Implementation of Genetic Analysis in Comprehensive Biobank - - PowerPoint PPT Presentation

implementation of genetic analysis in comprehensive
SMART_READER_LITE
LIVE PREVIEW

Implementation of Genetic Analysis in Comprehensive Biobank - - PowerPoint PPT Presentation

Implementation of Genetic Analysis in Comprehensive Biobank Workflows for Basic Science, Clinical Research and Precision Medicine Applications Dr. Andrew Brooks COO, RUCDR Infinite Biologics Rutgers University www.brookslifesciences.com 1


slide-1
SLIDE 1

www.brookslifesciences.com 1

Implementation of Genetic Analysis in Comprehensive Biobank Workflows for Basic Science, Clinical Research and Precision Medicine Applications

  • Dr. Andrew Brooks

COO, RUCDR Infinite Biologics Rutgers University

slide-2
SLIDE 2

www.brookslifesciences.com 2

We now use biological samples to accomplish important activities to create better therapies:

  • Research and development
  • Biomarker discovery
  • Targeted clinical trials
  • Rational drug development
  • Creation of new diagnostics

The future of biosample collection and analysis promises a change in how we think about healthcare:

  • Integrative wellness monitoring
  • Complete health prediction based on

genetics and environment

  • Whole genome sequencing prior as

early as 6 weeks in pregnancy

  • Comprehensive molecular monitoring

for all disease and therapies

  • Point of care testing…every doctors
  • ffice, clinic, hospital, and medical

center

Planning for the future…

slide-3
SLIDE 3

A banked sample is proactively acquired for future testing

  • r analysis

A banked sample is often sent to multiple different recipients A banked sample should never be depleted What is the difference between a “Stored” sample and a “Biobank” Sample? Biological Storage/Banking Defined

www.brookslifesciences.com 3

slide-4
SLIDE 4

Repository Management Operations: Enterprise Level Integration

www.brookslifesciences.com 4

slide-5
SLIDE 5

COLLECTION STORAGE EXTRACTION

Adverse Sample Quality Events

www.brookslifesciences.com 5

slide-6
SLIDE 6

Where do the errors come from?

2% 98%

Percentage of misidentified samples in a biobank Percentage of collection errors that occur

  • utside of the biobank
  • Dr. Andy Brooks in “Q&A: RUCDR's Andy Brooks on the Challenges Facing Biorepositories and the Rise of Biobank Arrays”

BioArray News, April 23, 2013

www.brookslifesciences.com 6

slide-7
SLIDE 7

Samples just keep on being collected… what exactly is being analyzed?

Sample Collection – No Control

§

Collection errors (98% of biorepository errors)

§

Variability in sampling and processing

§

Lack of standardization

Sample Sources – Process Control

§

Fresh Tissue/Blood

§

Fresh Frozen Tissue/Blood

§

Formalin Fixed Paraffin Embedded

§

Cell Lines (lymphoblasts, fibroblasts)

§

Pluripotent Cells – iPSC’s

www.brookslifesciences.com 7

slide-8
SLIDE 8

Sources of errors…

Sample identity errors are often revealed by lack of Mendelian relationship between samples.

  • Non-paternity, non-maternity (adopted)
  • Mislabeling in field (most common error)

§ Mixing samples from two individuals (especially common

when collecting family samples at the same time)

Repository errors

§ QA procedures and sample tracking systems allow historic

dissection of mislabeling errors (which can then be corrected)

  • Photographing blood tubes/ saving blood sample
  • No manual transcription
  • Capture data on all processing and QA/QC steps

www.brookslifesciences.com 8

slide-9
SLIDE 9

9

Integrated sample processing, analytical and functional quality control is critical for success on a program wide level

Integrated Processes: Qualification for Downstream Analysis

www.brookslifesciences.com

slide-10
SLIDE 10

Identity Theft: Financial vs. Biological

Identity-Theft is the fastest growing crime in America; 9.9 MILLION victims were reported last year, according to a Federal Trade Commission survey! Biobanking is the fastest growing component in translational research; over 9 MILLION samples were collected world wide last year, according to a collection of study reports!

www.brookslifesciences.com 10

slide-11
SLIDE 11

Analytical Quality Control:

