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Dr. Felix Frueh,
associate director, CDER
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Thursday, June 15: Day One


Pre-Conference Workshop:

Overcoming Organizational Challenges to Realize Targeted Therapeutics Opportunities
Workshop Leaders: Dr. Waseem Noor and Dr William Leaf-Herrmann, Senior Members of Strategic Decisions Group’s Life Sciences Practice

8:00am Pre-Conference Workshop Registration and Morning Coffee

8:30 Pre-Conference Workshop Begins
If targeted therapeutics is a break from the traditional blockbuster pharmaceutical approach, then there are clearly organizational implications for those traditional players who want to adapt to harness targeted therapeutics opportunities. Conventional behaviors, processes and capabilities are unlikely to provide the winning formula to recognize, pursue and execute on new value propositions in fast-changing scientific and market territories which require very different business models. There are several examples.

Pharmaceutical companies need to be internally ready to create mutually beneficial relationships with new categories of partners such as Philips, Kaiser Permanente and Microsoft. Horizontally integrated life sciences firms need to find ways to better exploit synergies between their therapeutics and diagnostics arms. Different metrics and incentives are needed to orient teams towards the right behaviors to create success where biomarkers slice blockbuster markets into niche sub-populations.

• How should companies design and evaluate development programs differently?
• In what ways do commercial, regulatory and R&D functions have to interact in order to best
   translate opportunities into successes?
•Pharmaceutical and diagnostics sales forces will require new capabilities to overcome the
   physician and patient education hurdles to the adoption of new
clinical practices.

SDG will present an external assessment of the organizational challenges to realizing targeted therapeutics opportunities within pharma and diagnostics companies. Data will be shared based on expert interviews and a rigorous survey of major industry players. We will highlight role-model behaviors, processes and capabilities as well as illustrate pitfalls as a prelude to suggesting some approaches to addressing the hurdles.

12:00 Close of Workshop

Main Conference

12:00pm Main Conference Registration

1:00 Chairperson’s Opening Remarks
Felix Frueh, Ph.D., Associate Director, Genomics, Office of Clinical Pharmacology & Biopharmaceutics, CDER, FDA

1:15 The Future of Stratified Markets
• Can the pharmaceutical industry's mental model of market success be changed?
• What will be the challenges in convincing consumers of the value of these products?
• What are the likely barriers to physician adoption of this new modality?
• How are payors thinking about the role of new diagnostics in redefining appropriate utilization and reimbursement of focused pharmaceuticals?
Johanna Allston-Griffin, Ph.D., Board of Directors Member and Chair, Clinical Science Committee, Personalized Medicine Coalition and CEO, Beechwood Consulting

2:00 Targeted Therapeutics: First Stratify the Disease!
• Patient Stratification: It’s more than genomics!
• Target evaluation: Opportunities and Challenges
• Clinical trials are not Clinical History
• Risk, Prevention, Early Diagnosis: Chronic Disease Populations
• Economics of the Approach- Save More, Spend Less!
Michael N. Liebman, Ph.D., Executive Director, Windber Research Institute

2:45 Pharmacogenomics Impact on Chronic Diseases; the Alzheimer’s Example
• Taking a hard look at the Alzheimer’s healthcare crisis
• Problem: Due to the anticipated increase in diagnosed Alzheimer's cases over the next
   several years, Medicare and Medicaid officials predict many families are in danger of
   bankruptcy.
• Strategic Options: Linking genes to Alzheimer’s Disease: a Pharmacogenomics case study
Nadine Cohen, Ph.D., Head of Pharmacogenomics, Johnson&Johnson Pharmaceutical Research
and Development East Coast and Europe

3:30 Networking Refreshment Break

4:00 Selecting and Validating Biological Markers in Early Drug Development
• Over the past decade there has been increased interest in the use of markers in Alzheimer’s 
   Disease research and these are currently being used to provide insight into disease 
   mechanisms.
• The development of therapeutic interventions aimed at slowing or reversing 
   neurodegeneration requires accurate and prospective markers, since conventional clinical 
   readouts lack specificity and sensitivity.
• Only reliable surrogate and PD markers (also time- and cost-effective) can enable decisions 
   in early drug development, by providing 
    - Evidence of mechanism of action at the molecular target 
    - Evidence of disease modification vs. symptomatic response 
    - Identification and stratification of the most appropriate patient population to include in 
      early efficacy trials 
    - Dose optimization
Vincenzo Libri, MD, Ph.D., Medical Director and Head of Exploratory Medical Science, CPDM & NGI CEDD, GlaxoSmithKline 

4:45 Translational Medicine in India: Update from a Cohort Study in a Major Chronic Disease
• Cohort study design and objectives
• Status of bio-analytics capabilities in India
• Patient enrollment and study retention
• Business model and study design to address ethics and privacy issues
• Government policy considerations
• Future prospects for "translational medicine" in India
Gene Williams, CEO, Cambridge Healthtech Associates

 

5:30 FACILITATED ROUNDTABLE DISCUSSIONS
 Roundtable 1:  
P
rivate/Public Partnerships- What Are the Benefits of Us Working in Collaboration?

Facilitator: Cheryl L. Marks, Ph.D., Associate Director, Division of Cancer Biology, Program Director, Mouse Models of Human Cancers Consortium, National Cancer Institute
 Roundtable 3:  
How Do We Get from Interesting Research Findings to Real Patient Treatment?
Facilitator: Michael Stocum, Ph.D., Managing Director, Personalized Medicine Partners
 Roundtable 2:  
How Are Companies Balancing the Promise and Cost of Translational Medicine in Their R&D Activities?
Facilitator: Derek Hodkey, Chief Operating Officer & General Manager, Pathways, Cambridge Healthtech Associates
 Roundtable 4:  
Commercially Defining Targeted Markets: Issues around Populations, Price, and Value
Facilitator: Malorye Branca, Editor-in-Chief, Pharmaceutical Discovery

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