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EM-No. V. 01 / 2014
ESTERN Medical is the CRO of choice for Diagnostic
Radiological Imaging Clinical Trial studies across Latin America.

2
“Modern medicine can no longer limit its scope
to purely anatomical imaging.”
Dr. Jorge Estrella MD.
President & Chief Medical Officer

Molecular imaging makes it possible to visualize
processes that are the very basis of life. The revolution
within molecular biology has contributed in recent years
to the development of imaging, making it possible to
understand the inner mechanisms of cell function within
its environment. The ability to be able to perform this
identification within a living organism is the objective of
molecular imaging.

Major trends in
molecular imaging

diagnostic radiological imaging
contribution to translational
medicine
The last 10 years have seen the emergence of a major
conceptual change spanning across several medical
disciplines. This movement has led to the creation of
translational medicine.
The concept of translational medicine is based on an
effort to bridge preclinical and clinical trial phases for
strictly similar biological targets (and consequently
clinically pertinent) and on monitoring therapeutic
treatments, both for developing new molecular entities
and monitoring responses to treatment through
biomolecules already on the market. Translational
research constitutes a very positive trend for medical
imaging, and in particular, molecular imaging.

“Functional” imaging is currently in a phase of significant
expansion in response to a need to describe with precision
certain biological processes, within the framework of
anti-tumour products; eg. antiangiogenic or antivascular
molecules. The benefits of this approach are substantial,
contributing significantly to a better understanding
and diagnosing pathological processes. Furthermore, it
leads to the development of new treatments as well as
monitoring their effect on patients.
It is easy to anticipate that these two concepts (that are
of course linked) will in the medium term considerably
contribute to advances in medical imaging:
•	
•	

•	
•	
•	

Medicine referred to as “personalized” requiring the
availability of validated biomarkers ;
“Theranostics” is the association of a targeted
therapeutic agent and an agent with a targeted
diagnostic application, or an agent contributing to
monitoring the efficacy of treatment.
Anatomical Imaging
Functional Imaging
Molecular Imaging

3
III. Inflammatory and
neuro-degenerative diseases
Key facts

Conclusion

In the USA & Europe, Alzheimer’s disease affects
more than 14 million people.

Since the early 2000’s, ESTERN Medical CRO has
contributed to major advances in clinical trials medical
Diagnostic Radiological Imaging to achieve improved
patients care throughout the world.

The total cost of healthcare for patients affected by
this disease is estimated at $100 billion US/Dlls per
year..
Needs
Contribute to early and reliable diagnosis of
Alzheimer’s disease to improve treatment responses.
Facilitate evaluation of the efficacy of new
treatments.
The Trial challenge
Develop a contrast agent to detect neural
inflammatory processes associated with Alzheimer’s
disease lesions.
Developing a specific product allowing direct
visualization of lesions and contributing to improve
monitoring of treatment.
A major research initiative
•	

Our goal is to push the boundaries of MRI
applications

•	

Contribute to the evolution of MRI to meet new
diagnostic requirements

•	

Move from anatomical to molecular imaging

•	

Increase sensitivity in contrast and spatial
resolution

•	

Meet the challenges posed by increased
magnetic fields

•	

Adopt an integrated vision of the technology
product machine concept

Through its recognized expertise in CT, PET and
MRI and its extensive product range (MRI and
Nuclear Medicine), ESTERN Medical assists in the
Pharmaceutical, Biotech & Medical Device R&D of
healthcare companies and professionals (radiologists,
cardiologist, oncologists...) in achieving better
diagnosis of patients and better targeting of their
treatment.
ESTERN Medical intends to deploy its scientific and
clinical expertise and innovation in the service of the
major Pharmaceutical and Medical Device health
care challenges of the 21st century. Our mission is to
guide, support and contribute as a CRO to advances
in diagnosing major pathologies by proposing
innovative and effective imaging trial solutions to
achieve improved patient care throughout the world.
We know that future products will target anomalies
at the molecular level and will make it possible to
apply personalized treatment solutions for highly
disabling pathologies. To achieve this objective and
invent a new generation of contrast agents, ESTERN
Medical Research and Clinical Development teams,
to maximize their own efforts at innovation, are
supported by many years of productive scientific
and technological partnerships, notably through
highly reputed international Research Networks of
Excellence.
This commitment to innovation focused on improving
the care and treatment provided to patients also
requires close collaboration with sponsors and clinical
practitioners.
Our Knowledge is in:
*Evaluating cardiovascular risk
*Achieving more precise diagnosis of tumors and
evaluating the therapeutic response
*Early detection of Alzheimer’s disease

5
Our Broad Radiological
Trial Experience
ESTERN Medical personnel and senior executive
management provide Pharmaceutical & Medical
Device companies with considerable experience using
radiological imaging as part of clinical trials.
In Latin America we have successfully managed a wide
range of radiological imaging studies across multiple
imaging modalities looking at a diverse a number of
indications; products that are now on the global market.