Moving towards standardization

Volume

§ Contact vs. Non-contact

Concentration

§ Sample heterogeneity

Purity/Fidelity

§ Establishing application dependent metrics

Annotation

§ Critical for comparative analysis

Sample Retesting

§ How often and how to interpret?

www.brookslifesciences.com 11

slide-12
SLIDE 12

Functional Quality Control:

Moving towards standardization

DNA

§ gDNA, WGA, FF DNA

RNA

§ total RNA, mRNA, miRNA

Protein

§ lysates, serum, plasma

Tissue

§ fresh frozen, FFPE, preserved

Functional Analysis Over Time

www.brookslifesciences.com 12

slide-13
SLIDE 13

Nucleic Acid Quality Control

Analytical QC

§

Concentration

§

Purity

§

Yield

§

Volume

Functional QC

§

Contamination

§

Performance

§

Fingerprint

§

Subject screening

www.brookslifesciences.com 13

slide-14
SLIDE 14

Advances in Functional QC RUIDTM QC Panel

96 SNPtypeTM Assays

§

Highly polymorphic

§

Critical performance SNPs

§

80% cover Affymetrix and Illumina

§

Gender, Ethnicity, Parentage

§

FLEXIBLE

§

Inexpensive Integrated Real Time Database

§

Profile comparison

§

Sample comparison

§

Gender/Ethnicity calls

§

Sample performance

§

LIMS Integration

www.brookslifesciences.com 14

slide-15
SLIDE 15

The way we do research and the standard of care is changing

336 Million people in US In 2017

§

126M hospital visits

§

885M doctors office visits

§

13B diagnostic tests are with <10% for molecular analyses

Imagine on average 5 biosample aliquots for each person that visited the doctor…4.4B samples Imagine the collection of 5 biomaterials each year for 50 years…220B samples Molecular samples will exceed the number of paraffin blocks by several orders of magnitude

15 www.brookslifesciences.com

slide-16
SLIDE 16

Science and Technology: Driving Innovation

Integrating sample collection, bioprocessing and management with an eye on the molecular central dogma Understanding the power of evolving technologies and developing a sample centric roadmap for future sample use Creation of sample quality control metrics to standardize across all collections Creating a resource that will integrate seamlessly with both industrial and academic collaborative opportunity

16 www.brookslifesciences.com

slide-17
SLIDE 17

17

The Promise of Precision Medicine

slide-18
SLIDE 18

Clinical PGx – Precision Medicine

www.brookslifesciences.com 18

slide-19
SLIDE 19

Sample Collection (Clinical Trial) Sample Processing (Biobank) Sample Distribution & Data Mgmt PGx Genotyping (Service Lab) Data Transfer & Analysis

Total Time to Data: ~6-9 mos FTE Allotment: Cost: ~$1750

Workflow – Current State

www.brookslifesciences.com 19

slide-20
SLIDE 20

OLD NEW

Integrated Biobank & Genetics Workflow

For Reserarch Use Only – Not for use in diagnostic procedures

www.brookslifesciences.com 20

slide-21
SLIDE 21

Pharmacogenomics Solutions

Individual Assays

§

Costly

§

Incomplete

§

Subject to validation

Affymetrix DMET

§

Less expansive content

§

Largely manual process/array development

Affymetrix PharmacoScan

§

Expansive content

§

Multiple uses for biobank applications

§

Completely automated

For Reserarch Use Only – Not for use in diagnostic procedures

www.brookslifesciences.com 21

slide-22
SLIDE 22

Advances in Pharmacogenomics

Product Application area Highlights

DMET Plus Solution Available since 2008

  • Routine low-volume

genotyping

  • 1,936 ADME markers in 231 genes
  • Star allele translation for key genes
  • Single sample approach

