWS US TO 7190 05:15:07,117 --> 05:15:10,120 BUILD MULTIPLE OTHER PROGRAMS 7191 05:15:10,120 --> 05:15:11,555 THAT HAD A SIMILAR THESEIS 7192 05:15:11,555 --> 05:15:14,057 AROUND IT SO THAT'S WHAT ALLOWED 7193 05:15:14,057 --> 05:15:16,693 US TO BRING IN TECHNOLOGIES FROM 7194 05:15:16,693 --> 05:15:19,196 ROB COTTON, WHERE THERE'S A 7195 05:15:19,196 --> 05:15:21,164 NUMBER OF DIFFERENT PARVE O 7196 05:15:21,164 --> 05:15:22,933 VIRUSES THAT HAVE SIMILAR 7197 05:15:22,933 --> 05:15:24,334 FEATURES TO BOCA VIRUS THAT CAN 7198 05:15:24,334 --> 05:15:25,669 ALL BE MANUFACTURED IN A SIMILAR 7199 05:15:25,669 --> 05:15:28,739 WAY EMPLOY SO, IN ALL OF THIS, 7200 05:15:28,739 --> 05:15:32,242 WE ENDED UP DECIDING TO GO 7201 05:15:32,242 --> 05:15:34,177 FORWARD WITH A COMPANY BUILD 7202 05:15:34,177 --> 05:15:35,512 EMPLOY BUILD -- FIND A GROUP OF 7203 05:15:35,512 --> 05:15:37,214 INVESTOR WHO IS ARE LIKE MINDED 7204 05:15:37,214 --> 05:15:43,820 AND SEE THE VALUE IN THIS NOVEL 7205 05:15:43,820 --> 05:15:45,989 WAY OF APPROACHING GENE DELIVERY 7206 05:15:45,989 --> 05:15:49,493 BUT STILL MAINTAINING THE 7207 05:15:49,493 --> 05:15:51,061 SIMILAR STRUCTURE OF HOW THINGS 7208 05:15:51,061 --> 05:15:52,496 WILL BE DONE. 7209 05:15:52,496 --> 05:15:53,196 FOR EXAMPLE, MANUFACTURING 7210 05:15:53,196 --> 05:15:56,266 REMAINS NEARLY THE SAME AS 7211 05:15:56,266 --> 05:15:57,868 EXISTING PRIOR APPROACHES AND 7212 05:15:57,868 --> 05:16:00,804 THESE REALLY MATTER FOR TALKING 7213 05:16:00,804 --> 05:16:02,005 TO PHARMAS AND OTHER GROUPS WHO 7214 05:16:02,005 --> 05:16:05,942 WILL HELP WITH THAT LATER STAGE 7215 05:16:05,942 --> 05:16:08,378 DEVELOPMENT AND 7216 05:16:08,378 --> 05:16:10,280 COMMERCIALIZATION OF A POTENTIAL 7217 05:16:10,280 --> 05:16:10,547 PRODUCT. 7218 05:16:10,547 --> 05:16:12,949 SO YOU KNOW, THIS IS OF COURSE 7219 05:16:12,949 --> 05:16:15,352 MANY MONTHS OF WORK FROM A 7220 05:16:15,352 --> 05:16:16,453 COMPRESSED AND CONDENSED INTO A 7221 05:16:16,453 --> 05:16:18,789 SINGLE SLIDE BUT HOPEFULFULLY 7222 05:16:18,789 --> 05:16:19,956 THAT'S TANGIBLE VIEWING TO HOW 7223 05:16:19,956 --> 05:16:23,326 COMPANIES REALLY GET STARTED AND 7224 05:16:23,326 --> 05:16:25,195 1 APPROACH FROM, YOU KNOW THE 7225 05:16:25,195 --> 05:16:27,597 VENTURE SIDE OF HOW WE START 7226 05:16:27,597 --> 05:16:29,533 COMPANIES WHICH COULD BE A 7227 05:16:29,533 --> 05:16:31,568 LITTLE BIT DIFFERENT THAN HOW 7228 05:16:31,568 --> 05:16:34,171 OTHER GROUPS OR OTHER TYPES OF 7229 05:16:34,171 --> 05:16:38,642 COMPANY CREATION KIND OF OCCURS. 7230 05:16:38,642 --> 05:16:43,780 SO NEXT SLIDE, PLEASE. 7231 05:16:43,780 --> 05:16:45,549 TO REALLY WRAP IT UP, I WANT TO 7232 05:16:45,549 --> 05:16:50,587 JUST HIGHLIGHT THAT IN THE WORLD 7233 05:16:50,587 --> 05:16:52,689 OF NEW CO CREATION FROM A 7234 05:16:52,689 --> 05:16:53,757 VENTURE PERSPECTIVE, I'M JUST 7235 05:16:53,757 --> 05:16:55,158 HIGHLIGHTING THE COMPANIES THAT 7236 05:16:55,158 --> 05:16:56,893 WE HAVE INVESTED IN AND THAT WE 7237 05:16:56,893 --> 05:16:59,162 HAVE BUILT, THE 1S THAT HAS THE 7238 05:16:59,162 --> 05:17:01,832 GREEN BOX ON THE BOTTOM OR 1S 7239 05:17:01,832 --> 05:17:02,966 THAT WE'VE CONFOUNDED, I THINK 7240 05:17:02,966 --> 05:17:04,701 IN NEARLY ALL OF THESE CASES, 7241 05:17:04,701 --> 05:17:10,540 WITH AN ACADEMIC FOUNDER AS THE 7242 05:17:10,540 --> 05:17:11,408 SCIENTISTS, KEY SCIENTISTS 7243 05:17:11,408 --> 05:17:14,411 BEHIND THESE TECHNOLOGIES AND 7244 05:17:14,411 --> 05:17:15,479 THAT'S ESSENTIALLY THE MAIORITY 7245 05:17:15,479 --> 05:17:17,614 OF WHAT WE DO, WE LOOK FOR 7246 05:17:17,614 --> 05:17:19,750 EXCITING NOVEL BIOLOGY OR 7247 05:17:19,750 --> 05:17:22,486 EXCITING NEW TECHNOLOGY THAT CAN 7248 05:17:22,486 --> 05:17:24,488 SERVE TO TRANSFORM A PARTICULAR 7249 05:17:24,488 --> 05:17:27,190 AREA OR UNLOCK SOMETHING UNIQUE 7250 05:17:27,190 --> 05:17:30,594 TO GIVE US AN ANGLE INTO THE 7251 05:17:30,594 --> 05:17:33,430 MARKET AND YOU KNOW I THINK FOR 7252 05:17:33,430 --> 05:17:36,500 US, WHEN WE SEEK OUT TO MEET AND 7253 05:17:36,500 --> 05:17:38,168 TALK TO DIFFERENT WHETHER IT'S 7254 05:17:38,168 --> 05:17:40,003 PROFESSORS OR LICENSING GROUPS 7255 05:17:40,003 --> 05:17:41,538 OR OTHERS, IT'S REALLY JUST A 7256 05:17:41,538 --> 05:17:43,306 BETTER UNDERSTAND THE STATE OF 7257 05:17:43,306 --> 05:17:46,143 THE CURRENT FIELD AND ALSO TO 7258 05:17:46,143 --> 05:17:48,211 GATHER A GROUP OF LIKE MINDED 7259 05:17:48,211 --> 05:17:50,313 SCIENTISTS WITH A SIMILAR GOAL 7260 05:17:50,313 --> 05:17:51,815 IN MIND, TO BRAINSTORM AND SEE 7261 05:17:51,815 --> 05:17:54,484 IF THERE'S SOMETHING THAT WE CAN 7262 05:17:54,484 --> 05:17:55,852 BUILD TOGETHER. 7263 05:17:55,852 --> 05:17:59,556 SO HOPEFULLY, THAT GIVES YOU A 7264 05:17:59,556 --> 05:18:01,491 SENSE OF HOW, AT LEAST MOST OF 7265 05:18:01,491 --> 05:18:04,227 US AT LONG WOOD AND EARLY STAGE 7266 05:18:04,227 --> 05:18:05,595 VENTURE CREATION FIRMS THINK 7267 05:18:05,595 --> 05:18:08,398 ABOUT TECHNOLOGIES AND THINK 7268 05:18:08,398 --> 05:18:13,236 ABOUT COMPANY CREATION AND SOME 7269 05:18:13,236 --> 05:18:15,238 EXAMPLES OF COMPANIES WE'VE 7270 05:18:15,238 --> 05:18:18,742 BUILT IN THE PAST THAT ARE BEEN 7271 05:18:18,742 --> 05:18:19,943 SUCCESSFUL AND BROUGHT DRUGS TO 7272 05:18:19,943 --> 05:18:20,210 PATIENTS. 7273 05:18:20,210 --> 05:18:22,245 AND IF ANY OF YOU WOULD LIKE TO 7274 05:18:22,245 --> 05:18:23,513 TALK ABOUT COMPANY CREATION OR 7275 05:18:23,513 --> 05:18:24,681 TALK ABOUT YOUR TECHNOLOGY 7276 05:18:24,681 --> 05:18:26,183 YOU'RE DEVELOPING WHETHER 7277 05:18:26,183 --> 05:18:27,884 THERE'S IP BEHIND IT, MAYBE A 7278 05:18:27,884 --> 05:18:30,787 PAPER ABOUT TO BE PUBLISHED, 7279 05:18:30,787 --> 05:18:40,964 PLEASE REACH OUT, WOULD LOVE TO 7280 05:18:40,964 --> 05:18:43,700 HAVE THAT CONVERSATION. 7281 05:18:43,700 --> 05:18:45,101 >> THANK YOU VERY MUCH. 7282 05:18:45,101 --> 05:18:46,837 THE FINAL SPEAK OF THIS SERIES 7283 05:18:46,837 --> 05:18:51,575 WILL BE DR. BENOIT, HE HAS WITH 7284 05:18:51,575 --> 05:18:53,877 MDI THERAPEUTICS HE WILL SPEAK 7285 05:18:53,877 --> 05:18:55,278 ON START-AUTOPSIES AND COMPANIES 7286 05:18:55,278 --> 05:18:56,880 IN THE PHARMACEUTICAL 7287 05:18:56,880 --> 05:18:57,347 INDUSTRIES. 7288 05:18:57,347 --> 05:18:57,714 >> THANK YOU. 7289 05:18:57,714 --> 05:18:58,181 APPRECIATE IT. 7290 05:18:58,181 --> 05:18:59,983 HOPEFULLY YOU CAN ALL HEAR ME 7291 05:18:59,983 --> 05:19:00,483 WELL ENOUGH. 7292 05:19:00,483 --> 05:19:03,353 ALSO HAPPY TO HAVE MY HONORARY 7293 05:19:03,353 --> 05:19:04,654 DOCTORAL ISSUED AGAIN, TODAY, 7294 05:19:04,654 --> 05:19:05,355 THAT'S GOOD. 7295 05:19:05,355 --> 05:19:07,157 I'M STILL HAPPY JUST TO BE ABLE 7296 05:19:07,157 --> 05:19:10,126 TO SPELL Ph.D., SO, STILL 7297 05:19:10,126 --> 05:19:16,633 WORKING FROM THE BUSINESS SIDE. 7298 05:19:16,633 --> 05:19:17,968 ALONG WITH MY COLLEAGUES FROM 7299 05:19:17,968 --> 05:19:20,971 UNIVERSITY OF MICHIGAN. 7300 05:19:20,971 --> 05:19:21,671 NEXT SLIDE, PLEASE. 7301 05:19:21,671 --> 05:19:24,207 I WAS ASKED TO SORT OF GIVE YOU 7302 05:19:24,207 --> 05:19:33,683 A SENSE FOR HOW WE COMBINE BOTH 7303 05:19:33,683 --> 05:19:35,185 SEED CAPITAL, NIH FUNDING AND 7304 05:19:35,185 --> 05:19:36,486 VENTURE FUNDING TO GET OUR FIRST 7305 05:19:36,486 --> 05:19:38,989 ASSET INTO THE CLINIC AND SO,IME 7306 05:19:38,989 --> 05:19:40,490 GOING TO KIND OF START AT THE 7307 05:19:40,490 --> 05:19:42,292 BACK END WHICH GIVES YOU A QUICK 7308 05:19:42,292 --> 05:19:45,996 IDEA, WE'RE DEVELOPING A SMALL 7309 05:19:45,996 --> 05:19:50,300 MOLECULE FOR INTERSTITIAL LUNG 7310 05:19:50,300 --> 05:19:54,671 DISEASE BROADLY, IT'S A PI-1 7311 05:19:54,671 --> 05:19:59,042 INHIBITOR, PLAZ MIDS 7312 05:19:59,042 --> 05:20:00,410 MIDINHIBITTOR 1 INHIBITORS AND 7313 05:20:00,410 --> 05:20:02,279 LISTENING TO DR. HOLTZMAN AND 7314 05:20:02,279 --> 05:20:03,146 OTHERS HERE TODAY THINKING ABOUT 7315 05:20:03,146 --> 05:20:05,282 SOME OF THE KEY MODELS WE REALLY 7316 05:20:05,282 --> 05:20:09,452 WANTED TO DEMONSTRATE THAT WE 7317 05:20:09,452 --> 05:20:11,988 HAD EFFICACY AND SORT OF THE 7318 05:20:11,988 --> 05:20:13,957 STANDARD OF CARE, GOLD STANDARD 7319 05:20:13,957 --> 05:20:15,225 MODEL AGAINST THE STANDARD OF 7320 05:20:15,225 --> 05:20:18,962 CARE AND SOME OF THE PRIOR 7321 05:20:18,962 --> 05:20:20,230 COMPOUNDS THAT HAVE BEEN 7322 05:20:20,230 --> 05:20:22,198 DEVELOPED AND TAKEN INTO THE 7323 05:20:22,198 --> 05:20:24,501 CLINIC, BUT NOT ADVANCED AND WE 7324 05:20:24,501 --> 05:20:28,338 THINK WE HAVE INSIGHTS INTO WHY 7325 05:20:28,338 --> 05:20:29,639 THOSE COMPOUNDS WERE NOT 7326 05:20:29,639 --> 05:20:30,707 SUCCESSFUL, ONCE THEY MOVED INTO 7327 05:20:30,707 --> 05:20:33,343 THE CLINIC AND IT HAS TO DO A 7328 05:20:33,343 --> 05:20:36,613 LOT WITH THE SCREEN AND WHETHER 7329 05:20:36,613 --> 05:20:42,252 THOSE COMPOUNDS WERE OR WERE NOT 7330 05:20:42,252 --> 05:20:43,320 BOUND WITH [INDISCERNIBLE]. 7331 05:20:43,320 --> 05:20:48,191 SO WE FOCUSED ON INITIALLY 7332 05:20:48,191 --> 05:20:53,163 WITHIN SCLERODERMA AS THE 7333 05:20:53,163 --> 05:20:55,732 PRIMARY INDICATION BUT REALLY 7334 05:20:55,732 --> 05:20:58,034 AND I'LL SAY A -- WELL, 2 SIDES 7335 05:20:58,034 --> 05:21:00,337 OF THE SAME COIN LOOKING AT 7336 05:21:00,337 --> 05:21:02,272 INTERSTITIAL LUNG DISEASE, NOT 7337 05:21:02,272 --> 05:21:04,474 ONLY WITHIN THE SCLERODERMA 7338 05:21:04,474 --> 05:21:05,475 POPULATION BUT AS MANY OF YOU 7339 05:21:05,475 --> 05:21:07,344 WILL KNOW ON THE CALL THOSE 7340 05:21:07,344 --> 05:21:09,579 COMPOUNDS ARE BEING USED TO 7341 05:21:09,579 --> 05:21:12,382 TREAT IDIO PATHIC PULMONARY 7342 05:21:12,382 --> 05:21:14,217 FIBROSIS AND SO WE'VE GENERATED 7343 05:21:14,217 --> 05:21:17,387 QUITE A BIT OF DATA FROM THAT 7344 05:21:17,387 --> 05:21:19,456 STANDPOINT AS WELL AND THEN 7345 05:21:19,456 --> 05:21:20,323 INITIATED PHASE 1 HERE EARLIER 7346 05:21:20,323 --> 05:21:22,959 THIS YEAR AND WE'RE IN THE 7347 05:21:22,959 --> 05:21:29,199 PROCESS OF RUNNING THAT STUDY. 7348 05:21:29,199 --> 05:21:30,700 SO WE'VE COMBINED ABOUT, WELL 7349 05:21:30,700 --> 05:21:32,235 NOT ONLY OUR SEED BUT NIH 7350 05:21:32,235 --> 05:21:36,006 FUNDING AS WELL AS A SERIES 7351 05:21:36,006 --> 05:21:37,040 A-ROUTE TO ALTOGETHER ABOUT 13 7352 05:21:37,040 --> 05:21:39,909 AND HALF MILLION TO GET THE 7353 05:21:39,909 --> 05:21:42,312 PRODUCT THROUGH THE IND ENABLING 7354 05:21:42,312 --> 05:21:46,716 STUDIES AND INTO THE CLINIC AND 7355 05:21:46,716 --> 05:21:48,651 SO WE'RE FOCUSED REALLY IN ON 7356 05:21:48,651 --> 05:21:51,421 THAT STAGE OF THE DEVELOPMENT 7357 05:21:51,421 --> 05:21:51,654 PROCESS. 7358 05:21:51,654 --> 05:22:01,998 NEXT SLIDE, PLEASE. 7359 05:22:02,432 --> 05:22:04,567 AT LEAST FROM OUR STANDPOINT THE 7360 05:22:04,567 --> 05:22:05,802 FOUNDERS WORK WAS ALL BEING DONE 7361 05:22:05,802 --> 05:22:09,572 AT THE UNIVERSITY OF MICHIGAN, 7362 05:22:09,572 --> 05:22:11,174 PRIMARILY DR. DAN LAWRENCE AND 7363 05:22:11,174 --> 05:22:11,674 HIS LAB. 7364 05:22:11,674 --> 05:22:14,344 AND I HAPPEN TO BE INTRODUCED TO 7365 05:22:14,344 --> 05:22:17,180 HIM BACK IN LATE 2017 SO A LOT 7366 05:22:17,180 --> 05:22:19,382 OF THIS EARLY FOUNDATIONAL WORK 7367 05:22:19,382 --> 05:22:20,950 THAT HE HAD DONE WAS BEING 7368 05:22:20,950 --> 05:22:23,286 PULLED TOGETHER BUT IT REALLY 7369 05:22:23,286 --> 05:22:26,656 WASN'T ENOUGH TO BE ABLE TO TAKE 7370 05:22:26,656 --> 05:22:27,957 -- THERE WASN'T ENOUGH DATA TO 7371 05:22:27,957 --> 05:22:31,995 TAKE A STORY TO A VENTURE GROUP 7372 05:22:31,995 --> 05:22:34,497 OR EVEN PROBABLY EVEN SUPPORT A 7373 05:22:34,497 --> 05:22:36,633 LOT OF LATER STAGE NIH FUNDING. 7374 05:22:36,633 --> 05:22:39,969 AND SO WE NEEDED TO WALK VERY 7375 05:22:39,969 --> 05:22:42,505 SLOWLY, IF YOU WILL, AND RAISE 7376 05:22:42,505 --> 05:22:44,474 THE SMALL AMOUNT OF MONEY AND 7377 05:22:44,474 --> 05:22:45,775 FRIENDS AND FAMILY AS WELL AS 7378 05:22:45,775 --> 05:22:48,878 THE UNIVERSITY OF MICHIGAN 7379 05:22:48,878 --> 05:22:50,013 BIOMEDICAL VENTURES FUND TO HELP 7380 05:22:50,013 --> 05:22:53,483 US GET OFF THE GROUND AND START 7381 05:22:53,483 --> 05:22:55,151 TO DERISK THE ASSET AND THEN 7382 05:22:55,151 --> 05:23:00,857 THAT ENABLED US TO GO FOR A 7383 05:23:00,857 --> 05:23:04,727 COUPLE OF R43 SBIR GRANTS AND 7384 05:23:04,727 --> 05:23:07,197 THEN, THOSE DATA WERE SUFFICIENT 7385 05:23:07,197 --> 05:23:11,701 TO NOT ONLY DERISK THE ASSET 7386 05:23:11,701 --> 05:23:13,203 FURTHER BUT ATTRACT A VENTURE 7387 05:23:13,203 --> 05:23:20,577 ROUND OF FINANCING IN 22 OR LATE 7388 05:23:20,577 --> 05:23:21,144 FEBRUARY OF 2022. 7389 05:23:21,144 --> 05:23:23,913 AND THEN THOSE ARE THE FUNDS 7390 05:23:23,913 --> 05:23:24,814 THAT WE'VE BEEN CAPITALIZING ON 7391 05:23:24,814 --> 05:23:26,616 TO GET TO THE POINT THAT WE'RE 7392 05:23:26,616 --> 05:23:29,319 CURRENTLY AT AND WILL BE RAISING 7393 05:23:29,319 --> 05:23:34,557 ANOTHER ROUND HERE IN THE FIRST 7394 05:23:34,557 --> 05:23:43,133 HALF OF 2025 TO CONTINUE THE 7395 05:23:43,133 --> 05:23:44,067 DEVELOPMENT PROGRAM. 7396 05:23:44,067 --> 05:23:49,105 THE FIRST PHASE 1 OF THE SBIRs 7397 05:23:49,105 --> 05:23:51,474 ALLOWED THE COMPANY TO BRING 7398 05:23:51,474 --> 05:23:53,977 MYSELF ON AND A COLLEAGUE OF 7399 05:23:53,977 --> 05:23:57,280 MINE WHO'S HAD A LOT OF 7400 05:23:57,280 --> 05:23:57,814 EXPERIENCE IN PRECLINICAL 7401 05:23:57,814 --> 05:23:59,716 DEVELOPMENT AND WE WERE ABLE TO 7402 05:23:59,716 --> 05:24:02,118 GET SOME OF THE INITIAL GENE 7403 05:24:02,118 --> 05:24:04,320 TALKS DONE, ACTUALLY 7404 05:24:04,320 --> 05:24:05,588 DR. HOLTZMAN HAD A NICE SUMMARY 7405 05:24:05,588 --> 05:24:06,756 CHART THERE AND WE KIND OF 7406 05:24:06,756 --> 05:24:10,560 TICKED DOWN THROUGH ALL OF THOSE 7407 05:24:10,560 --> 05:24:13,930 IND ENABLING STUDIES AND EARLY 7408 05:24:13,930 --> 05:24:17,233 ASSESSMENT PROGRAMS IN ADDITION 7409 05:24:17,233 --> 05:24:20,603 TO IN PARALLELLING ON THE CMC 7410 05:24:20,603 --> 05:24:23,573 ACTIVITIES WHICH ARE QUITE 7411 05:24:23,573 --> 05:24:26,509 CRITICAL, AND WE HAD A GOOD TEAM 7412 05:24:26,509 --> 05:24:30,213 TO HELP US BE ABLE TO DO THAT 7413 05:24:30,213 --> 05:24:30,713 WORK. 7414 05:24:30,713 --> 05:24:36,753 AND THAT REALLY -- SO WITH THE 7415 05:24:36,753 --> 05:24:38,388 R43 FUNDS, THE FRIENDS AND 7416 05:24:38,388 --> 05:24:39,522 FAMILY FUNDING, WE WERE THEN 7417 05:24:39,522 --> 05:24:42,358 IEBL TO ALSO BRING ON A BROADER 7418 05:24:42,358 --> 05:24:44,360 TEAM WHERE WE HAD THE CMC 7419 05:24:44,360 --> 05:24:51,668 EXPERTISE, WE HAD THE CLINICAL 7420 05:24:51,668 --> 05:24:54,904 AND CLIN OPS AND REGULATORY 7421 05:24:54,904 --> 05:24:56,973 STRATEGY AND DNPK, AS WELL AS 7422 05:24:56,973 --> 05:24:58,041 PRODUCT MANAGEMENT SOY IT WAS A 7423 05:24:58,041 --> 05:24:59,542 GROUP OF INDIVIDUALS THAT HAD 7424 05:24:59,542 --> 05:25:00,944 WORKED TOGETHER BEFORE, COULD 7425 05:25:00,944 --> 05:25:02,812 ALL MOVE ASSETS THROUGHENTIOUS 7426 05:25:02,812 --> 05:25:04,480 FICIENTLY, ALMOST EVERYONE IN 7427 05:25:04,480 --> 05:25:06,015 THE GROUP HAD SOME APPROXIMATE 7428 05:25:06,015 --> 05:25:08,051 NOT ALL OF THEM HAD SOME LARGE 7429 05:25:08,051 --> 05:25:10,520 PHARMA EXPERIENCE AS WELL AS 7430 05:25:10,520 --> 05:25:11,955 TIME IN A VENTURE FUNDED 7431 05:25:11,955 --> 05:25:12,222 ACTIVITY. 7432 05:25:12,222 --> 05:25:15,391 SO, YOU HAD A LOT OF FOLKS THAT 7433 05:25:15,391 --> 05:25:17,627 UNDERSTOOD HOW TO MOVE THE 7434 05:25:17,627 --> 05:25:22,465 PROGRAM FORWARD ON A FAIRLY 7435 05:25:22,465 --> 05:25:30,673 CAPITAL EFFICIENT BASES. 7436 05:25:30,673 --> 05:25:31,241 NEXT SLIDE. 7437 05:25:31,241 --> 05:25:39,148 THANKS SO THIS AND THE NEXT 7438 05:25:39,148 --> 05:25:41,084 SLIDE ARE JUST 2 EXTRACTS IF YOU 7439 05:25:41,084 --> 05:25:42,652 WILL OF WAWE WERE FOCUSED ON IN 7440 05:25:42,652 --> 05:25:44,020 THE PHASE 1 FUNDING WHICH AS YOU 7441 05:25:44,020 --> 05:25:45,755 KNOW WAS A COUPLE HUNDRED 7442 05:25:45,755 --> 05:25:47,557 THOUSAND DOLLARS, SO IT'S ENOUGH 7443 05:25:47,557 --> 05:25:51,160 TO MAKE PROGRESS BUT NOT A LOT 7444 05:25:51,160 --> 05:25:53,029 OF PROGRESS AND THEN THE PHASE 2 7445 05:25:53,029 --> 05:25:54,764 AWARDS WE WERE FORTUNATE ENOUGH 7446 05:25:54,764 --> 05:25:56,399 TO GENERATE THE RIGHT KIND OF 7447 05:25:56,399 --> 05:25:59,035 DATA AND RESULTS IN PHASE 1, 7448 05:25:59,035 --> 05:26:04,674 DERISK THE PROGRAM, FURTHER AND 7449 05:26:04,674 --> 05:26:07,076 GENERATE DATA THAT ACTUALLY ALSO 7450 05:26:07,076 --> 05:26:09,379 WAS SUPPORTIVE OF THE SERIES A 7451 05:26:09,379 --> 05:26:11,714 FINANCING WHICH ALLOWED US TO 7452 05:26:11,714 --> 05:26:16,252 BRING ABOUT $9 MILLION IN, SO WE 7453 05:26:16,252 --> 05:26:24,594 HAD A COMBINATION OF AN R43 AND 7454 05:26:24,594 --> 05:26:27,964 44 GRANT IN THE NIIAMS DIVISION 7455 05:26:27,964 --> 05:26:30,133 AND REALLY FOCUSED IN ON 7456 05:26:30,133 --> 05:26:33,870 RHEUMATOLOGY WELL AS AS -- NEXT 7457 05:26:33,870 --> 05:26:35,138 SLIDE, PLEASE. 