The Ohio BioRepository: A Community Hospital Focused ...
Transcript of The Ohio BioRepository: A Community Hospital Focused ...
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The Ohio BioRepository: A Community Hospital Focused Tissue Repository
Windows of the Future March 7, 2006
Bill Tacon, Ph.D.
www.ohiobiorepository.org
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Omeris
• Founded in 1986 as the Edison BioTechnology Center, Omeris is a non-profit organization designed to build and accelerate bioscience industry, research, and education in Ohio
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Omeris’ Dual Role
• Statewide public-private economic membership organization for biosciences
• Business Development via 4 regional bioscience incubators
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Omeris’ Bioscience Incubators Partners
www.biostart.org
www.bioenterprise.com
www.btccolumbus.com
www.ohiou.edu/biotech
2003 Incubator of the Year - USA
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What do the Bioscience Incubator Partners do?
• Collaborations with universities, established companies, and start-up companies; national and international collaborations
• Business development to help established and startup companies make contacts and pursue success
• Management support for startup companies, “portable executives” until the company operates on its own
• Professional Services referrals to attorneys, accountants, and others who understand the technology, the startup company environment, international business
• Access to Capital helping startups find investors, and helping investors find companies to invest in
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Omeris’ Role
• Advocacy and Visibility• Marketing / Networking
• BIO• BioOhio• Regional events
• Trade Missions• State and National Caliber Projects• International and National Attraction
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Why a Tissue Repository?
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• Availability of validated human tissue & associated patient/clinical data is creating a research bottle-neck
• Why?
Tissue Bottle-neck
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Proc
urem
entM
anag
emen
t
Qua
lity
Con
trol
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Need Recognized at a Federal Level
• AACR Annual Meeting, Washington, DCNCI – July 11, 2003 – Dr. von Eschenbach – Will develop a National Biospecimen Network (NBN)• Access to tissues and other biological
specimens• Collection• Dissemination• Associated clinical data (data management)• New research and translational findings
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NBN Blueprint
• Why the NBN• Biospecimen and
data collection & distribution
• Bioinformatics & data management
• Governance
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CHTN - A well established tissue collection network
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National Cancer Institute’sCooperative Human Tissue Network
• The Ohio State University Medical Center• The University of Alabama at Birmingham • University of Pennsylvania Medical Center• University of Virginia Health System• Vanderbilt University Medical Center• Children’s Research Institute• Case Western Reserve University (1992-
2000)
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1-866-GO2-CHTN(1-866-462-2486)http://www-chtn.ims.nci.nih.gov/
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Human Tissue for Research
• Malignant, benign, diseased and normal• Fresh, frozen, fixed• Academic and commercial investigators• Requires IRB approval from investigator’s
institution• Investigator Agreement• Data Use Agreement (HIPAA)• Tissue sourced from major medical centers
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www.ohiobiorepository.org
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Our Intent (in 2003)
• Omeris to establish a biorepository, which could also serve as a regional component to the NBN
• Start with cancer, but expand to include all disease types
• Leverage Ohio’s Academic, Commercial, Hospital and Informatics networks
• Focus on Ohio’s community hospitals which serve ~85% of the cancer population
• Other states, e.g. Pennsylvania, Georgia, Arizona, are already on this path
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OBR - Structure
• Ohio BioRepository (OBR) established as an independent operating entity of Omeris
• OBR “facility” at the Columbus Business Technology Center (BTC) and Ohio Supercomputer Center (OSC)
• Run as a self sustaining “service”• Builds inventory; tissue and associated
clinical and analysis data• Initial focus cancer
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OBR – PartnersWe couldn’t do this without you:
• The biorepositoryOmeris – Concept, ManagementOhio Supercomputer Center – data warehouseOhio State University – Consulting, services, training
• Tissue partners – Community hospitalsOhio Health – Riverside Methodist HospitalOthers – in discussion
• Academics centersCleveland Clinic/CASE – ValidationOSU – Validation
• Commercial partnerPhylogeny
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Establishing the OBR
A Phased Approach
• Building Capability: Tissue archive• Building a Community Hospital Focus: Ohio
Health, Riverside Methodist Hospital
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OBR locations
• Tissue and pathology block archive storage facility – BTC
• Data warehouse –OSC-Springfield
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• Third Frontier funding secured to start building OBR and support Phylogeny
• OBR being developed in partnership with OSU & OSC
• Leverage partners expertise
• Tissue sourcing from OSU (archive) & community hospitals
Building The Ohio BioRepository
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Tissue Micro-Array Product Line
