Shaw #worldcdx Of the 32% - 7% standard Rx, 25% clinical trial/off-label. Need to move pts to clin trials.
4:23pm September 11th 2019 via Twitter Web App
Shaw #worldcdx Another item: can you find something 'actionable'? from https://t.co/mNwTaBlxHb - 32% actionable (80K mutations).
4:22pm September 11th 2019 via Twitter Web App
Shaw #worldcdx Yet with Precision Medicine, responses vary significantly even when appropriately matched. Precision… https://t.co/RoVFZep9Ko
4:21pm September 11th 2019 via Twitter Web App
Shaw #worldcdx A series of SoC regimens. Metastasis - progression leads to targeted Rx. Vinay Prasad's case - 'has… https://t.co/CeMLNHqRvm
4:20pm September 11th 2019 via Twitter Web App
Shaw #worldcdx PM and the paradigm shift: Rx-level biomarker, reality is that most cancer medicine has little precision in it.
4:19pm September 11th 2019 via Twitter Web App
Kenna Mills Shaw (MD Andersen) #worldcdx A Guide to Biomarker-Driven Precision Medicine Clinical Trials
4:18pm September 11th 2019 via Twitter Web App
Kelly #worldcdx Shows correlative data between Oncomine Mutation Load assay correlation with FoundationOne.
3:23pm September 11th 2019 via Twitter Web App
Kelly #worldcdx Oncomine tumor mutation load assay: 2-3 slides needed, TMB harmonization via FNIH, IQNPath and QUIP groups.
3:20pm September 11th 2019 via Twitter Web App
Kelly #worldcdx LBx: involved with BloodPAC to cut development times, coming together for a 'universal validation'.… https://t.co/GBNX1Ozs1o
3:18pm September 11th 2019 via Twitter Web App
Kelly #worldcdx Reimbursement - 160M covered in the US. Plan is to bring additional sPMAs, bringing more CDx partnerships.
3:16pm September 11th 2019 via Twitter Web App
Kelly #worldcdx sPMA expansion - Agios, Blueprint, Lilly (annc recently). EU reg Oct 2018 Korea Dec 2019 Japan Feb 2019 Austral submitted
3:13pm September 11th 2019 via Twitter Web App
Kelly #worldcdx First multi-biomarker, multi-therapy test. 4d workflow. 1-6 samples/run w/2 controls. 'Tissue-sparing NGS tech'
3:09pm September 11th 2019 via Twitter Web App
Kelly #worldcdx Although first FDA approval (June 2017) of Oncomine Dx Target Test is a beach-head, pushing toward global approvals.
3:08pm September 11th 2019 via Twitter Web App
Kelly #worldcdx Not only kits & instrumentation, but reporting. Oncomine knowledgebase reporter for annotation.
3:07pm September 11th 2019 via Twitter Web App
Kelly #worldcdx CDx is NSCLC Oncomine Dx Target test; shows large list - soild tumor (3), heme-onc (2), LBx (5), I-O (5)
3:05pm September 11th 2019 via Twitter Web App
Kelly #worldcdx TMO now has 70K empl, 5K R&D. Precision Medicine: genomic, proteomic... clinical seq lead in oncolo… https://t.co/wB4YXp
3:04pm September 11th 2019 via Twitter Web App
Brian Kelly (Thermo Fisher) #worldcdx Democratization & Globalization of Next Generation Sequencing for Companion Diagnostics
3:02pm September 11th 2019 via Twitter Web App
Gustavsen #worldcdx Can tie Dx incentives to success of drug, help drive FDA-IVD preferential reimbursement
2:53pm September 11th 2019 via Twitter Web App
Gustavsen #worldcdx Dx can give superior dev support, tech adv, regulatory expertise, data connectivity, biomarker discovery
2:52pm September 11th 2019 via Twitter Web App
Gustavsen #worldcdx Brings up the balance between sensitivity and specificity: with multiplex and algorithm-based testing, no clear cut-offs
2:44pm September 11th 2019 via Twitter Web App
Gustavsen #worldcdx Logistic difficulties - if it's a kit, LDT PMA in the US; what about France INCa-funded labs? G… https://t.co/AUd4MSTtW9
2:41pm September 11th 2019 via Twitter Web App
Gustavsen #worldcdx Challenges to newer partners - lack of regulatory experience, little commercial expertise
2:36pm September 11th 2019 via Twitter Web App
Gustavsen #worldcdx In the pipeline: 46% are targeted Ph I, 40% Ph II/II. Number of targets, amt of complexity is growing
2:35pm September 11th 2019 via Twitter Web App
Gustavsen #worldcdx CDx has been driven to a new level of complexity; pharma continues to get creative to provide a better test.
2:32pm September 11th 2019 via Twitter Web App
Gary Gustavsen (Health Advances) #worldcdx CDx Patient Leakage Mapping
2:31pm September 11th 2019 via Twitter Web App
Becker #worldcdx 6.5 / 10 ALK+ lung ca received wrong Rx due to delay in test results. 'We need to address this.'
