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Marsha K. Millonig, MBA, RPh President & CEO Catalyst Enterprises, LCC
Todays Objectives
Understand biotechnology and nanotechnology Describe the biotechnology market size Explain what fields are parts of the emerging business of life science List a number of new therapies resulting from bio and nanotechnology Discuss the implications of these new therapies on pharmacy and its technology partners
Why is it Important?
Biotechnology is needed to
Create better fuels that dont harm environment Create tools to clean environment, feed a burgeoning global population, cure untold human suffering
Biotechnology Definition
Use of cellular and biomolecular processes to solve problems or make useful products. Life sciencesbiology/chemistry technology affecting discovery and development of products for:
Healthcare (therapeutics, diagnostics, drug delivery, cell and gene therapy, devices, drug/device combinations) Agriculture (food, feed, fibers, transgenics) Industrial and Environment (reduce pollution, clean energy)
All driven by a new set of enabling technology (genomics, combinatorial chemistry, SNPs, proteomics, sequencing)
The firsts
Development is evolutionary
4000-2000 BC: biotech used to leaven bread & ferment beer 1830: Proteins discovered 1833: First enzyme discovered 1865: Genetic science begins-Mendel discovers laws of heredity 1879: Chromosomes discovered
Development is evolutionary
1906: The term genetics introduced 1919: The word biotechnology is first used in print 1938: The term molecular biology coined 1941: The term genetic engineering is first used
Development is evolutionary
1953: Watson and Crick DNA Structure 1958: DNA made in test tube Sickle cell caused by AA change 1960: Messenger RNA discovered 1967: First automatic protein sequencer is perfected 1969: Enzyme synthesized in vitro the first time 1970: First enzyme discovered to cut DNA molecules at a specific site
Development is evolutionary
1971: First complete synthesis of a gene 1973: First time DNA fragments linked 1975: First monoclonal antibodies made 1976: First NIH research guidelines Boyer co-founds Genentech, 1st bio co. 1978: Recombinant insulin first produced 1980: Oil-eating microbes patented by Exxon 1982: First recombinant DNA vaccine for livestock 1983: First whole plant grown from biotechnology
Development is evolutionary
1980: First gene-synthesizers developed 1981: First transgenic animals 1982: First biotech drug: insulin 1983: First artificial chromosome synthesized First genetic markers for inherited disease found
Development is evolutionary
1984: DNA fingerprinting developed 1985: Genetic fingerprinting entered as evidence in courtroom 1986: Interferon first anti-cancer drug from biotech First genetically engineered vaccine for humans: Hepatitis B Microbes used to clean oil spill
A single herd of goats may soon replace a $150 million drug factoryHBR 4/2000 2006: ATryn approved for DVT
A short 50 years after the discovery of DNA by Watson and Crick in 1953 A complete list of coded instructions to make a person Would fill a stack of paperbacks 200 feet high 50 years to type at 8 hours/day, 60 wpm
BUT, each single human gene can make 10 proteins vs. a worm or flys genes making just one or two. We have the Cuisinart vs. the paring knife --Francis Collins
All our DNA laid end to end would go to the sun and back 600 times! The genetic instructions for making a person take up less than 1 of the 6-ft long strand of DNA in each cell
Since HGP
ENCODE: the Encyclopedia Of DNA Elements, in 9/2003, to ID all functional elements in the human genome sequence HAPMAP: haplotype map, will allow researchers to find genes/genetic variations that affect health and disease: 100 IDd so far 1000 Genomes: extends HAPMAP through global collaboration to map 1,000 genomes in 3 years
Since HPG
NIH Roadmap Project on genotype tissue expression: are variants of disease risk associated in relevant tissue Knock-Out Mouse Project (KOMP) Mammalian gene collection Cancer Genome Atlas: feasibility of full-scale effort to systematically explore entire spectrum of genomic changes involved in human cancer Molecular manual of disease created: 12/2008 Proteinpedia being created: largest free resource of experimental info human proteins
Goal
Diagnostics to prevention Pharmacogenomic knowledge transfer to therapeutics for gene therapy, drug therapy Personalize genome + family history=personalized medicine Other non-profit commercial efforts underway
Other Efforts
Bringing the genome into the light, Church says, is the great project of our day. To Church, who built his first computer at age 9 and taught himself three programming languages by 15, all of this is unfolding according to the same laws of exponential progress that have propelled digital technologies, from computer memory to the Internet itself, over the past 40 years: Moore's law for circuits and Metcalfe's law for networks. These principles are now at play in genetics, he argues, particularly in DNA sequencing and DNA synthesis.
---Wired
X Prize Foundation: $10 million to first group to sequence 100 human genomes in 10 days for $10K or less Commercial goal: get price to $1K or less Has dropped by 4 orders of magnitude in 5 years Scientists call for better government regulation of genetic tests DNA databases blocked from public by NIH after study show a new type of DNA analysis could confirm ID of individual in a pool of masked data if that persons gene profile was already known
Future Environment
Personalization of medicine
Present Disease by symptomsdiagnosis Disease uniformityguidelines, formularies Future Disease by mechanicsprognosis Disease heterogeneity customization, targeted Rx
Specialty Pharmaceuticals
Created when many products moved from medical side to the pharmacy side of the budget=PBM control No specific criteria, but general attributes:
Expense with annual therapy costs between $20,000 and $250,000 Treatment for chronic condition, possible lifetime therapy Special handling, route of administration, patient support
Market Trends
22 biotech products generated >$1 billion sales compared to 6 in 2002 Biotech products represent 25% of the Rx pipeline http://www.phrma.org/files/Bio tech%202008.pdf
Major Diseases
Autoimmune: rheumatoid arthritis, MS, lupus, chronic fatigue syndrome CV: CHF, MI, PAD, hypercholesterimia Gene disorders: CF, Gauchers ID: Hep A, B, C, tuberculosis, anthrax, bird flu Neurodisorders: AD, PD, muscular dystrophy, spinal cord injuries
Impact on People
Cancer CVD Alzheimers Parkinsons MS Diabetes HIV Hep A B C 1.5 million US 71 million US 5 million US 1 million US 400,000 US 24 million US 1.2 million US >5 million US $219 B $403 B $148 B $35.5 B $10 B $132 B $37 B $3 B
Therapeutic Technologies
Pharming
FDA guidelines governing genetic engineering of animals for food, drugs, or medical devices Released 9/2008