FDA grants Breakthrough Device Designation for Roche’s Elecsys cerebrospinal fluid (CSF) assays to support diagnosis of Alzheimer’s disease

Roche announced in July that the U.S. Food and Drug Administration (FDA) has granted Breakthrough Device Designation to Elecsys® ß-Amyloid (1-42) CSF and Elecsys® Phospho-Tau (181P) CSF. These in vitro diagnostic immunoassays are for the measurement of the ß-Amyloid (1-42) and Phospho-Tau concentrations in cerebrospinal fluid (CSF) in adult patients with cognitive impairment who are being evaluated for Alzheimer’s disease (AD) or other causes of dementia.
Currently, the diagnosis of AD is largely based on clinical symptoms, including cognitive testing, with a significant number of patients diagnosed when their disease has already advanced. A diagnosis of AD based on cognitive measures alone is only correct in 70 – 80 percent of cases. Measuring biomarkers with CSF immunoassays, associated with AD pathology, increases certainty of a diagnosis of AD and can help to evaluate the progression of the disease. The Breakthrough Device Designations are for indication of use with Elecsys β-Amyloid (1-42) CSF and Elecsys Phospho-Tau (181P) CSF in concordance with amyloid PET visual read result and risk of cognitive or functional decline. The Breakthrough Devices Program is a voluntary program for certain medical devices that provide for more effective treatment or diagnosis of a life-threatening or irreversibly debilitating disease or condition. This program is designed to expedite the development and review of these medical devices.
“We are excited about FDA’s recognition of the potential clinical benefit the Elecsys CSF assays can bring to clinicians, laboratories and their patients in diagnosing AD at an early stage,” said Roland Diggelmann, CEO of Roche Diagnostics. “Roche was one of the first companies to use biomarkers in clinical trials and we will continue to explore high-performing diagnostic and disease-monitoring solutions.”

www.roche.com

QIAGEN’s careHPV™ Test wins WHO prequalification status for cervical cancer screening

QIAGEN announced on August 1st that its careHPV™ Test, one of the only molecular diagnostics for high-risk human papillomavirus (HPV) designed to screen women in low-resource settings, has been added to the World Health Organization (WHO) list of prequalified in vitro diagnostics (IVDs). HPV is the primary cause of cervical cancer, so screening women for the presence of the virus is a critical aspect for prevention and early treatment of the deadly cancer. The careHPV Test was launched globally in 2010 and through numerous pilot studies has demonstrated to be a more sensitive alternative to cytology and visual inspection based methods for the detection of pre-cancerous cell abnormalities. The WHO’s evidence-based listing is expected to expand the availability of this critical diagnostic tool in countries that rely on the global organization’s list in making purchasing decisions. The WHO Prequalification status will significantly broaden access to HPV DNA testing to areas of the world with a high burden of cervical cancer.
 
“The WHO prequalified IVD listing is a ‘stamp of approval’ for our innovative careHPV Test, and this will encourage authorities to adopt efficient, highly accurate HPV screening for prevention of cervical cancer in settings with limited healthcare infrastructure,” said Thierry Bernard, Senior Vice President, Molecular Diagnostics Business Area, for QIAGEN. “China routinely uses careHPV in rural or low-resource areas, and QIAGEN partners with non-governmental organizations and health ministries in developing countries. We expect the WHO listing to drive further dissemination of this important tool for women’s health.”
 
QIAGEN’s fast, portable and easy-to-use careHPV Test combines the power of advanced molecular technologies with innovative design features for areas lacking consistent electricity, water or a controlled laboratory environment. For example, the system has color-coded, easy-to-understand menus and self-contained reagents. The test tolerates temperature variations that occur in rural clinics lacking refrigeration due to limited electricity or water, and can provide results much faster than traditional laboratory based methodologies. The careHPV Test was developed with support from PATH, an international nonprofit organization, and is manufactured by QIAGEN in Shenzhen, China.
 