Our Net Radiological Imaging
Coverage Across Latin America
ESTERN Medical is able to offer scientific and senior team
members that not only have considerable hands-on clinical
trial experience, but who also have excellent relationships
with imaging investigators and key opinion leaders.
With rapid access to eligible patients across a wide
geographical area – ESTERN Medical has the unique
ability to tap into underutilized patient populations in
diverse locations in Latin America - which has allowed us
to build a reputation as the primary CRO to be relied upon
to meet or exceed patient recruitment targets.
This includes considerable experience in securing patients
for studies where timely recruitment has been a problem,
through opening up sites in new geographies and
working with clinical sites that have a track record for rapid
recruitment.
We utilize our proprietary database of key clinical sites
to drive recruitment targeting specific or general patient
populations for any indication.

6
Our CRO Advantage
With a heritage specializing in imaging, we have
Successfully managed more imaging compounds than
any other CRO across Latin America for Global Sponsors.
Our management team are respected professionals in
clinical imaging, regulatory affairs, radiology technology,
clinical operations, business development, and clinical
trial management.
Our local Monitors and Regulatory Affairs Associates in
each of the regional countries will expedite study startup and facilitate excellent relationships with the sites.
Our years of experience working in the emerging market
countries across Latin America and our excellent longterm relationships with the local regulators allows us to
offer rapid study start-up and provide access to qualified
sites with which we have successfully worked with on
numerous occasions. This enables us to provide our
sponsors with rapid patient recruitment and quality data
to assure a high standard of study conduct.
Our Strong Project Management ensures that studies
are run efficiently, maintaining consistency across sites
and providing quality deliverables. We offer highly
experienced professionals with many years of experience
to manage these studies, and to develop contingency
plans to assure timely completion of these studies within
budget and to the highest quality standards.

11
Our Partners, Alliances & Sponsors

Our Company International Reach!
*Boston & Cambridge (USA)

 *Mexico City (Mexico) - *Bogota (Colombia) - *Santiago (Chile) - 

*Buenos Aires (Argentina) - *Sao Paulo (Brazil)#

Our Corporate Mailing Address:#
ESTERN Medical#
955 Massachusetts Ave. No. 203 Cambridge, MA 02139 USA

Tel: +1 (617) 395-0204#
For more information on our CRO Services, please Contact Us at one of our Country office
locations or visit by Web: www.esternmedical.com #
E.mail us your inquiries at info@esternmedical.com

Follow Us

Follow Us

! !
!

Copyright, 2012 - 2014!
ESTERN Medical Corporation!

Follow Us

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ESTERN Medical CRO Therapeutic Brochure Diagnostic Imaging MRI/MRA/CT/ PET_2014_v1