7458 05:26:35,138 --> 05:26:37,907 AS WELL AS NHLBI AND SO WE WERE 7459 05:26:37,907 --> 05:26:39,542 ABLE TO FIGURE OUT WHAT PIECES 7460 05:26:39,542 --> 05:26:46,215 OF THE TOTAL DEVELOPMENT PROGRAM 7461 05:26:46,215 --> 05:26:47,350 WARRANTED FUNDING THROUGH THESE 7462 05:26:47,350 --> 05:26:49,619 GRANT MECHANISMS AND ALL OF 7463 05:26:49,619 --> 05:26:51,154 WHICH WAS TIED TOGETHER WITH THE 7464 05:26:51,154 --> 05:26:55,291 AIM OF MOVING THE ASSET TOWARDS 7465 05:26:55,291 --> 05:26:58,761 COMPLETING SUCCESSFULLY THE IND 7466 05:26:58,761 --> 05:27:00,263 ENABLING ACTIVITIES, GETTING 7467 05:27:00,263 --> 05:27:01,931 FEEDBACK FROM FDA RELATIVELY 7468 05:27:01,931 --> 05:27:07,070 EARLY ON IN THE PROCESS, THROUGH 7469 05:27:07,070 --> 05:27:09,706 PREIND PACKAGE AND THEN FILING 7470 05:27:09,706 --> 05:27:14,043 AN IND IN MARCH, EARLIER OF THIS 7471 05:27:14,043 --> 05:27:16,312 YEAR, AND SO, FROM OUR 7472 05:27:16,312 --> 05:27:17,380 STANDPOINT OTHER THAN SORT OF 7473 05:27:17,380 --> 05:27:20,616 THE TIME DELAYS WHICH I THINK 7474 05:27:20,616 --> 05:27:21,451 DR. HOLTZMAN ALLUDED TO AS 7475 05:27:21,451 --> 05:27:22,485 YOU'RE GOING THROUGH THE GRANTS 7476 05:27:22,485 --> 05:27:23,686 AND YOU DON'T GET EVERY 1 OF 7477 05:27:23,686 --> 05:27:28,424 THEM AS ALL OF YOU KNOW, 7478 05:27:28,424 --> 05:27:30,493 AUTHORIZED FOR FUNDING ON 7479 05:27:30,493 --> 05:27:34,063 EXACTLY YOUR SCHEDULE, BUT 7480 05:27:34,063 --> 05:27:37,333 INDEED, THE DATA WERE EVENTUALLY 7481 05:27:37,333 --> 05:27:38,735 COMPELLING ENOUGH TO WOR RANT 7482 05:27:38,735 --> 05:27:42,004 THE FUNDING BOTH AT THE NIH 7483 05:27:42,004 --> 05:27:45,441 LEVEL AS WELL AS AT THE VENTURE 7484 05:27:45,441 --> 05:27:48,478 LEVEL CAPITAL AND WE WERE ABLE 7485 05:27:48,478 --> 05:27:51,581 TO MOVE FORWARD WITH A MAY 7486 05:27:51,581 --> 05:27:53,783 PROCEED AUTHORIZATION FROM FDA 7487 05:27:53,783 --> 05:27:56,152 AND WE'RE FOCUSED IN NOW ON 7488 05:27:56,152 --> 05:27:57,520 EXECUTING THAT FIRST PHASE OF 7489 05:27:57,520 --> 05:28:05,161 THE PHASE 1 PROGRAMS. 7490 05:28:05,161 --> 05:28:07,463 NEXT SLIDE, PLEASE. 7491 05:28:07,463 --> 05:28:10,867 SO DR. HOLTZMAN'S RIGHT, 7492 05:28:10,867 --> 05:28:12,101 [INDISCERNIBLE], GO THROUGH THE 7493 05:28:12,101 --> 05:28:13,836 LINES HERE BUT JUST TO GIVE YOU 7494 05:28:13,836 --> 05:28:15,938 AN IDEA OF SORT OF THE LEVEL OF 7495 05:28:15,938 --> 05:28:17,573 DETAIL THAT YOU TRY TRACKING 7496 05:28:17,573 --> 05:28:20,410 FROM, AND REALLY WORKING FROM 7497 05:28:20,410 --> 05:28:22,578 THE BACK END OF WHEN YOU HOPE TO 7498 05:28:22,578 --> 05:28:24,347 GET TO WHATEVER THAT PARTICULAR 7499 05:28:24,347 --> 05:28:27,984 MILESTONE IS, AND THEN YOU START 7500 05:28:27,984 --> 05:28:29,652 TO MOVE FORWARD TO THE PRIMARY 7501 05:28:29,652 --> 05:28:30,953 ACTIVITIES THAT HAVE TO GET 7502 05:28:30,953 --> 05:28:33,589 DONE, EARLY ON AND YOU CERTAINLY 7503 05:28:33,589 --> 05:28:35,725 START TO IDENTIFY WHERE YOUR 7504 05:28:35,725 --> 05:28:41,731 GAPS ARE AND I THINK 1 OF MY 7505 05:28:41,731 --> 05:28:44,367 CO-PRESENTERS HERE BEING SCIENCE 7506 05:28:44,367 --> 05:28:45,968 IS UNPREDICTABLE, WELL 7507 05:28:45,968 --> 05:28:46,702 DEVELOPMENT IS UNPREICTIBLE AS 7508 05:28:46,702 --> 05:28:51,874 WELL, AND WHO COULD HAVE 7509 05:28:51,874 --> 05:28:53,042 PREDICTED COVID INTERRUPTING THE 7510 05:28:53,042 --> 05:28:53,276 PATHWAY. 7511 05:28:53,276 --> 05:28:57,580 SO TRYING TO WORK THROUGH A 7512 05:28:57,580 --> 05:28:59,182 PANDEMIC, GLOBAL PANDEMIC ALONG 7513 05:28:59,182 --> 05:29:00,817 WITH KEEPING THE PROGRAM 7514 05:29:00,817 --> 05:29:06,055 ON-TIME, FINDING A WAY TO GET 7515 05:29:06,055 --> 05:29:07,857 INTO THE CUE FOR VARIOUS, 7516 05:29:07,857 --> 05:29:09,659 COMPLETION OF THE VARIOUS IND 7517 05:29:09,659 --> 05:29:16,098 ENABLING STUDIES HAVING TO 7518 05:29:16,098 --> 05:29:18,501 SWITCH THE SECOND NONRODENT 7519 05:29:18,501 --> 05:29:20,570 SPECIES TO NONHUMAN PRIMATES TO 7520 05:29:20,570 --> 05:29:24,874 GINNY PIGGINGS AS COVID DEMANDS 7521 05:29:24,874 --> 05:29:27,410 ON NHP AVAILABILITY AND 7522 05:29:27,410 --> 05:29:28,578 UTILIZATION WERE DRIVING THE 7523 05:29:28,578 --> 05:29:30,746 PRICE UP ABOUT 5 OR 6 TIMES, IF 7524 05:29:30,746 --> 05:29:34,450 YOU COULD EVEN FIND YOUR WAY 7525 05:29:34,450 --> 05:29:37,587 INTO A CRO QFOR THAT SPECIES. 7526 05:29:37,587 --> 05:29:43,025 A LOT OF PIECES KEEP MOVING 7527 05:29:43,025 --> 05:29:44,427 FORWARD AND SO, AS SIMPLISTIC AS 7528 05:29:44,427 --> 05:29:46,496 THE CHART IS, IT DOES HELP YOU 7529 05:29:46,496 --> 05:29:49,999 KEEP EVERYONE ON TRACK AND KEEP 7530 05:29:49,999 --> 05:29:54,604 YOU FOCUSED IN ON WHEN WHERE THE 7531 05:29:54,604 --> 05:29:56,539 KEY GAPS ARE AND WHEN YOUR 7532 05:29:56,539 --> 05:29:59,208 TIMELINES ARE GOING TO BE MET 7533 05:29:59,208 --> 05:30:03,312 DOWN THE ROAD. 7534 05:30:03,312 --> 05:30:03,880 NEXT SLIDE. 7535 05:30:03,880 --> 05:30:05,915 YEAH, SO THIS IS JUST SORT OF 7536 05:30:05,915 --> 05:30:07,083 THE EMERGING PROFILE, IT'S 7537 05:30:07,083 --> 05:30:08,918 REALLY JUST A SUMMARY OF WHERE 7538 05:30:08,918 --> 05:30:10,753 WE ARE RIGHT NOW. 7539 05:30:10,753 --> 05:30:14,056 SO, I THINK AS I JOINED THIS 7540 05:30:14,056 --> 05:30:16,492 SESSION HERE WITH DR. HOLTZMAN, 7541 05:30:16,492 --> 05:30:20,830 HE HIGHLIGHTED A LOT OF THESE AS 7542 05:30:20,830 --> 05:30:22,098 HAVING VERY CLEAR TARGET, CLEAR 7543 05:30:22,098 --> 05:30:25,601 IN OUR CASE INHIBITION ACTIVITY 7544 05:30:25,601 --> 05:30:28,404 BEING ABLE TO SEE ENGAGEMENT, 7545 05:30:28,404 --> 05:30:31,707 NOT ONLY IN THE PRIMARY ANIMAL 7546 05:30:31,707 --> 05:30:35,344 MODELS FOR EFFICACY AS WELL AS 7547 05:30:35,344 --> 05:30:41,484 SAFETY, BUT ALSO IN THE EARLY 7548 05:30:41,484 --> 05:30:46,088 STAGES OF PHASE 1 AND WE'VE GOT 7549 05:30:46,088 --> 05:30:50,092 A FAIRLY HIGH THRESHOLD OF TOP 7550 05:30:50,092 --> 05:30:53,629 DOZE THAT WILL BE EVALUATED 7551 05:30:53,629 --> 05:30:56,499 RELATIVE TO WHAT WE THINK THE 7552 05:30:56,499 --> 05:30:58,000 EXPOSURE REQUIRED FOR EFFICACY 7553 05:30:58,000 --> 05:31:00,836 WILL BE, SO, OBVIOUSLY ONCE WE 7554 05:31:00,836 --> 05:31:02,438 UNBLIND THE STUDY AND SEE WHAT 7555 05:31:02,438 --> 05:31:03,706 THOSE DATA ACTUALLY LOOK LIKE, 7556 05:31:03,706 --> 05:31:07,076 WE WILL KNOW HOW CLOSE WE WERE 7557 05:31:07,076 --> 05:31:09,278 TO BEING ON TRACK BUT WE THINK 7558 05:31:09,278 --> 05:31:13,149 WE HAVE A PRETTY GOOD MARNLIN TO 7559 05:31:13,149 --> 05:31:13,416 EVALUATE. 7560 05:31:13,416 --> 05:31:23,893 AND THEN IN OUR CASE, SINCE 7561 05:31:24,727 --> 05:31:26,362 HAVING PATIENTS THAT ARE NULL 7562 05:31:26,362 --> 05:31:30,333 FOR P A I 1 HAVE BEEN ASSOCIATE 7563 05:31:30,333 --> 05:31:31,067 WIDE BLEEDING DISORDERS EVEN 7564 05:31:31,067 --> 05:31:35,237 THOUGH WE'RE NOT DEVELOPING A 7565 05:31:35,237 --> 05:31:36,539 COMPOUND THAT ACTUALLY KNOCKS 7566 05:31:36,539 --> 05:31:38,975 OUT ALL P A I ACTIVITY, WE'RE 7567 05:31:38,975 --> 05:31:44,246 MORE OF A CHARACTERIZED AS A 7568 05:31:44,246 --> 05:31:50,319 RESTAT LIKE EFFECT WHERE YOU 7569 05:31:50,319 --> 05:31:51,520 RETURN DYSFUNCTIONAL LEVELS OF P 7570 05:31:51,520 --> 05:31:54,924 A I 1 DOWN TO NORMAL LEVELS BUT 7571 05:31:54,924 --> 05:31:56,926 EVERYONE ALWAYS ASKS YOU FOR 7572 05:31:56,926 --> 05:32:00,229 DATA ABOUT BLEEDING RISK AND SO 7573 05:32:00,229 --> 05:32:03,299 WE'VE HAD TO CONSTANTLY GENERATE 7574 05:32:03,299 --> 05:32:06,168 THAT NOT ONLY IN VIVO BUT EXVIVO 7575 05:32:06,168 --> 05:32:08,137 AND CONTINUE TO LOOK AT THAT. 7576 05:32:08,137 --> 05:32:09,805 IT'S NOT ACTUALLY INTERESTINGLY 7577 05:32:09,805 --> 05:32:12,441 ENOUGH AN ISSUE FROM THE FDA 7578 05:32:12,441 --> 05:32:14,043 STANDPOINT THAT HAS BEEN A 7579 05:32:14,043 --> 05:32:16,579 CONCERN AS WE'VE GONE THROUGH 7580 05:32:16,579 --> 05:32:20,483 THE INITIAL IND SUBMISSION, BUT 7581 05:32:20,483 --> 05:32:22,551 IT IS A CONSTANT QUESTION FROM 7582 05:32:22,551 --> 05:32:25,788 ALL OF THOSE POTENTIAL STRATEGIC 7583 05:32:25,788 --> 05:32:30,760 PARTNERS DOWN THE ROAD THAT AS 7584 05:32:30,760 --> 05:32:32,461 DR. LIU MENTIONED, YOU WILL 7585 05:32:32,461 --> 05:32:34,096 DEFINITELY NEED AS YOU ADVANCE 7586 05:32:34,096 --> 05:32:38,167 THE COMPOUND INTO LATER STAGES. 7587 05:32:38,167 --> 05:32:41,237 NEXT SLIDE. 7588 05:32:41,237 --> 05:32:42,705 OKAY, SO, SUMMARY, ALSO MY YOB 7589 05:32:42,705 --> 05:32:44,340 CORPS IS BEING THE LAST 7590 05:32:44,340 --> 05:32:46,308 PRESENTER IS TO GIVE THE GIFT OF 7591 05:32:46,308 --> 05:32:48,644 TIME TO THE MODERATORS WHO ARE 7592 05:32:48,644 --> 05:32:50,379 GOING TO CONVENE THE PANEL 7593 05:32:50,379 --> 05:32:51,647 AFTERWARDS AND JUST SUMMARIZE. 7594 05:32:51,647 --> 05:32:53,983 SO WE WERE ABLE TO REALLY PARLAY 7595 05:32:53,983 --> 05:32:58,054 THE FIRST 4 AND HALF MILLION, 4 7596 05:32:58,054 --> 05:33:01,991 OF WHICH WAS NIH PROVIDED 7597 05:33:01,991 --> 05:33:04,527 THROUGH R43 AND R44 GRANTS TO 7598 05:33:04,527 --> 05:33:06,462 GENERATE THE KIND OF DATA THAT 7599 05:33:06,462 --> 05:33:08,197 WOULD BE NEEDED NOT ONLY TO 7600 05:33:08,197 --> 05:33:09,899 RERISK THE ASSET FROM AN 7601 05:33:09,899 --> 05:33:12,368 INVESTOR STAND POINT WHICH WAS 7602 05:33:12,368 --> 05:33:15,171 HELPFUL IN ATTRACTING OUR SERIES 7603 05:33:15,171 --> 05:33:17,807 8 INITIAL ROUND OF FINANCING BUT 7604 05:33:17,807 --> 05:33:24,380 ALSO BEING ABLE TO DELIVER THE 7605 05:33:24,380 --> 05:33:26,449 IND PACKAGE THAT WAS SUFFICIENT 7606 05:33:26,449 --> 05:33:27,049 FOR FDA ABNORMAL GLUCOSE 7607 05:33:27,049 --> 05:33:28,451 TOLERANCE RISATION TO ADVANCE 7608 05:33:28,451 --> 05:33:29,652 THE PROGRAM. 7609 05:33:29,652 --> 05:33:32,288 SO COMING OUT OF COMPLETION HERE 7610 05:33:32,288 --> 05:33:35,124 OF THE PHASE 1 A AND 1 B ARE THE 7611 05:33:35,124 --> 05:33:38,994 SAD AND MAD FACES OF THE EARLY 7612 05:33:38,994 --> 05:33:40,629 CLINICAL STUDIES AND HEALTHY 7613 05:33:40,629 --> 05:33:44,233 VOLUNTEERS, WE'LL BE LOOKING AT 7614 05:33:44,233 --> 05:33:46,068 A PHASE 2A PROGRAM IN PATIENTS 7615 05:33:46,068 --> 05:33:47,703 OVER ABOUT A 6 MONTH PERIOD OF 7616 05:33:47,703 --> 05:33:49,004 TIME GENERATING THE DATA THAT 7617 05:33:49,004 --> 05:33:53,943 CAN DERISK THE ASSET TOWARD THE 7618 05:33:53,943 --> 05:33:54,977 NEXT ROUND OF INVESTMENT. 7619 05:33:54,977 --> 05:33:55,311 ALL RIGHT. 7620 05:33:55,311 --> 05:33:58,481 SO I THINK THAT'S IT FOR MY 7621 05:33:58,481 --> 05:33:58,814 PRESENTATION. 7622 05:33:58,814 --> 05:34:00,216 AND HAPPY TO ANSWER QUESTIONS AS 7623 05:34:00,216 --> 05:34:06,756 WE GO THROUGH THE PANEL 7624 05:34:06,756 --> 05:34:07,056 DISCUSSION. 7625 05:34:07,056 --> 05:34:09,492 >> YEAH, I THINK WE WILL DO THE 7626 05:34:09,492 --> 05:34:11,560 QUESTIONS DURING THE PANEL 7627 05:34:11,560 --> 05:34:11,927 DISCUSSION. 7628 05:34:11,927 --> 05:34:13,395 THAT'S GREAT. 7629 05:34:13,395 --> 05:34:14,196 >> THANK YOU. 7630 05:34:14,196 --> 05:34:16,732 >> THANK YOU DR. BENOIT, 7631 05:34:16,732 --> 05:34:18,000 HONORARY DOCTOR. 7632 05:34:18,000 --> 05:34:19,068 APPRECIATE THAT. 7633 05:34:19,068 --> 05:34:23,272 IT WILL GET ME A PAID DINNER 7634 05:34:23,272 --> 05:34:23,706 TONIGHT. 7635 05:34:23,706 --> 05:34:24,840 [LAUGHTER] 7636 05:34:24,840 --> 05:34:26,342 >> SO I THINK THAT THE ORDER 7637 05:34:26,342 --> 05:34:28,310 THAT THEY HAVE US GOING IN IS ME 7638 05:34:28,310 --> 05:34:32,047 AND THEN JAMES, I WAS GOING TO 7639 05:34:32,047 --> 05:34:34,116 GO VERY BRIEF, MUCH EARLIER IN 7640 05:34:34,116 --> 05:34:36,318 AND IT'S LETTING ME DO MY KRID 7641 05:34:36,318 --> 05:34:37,620 VIDEO BUT THAT'S FINE, YOU DON'T 7642 05:34:37,620 --> 05:34:41,991 NEED TO SEE ME, ANYWAY IT'LL 7643 05:34:41,991 --> 05:34:45,394 PROBABLY BE BETTER FOR -- THERE 7644 05:34:45,394 --> 05:34:46,128 WE GO. 7645 05:34:46,128 --> 05:34:47,496 IT MAY ACTUALLY BE BETTER TO 7646 05:34:47,496 --> 05:34:48,464 JUST HAVE IT OFF. 7647 05:34:48,464 --> 05:34:52,101 WE WILL SEE HOW STABLE IT IS. 7648 05:34:52,101 --> 05:34:57,273 SO THIS IS JAMES' IT WE CAN LOAD 7649 05:34:57,273 --> 05:34:59,041 THE 1 THAT SAYS THE AUDIO ON THE 7650 05:34:59,041 --> 05:35:06,882 END OF IT, PLEASE. 7651 05:35:06,882 --> 05:35:17,393 SO YOU'RE GETTING A PREVIEW OF 7652 05:35:36,045 --> 05:35:37,046 JAMES THERE. 7653 05:35:37,046 --> 05:35:42,818 JAMES DO YOU MIND JUMPING IN? 7654 05:35:42,818 --> 05:35:43,219 >> MY PLEASURE. 7655 05:35:43,219 --> 05:35:50,459 >> THANK YOU SO MUCH, LET'S PUT 7656 05:35:50,459 --> 05:35:55,164 JAMES UP AND WE WILL FIND 7657 05:35:55,164 --> 05:35:55,531 DR. ZIADY'S. 7658 05:35:55,531 --> 05:36:01,136 >> SAME THING, BACKWARDS FAST. 7659 05:36:01,136 --> 05:36:02,771 ALL RIGHT, SO, THE TALK I'M 7660 05:36:02,771 --> 05:36:04,740 GOING TO GIVE IS I WOULD SAY A 7661 05:36:04,740 --> 05:36:06,008 BRIEF THING, IS I THOUGHT IT 7662 05:36:06,008 --> 05:36:07,676 WOULD BE ENTERTAINING TO SEE A 7663 05:36:07,676 --> 05:36:12,147 LOT OF CONCEPTS THESE GUYS 7664 05:36:12,147 --> 05:36:16,685 TALKED ABOUT BUT, FOR A PROJECT 7665 05:36:16,685 --> 05:36:17,186 THAT HAD PROBLEMS. 7666 05:36:17,186 --> 05:36:21,156 I'VE GOT A LOT OF PROJECTS BUT I 7667 05:36:21,156 --> 05:36:23,092 THOUGHT THIS 1 HAD MORE 7668 05:36:23,092 --> 05:36:25,060 EDUCATIONAL CONTENT. 7669 05:36:25,060 --> 05:36:26,962 NEXT SLIDE. 7670 05:36:26,962 --> 05:36:28,564 SO, THE DISCLOSURES SORT OF 7671 05:36:28,564 --> 05:36:30,432 START OFF SO NHLBI FUNDED PART 7672 05:36:30,432 --> 05:36:32,301 OF THIS BUT THERE'S 4 DEFINITE 7673 05:36:32,301 --> 05:36:34,370 COMPANIES LISTED HERE, HERE ON 7674 05:36:34,370 --> 05:36:36,906 GSK'S LUNG DECS DIVISION, 7675 05:36:36,906 --> 05:36:38,040 [INDISCERNIBLE] AND ALL 4 OF 7676 05:36:38,040 --> 05:36:39,909 THOSE HAVE NO LONGER EXIST, 7677 05:36:39,909 --> 05:36:43,145 AFTER HELPING ME WITH THIS 7678 05:36:43,145 --> 05:36:45,281 PROJECT SO FAR NHLBI HAS 7679 05:36:45,281 --> 05:36:46,515 SURVIVED COLLABORATING WITH ME 7680 05:36:46,515 --> 05:36:50,119 BUT WE'LL SEE. 7681 05:36:50,119 --> 05:36:50,920 NEXT SLIDE. 7682 05:36:50,920 --> 05:36:54,089 SO THIS ISN'T EXACTLY EVERYBODY 7683 05:36:54,089 --> 05:36:55,824 ELSE PUT IT BUT CLOSE ENOUGH, 7684 05:36:55,824 --> 05:36:57,359 THERE'S A BUNCH OF THINGS YOU 7685 05:36:57,359 --> 05:36:58,327 WANT FOR YOUR IDEAL TARGET 7686 05:36:58,327 --> 05:36:59,828 PROFILE EMPLOY YOU WANT TO 7687 05:36:59,828 --> 05:37:01,363 TARGET THE MOLECULAR DRIVERS OF 7688 05:37:01,363 --> 05:37:02,798 DEC, YOU WANT LIMITED OFFTARGET 7689 05:37:02,798 --> 05:37:03,432 CENTER FOR EXCELLENCE ON AGINGS, 7690 05:37:03,432 --> 05:37:04,600 YOU WANT A THEREFOREY METHOD 7691 05:37:04,600 --> 05:37:05,868 THAT'S VIABLE AND YOU WANT THE 7692 05:37:05,868 --> 05:37:07,970 WHOLE THING TO BE VIABLE AND 7693 05:37:07,970 --> 05:37:11,140 REASONABLE TO MAKE PROTECTIVE 7694 05:37:11,140 --> 05:37:14,910 IP. 7695 05:37:14,910 --> 05:37:22,551 NEXT SLIDE. 7696 05:37:22,551 --> 05:37:23,052 NEXT SLIDE. 7697 05:37:23,052 --> 05:37:33,295 SO 1 OF THE DECS I STUDY, 7698 05:37:33,295 --> 05:37:34,063 PULMONARY ARTERIAL HYPERTENSION, 7699 05:37:34,063 --> 05:37:36,632 IT'S A NICE TARGET, THERE'S A 7700 05:37:36,632 --> 05:37:37,800 PATHWAY ACE 2 WHICH LOOKS LIKE 7701 05:37:37,800 --> 05:37:41,036 IT HITS ALL OF THE BMPR2 DOWN 7702 05:37:41,036 --> 05:37:46,709 STREAM OW YOU MIGHT IMAGINE IF 7703 05:37:46,709 --> 05:37:49,078 BMPR2 IS PENETRATED YOU COULD 7704 05:37:49,078 --> 05:37:50,112 TREAT PATES WITH ACE 2. 7705 05:37:50,112 --> 05:37:50,746 NEXT SLIDE. 7706 05:37:50,746 --> 05:37:53,048 SO THERE'S A SMALL COMPANY 7707 05:37:53,048 --> 05:37:58,053 CALLED APIRON OUT OF GERMANY OR 7708 05:37:58,053 --> 05:37:59,555 AUSTRIA THAT HAD PATENTS ON 7709 05:37:59,555 --> 05:38:01,991 THEM, WE GOT TO GIVE THEM TO 7710 05:38:01,991 --> 05:38:03,192 MUTATIONS IN MICE, AND THEY 7711 05:38:03,192 --> 05:38:05,361 WORKED GREAT IN OUR HANDS, SOME 7712 05:38:05,361 --> 05:38:08,364 OTHER GROUPS TRIED IT IN OTHER 7713 05:38:08,364 --> 05:38:09,898 MODELS, OF PULL MONITORRORY 7714 05:38:09,898 --> 05:38:11,533 HYPERTENSION, IT WORKED GREAT 7715 05:38:11,533 --> 05:38:13,135 THERE, PRECLINICAL DATA IN MOST 7716 05:38:13,135 --> 05:38:18,340 MODELS BUT IT DID GRIT FOR 7717 05:38:18,340 --> 05:38:21,810 PULMONARY HYPERTENSION, SO THEY 7718 05:38:21,810 --> 05:38:23,479 SOLD THIS FOR GREAT PILES OF 7719 05:38:23,479 --> 05:38:23,679 MONEY. 7720 05:38:23,679 --> 05:38:25,581 SO SO FAR THIS LOOKS GREAT. 7721 05:38:25,581 --> 05:38:26,982 LOOKS LIKE IT SHOULD BE HITTING 7722 05:38:26,982 --> 05:38:29,718 THE FOUNDATION OF THE DISEASE, 7723 05:38:29,718 --> 05:38:32,221 LIMITED OFF TARGET EFFECTS 7724 05:38:32,221 --> 05:38:34,623 BECAUSE THE H2 IS FAIRLY ALREADY 7725 05:38:34,623 --> 05:38:35,791 A BIOLOGICAL PRODUCT AND IT'S 7726 05:38:35,791 --> 05:38:41,463 WELL KNOWN WHAT IT DID AND IT'S 7727 05:38:41,463 --> 05:38:42,731 GOT PREDICTABLE IP. 7728 05:38:42,731 --> 05:38:44,900 SO GSK GETS BACK AHOLD OF ME AND 7729 05:38:44,900 --> 05:38:47,202 WANTS A FIRST IN MAN TRIAL OF 7730 05:38:47,202 --> 05:38:48,737 ACE 2 IN MEL MONITORARY 7731 05:38:48,737 --> 05:38:50,806 HYPERTENSION AND WE DID IT AND 7732 05:38:50,806 --> 05:38:55,577 WE PUBLISH IT, IT LOOKS GREAT. 7733 05:38:55,577 --> 05:38:56,578 NEXT SLIDE. 7734 05:38:56,578 --> 05:38:58,080 THE -- I'M NOT GOING TO SHOW ALL 7735 05:38:58,080 --> 05:39:00,549 THIS STUFF BUT THE CLINICAL END 7736 05:39:00,549 --> 05:39:03,452 POINTS WERE WONDERFUL, IT 7737 05:39:03,452 --> 05:39:04,520 DROPPED THE PULMONARY PRESSURES, 7738 05:39:04,520 --> 05:39:08,057 HIT ALL THE RIGHT MOLECULAREND 7739 05:39:08,057 --> 05:39:08,624 POINTS. 