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Disrupting Drug Discovery
– one rare disease at a time



• Jill Wood, Jonah’s Just Begun
• Sean Ekins, Phoenix Nest, Inc.
Jonah Wood Weishaar DOB 7/30/08
           DX’d MPSIIIC 5/6/2010
Jonah was born happy and
healthy, with no complications.
He was A-symptomatic at the
time of DX and he still is,
but the clock is ticking...
A-Typical Diagnosis

New Pediatrician noted large head and suggested MRI.
MRI done at NYU, currently conducting ERT trial for MPSII.
MRI showed skull deformity consistent with MPS.
Geneticist tested for which MPS. Took 6 weeks from time of
MRI to final dx.
On avg. MPSIIIC children are dx’d at 6 years of age, when
cognitive skills slow down.
Proactive Clinicians
gave us the resources to hit the ground running...

          “No this does not have to be a death
          sentence.” “Cures that were thought
       impossible just a few years ago are a reality
                        today.”
           - David Karen, New York Methodist

 •    Pub Med Search
 Found papers on Sanfilippo and called the authors.
 Met scientists in person and established our scientific team.
                                                                           Thanks to our diagnosis team:
 •    MPS Society
 Member Registry, helped build our patient populations           -Dr. Hai Cao, pediatrician, Southslope Pediatrict’s,
 Media blitz, clinicians and FB built the rest of our PP             -Dr. Romaine Schubert, Neurologist NYM
 •    Clinician Referalls                                                -Dr. David Karen, Geneticist NYM
 Created our scientific advisory board                                 -Erin Carney, Genetic Counselor NYM
 Hosted our first patient population meeting.
 Where we identified the most relevant approaches: get the
 enzyme back in, remove the substrate or fix the mutation.
Partnering with: SAB & Clinicians


Find your patient population.
Locate the scientists interested in
MPSIII.
Prepare for your NHS.
                                                    We did all these things....
Reach out to supporting               Our first patient population meeting was held at
                                          Columbia Presbyterian, with JJB’s SAB.
organization’s.
Host a Patient Population meeting.    We identified three approaches: get the enzyme
                                          back in, reduce the substrate or fix the
                                          mutation.
Partnered with like minded parents
          JLK-Sanfilippo         Sanfilippo Barcelona,
       Research Foundation               Spain




        Jonah’s Just                 Sanfilippo Sud,
          Begun                         France
Partnered with Scientists

Scientist                      Science
Alexey Pshezhetsky, Canada     AAV gene therapy, Chaperones (missense
                               and splicesite), Novel (upregulation)
Brian Bigger, UK               AAV gene therapy
Daniel Grinberg, Spain         Correction of nonsense mutations
Alessandro Fraldi, Italy       Novel (optimized fusogenic liposomes)
Andrea Ballabio, Italy         TFEB
Jerome Ausille, France         Novel
Partnering with other Organizations
            My Support Staff....
Partnering 4 Cures
RARE Global Genes Project
RDLA EveryLife Foundation
Open Drug Discovery Teams
MPS Societies

While waiting for the science.
Remove the other obstacles,
leading to faster trial’s.
Early Diagnosis gave us
           Early Intervention & Prevention
Upon DX, we placed tubes in Jonah’s ears, preventing hearing
loss.

Speech therapy brought Jonah’s language to where it should
be.

We now know to watch for serious medical issues.

We had a 25% chance of having a second sick child.

Jonah remains the youngest child diagnosed with MPSIIIC.

Because of Jonah, the World has research for potential
treatments for MPSIIIC.

Jonah will now see a treatment in his life time
Partnering at P4C 2011
                 Sean has helped by:
Encouraging me to create a virtual biotech.

Writing SBIR grants with JJB’s scientists.

Reviewing our research, finding new ways to increase
   productivity.

Forcing the issue of open science, through his work
   with ODDT.