  • 1. EM-No. V. 01 / 2014
  • 2. ESTERN Medical is the CRO of choice for Diagnostic Radiological Imaging Clinical Trial studies across Latin America. 2
  • 3. “Modern medicine can no longer limit its scope to purely anatomical imaging.” Dr. Jorge Estrella MD. President & Chief Medical Officer Molecular imaging makes it possible to visualize processes that are the very basis of life. The revolution within molecular biology has contributed in recent years to the development of imaging, making it possible to understand the inner mechanisms of cell function within its environment. The ability to be able to perform this identification within a living organism is the objective of molecular imaging. Major trends in molecular imaging diagnostic radiological imaging contribution to translational medicine The last 10 years have seen the emergence of a major conceptual change spanning across several medical disciplines. This movement has led to the creation of translational medicine. The concept of translational medicine is based on an effort to bridge preclinical and clinical trial phases for strictly similar biological targets (and consequently clinically pertinent) and on monitoring therapeutic treatments, both for developing new molecular entities and monitoring responses to treatment through biomolecules already on the market. Translational research constitutes a very positive trend for medical imaging, and in particular, molecular imaging. “Functional” imaging is currently in a phase of significant expansion in response to a need to describe with precision certain biological processes, within the framework of anti-tumour products; eg. antiangiogenic or antivascular molecules. The benefits of this approach are substantial, contributing significantly to a better understanding and diagnosing pathological processes. Furthermore, it leads to the development of new treatments as well as monitoring their effect on patients. It is easy to anticipate that these two concepts (that are of course linked) will in the medium term considerably contribute to advances in medical imaging: • • • • • Medicine referred to as “personalized” requiring the availability of validated biomarkers ; “Theranostics” is the association of a targeted therapeutic agent and an agent with a targeted diagnostic application, or an agent contributing to monitoring the efficacy of treatment. Anatomical Imaging Functional Imaging Molecular Imaging 3
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  • 5. III. Inflammatory and neuro-degenerative diseases Key facts Conclusion In the USA & Europe, Alzheimer’s disease affects more than 14 million people. Since the early 2000’s, ESTERN Medical CRO has contributed to major advances in clinical trials medical Diagnostic Radiological Imaging to achieve improved patients care throughout the world. The total cost of healthcare for patients affected by this disease is estimated at $100 billion US/Dlls per year.. Needs Contribute to early and reliable diagnosis of Alzheimer’s disease to improve treatment responses. Facilitate evaluation of the efficacy of new treatments. The Trial challenge Develop a contrast agent to detect neural inflammatory processes associated with Alzheimer’s disease lesions. Developing a specific product allowing direct visualization of lesions and contributing to improve monitoring of treatment. A major research initiative • Our goal is to push the boundaries of MRI applications • Contribute to the evolution of MRI to meet new diagnostic requirements • Move from anatomical to molecular imaging • Increase sensitivity in contrast and spatial resolution • Meet the challenges posed by increased magnetic fields • Adopt an integrated vision of the technology product machine concept Through its recognized expertise in CT, PET and MRI and its extensive product range (MRI and Nuclear Medicine), ESTERN Medical assists in the Pharmaceutical, Biotech & Medical Device R&D of healthcare companies and professionals (radiologists, cardiologist, oncologists...) in achieving better diagnosis of patients and better targeting of their treatment. ESTERN Medical intends to deploy its scientific and clinical expertise and innovation in the service of the major Pharmaceutical and Medical Device health care challenges of the 21st century. Our mission is to guide, support and contribute as a CRO to advances in diagnosing major pathologies by proposing innovative and effective imaging trial solutions to achieve improved patient care throughout the world. We know that future products will target anomalies at the molecular level and will make it possible to apply personalized treatment solutions for highly disabling pathologies. To achieve this objective and invent a new generation of contrast agents, ESTERN Medical Research and Clinical Development teams, to maximize their own efforts at innovation, are supported by many years of productive scientific and technological partnerships, notably through highly reputed international Research Networks of Excellence. This commitment to innovation focused on improving the care and treatment provided to patients also requires close collaboration with sponsors and clinical practitioners. Our Knowledge is in: *Evaluating cardiovascular risk *Achieving more precise diagnosis of tumors and evaluating the therapeutic response *Early detection of Alzheimer’s disease 5
  • 6. Our Broad Radiological Trial Experience ESTERN Medical personnel and senior executive management provide Pharmaceutical & Medical Device companies with considerable experience using radiological imaging as part of clinical trials. In Latin America we have successfully managed a wide range of radiological imaging studies across multiple imaging modalities looking at a diverse a number of indications; products that are now on the global market. Our Net Radiological Imaging Coverage Across Latin America ESTERN Medical is able to offer scientific and senior team members that not only have considerable hands-on clinical trial experience, but who also have excellent relationships with imaging investigators and key opinion leaders. With rapid access to eligible patients across a wide geographical area – ESTERN Medical has the unique ability to tap into underutilized patient populations in diverse locations in Latin America - which has allowed us to build a reputation as the primary CRO to be relied upon to meet or exceed patient recruitment targets. This includes considerable experience in securing patients for studies where timely recruitment has been a problem, through opening up sites in new geographies and working with clinical sites that have a track record for rapid recruitment. We utilize our proprietary database of key clinical sites to drive recruitment targeting specific or general patient populations for any indication. 6
  • 7. Our CRO Advantage With a heritage specializing in imaging, we have Successfully managed more imaging compounds than any other CRO across Latin America for Global Sponsors. Our management team are respected professionals in clinical imaging, regulatory affairs, radiology technology, clinical operations, business development, and clinical trial management. Our local Monitors and Regulatory Affairs Associates in each of the regional countries will expedite study startup and facilitate excellent relationships with the sites. Our years of experience working in the emerging market countries across Latin America and our excellent longterm relationships with the local regulators allows us to offer rapid study start-up and provide access to qualified sites with which we have successfully worked with on numerous occasions. This enables us to provide our sponsors with rapid patient recruitment and quality data to assure a high standard of study conduct. Our Strong Project Management ensures that studies are run efficiently, maintaining consistency across sites and providing quality deliverables. We offer highly experienced professionals with many years of experience to manage these studies, and to develop contingency plans to assure timely completion of these studies within budget and to the highest quality standards. 11
  • 8. Our Partners, Alliances & Sponsors Our Company International Reach! *Boston & Cambridge (USA)
  *Mexico City (Mexico) - *Bogota (Colombia) - *Santiago (Chile) - 
 *Buenos Aires (Argentina) - *Sao Paulo (Brazil)# Our Corporate Mailing Address:# ESTERN Medical# 955 Massachusetts Ave. No. 203 Cambridge, MA 02139 USA
 Tel: +1 (617) 395-0204# For more information on our CRO Services, please Contact Us at one of our Country office locations or visit by Web: www.esternmedical.com # E.mail us your inquiries at info@esternmedical.com Follow Us Follow Us ! ! ! Copyright, 2012 - 2014! ESTERN Medical Corporation! Follow Us