7740 05:39:08,624 --> 05:39:12,294 THE HUMAN TRIALS, THE HUMAN CLIN 7741 05:39:12,294 --> 05:39:15,397 TRIALS LOOK LIKE, IT LOOKS SAFE. 7742 05:39:15,397 --> 05:39:17,166 NEXT SLIDE EMPLOY BUT IT'S 7743 05:39:17,166 --> 05:39:20,502 ACTUALLY TERRIBLE, IT'S TERRIBLE 7744 05:39:20,502 --> 05:39:22,304 BECAUSE THE ACTUAL DRUG, FIRST 7745 05:39:22,304 --> 05:39:24,740 OFF IT'S A SHORT HALF LIFE AND 7746 05:39:24,740 --> 05:39:25,441 REQUIRES DIRECT IV 7747 05:39:25,441 --> 05:39:27,042 ADMINISTRATION AND SO YOU CAN 7748 05:39:27,042 --> 05:39:28,343 WORK AROUND THAT BUT THAT'S A 7749 05:39:28,343 --> 05:39:33,949 HARD DRUG TO COMMERCIALIZE. 7750 05:39:33,949 --> 05:39:35,784 BUT SECONDLY EVEN GSK HAD 7751 05:39:35,784 --> 05:39:37,486 DIFFICULTY MAKE THANKSGIVING 7752 05:39:37,486 --> 05:39:39,655 THING, THE FUNCTIONAL 7753 05:39:39,655 --> 05:39:40,889 REQUIREMENTS MAKE POST 7754 05:39:40,889 --> 05:39:42,257 TRANSLATIONAL MODIIVESS, IT CAN 7755 05:39:42,257 --> 05:39:45,727 BE ONLY MADE IN MAMMALIAN CELLS, 7756 05:39:45,727 --> 05:39:48,564 IT WAS INSANELY DIFFICULT TO 7757 05:39:48,564 --> 05:39:50,065 MAKE, AND GSK BARELY HAD ENOUGH 7758 05:39:50,065 --> 05:39:53,135 FOR EVEN A SMALL TRIAL. 7759 05:39:53,135 --> 05:39:54,069 NEXT SLIDE. 7760 05:39:54,069 --> 05:39:55,304 HOWEVER, NO PROBLEM, RIGHT? 7761 05:39:55,304 --> 05:39:56,839 WE KNOW HOW THIS PATHWAY WORKS 7762 05:39:56,839 --> 05:39:59,441 WE KNOW HOW IT WORKS IS WAS LIKE 7763 05:39:59,441 --> 05:40:03,278 3000 PAPERS THAT SAY THIS, IS H2 7764 05:40:03,278 --> 05:40:05,547 CONVERTS TO [INDISCERNIBLE], AND 7765 05:40:05,547 --> 05:40:08,383 MASS 1 AND IT'S' 7 PEPTIDE, 7766 05:40:08,383 --> 05:40:11,253 SHOULD BE SUPER EASY TO MAKE, 7767 05:40:11,253 --> 05:40:14,389 IT'S ALWAYS UNSTABLE BUT GSK HAS 7768 05:40:14,389 --> 05:40:16,091 TONS OF PROPRIETARY TECHNOLOGIES 7769 05:40:16,091 --> 05:40:20,229 TO STABILIZE IT. 7770 05:40:20,229 --> 05:40:20,562 NEXT SLIDE. 7771 05:40:20,562 --> 05:40:22,064 GLAKS O DOES THAT AND THEY GIVE 7772 05:40:22,064 --> 05:40:24,066 US THE DRUG AND IT DOESN'T WORK. 7773 05:40:24,066 --> 05:40:26,235 WE TRY IT IN THE SAME MOUSE 7774 05:40:26,235 --> 05:40:29,071 MODELS AND IT DOESN'T DO WHAT 7775 05:40:29,071 --> 05:40:29,671 ACE 2 DID. 7776 05:40:29,671 --> 05:40:32,307 AND I WORRY THAT THE STUFF THEY 7777 05:40:32,307 --> 05:40:33,909 MODIFIED TO STABILIZE IT MADE IT 7778 05:40:33,909 --> 05:40:35,811 NO LONGER HIT THE RECEPTOR BUT 7779 05:40:35,811 --> 05:40:37,746 IT DOESN'T MATTER BECAUSE GSK 7780 05:40:37,746 --> 05:40:39,314 SHUT DOWN THEIR LUNG DISEASES 7781 05:40:39,314 --> 05:40:40,649 DIVISION, NOT RELATED TO THIS 7782 05:40:40,649 --> 05:40:45,888 AND THEY GAVE THE PATENT BACK TO 7783 05:40:45,888 --> 05:40:46,788 APIRON. 7784 05:40:46,788 --> 05:40:48,023 NEXT SLIDE. 7785 05:40:48,023 --> 05:40:50,125 SO APIRON, THE GUIDES THAT DID 7786 05:40:50,125 --> 05:40:55,864 APPEARON MADE A NEW COMPANY 7787 05:40:55,864 --> 05:40:58,233 CALLED ALTEROUS, AND INSTEAD OF 7788 05:40:58,233 --> 05:41:08,777 MAKING A -- TRYING TO STABILIZE 7789 05:41:09,778 --> 05:41:11,346 ANG 1-7, AND BY BLOCKING THESE 7790 05:41:11,346 --> 05:41:12,381 PROTEIN COMPLEX YAIG YAISS YOU 7791 05:41:12,381 --> 05:41:13,715 CAN MAKE IT GO WAY UP. 7792 05:41:13,715 --> 05:41:17,085 THIS IS JUST A FIGURE SHOWING 7793 05:41:17,085 --> 05:41:20,689 THAT ACE 2 BRINGS ANG 1-7 UP AS 7794 05:41:20,689 --> 05:41:22,191 A RELATOR IN BLOOD AND THE 7795 05:41:22,191 --> 05:41:23,926 COMBINATION OF THEIR DRUG IMETS 7796 05:41:23,926 --> 05:41:27,095 US UP TO 460 EMPLOY SO WE CAN 7797 05:41:27,095 --> 05:41:29,665 REPRODUCE THE THING WITH SMALL 7798 05:41:29,665 --> 05:41:36,004 MOLECULE INHIBITORS. 7799 05:41:36,004 --> 05:41:36,572 NEXT SLIDE. 7800 05:41:36,572 --> 05:41:37,973 NEXT SLIDE AND IT STILL DOESN'T 7801 05:41:37,973 --> 05:41:38,173 WORK. 7802 05:41:38,173 --> 05:41:39,708 IN FACT WHEN WE INCREASE THE 7803 05:41:39,708 --> 05:41:43,946 DOSE TO GIVE IT EVEN MORE ANG 7804 05:41:43,946 --> 05:41:45,247 1-7 THE PULMONARY HYPERTENSION 7805 05:41:45,247 --> 05:41:45,847 GETS WORSE. 7806 05:41:45,847 --> 05:41:48,617 NEXT SLIDE. 7807 05:41:48,617 --> 05:41:54,923 AND OH, ALTASD E R-- ALTERRAS 7808 05:41:54,923 --> 05:41:58,594 WENT OUT OF BUSINESS. 7809 05:41:58,594 --> 05:41:59,895 MAYBE HOW ACE 2 IS WORKING HAS 7810 05:41:59,895 --> 05:42:00,996 NOTHING TO DO WITH THIS. 7811 05:42:00,996 --> 05:42:01,597 NEXT SLIDE. 7812 05:42:01,597 --> 05:42:03,532 SO AT THIS POINT WHAT LOOKED 7813 05:42:03,532 --> 05:42:05,100 GOOD TO BEGIN WITH NOW LOOKS 7814 05:42:05,100 --> 05:42:05,567 LIKE A DISASTER. 7815 05:42:05,567 --> 05:42:07,536 WE DON'T HAVE A DELIVERY METHOD, 7816 05:42:07,536 --> 05:42:09,238 WE CAN'T MAKE IT A REASONABLE 7817 05:42:09,238 --> 05:42:10,305 PRICE, WE'RE NOT EVEN SURE WE 7818 05:42:10,305 --> 05:42:13,175 HAVE THE RIGHT TARGET. 7819 05:42:13,175 --> 05:42:14,843 KEEP GOING. 7820 05:42:14,843 --> 05:42:16,478 BUT WE KNOCKED OUT THE MASS 7821 05:42:16,478 --> 05:42:17,679 RECEPTOR IN MICE AND WHEN YOU 7822 05:42:17,679 --> 05:42:19,915 KNOCK OUT THE MASS RECEPTOR IN 7823 05:42:19,915 --> 05:42:22,184 MICE, ACE 2 NO LONGER WORKS SO 7824 05:42:22,184 --> 05:42:25,721 MASS IS THE RIGHT RECEPTOR. 7825 05:42:25,721 --> 05:42:26,555 NEXT SLIDE. 7826 05:42:26,555 --> 05:42:27,823 MOST MASS RECEPTOR AGONISTS THAT 7827 05:42:27,823 --> 05:42:29,591 ARE OUT THERE AREN'T ACTUALLY 7828 05:42:29,591 --> 05:42:30,993 MASS RECEPTOR AGONISTS BUT 7829 05:42:30,993 --> 05:42:34,062 THERE'S A COMPANY CALLED ARENA 7830 05:42:34,062 --> 05:42:35,230 PHARMACEUTICALS THAT HAD A 7831 05:42:35,230 --> 05:42:36,832 CLEVER CHEMIST THAT DID TONS OF 7832 05:42:36,832 --> 05:42:40,335 NICE WORK AND FOUND AN ACTUAL 7833 05:42:40,335 --> 05:42:41,637 MASS RECEPTOR AGONIST AND IT 7834 05:42:41,637 --> 05:42:42,771 WORKED GREAT, JUST AS WELL AS 7835 05:42:42,771 --> 05:42:44,906 ACE 2. 7836 05:42:44,906 --> 05:42:45,407 NEXT SLIDE. 7837 05:42:45,407 --> 05:42:49,111 BUT THEY WENT OUT OF BUSINESS. 7838 05:42:49,111 --> 05:42:50,045 [LAUGHTER] 7839 05:42:50,045 --> 05:42:51,480 AND THEIR PATENT WAS BOUGHT BY 7840 05:42:51,480 --> 05:42:52,748 PFIZER WHICH IS ABOUT WHERE WE 7841 05:42:52,748 --> 05:42:57,119 STOP NOW . 7842 05:42:57,119 --> 05:42:57,653 NEXT SLIDE. 7843 05:42:57,653 --> 05:42:59,755 SO GOOD NEWS IS THAT IT ALL 7844 05:42:59,755 --> 05:43:01,623 LOOKS PRETTY GOOD, TARGET 7845 05:43:01,623 --> 05:43:02,891 PROFILEETS MOLECULAR DRIVERS OF 7846 05:43:02,891 --> 05:43:04,760 DISEASE, LIMITED OFF TARGET 7847 05:43:04,760 --> 05:43:05,827 EFFECTS, THEREFOREY METHODS 7848 05:43:05,827 --> 05:43:07,796 VIABLE, IT'S SMALL MOLECULE, 7849 05:43:07,796 --> 05:43:10,565 THAT'S EXTREMELY STABLE AND 7850 05:43:10,565 --> 05:43:12,567 SUBCUTANEOUS, REASONABLE PRICE 7851 05:43:12,567 --> 05:43:15,103 TO MAKE, SMALL MOLECULE DRUG, 7852 05:43:15,103 --> 05:43:17,205 PROTECTABLE IP, AND THERE 7853 05:43:17,205 --> 05:43:19,875 EXISTING PATENTS ON THE THING. 7854 05:43:19,875 --> 05:43:21,677 NEXT SLIDE. 7855 05:43:21,677 --> 05:43:21,943 [LAUGHTER] 7856 05:43:21,943 --> 05:43:22,944 AND SO, THE LAST PROBLEM YOU 7857 05:43:22,944 --> 05:43:25,814 HAVE IS IF THE IP OWNER IS 7858 05:43:25,814 --> 05:43:26,615 INTERESTED IN THE INDICATION O 7859 05:43:26,615 --> 05:43:29,217 I'M GOING TO SEE IF I CAN'T GET 7860 05:43:29,217 --> 05:43:30,619 AHOLD WITH PFIZER AND SEE IF 7861 05:43:30,619 --> 05:43:31,720 THEY'RE INTERESTED IN PURSUING 7862 05:43:31,720 --> 05:43:33,188 THE PROJECT AND THE REASON FOR 7863 05:43:33,188 --> 05:43:34,823 THAT IS, IT'S LOVELY AND WOULD 7864 05:43:34,823 --> 05:43:36,325 GIVE ME A NICE PARTNER TO 7865 05:43:36,325 --> 05:43:37,626 PROCEED BUT IF NOT THERE'S A FEW 7866 05:43:37,626 --> 05:43:39,728 PROBLEMS WITH THE DRUG, IT'S A 7867 05:43:39,728 --> 05:43:41,596 GREAT DRUG BUT IT COULD BE MADE 7868 05:43:41,596 --> 05:43:43,765 MORE SOLUBLE FOR FEW THINGS TO 7869 05:43:43,765 --> 05:43:46,101 IMPROVE IT AND IF PFIZER'S NOT 7870 05:43:46,101 --> 05:43:47,102 INTERESTED, WE WILL REENGINEER 7871 05:43:47,102 --> 05:43:51,506 AND PROCEED FROM THERE. 7872 05:43:51,506 --> 05:43:52,307 NEXT SLIDE. 7873 05:43:52,307 --> 05:43:53,241 SOPHISTICATED REALLY A KEY TAKE 7874 05:43:53,241 --> 05:43:56,144 AWAY HERE IS THAT ACHIEVING A 7875 05:43:56,144 --> 05:43:57,479 TARGET PROFILE, SOMETIMES IT MAY 7876 05:43:57,479 --> 05:44:01,016 LOOK GOOD IN THE BEGINNING BUT 7877 05:44:01,016 --> 05:44:02,150 IT SOMETIMES REQUIRING WORKING 7878 05:44:02,150 --> 05:44:04,453 EITHER BECAUSE THE ORIGINAL 7879 05:44:04,453 --> 05:44:06,922 DIRECT PATHWAY YOU'RE USING JUST 7880 05:44:06,922 --> 05:44:09,024 TURNS OUT NOT TO BE VIABLE OR 7881 05:44:09,024 --> 05:44:12,194 BECAUSE IT TURNS OUT WHAT THE 7882 05:44:12,194 --> 05:44:13,495 LITERATURE ACCEPTS AS TRUE ISN'T 7883 05:44:13,495 --> 05:44:15,030 WHEN YOU START LOOKING AT IT OR 7884 05:44:15,030 --> 05:44:19,668 ANY OTHER VARIETY OF REASON WHY 7885 05:44:19,668 --> 05:44:22,704 YOU COULD HAVE TROUBLE SELLING 7886 05:44:22,704 --> 05:44:22,904 THIS. 7887 05:44:22,904 --> 05:44:24,306 ONE THINK THIS I WON'T TALK A 7888 05:44:24,306 --> 05:44:25,874 LOT ABOUT IS GETTING FUNDING FOR 7889 05:44:25,874 --> 05:44:27,275 THIS AND THERE'S A LOT OF 7890 05:44:27,275 --> 05:44:29,144 DIFFERENT FUNDING SOURCES FOR 7891 05:44:29,144 --> 05:44:29,478 THIS. 7892 05:44:29,478 --> 05:44:31,613 NHLBI PAID FOR THIS WITH RO-1S 7893 05:44:31,613 --> 05:44:32,514 AND PROJECT GRANTS. 7894 05:44:32,514 --> 05:44:34,116 WE HAD SMALL BUSINESS 7895 05:44:34,116 --> 05:44:36,017 COLLABORATIONS WITH THE 7896 05:44:36,017 --> 05:44:38,320 VENTUREICALTAL AND SMALL 7897 05:44:38,320 --> 05:44:43,325 BUSINESS GRANTS, IS SBIRS AND 7898 05:44:43,325 --> 05:44:44,760 STTRS, SO THERE'S A LOT OF WAYS 7899 05:44:44,760 --> 05:44:46,495 CAN YOU PAY FOR THIS SORT OF 7900 05:44:46,495 --> 05:44:46,828 THING. 7901 05:44:46,828 --> 05:44:50,265 I GUESS WHAT I'M SAYING IS IS 7902 05:44:50,265 --> 05:44:50,999 THAT MY EXPERIENCE IN THIS 7903 05:44:50,999 --> 05:44:52,834 PROJECT THAT HAS HAD A LOT OF 7904 05:44:52,834 --> 05:44:55,737 LUMPS IN IT, IS THAT IT REALLY 7905 05:44:55,737 --> 05:44:57,539 IS A CONFIRMATION ANECDOTALLY OF 7906 05:44:57,539 --> 05:45:00,108 ALL THE OTHER STUFF THE GUYS 7907 05:45:00,108 --> 05:45:00,575 HAVE TALKED ABOUT. 7908 05:45:00,575 --> 05:45:03,612 AND I THINK THAT'S EVERYTHING I 7909 05:45:03,612 --> 05:45:05,514 HAVE TO SAY. 7910 05:45:05,514 --> 05:45:09,551 IF I MY CO MODERATOR IS READY? 7911 05:45:09,551 --> 05:45:20,095 >> YEAH, I THINK THEY HAVE IT. 7912 05:45:31,206 --> 05:45:32,374 LET'S SEE. 7913 05:45:32,374 --> 05:45:34,609 AND I WANTED TO LOOK THEA THE 7914 05:45:34,609 --> 05:45:36,144 HURDLES, AND JAMES AS WELL AS WE 7915 05:45:36,144 --> 05:45:37,679 ARE AND OTHER SPEAKERS ON THE 7916 05:45:37,679 --> 05:45:41,716 PANEL AND DR. HOLTZMAN AND 7917 05:45:41,716 --> 05:45:45,153 DR. BENOIT, THAT YOU KNOW IN 7918 05:45:45,153 --> 05:45:46,788 DEVELOPMENT AND DEFINING THE 7919 05:45:46,788 --> 05:45:48,056 TARGET PRODUCTS AND GETTING THEM 7920 05:45:48,056 --> 05:45:49,691 TO MARKET, WE ARE STILL SORT OF 7921 05:45:49,691 --> 05:45:51,760 AN EARLY STAGES OF TRYING TO GET 7922 05:45:51,760 --> 05:45:54,329 A FEW PRODUCTS TO MARKET, 1 OF 7923 05:45:54,329 --> 05:45:55,564 THEM'S GENE THERAPY WHICH I 7924 05:45:55,564 --> 05:45:59,201 WON'T TALK ABOUT TODAY AND THE 7925 05:45:59,201 --> 05:46:01,303 OTHER IS A LAB TEST FOR 7926 05:46:01,303 --> 05:46:02,571 BIOMARKERS OF DISEASE, WHICH IS 7927 05:46:02,571 --> 05:46:03,405 TURNING INTO AN INTERESTING 7928 05:46:03,405 --> 05:46:05,173 PROJECT BUT I WANTED TO FOCUS 7929 05:46:05,173 --> 05:46:06,875 ON, YOU HEARD A LOT TODAY ABOUT 7930 05:46:06,875 --> 05:46:08,210 -- COULD I HAVE THE NEXT SLIDE 7931 05:46:08,210 --> 05:46:09,744 -- I WANT TO FOCUS ON THE 7932 05:46:09,744 --> 05:46:11,179 HURDLES BECAUSE YOU HEARD A LOT 7933 05:46:11,179 --> 05:46:12,681 ABOUT -- THESE ARE MY 7934 05:46:12,681 --> 05:46:13,548 DISCLOSURES HERE. 7935 05:46:13,548 --> 05:46:15,383 THIS IS OTHER PROJECTS HAVE BEEN 7936 05:46:15,383 --> 05:46:19,187 FUNDED IN THE LAB BY THE NHLBI 7937 05:46:19,187 --> 05:46:20,288 AND CF FOUNDATION. 7938 05:46:20,288 --> 05:46:23,658 WE RECENTLY GOT AN SBIR GRANT 7939 05:46:23,658 --> 05:46:25,160 ASK WE'VE GOTTEN SBIR FUNDING 7940 05:46:25,160 --> 05:46:27,028 BEFORE FOR THE GENE THERAPY WORK 7941 05:46:27,028 --> 05:46:29,097 THAT WORK ON TODAY WAS SUPPORTED 7942 05:46:29,097 --> 05:46:32,934 BY CATALYZE SO THE PROGRAM THAT 7943 05:46:32,934 --> 05:46:34,803 MIKE AND LAURA SPOKE ABOUT 7944 05:46:34,803 --> 05:46:35,837 EARLIER, FANTASTIC PROGRAM AND 7945 05:46:35,837 --> 05:46:36,905 SOMETHING THAT IN MY OPINION 7946 05:46:36,905 --> 05:46:39,007 EVERYONE WHO WANTS TO INNOVATE 7947 05:46:39,007 --> 05:46:40,642 AND REALLY SORT OF REDUCE TO 7948 05:46:40,642 --> 05:46:42,477 PRACTICE WHAT THEY'RE DOING, AND 7949 05:46:42,477 --> 05:46:44,112 THEN NOT JUST HAVE VISION BUT 7950 05:46:44,112 --> 05:46:46,147 TURN IT INTO SOMETHING SHOULD 7951 05:46:46,147 --> 05:46:46,982 REALLY INTERACT AND CROSS PATHS 7952 05:46:46,982 --> 05:46:49,651 WITH THIS PROGRAM AT THE NIH 7953 05:46:49,651 --> 05:46:50,118 IT'S REALLY AMAZING. 7954 05:46:50,118 --> 05:46:54,022 WE'RE WORKING WITH A COMPANY 7955 05:46:54,022 --> 05:46:55,357 CALLED GENEXYS, JUST TO DISCLOSE 7956 05:46:55,357 --> 05:46:57,792 THAT AND I'M AN INVENTOR ON A 7957 05:46:57,792 --> 05:46:59,928 NUMBER OF PATENTS I WILL DISCUSS 7958 05:46:59,928 --> 05:47:00,262 TODAY. 7959 05:47:00,262 --> 05:47:02,030 SO NEXT SLIDE PLEASE. 7960 05:47:02,030 --> 05:47:04,432 I REALLY WANT TO FOCUS ON THE 7961 05:47:04,432 --> 05:47:04,733 CHALLENGES. 7962 05:47:04,733 --> 05:47:07,035 YOU HEARD A LOT ABOUT BALANCING 7963 05:47:07,035 --> 05:47:07,836 VISION AND FEASIBILITY. 7964 05:47:07,836 --> 05:47:10,305 I THINK THAT'S IMPORTANTOT 7965 05:47:10,305 --> 05:47:12,841 SCIENTIFIC LEVEL, VISION IS NOT 7966 05:47:12,841 --> 05:47:15,443 IN SHORT SUPPLY, SO I THINK 7967 05:47:15,443 --> 05:47:16,845 GENERALLY, YOU DON'T GO INTO 7968 05:47:16,845 --> 05:47:18,547 SCIENCE IF YOU'RE NOT A 7969 05:47:18,547 --> 05:47:19,948 VISIONARY KIND OF PERSON THAT 7970 05:47:19,948 --> 05:47:22,017 YOU KNOW WANTED TO WIN THE NOBEL 7971 05:47:22,017 --> 05:47:23,318 FOR CURING ALL DISEASE AT SOME 7972 05:47:23,318 --> 05:47:23,518 POINT. 7973 05:47:23,518 --> 05:47:25,420 I THINK THAT THAT'S THE WAY A 7974 05:47:25,420 --> 05:47:27,589 LOT OF PEOPLE WHO DO BASIC 7975 05:47:27,589 --> 05:47:28,523 SCIENCE OR TRANSLATIONAL SCIENCE 7976 05:47:28,523 --> 05:47:30,125 ARE BUILT TO BEGIN WITH. 7977 05:47:30,125 --> 05:47:32,127 SO VISION IS, I DON'T THINK IN A 7978 05:47:32,127 --> 05:47:33,528 LOT OF SHORT SUPPLY BUT YOU 7979 05:47:33,528 --> 05:47:37,165 REALLY ARE TO COUPLE THAT WITH 7980 05:47:37,165 --> 05:47:41,202 FEASIBILITY AND THAT REALLY IS 7981 05:47:41,202 --> 05:47:42,203 THE -- QUITE IMPORTANT. 7982 05:47:42,203 --> 05:47:43,338 YOU HEARD QUITE A BIT ABOUT THAT 7983 05:47:43,338 --> 05:47:45,006 TODAY, AND YOU HAVE TO MAKE SURE 7984 05:47:45,006 --> 05:47:46,174 YOU CAN SCALE UP WHATEVER YOU'RE 7985 05:47:46,174 --> 05:47:48,276 MAKING, YOU ARE DOING, IF YOU'RE 7986 05:47:48,276 --> 05:47:50,345 MAKING A PRODUCT LIKE A SMALL 7987 05:47:50,345 --> 05:47:53,315 MOLECULE OR A GENE THERAPY 7988 05:47:53,315 --> 05:47:55,750 VECTOR, HAS TO BE SCALABLE, HAS 7989 05:47:55,750 --> 05:47:57,185 TO BE REPRODUCIBLY MADE, HAS TO 7990 05:47:57,185 --> 05:47:58,954 BE TABLE, YOU CAN STORE IT, A 7991 05:47:58,954 --> 05:48:02,924 LOT OF THINGS GO INTO, YOU KNOW 7992 05:48:02,924 --> 05:48:06,294 DEFINING THE PRODUCT ISSUES THE 7993 05:48:06,294 --> 05:48:07,829 TARGET PRODUCT, PART OF WHAT 7994 05:48:07,829 --> 05:48:09,531 GOES INTO DEFINING THAT IS CAN 7995 05:48:09,531 --> 05:48:11,333 YOU ACTUALLY MAKE SOMETHING THAT 7996 05:48:11,333 --> 05:48:13,535 WILL END UP BEING A PRODUCT 7997 05:48:13,535 --> 05:48:16,938 THAT'S VIABLE AND NOT JUST 7998 05:48:16,938 --> 05:48:17,973 SOMETHING THAT AFFECTS A PATHWAY 7999 05:48:17,973 --> 05:48:19,841 IN A CELL LINE IN A SINGLE 8000 05:48:19,841 --> 05:48:20,141 EXPERIMENT. 8001 05:48:20,141 --> 05:48:21,376 IT HAS TO BE SOMETHING THAT CAN 8002 05:48:21,376 --> 05:48:23,678 BE KEPT, YOU KNOW ON THE SHELF 8003 05:48:23,678 --> 05:48:26,648 IN A BOTTLE OR PILL AND 8004 05:48:26,648 --> 05:48:28,216 DELIVERED AND WORK STABLY AND 8005 05:48:28,216 --> 05:48:29,451 NOT BE TOXIC. 8006 05:48:29,451 --> 05:48:31,419 THERE'S A LOST THINGS THAT CAN 8007 05:48:31,419 --> 05:48:36,024 INFORM SELECT, YOU KNOW DEFINING 8008 05:48:36,024 --> 05:48:36,491 THE TARGET PRODUCT. 