THE NEXT GENERATION OF MOLECULAR DIAGNOSTICStangenbio.com/wp-content/uploads/2019/02/2019... ·...
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CONFIDENTIAL
THE NEXT GENERATION OF MOLECULAR DIAGNOSTICS
2019
Company Overview
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• Platform offers easily integrated sample preparation, rapid time to result, and sensitivity over current diagnostic platforms
• A fungal assay 510(k) pre-submission has been reviewed by the FDA with positive feedback and is planned for commercialization in 2019
• $ 9.4 million BARDA grant (2017-21)
TANGEN BIOSCIENCES HAS DEVELOPED A
RAPID MOLECULAR DIAGNOSTIC PLATFORM
CAPABLE OF REVOLUTIONIZING THE
$5B INFECTIOUS DISEASE MARKET
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A Seasoned & Proven Management Team• Seasoned executive with over 30 years of diagnostics experience• Former CEO, CD Diagnostics; Founder/CEO, Strategic Diagnostics- NASDAQ (SDIX)• Implemented successful corporate partnerships & strategic acquisitions• BS, Biology, SUNY Plattsburgh; PhD, Biochemistry/Immunology, SUNY Binghamton
• 14 yrs. developing DNA technologies: Mutation detection in cancer, Gene synthesis• Senior Director for Research and Development at Ion Torrent/Life Technologies• Commercialized multiple DNA seq. & highly automated sample prep platforms• Harvard biochemistry PhD 2000
• 40 years of FDA diagnostic product experience • 7 FDA cleared Dx products; 5 patents & numerous pubs in HIV & blood separation• Cleared first ever FDA gene sequencing technology in 2002, TruGene• VP for Clinical Research at HistoRx (2009), President ViveBio (2013)
• Epidemiology, CCRP, VP Clinical Affairs• Amida Care, Director Research and Grants Management• HistoRx, Senior Director Clinical Research, GCP• ViveBio, Senior Director of Quality Management
• 30 years of experience in Operations, Service, Customer Support, Quality, and Project Management for analytical and diagnostic instrumentation
• Roche, 454 Life Sciences, Perkin Elmer
Rick Birkmeyer, PhDPresident & CEO
John Davidson, PhDCo-Founder, CSO
Richard Carroll, PhDVP BD
Noemí Olivo, MSNVP Clinical Affairs
Brian ChiricoVP Operations
To launch an innovative molecular diagnostic platform that transforms the standard of care for critical infections by providing low cost,
portable, and rapid diagnostics for patients.
Our Mission
Assay Sensitivity
Ease of Use
CostFASTER & MORE
ACCURATE
DIAGNOSIS
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Sample preparation
Bacterial Culture
Only 50% of infected samples grow
Requires 24-120 hours for results
Identification requires additional time
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The Potential for True Market Disruption
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IQumm
SEQUENCING
No existing platform has been able to advance the
culture-based infectious disease diagnostics to
a rapid solution
COMPETITIVE
LANDSCAPE
MICROBES ARE
CONCENTRATED
IN SAMPLE TUBE
SAMPLE TUBE IS INSTALLED
FOR AUTOMATIC LYSIS AND
DELIVERY TO ASSAY DISK
INSTRUMENT AMPLIFIES AND
DETECTS UP TO 32 TARGETS
& REPORTS RESULTS
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Overview of The Tangen System
QUICK, SENSITIVE AND PORTABLE TESTING
Intellectual Property
“Apparatus and method for cell, spore, or virus capture and
disruption”
Sample processing apparatus
Application WO 2016/073353 A1Pending
Priority Date: 2014-11-03 USPTOOffice of Public Records
Document Services Division
“Isothermal methods for amplifying nucleic acid samples”
Two-stage amplification process to improve assay sensitivity and detect SNPs
US20170204456A1Pending
Priority Date: 2014-07-16
“Apparatus and method for extracting pathogens from biological samples”
Sonic apparatus for cellular disruption
US20170274376A1Priority Date: 2016-03-28
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“A method for suppressing non-specific Amplification products in nucleic acid
amplification technologies”
Suppression of primer artifacts during isothermal amplification
U.S. Application Serial No. 62/792,613Provisional Patent Filing Date: January 15, 2019
New Tangen Patent
U.S. Application Serial No. 62/792,613Provisional Patent Filing Date: January 15, 2019
Title: “A METHOD FOR SUPPRESSING NON-SPECIFIC AMPLIFICATION PRODUCTS IN NUCLEIC ACID AMPLIFICATION TECHNOLOGIES”
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50
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200
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Cq
NTFP Suppression Study
This method blocks Non-Specific False Positives in Isothermal Nucleic Acid Amplification Reactions
• Is broadly applicable to all Strand Displacing isothermal Nucleic Acid Amplification Technologies
• Better sensitivity/specificity for our tests
• Significant licensing opportunities
Our Core Technologies
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LVCTM Sample processing system• Multiple sample types and volumes
• High Sensitivity
• Rapid-less than minutes
RAMP amplification and detection disk • Demonstrated ability to detect 1 CFU/mL blood
• Robust single-enzyme isothermal system