“High-quality molecular HPV tests that are easy to run are critical for expansion of cervical cancer prevention strategies in low-resource settings. WHO prequalification of careHPV is excellent news that will help countries to choose the best and most suitable technology for their programs. To achieve higher coverage of at-risk women and make an impact in cervical cancer prevention, we need to move to affordable and cost-effective strategies with HPV testing leveraging self-sampling potentially,” said Dr. Silvia de Sanjosé, Director of Scale-Up project at PATH, a global organization that works to accelerate health equity by bringing together public institutions, businesses, social enterprises, and investors to solve the world’s most pressing health challenges.
 
The careHPV Test for low-resource settings is highly complementary with QIAGEN’s digene HC2 HPV Test, the world’s most validated and sensitive diagnostic test for detection of high-risk HPV. The digene HC2 HPV Test is recognized as the “gold standard” in HPV screening and is widely used in developed countries and in large cities in emerging markets.
 
Cervical cancer is the fourth most common cancer among women worldwide, with an estimated 528,000 new cases and 266,000 deaths in 2012, the most recent year for which WHO publishes statistics. An estimated 80% of new cases and deaths occur in developing countries, where awareness of the disease and access to preventive tests and medical treatment is low. In many low-resource areas, cervical cancer has eclipsed breast cancer as the primary cancer killer of women.

http://www.qiagen.com

New Clues about the Blood-Clotting Ability of Leeches

Leeches are blood-feeding organisms that have a suite of anticoagulant compounds they secrete from their salivary glands that prevent blood clotting. This allows them to maximize feeding time and blood volume. Leeches are still used in modern medicine, and knowledge about their anticoagulants is important in many ways, from rodent control to understanding host-parasite relationships. A recent study expands our knowledge about the diversity of anticoagulants in two families of leeches.
The authors of an article recently published in the Journal of Parasitology collected leeches from natural and aquarium settings in the United States and Canada. The researchers examined the physical characteristics of each leech to determine their species, dissected the leech salivary glands, extracted the RNA and sequenced the genomic material. Next, they identified the salivary gland components by comparing their sequences with those of other leeches and various animals.
The researchers identified the collected leeches as nine species from the Piscicolidae and Ozobranchidae families, which are composed of saltwater species that feed on fish and turtles, respectively. Despite the fact that these leeches have different host preferences, no differences were found in the diversity of anticoagulants. There was an average of 43 anticoagulants in each species, and the researchers identified several anticoagulants that didn’t match any sequences and others that had never before been linked to leeches. For example, they found sequences that matched ohanin, which is a protein found in king cobra venom. These results suggest that there is a possible connection between anticoagulants in leeches and snake venom and should be explored further.
Michael Tessler, one of the authors of this article, points out why this study is unique among the literature on anticoagulants: “What I believe makes this paper stand out is the broad scope. Our results highlight that looking at individual species is not a great proxy for family-level anticoagulant diversity and that studies need to take a broader look to fully understand what is going on.” Sampling many species and comparing sequences to a broad array of organisms, therefore, could help uncover new information.
The authors also constructed phylogenetic trees, diagrams that show evolutionary relationships, and concluded that leeches may have evolved to have anticoagulants that are beneficial to them. These new leech anticoagulant sequences not only aid in our understanding of the diversity of these compounds, but also provide clues about how leech evolution plays a role in the host-parasite relationship.
http://www.journalofparasitology.org/doi/full/10.1645/17-64

Shimadzu’s investments and commitment for developing new analytical and medical technologies for tomorrow

In the year of its 50th anniversary in Europe, Shimadzu has been awarded the NRW.INVEST Award 2018 for outstanding investments and commitment to the location. This prestigious award is presented by North Rhine-Westphalia (NRW), Germany’s industrial heartland and most populated federal state. Andreas Pinkwart, Minister of Economics and Digitalization, presented the award in Düsseldorf at the end of June. Founded in 1968 with five employees, Shimadzu today supervises more than 700 employees across Europe from its European headquarters in Duisburg. The city is also home to Shimadzu’s European Innovation Center, a think tank that combines academic and scientific know-how from universities with Shimadzu’s high-quality analytical technologies to design new solutions for tomorrow. "Merging analytical and medical technology methods breaks new grounds in diagnosis and treatment, especially of endocrine disorders, cancer and dementia," says Jürgen Kwass, Managing Director Shimadzu Europe. "These include, for example, chromatography/mass spectrometry combined with angiography or near-infrared photoimmunotherapy."