8009 05:48:36,491 --> 05:48:38,159 SO I THINK YOU HEARD A LOT ABOUT 8010 05:48:38,159 --> 05:48:39,861 THASHES I WANTED TO SORT OF 8011 05:48:39,861 --> 05:48:42,664 TOUCH A LITTLE BIT ON SOME OF 8012 05:48:42,664 --> 05:48:43,965 THE SHORT COMINGS, OR 8013 05:48:43,965 --> 05:48:47,802 LIMITATIONS THAT YOU RUN INTO, 8014 05:48:47,802 --> 05:48:50,639 FOR US ESPECIALLY, YOU KNOW 8015 05:48:50,639 --> 05:48:53,408 ACADEMIA, WHILE A LOT OF THESE 8016 05:48:53,408 --> 05:48:55,744 INNOVATIVE IDEAS DO SORT OF 8017 05:48:55,744 --> 05:48:57,846 PERKULATE IN ACADEMIA, HISTORY 8018 05:48:57,846 --> 05:48:59,347 OF ACADEMICS INTERACTING WITH 8019 05:48:59,347 --> 05:49:00,181 SPIN-OFFS OR COLLABORATING WITH 8020 05:49:00,181 --> 05:49:02,183 INDUSTRY AND COMING UP WITH 8021 05:49:02,183 --> 05:49:03,485 AMAZING THERAPIES, AND A LOST 8022 05:49:03,485 --> 05:49:04,786 THE GREAT THERAPIES OUT THERE 8023 05:49:04,786 --> 05:49:06,421 RIGHT NOW FOR CF, WHICH IS 1 8024 05:49:06,421 --> 05:49:07,956 THING WE WILL TALK ABOUT TODAY, 8025 05:49:07,956 --> 05:49:09,557 1 OF THE GREATEST THERAPIES THAT 8026 05:49:09,557 --> 05:49:11,226 HAVE BEEN THE MODULATORS 8027 05:49:11,226 --> 05:49:16,564 BASICALLY WERE DEVELOPED USING 8028 05:49:16,564 --> 05:49:18,500 BASIC SCIENCE ASSAYS LIKE 8029 05:49:18,500 --> 05:49:20,301 [INDISCERNIBLE] CHAMBER 8030 05:49:20,301 --> 05:49:21,236 MEASUREMENTS AND CHLORIDE 8031 05:49:21,236 --> 05:49:22,637 FUNCTION TESTS FOR ACTIVATION OF 8032 05:49:22,637 --> 05:49:24,272 THE CHANNELS FOR SMALL 8033 05:49:24,272 --> 05:49:24,539 MOLECULES. 8034 05:49:24,539 --> 05:49:26,341 SO BASIC SCIENCE PLAYED A BIG 8035 05:49:26,341 --> 05:49:29,411 ROLE BUT ACADEMIC SETTINGS, 8036 05:49:29,411 --> 05:49:32,914 FIRST OF ALL HAVE SOME SHORT 8037 05:49:32,914 --> 05:49:33,248 COMINGS. 8038 05:49:33,248 --> 05:49:35,250 ONE IS THERE'S MORE OF A PUSH TO 8039 05:49:35,250 --> 05:49:37,218 INVENTION RATHER THAN A PULL IN 8040 05:49:37,218 --> 05:49:39,087 RESPONSE TO A PREDEFINED 8041 05:49:39,087 --> 05:49:40,722 VALIDATED USER NEED, SO, I THINK 8042 05:49:40,722 --> 05:49:42,691 YOU HEARD THAT IN A COUPLE OF 8043 05:49:42,691 --> 05:49:44,859 TALKS TODAY, THAT HAVING A VERY 8044 05:49:44,859 --> 05:49:48,797 DEFINED NEED AND AN IMPORTANT 8045 05:49:48,797 --> 05:49:51,166 MARKET SPACE, AND THAT HAS A 8046 05:49:51,166 --> 05:49:52,567 DESCENT MARKET SHARE, SO THAT 8047 05:49:52,567 --> 05:49:54,235 INVESTORS WILL BE INTERESTED IN 8048 05:49:54,235 --> 05:49:56,504 INVESTING IN IT, THAT CAN BE 8049 05:49:56,504 --> 05:50:01,009 PROTECTED, IS AN IMPORTANT PART 8050 05:50:01,009 --> 05:50:04,412 OF DESIGNING YOUR TARGET 8051 05:50:04,412 --> 05:50:04,779 PRODUCT. 8052 05:50:04,779 --> 05:50:06,514 I THINK IT'S -- YOU REALLY HAVE 8053 05:50:06,514 --> 05:50:08,650 TO THINK ABOUT A LOT ABOUT 8054 05:50:08,650 --> 05:50:09,918 FORMALIZING THE ENVIRONMENTS OF 8055 05:50:09,918 --> 05:50:12,887 DEFINING THE PRODUCT IN A FORMAL 8056 05:50:12,887 --> 05:50:14,089 WAY EMPLOY THAT'S PROBABLY WHERE 8057 05:50:14,089 --> 05:50:17,158 SOME OF THE FRICTION OCCURS IN 8058 05:50:17,158 --> 05:50:20,795 ACADEMIA, THE WAYS THAT WE ARE 8059 05:50:20,795 --> 05:50:24,065 TRAINED AND THINK ABOUT DEFINING 8060 05:50:24,065 --> 05:50:24,999 EXPERIMENTS AND CONTROLS, ARE 8061 05:50:24,999 --> 05:50:27,969 IMPORTANT AND NECESSARY, BUT 8062 05:50:27,969 --> 05:50:29,137 THERE'S ALSO STANDARD OPERATING 8063 05:50:29,137 --> 05:50:30,205 PROCEDURES THAT CAN BE VERY 8064 05:50:30,205 --> 05:50:32,173 DETAILED AND HAVE TO BE VERY 8065 05:50:32,173 --> 05:50:34,008 MODULAR SO THAT THEY CAN BE 8066 05:50:34,008 --> 05:50:35,777 EASILY CARRIED OUT IN DIFFERENT 8067 05:50:35,777 --> 05:50:37,145 LABORATORIES AND DIFFERENT 8068 05:50:37,145 --> 05:50:38,179 SETTINGS AND THERE'S NOT SORT OF 8069 05:50:38,179 --> 05:50:39,314 CENTER CENTER FOR EXCELLENCE ON 8070 05:50:39,314 --> 05:50:41,082 AGINGS AND WHAT HAVE YOU THAT 8071 05:50:41,082 --> 05:50:42,016 HAPPENS IN ACADEMICS AND 8072 05:50:42,016 --> 05:50:43,585 RESEARCH HAVE TO BE CONSIDERED 8073 05:50:43,585 --> 05:50:45,587 AND REALLY QUITE A LOT OF TIME 8074 05:50:45,587 --> 05:50:49,224 AND MONEY TO SORT OF NAIL DOWN. 8075 05:50:49,224 --> 05:50:51,259 I THINK ALSO FROM THE VERY EARLY 8076 05:50:51,259 --> 05:50:52,794 POINT AND YOU'VE HEARD A BUNCH 8077 05:50:52,794 --> 05:50:54,295 OF TALKS ABOUT THIS TODAY AS 8078 05:50:54,295 --> 05:50:56,931 WELL, YOU HAVE TO THINK ABOUT 8079 05:50:56,931 --> 05:51:00,969 REGULATORY AND REIMBURSEMENT 8080 05:51:00,969 --> 05:51:02,403 CONSIDERATIONS, AND IN DESIGNING 8081 05:51:02,403 --> 05:51:05,106 OR DEFINING YOUR TARGET 8082 05:51:05,106 --> 05:51:06,741 PRODUCTS, EVEN THOUGH, YOU KNOW 8083 05:51:06,741 --> 05:51:08,510 YOU HAVE A SCIENTIFIC QUESTION 8084 05:51:08,510 --> 05:51:09,544 AND SCIENTIFIC PROBLEM, YOU'RE 8085 05:51:09,544 --> 05:51:11,312 TRYING TO SOLVE LIKE JAMES JUST 8086 05:51:11,312 --> 05:51:13,515 SHOWED, YOU REALLY WANT TO BE 8087 05:51:13,515 --> 05:51:15,483 THINKING ABOUT WHAT THE 8088 05:51:15,483 --> 05:51:16,918 REGULATORY AND THE REIMBURSEMENT 8089 05:51:16,918 --> 05:51:18,286 LOOKS FOR THAT, LOOKS LIKE FOR 8090 05:51:18,286 --> 05:51:19,354 THAT, VERY EARLY ON WHICH IS 8091 05:51:19,354 --> 05:51:22,757 SOMETHING WE'RE NOT TRAINED TO 8092 05:51:22,757 --> 05:51:24,526 DO AND SO, -- SO YOU SORT OF 8093 05:51:24,526 --> 05:51:28,696 HAVE TO THINK BACKWARDS FROM HOW 8094 05:51:28,696 --> 05:51:30,198 SAFE WILL THIS BE? 8095 05:51:30,198 --> 05:51:31,566 WHAT KIND OF REIMBURSEMENT WILL 8096 05:51:31,566 --> 05:51:32,033 THERE BE? 8097 05:51:32,033 --> 05:51:34,269 WHAT KIND OF COVERAGE? 8098 05:51:34,269 --> 05:51:37,405 , THENEY NEED AND SAFETY PROFILE 8099 05:51:37,405 --> 05:51:39,908 OF THIS, SORT OF YOU START THERE 8100 05:51:39,908 --> 05:51:40,875 AND WORK YOURSELF BACK TO WHAT 8101 05:51:40,875 --> 05:51:42,377 THE PRODUCT IS GOING TO BE. 8102 05:51:42,377 --> 05:51:46,214 IF YOU START WITH SOMETHING THAT 8103 05:51:46,214 --> 05:51:46,915 MISSES THESE CONSIDERATIONS, YOU 8104 05:51:46,915 --> 05:51:48,783 CAN SORT OF CATCH UP ON THEM 8105 05:51:48,783 --> 05:51:50,418 LATER ON BUT YOU COULD RUN INTO 8106 05:51:50,418 --> 05:51:51,786 TROUBLE WHERE YOU COULD FIND 8107 05:51:51,786 --> 05:51:54,055 YOURSELF FAR OFF THE MARK AND 8108 05:51:54,055 --> 05:52:01,796 THEN YOUR PRODUCT SORT OF FAILS, 8109 05:52:01,796 --> 05:52:02,831 NEXT SLIDE, PLEASE. 8110 05:52:02,831 --> 05:52:05,066 IT'S REALLY THESE 2 SLIDES ON 8111 05:52:05,066 --> 05:52:05,967 THE TRANSFORMATIONS, THE 8112 05:52:05,967 --> 05:52:07,502 TRANSFORMATIONS FOR US THE 8113 05:52:07,502 --> 05:52:09,370 BIGGEST CHALLENGES HAVE BEEN 8114 05:52:09,370 --> 05:52:11,206 INSTITUTIONAL 1S, SORT OF IN THE 8115 05:52:11,206 --> 05:52:14,909 ROOM AT LEAST FOR US IS THAT 8116 05:52:14,909 --> 05:52:16,411 INSTITUTIONS AND ACADEMIC 8117 05:52:16,411 --> 05:52:17,011 INSTITUTIONSENTIOUS SPECIALLY 8118 05:52:17,011 --> 05:52:24,352 ARE NOT BUILT TO TAKE HIGH RISK. 8119 05:52:24,352 --> 05:52:25,720 YOU KNOW INCREMENTAL MOTIVATION 8120 05:52:25,720 --> 05:52:27,589 IS REWARDED BECAUSE THAT'S WHERE 8121 05:52:27,589 --> 05:52:29,357 THE FUNDING AS BEEN GEARED OVER 8122 05:52:29,357 --> 05:52:33,328 THE LAST 30 YEAR ANDS THAT'S 8123 05:52:33,328 --> 05:52:40,902 CHANGING IN THE DISCUSSIONS WITH 8124 05:52:40,902 --> 05:52:42,170 MARA, AND CHANGES WILL NOT BE 8125 05:52:42,170 --> 05:52:44,672 WILL ONLY THINGS THAT ARE 8126 05:52:44,672 --> 05:52:55,183 CONSIDERED FOR THESE BREAD AND 8127 05:52:56,384 --> 05:52:58,253 BUTTER GRANTS AND RO-1 GRANTS 8128 05:52:58,253 --> 05:53:01,189 WHICH ARE TYPICALLY NOT THAT 8129 05:53:01,189 --> 05:53:02,490 RISKY AND SO THE BETTER THE 8130 05:53:02,490 --> 05:53:05,793 RANKING OF AN INSTITUTION, THE 8131 05:53:05,793 --> 05:53:07,328 YOU KNOW THAT THERE IS A 8132 05:53:07,328 --> 05:53:08,129 LIKELIHOOD THAT THAT INSTITUTION 8133 05:53:08,129 --> 05:53:09,797 WILL NOT BE THE BEST PLACE TO 8134 05:53:09,797 --> 05:53:12,867 INNOVATE AND NOT BE THE BEST 8135 05:53:12,867 --> 05:53:14,202 PLACE TO SUPPORT INNOVATION AND 8136 05:53:14,202 --> 05:53:15,336 I'M TALKING ABOUT INSTITUTIONAL 8137 05:53:15,336 --> 05:53:18,072 SUPPORT SO I'M TALKING ABOUT 8138 05:53:18,072 --> 05:53:20,708 THINGS LIKE SUPPORT WITHIN 8139 05:53:20,708 --> 05:53:25,179 DIVISIONS AND DEPARTMENTS IN 8140 05:53:25,179 --> 05:53:27,248 TERMS OF YOU KNOW SEED FUNDING, 8141 05:53:27,248 --> 05:53:28,683 START UP FUNDING AND INTERNAL 8142 05:53:28,683 --> 05:53:30,652 FUNDING WHICH CAN HELP A LOT 8143 05:53:30,652 --> 05:53:32,420 ESPECIALLY WHEN YOU GET AN IDEA 8144 05:53:32,420 --> 05:53:34,789 HERE OR THERE WHETHER THE SEED 8145 05:53:34,789 --> 05:53:36,357 FUNDING AND WHICH IS USUALLY 8146 05:53:36,357 --> 05:53:37,692 AVAILABLE AT THE INCREMENTAL 8147 05:53:37,692 --> 05:53:38,960 FOLKS SO THEY BRING IN MORE 8148 05:53:38,960 --> 05:53:41,162 GRANTS OR WHETHER YOU CAN GO FOR 8149 05:53:41,162 --> 05:53:42,697 MOVING TECHNOLOGY AND A LOT OF 8150 05:53:42,697 --> 05:53:52,206 TIMES THAT'S A CHALLENGE, AND 8151 05:53:52,206 --> 05:53:56,277 SO, ANOTHER THING IS IDENTIFYING 8152 05:53:56,277 --> 05:53:56,678 TARGET. 8153 05:53:56,678 --> 05:53:57,712 I THINK PEOPLE DON'T THINK ABOUT 8154 05:53:57,712 --> 05:53:58,646 THAT ENOUGH, AND YOU HAVE TO 8155 05:53:58,646 --> 05:53:59,747 THINK ABOUT IT EARLY ON AND IF 8156 05:53:59,747 --> 05:54:01,249 YOU DON'T HAVE A PARTNER THAT 8157 05:54:01,249 --> 05:54:06,020 WILL HELP YOU COMMERCIALIZE A 8158 05:54:06,020 --> 05:54:07,288 PRODUCT, NO MATTER WHAT THE 8159 05:54:07,288 --> 05:54:10,959 TARGET OF YOUR PRODUCT, IF IT'S 8160 05:54:10,959 --> 05:54:11,726 NOT SOMETHING COMMERCIALIZATION 8161 05:54:11,726 --> 05:54:12,727 PARTNERS ARE NOT INTERESTED IN, 8162 05:54:12,727 --> 05:54:15,263 AND I THINK YOU HAVE TO BE 8163 05:54:15,263 --> 05:54:16,764 REALLY GOOD AT INTERDISCIPLINARY 8164 05:54:16,764 --> 05:54:19,033 COORDINATION SO YOU WILL HAVE TO 8165 05:54:19,033 --> 05:54:20,668 WORK TOGETHER WITH RESEARCH AND 8166 05:54:20,668 --> 05:54:21,803 DEVELOPMENT FOLKS, YOU HAVE TO 8167 05:54:21,803 --> 05:54:23,204 THINK ABOUT MARKETING, YOU HAVE 8168 05:54:23,204 --> 05:54:24,539 TO THINK ABOUT MANUFACTURING AND 8169 05:54:24,539 --> 05:54:29,477 SCALE UP, YOU HAVE TO THINK 8170 05:54:29,477 --> 05:54:30,979 ABOUT PRIORITIES ALIGNING AND 8171 05:54:30,979 --> 05:54:33,481 YOU KNOW THAT'S COMPLEX TO DO. 8172 05:54:33,481 --> 05:54:39,554 AND SO IN MY OPINION, AND I 8173 05:54:39,554 --> 05:54:40,722 THINK MOST INVENTORS AND START 8174 05:54:40,722 --> 05:54:43,424 UP FOLKS ON HERE WOULD AGREE 8175 05:54:43,424 --> 05:54:48,162 THAT A LOT OF SUCCESS OF THESE 8176 05:54:48,162 --> 05:54:49,530 TECHNOLOGIES AND PICKING THE 8177 05:54:49,530 --> 05:54:51,833 RIGHT TARGET DOES HINGE ON A 8178 05:54:51,833 --> 05:54:54,135 SAVVY INVENTOR AND YOU HAVE TO 8179 05:54:54,135 --> 05:54:57,171 BE -- SUCCESS IS VERY SAVVY 8180 05:54:57,171 --> 05:54:58,206 INVENTOR-DEPENDENT WHICH I THINK 8181 05:54:58,206 --> 05:54:59,941 MISSES A LOT OF OPPORTUNITIES SO 8182 05:54:59,941 --> 05:55:01,242 THERE'S A LOT OF TIEWPTS THAT 8183 05:55:01,242 --> 05:55:02,744 ARE MISSED I THINK FOR PEOPLE 8184 05:55:02,744 --> 05:55:03,911 THAT AREN'T SAVVY THAT CAN'T 8185 05:55:03,911 --> 05:55:06,748 DEAL WITH THE POLITICS, THAT 8186 05:55:06,748 --> 05:55:09,484 CAN'T DEAL WITH THE MACHINATIONS 8187 05:55:09,484 --> 05:55:11,052 OF ACADEMIA AND WHAT IT REWARDS. 8188 05:55:11,052 --> 05:55:13,121 AND I THINK A LOT OF REALLY GOOD 8189 05:55:13,121 --> 05:55:14,856 IDEAS DO SORT OF FALL BY THE WAY 8190 05:55:14,856 --> 05:55:16,257 SIDE BECAUSE THEY'RE NOT SORT OF 8191 05:55:16,257 --> 05:55:19,227 -- THEY DON'T HAVE CHAMPIONS IN 8192 05:55:19,227 --> 05:55:21,095 PLACES WHERE INNOVATION IS SORT 8193 05:55:21,095 --> 05:55:22,463 OF TOUTED AS SOMETHING PEOPLE 8194 05:55:22,463 --> 05:55:24,866 ARE INTERESTED IN BUT REALLY 8195 05:55:24,866 --> 05:55:25,900 ACADEMICALLY SPEAKS THESE 8196 05:55:25,900 --> 05:55:27,535 INSTITUTIONS ARE NOT THAT 8197 05:55:27,535 --> 05:55:28,469 HEAVILY INVESTED. 8198 05:55:28,469 --> 05:55:29,771 NOW THERE ARE EXCEPTIONS TO 8199 05:55:29,771 --> 05:55:31,773 THAT, YOU KNOW I USED TO WORK AT 8200 05:55:31,773 --> 05:55:33,608 EMORY AND EMORY IS A PLACE THAT 8201 05:55:33,608 --> 05:55:36,144 YOU KNOW CAME UP WITH THE 8202 05:55:36,144 --> 05:55:38,312 REPLACEMENT FOR AZT AND THEY SAW 8203 05:55:38,312 --> 05:55:40,181 WHAT MOVING THE NEEDLE COULD 8204 05:55:40,181 --> 05:55:45,019 REALLY BE, AND SO, YOU KNOW THAT 8205 05:55:45,019 --> 05:55:47,121 WAS -- THAT WAS A PLACE WHERE 8206 05:55:47,121 --> 05:55:48,456 INNOVATION WAS REALLY HEAVILY 8207 05:55:48,456 --> 05:55:48,723 SUPPORTED. 8208 05:55:48,723 --> 05:55:50,391 WE WILL GO TO THE NEXT SLIDE. 8209 05:55:50,391 --> 05:55:52,293 SO A COUPLE TRY TO MOVE A LITTLE 8210 05:55:52,293 --> 05:55:57,765 FASTER HERE TO START THE PANEL 8211 05:55:57,765 --> 05:55:59,667 DISCUSSION, BUT TELL YOU ABOUT 8212 05:55:59,667 --> 05:56:01,636 THE BIOMARKERS WE'RE WORKING ON. 8213 05:56:01,636 --> 05:56:03,971 NEXT SLIDE, PLEASE. 8214 05:56:03,971 --> 05:56:09,010 SO THIS IS AN ATTEMPT TO TROY TO 8215 05:56:09,010 --> 05:56:12,080 GET AT THE [INDISCERNIBLE] 8216 05:56:12,080 --> 05:56:15,049 INDUSTRY IN CF LUNG DECLINE, SO 8217 05:56:15,049 --> 05:56:16,417 IN CF YOU HAVE THIS YEEN THAT 8218 05:56:16,417 --> 05:56:17,752 LEADS TO THE LUNG DISEASE, AND 8219 05:56:17,752 --> 05:56:22,557 IF YOU GO TO NEXT CLICK, PLEASE. 8220 05:56:22,557 --> 05:56:23,357 NEXT. 8221 05:56:23,357 --> 05:56:24,692 SO THIS IS AN EXAMPLE OF WHAT A 8222 05:56:24,692 --> 05:56:26,627 PATIENT LOOKS LIKE AND YOU CAN 8223 05:56:26,627 --> 05:56:29,697 SEE THAT THERE FEV1 LUNG 8224 05:56:29,697 --> 05:56:31,766 FUNCTION IS BECOMING MORE 8225 05:56:31,766 --> 05:56:32,934 ERRATIC WITH TIME AND IT'S HARD 8226 05:56:32,934 --> 05:56:33,801 TO PREDICT THAT WHEN YOU DON'T 8227 05:56:33,801 --> 05:56:35,970 KNOW WHAT THE REST OF THE 8228 05:56:35,970 --> 05:56:37,839 TRACINGS LOOK LEAK AND SO, NEXT 8229 05:56:37,839 --> 05:56:42,643 SLIDE, PLEASE, SO PRESENTLY USED 8230 05:56:42,643 --> 05:56:43,044 BIOMARKERS, NEXT. 8231 05:56:43,044 --> 05:56:44,712 I DIDN'T REALIZE THIS HAD SO 8232 05:56:44,712 --> 05:56:47,815 MANY -- ARE ALL LAGGING 8233 05:56:47,815 --> 05:56:49,383 INDICATORS AND WILL TELL YOU 8234 05:56:49,383 --> 05:56:50,585 ONCE IT'S BEEN ESTABLISHED SO 8235 05:56:50,585 --> 05:56:52,987 IT'S DIFFICULT TO REVERSE. 8236 05:56:52,987 --> 05:56:54,789 SO NEXT SLIDE. 8237 05:56:54,789 --> 05:56:55,857 AND THERE'S GOOD EVIDENCE THAT 8238 05:56:55,857 --> 05:56:57,525 THERE CONTINUES TO BE LUNG 8239 05:56:57,525 --> 05:56:58,493 FUNCTION DEDEADLINE SO THE 8240 05:56:58,493 --> 05:57:00,094 LIGHTER TRACE THAT'S ON TOP 8241 05:57:00,094 --> 05:57:01,963 THERE, THE GRAY TRACE IS SORT 8242 05:57:01,963 --> 05:57:04,365 OF, YOU CAN SEE LUNG FUNCTION 8243 05:57:04,365 --> 05:57:05,733 DECLINE THERE AND TRAJECTORY 8244 05:57:05,733 --> 05:57:07,568 LOOKS THE SAME AS NONTREATED 8245 05:57:07,568 --> 05:57:11,372 FOLKS IN THE BLACK TRACING, 8246 05:57:11,372 --> 05:57:13,708 EXACERBATIONS ARE DOWN BUT HIGH 8247 05:57:13,708 --> 05:57:14,742 EFFICACY MODULATORS, LUNG 8248 05:57:14,742 --> 05:57:15,710 FUNCTION DELINES IN CF AND 8249 05:57:15,710 --> 05:57:17,445 THAT'S FOR PEOPLE WHO CAN 8250 05:57:17,445 --> 05:57:20,047 TOLERATE THESE NEW MODULATORS. 8251 05:57:20,047 --> 05:57:22,783 SO THERE'S A NEED TO TRY TO -- 8252 05:57:22,783 --> 05:57:25,553 THERE'S GOOD EVIDENCE THAT IF 8253 05:57:25,553 --> 05:57:28,422 YOU IMPROVE, -- IF YOU DO MORE 8254 05:57:28,422 --> 05:57:29,824 MONITORING FOR FOLKS, ON THE 8255 05:57:29,824 --> 05:57:31,125 LEFT-HAND SIDE HERE, CAN YOU SEE 8256 05:57:31,125 --> 05:57:36,097 THE IMPROVEMENT IN FEV1 SCORES. 8257 05:57:36,097 --> 05:57:38,666 IF YOU MONITOR PEOPLE WITHIN 28 8258 05:57:38,666 --> 05:57:40,501 DAYS, REPEAT VISITS RATHER THAN 8259 05:57:40,501 --> 05:57:43,938 THE 3 MONTHS REPEAT VISITS, IF 8260 05:57:43,938 --> 05:57:46,774 THEY FALL A CERTAIN PERCENTAGE, 8261 05:57:46,774 --> 05:57:48,042 IF YOU SEE THEM ONCE OVERALL 8262 05:57:48,042 --> 05:57:49,377 STRATEGY 4 WEEKS YOU THIS IS THE 8263 05:57:49,377 --> 05:57:51,479 IMPROVEMENT YOU CAN GET OF 8264 05:57:51,479 --> 05:57:53,714 CONVENTIONAL THERAPY OF CF 8265 05:57:53,714 --> 05:57:59,387 WITHOUT MODULATED THERAPY. 8266 05:57:59,387 --> 05:57:59,854 NEXT, PLEASE. 8267 05:57:59,854 --> 05:58:01,689 I THINK WE CAN ANY TO THE NEXT 8268 05:58:01,689 --> 05:58:01,956 1. 8269 05:58:01,956 --> 05:58:03,457 WHAT WE DEVELOPED IN THE LAB WAS 8270 05:58:03,457 --> 05:58:04,959 TO USE A HIGH THROUGH PUT 8271 05:58:04,959 --> 05:58:06,160 PROCEED I DON'T MEANIC APPROACH, 8272 05:58:06,160 --> 05:58:08,262 WHICH LOOKED AT 10S OF THOUSANDS 8273 05:58:08,262 --> 05:58:09,664 OF PROTEINS AND ACTUALLY FOUND 8274 05:58:09,664 --> 05:58:11,566 ABOUT 1100 PROTEINS THAT WERE 8275 05:58:11,566 --> 05:58:13,568 DEFINITE IN THE BLOOD THAT CAN 8276 05:58:13,568 --> 05:58:15,736 PREDICT WHAT HAPPENS WITH LUNG 8277 05:58:15,736 --> 05:58:16,204 FUNCTION. 8278 05:58:16,204 --> 05:58:17,071 COMPLEX, LUNG FUNCTION IS NOT 1 8279 05:58:17,071 --> 05:58:18,606 OF THESE THINGS WHERE YOU HAVE 1 8280 05:58:18,606 --> 05:58:19,540 MARKER THAT TELLS WHAT YOU'S 8281 05:58:19,540 --> 05:58:20,641 GOING ON WITH IT AND SO IF YOU 8282 05:58:20,641 --> 05:58:25,012 GO TO THE NEXT SLIDE, PLEASE. 