• 35-channels (controls + up to 33 targets)
TangenDxTM Instrument • Pathogen DNA/RNA extraction
• 1-hour real-time amplification and detection
• Data analysis and reporting into patient EMR
LVC = Large Volume Concentrator
Demonstrated Results: WHO / Tuberculosis
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STEP TANGEN Cepheid GeneXpert
Sampling of liquefied sputum >95% 33%
Capture of cells >95% 40%
Cell Lysis 90% 50%
Delivery of lysate to amplification chambers 75% 30%
Total DNA delivery eff 61% 2%
Amplification sensitivity @95% confidence 13 copies 5.5 copies
Input Genome sensitivity (Tangen using all channels) 21 genomes 275 genomes
CFU sensitivity 10.5 cfu 126 cfu
Tuberculosis Study vs. Cepheid GeneXpert
Note: Blinded raw sputum clinical samples from WHO. 24 Patients (5 samples each)
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Target Species CFU/ml Input # Spiked Sensitivity Specificity Accuracy
C albicans 1.5 15 100% 100% 100%
C glabrata 1.5 14 100% 100% 100%
C krusei 1.5 10 100% 98% 98%
C parapsilosis 1.5 21 90% 95% 93%
C tropicalis 3.0 19 100% 98% 98%
Rhode Island Hospital Clinical Results
Demonstrated Results: RIH / Fungal Panel
Note: 79 Samples tested, spiked whole blood samples
$9.4MM CONTRACT AWARDED TO TANGEN BIOSCIENCES FOR THE
DEVELOPMENT OF MOBILE BIOTHREAT ASSAY ON THE TANGENDXTM PLATFORM
• No accessory equipment or measuring required
• Small portable size (Battery pack enabled)
• No cold chain for reagents
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Key Initiative: Point of Care Molecular Diagnostics
• Best in class sensitivity for Anthrax testing directly from whole blood
• Rapid testing (<1 hour) for sample to result with no need for accessory lab equipment
• Testing of up to 30 targets per sample
• Ability to detect antibiotic resistance
• Universal Platform with customizable sample prep kits
SENSITIVE, SIMPLE
& FAST
REMOTE, HANDHELD
USEVERSATILE
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Target# Positive
Results# Negative
ResultsTotal # Results
% Detection Target
pXO1 21 0 21 100% pXO1
pXO2 20 1 21 95.2% pXO2
B. anthracis (pXO1 + pXO2)
20 1 21 95.2%B. anthracis
(pXO1 + pXO2)
Independent Lab Results
Demonstrated Results: Independent lab / Anthrax
Notes:• 21 runs with spiked whole blood at 5.7CFU/ml input
• Protocol is as expected for clinical users, except BSL-3 precautions taken for safety working with a BSL-2 organism (instrument run in BSL-3 hood)
Synergistic Corporate Partnering Opportunity
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MARKET
LEADERSHIP
SYNERGISTIC PARTNER
• Molecular Assay Development
• GMP Manufacturing
• Market Leader• Complimentary Products
Support Drug Development Point of Care Tests Companion Diagnostics
DNA/RNA DETECTION
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Technical & Clinical Milestone Timeline
M/YY M/YY M/YY M/YYM/YY
Complete Assay Design & analytical testing
External Verification with Lab Partner
FDAPre-submission
Demonstrated Clinically relevant sensitivity
Design Lock
H1 H1 H2 H1 H2 H2H2 H1H1 H2
2016 2017 2018 2019 20202014-15
FungalPanel
Anthrax
CorporatePartner
11/18
11/18
8/20
3/16 2/1711/16 4/18
3/18
2/19
3-5/20
10/20
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Milestones
• Completion of pivotal clinical trial for Rapid Candida Panel (12/19)
• FDA (510k) submission and clearance of Rapid Candida Panel (3/20)
• Build-out of commercial infrastructure
• R&D for Rapid Bacterial Panel completed
• Pilot testing for Rapid Bacterial panel underway
Executive Summary
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PRODUCTS• Tangen’s products will transform the
bacterial market resulting in improved patient outcomes
PRICE-POINT• Very low capital cost for adoption will
allow Tangen to quickly capture significant market share
PERFORMANCE• Tangen’s solution has significant
improvement in assay sensitivity
• Significant advancements in speed & cost over current competitors
• More rapid diagnosis providing physician with timely information
PROFESSIONALISM• Tangen team has significant experience
in developing and commercializing molecular instrumentation
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Appendix & Back-Up
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The Tangen Assay disk contains a central chamber where the amplification reagents are brought to the stringent reaction temperature (66°C) before they are transferred to the outer Detection chambers where the primers are located. No low temp non-specific false positives are produced.
PROBLEM LAMP reactions suffer from primer-based non-specific amplification
Amplicon contamination of work space & equipment
Few primer designs work
SOLUTION This is greatly reduced in the TangenDxinstrument primarily by providing a stringent Hot-Start to the reaction
The Tangen Assay Disk contains the amplified reactions beneath a self sealing layer of wax to prevent cross contamination
Tangen has licensed STEM primers for LAMP – STEM primers provide great flexibility for primer design that the LOOP primer alternative. Stringent Hot-Start enables more primer designs to be useful.
TangenDxTM Improvements To LAMP