www.shimadzu.eu

UCI, Beckman Coulter Diagnostics announce strategic collaboration

Beckman Coulter Diagnostics has embarked on a strategic collaboration with the University of California, Irvine – one of the first targeted academic partnerships the company envisions around the globe.
Beckman Coulter Diagnostics will access UCI research in innovative diagnostic platforms, life sciences applications, devices, and data analytics to further its mission of advancing healthcare. UCI faculty, students and entrepreneurs will benefit from Beckman Coulter Diagnostics’ expertise in accelerating the commercialization of technology and other world-class UCI breakthroughs.
“We are honoured that Beckman Coulter Diagnostics has selected UCI as a strategic innovation partner,” said Richard Sudek, Ph.D., chief innovation officer and executive director at UCI Applied Innovation. “This is a new type of industry collaboration which aims to significantly change how industry and universities partner together. We look forward to teaming up with Beckman Coulter to increase the speed and quality of how UCI discoveries make it to market.”
“We are excited to tap into the broad expertise of UCI researchers as we focus on identifying innovative solutions to clinical unmet needs“ said Fiona Adair, Ph.D., vice president of strategy and innovation at Beckman Coulter Diagnostics. “We believe this type of academic-industry partnership can lead to development of innovative diagnostic technologies to improve healthcare. UCI Applied Innovation is a place where valuable new ideas are incubated. In turn, we can provide promising students, researchers, and entrepreneurs industry-specific feedback and mentorship opportunities. We will have a Beckman Coulter office at the Cove @ UCI Applied Innovation for seamless collaboration with academic units as well as to integrate into the innovation ecosystem.”
This level of collaboration is an industry model of synthesizing research, commercial expertise and clinical needs to produce beneficial results. As a first step, Beckman Coulter will fund Proof of Product grants to help UCI innovations bridge the gap between the lab and early commercialization. Through these grants, Beckman Coulter will determine a specific focus area for university entrepreneurial teams.  
Additionally, Beckman Coulter will also seek eligible UCI graduate students to enter its competitive talent onboarding program, in which they’ll get the opportunity to work across multiple divisions of the company.  
“The partnership with UCI represents a landmark in Beckman Coulter’s strategic initiatives to drive translational innovation and extend the company’s leadership in clinical diagnostics.” said John Blackwood, senior vice president and general manager of products and services at Beckman Coulter. “Beckman Coulter is engaging with academic partners that excel in applying the latest technology to develop superior solutions for better patient outcomes. UCI maintains an ecosystem of innovation that facilitates academic-industry partnerships and we are excited about the opportunity to leverage UCI’s research expertise for the benefit of patients around the world.”  

www.uci.edu   www.beckman.com

Diasource ImmunoAssays and Svar Life Science (formerly Euro Diagnostica) sign milestone agreement