8283 05:58:25,012 --> 05:58:28,883 THIS MAX SPEC DATA GENERATED 8284 05:58:28,883 --> 05:58:29,951 BASICALLY 474 MARKERS WHICH IS 8285 05:58:29,951 --> 05:58:31,686 WE CAN ONLY DO MY MASS SPEC 8286 05:58:31,686 --> 05:58:33,421 BECAUSE YOU CAN'T DO SOMETHING 8287 05:58:33,421 --> 05:58:35,022 LIKE A LUMEN EXPECTATIONS WHICH 8288 05:58:35,022 --> 05:58:40,194 IS LIMITED TO 8-12 BIOMARKERS OR 8289 05:58:40,194 --> 05:58:43,531 SO, BUT IT GENERATED 478 MARKERS 8290 05:58:43,531 --> 05:58:46,267 IN BLOOD THAT IF YOU LOOK AT IN 8291 05:58:46,267 --> 05:58:49,770 PRINCIPAL DEPUTY PAL COMPONENT 8292 05:58:49,770 --> 05:58:51,138 ANALYSIS COULD SEGGREGATE SEVERE 8293 05:58:51,138 --> 05:58:56,744 CF POPULATION AND LUNG FUNCTION 8294 05:58:56,744 --> 05:58:59,647 DECLINE PROGRESSION OVER THE 8295 05:58:59,647 --> 05:59:02,216 NEXT 3-24 MONTHS AND IT DID THAT 8296 05:59:02,216 --> 05:59:03,150 DURING STABLE DISEASE, SO THIS 8297 05:59:03,150 --> 05:59:04,819 IS NOT WHEN THEY'RE EXACERBATING 8298 05:59:04,819 --> 05:59:07,121 OR WHEN THEY'RE IN THE HOSPITAL 8299 05:59:07,121 --> 05:59:08,990 AND MEASURING WHICH MOST 8300 05:59:08,990 --> 05:59:10,057 BIOMARKERS DEVELOP FOR CFR AND 8301 05:59:10,057 --> 05:59:11,692 THIS IS WHEN THEY'RE IN STABLE 8302 05:59:11,692 --> 05:59:12,860 DISEASE AND THERE'S NO ISSUE. 8303 05:59:12,860 --> 05:59:15,529 AND YOU CAN SEE ON THE RIGHT 8304 05:59:15,529 --> 05:59:19,200 THERE, THAT OUR FIRST GENERATION 8305 05:59:19,200 --> 05:59:21,602 TEST FOR FIBROSIS, AND CF AND 8306 05:59:21,602 --> 05:59:25,172 OTHER DISEASES ACTUALLY HAS GOT 8307 05:59:25,172 --> 05:59:28,042 AN AUC OF 8.4, WHICH WE'RE NOW 8308 05:59:28,042 --> 05:59:29,143 DEVELOPING AND WE'RE VALIDATING 8309 05:59:29,143 --> 05:59:31,078 IN THE LARGE NUMBER OF SAMPLES 8310 05:59:31,078 --> 05:59:33,214 RIGHT NOW AND GETTING READY TO 8311 05:59:33,214 --> 05:59:36,917 GO BACK TOCCATAALIZE. 8312 05:59:36,917 --> 05:59:37,485 NEXT SLIDE, PLEASE. 8313 05:59:37,485 --> 05:59:41,922 I THINK WE CAN SKIP THIS 1. 8314 05:59:41,922 --> 05:59:43,491 IT'S A SUMMARY OF WHAT THE 8315 05:59:43,491 --> 05:59:44,659 TECHNOLOGY LOOKS LIKE. 8316 05:59:44,659 --> 05:59:45,693 NEXT SLIDE, PLEASE. 8317 05:59:45,693 --> 05:59:46,961 I THINK JUST THE KEY TAKE ARK 8318 05:59:46,961 --> 05:59:51,032 WAYS FOR ME WOULD BE BALANCE, 8319 05:59:51,032 --> 05:59:51,599 VISION WITH FEASIBILITY. 8320 05:59:51,599 --> 05:59:53,467 THINK ABOUT WHAT IS FEASIBLE 8321 05:59:53,467 --> 05:59:54,735 BECAUSE THAT WILL EFFECT THE 8322 05:59:54,735 --> 05:59:58,439 PRODUCT THAT YOU END UP MAKING, 8323 05:59:58,439 --> 06:00:00,308 I THINK IT'S -- YOU HAVE TO BE 8324 06:00:00,308 --> 06:00:01,275 GOOD AT BUILDING GOOD 8325 06:00:01,275 --> 06:00:02,310 COLLABORATIONS AND THEY HAVE TO 8326 06:00:02,310 --> 06:00:04,178 BE STRONG AND YOU ALSO HAVE TO 8327 06:00:04,178 --> 06:00:07,048 HAVE DISCUSSIONS THAT ARE VERY 8328 06:00:07,048 --> 06:00:07,548 TRANSPARENT, SOMETIMES 8329 06:00:07,548 --> 06:00:09,016 COLLABORATIONS DON'T GO IN THE 8330 06:00:09,016 --> 06:00:10,084 RIGHT DIRECTION AND WHAT 8331 06:00:10,084 --> 06:00:11,819 SOMEBODY'S PROVIDING TO THE TEAM 8332 06:00:11,819 --> 06:00:13,988 IS NOT ACTUALLY HELPING SOLVE 8333 06:00:13,988 --> 06:00:16,057 THE PROBLEM OR MAKE THE PRODUCT 8334 06:00:16,057 --> 06:00:18,793 BETTER OR IMPROVE THE PRODUCT OR 8335 06:00:18,793 --> 06:00:20,328 SCALE IT UP OR MARKET IT OR WHAT 8336 06:00:20,328 --> 06:00:23,064 HAVE YOU AND YOU HAVE TO EITHER, 8337 06:00:23,064 --> 06:00:25,132 YOU KNOW ADJUST OR FIND OTHER 8338 06:00:25,132 --> 06:00:25,466 COLLABORATORS. 8339 06:00:25,466 --> 06:00:27,468 SO IT IS SOMETHING THAT YOU HAVE 8340 06:00:27,468 --> 06:00:29,236 TO BE VERY GOOD AT DOING AND YOU 8341 06:00:29,236 --> 06:00:31,906 CAN'T JUST BE STUCK IN THE SAME 8342 06:00:31,906 --> 06:00:38,212 SORT OF MODE OF IGNORING WHAT 8343 06:00:38,212 --> 06:00:40,781 THE TARGET IS RATHER THAN JUST 8344 06:00:40,781 --> 06:00:42,983 TO BE NICE IN A SENSE AND I 8345 06:00:42,983 --> 06:00:44,618 THINK ALSO BE VERY CONSCIOUS OF 8346 06:00:44,618 --> 06:00:46,053 THE INSTITUTIONAL CAPACITY WHICH 8347 06:00:46,053 --> 06:00:51,125 IS ALWAYS A CHAL CHALLENGE ANDY 8348 06:00:51,125 --> 06:00:52,093 AGAIN BE TERRIBLE FOR 8349 06:00:52,093 --> 06:00:52,727 TRANSLATION EMPLOY SO YOU HAVE 8350 06:00:52,727 --> 06:00:55,763 TO BE A BIT SAVVY AND I THINK MY 8351 06:00:55,763 --> 06:00:57,331 ONLY NOTE WOULD BE IF THE NIH 8352 06:00:57,331 --> 06:00:59,834 CAME UP WITH MORE PROGRAMS LIKE 8353 06:00:59,834 --> 06:01:04,105 CATALYZE WHICH ACTUALLY 8354 06:01:04,105 --> 06:01:04,839 INCENTIVIZE INSTITUTIONS TO 8355 06:01:04,839 --> 06:01:06,107 REWARD, YOU KNOW HIGH RISK 8356 06:01:06,107 --> 06:01:07,541 INNOVATION, I THINK THAT THAT 8357 06:01:07,541 --> 06:01:09,543 WOULD SHIFT THE CULTURE IN THESE 8358 06:01:09,543 --> 06:01:10,177 ACADEMIC CENTERS BECAUSE REALLY 8359 06:01:10,177 --> 06:01:14,048 THEY JUST FOLLOW THE MONEY AND 8360 06:01:14,048 --> 06:01:15,616 THAT WOULD REALLY HAVE A BIG 8361 06:01:15,616 --> 06:01:18,219 IMPACT ON CATCHING A LOT OF THIS 8362 06:01:18,219 --> 06:01:19,186 MISSED OPPORTUNITY I THINK THAT 8363 06:01:19,186 --> 06:01:20,454 FALLS BY THE WAY SIDE BECAUSE 8364 06:01:20,454 --> 06:01:22,056 PEOPLE DON'T GO THROUGH THE 8365 06:01:22,056 --> 06:01:23,657 TROUBLE OR THEY'RE NOT SAVVY 8366 06:01:23,657 --> 06:01:24,692 ENOUGH TO NAVIGATE THE 8367 06:01:24,692 --> 06:01:25,893 ENVIRONMENT TO KEEP THEIR 8368 06:01:25,893 --> 06:01:26,594 TECHNOLOGIES ALIVE. 8369 06:01:26,594 --> 06:01:27,628 THAT'S IT FOR ME. 8370 06:01:27,628 --> 06:01:36,837 SORRY IT TOOK A BIT LONG. 8371 06:01:36,837 --> 06:01:37,204 >> ALL RIGHT. 8372 06:01:37,204 --> 06:01:38,639 >> WE WILL HAVE THE PANELISTS 8373 06:01:38,639 --> 06:01:44,712 COME ON THE CAMERA, WE WILL 8374 06:01:44,712 --> 06:01:45,045 SPOTLIGHT YOU. 8375 06:01:45,045 --> 06:01:45,880 >> THANK YOU VERY MUCH, 8376 06:01:45,880 --> 06:01:46,313 EVERYONE. 8377 06:01:46,313 --> 06:01:48,682 I THINK WE HAVE A REALLY 8378 06:01:48,682 --> 06:01:49,350 CONSISTENT MESSAGE HERE ALTHOUGH 8379 06:01:49,350 --> 06:01:51,685 DIFFERENT FROM THE DIFFERENT 8380 06:01:51,685 --> 06:01:53,654 PEOPLE. 8381 06:01:53,654 --> 06:01:55,055 WE DON'T HAVE ANY QUESTIONS FROM 8382 06:01:55,055 --> 06:01:58,959 THE AUDIENCE YET BUT I THOUGHT I 8383 06:01:58,959 --> 06:02:02,263 WOULD START BY ASKING INTERNAL 8384 06:02:02,263 --> 06:02:03,397 QUESTION WHICH IS WHAT DO YOU 8385 06:02:03,397 --> 06:02:05,332 THINK THE POINT AT WHICH OF 8386 06:02:05,332 --> 06:02:06,700 HAD-SO RESEARCHERS ARE PRETTY 8387 06:02:06,700 --> 06:02:08,569 GOOD AT COMING UP WITH TARGETS 8388 06:02:08,569 --> 06:02:10,471 BUT THEY'RE OFTEN BAD WITH ALL 8389 06:02:10,471 --> 06:02:11,439 OF THE REST OF IT. 8390 06:02:11,439 --> 06:02:13,741 WHAT DO YOU THINK THE -- WHAT 8391 06:02:13,741 --> 06:02:15,276 WOULD YOUR ADVICE BE TO SOMEBODY 8392 06:02:15,276 --> 06:02:16,677 WHO'S GOT SOMETHING THAT LOOKS 8393 06:02:16,677 --> 06:02:18,078 GOOD IN THEIR MOUSE OR WHATEVER 8394 06:02:18,078 --> 06:02:20,014 AND IS THINKING ABOUT TRYING TO 8395 06:02:20,014 --> 06:02:21,882 PUSH IT FURTHER? 8396 06:02:21,882 --> 06:02:25,920 AND IT'S FOR ANYBODY WHO THINKS 8397 06:02:25,920 --> 06:02:28,456 IT'S WORTH ANSWERING? 8398 06:02:28,456 --> 06:02:33,794 >> HIRE A GOOD CHEMIST. 8399 06:02:33,794 --> 06:02:34,695 >> [LAUGHTER] 8400 06:02:34,695 --> 06:02:38,966 >> THAT'S AN EXCELLENT ANSWER, 8401 06:02:38,966 --> 06:02:39,233 ACTUALLY. 8402 06:02:39,233 --> 06:02:40,935 >> I THINK MAYBE ON THAT FRONT, 8403 06:02:40,935 --> 06:02:42,803 IF THERE'S A GOOD TARGET 8404 06:02:42,803 --> 06:02:44,004 ESPECIALLY IF IT'S A NOVEL 8405 06:02:44,004 --> 06:02:47,708 TARGET THAT IS THE FIRST TIME 8406 06:02:47,708 --> 06:02:48,876 THAT ANYONE'S DISCOVERED THE 8407 06:02:48,876 --> 06:02:52,213 MECHANISM, A HUGE PART OF IT IS 8408 06:02:52,213 --> 06:02:54,281 REALLY SHOWING THAT IT CAN BE 8409 06:02:54,281 --> 06:02:55,583 REPRODUCED IN A DIFFERENT LAB, 8410 06:02:55,583 --> 06:02:58,419 THAT'S MAYBE A BIG AREA THAT 8411 06:02:58,419 --> 06:02:59,587 PREVENTS OTHERS FROM REALLY 8412 06:02:59,587 --> 06:03:03,457 INVESTING EARLY ON IN BIOLOGY IF 8413 06:03:03,457 --> 06:03:04,859 THE BIOLOGY'S ONLY EVER BEEN 8414 06:03:04,859 --> 06:03:07,194 DISCOVERED OR WORKED ON IN 1 8415 06:03:07,194 --> 06:03:07,628 LAB. 8416 06:03:07,628 --> 06:03:09,063 IT REALLY MAKES YOU OPEN UP THE 8417 06:03:09,063 --> 06:03:12,066 QUESTION OF JUST FROM INVESTORS, 8418 06:03:12,066 --> 06:03:14,702 YOU'RE NOT ON THE GROUND ALL THE 8419 06:03:14,702 --> 06:03:15,970 TIME TALKING WITH EVERYONE, IS 8420 06:03:15,970 --> 06:03:17,771 THAT THERE'S A VERY DIFFICULT 8421 06:03:17,771 --> 06:03:21,108 TECHNIQUE TO GET THERE, IS IT 8422 06:03:21,108 --> 06:03:23,077 THAT THE SCIENTIST IS LESS 8423 06:03:23,077 --> 06:03:24,245 LABRATIVE, THOSE ARE ALL THINGS 8424 06:03:24,245 --> 06:03:25,412 THAT PEOPLE CARE ABOUT QUITE A 8425 06:03:25,412 --> 06:03:34,321 LOT, JUST IN ADDITION TO THE 8426 06:03:34,321 --> 06:03:36,390 SCIENCE AND FROM THE PERSPECTIVE 8427 06:03:36,390 --> 06:03:38,025 OF HOW AND VENTURE CAPITAL YOU 8428 06:03:38,025 --> 06:03:39,593 RISK A TECHNOLOGY THAT SOMEBODY 8429 06:03:39,593 --> 06:03:41,195 COMES TO YOU WITH AND HOW DO YOU 8430 06:03:41,195 --> 06:03:42,830 LEVERAGE AND SORT OF BALANCE 8431 06:03:42,830 --> 06:03:43,864 THEIR VISION AGAINST THE REALITY 8432 06:03:43,864 --> 06:03:45,833 OF WHAT COULD BE ACHIEVED AND 8433 06:03:45,833 --> 06:03:47,668 HOW DO YOU ACTUALLY MAKE SURE 8434 06:03:47,668 --> 06:03:52,740 YOU'RE RIGHT AND IT'S NOT THEM 8435 06:03:52,740 --> 06:03:53,307 THAT'S RIGHT. 8436 06:03:53,307 --> 06:03:54,575 >> I WILL START, I THINK FROM 8437 06:03:54,575 --> 06:03:56,010 OUR POINT OF VIEW, WE'RE VERY 8438 06:03:56,010 --> 06:03:58,779 LUCKY WE HAVE OUR LABS IN 8439 06:03:58,779 --> 06:03:59,947 BOSTON, WITH ABOUT 50 PEOPLE, SO 8440 06:03:59,947 --> 06:04:02,950 WE'RE ABLE TO REALLY BRING IN 8441 06:04:02,950 --> 06:04:04,318 TECHNOLOGIES, AND THAT'S NOT 8442 06:04:04,318 --> 06:04:06,287 ONLY BENEFICIAL FOR US, BUT IT'S 8443 06:04:06,287 --> 06:04:08,556 BENEFICIAL FOR THE COMPANY, TOO, 8444 06:04:08,556 --> 06:04:12,793 BECAUSE WE ACT AS EXTERNAL 8445 06:04:12,793 --> 06:04:13,494 VALIDATION CAN TECHNOLOGY, AND 8446 06:04:13,494 --> 06:04:15,696 AT THE SAME TIME THEY CAN SEE 8447 06:04:15,696 --> 06:04:16,964 EARLY ON, IS THE TECHNOLOGY 8448 06:04:16,964 --> 06:04:19,767 GOING TO WORK IN CYSTIC FIBROSIS 8449 06:04:19,767 --> 06:04:21,402 MAYBE IT WON'T FOR CF AND 8450 06:04:21,402 --> 06:04:23,470 PROVIDE THAT DATA EARLY ON IN 8451 06:04:23,470 --> 06:04:25,005 THE PROCESS, AND THEN FROM OUR 8452 06:04:25,005 --> 06:04:26,907 SIDE, WE CAN SAY, OKAY THIS 8453 06:04:26,907 --> 06:04:28,742 WORKS WELL, HERE, LET'S MOVE 8454 06:04:28,742 --> 06:04:30,244 FORWARD, AND WE CAN GET EXCITED 8455 06:04:30,244 --> 06:04:39,653 ABOUT IT, AND HELP THEM. 8456 06:04:39,653 --> 06:04:50,097 NGREAT RESOURCE TO HAVE -- 8457 06:04:55,002 --> 06:04:56,470 >> SO ON THAT FRONT IN THE 8458 06:04:56,470 --> 06:04:57,504 PROCESS OF DECIDING WHETHER OR 8459 06:04:57,504 --> 06:04:59,373 NOT WE WANT TO START THE COMPANY 8460 06:04:59,373 --> 06:05:01,308 OR TECHNOLOGY OR ASSET, WE 8461 06:05:01,308 --> 06:05:02,810 GENERALLY HAVE EXPERIMENTS THAT 8462 06:05:02,810 --> 06:05:05,713 WE WOULD LIKE ACADEMIC TO 8463 06:05:05,713 --> 06:05:08,716 PERFORM, WE DESIGNED EXPERIMENTS 8464 06:05:08,716 --> 06:05:10,117 GENERALLY, THERE ARE 1S THAT FOR 8465 06:05:10,117 --> 06:05:13,554 IN THE ACADEMIC WORLD BE LIKE 8466 06:05:13,554 --> 06:05:15,589 SUPPLEMENTAL FIGURE, 25, BUT FOR 8467 06:05:15,589 --> 06:05:16,857 US VERY IMPORTANT TO VALIDATE 8468 06:05:16,857 --> 06:05:20,194 IT, AND SO IF ALL THAT KIND OF 8469 06:05:20,194 --> 06:05:21,528 COMES BACK POSITIVE, OR IN THE 8470 06:05:21,528 --> 06:05:24,431 DIRECTION OF WE THINK MAKES 8471 06:05:24,431 --> 06:05:26,133 SENSE THAT HELPS GREATLY 8472 06:05:26,133 --> 06:05:27,167 VALIDATE THE TECHNOLOGY THAT'S 8473 06:05:27,167 --> 06:05:28,268 WORKING IN A WAY THAT WE'RE 8474 06:05:28,268 --> 06:05:29,570 SEEING THINGS AND HOW WE'RE 8475 06:05:29,570 --> 06:05:32,039 DESIGNING IT AND YOU'RE GETTING 8476 06:05:32,039 --> 06:05:32,406 IT LIVE. 8477 06:05:32,406 --> 06:05:36,477 JUST TO HAVE THAT EXTRA 8478 06:05:36,477 --> 06:05:36,810 CONFIRMATION. 8479 06:05:36,810 --> 06:05:41,115 >> AND THEN I THINK TO ADD 8480 06:05:41,115 --> 06:05:42,716 BEYOND CFF, WE SEE FORESIGHT 8481 06:05:42,716 --> 06:05:44,551 LABS TO CALL THEM, THEY'RE 8482 06:05:44,551 --> 06:05:45,953 MOVING ALSO TOWARDS A MODEL 8483 06:05:45,953 --> 06:05:47,154 WHERE THEY'RE ALSO ABLE TO 8484 06:05:47,154 --> 06:05:48,122 VALIDATE SOME OF THE 8485 06:05:48,122 --> 06:05:49,823 TECHNOLOGIES AND THEN IF YOU 8486 06:05:49,823 --> 06:05:52,326 TALK TO STRATEGIC PLANEGEYICS, 8487 06:05:52,326 --> 06:05:53,927 FOR EXAMPLE, WHERE IT WAS 8488 06:05:53,927 --> 06:05:55,062 BEFORE, THERE WAS ALSO CAPACITY 8489 06:05:55,062 --> 06:05:57,998 TO BE ABLE TO VALIDATE 8490 06:05:57,998 --> 06:06:00,234 TECHNOLOGIES, OR TO CO DEVELOP 8491 06:06:00,234 --> 06:06:02,770 ONCE A TARGET IS FOUND BRINGING 8492 06:06:02,770 --> 06:06:04,238 IN THE CHEMIST FROM BIOTO KIND 8493 06:06:04,238 --> 06:06:07,007 OF WORK ON THE TARGET 8494 06:06:07,007 --> 06:06:09,209 SPECIFICALLY WHILE THE SAME TIME 8495 06:06:09,209 --> 06:06:11,378 ENGAGING THE PI WHO MIGHT OR 8496 06:06:11,378 --> 06:06:13,113 MIGHT NOT WANT TO BE SUPER 8497 06:06:13,113 --> 06:06:15,716 INVOLVED IN IT, BUT THERE'S 8498 06:06:15,716 --> 06:06:18,519 DIFFERENT MODELS OUT THERE THAT 8499 06:06:18,519 --> 06:06:19,920 IT'S WORTH EXPLORING. 8500 06:06:19,920 --> 06:06:21,955 >> SO THERE'S A QUESTION IN THE 8501 06:06:21,955 --> 06:06:22,890 Q&A FROM CAITLIN 8502 06:06:22,890 --> 06:06:23,257 [INDISCERNIBLE]. 8503 06:06:23,257 --> 06:06:26,527 WHAT ARE SIGNS THAT AN 8504 06:06:26,527 --> 06:06:33,734 INSTITUTION'S NOT SUPPORTING 8505 06:06:33,734 --> 06:06:34,068 SUPPORTING 8506 06:06:34,068 --> 06:06:37,004 INNOVATION OR RED FLAGS FOR 8507 06:06:37,004 --> 06:06:38,172 BUILDING YOUR CAREER AND 8508 06:06:38,172 --> 06:06:38,772 RESEARCH TRAINING? 8509 06:06:38,772 --> 06:06:40,040 >> I THINK IF YOU LOOK AT 8510 06:06:40,040 --> 06:06:41,775 PROMOTION IN MOST PLACES, IT 8511 06:06:41,775 --> 06:06:43,544 USED TO IN SOME PLACES A THING 8512 06:06:43,544 --> 06:06:46,080 THAT YOU GOT KUDOS FOR, BUT 8513 06:06:46,080 --> 06:06:47,681 THESE DAYS IT'S JUST PAPERS AND 8514 06:06:47,681 --> 06:06:48,916 FUNDING, RIGHT IN SO IF YOU 8515 06:06:48,916 --> 06:06:52,786 WANTED TO GET TENURE SOMEWHERE, 8516 06:06:52,786 --> 06:06:53,821 YOU KNOW, INNOVATION USED TO 8517 06:06:53,821 --> 06:06:55,122 COUNT BUT MOST PLACES ARE 8518 06:06:55,122 --> 06:06:56,323 ACTUALLY GETTING RID OF IT, 8519 06:06:56,323 --> 06:06:58,025 BECAUSE IT'S SUCH A HIGH RISK 8520 06:06:58,025 --> 06:07:01,729 AND IT REALLY IS HARD TO DEFINE. 8521 06:07:01,729 --> 06:07:03,731 I THINK IT'S EASIER TO DEFINE IF 8522 06:07:03,731 --> 06:07:05,365 YOU BASE IT ON THE SUCCESS IF 8523 06:07:05,365 --> 06:07:06,900 YOU BRING IT ON THE MARKET LIKE 8524 06:07:06,900 --> 06:07:08,669 SOMEBODY LIKE JAMES FOR 8525 06:07:08,669 --> 06:07:09,737 INSTANCE, SO ACADEMIA, SO THAT'S 8526 06:07:09,737 --> 06:07:12,706 1 PLACE TO LOOK, SEE WHAT YOUR 8527 06:07:12,706 --> 06:07:14,108 PROMOTION AND TENURE COMMITTEE 8528 06:07:14,108 --> 06:07:15,242 VIEWS INNOVATION AS AND THAT 8529 06:07:15,242 --> 06:07:17,578 TELLS WHAT YOU THAT INSTITUTION 8530 06:07:17,578 --> 06:07:20,114 VALUES INNOVATION AT, IS MY 8531 06:07:20,114 --> 06:07:22,149 OPINION ABOUT. 8532 06:07:22,149 --> 06:07:22,950 >> YEAH, GO AHEAD. 8533 06:07:22,950 --> 06:07:24,118 >> ONE ANGLE HERE, THERE'S A LOT 8534 06:07:24,118 --> 06:07:25,753 OF WAYS TO ANSWER THIS QUESTION, 8535 06:07:25,753 --> 06:07:27,755 1 ANGLE IS TO START WITH THE OTM 8536 06:07:27,755 --> 06:07:31,191 OFFICE, THE TECH TRANSFER 8537 06:07:31,191 --> 06:07:31,425 OFFICE. 8538 06:07:31,425 --> 06:07:33,660 AND YOU FIND SOME OF THE 8539 06:07:33,660 --> 06:07:37,064 PRESTIGIOUS COOLS HAVE EXTREMELY 8540 06:07:37,064 --> 06:07:38,031 OVERWORKED UNDERSTAFFED, UNDER 8541 06:07:38,031 --> 06:07:39,399 REWARDED GROUP THAT'S NOT HAPPY 8542 06:07:39,399 --> 06:07:49,309 TO TAKE ON MUCH OF ANYTHING SO 8543 06:07:49,309 --> 06:07:51,612 IF YOU INTERVIEW THE DIRECTOR OF 8544 06:07:51,612 --> 06:07:53,013 THE TECH TRANSFER OFFICE, YOU 8545 06:07:53,013 --> 06:07:54,481 COULD GET A LOT OF INSIGHT INTO 8546 06:07:54,481 --> 06:07:57,284 THE FLAVOR OF THE INSTITUTIONAL 8547 06:07:57,284 --> 06:07:57,584 PRIORITIES. 8548 06:07:57,584 --> 06:07:59,119 >> MOST OF THOSE WILL NOT HELP 8549 06:07:59,119 --> 06:08:01,421 YOU WITH YOUR CAREER, AS FAR AS 8550 06:08:01,421 --> 06:08:04,291 GETTING TENURED AND GETTING 8551 06:08:04,291 --> 06:08:05,626 PROMOTED, THE TECH TRANSFER 8552 06:08:05,626 --> 06:08:07,327 FOLKS HAVE VERY LITTLE, AT LEAST 8553 06:08:07,327 --> 06:08:10,264 MOST THE PLACES I'VE BEEN, IT 8554 06:08:10,264 --> 06:08:12,933 MAY BE DIFFERENT DR. HOLTZMAN, 8555 06:08:12,933 --> 06:08:14,635 BUT THE INSTITUTIONS I'M AT THE 8556 06:08:14,635 --> 06:08:16,203 TECH TRANSFER PEOPLE ARE THERE 8557 06:08:16,203 --> 06:08:17,671 AND THEY'RE SUPPORTIVE. 8558 06:08:17,671 --> 06:08:18,639 THEY'RE USUALLY THE SILVER 8559 06:08:18,639 --> 06:08:20,240 LINING AT THESE PLACES, BUT MOST 8560 06:08:20,240 --> 06:08:21,575 OF THEM HAVE IMPACT ON WHETHER 8561 06:08:21,575 --> 06:08:23,177 YOU GET PROMOTED OR TENURE AND 8562 06:08:23,177 --> 06:08:25,813 THAT IS THE INSTITUTIONAL 8563 06:08:25,813 --> 06:08:26,413 SUPPORT OF THIS. 8564 06:08:26,413 --> 06:08:28,615 YOU KNOW AND I'VE SEEN A LOT OF 8565 06:08:28,615 --> 06:08:29,683 VERY SMART INNOVATIVE PEOPLE 8566 06:08:29,683 --> 06:08:31,418 DECIDE NOT TO INNOVATE BECAUSE 8567 06:08:31,418 --> 06:08:33,153 IT DISTRACTED THEM FROM GETTING 8568 06:08:33,153 --> 06:08:33,987 THE INCREMENTAL GRANTS AND 8569 06:08:33,987 --> 06:08:35,522 GETTING THE PAPERS AND MOVING ON 8570 06:08:35,522 --> 06:08:37,191 WITH THEIR CAREER. 