Bringing more exposure to JJB through publications
Phoenix Nest
Phoenix Nest

SAB                                   BOD
• Robert Steiner, (Oregon Health      •   Jill Wood, (CEO)
  and Science University)                 Bernard Munos, (Founder InnoThink)
  Elsa Shapiro, (Professor,               Nicole Boice, (Children’s RARE Disease
                                          Network )
  Neuropsychology Director,               Renée J. G. Arnold, PharmD, RPh (IMS
  University of Minnesota)                Consulting Group)
  Ozlem Goker-Alpan, (O&O Alpan,          Joseph Corkery, (VP, Business
  LLC)                                    Development, OpenEye)
  Alexey Pshezhetsky, (Prof,              Graciana Diez-Roux, (Chief Scientific
                                          Officer and PhD Programammes Dean,
  University of Montreal)                 TIGEM)
  Brian Bigger, (Senior Research
  Fellow, University of Manchester)
Can we foster:

New ways to do research    Sharing data openly
Can we foster:

    Disruption
•   #1: NIH and other international scientific funding bodies
    should mandate …open accessibility for all data generated
    by publicly funded research.
•   #2: Reboot the pharmaceutical industry by extending the
    notion of ‘‘precompetitive’’ collaboration to encompass
    later stages of research to allow PPPs to flourish.
•   #3: FDA takes a proactive role in making relevant clinical
    data available that will help all drug developers (as well as
    NCATS) to bridge the valley of death and remove a
    bottleneck.
•   #4: Companies listen to the patients as they generate data
    on social media, mine it for indications and off target
    effects. Companies and funding bodies will find the
    innovators to exploit this information and use
    collaborative tools to share data
We developed an iOS mobile app (ODDT) to get visibility and
share knowledge *




                                              *With Alex Clark (Molecular
                                              Materials Informatics)

                                              Mol Informatics, 31: 585-597, 2012
                                              Drug Discovery Today, In press.
What we need from you
Remove barriers to finding more patients.
There is no newborn screening for MPSIIIC
There is no global registry for this disease
Facilities that can test for and dx patients can't refer the patients to centers of
      excellence, where they can be added to a registry, receive the healthcare
      they need or connect with other patients.

Funding for Research
NIH funding is not easily tapped into when all of your investigators are foreign.

Growth
To get off the kitchen table, JJB needs funding for additional fundraising staff
JJB driven by one unpaid, FTE - Jill
JJB and Phoenix Nest could accomplish more with bigger paid staff

What we need from you
We need at least a years funding for a CSO to coordinate research, identify and
    remove the obstacles, find CRO's, build equity etc.
We need a financial adviser to advise on PN's business development

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Disrupting drug discovery one disease at a time