In late July, Svar Life Science signed a strategic agreement to transfer the portfolio of radioimmunoassays (RIA) and the Chromogranin A Neolisa™ (ELISA) product to DIAsource ImmunoAssays, a BioVendor group company.
Svar Life Science AB (formerly Euro Diagnostica AB), a Swedish life science company that has been working across the clinical diagnostic value chain for over 30 years, and DIAsource ImmunoAssays, a leading diagnostics company delivering manual RIA and ELISA kits and open automation solutions to international markets, today announced a strategic agreement, under which Svar Life Science will transfer its portfolio of RIA products and the Neolisa™ CgA ELISA product to DIAsource, securing the continued production and sales of these products.
Svar Life Science will continue to invent, develop and apply the best analytical technologies, with a focus on helping deliver the answers needed in drug discovery and clinical diagnostics, and the impact this has on human lives.
This transaction strengthens DIAsource and BioVendor’s position as one of the top RIA and larger ELISA manufacturers, committed to servicing customers worldwide that use manual assays and open automation to complement their portfolio on closed automated systems.
The portfolio to be transferred includes the complete line of radioimmunoassays for the quantification of a number of peptide hormones involved in critical physiological processes. These endocrinological parameters are mainly used as tumour markers and for diabetology and salt balance analysis. The portfolio transfer also includes the ELISA Chromogranin A Neolisa™ product which complements the RIA Chromogranin A product.
In order to support a smooth transition with minimal disruption for customers, the companies have agreed to a transition period. Starting 1st of September 2018 DIAsource ImmunoAssays assumes sales of the RIA product portfolio. During the remainder of 2018 the RIA production will be transferred. Sales of the Neolisa™ CgA ELISA product will be assumed by DIAsource as of January 2019, with production transfer to follow during 2019.
Ron Long, CEO, Svar Life Science, said: “The agreement with DIAsource ImmunoAssays forms part of our strategy of focusing our product portfolio and core technologies to help deliver the answers needed in drug discovery and clinical diagnostics today. It also enables us to strengthen our support for life science customers providing high quality solutions, the best analytical technologies for drug development and clinical research.
DIAsource ImmunoAssays are committed to being a complete diagnostic provider and we’re confident that this agreement enables them to increase their support for customers in the field of radioimmunoassays.”  
Jef Vangenechten, CEO of DIAsource ImmunoAssays, said: “This acquisition is another step in our strategy to position DIAsource as a consolidator of manual specialty assays, after previous acquisitions of the Intertech RIA product line in 2012, Viro-Immun ELISA and IFA product lines in 2017, and more recently the RIA product line from ZenTech.”www.diasource-diagnostics.com

Genomic Medicine, Cambridge, 2018 (Meeting preview)

The 2018 Biotexcel conference ‘Genomic Medicine’ will take place at Murray Edwards College, Cambridge, UK, on 5–6 December 2018.

The running scientific theme for this meeting, like other Biotexcel genomic meetings, will cover the areas where Next Generation Sequencing is used in the analysis of human disease.  These topics will  include different disease areas where particularly promising genomic studies have been performed; large population studies; whole genome & whole exome studies; epigenomics and many other topics. In this meeting we will also hear from commercial genomic companies, whether those that currently have genomic solutions on the market as well as those that are spin-outs or are in the research/earlier phases.

Confirmed speakers include (among others):

  • Prof. Lucy Raymond, University of Cambridge
  • Dr Caroline Wright, University of Exeter Medical School
  • Dr Anna Middleton, Wellcome Sanger Institute
  • Dr Nitzan Rosenfeld, Cancer Research UK Cambridge Institute
  • Prof Ferenc Mueller, University of Birmingham
  • Prof Yanick Crow, MRC IGMM, University of Edinburgh
  • Prof Michael Parker, University of Oxford
  • Dr Athena Matakidou, Astra Zeneca.

Topics to be covered include:

  • Whole genome sequence analysis of critically ill children
  • Transforming drug discovery and development with an integrated genomics approach
  • Making new genetic diagnoses with old data
  • How is society responding to genomics?
  • Genomic analysis of cell-free DNA in plasma for non-invasive cancer diagnostics
  • Genomic imprinting: lessons on the 4D genome.

The meeting will also have presentations on a variety of the latest technology developments.

In addition to presentations, the meeting will also include a number of networking opportunities, such as an introductory networking session on Day 1, a panel debate on topical issues and bottlenecks, a poster session and a networking dinner at The Punter Pub.

This meeting is intended to be suitable for NGS users, researchers and students, bioinformaticians and those in the NHS and private labs, biotech companies, CROs and service providers.

Discounts are available for students, academics and hospital staff. https://biotexcel.com/event/genomic-medicine-2018-cambridge

Technology for Diabetes Management: Technology, Players and Forecasts

IDTechEx Research has recently released a new market report ‘Technology for Diabetes Management, 2019-2029: Technology, Players and Forecasts’, including details of glucose test strips, continuous glucose monitoring (CGM), insulin pumps, insulin pens, digital health / digital therapeutics, side effect management and diagnosis.

The report covers the entire landscape for diabetes management devices, including mature, emerging and future options. The report has been researched via primary interviews with companies, physicians and diabetic individuals to characterize and predict the technology landscape for diabetes devices over the coming decade. In total, activities of 75 companies are covered throughout the report, ranging from the largest players to technology developers and startups developing the next generation of device options.