8571 06:08:37,191 --> 06:08:37,591 YOU KNOW? 8572 06:08:37,591 --> 06:08:39,126 AND THATIA A PROBLEM, NOBODY 8573 06:08:39,126 --> 06:08:40,294 TALKS ABOUT IT, MAYBE IT'S NOT 8574 06:08:40,294 --> 06:08:41,595 AS BIG A PROBLEM AS I'VE SEEN 8575 06:08:41,595 --> 06:08:43,564 BUT IT IS A PROBLEM. 8576 06:08:43,564 --> 06:08:45,065 NYEAH, I CERTAINLY DON'T 8577 06:08:45,065 --> 06:08:46,066 DISAGREE,Y JUST WAS TRYING TO 8578 06:08:46,066 --> 06:08:48,702 MAKE THE POINT THAT IF IT'S AN 8579 06:08:48,702 --> 06:08:49,636 INSTITUTIONAL PRIORITY TELL BE 8580 06:08:49,636 --> 06:08:51,271 AS WELL QUEPED AS SOME OF WHAT 8581 06:08:51,271 --> 06:08:54,541 THE GUYS ARE CALLING INCREMENTAL 8582 06:08:54,541 --> 06:08:54,908 SUPPORT SYSTEM. 8583 06:08:54,908 --> 06:08:56,577 SO IF YOU WALK IN THERE AND 8584 06:08:56,577 --> 06:08:58,846 THERE'S ONLY 1 PERSON ON A 8585 06:08:58,846 --> 06:08:59,780 KEYBOARD, YOU PROBABLY NOT GOING 8586 06:08:59,780 --> 06:09:01,615 TO MAKE A LOT OF PROGRESS IN 8587 06:09:01,615 --> 06:09:04,551 THAT ENVIRONMENT, AND THE REASON 8588 06:09:04,551 --> 06:09:07,154 THAT'S THE CASE OFTEN IN THE 8589 06:09:07,154 --> 06:09:09,957 MIDWEST, I NOTICE, LIKE FROM 8590 06:09:09,957 --> 06:09:11,925 LUCY'S SLIDES THERE'S A LOT OF 8591 06:09:11,925 --> 06:09:13,293 COASTAL ACTIVITY AND NOT MUCH IN 8592 06:09:13,293 --> 06:09:14,795 THE MIDDLE WHEREAS A LOT OF 8593 06:09:14,795 --> 06:09:15,863 PEOPLE ON THIS CALL ACTUALLY ARE 8594 06:09:15,863 --> 06:09:17,397 IN THE MITSD BUT 1 OF THE 8595 06:09:17,397 --> 06:09:22,970 REASONS FOR THAT IS IT'S A VERY 8596 06:09:22,970 --> 06:09:23,637 UNDERDEVELOPED PATHWAY. 8597 06:09:23,637 --> 06:09:24,872 AND IT STARTS AT THE LEVEL 8598 06:09:24,872 --> 06:09:26,073 YOU'RE REFERRING TO IN THE 8599 06:09:26,073 --> 06:09:27,341 ACADEMIC SETTING AND IT MOVES 8600 06:09:27,341 --> 06:09:31,511 RIGHT ON THROUGH THE BIOCHECK 8601 06:09:31,511 --> 06:09:34,248 AND D. C. SECTOR AS WELL, IF 8602 06:09:34,248 --> 06:09:35,782 IT'S WELL DEVELOPED USUALLY THAT 8603 06:09:35,782 --> 06:09:37,284 OFFICE WILL RECOGNIZE IT AND 8604 06:09:37,284 --> 06:09:39,486 SHOULD BE SUPPORTED FOR IT BUT 8605 06:09:39,486 --> 06:09:44,157 IF IT'S NOT, YOU WILL HAVE AN 8606 06:09:44,157 --> 06:09:44,625 UPHILL BATTLE. 8607 06:09:44,625 --> 06:09:47,561 >> I WOULD ADD HERE THAT IN THE 8608 06:09:47,561 --> 06:09:50,530 CAREER, AS SOMEBODY WHO 8609 06:09:50,530 --> 06:09:51,131 [INDISCERNIBLE] ACADEMIA AND 8610 06:09:51,131 --> 06:09:54,868 TART THE SUMP AND THAT -- 8611 06:09:54,868 --> 06:09:56,103 COMPANIES AND WITH THAT IN MIND, 8612 06:09:56,103 --> 06:09:59,039 TALKING TO THE TECH TRANSFER 8613 06:09:59,039 --> 06:09:59,773 OFFICE HELPFUL AND THEN 8614 06:09:59,773 --> 06:10:01,074 UNDERSTAND THE PROCESS OF TAKING 8615 06:10:01,074 --> 06:10:03,010 AN IP OUT OF THE UNIVERSITY AND 8616 06:10:03,010 --> 06:10:05,112 GO TO A COMPANY, WHAT ARE THE 8617 06:10:05,112 --> 06:10:06,480 REQUIREMENTS FROM THE UNIVERSITY 8618 06:10:06,480 --> 06:10:07,714 SIDE WHERE SOME UNIVERSITIES 8619 06:10:07,714 --> 06:10:09,683 MIGHT BE ASKING FOR A LOT, AND 8620 06:10:09,683 --> 06:10:13,587 THAT MIGHT BE SCARY AND OTHERS 8621 06:10:13,587 --> 06:10:14,988 AWAY OR INVESTORS SO REALLY 8622 06:10:14,988 --> 06:10:17,424 TRYING TO UNDERSTAND WHAT THE 8623 06:10:17,424 --> 06:10:19,326 UNIVERSITY REQUIRES, IS IT BOARD 8624 06:10:19,326 --> 06:10:20,694 SEATS, IS IT SPECIFIC EQUITY AND 8625 06:10:20,694 --> 06:10:24,498 THEN TRY TO UNDERSTAND, OKAY, 8626 06:10:24,498 --> 06:10:27,501 ASK THAT MODEL THERE TO 8627 06:10:27,501 --> 06:10:28,635 SUCCESSFUL COMPANIES AS BEING 8628 06:10:28,635 --> 06:10:30,070 ABLE TO ATTRACT OTHER PARTNERS 8629 06:10:30,070 --> 06:10:32,239 AND INVESTORS AND TRYING TO 8630 06:10:32,239 --> 06:10:33,173 UNDERSTAND IF IT FITS WITH WHAT 8631 06:10:33,173 --> 06:10:37,277 YOU WANT TO DO WITH YOUR CAREER 8632 06:10:37,277 --> 06:10:37,544 NGREAT. 8633 06:10:37,544 --> 06:10:38,912 AND THE OTHER THING TO THAT 8634 06:10:38,912 --> 06:10:40,647 COMMENT OR WHAT EVERY WE CALL 8635 06:10:40,647 --> 06:10:43,083 THEM THESE DAYS, LOOK FOR ROLE 8636 06:10:43,083 --> 06:10:45,285 MODELS, WHOSE DONE THIS AT THIS 8637 06:10:45,285 --> 06:10:47,854 PLACE AND WHAT'S THERE 8638 06:10:47,854 --> 06:10:49,022 PERSPECTIVE ON TRYING TO GET IT 8639 06:10:49,022 --> 06:10:50,524 DONE IN THAT ENVIRONMENT AND IF 8640 06:10:50,524 --> 06:10:52,492 YOU'RE NOT FINDING ANY, OR EVEN 8641 06:10:52,492 --> 06:10:54,895 IF THEY DO AND THEY EXPRESS 8642 06:10:54,895 --> 06:10:55,829 FRUSTRATION, ONCE AGAIN, YOU'RE 8643 06:10:55,829 --> 06:11:02,169 PROBABLY LOOKING AT A LOT OF 8644 06:11:02,169 --> 06:11:02,436 OBSTACLES. 8645 06:11:02,436 --> 06:11:04,571 >> I'VE ONLY 11 THING TO ADD ON 8646 06:11:04,571 --> 06:11:06,840 THIS IS THAT EVEN THOUGH OUTSIDE 8647 06:11:06,840 --> 06:11:09,810 OF UNIVERSITY, I'M AT VANNEDDER 8648 06:11:09,810 --> 06:11:12,980 BILL, VANDERBILT MEDICAL COOL IS 8649 06:11:12,980 --> 06:11:15,415 #1 IN NIH FUNDING, SO WE ATTRACT 8650 06:11:15,415 --> 06:11:19,019 A LOT OF FUNDING, THE STUDENTS 8651 06:11:19,019 --> 06:11:21,621 ARE EXCITED ABOUT TECH TRANSFERS 8652 06:11:21,621 --> 06:11:23,924 BUT THERE'S NO INFRASTRUCTURE, 8653 06:11:23,924 --> 06:11:25,559 NO INCUBATORS, NO OUTSIDE MOUSE 8654 06:11:25,559 --> 06:11:26,860 FACILITIES, 1 OF THE LAST 8655 06:11:26,860 --> 06:11:28,028 SPIN-OFF COMPANY I DID I 8656 06:11:28,028 --> 06:11:30,564 LITERALLY HAD TO SET UP A LAB 8657 06:11:30,564 --> 06:11:32,332 UNDERNEATH A REALLY NICE BAR 8658 06:11:32,332 --> 06:11:36,536 DOWN TOWN, BUT YOU KNOW IT'S -- 8659 06:11:36,536 --> 06:11:38,305 SOME PLACES IT'S HARD TO 8660 06:11:38,305 --> 06:11:39,339 SPIN-OFF COMPANIES BECAUSE 8661 06:11:39,339 --> 06:11:41,742 THERE'S NO PLACE TO DO IT TO. 8662 06:11:41,742 --> 06:11:42,642 >> RIGHT. 8663 06:11:42,642 --> 06:11:47,714 CREATING THAT KIND OF 8664 06:11:47,714 --> 06:11:48,949 ENVIRONMENT'S CHALLENGING. 8665 06:11:48,949 --> 06:11:50,650 WE HAVE THE SAME ISSUE IN 8666 06:11:50,650 --> 06:11:52,986 ST. LOUIS AND THEN WE HAVE LOTS 8667 06:11:52,986 --> 06:11:55,055 OF OTHER ISSUES THAT GO TO THE 8668 06:11:55,055 --> 06:11:56,823 MAYOR BUT HAVING THAT IS A 8669 06:11:56,823 --> 06:11:57,958 CHALLENGE FOR THE MIDWEST IN 8670 06:11:57,958 --> 06:11:58,258 GENERAL. 8671 06:11:58,258 --> 06:12:00,193 A LITTLE BIT IN CHICAGO, SIN 8672 06:12:00,193 --> 06:12:02,029 SUDDEN ATY CHILDRENS HAS DONE A 8673 06:12:02,029 --> 06:12:04,097 BETTER JOB I THINK THAN MOST 8674 06:12:04,097 --> 06:12:07,734 PLACES BUT THERE'S A LOT OF RISK 8675 06:12:07,734 --> 06:12:09,970 ADVERSITY IN WHAT WE'RE CALLING 8676 06:12:09,970 --> 06:12:10,871 TRANSLATIONAL RESEARCH AND 8677 06:12:10,871 --> 06:12:13,440 ST. LOUIS, 1 OF THE REASONS 8678 06:12:13,440 --> 06:12:15,042 WE'RE NOT GROWING AS A 8679 06:12:15,042 --> 06:12:16,510 METROPOLITAN AREA IS THAT 8680 06:12:16,510 --> 06:12:20,013 THERE'S A VERY RISK ADVERSE 8681 06:12:20,013 --> 06:12:21,548 APPROACH TO ALL KINDS OF 8682 06:12:21,548 --> 06:12:23,383 ACTIVITY ANDS THAT INCLUDES 8683 06:12:23,383 --> 06:12:23,717 MEDICINE. 8684 06:12:23,717 --> 06:12:25,152 >> IN GENERAL, YEAH, YEAH. 8685 06:12:25,152 --> 06:12:25,986 >> I WANTED TO -- 8686 06:12:25,986 --> 06:12:28,455 >> I HAVE A QUESTION FOR 8687 06:12:28,455 --> 06:12:29,956 ENRIQUE, YOU MENTIONED THE 8688 06:12:29,956 --> 06:12:31,091 FOUNDATION HAS GUIDELINES OF 8689 06:12:31,091 --> 06:12:36,963 AISK -- BASICALLY A PATH TO 8690 06:12:36,963 --> 06:12:39,399 COMMERCIALIZATION OR A PATH TO A 8691 06:12:39,399 --> 06:12:39,599 CURE. 8692 06:12:39,599 --> 06:12:40,333 THESE GUIDELINES ARE PUT 8693 06:12:40,333 --> 06:12:42,702 TOGETHER BY THE LAB, BY PFIZERS 8694 06:12:42,702 --> 06:12:44,871 ACADEMIC AND THE ACADEMIC 8695 06:12:44,871 --> 06:12:45,806 COMMUNITY, IT'S BASICALLY SORT 8696 06:12:45,806 --> 06:12:49,876 OF A WHITE PAPER ON WHAT THE 8697 06:12:49,876 --> 06:12:51,511 FOUNDATION THINKS, HOW MUCH 8698 06:12:51,511 --> 06:12:53,447 FRICTION DO YOU SEE BETWEEN 8699 06:12:53,447 --> 06:12:56,283 THESE GUIDELINES AND SORT OF 8700 06:12:56,283 --> 06:12:57,818 INDIVIDUAL VISIONS OF THERAPIES 8701 06:12:57,818 --> 06:12:59,886 FOR CF THAT YOU ENCOUNTERED. 8702 06:12:59,886 --> 06:13:02,656 YOU SEE A LOT OF FRICTION OR DO 8703 06:13:02,656 --> 06:13:05,025 PEOPLE USUALLY JUST GO ALONG 8704 06:13:05,025 --> 06:13:05,759 WITH ALL THE LITTLE CHECK 8705 06:13:05,759 --> 06:13:07,427 CONTROLLER OF BANKS THAT YOU 8706 06:13:07,427 --> 06:13:07,761 HAVE? 8707 06:13:07,761 --> 06:13:09,296 >> YEAH, I WOULD SAY WE HAVEN'T 8708 06:13:09,296 --> 06:13:10,664 SEEN TOO MUCH FRICTION. 8709 06:13:10,664 --> 06:13:12,766 THE GUIDANCE THAT WE PRESENTED 8710 06:13:12,766 --> 06:13:19,539 TODAY ARE REALLY FOCUSED ON 8711 06:13:19,539 --> 06:13:20,440 PRECLINICAL GENETIC MEDICINES 8712 06:13:20,440 --> 06:13:21,541 AND VERY EARLY STAGE COMPANIES 8713 06:13:21,541 --> 06:13:23,243 AND WE TRY TO ENGAGE COMPANIES 8714 06:13:23,243 --> 06:13:25,245 AT EARLY STAGE SO WE IMPLEMENT 8715 06:13:25,245 --> 06:13:27,280 THOSE GUIDANCE EARLY ON AND HELP 8716 06:13:27,280 --> 06:13:29,182 COMPANIES GET ON THAT CHECK LIST 8717 06:13:29,182 --> 06:13:29,716 FROM THE BEGINNING. 8718 06:13:29,716 --> 06:13:33,153 SO WHEN THEY COME TO US, WE HAVE 8719 06:13:33,153 --> 06:13:36,022 SPECIFIC CF DATA WE ARE ALIGNED 8720 06:13:36,022 --> 06:13:38,158 IN TERMS OF LOOK FOR EXAMPLE THE 8721 06:13:38,158 --> 06:13:39,025 SAME THINGS. 8722 06:13:39,025 --> 06:13:40,193 ARE YOU DEMONSTRATING IN THE 8723 06:13:40,193 --> 06:13:41,161 GOLD STANDARD EXPERIMENTS THAT 8724 06:13:41,161 --> 06:13:43,363 YOUR APPROACH IS WORKING IN 8725 06:13:43,363 --> 06:13:45,132 CYSTIC FIBROSIS, SO I WOULD SAY 8726 06:13:45,132 --> 06:13:47,501 WE HAVE REALLY ENCOUNTERED TOO 8727 06:13:47,501 --> 06:13:52,539 MUCH PUSH BACK AROUND THOSE 8728 06:13:52,539 --> 06:13:53,573 GUIDE LINES OR PARALLEL 8729 06:13:53,573 --> 06:13:55,442 APPROACHES TO GETTING TO THE 8730 06:13:55,442 --> 06:13:55,809 SAME RESULT. 8731 06:13:55,809 --> 06:13:57,577 I THINK THE CF COMMITTEE QUITE 8732 06:13:57,577 --> 06:14:02,415 UNIQUE IN TERMS OF HOW THEIR 8733 06:14:02,415 --> 06:14:04,017 RESOURCES AND HOW, THE 8734 06:14:04,017 --> 06:14:05,986 COMMITTEE'S QUITE CLOSE AND THEN 8735 06:14:05,986 --> 06:14:07,154 HOW THESE RESOURCES ARE OPEN AND 8736 06:14:07,154 --> 06:14:09,823 PEOPLE ARE ABLE TO ACCESS AND 8737 06:14:09,823 --> 06:14:16,963 UNDERSTAND WHAT'S NEEDED TO MOVE 8738 06:14:16,963 --> 06:14:20,934 THERAPY FORWARD. 8739 06:14:20,934 --> 06:14:22,135 >> WAS THAT QUESTION DIRECTED AT 8740 06:14:22,135 --> 06:14:25,071 ALL TO THE COMMON STREET NOTICES 8741 06:14:25,071 --> 06:14:26,139 THAT THE CFF LIKES TO TAKE A 8742 06:14:26,139 --> 06:14:30,610 PIECE OF THE PROFITS IN THE 8743 06:14:30,610 --> 06:14:30,844 PROCESS? 8744 06:14:30,844 --> 06:14:32,145 >> I MEAN I THINK IF THEY 8745 06:14:32,145 --> 06:14:33,747 INVEST, THEY HAVE A RIGHT TO ASK 8746 06:14:33,747 --> 06:14:34,481 FOR THAT. 8747 06:14:34,481 --> 06:14:35,882 NTHAT'S WHAT I'M ASKING. 8748 06:14:35,882 --> 06:14:37,517 >> I THINK HA THEY GET DINGED 8749 06:14:37,517 --> 06:14:42,455 UNFAIRLY I THINK FOR WHAT HAPPEN 8750 06:14:42,455 --> 06:14:43,290 WIDE VERTEX, WHEN YOU THINK 8751 06:14:43,290 --> 06:14:44,925 ABOUT IT THEY WOULD HAVE NEVER 8752 06:14:44,925 --> 06:14:46,660 GONE DOWN THE TRACK WITHOUT THE 8753 06:14:46,660 --> 06:14:47,294 FOUNDATION A INVESTMENT SO 8754 06:14:47,294 --> 06:14:48,895 WHETHER YOU WANT TO TALK ABOUT 8755 06:14:48,895 --> 06:14:51,498 GREED OR WHATEVER, YOU KNOW IT 8756 06:14:51,498 --> 06:14:53,099 WOULDN'T HAVE HAPPENED WITHOUT 8757 06:14:53,099 --> 06:14:56,002 BOB BELL INVESTING IN VERTEX, 8758 06:14:56,002 --> 06:14:57,504 AND NOW, CF PATIENTS HAVE THIS 8759 06:14:57,504 --> 06:14:57,704 DRUG. 8760 06:14:57,704 --> 06:14:59,606 SO IT'S 1 OF THESE KINDS OF 8761 06:14:59,606 --> 06:15:01,441 THINGS WHERE REALLY CAN YOU PUT 8762 06:15:01,441 --> 06:15:03,777 1 SIDE TO BALANCE, YOU KNOW? 8763 06:15:03,777 --> 06:15:05,312 MAYBE THERE SHOULD BE MORE 8764 06:15:05,312 --> 06:15:07,948 ADVOCACY ON MAKING THE DRUGS 8765 06:15:07,948 --> 06:15:09,349 CHEAPER, MAYBE I'LL -- 8766 06:15:09,349 --> 06:15:09,716 [LAUGHTER] 8767 06:15:09,716 --> 06:15:12,786 >> I DO SAY WE -- NDON'T GET MAD 8768 06:15:12,786 --> 06:15:15,522 AT ME NWE DO HAVE VERY 8769 06:15:15,522 --> 06:15:16,456 [INDISCERNIBLE] AS WELL, WE DO 8770 06:15:16,456 --> 06:15:20,327 NOT HAVE THE ABILITY TO CONVINCE 8771 06:15:20,327 --> 06:15:22,128 A PHARMACEUTICAL COMPANY OR TO 8772 06:15:22,128 --> 06:15:24,164 DISCUSS PRICING WITH 8773 06:15:24,164 --> 06:15:24,664 PHARMACEUTICAL COMPANY. 8774 06:15:24,664 --> 06:15:26,833 I WOULD SAY VENTURE PHILANTHROPY 8775 06:15:26,833 --> 06:15:28,034 WHICH YOU HAVE MENTIONED IS 8776 06:15:28,034 --> 06:15:29,269 REALLY KIND OF SOMETHING THAT 8777 06:15:29,269 --> 06:15:31,838 WAS PIE OR NEARED BY THE 8778 06:15:31,838 --> 06:15:34,708 FOUNDATION -- PIONEERED BY THE 8779 06:15:34,708 --> 06:15:36,576 FOUND FOUNDATION AND IT'S 8780 06:15:36,576 --> 06:15:38,678 ALLOWED US TO TACKLE A LOT OF 8781 06:15:38,678 --> 06:15:40,780 THE DIFFERENT CHALLENGES WHEN IT 8782 06:15:40,780 --> 06:15:42,515 COMES TO CYSTIC FIBROSIS AND 8783 06:15:42,515 --> 06:15:46,286 THEN WE'RE REALLY TRYING TO -- 8784 06:15:46,286 --> 06:15:48,722 OR I'VE SEEN A LOT OF 8785 06:15:48,722 --> 06:15:49,789 FOUNDATIONS TAKE THIS APPROACH 8786 06:15:49,789 --> 06:15:51,091 AS WELL, BECAUSE ALL FOUNDATIONS 8787 06:15:51,091 --> 06:15:52,626 ARE LOOKING FOR SUSTAINABLE WAYS 8788 06:15:52,626 --> 06:15:55,428 TO CONTINUE MOVING TOWARDS THEIR 8789 06:15:55,428 --> 06:15:55,662 MISSION. 8790 06:15:55,662 --> 06:15:57,964 AS YOU KNOW GETTING TO CURE 8791 06:15:57,964 --> 06:15:59,132 CYSTIC FIBROSIS OR ANY GENETIC 8792 06:15:59,132 --> 06:16:00,867 DEC IS NOT CHEAP OR EASY AND 8793 06:16:00,867 --> 06:16:02,702 IT'S GOING TO TAKE TIME, SO 8794 06:16:02,702 --> 06:16:08,541 THAT'S 1 WAY WE'RE TRYING TO 8795 06:16:08,541 --> 06:16:10,110 ACHIEVE HERE. 8796 06:16:10,110 --> 06:16:12,078 >> OKAY, DO YOU FEEL -- I WILL 8797 06:16:12,078 --> 06:16:13,480 PUSH THE BUTTONS HERE SINCE 8798 06:16:13,480 --> 06:16:14,281 NOBODY ELSE WANTS TO. 8799 06:16:14,281 --> 06:16:17,884 SO IT'S THE ISSUE OF THE MISSION 8800 06:16:17,884 --> 06:16:18,118 ENRIQUE. 8801 06:16:18,118 --> 06:16:23,456 SO WHEN I WAS A CHILD, YOU KNOW, 8802 06:16:23,456 --> 06:16:24,491 CHARITABLE FOUNDATIONS SUPPORTED 8803 06:16:24,491 --> 06:16:25,392 RESEARCH FOR RESEARCH SAKE AND 8804 06:16:25,392 --> 06:16:26,826 THEY DIDN'T CAN A LOT OF 8805 06:16:26,826 --> 06:16:31,698 QUESTIONS ABOUT THE IP ON A 8806 06:16:31,698 --> 06:16:32,932 MONTHLY BASIS EVEN. 8807 06:16:32,932 --> 06:16:34,768 SO IT DOES CHANGE THE 8808 06:16:34,768 --> 06:16:36,503 TRAJECTORY, THERE'S NOTHING 8809 06:16:36,503 --> 06:16:39,105 WRONG WITH BEHAVING LIKE A VC IN 8810 06:16:39,105 --> 06:16:41,308 SOME SENSE BUT IT DOES -- I 8811 06:16:41,308 --> 06:16:45,178 THINK TO SAY, IT'S ALL FOR 1 AND 8812 06:16:45,178 --> 06:16:47,881 1 FOR ALL KIND OF THING IF THE 8813 06:16:47,881 --> 06:16:50,817 PATIENT BENEFITS IT'S NOT QUITE 8814 06:16:50,817 --> 06:16:53,787 THE FULL STORY ON HOW THINGS 8815 06:16:53,787 --> 06:16:56,122 HAVE SHIFTED AND I -- SOME OF 8816 06:16:56,122 --> 06:16:57,390 THE DPRAITEST DISCOVERIES, OF 8817 06:16:57,390 --> 06:16:58,658 MEDICINES AND THERE AREN'T MANY, 8818 06:16:58,658 --> 06:17:00,160 RIGHT, CAME OUT OF VERY BASIC 8819 06:17:00,160 --> 06:17:03,563 RESEARCH, THAT NOBODY WOULD HAVE 8820 06:17:03,563 --> 06:17:06,266 INVESTED FOR COMMERCIAL ELEMENT, 8821 06:17:06,266 --> 06:17:09,602 SO SOMETIMES THOSE ENTERPRISES 8822 06:17:09,602 --> 06:17:11,204 WILL SUFFER BECAUSE THEY DON'T 8823 06:17:11,204 --> 06:17:14,374 PORTRAY A DIRECT ROUTE TO THE 8824 06:17:14,374 --> 06:17:15,508 MARKETPLACE AND THAT'S GOING TO 8825 06:17:15,508 --> 06:17:17,977 HAPPEN MORE OFTEN THAN NOT. 8826 06:17:17,977 --> 06:17:20,113 >> I AGREE AND I THINK WE'RE ON 8827 06:17:20,113 --> 06:17:22,816 THE SAME PAGE, THE CF FOUNDATION 8828 06:17:22,816 --> 06:17:27,587 ALSO FUNDS ACADEMICS AND THAT IS 8829 06:17:27,587 --> 06:17:31,524 COMPLETELY NO STRINGS ATTACHED 8830 06:17:31,524 --> 06:17:33,460 AND WE FUND ALMOST THE SAME 8831 06:17:33,460 --> 06:17:35,362 AMOUNT IN FOUNDATIONS AND 8832 06:17:35,362 --> 06:17:37,297 RESEARCH IN THE CF COMMUNITY 8833 06:17:37,297 --> 06:17:40,200 THAT ARE VERY BASIC WITHOUT 8834 06:17:40,200 --> 06:17:40,767 EXPECTING ANY RETURNS. 