PharmacoScan Solution Available now

  • Precision PGx profiling
  • Larger-scale programs
  • Preemptive screening for healthcare,

pharma and biorepositories/biobanks

  • 4,627 ADME markers in 1,191 genes
  • Star allele translation for key genes
  • Content from CPIC, PharmaGKB & more
  • Single-nucleotide polymorphisms (SNPs),

insertion/deletions (INDELs), copy number variations (CNVs) in one run

  • 24 or 96 batch assay in affordable plate format

DMET Plus Solution PharmacoScan Solution

For routine use For higher-throughput screening

24- and 96-sample array plate formats Single sample cartridge format

Pharmacogenetics Redefined…

For Reserarch Use Only – Not for use in diagnostic procedures

www.brookslifesciences.com 22

slide-23
SLIDE 23

Chemistry Principles

For Reserarch Use Only – Not for use in diagnostic procedures

www.brookslifesciences.com 23

slide-24
SLIDE 24

Fully Automated Workflow

For Reserarch Use Only – Not for use in diagnostic procedures

www.brookslifesciences.com 24

slide-25
SLIDE 25

Total Time to Data: Real-time FTE Allotment: Cost: ~$200

Sample Collection (Clinical Trial)

Sample Processing & PGx Genotyping (Service Lab)

Sample Storage (Biorepository) Data Transfer & Analysis

(GWAS, HLA, DMET, etc…)

Biobank Integration

Workflow – Ideal State

www.brookslifesciences.com 25

slide-26
SLIDE 26
  • Data Quality

– Process combined with functional QC – Enhanced subject stratification – Critical information for drug/therapy development

  • Types of Data

– Integrate “screening” with “deep analysis”

  • Time to Data

– Reduced by months and allows for rapid analysis real time or immediately following consent review

  • Fiscal Advantages

– Up to 50% reduction in operating costs

Advantages of Biobank & Genetic Analysis Integration

www.brookslifesciences.com 26

slide-27
SLIDE 27
  • 4

Past Recent Past Present

Past, Recent Past, Present

+ +

www.brookslifesciences.com 27

slide-28
SLIDE 28

Overall Advantages of Biobanking & PGx Genetic Analysis Integration

Data Quality

§

Process combined with functional QC

§

Critical information for drug development and subject stratification

Time to Data

§

Reduced by months which also leads to additional cost reductions

Fiscal Advantages

§

Up to 50% reduction in operating costs

www.brookslifesciences.com 28

slide-29
SLIDE 29

8

Treatment Patients

Clinical efficacy No clinical efficacy Adverse Event

Bench to Bedside Bedside to Bench Patients Diagnostic Biomarkers

Clinical efficacy Clinical efficacy Clinical efficacy

Clinical PGx – Precision Medicine

www.brookslifesciences.com 29

slide-30
SLIDE 30

A Validated PGx Solution: PMRA

For Reserarch Use Only – Not for use in diagnostic procedures

www.brookslifesciences.com 30

slide-31
SLIDE 31

14

Tissue Blood for DNA Protocol plan Enrolled patient Programmatic Strategy

Sample Collection Sample/Prep & Biorepository

  • Tissue–DNA
  • Tissue–RNA
  • Blood --DNA
  • Blood – RNA
  • Associated

libraries

Blood for RNA

Data Generation

  • Tissue WES
  • Tissue RNAseq
  • Blood WGS
  • Blood RNAseq
  • Blood genotyping

Data Analysis and Results

Outcomes

  • Real-time program strategy
  • Treatment combinations
  • Treatment mechanisms
  • Understanding value of novel

biomarkers

Molecular Profiling Workflow

www.brookslifesciences.com 31

slide-32
SLIDE 32

Phase I Phase II Phase III

Inform Discovery

Candidate Genes Drug metabolism, drug targets Primary Discovery GWAS + WES Genetic Marker/ Positive Result YES NO Stratified Trial Enriched for responders Continued Discovery GWAS, targeted genotyping, +/- WES

CLINICAL PROGRAM Biomarker Validation, Mechanism of Action, Novel Biomarkers, New Targets GENETICS Genetic variation explains PK variability Genetic variation Explains variable efficacy Validation: Phase II GWAS “hit” predicts for response in Phase 3

“New” Routine Genetic Research in Clinical Trials

www.brookslifesciences.com 32

slide-33
SLIDE 33

Questions…

www.brookslifesciences.com 33

Thermo Fisher Scientific and its affiliates are not endorsing, recommending, or promoting any use or application of Thermo Fisher Scientific products presented by third parties during this seminar. Information and materials presented or provided by third parties are provided as-is and without warranty of any kind, including regarding intellectual property rights and reported results. Parties presenting images, text and material represent they have the rights to do so.