Historically, diabetics have monitored their blood glucose concentration by using disposable biosensors; following a finger prick, a drop of blood is placed onto a glucose test strip, which is inserted into a reader to provide the result. Whilst billions of test strips are produced each year, this sector as seen profitability shrink due to changing medical subsidies and increased competition. Alternative options have been developed to enable continuous glucose monitoring. These involve devices that are typically worn on the skin, using a sensor on a small needle to test glucose in interstitial fluid. There are now approved devices from several key players, with this industry growing each year.

However, challenges still remain with glucose monitoring devices, with the ultimate aim of providing the best experience for diabetics. CGM devices in the past have been reliant on test strips for calibration, as well as still being invasive or implantable, leading to discomfort. This has led to many players investigating glucose monitoring options which are less invasive, whilst maintaining the required accuracy and reliability. In addition, the possibility of pairing CGM devices with insulin pumps for increasingly automated "closed-loop" systems is becoming increasingly closer. These goals have been in place for decades, and the report follows all the latest news, trends and outlook in each of these technology frontiers around diabetes management devices.

However, managing diabetes is about more than just monitoring glucose levels. The report also covers other aspects of diabetes technology landscape, including insulin delivery, the role of digital health in diabetes, technology for managing side effects, technology for diagnosis and reimbursement, funding and investment examples. The report then includes detailed market forecast following two different methodologies. The first involves the collection of revenue data from companies throughout the space, with historic data back to 2010 by company and by sector. This is then projected given a series of assumptions based on IDTechEx’s primary research efforts. The second forecast scenario involves looking at data for the diabetic population, including number of diabetics, split by type, percentage diagnosis, and then adoption rates by device type for each group. The two forecasts are then discussed and compared, providing with the reader with ample content from which to base business decisions and understand the dynamics in the space.

As discussed, the report is split into 8 main chapters, discussing each aspect of diabetes management technology (not including pharmaceutical options). Following an executive summary, detailing the main conclusions and discussion of the report, the report introduces the challenges and opportunities in diabetes management, as well as going through the main patent holders and filing trends in the space. Then, topic chapters of the report are as follows:

  • Sensors for diabetes management: This chapter includes coverage of glucose sensing, from test strips and glucometers, to continuous glucose monitoring (CGM), and through to a discussion of emerging options in this space. In total, 37 different companies are mentioned in this section, ranging from the largest players in tests strips and CGM (e.g. Abbott, Roche, Medtronic, Dexcom, etc.) through to many emerging players or innovators attempting new approaches to glucose monitoring.
  • Insulin delivery: This chapter covers techniques from traditional vial-and-syringe and insulin pens, to insulin pumps and towards closed loop insulin delivery alongside CGM. Key trends discussed in this section include the integration of different connectivity and technology integrated alongside both insulin pump and insulin pens, the links from these devices into wider digital health ecosystems and the adoption of newer devices (particularly insulin pumps) by territory and demographic.
  • Digital health: Chronic diseases are a prominent early target for those in the digital health ecosystem, and digital health options for diabetes have been prominent. This chapter discusses activities from both the small and larger players, including major acquisitions and collaborations, in areas including diabetes management systems, device companion software and digital therapeutics.
  • Side effect management: The majority of the costs associated with diabetes are around managing side effects. This section focuses on new technology options emerging around areas such as diabetic neuropathy, foot ulcers and ketoacidosis. This includes various wearable, flexible and textile-based technology options.
  • Diabetes diagnosis: discussing the use of emerging technologies to aid the early detection of diabetes, thereby preventing long hospital stays and other complications.
  • Reimbursement options, funding and investment examples: These final elements to the report fill in details which are important for the broader space. Reimbursement, whether through insurers, national healthcare initiatives or otherwise, is still critical for the majority of diabetes devices. Funding and investment are also present, as with any large, transforming industry.