8835 06:17:40,767 --> 06:17:43,870 >> WE GOT A BIT OFF TOPIC ON 8836 06:17:43,870 --> 06:17:45,405 WHAT THE PANEL IS SUPPOSED TO BE 8837 06:17:45,405 --> 06:17:47,507 ON, NOT THAT I DON'T THINK 8838 06:17:47,507 --> 06:17:51,344 VENTURE FILL AN THOPY IS NOT 8839 06:17:51,344 --> 06:17:52,579 WONDERFUL BUT -- [LAUGHTER] 8840 06:17:52,579 --> 06:17:54,247 >> LET ME COME FROM THE FEDERAL 8841 06:17:54,247 --> 06:17:55,515 GOVERNMENT PERSPECTIVE AND THE 8842 06:17:55,515 --> 06:17:56,349 PARTNERSHIP WE'VE BEEN ABLE TO 8843 06:17:56,349 --> 06:18:00,120 HAVE WITH THE FOUNDATION, YOU 8844 06:18:00,120 --> 06:18:01,388 KNOW THE INVESTMENT DOES HAVE 8845 06:18:01,388 --> 06:18:03,256 RETURN BUT THEN IT CONTINUES TO 8846 06:18:03,256 --> 06:18:06,359 BE REINVESTED INTO THE COMMUNITY 8847 06:18:06,359 --> 06:18:08,228 AS ENRIQUE HAS SAID, SO WE 8848 06:18:08,228 --> 06:18:10,764 WOULDN'T HAVE NEW PROGRAMMING 8849 06:18:10,764 --> 06:18:13,800 LIKE PATH TO THE CURE WHICH IS 8850 06:18:13,800 --> 06:18:15,435 HEAVILY INVESTING IN THERAPIES 8851 06:18:15,435 --> 06:18:17,637 OR GENE THERAPIES THAT ARE LEFT 8852 06:18:17,637 --> 06:18:18,938 BEHIND FROM VERTEX, AND THEY 8853 06:18:18,938 --> 06:18:20,673 HELPED TACKLE THE SITUATION OF 8854 06:18:20,673 --> 06:18:22,542 GETTING A DISEASE MODIFYING 8855 06:18:22,542 --> 06:18:24,978 THERAPY TO MARKET, BY SUPPORTING 8856 06:18:24,978 --> 06:18:27,347 VERTEX, CONTINUE TO INVEST INTO 8857 06:18:27,347 --> 06:18:28,748 BASIC SCIENCE AND THEN IN TURN, 8858 06:18:28,748 --> 06:18:33,186 CREATE HIGH RISK, HIGH REWARD 8859 06:18:33,186 --> 06:18:35,388 PROGRAMS THAT THE NIH CERTAINLY 8860 06:18:35,388 --> 06:18:38,525 CAN'T NECESSARILY DO AT THE SAME 8861 06:18:38,525 --> 06:18:41,694 SCALE BECAUSE WE DON'T HAVE THAT 8862 06:18:41,694 --> 06:18:42,061 CAPITAL. 8863 06:18:42,061 --> 06:18:43,563 WE DO HAVE PROGRAMS THAT WE DO 8864 06:18:43,563 --> 06:18:45,799 TRY TO DO IN PARALLEL AND IN 8865 06:18:45,799 --> 06:18:48,234 PARTNERSHIP WITH THE FOUNDATION, 8866 06:18:48,234 --> 06:18:50,503 AND YOU KNOW TRY TO HAVE THOSE 8867 06:18:50,503 --> 06:18:53,740 COLLABORATIVE EFFORTS TO MAKE 8868 06:18:53,740 --> 06:18:55,475 SURE THAT YOU KNOW THE SPACE IS 8869 06:18:55,475 --> 06:18:59,679 WELL FUNDED AND SO I THINK THAT 8870 06:18:59,679 --> 06:19:01,314 FROM A GOVERNMENT PERSPECTIVE, 8871 06:19:01,314 --> 06:19:03,116 LIKE WE COULDN'T REALLY HAVE THE 8872 06:19:03,116 --> 06:19:04,217 TYPE OF SCIENTIFIC PORTFOLIO 8873 06:19:04,217 --> 06:19:08,588 THAT WE DO THAT IS SO SUCCESSFUL 8874 06:19:08,588 --> 06:19:11,891 IN CF, WITHOUT THAT TYPE OF 8875 06:19:11,891 --> 06:19:13,860 STRATEGY, AND WHAT WOULD BE 8876 06:19:13,860 --> 06:19:14,227 BEAUTIFUL -- 8877 06:19:14,227 --> 06:19:15,929 >> [INDISCERNIBLE] MENTIONED 8878 06:19:15,929 --> 06:19:16,863 THAT AS WELL. 8879 06:19:16,863 --> 06:19:18,131 >> JOHN, YEAH, YEAH PUT THAT IN 8880 06:19:18,131 --> 06:19:19,432 THE Q&A AS WELL. 8881 06:19:19,432 --> 06:19:21,000 WHAT'S BEAUTIFUL ABOUT THAT IS 8882 06:19:21,000 --> 06:19:23,102 IT'S A MODEL I THINK WE SHOULD 8883 06:19:23,102 --> 06:19:23,470 LEARN FROM. 8884 06:19:23,470 --> 06:19:27,607 I THINK THAT OTHER ORGANIZATIONS 8885 06:19:27,607 --> 06:19:28,942 ARE ALREADY COMING UP ON THAT 8886 06:19:28,942 --> 06:19:31,411 AND WE WILL HEAR FROM SOME OF 8887 06:19:31,411 --> 06:19:32,278 THEM TOMORROW ABOUT SHARED 8888 06:19:32,278 --> 06:19:33,680 LEARNING FROM THE FOUNDATION AND 8889 06:19:33,680 --> 06:19:35,181 HOW THEY'RE ABLE TO CATALYZE 8890 06:19:35,181 --> 06:19:37,016 RESEARCH AND INDUSTRY 8891 06:19:37,016 --> 06:19:39,052 PARTNERSHIPS, IN SIMILAR WAYS, 8892 06:19:39,052 --> 06:19:40,920 YOU KNOW BUILDING UP THEIR 8893 06:19:40,920 --> 06:19:43,523 PROFILE, SO, YOU KNOW, THE KEY, 8894 06:19:43,523 --> 06:19:45,859 I THINK IS THE VENTURE 8895 06:19:45,859 --> 06:19:47,794 PHILANTHROPY PIECE OF IT IS THAT 8896 06:19:47,794 --> 06:19:49,929 WHATEVER COMES IN, ALSO GOES 8897 06:19:49,929 --> 06:19:51,097 BACK OUT. 8898 06:19:51,097 --> 06:19:55,201 BUT, YEAH, I JUST WANTED TO ADD 8899 06:19:55,201 --> 06:19:56,569 THAT, AS VIEWING IT FROM THE 8900 06:19:56,569 --> 06:20:00,707 LENS OF WHERE WE ARE ON THE SIDE 8901 06:20:00,707 --> 06:20:01,875 OF HAVING PARTNERSHIPS WITH THE 8902 06:20:01,875 --> 06:20:03,042 FOUNDATION BUT I CAME INTO THE 8903 06:20:03,042 --> 06:20:05,111 PANEL BECAUSE AS A CO-HOST I 8904 06:20:05,111 --> 06:20:06,312 CAN'T ASK A QUESTION AND WANTED 8905 06:20:06,312 --> 06:20:08,181 TO ASK THE QUESTION, --I REALLY 8906 06:20:08,181 --> 06:20:14,220 WANTED TO FOLLOW UP ON THE PEER 8907 06:20:14,220 --> 06:20:21,261 TO PEER M-TEBURKEULOSEIS 8908 06:20:21,261 --> 06:20:23,596 -- MENTORING AND CONTACTS, WE 8909 06:20:23,596 --> 06:20:25,331 TRY TO GET THE PEER TO PEER 8910 06:20:25,331 --> 06:20:27,634 PROGRAM, AND THEY ARE AT THE 8911 06:20:27,634 --> 06:20:28,568 COMMITTEE MEETINGS AND THEY THEY 8912 06:20:28,568 --> 06:20:31,070 MEET AND THEY WORK TOGETHER WHEN 8913 06:20:31,070 --> 06:20:33,640 THEY CAN AND THEY SORT OF CROSS 8914 06:20:33,640 --> 06:20:35,308 TALK WHEN THEY MAKE SENSE, BUT I 8915 06:20:35,308 --> 06:20:38,344 WONDERED IF YOU ALL HAD OTHER 8916 06:20:38,344 --> 06:20:39,546 IDEAS OF HOW PEOPLE CAN BETTER 8917 06:20:39,546 --> 06:20:40,847 LEARN FROM EACH OTHER, THAT'S 8918 06:20:40,847 --> 06:20:42,348 BASICALLY PART OF THE PLATFORM, 8919 06:20:42,348 --> 06:20:43,983 WE'RE TRYING WITH THIS WORKSHOP, 8920 06:20:43,983 --> 06:20:47,854 IS TO BRING IN EXPERTS LIKE YOU 8921 06:20:47,854 --> 06:20:50,356 ALL, BUT YOU KNOW IT'S SO 8922 06:20:50,356 --> 06:20:53,293 EXPENSIVE AND SO HARD TO DEVELOP 8923 06:20:53,293 --> 06:20:55,028 THESE NOVEL TECHNOLOGIES AND 8924 06:20:55,028 --> 06:20:57,230 INTERVENTIONS AND DRUGS OR GENE 8925 06:20:57,230 --> 06:21:00,600 THERAPY, WHATEVER THEY MAY BE, 8926 06:21:00,600 --> 06:21:04,003 HOW CAN WE FIND BETTER WAYS TO 8927 06:21:04,003 --> 06:21:05,505 GET PEOPLE TO PEER MENTOR EACH 8928 06:21:05,505 --> 06:21:08,641 OTHER THROUGH THE PROCESS, AND I 8929 06:21:08,641 --> 06:21:10,476 ASK THAT BECAUSE WE'RE ACTUALLY 8930 06:21:10,476 --> 06:21:12,645 EVEN TRYING THAT HERE AT THE 8931 06:21:12,645 --> 06:21:16,182 NIH, SO THE SOMATIC CELL GENOME 8932 06:21:16,182 --> 06:21:17,951 EDITING PROGRAM IS IN PHASE 2, 8933 06:21:17,951 --> 06:21:19,352 IT'S FUNDED BY THE COMMON FUND 8934 06:21:19,352 --> 06:21:22,355 AND WE ARE HAVING A GROUP OF 8935 06:21:22,355 --> 06:21:23,723 INVESTIGATORS WORKING TOGETHER 8936 06:21:23,723 --> 06:21:26,693 ACROSS DISEASES, TO LEARN FROM 8937 06:21:26,693 --> 06:21:28,761 INTERACTIONS WITH THE FDA IN 8938 06:21:28,761 --> 06:21:32,532 ORDER TO STREAMLINE GENE THERAPY 8939 06:21:32,532 --> 06:21:34,801 APPROVALS THROUGH THE FDA. 8940 06:21:34,801 --> 06:21:37,303 AND SO, WE'RE PILOTING THAT BUT 8941 06:21:37,303 --> 06:21:40,473 THAT'S ONLY 1 PROGRAM AT THE 8942 06:21:40,473 --> 06:21:43,610 NIH, AND I'M JUST THINKING IF 8943 06:21:43,610 --> 06:21:44,844 THERE ARE STRATEGIES YOU CAN 8944 06:21:44,844 --> 06:21:46,045 THINK OF HOW THE COMMUNITY CAN 8945 06:21:46,045 --> 06:21:47,880 BE BETTER AT PEER TO PEER 8946 06:21:47,880 --> 06:21:52,385 MENTORING TO SORT OF HELP 8947 06:21:52,385 --> 06:21:53,987 CATALYZE INNOVATION AND EVEN 8948 06:21:53,987 --> 06:21:55,388 PREVENT KIND OF COMPETITION AND 8949 06:21:55,388 --> 06:21:57,256 REALLY HAVE THIS SHARED GOAL FOR 8950 06:21:57,256 --> 06:21:59,325 ESPECIALLY FOR RARE DISEASES. 8951 06:21:59,325 --> 06:22:03,262 >> YOU CAN HAVE -- YOU CAN HAVE 8952 06:22:03,262 --> 06:22:05,431 THE GRANTS MAYBE REQUIRE OR YOU 8953 06:22:05,431 --> 06:22:07,367 KNOW SUGGIEST OR ADVISE FOR 8954 06:22:07,367 --> 06:22:08,701 CONSULTANT ON THERE FOR INSTANCE 8955 06:22:08,701 --> 06:22:10,970 IS SOMEBODY THAT'S SEASONED SO 8956 06:22:10,970 --> 06:22:12,939 THAT IF SOMEBODY'S TRYING THIS 8957 06:22:12,939 --> 06:22:17,744 FOR THE FIRST TIME THEY MAY FIND 8958 06:22:17,744 --> 06:22:20,346 DR. HOLTZMAN AND DR. WEST TO 8959 06:22:20,346 --> 06:22:21,748 PARTNER WITH THEM EVEN IF IT'S 8960 06:22:21,748 --> 06:22:24,150 NOT THE SAME TECHNOLOGY. 8961 06:22:24,150 --> 06:22:25,652 SPEAKING OF THE FOUNDATION BEING 8962 06:22:25,652 --> 06:22:26,819 AN EXAMPLE, THAT'S SOMETHING 8963 06:22:26,819 --> 06:22:29,656 THIS WHEN THEY COME IN TO DO 8964 06:22:29,656 --> 06:22:31,924 RESEARCH, IF YOU HAVENER DONE 8965 06:22:31,924 --> 06:22:33,192 RESEARCH BEFORE, THEY LIKE TO 8966 06:22:33,192 --> 06:22:35,261 HAVE SOMEBODY WITH RESEARCH AS A 8967 06:22:35,261 --> 06:22:36,229 COLLABORATOR BUT THEY'RE OPEN TO 8968 06:22:36,229 --> 06:22:38,097 YOU COMING INTO THE CF FIELD AS 8969 06:22:38,097 --> 06:22:40,700 LONG AS DO YOU THAT SO IT'S THE 8970 06:22:40,700 --> 06:22:42,235 WAY THEY PROMOTE PEOPLE LEARNING 8971 06:22:42,235 --> 06:22:45,705 ABOUT CF. 8972 06:22:45,705 --> 06:22:48,007 >> CAN I COMMENT ON SOMETHING, 8973 06:22:48,007 --> 06:22:51,978 THIS IS JOHN ENG LEHEART, I WILL 8974 06:22:51,978 --> 06:22:59,652 MAKE 1 COMMENT ABOUT THE STORY 8975 06:22:59,652 --> 06:23:01,521 LUCY TOLD ABOUT COLLABORATION, 8976 06:23:01,521 --> 06:23:02,822 THEY WERE TALKING ABOUT THE GENE 8977 06:23:02,822 --> 06:23:04,524 THERAPY SPACE AND I TRIED TO 8978 06:23:04,524 --> 06:23:06,726 CONVINCE BIG PHARMA TO GET 8979 06:23:06,726 --> 06:23:07,927 INVOLVED IN THAT, AND WHEN 8980 06:23:07,927 --> 06:23:09,429 PFIZER DID TAKE IT UP FOR A 8981 06:23:09,429 --> 06:23:10,596 WHILE BUT DIDN'T WANT TO 8982 06:23:10,596 --> 06:23:13,132 CONTINUE WITH IT AND YOU KNOW I 8983 06:23:13,132 --> 06:23:15,535 WOULD SAY SO FROM MY 8984 06:23:15,535 --> 06:23:16,335 PERSPECTIVE, I COULDN'T QUIT MY 8985 06:23:16,335 --> 06:23:19,639 DAY JOB TO MAKE THE COMPANY, AND 8986 06:23:19,639 --> 06:23:23,142 THOSE SORT OF INFORMA GET 8987 06:23:23,142 --> 06:23:24,877 TOGETHERS ARE GATHERING BETWEEN 8988 06:23:24,877 --> 06:23:26,913 VC OR INVESTORS IN THAT SPACE 8989 06:23:26,913 --> 06:23:28,081 THAT ARE SCIENTISTS AND WANT TO 8990 06:23:28,081 --> 06:23:29,582 HEAR ABOUT THE LATEST 8991 06:23:29,582 --> 06:23:31,984 TECHNOLOGY, AT ANY SORT OF 8992 06:23:31,984 --> 06:23:33,286 CONFERENCE, WOULD BE -- MIGHT 8993 06:23:33,286 --> 06:23:35,121 REPLICATE THAT TYPE OF THING 8994 06:23:35,121 --> 06:23:36,289 BECAUSE I NEVER WOULD HAVE 8995 06:23:36,289 --> 06:23:43,830 PREDICTED THAT THAT WOULD HAVE 8996 06:23:43,830 --> 06:23:46,466 BEEN THE OUTCOME. 8997 06:23:46,466 --> 06:23:47,467 >> NIH INNOVATORS CONFERENCE. 8998 06:23:47,467 --> 06:23:48,234 >> YEAH, I WAS GOING TO SAY, I 8999 06:23:48,234 --> 06:23:49,769 HAPPEN TO BE ON THE KEY STONE 9000 06:23:49,769 --> 06:23:53,873 BOARD SO I PASSED ALL OF THIS 9001 06:23:53,873 --> 06:23:56,242 INFORMATION ON TO THEM AS AN 9002 06:23:56,242 --> 06:23:58,344 IDEA FOR A KEY STONE SYMPOSIA 9003 06:23:58,344 --> 06:24:00,513 FOR NO OTHER BASIS BECAUSE WE 9004 06:24:00,513 --> 06:24:02,582 DON'T -- WE REALLY HAVE 9005 06:24:02,582 --> 06:24:03,483 SPECIALIZED HIGH SCIENCE, KIND 9006 06:24:03,483 --> 06:24:06,385 OF DRUG ORYEBTED MEETINGS BUT WE 9007 06:24:06,385 --> 06:24:08,588 DON'T HAVE THIS WHERE YOU TAKE A 9008 06:24:08,588 --> 06:24:09,822 MORE GENERALIZED APPROACH TO 9009 06:24:09,822 --> 06:24:11,124 BRING PEOPLE TOGETHER IN THIS 9010 06:24:11,124 --> 06:24:13,359 SPACE TO DO WHAT WE'RE DOING 9011 06:24:13,359 --> 06:24:14,527 TODAY AND TOMORROW AND SO WE'LL 9012 06:24:14,527 --> 06:24:16,496 SEE WHERE THAT GOES, BUT I THINK 9013 06:24:16,496 --> 06:24:19,398 THAT KIND OF FORUM, YOU KNOW, 9014 06:24:19,398 --> 06:24:21,901 EVEN GORDON, YOU KNOW THERE ARE 9015 06:24:21,901 --> 06:24:26,439 A LOT OF THESE, YOU KNOW PLACES 9016 06:24:26,439 --> 06:24:27,073 -- 9017 06:24:27,073 --> 06:24:28,040 >> COLD SPRING HARBOR. 9018 06:24:28,040 --> 06:24:29,208 >> YEAH, I WAS JUST BLOCKING ON 9019 06:24:29,208 --> 06:24:30,042 THAT NAME. 9020 06:24:30,042 --> 06:24:32,712 BUT YEAH, THERE ARE 9021 06:24:32,712 --> 06:24:33,146 OPPORTUNITIES TO -- 9022 06:24:33,146 --> 06:24:34,947 >> SO NONE OF US ARE GOING TO 9023 06:24:34,947 --> 06:24:36,649 LIKELY GO TO J. P. MORGAN SO 9024 06:24:36,649 --> 06:24:38,484 HAVING THOSE KIND OF SETTINGS, 9025 06:24:38,484 --> 06:24:40,319 WHERE YOU CAN BRING HIGH SCIENCE 9026 06:24:40,319 --> 06:24:43,723 TOGETHER WITH PEOPLE IN THE VC, 9027 06:24:43,723 --> 06:24:45,758 INVESTOR SPACE, I THINK WOULD BE 9028 06:24:45,758 --> 06:24:46,826 VERY INTERESTING AND YOU KNOW 9029 06:24:46,826 --> 06:24:48,461 WHAT YOU SPEND A FEW DAYS 9030 06:24:48,461 --> 06:24:50,897 TOGETHER LIKE THAT, GOOD IDEAS 9031 06:24:50,897 --> 06:24:53,733 COME FORWARD AND GET SUPPORTED. 9032 06:24:53,733 --> 06:24:54,801 SO I'LL GET BACK TO YOU ON HOW 9033 06:24:54,801 --> 06:24:56,669 IT GOES WITH THE KEY STONE 9034 06:24:56,669 --> 06:24:58,171 LEADERSHIP BUT I THINK THAT 9035 06:24:58,171 --> 06:25:02,341 WE'RE NOT REALLY DOING THAT AT 9036 06:25:02,341 --> 06:25:02,708 PRESENT. 9037 06:25:02,708 --> 06:25:05,111 USUALLY IT'S THE HOT PAPER THAT 9038 06:25:05,111 --> 06:25:06,145 GETS INVITED. 9039 06:25:06,145 --> 06:25:07,113 IT'S NOT SOMEBODY WHO'S TRYING 9040 06:25:07,113 --> 06:25:09,015 TO START A COMPANY. 9041 06:25:09,015 --> 06:25:15,087 >> AND I KNOW THAT ARE THERE 9042 06:25:15,087 --> 06:25:16,222 THESE INVESTOR MEETINGS AND 9043 06:25:16,222 --> 06:25:20,059 THEY'RE VERY GIG -- BIG AND ITS 9044 06:25:20,059 --> 06:25:22,028 HARD TO GO THERE AND FEEL 9045 06:25:22,028 --> 06:25:22,295 CONNECTED. 9046 06:25:22,295 --> 06:25:23,996 I TALK TO PEOPLE AND THEY'RE 9047 06:25:23,996 --> 06:25:25,398 LIKE, I DON'T KNOW WHO TO TALK 9048 06:25:25,398 --> 06:25:26,933 TO, WHERE TO GO, THERE'S SO MUCH 9049 06:25:26,933 --> 06:25:29,836 GOING ON HERE THAT MAYBE A 9050 06:25:29,836 --> 06:25:31,637 SMALLER VENUE STRUCTURA AS 9051 06:25:31,637 --> 06:25:32,471 YOU'RE SAYING MIGHT WORK BETTER 9052 06:25:32,471 --> 06:25:34,440 BECAUSE IT WILL HAVE A FOCUS, IT 9053 06:25:34,440 --> 06:25:36,309 WILL BE LONG, IT'LL BE SLEEP, 9054 06:25:36,309 --> 06:25:38,377 IT'LL BE RARE LUNG DECS, IT'LL 9055 06:25:38,377 --> 06:25:39,712 BE CHRONIC LUNG DECS, WHATEVER 9056 06:25:39,712 --> 06:25:43,216 IT IS, IT MIGHT BE A LITTLE MORE 9057 06:25:43,216 --> 06:25:44,517 FOCUSED AND EASIER FOR PEOPLE TO 9058 06:25:44,517 --> 06:25:46,485 CONNECT WITH EACH OTHER. 9059 06:25:46,485 --> 06:25:46,786 >> RIGHT. 9060 06:25:46,786 --> 06:25:48,855 EARLIER STAGE WITH SMALLER FOLKS 9061 06:25:48,855 --> 06:25:51,224 THAT MIGHT NOT GET INVITED TO 9062 06:25:51,224 --> 06:25:53,059 THE BIG SAN FRANCISCO MEETING OR 9063 06:25:53,059 --> 06:25:53,326 SOMETHING. 9064 06:25:53,326 --> 06:25:56,229 >> WE WILL SAY THAT WE HAVE 9065 06:25:56,229 --> 06:25:58,331 WORKED WITH THE CF FOUNDATION ON 9066 06:25:58,331 --> 06:25:59,732 CONCEPTS EXACTLY LIKE THAT, AND 9067 06:25:59,732 --> 06:26:01,434 I THINK THE FOUNDATION HAS DONE 9068 06:26:01,434 --> 06:26:04,170 THIS A FEW TIMES, MAYBE, WITH 9069 06:26:04,170 --> 06:26:06,439 LONG WOOD AND ALSO SEPARATELY 9070 06:26:06,439 --> 06:26:08,975 THEMSELVES ON JUST NO 1 HAS 9071 06:26:08,975 --> 06:26:10,910 ANYTHING SPECIFIC QUITE YET TO 9072 06:26:10,910 --> 06:26:12,612 START A COMPANY AROUND BUT THERE 9073 06:26:12,612 --> 06:26:14,146 IS A THESIS THAT WE'RE 9074 06:26:14,146 --> 06:26:17,049 INTERESTED IN AND WHETHER IT'S 9075 06:26:17,049 --> 06:26:18,651 DELIVERY OR IT'S OPPORTUNITIES 9076 06:26:18,651 --> 06:26:22,788 TO FIGURE OUT CARGOS, VERY 9077 06:26:22,788 --> 06:26:24,891 SPECIFIC, AND 1 THING THAT KIND 9078 06:26:24,891 --> 06:26:26,058 OF CATALYZES THIS IS THAT PEOPLE 9079 06:26:26,058 --> 06:26:28,261 NEED TO BE ABLE TO GET 9080 06:26:28,261 --> 06:26:29,695 COMFORTABLE WITH SHARING 9081 06:26:29,695 --> 06:26:30,930 UNPUBLISHED DATA AND THEN BEING 9082 06:26:30,930 --> 06:26:34,667 A LITTLE BIT MORE OPEN WITH THE 9083 06:26:34,667 --> 06:26:35,501 THINGS THAT THEY'RE WORKING ON 9084 06:26:35,501 --> 06:26:36,869 WHICH I KNOW IS DIFFICULT 9085 06:26:36,869 --> 06:26:40,139 BECAUSE, YOU KNOW SCOOPING AND 9086 06:26:40,139 --> 06:26:43,175 EVERYTHING ELSE BUT I KNOW WHEN 9087 06:26:43,175 --> 06:26:46,379 WE'VE STARTED THESE KIND OF 9088 06:26:46,379 --> 06:26:48,281 CONVERSATIONS IT'S ALWAYS A -- 9089 06:26:48,281 --> 06:26:52,184 LET'S PLAN OUT AND WE TALKED 9090 06:26:52,184 --> 06:26:53,019 WITH ENRIQUE ABOUT THIS, WHO 9091 06:26:53,019 --> 06:26:56,222 WOULD BE IN THE SAME ROOM WITH 9092 06:26:56,222 --> 06:26:58,991 WHO WITHOUT A FEAR OF POTENTIAL 9093 06:26:58,991 --> 06:27:00,760 COMPETITION AND THEN GETTING 9094 06:27:00,760 --> 06:27:01,794 THAT TOGETHER TOCCATAALIZE THE 9095 06:27:01,794 --> 06:27:02,128 CONVERSATION. 9096 06:27:02,128 --> 06:27:05,331 SO IT'S ALWAYS NICE TO BE ABLE 9097 06:27:05,331 --> 06:27:06,832 TO BRING FOLKS TOGETHER AROUND 9098 06:27:06,832 --> 06:27:08,701 SPECIFIC TOPICS BUT I GUESS 9099 06:27:08,701 --> 06:27:09,969 THERE'S DIFFERENT COMPLICATIONS 9100 06:27:09,969 --> 06:27:13,239 THAT ARISE THAT REALLY, MAYBE 9101 06:27:13,239 --> 06:27:14,507 LIMIT THE CONVERSATION IN A 9102 06:27:14,507 --> 06:27:16,042 PARTICULAR WAY, BUT THENOT OTHER 9103 06:27:16,042 --> 06:27:18,778 HAND, I THINK THERE'S ALWAYS -- 9104 06:27:18,778 --> 06:27:20,746 I THINK PEOPLE ARE OPEN TO 9105 06:27:20,746 --> 06:27:22,949 TALKING, IF YOU FIND VENTURE 9106 06:27:22,949 --> 06:27:25,017 CREATION GROUPS WHICH I THINK 9107 06:27:25,017 --> 06:27:26,285 MOST GROUPS ADVERTISE QUITE 9108 06:27:26,285 --> 06:27:28,120 LOUDLY THAT THEY ARE AND YOU 9109 06:27:28,120 --> 06:27:29,722 WANT TO THROW OUT SOME IDEAS 9110 06:27:29,722 --> 06:27:30,656 ABOUT A PARTICULAR THING, NOT 9111 06:27:30,656 --> 06:27:33,159 THAT YOU HAVE A PARTICULAR 9112 06:27:33,159 --> 06:27:35,461 TECHNOLOGY, BUT JUST HEY, WHAT 9113 06:27:35,461 --> 06:27:37,196 ABOUT THIS GENERAL TOPIC. 