early diagnosis of brain diseases · dr. ennio ongini, phd –chief scientific officer dr. noemi...

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EARLY DIAGNOSIS OF BRAIN DISEASES via liquid biopsy, based on miRNA patterns in microglial microvesicles Fabio Bianco, CEO [email protected] www.braindtech.com

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Page 1: EARLY DIAGNOSIS OF BRAIN DISEASES · Dr. Ennio Ongini, PhD –Chief Scientific Officer Dr. Noemi Tonna, PhD –Lab Manager • Medical Biotech, Pharmacology • Lab manager @NeuroZone

EARLY DIAGNOSIS OF BRAIN DISEASES via liquid biopsy, based on miRNA patterns

in microglial microvesicles

Fabio Bianco, [email protected]

Page 2: EARLY DIAGNOSIS OF BRAIN DISEASES · Dr. Ennio Ongini, PhD –Chief Scientific Officer Dr. Noemi Tonna, PhD –Lab Manager • Medical Biotech, Pharmacology • Lab manager @NeuroZone

Team

• Medicine & MBA• Founder/CEO several startups• Director Health Int’l Projects @UN• Board Member

Dr. Pietro Conti, MD, MBA – President Dr. Fabio Bianco, PhD – Chief Executive Officer

• Medical Biotech, Pharmacology• President/CSO @NeuroZone• +10yr in Biotech/Pharma• Board Member

• Pharmacology• 20 yrs R&D Director Schering Plough• 15 yrs VP Research Nicox SA• +200 peer reviewed papers

Dr. Ennio Ongini, PhD – Chief Scientific Officer Dr. Noemi Tonna, PhD – Lab Manager

• Medical Biotech, Pharmacology• Lab manager @NeuroZone• +10yr in drug discovery

Dr. Laura Ferro, MD, MBA – Board Member

• Medicine & Psychiatry• MBA @ Bocconi Univ., Milano• Top 10 innovative women managers in Italy • Founder /CEO several biotechs (including Gentium, IPO at

Nasdaq)

Dr. Carlo Frati, MBA – Board Member

• Economics - Bocconi Univ; MBA, INSEAD• McKinsey & Co. (2000-2016): Partner• Capital Shuttle S.p.A. (2016): CEO• Banca Consulia (2017-present): CFO

Dr. Elisabetta Borello – Board Member

• Economics-Bocconi Univ., Milano• +30 yrs in Healthcare Information Management Systems • Founder /Board member many biotechs

Page 3: EARLY DIAGNOSIS OF BRAIN DISEASES · Dr. Ennio Ongini, PhD –Chief Scientific Officer Dr. Noemi Tonna, PhD –Lab Manager • Medical Biotech, Pharmacology • Lab manager @NeuroZone

Currently, diagnosis of brain diseases is carried out observing clinical symptoms,

which occur when most of the neurodegeneration has already occured

The issue (need)

Brain

DEGENERATION

Brain

INFLAMMATION

Clinical

SYMPTOMS

10 – 15 years

Page 4: EARLY DIAGNOSIS OF BRAIN DISEASES · Dr. Ennio Ongini, PhD –Chief Scientific Officer Dr. Noemi Tonna, PhD –Lab Manager • Medical Biotech, Pharmacology • Lab manager @NeuroZone

Brain

INFLAMMATION

BrainDTech proposal

Neuroinflammation activates MICROGLIA

Activated microglia produce MICROVESICLES

Microvesicles contain microRNA

Microvesicles can be found in LIQUID BIOPSY

MICROVESICLES FROM MICROGLIA

BrainDTech represents a disruptive approach to brain disease diagnosis

because it detects a signal (MicroRNA in microvesicles)

released by microglia years before any clinical manifestation

Page 5: EARLY DIAGNOSIS OF BRAIN DISEASES · Dr. Ennio Ongini, PhD –Chief Scientific Officer Dr. Noemi Tonna, PhD –Lab Manager • Medical Biotech, Pharmacology • Lab manager @NeuroZone

BrainDTech added value

miRNAs are

PATHOLOGY SPECIFIC

miRNAs

in MICROVESICLES

High expression Low expression

MICROVESICLES

in liquid biopsies

(Agosta et al Ann Neurol 2014)

Healthysubjects

Alzheimer’spatients

Methods for diagnosis, prognosis and treatment monitoring

of neurological, neurodegenerative and inflammation – based diseases

via miRNA inside microglial microvesicles

Page 6: EARLY DIAGNOSIS OF BRAIN DISEASES · Dr. Ennio Ongini, PhD –Chief Scientific Officer Dr. Noemi Tonna, PhD –Lab Manager • Medical Biotech, Pharmacology • Lab manager @NeuroZone

o Disease stagingo Early diagnosis / companion diagnosticso Non-invasive liquid biopsies

Market Opportunity: diagnostics in brain diseases

“miRNA diagnostics fastest growing segment

of global microRNA market”(Persistence market research)

$45,5 B(2020)

+$

1

B

$45,5 B

+$1 B

BEFORE CLINICAL MANIFESTATION

AFTER CLINICAL MANIFESTATION

o

o

o

o

o

o

o

o

Page 7: EARLY DIAGNOSIS OF BRAIN DISEASES · Dr. Ennio Ongini, PhD –Chief Scientific Officer Dr. Noemi Tonna, PhD –Lab Manager • Medical Biotech, Pharmacology • Lab manager @NeuroZone

Barriers to Competition

PATHOLOGY-SPECIFIC PATTERNS

DEVELOPMENT

NOVEL THERAPEUTIC TARGETS

IDENTIFICATION

EARLY DIAGNOSIS

COMPANION DIAGNOSTICS

PATENT STRATEGY

2015/11 - Italian patent submission (AD, PD, ischemia)

2016/07 - PCT patent extension

2016/11 - Claim extension (+20 pathologies)

2017/06 – EU patent submission

PATENT 1 –miRNA from microglia MVs

2017/09 - Italian patent submission

2018/01 – expected PCT patent extension

2018/04 –expected EU patent submission

PATENT 2 –new blood-based biomarker

Page 8: EARLY DIAGNOSIS OF BRAIN DISEASES · Dr. Ennio Ongini, PhD –Chief Scientific Officer Dr. Noemi Tonna, PhD –Lab Manager • Medical Biotech, Pharmacology • Lab manager @NeuroZone

2 years

21Patterns

EPIL vs ctrl

240 – 240

EPIL

60

EPIL vs ctrl

80 – 80

10Patterns

PD vs ctrl

240 – 240

PD

60

PD vs ctrl

80 – 80

2 years

From platform technology … to big data

CSF

BLOOD

MCI

2019-20

CSF

2018

CSF

2017

CSF

AD – MCI – MS

80 – 80 – 80

AD – MCI – MS

60 – 60 – 60

AD – MCI – MS

240 – 240 – 240

AD vs Healthy

60 – 20

MS

AD vs MS

AD vs MCI

MCI vs MS 6Patterns

AD

2 years

15Patterns

NP vs ctrl

240 – 240

NP

60

NP vs ctrl

80 – 80

ObservationalStudy 1 (OS1)

Perspectivenon-interventional

Validation

Discovery

OS2

miRNA pattern Licensing

DATABASE: access to big data

Page 9: EARLY DIAGNOSIS OF BRAIN DISEASES · Dr. Ennio Ongini, PhD –Chief Scientific Officer Dr. Noemi Tonna, PhD –Lab Manager • Medical Biotech, Pharmacology • Lab manager @NeuroZone

Before neurodegenerative diseases can be treated,they must be detected…

Fabio [email protected]

www.braindtech.com

…the earlier the better