Over 75 companies are mentioned in the report, including many primary interviews, a patent analysis of the key patent-holders, and revenue data where relevant.

www.IDTechEx.com/diabetes

New Antimicrobial Resistance Accelerator Programme launched by the Innovative Medicines Initiative (IMI)

A new Antimicrobial Resistance (AMR) Accelerator Programme as part of new Calls for proposals was launched in July by the Innovative Medicines Initiative (IMI). Of the other topics launched in the Calls, many address brain disorders (e.g. Alzheimer’s disease, Parkinson’s disease, Huntington’s disease, major depression) and immune-mediated diseases (e.g. rheumatoid arthritis and lupus as well as inflammatory bowel diseases such as Crohn’s and colitis, and skin diseases like dermatitis and psoriasis). Among other things, the topics aim to make clinical trials more patient-centric, contribute to medicines safety, and apply blockchain technologies to the drug development and health sectors.
The Calls for proposals launched in July (IMI2 – Calls 15 and 16) have a total budget of EUR 434 million. Around half of this comes from Horizon 2020, the EU’s framework programme for research and innovation. The other half comes from EFPIA companies and IMI Associated Partners; these do not receive any funding from IMI but contribute to projects, mainly through ‘in-kind’ contributions (e.g. researchers’ time).
The aim of the new IMI AMR Accelerator is to progress the development of new medicines to treat or even prevent resistant bacterial infections in Europe and worldwide. The programme comprises three pillars. A Capability Building Network will coordinate the programme and carry out research to strengthen the scientific basis in the AMR field, while the Tuberculosis Drug Development Network will work to accelerate the discovery of new combinations of drugs to treat TB. Finally, Portfolio Building Networks will support collaborative efforts to discover, develop and advance new and innovative agents to prevent or treat AMR. The scope of the AMR Accelerator is broad; under one structure, it will address many of the scientific challenges of AMR, and it will support the development of new ways to prevent AMR (including vaccines) and treatments (including new antibiotics). More broadly, the IMI AMR Accelerator also contributes to the European action plan on AMR, which includes a chapter on boosting research, development and innovation for AMR.

www.imi.europa.eu

Beckman Coulter sponsors 2nd World Sepsis Conference

Beckman Coulter has announced that it is a gold sponsor of the 2nd World Sepsis Congress, a free-of-charge online conference, hosted by the Global Sepsis Alliance, that will be held Sept. 5 and 6, 2018. Over the course of 17 sessions, more than 100 speakers from approximately 30 countries will discuss the wide-ranging implications of sepsis and how to raise public awareness of this often-fatal condition.
Sepsis affects 26 million people worldwide each year, and is increasing at a rate of 1.5 percent annually. In the United States alone, about 1.6 million people are diagnosed with the disease. Additionally, it is the third leading cause of death, claiming more than 258,000 lives in the U.S. each year.
“Sepsis is one of the world’s deadliest diseases that often goes undiagnosed,” said Peter Soltani, Ph.D., senior vice president and general manager of Beckman Coulter’s hematology business. “As many as 80 percent of sepsis deaths could be prevented with rapid diagnosis and treatment.”
“We are proud to be a sponsor of the 2nd World Sepsis Congress,” said Soltani, “since its goals align perfectly with our commitment to empowering healthcare professionals with the tools and resources that enable them to detect sepsis as early as possible during patient care.”
Delayed treatment of sepsis can cause cardiovascular collapse, tissue damage, organ failure and ultimately death. Even patients with less severe sepsis can progress to the more severe condition, septic shock, within 72 hours, and up to half of those patients will die as a result. Timely and accurate detection solutions, in an acute-care setting where treatment can be initiated, are key components to stopping the progression of the disease. In fact, when antibiotics are administered early to patients with septic shock, the likelihood of death decreases by 7.6 percent per hour.
In answer to the urgent need for a fast and an accurate detection solution, in June 2018, Beckman Coulter filed a submission for 510(k) clearance with the U.S. Food and Drug Administration for its Early Sepsis Indicator, a hematology-based solution designed to alert emergency room clinicians to any patient who might possibly be at risk for developing sepsis. It recently achieved European CE Mark, and is commercially available in select countries for use with the company’s DxH 900 hematology analyzer, which was released in May 2018.

www.beckmancoulter.com