9114 06:27:37,196 --> 06:27:38,331 THAT'S ALWAYS A CONVERSATION 9115 06:27:38,331 --> 06:27:39,365 THAT COULD BE OPEN FROM THE 9116 06:27:39,365 --> 06:27:41,467 OTHER DIRECTION AS WELL, INSTEAD 9117 06:27:41,467 --> 06:27:43,903 OF WAITING FOR OUTREACH OR 9118 06:27:43,903 --> 06:27:45,805 SOMETHING LIKE THAT. 9119 06:27:45,805 --> 06:27:47,640 >> YOU KNOW, IN SOME WAYS 9120 06:27:47,640 --> 06:27:48,708 CATALYZE HAS ALREADY ACHIEVED 9121 06:27:48,708 --> 06:27:50,409 SOME OF THAT AND HOW THEY BRING 9122 06:27:50,409 --> 06:27:52,745 ALL THE INVESTIGATORS TOGETHER, 9123 06:27:52,745 --> 06:27:54,880 AND YOU KNOW MAYBE YOU CAN 9124 06:27:54,880 --> 06:28:00,052 EXPAND ON THAT, MA RRAH AND GROW 9125 06:28:00,052 --> 06:28:00,419 THAT MODEL. 9126 06:28:00,419 --> 06:28:02,488 IN THERE YOU HAVE A BUNCH OF 9127 06:28:02,488 --> 06:28:03,255 INNOVATORS THAT COME TOGETHER 9128 06:28:03,255 --> 06:28:04,390 BECAUSE THEY'RE IN THE PROGRAM 9129 06:28:04,390 --> 06:28:06,225 AND IT SORT OF GRANDFATHERS IN 9130 06:28:06,225 --> 06:28:08,194 THE PEOPLE THAT GOT FUNDING 9131 06:28:08,194 --> 06:28:09,829 BEFORE, TOO, I STILL GET ALL THE 9132 06:28:09,829 --> 06:28:10,763 INVITES AND EVERYTHING, SO HAVE 9133 06:28:10,763 --> 06:28:12,264 YOU A STRUCTURE THERE THAT MAY 9134 06:28:12,264 --> 06:28:13,566 ACTUALLY BE SOMETHING THAT CAN 9135 06:28:13,566 --> 06:28:16,302 TURN INTO A COLLABORATION 9136 06:28:16,302 --> 06:28:18,804 BETWEEN GOVERNMENT, VENTURE 9137 06:28:18,804 --> 06:28:20,072 FOUNDATION AND ACADEMIA, THAT 9138 06:28:20,072 --> 06:28:21,707 COULD GROW, MAYBE AND REALLY 9139 06:28:21,707 --> 06:28:24,677 CAPTURE THIS INNOVATION SPACE 9140 06:28:24,677 --> 06:28:26,679 THAT A LOT OF FUNDING MECHANISMS 9141 06:28:26,679 --> 06:28:30,383 RIGHT NOW DON'T NECESSARILY DO. 9142 06:28:30,383 --> 06:28:30,950 >> YEAH, RIEWR RIGHT. 9143 06:28:30,950 --> 06:28:33,219 WE TRY TO KEEP PEOPLE QUOTE IN 9144 06:28:33,219 --> 06:28:35,054 THE PROGRAM EVEN AFTER THEY SUN 9145 06:28:35,054 --> 06:28:36,722 SET FROM THEIR GRANT BECAUSE YOU 9146 06:28:36,722 --> 06:28:38,090 NEVER KNOW WHAT YOU'RE GOING TO 9147 06:28:38,090 --> 06:28:39,258 BENEFIT FROM THROUGH THE WEBINAR 9148 06:28:39,258 --> 06:28:42,461 SERIES AND ALL THE PROGRAMMING 9149 06:28:42,461 --> 06:28:46,198 THAT RTI HELP SUPPORT, YOU KNOW, 9150 06:28:46,198 --> 06:28:48,000 THE NETWORK WILL GROW BIGGER AS 9151 06:28:48,000 --> 06:28:49,635 MORE PEOPLE GET FUNDED AND THEN, 9152 06:28:49,635 --> 06:28:51,070 YOU KNOW MAYBE THAT PEER TO PEER 9153 06:28:51,070 --> 06:28:53,706 MODEL WILL CONTINUE TO BE MORE 9154 06:28:53,706 --> 06:28:55,875 SUCCESSFUL, I THINK WE'RE ON OUR 9155 06:28:55,875 --> 06:29:00,012 THIRD RENEWAL OF THAT PROGRAM 9156 06:29:00,012 --> 06:29:01,313 WITH THE RECEIPT BASE I JUST PUT 9157 06:29:01,313 --> 06:29:03,616 IN THE CHAT EARLIER TODAY, SO 9158 06:29:03,616 --> 06:29:06,252 IT'S STILL KIND OF A NEWISH AND 9159 06:29:06,252 --> 06:29:08,954 I THINK WE'RE LEARNING AND MIKE 9160 06:29:08,954 --> 06:29:10,723 HAS BEEN A STELLAR LEADER IN 9161 06:29:10,723 --> 06:29:12,091 THAT PROGRAM AND CERTAINLY WE 9162 06:29:12,091 --> 06:29:15,828 CAN TAKE THAT FEEDBACK TO HIM AS 9163 06:29:15,828 --> 06:29:16,762 WELL. 9164 06:29:16,762 --> 06:29:18,931 >> AND THEN YEAH, I WONDER IF 9165 06:29:18,931 --> 06:29:21,967 IT'S WORTH THINKING ABOUT MAYBE 9166 06:29:21,967 --> 06:29:23,836 A SMALL SCALE PARTNER ASK 9167 06:29:23,836 --> 06:29:24,670 CONFERENCE TYPE OF MEETING WHERE 9168 06:29:24,670 --> 06:29:26,972 YOU CAN STILL HAVE THOSE 30 9169 06:29:26,972 --> 06:29:30,810 MINUTE MEETINGS, BUT AT A MORE 9170 06:29:30,810 --> 06:29:33,079 SPECIFIC TOPIC BASE, STILL 9171 06:29:33,079 --> 06:29:34,713 INVITE VCs AND INVESTORS BUT 9172 06:29:34,713 --> 06:29:36,749 THEN NOT HAVE THE GIANT J. P. 9173 06:29:36,749 --> 06:29:38,417 MORGAN WHICH IN MANY WAYS IT'S 9174 06:29:38,417 --> 06:29:40,953 SO BIG, IT'S OVERWHELMING EVEN 9175 06:29:40,953 --> 06:29:45,191 FOR PEOPLE LIKE LARGE INVESTORS. 9176 06:29:45,191 --> 06:29:48,127 >> CAN I ASK LUCY, ALL YOU CF 9177 06:29:48,127 --> 06:29:49,728 GUYS, DOES THIS HAPPEN AT THE 9178 06:29:49,728 --> 06:29:51,931 CF, IS THERE SORT OF A SATELLITE 9179 06:29:51,931 --> 06:29:53,432 MEETING WITHIN THE MEETING AT 9180 06:29:53,432 --> 06:29:55,401 THE CF MEETING THAT ATTACKS THIS 9181 06:29:55,401 --> 06:29:55,935 KIND OF PROBLEM? 9182 06:29:55,935 --> 06:29:58,871 , 9183 06:29:58,871 --> 06:30:00,606 YOU KNOW BRINGING WHAT WE TALK 9184 06:30:00,606 --> 06:30:02,141 ABOUT IN A SENSE? 9185 06:30:02,141 --> 06:30:04,543 >> SO SOME OF THAT HAPPENS AT 9186 06:30:04,543 --> 06:30:07,012 CFAC, AND THEY COME TO CFAC, THE 9187 06:30:07,012 --> 06:30:07,746 SUMMER RESEARCH CONFERENCE AS 9188 06:30:07,746 --> 06:30:11,684 WELL AS SOMETIMES BUT WE DON'T 9189 06:30:11,684 --> 06:30:15,254 NECESSARILY HAVE THE FORUM OR 9190 06:30:15,254 --> 06:30:16,288 THE VENUE JUST YET. 9191 06:30:16,288 --> 06:30:18,457 WE DO GO TO A LOT OF CONFERENCES 9192 06:30:18,457 --> 06:30:21,560 AND DO A LOT OF OUTBOUND 9193 06:30:21,560 --> 06:30:22,728 OUTSOURCING BECAUSE THERE IS -- 9194 06:30:22,728 --> 06:30:23,929 THIS IS LIKE SOMETHING I STARTED 9195 06:30:23,929 --> 06:30:28,267 WHEN I WAS A KID, HAS NOW GROWN 9196 06:30:28,267 --> 06:30:30,236 INTO RAIS, THE RESPIRATORY 9197 06:30:30,236 --> 06:30:31,403 INNOVATION SUMMIT. 9198 06:30:31,403 --> 06:30:33,606 I DON'T KNOW IF ANYBODY'S 9199 06:30:33,606 --> 06:30:34,607 FAMILIAR WITH THAT SO THAT 9200 06:30:34,607 --> 06:30:36,942 HAPPENS ON THE FRIDAY AND 9201 06:30:36,942 --> 06:30:39,478 SATURDAY BEFORE ATS BEGINS AND 9202 06:30:39,478 --> 06:30:40,412 THAT'S ESSENTIALLY FORUM FOR 9203 06:30:40,412 --> 06:30:42,014 SMALL COMPANIES TO COME AND 9204 06:30:42,014 --> 06:30:43,182 PRESENT EARLY STAGE WORK AND 9205 06:30:43,182 --> 06:30:45,451 PITCH, YOU KNOW FOR FURTHER 9206 06:30:45,451 --> 06:30:45,684 FUNDING. 9207 06:30:45,684 --> 06:30:47,186 IT'S NOW UP TO SEVERAL HUNDRED 9208 06:30:47,186 --> 06:30:50,055 PEOPLE THAT TBET TOGETHER, WITH 9209 06:30:50,055 --> 06:30:53,125 POSTERS AND TALKS, IN AN EFFORT 9210 06:30:53,125 --> 06:30:55,761 TO BRING INVESTORS AND FOUNDERS 9211 06:30:55,761 --> 06:31:00,666 TOGETHER, YOU KNOW AT AN EARLY 9212 06:31:00,666 --> 06:31:00,900 STAGE. 9213 06:31:00,900 --> 06:31:04,637 SO AM I THE ONLY 1 THAT KNOWS 9214 06:31:04,637 --> 06:31:05,237 ABOUT IT? 9215 06:31:05,237 --> 06:31:06,539 IS THAT BAD IN. 9216 06:31:06,539 --> 06:31:07,473 >> I DEFINITELY KNOW ABOUT IT, 9217 06:31:07,473 --> 06:31:09,875 IT'S A GOOD FORUM, PART OF THE 9218 06:31:09,875 --> 06:31:12,044 SITUATION WITH AT LEAST IN MY 9219 06:31:12,044 --> 06:31:14,713 EXPERIENCE IS THAT, IT'S NOT 9220 06:31:14,713 --> 06:31:16,782 QUITE ADDRESSING RARE NEEDS. 9221 06:31:16,782 --> 06:31:20,286 I THINK THAT, YOU KNOW THEY HAVE 9222 06:31:20,286 --> 06:31:21,487 THE PARWHICH IS ANOTHER MEETING 9223 06:31:21,487 --> 06:31:27,893 THAT HAPPENS ON SATURDAY WITH 9224 06:31:27,893 --> 06:31:29,228 THE ADVOCACY EFFICACY SUBGROUP, 9225 06:31:29,228 --> 06:31:31,263 THAT THERE NEEDS TO BE A GROUP 9226 06:31:31,263 --> 06:31:33,432 FOCUSED ON LUNG DISORDERS WITHIN 9227 06:31:33,432 --> 06:31:34,867 THE INNOVATION SUMMIT OR 9228 06:31:34,867 --> 06:31:36,769 ENCOURAGING THAT PEOPLE TO COME 9229 06:31:36,769 --> 06:31:39,538 THERE, WITH THAT MISSION AND SO 9230 06:31:39,538 --> 06:31:40,673 THEIR PARTICIPATING WITH THE 9231 06:31:40,673 --> 06:31:42,508 SMALLER AND LARGER GROUPS THAT 9232 06:31:42,508 --> 06:31:45,177 ARE AT THE SUMMIT. 9233 06:31:45,177 --> 06:31:45,444 >> YEAH. 9234 06:31:45,444 --> 06:31:46,946 >> I WAS JUST GETTING AT THE 9235 06:31:46,946 --> 06:31:50,449 GENERAL NOTION, NOT THE RARE 9236 06:31:50,449 --> 06:31:52,284 DISEASE BUT YOU'RE RIGHT, IT'S 9237 06:31:52,284 --> 06:31:54,153 MORE ALL COMERS AND RESPIRATORY 9238 06:31:54,153 --> 06:31:54,386 DISEASE. 9239 06:31:54,386 --> 06:31:56,055 >> I THINK WE'RE OVER TIME, DO 9240 06:31:56,055 --> 06:31:56,889 WE STILL -- 9241 06:31:56,889 --> 06:31:58,490 >> YEAH, I JUST WANTED TO 9242 06:31:58,490 --> 06:32:01,794 TRANSITION INTO CLOSING OF THE 9243 06:32:01,794 --> 06:32:03,629 WORKSHOP, SO WE STAY ON SCHEDULE 9244 06:32:03,629 --> 06:32:05,497 FOR TODAY AND I INVITED CAITLIN 9245 06:32:05,497 --> 06:32:07,566 AND JEFF TO GIVE A FEW WORDS 9246 06:32:07,566 --> 06:32:08,734 ABOUT, YOU KNOW GENERAL TAKE 9247 06:32:08,734 --> 06:32:11,103 AWAYS FROM TODAY AND THEN ALSO A 9248 06:32:11,103 --> 06:32:12,004 LITTLE BIT ABOUT WHAT WE'RE 9249 06:32:12,004 --> 06:32:14,974 GOING TO BE DOING TOMORROW. 9250 06:32:14,974 --> 06:32:16,909 SO YOU KNOW FOLKS THAT ARE STILL 9251 06:32:16,909 --> 06:32:18,510 ON THE CALL CAN YOU KNOW THINK 9252 06:32:18,510 --> 06:32:19,445 ABOUT THE STRATEGIES WE'RE GOING 9253 06:32:19,445 --> 06:32:22,147 TO TAKE FROM TODAY'S DISCUSSION 9254 06:32:22,147 --> 06:32:24,683 AND SORT OF BRIDGE IT INTO 9255 06:32:24,683 --> 06:32:28,287 TOMORROW'S SESSIONS AS WELL. 9256 06:32:28,287 --> 06:32:29,922 >> WELL, I WOULD BE HAPPY TO 9257 06:32:29,922 --> 06:32:30,589 KICK THAT OFF. 9258 06:32:30,589 --> 06:32:33,125 I JUST WANT TO START OUT BY 9259 06:32:33,125 --> 06:32:36,395 THANKING ALL THE SPEAKERS TODAY 9260 06:32:36,395 --> 06:32:37,496 IN THE PANELISTS AND EVERYONE 9261 06:32:37,496 --> 06:32:38,430 DID A FANTASTIC YOB CORPS AND 9262 06:32:38,430 --> 06:32:39,398 WALKING THROUGH THE YOWRNY IT 9263 06:32:39,398 --> 06:32:41,166 TAKES TO GO FROM AN IDEA OR 9264 06:32:41,166 --> 06:32:43,102 CONCEPT AROUND A THERAPEUTIC AND 9265 06:32:43,102 --> 06:32:45,204 JUST HOW MUCH WORK IS INVOLVED 9266 06:32:45,204 --> 06:32:48,474 TO MATURE THAT IDEA INTO A DRUG 9267 06:32:48,474 --> 06:32:50,109 ASSET, AND IN PARTNERING AS 9268 06:32:50,109 --> 06:32:51,610 WE'VE HEARD IN THIS GREAT 9269 06:32:51,610 --> 06:32:53,145 DISCUSSION TODAY AROUND WORKING 9270 06:32:53,145 --> 06:32:54,780 WITH REGULATORS AND ULTIMATELY 9271 06:32:54,780 --> 06:32:56,382 VENTURE CAPITAL AND OTHER 9272 06:32:56,382 --> 06:32:57,850 MECHANISMS THROUGH THE 9273 06:32:57,850 --> 06:32:59,485 GOVERNMENT OR OTHERWISE TO TRY 9274 06:32:59,485 --> 06:33:01,654 AND GENERATE FUNDS TO DEVELOP 9275 06:33:01,654 --> 06:33:02,688 THESE THERAPIES BECAUSE IT IS 9276 06:33:02,688 --> 06:33:04,323 VERY MUCH A TEAM SPORT AND THERE 9277 06:33:04,323 --> 06:33:06,091 ARE A LOT OF EXPERTS THAT YOU 9278 06:33:06,091 --> 06:33:09,028 NEED TO TALK TO THAT -- AND 9279 06:33:09,028 --> 06:33:11,063 THANKFULLY, THERE'S GROUPS LIKE 9280 06:33:11,063 --> 06:33:12,564 THE CYSTIC FIBROSIS FOUNDATION 9281 06:33:12,564 --> 06:33:13,932 AND THE CHILDHOOD INTERSTITIAL 9282 06:33:13,932 --> 06:33:15,000 LUNG DEC GROUP THAT ARE OUT 9283 06:33:15,000 --> 06:33:16,869 THERE THAT YOU CAN PARTNER WITH 9284 06:33:16,869 --> 06:33:18,804 TO GET EDUCATED ON THESE 9285 06:33:18,804 --> 06:33:19,872 DIFFERENT DISEASES, AS YOU'RE 9286 06:33:19,872 --> 06:33:21,507 TRYING TO MATURE YOUR ASSETS TO 9287 06:33:21,507 --> 06:33:22,007 THE CLINIC. 9288 06:33:22,007 --> 06:33:25,311 SO I THINK, WE LEARNED A LOT OF 9289 06:33:25,311 --> 06:33:26,011 GREAT LESSONS TODAY AROUND 9290 06:33:26,011 --> 06:33:27,680 TRYING TO GET US TO THE CLINIC 9291 06:33:27,680 --> 06:33:29,782 AND THAT'S A PERFECT SET UP FOR 9292 06:33:29,782 --> 06:33:31,083 CAITLIN AROUND WHERE WE'RE 9293 06:33:31,083 --> 06:33:33,719 HEADED TO TOMORROW. 9294 06:33:33,719 --> 06:33:35,554 >> WAY TO PASS THE BATON. 9295 06:33:35,554 --> 06:33:37,856 YEAH, REALLY GREAT SESSION, 9296 06:33:37,856 --> 06:33:38,891 TODAY, MAKES ME APPRECIATE ALL 9297 06:33:38,891 --> 06:33:39,958 THE BASIC SCIENCE RESEARCHERS 9298 06:33:39,958 --> 06:33:42,561 AND THE PEOPLE THAT ARE IN THE 9299 06:33:42,561 --> 06:33:43,962 TRENCHES, FAILING MORE OFTEN 9300 06:33:43,962 --> 06:33:46,031 THAT YOU SUCCEED SO THAT WE CAN 9301 06:33:46,031 --> 06:33:46,965 ACTUALLY MAKE POSITIVE CHANGE SO 9302 06:33:46,965 --> 06:33:48,767 THANKS TO ALL OF YOU WHO ARE 9303 06:33:48,767 --> 06:33:49,034 INVOLVED. 9304 06:33:49,034 --> 06:33:50,402 TOMORROW'S GOING TO BE A BIT OF 9305 06:33:50,402 --> 06:33:52,471 A DIFFERENT FLAVOR, WE'RE GOING 9306 06:33:52,471 --> 06:33:54,206 TO TALK ABOUT MORE OF WHAT 9307 06:33:54,206 --> 06:33:58,444 HAPPENS IN THE CLINICAL SPACE SO 9308 06:33:58,444 --> 06:33:59,745 NOT ONLY THE CLINICAL TRIAL 9309 06:33:59,745 --> 06:34:01,613 ASPECTS OF THINGS BUT ALSO HOW 9310 06:34:01,613 --> 06:34:03,682 WE ENGAGE WITH FOUNDATIONS AND 9311 06:34:03,682 --> 06:34:06,051 PATIENTS AND WHERE THEY MAY 9312 06:34:06,051 --> 06:34:07,386 BE-FUL ALONG THE PATH AND IT WAS 9313 06:34:07,386 --> 06:34:11,757 REALLY NICE TO HAVE THAT INITIAL 9314 06:34:11,757 --> 06:34:13,926 TALK FROM THE CF FOUNDATION 9315 06:34:13,926 --> 06:34:15,627 BECAUSE THEY ARE THE GOLD 9316 06:34:15,627 --> 06:34:17,730 STANDARD FOR ALL OF US 9317 06:34:17,730 --> 06:34:18,997 FOUNDATIONS FOR WHICH WE'RE ABLE 9318 06:34:18,997 --> 06:34:20,165 TO FUNCTION EMPLOY SO I WANT TO 9319 06:34:20,165 --> 06:34:23,736 GIVE YOU A BIT OF A FLAVOR FOR 9320 06:34:23,736 --> 06:34:24,737 THE TALKS TOMORROW. 9321 06:34:24,737 --> 06:34:25,938 WE WILL SPEND SOMETIME IN THE 9322 06:34:25,938 --> 06:34:27,773 MORNING LEARNING ABOUT THE 9323 06:34:27,773 --> 06:34:30,275 CHALLENGES TO TRIAL DEVELOPMENT 9324 06:34:30,275 --> 06:34:31,643 AND INFANTS AND CHILDREN WITH 9325 06:34:31,643 --> 06:34:32,878 RARE LUNG DEC. 9326 06:34:32,878 --> 06:34:34,513 WE WILL THINK A LITTLE BIT ABOUT 9327 06:34:34,513 --> 06:34:37,049 WHAT GOES INTO DESIGNING AND 9328 06:34:37,049 --> 06:34:37,783 EXECUTING CLINICAL TRIALS, PIT 9329 06:34:37,783 --> 06:34:39,885 FALLS TO,A VOID, THINGS TO MAKE 9330 06:34:39,885 --> 06:34:41,286 SURE WE CONSIDER, WE WILL LEARN 9331 06:34:41,286 --> 06:34:44,690 A LITTLE BIT FROM THE FIRST 9332 06:34:44,690 --> 06:34:47,192 CLINICAL TRIAL IN PEDIATRIC AND 9333 06:34:47,192 --> 06:34:49,027 INTERSTITIAL LUNG DEC, WHAT WE 9334 06:34:49,027 --> 06:34:50,629 LEARN PRACTICES THAT PROCESS 9335 06:34:50,629 --> 06:34:53,098 TALK ABOUT CONTRACTING FOR 9336 06:34:53,098 --> 06:34:53,732 INVESTIGATOR INITIATED CLINICAL 9337 06:34:53,732 --> 06:34:53,966 TRIALS. 9338 06:34:53,966 --> 06:34:55,834 THEN WE WILL HAVE ANOTHER LUNCH 9339 06:34:55,834 --> 06:34:57,202 BREAK AS WE DID TODAY AND THEN 9340 06:34:57,202 --> 06:34:59,004 IN THE AFTERNOON WE WILL FOCUS 9341 06:34:59,004 --> 06:35:00,272 ON SUCCESS STORIES WE HAVE FROM 9342 06:35:00,272 --> 06:35:02,007 THIS CLINICAL SIDE OF THINGS, 9343 06:35:02,007 --> 06:35:03,742 WE'RE LUCKY TO HAVE AN ADULT 9344 06:35:03,742 --> 06:35:05,577 PERSON WITH CF SPEAKS MORE ABOUT 9345 06:35:05,577 --> 06:35:07,045 HIS EXPERIENCE WITH CLINICAL 9346 06:35:07,045 --> 06:35:08,947 RESEARCH, SO FROM A PATIENT 9347 06:35:08,947 --> 06:35:10,682 PERSPECTIVE AND WE WILL LEARN 9348 06:35:10,682 --> 06:35:13,619 FROM THE PC D FOUNDATION THEIR 9349 06:35:13,619 --> 06:35:16,355 EXPERIENCE WITH CLINICAL TRIALS, 9350 06:35:16,355 --> 06:35:18,891 AND WE'LL HEAR ABOUT THE 9351 06:35:18,891 --> 06:35:21,126 MEDICATION PIPELINE FOR 9352 06:35:21,126 --> 06:35:22,528 PULMONARY FIBROSIS HAS HAD GREAT 9353 06:35:22,528 --> 06:35:24,029 STRIDES OVER THE PAST SEVERAL 9354 06:35:24,029 --> 06:35:25,297 YEARS AND THEN FINALLY AS A 9355 06:35:25,297 --> 06:35:27,466 GREAT EXAMPLE OF HOW THE LAMB 9356 06:35:27,466 --> 06:35:29,334 FOUNDATION HAS REALLY HELPED 9357 06:35:29,334 --> 06:35:31,870 BRING ABOUT TARGETED THERAPY, IN 9358 06:35:31,870 --> 06:35:34,139 THAT PARTNERSHIP, AND THEN 9359 06:35:34,139 --> 06:35:35,240 PERHAPS, THE MOST REALLY 9360 06:35:35,240 --> 06:35:36,942 EXCITING PART OF THE DAY IS, 9361 06:35:36,942 --> 06:35:38,110 BREAK OUT SESSIONS IN THE 9362 06:35:38,110 --> 06:35:39,912 AFTERNOON, SO WE'LL HAVE 3 9363 06:35:39,912 --> 06:35:42,014 SEPARATE BREAK OUT SESSIONS THAT 9364 06:35:42,014 --> 06:35:44,183 -- WITH DIFFERENT MODERATORS, 9365 06:35:44,183 --> 06:35:45,451 THAT WILL HOPEFULLY HELP 9366 06:35:45,451 --> 06:35:46,819 CONTINUE THE SAME KIND OF 9367 06:35:46,819 --> 06:35:47,553 CONVERSATION WE'VE BEEN HAVING 9368 06:35:47,553 --> 06:35:50,289 TODAY, SO THAT WE CAN REALLY TRY 9369 06:35:50,289 --> 06:35:51,690 TO GET ACTION ITEMS AND IDEAS 9370 06:35:51,690 --> 06:35:53,125 ABOUT HOW TO MAKE THIS PROCESS 9371 06:35:53,125 --> 06:35:53,559 BETTER. 9372 06:35:53,559 --> 06:35:55,294 SO WITH THAT WE JUST HOPE THAT 9373 06:35:55,294 --> 06:35:58,464 WE WILL SEE YOUR FACES TOMORROW, 9374 06:35:58,464 --> 06:35:59,865 I PROMISE FOR THE BASIC SCIENCE 9375 06:35:59,865 --> 06:36:01,366 PEOPLE AND THE RESEARCH PEOPLE, 9376 06:36:01,366 --> 06:36:03,435 WE WILL -- IT WILL BE AN 9377 06:36:03,435 --> 06:36:06,572 INTERESTING DAY AND THERE'S SOME 9378 06:36:06,572 --> 06:36:08,173 PATIENT FACES TO JUST HELP 9379 06:36:08,173 --> 06:36:09,441 CONTINUE TO INSPIRE PEOPLE TO DO 9380 06:36:09,441 --> 06:36:13,312 THE GOOD WORK YOU GUYS ARE 9381 06:36:13,312 --> 06:36:13,512 DOING. 9382 06:36:13,512 --> 06:36:16,682 >> ANY OTHER FINAL WORDS, MARRAH 9383 06:36:16,682 --> 06:36:18,283 NNO THAT COVER ITS NICELY AND 9384 06:36:18,283 --> 06:36:19,785 LOOK FORWARD TO SEEING EVERYBODY 9385 06:36:19,785 --> 06:36:21,220 TOMORROW AT THE MEETING. 9386 06:36:21,220 --> 06:36:23,689 >> SEE IN THE MORNING GUYS, 9387 06:36:23,689 --> 06:36:33,689 THANK YOU.