2:25pm September 11th 2019 via Twitter Web App
Becker #worldcdx Lung cancer: screening, Dx, prognostic, predictive, monitoring, relapse: 4/10 EGFR+ lung ca pts re… https://t.co/M7fItk9ay2
2:24pm September 11th 2019 via Twitter Web App
Becker #worldcdx Alternative to run outside of EU. Once IVDR in-place: due to review req, will add 12 mos to approval process.
2:20pm September 11th 2019 via Twitter Web App
Becker #worldcdx Today a mfr can conduct study according to Annex VIII: a non-CE item for perf eval. Today: IVDR (M… https://t.co/95M3kMVe0C
2:19pm September 11th 2019 via Twitter Web App
Becker #worldcdx Single lab, avoid using multiple LDTs to bridge to. Label extensions: A CDx may not be necessary.
2:16pm September 11th 2019 via Twitter Web App
Becker #worldcdx Sample prep, assay, informatics, results. In-house testing to IUO via Dx mfr: multiple tests refined into 1.
2:13pm September 11th 2019 via Twitter Web App
Becker #worldcdx Bridging, labeling extensions, IVDR, and global registration. "The 4 horsemen" (!) FDA sees IVD as an entire system.
2:12pm September 11th 2019 via Twitter Web App
Becker #worldcdx NGS has increased the number of markers; but TAT has increased. They are seeing: short TAT in conj… https://t.co/lqdN1J1jHF
2:11pm September 11th 2019 via Twitter Web App
Becker #worldcdx NSCLC for FFPE is not the same as cytology or FNA's. And stakeholders: physicians, hospitals, pharma, reference labs...
2:09pm September 11th 2019 via Twitter Web App
Becker #worldcdx 3 key factors influence choice of test: Genetic info needed; access to testing (TAT, cost); specim… https://t.co/d6EN6AQjGA
2:07pm September 11th 2019 via Twitter Web App
Becker #worldcdx No single tech nor biomarker can provide a complete profile. IHC, ISH, PCR, NGS Dx, vs SNV, indel, CNV, xloc, GEx, protein
2:06pm September 11th 2019 via Twitter Web App
Becker #worldcdx Dx testing truths: "biology is complex and Google Maps for cell signaling does not exist"
2:05pm September 11th 2019 via Twitter Web App
Kathryn Becker (Abbott Molecular) #worldcdx Avoiding the Pitfalls & Setbacks in CDx Development: Reflections on 12 Years of Experience
2:04pm September 11th 2019 via Twitter Web App
Q: Prevelance in plasma? Merkle #worldcdx Less in plasma - about 2% observed, compared to about 3% in tissue.
1:57pm September 11th 2019 via Twitter Web App
Q: Concordance between tissue and blood? Merkle #worldcdx cfDNA baseline fluctuates, tumor het, have seen 50-80% co… https://t.co/m9uigRLIMN
1:55pm September 11th 2019 via Twitter Web App
Merkle #worldcdx Today was notified of 'breakthrough status' from the FDA.
1:53pm September 11th 2019 via Twitter Web App
Merkle #worldcdx Oral ASCO 2019 abstract here: https://t.co/y0H1VevZLj VISION study still in-progress, 'is looking good so far'.
1:48pm September 11th 2019 via Twitter Web App
Merkle #worldcdx Shows ASCO '19 oral presentation results: ORR better for 1L and 2L of LBx over tissue. Even 3L 40… https://t.co/eemmp5e48G
1:46pm September 11th 2019 via Twitter Web App
Merkle #worldcdx Stagnant enrollment: explored LBx, opportunity to sample w/o biopsy. Now with Guardant, 4.8K pts p… https://t.co/FTtn1XHrgJ
1:42pm September 11th 2019 via Twitter Web App
Merkle #worldcdx INVISION study - invasive, selection bias. 19% complication rate w/biopsy. METex14 is rare (3% of… https://t.co/ED1YZ26w42
1:40pm September 11th 2019 via Twitter Web App
Merkle #worldcdx MET ampl and exon 14 skipping oncogenic drivers. Ex14 splice acceptor/donor muts. Ex 14 has 3 fns;… https://t.co/ilE1PbKbij
1:37pm September 11th 2019 via Twitter Web App
Merkle #worldcdx MET is a receptor tyrosine kinase; highly oncogenic. EMD has dev Topotinib, highly selective, potent in-vitro.
1:34pm September 11th 2019 via Twitter Web App
Dennis Merkle (Merck KGaA) #worldcdx Investigational Tepotinib: MET Exon 14 Skipping & the Power of Precision Medicine
1:33pm September 11th 2019 via Twitter Web App
Wookey #worldcdx Bring test to sample, or reverse? With a central lab: global footprint, on-site path, qualified IVD partners
12:22pm September 11th 2019 via Twitter Web App
Wookey #worldcdx Feels we may see more ssPMA / limited dist model, due to complexity. ssPMA: how to distribute once approved?
12:21pm September 11th 2019 via Twitter Web App