• Partnership with Phylogeny (Folio) to support TMA production
• Will market own brand and OEM for others
• Phylogeny fixative preserves all mRNA
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OBR Tissue Archive
• The problem and the challenge
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Pathology Block Archive
• Pathology block archive comprising 144,000 patient records and blocks donated by OSU to the OBR
• 18 year collection from 1950-1967
• Report information annotated into searchable database
• Asset now available to the research community
• 14,214 annotated cancer cases
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Pathology Block Archive:Some Numbers
• 83,475 reports examined
• 14,214 annotated entries for cancer
• Cancer cases (malignant and benign) represent 17% of cases
• Cancer (malignant) 13% of cases
Anatomic Site Cases
Bone 185
Breast 815
Brain 149
Cervix 1,140
Colon 738
Kidney 93
Liver 205
Lung 540
Ovary 191
Pancreas 75
Stomach 160
Prostate 376
Thyroid 249
Urinary bladder 497
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Data Collection, Access & Security - Archives
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WebServer(https)
Sample Maintenance
(https)
OBRData Archive
(Private)
OBRPublic
Search Data
AnnotationSystem
Ohio BioRepositorySecure Environment
Ohio BioRepositoryPublic Environment
Deidentified Data
One way connect
PublicSearch System
(https)
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Annotation web portal
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Database accessed through OBR web portal
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Public search of annotated PHI free data
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Pull-down Search Parameters
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Search Output: Breast Cancer Samples
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Hospital Collection
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Prospective sample collection from community hospitals
• Tissue sample collection operations at Riverside Methodist Hospital commenced Feb 6th, 2006
• Target is 6,000 samples per year from cancer surgeries
• Snap frozen and formalin QC• Expand into other OhioHealth hospitals• Expand into other community hospitals
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Steps along the way
• Ohio Health/Riverside MH desire to engage in the research process
• Hospital IRB approval• Hospital general consenting allows patient to
“opt out” of donating remnant tissue for research
• Web-based annotation tool modified• Hook up to RMH IT systems
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Data Collection, Access & Security - RMH
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Collector (OBR)
Collector (OBR)
PHI ServerPHI Server
Public ServerPublic Server
OBR Security Zone
RMH Infrastructure
Public Access Zone
Case number + OBR Procurement Id + tissue detail
Clinical Data Systems (Ohio Health)
Deidentified clinical data+ tissue detail
OBR Procurement ID + Deidentified clinical data + tissue detail + collection site
Clinical Data Pull(Tamtron)
Deidentified Clinical data +OBR Procurement ID + tissue detail
Auto Data Export
Request
Browser Data Export
Case number + OBR Procurement ID +Tissue detail
Clinical data (manual)
Deidentified Clinical data + OBR Procurement ID + Tissue detail
Clinical Data Pull(Manual)
Case number
Clinical dataClinical
Data Push(via VPN)
OBR ID + Deidentified Clinical Data
+ tissue detail
Clinical dataCase number + OBR Sample ID
Web Server(https)
collection site+Preparation detail Web Server
(limited IP https)
OBR Procurement ID +
OBR ID
OBR Procurement ID +
OBR ID
Deidentified clinical data +Tissue detail
OBR ID
preparation detail + collection site
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RiversideHospital
Info System
Clinical Data Capture
AutomatedData Push
WebServer(https)
Sample Maintenance
(https)
OBROn-SiteCollector
OBRData Archive
(Private)
OBRPublic
Search Data
AnnotationSystem
Riverside Methodist HospitalInformation Systems
Ohio BioRepositorySecure Environment
Ohio BioRepositoryPublic Environment
Deidentified Data
One way connect
Procurementlink
DeidentifiedData via VPN
PublicSearch System
(https)
Deidentified data(manual)
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• Web-based data capture tool – manual & automated data push
• Pathology report capture
• Ability to capture additional fields
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Pathology Report & Additional Fields
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NCI – Office of Biorepositories & Biospecimen Research
• Established 2005• NCI supported repositories – guidelines• Clinical biospecimen research
• Life cycle of biospecimen• Medical/Surgical Procedures• Acquisition• Handling/Processing• Storage• Distribution• Scientific Analysis• Restocking Unused Samples
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Personalized Medicine
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Institute for Personalized Healthcare
• Goal: To make Central Ohio a leader in the emerging field of personalized medicine
• Institute to create warehouse of medical information
• Data would drive clinical decisions toward the “best” therapeutic outcome
• Players: IPHC, OSUMC, Battelle, Siemens AG, OhioHealth, Mt. Carmel Health System, Children’s Hospital, OBR
• OBR to be the IPHC’s biorepository• Business First – Feb 27, 2006
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Acknowledgements
• Omeris: Tony Dennis, Mona Stefanos
• Omeris Board: Jim Scozzie, Rich Rosen, Peter Kleinhenz
• OSC: Eric Stahlberg, Joe Miller, Jim Gregory, Shannon Schraegle, Jordan Schweller, Kevin Wohlever
• OSU: Scott Jewell, Laurie Johnson, Jasmine Ramaradjou, Cheryl Reeder
• Ohio Health / Riverside: Susan Fuhrman, John Nisbet, Katrina English
• Phylogeny: Adel Mikhail, Lali Reddy, Sushma Joshi, Patricia Spitzner