  • 1. Disrupting Drug Discovery – one rare disease at a time • Jill Wood, Jonah’s Just Begun • Sean Ekins, Phoenix Nest, Inc.
  • 2. Jonah Wood Weishaar DOB 7/30/08 DX’d MPSIIIC 5/6/2010 Jonah was born happy and healthy, with no complications. He was A-symptomatic at the time of DX and he still is, but the clock is ticking...
  • 3. A-Typical Diagnosis New Pediatrician noted large head and suggested MRI. MRI done at NYU, currently conducting ERT trial for MPSII. MRI showed skull deformity consistent with MPS. Geneticist tested for which MPS. Took 6 weeks from time of MRI to final dx. On avg. MPSIIIC children are dx’d at 6 years of age, when cognitive skills slow down.
  • 4. Proactive Clinicians gave us the resources to hit the ground running... “No this does not have to be a death sentence.” “Cures that were thought impossible just a few years ago are a reality today.” - David Karen, New York Methodist • Pub Med Search Found papers on Sanfilippo and called the authors. Met scientists in person and established our scientific team. Thanks to our diagnosis team: • MPS Society Member Registry, helped build our patient populations -Dr. Hai Cao, pediatrician, Southslope Pediatrict’s, Media blitz, clinicians and FB built the rest of our PP -Dr. Romaine Schubert, Neurologist NYM • Clinician Referalls -Dr. David Karen, Geneticist NYM Created our scientific advisory board -Erin Carney, Genetic Counselor NYM Hosted our first patient population meeting. Where we identified the most relevant approaches: get the enzyme back in, remove the substrate or fix the mutation.
  • 5. Partnering with: SAB & Clinicians Find your patient population. Locate the scientists interested in MPSIII. Prepare for your NHS. We did all these things.... Reach out to supporting Our first patient population meeting was held at Columbia Presbyterian, with JJB’s SAB. organization’s. Host a Patient Population meeting. We identified three approaches: get the enzyme back in, reduce the substrate or fix the mutation.
  • 6. Partnered with like minded parents JLK-Sanfilippo Sanfilippo Barcelona, Research Foundation Spain Jonah’s Just Sanfilippo Sud, Begun France
  • 7. Partnered with Scientists Scientist Science Alexey Pshezhetsky, Canada AAV gene therapy, Chaperones (missense and splicesite), Novel (upregulation) Brian Bigger, UK AAV gene therapy Daniel Grinberg, Spain Correction of nonsense mutations Alessandro Fraldi, Italy Novel (optimized fusogenic liposomes) Andrea Ballabio, Italy TFEB Jerome Ausille, France Novel
  • 8. Partnering with other Organizations My Support Staff.... Partnering 4 Cures RARE Global Genes Project RDLA EveryLife Foundation Open Drug Discovery Teams MPS Societies While waiting for the science. Remove the other obstacles, leading to faster trial’s.
  • 9. Early Diagnosis gave us Early Intervention & Prevention Upon DX, we placed tubes in Jonah’s ears, preventing hearing loss. Speech therapy brought Jonah’s language to where it should be. We now know to watch for serious medical issues. We had a 25% chance of having a second sick child. Jonah remains the youngest child diagnosed with MPSIIIC. Because of Jonah, the World has research for potential treatments for MPSIIIC. Jonah will now see a treatment in his life time
  • 10. Partnering at P4C 2011 Sean has helped by: Encouraging me to create a virtual biotech. Writing SBIR grants with JJB’s scientists. Reviewing our research, finding new ways to increase productivity. Forcing the issue of open science, through his work with ODDT. Bringing more exposure to JJB through publications
  • 12. Phoenix Nest SAB BOD • Robert Steiner, (Oregon Health • Jill Wood, (CEO) and Science University) Bernard Munos, (Founder InnoThink) Elsa Shapiro, (Professor, Nicole Boice, (Children’s RARE Disease Network ) Neuropsychology Director, Renée J. G. Arnold, PharmD, RPh (IMS University of Minnesota) Consulting Group) Ozlem Goker-Alpan, (O&O Alpan, Joseph Corkery, (VP, Business LLC) Development, OpenEye) Alexey Pshezhetsky, (Prof, Graciana Diez-Roux, (Chief Scientific Officer and PhD Programammes Dean, University of Montreal) TIGEM) Brian Bigger, (Senior Research Fellow, University of Manchester)
  • 13. Can we foster: New ways to do research Sharing data openly
  • 14. Can we foster: Disruption • #1: NIH and other international scientific funding bodies should mandate …open accessibility for all data generated by publicly funded research. • #2: Reboot the pharmaceutical industry by extending the notion of ‘‘precompetitive’’ collaboration to encompass later stages of research to allow PPPs to flourish. • #3: FDA takes a proactive role in making relevant clinical data available that will help all drug developers (as well as NCATS) to bridge the valley of death and remove a bottleneck. • #4: Companies listen to the patients as they generate data on social media, mine it for indications and off target effects. Companies and funding bodies will find the innovators to exploit this information and use collaborative tools to share data
  • 15. We developed an iOS mobile app (ODDT) to get visibility and share knowledge * *With Alex Clark (Molecular Materials Informatics) Mol Informatics, 31: 585-597, 2012 Drug Discovery Today, In press.
  • 16. What we need from you Remove barriers to finding more patients. There is no newborn screening for MPSIIIC There is no global registry for this disease Facilities that can test for and dx patients can't refer the patients to centers of excellence, where they can be added to a registry, receive the healthcare they need or connect with other patients. Funding for Research NIH funding is not easily tapped into when all of your investigators are foreign. Growth To get off the kitchen table, JJB needs funding for additional fundraising staff JJB driven by one unpaid, FTE - Jill JJB and Phoenix Nest could accomplish more with bigger paid staff What we need from you We need at least a years funding for a CSO to coordinate research, identify and remove the obstacles, find CRO's, build equity etc. We need a financial adviser to advise on PN's business development