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
Wookey #worldcdx Dual plex IHC, RNA ISH, Multiplex ISH: may need a different approval path.
12:20pm September 11th 2019 via Twitter Web App
Wookey #worldcdx Shows large menu of capability to support CDx. Multiplex IHC: to char cell-cell interactions. Has a place in clin dev
12:19pm September 11th 2019 via Twitter Web App
Wookey #worldcdx Liquid biopsy: agnostic (Archer, Oncomine, TSO500, PGDx Elio). 'Each tech has strengths dep on intended use'
12:18pm September 11th 2019 via Twitter Web App
Wookey #worldcdx One acquisition: Biofortis, to rescue failed/suboptimal trials. Pull samples, get e-consent
12:17pm September 11th 2019 via Twitter Web App
Wookey #worldcdx Multiple tech for one biomarker: a new paradigm? Challenges: local handling of blood for cfDNA
12:16pm September 11th 2019 via Twitter Web App
Wookey #worldcdx PD-L1 capability >50 studies in China 2014-19. NMPA '18 4 CDx approvals, all retrospective. No 'co-dev' there.
12:15pm September 11th 2019 via Twitter Web App
Wookey #worldcdx Q2 put lab with many different technology - IHC, FISH, Elisa, PCR, NGS, Nanostring: an regulatory expertise nearby
12:14pm September 11th 2019 via Twitter Web App
Wookey #worldcdx Now in 2019: 400 Ph I studies, some bias towards gastric and head&neck. Molecular targets all amenable to CDx
12:13pm September 11th 2019 via Twitter Web App
Wookey #worldcdx China: have started at PMU in Beijing. Iressa IPASS Ph 3 trial 2005-09.
Wookey #worldcdx Showed cancellation rate decreasing by 50% as a result.
12:11pm September 11th 2019 via Twitter Web App
Wookey #worldcdx Insuff / poor quality sample: education pkgs, investigator mtgs, standardizing collection
12:08pm September 11th 2019 via Twitter Web App
Wookey #worldcdx One thing that hasn't changed: 3/4ths are IHC-based. Ex. PD-L1, 30K tested, 6 assays. 4.2% cancellation rate data
Wookey #worldcdx Evolving complexity: from targeted Rx now to I-O: better defined samples and preanalytics; HTP tes… https://t.co/yQRvcO86t6
12:02pm September 11th 2019 via Twitter Web App
Wookey #worldcdx Pharma (science/clinical/regulatory/commercial), works with CRO and IVD partner.
11:59am September 11th 2019 via Twitter Web App
Alan Wookey (Q2 Solutions) #worldcdx Delivering Successful Companion Diagnostics Programs: A Large Global Central Laboratory’s Experience
11:58am September 11th 2019 via Twitter Web App
Wohlgemuth #worldcdx Pts are getting clin trials info on the internet anyway...
11:51am September 11th 2019 via Twitter Web App
Freeman #worldcdx They also have a pharma analytics and clinical trial service offering Clinical Trials Connect https://t.co/UGfCtii3TB
11:49am September 11th 2019 via Twitter Web App
Freeman #worldcdx De-ID'd data - can see what AE info, outcome info over time. Illus w/Hep B and D for Eiger's enro… https://t.co/GBuJX65P4l
11:46am September 11th 2019 via Twitter Web App
Freeman #worldcdx Only 33% of Americans are aware of clinical trials. Expert determination: de-identified Pt info, generate a hashed token
11:41am September 11th 2019 via Twitter Web App
Wohlgemuth #worldcdx They have developed a Global Diagnostics Network for clin trial enrollment. Next: David Freema… https://t.co/TUMznA9jxK
11:36am September 11th 2019 via Twitter Web App
Wohlgemuth #worldcdx At the population level (36K US members) ID'd ~7500 unrecognized cases of chronic disease.
11:27am September 11th 2019 via Twitter Web App
Wohlgemuth #worldcdx Showed reduction of 1% in overall claims (first time in 10y).
Wohlgemuth #worldcdx They apply their own services to their own employees - example of Blueprint for Wellness. Show… https://t.co/Vq2UPszJua
11:26am September 11th 2019 via Twitter Web App
Wohlgemuth #worldcdx Testing for diabetes, collect at home and sent back at RT, https://t.co/UGYYFkD6q6 for YouTube video
11:24am September 11th 2019 via Twitter Web App
Wohlgemuth #worldcdx 'There is something to be said about convenience'. Home-based self-collection the most convenient.
11:23am September 11th 2019 via Twitter Web App
Wohlgemuth #worldcdx All the annotation assoc'd with a phenotype. 6/10 adults in the US have a chronic disease; 4/10 have two or more (!)
11:17am September 11th 2019 via Twitter Web App
Wohlgemuth #worldcdx Shows a busy slide of all that it involves to implement genetic testing as a diagnostic. And on top: a data commons
11:16am September 11th 2019 via Twitter Web App
Wohlgemuth #worldcdx Not only diagnostic services but also information services, and population health.
11:15am September 11th 2019 via Twitter Web App
Jay Wohlgemuth (CMO) and David Freeman (Quest Diagnostics) Enabling population health and precision care #worldcdx
11:13am September 11th 2019 via Twitter Web App
Toft #worldcdx Concludes with one word: Confidence. Along with competence and commitment, 'we'll all win'.
11:11am September 11th 2019 via Twitter Web App
Becker #worldcdx Creating value is good; sometimes it's good to talk about what you have done (and take credit for it)
11:03am September 11th 2019 via Twitter Web App
Toft #worldcdx 25% of your time needs to be spent on development 'of yourself'. Apply yourself - to create value fo… https://t.co/WqqYOpt6dD
11:01am September 11th 2019 via Twitter Web App
Ballmer #worldcdx A mentor of hers said 'at the C-level, 30% of your time needs to be spent networking'
11:00am September 11th 2019 via Twitter Web App
Rosen: #worldcdx Attracting and retaining: a larger topic. Flexibility; the right kinds of benefits; and feeling th… https://t.co/fRHAG65rgk
10:57am September 11th 2019 via Twitter Web App