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2015	
  =	
  An	
  Inflec-on	
  Point	
  for	
  Genomics:	
  	
  
Shi:ing	
  the	
  Global	
  Care	
  Paradigm	
  
Hannes	
  Smarason	
  
	
  
Genome	
  Sequencing	
  |Personalized	
  Medicine	
  |	
  Transforming	
  Health	
  Care	
  
Diagnosing	
  Rare	
  Diseases:	
  Genomics	
  
Goes	
  Global,	
  Shi:s	
  Paradigm	
  
•  Rare	
  diseases	
  are	
  an	
  area	
  of	
  significant	
  advancement	
  for	
  
genomics,	
  driven	
  by	
  the	
  important	
  goal	
  of	
  reaching	
  all	
  people	
  
around	
  the	
  world,	
  no	
  maAer	
  where	
  they	
  live	
  
	
  
•  AcCve	
  programs	
  are	
  underway	
  in	
  many	
  populous	
  countries	
  
around	
  the	
  world,	
  and	
  WuXi	
  NextCODE	
  has	
  established	
  
collaboraCve	
  efforts	
  on	
  three	
  conCnents,	
  most	
  recently	
  
adding	
  Fudan	
  Children’s	
  Hospital	
  as	
  a	
  partner	
  in	
  its	
  efforts	
  to	
  
lead	
  whole	
  genome	
  diagnosCcs	
  for	
  rare	
  diseases	
  in	
  China	
  
Global	
  Genomics:	
  Bringing	
  an	
  End	
  
to	
  Diagnos-c	
  Odysseys	
  
•  Across	
  the	
  globe,	
  every	
  day	
  there	
  are	
  new	
  cases	
  of	
  children	
  with	
  “unknown”	
  
diseases.	
  
–  Approximately	
  80%	
  are	
  related	
  to	
  a	
  hereditary	
  geneCc	
  disorder.	
  
–  Children	
  with	
  rare	
  diseases	
  and	
  their	
  families	
  oWen	
  spend	
  years	
  undergoing	
  tesCng	
  and	
  
experimental	
  treatments	
  for	
  a	
  wide	
  range	
  of	
  diseases.	
  
–  These	
  “diagnosCc	
  odysseys”	
  are	
  usually	
  accompanied	
  by	
  a	
  very	
  high	
  financial	
  and	
  emoConal	
  
burden.	
  
•  Genomics	
  can	
  deliver	
  a	
  correct	
  and	
  precise	
  diagnosis	
  for	
  rare	
  diseases	
  that	
  have	
  
iden-fiable	
  gene-c	
  causes.	
  
	
  	
  
•  The	
  benefits	
  of	
  genomics	
  in	
  rare	
  diseases	
  –	
  to	
  individuals,	
  their	
  families,	
  and	
  their	
  
physicians	
  –	
  are	
  increasingly	
  making	
  a	
  difference	
  to	
  paCents.	
  	
  These	
  benefits	
  are	
  
being	
  scaled	
  globally,	
  as	
  leading	
  medical	
  centers	
  in	
  many	
  countries	
  are	
  using	
  
genomics	
  to	
  support	
  diagnosis	
  and	
  treatment	
  of	
  rare	
  diseases.	
  
	
  	
  
	
  
Global	
  Genomics	
  in	
  2015:	
  
Governments	
  as	
  Catalysts	
  
•  Around	
  the	
  globe,	
  governments	
  are:	
  
–  AcCvely	
  promoCng	
  widespread	
  uClizaCon	
  of	
  genomics;	
  
–  SupporCng	
  academic	
  research;	
  
–  Establishing	
  industry	
  guidelines;	
  and	
  	
  
–  Raising	
  public	
  awareness.	
  
	
  
•  The	
  increasing	
  efforts	
  of	
  officials	
  worldwide	
  to	
  engage	
  
with	
  and	
  support	
  the	
  private	
  sector’s	
  tremendous	
  
potenCal	
  is	
  helping	
  to	
  drive	
  the	
  successful	
  use	
  and	
  
applicaCon	
  of	
  genomics	
  worldwide.	
  
Global	
  Genomics	
  in	
  2015:	
  
Governments	
  as	
  Catalysts	
  
A	
  few	
  of	
  this	
  year’s	
  highlights	
  in	
  the	
  United	
  States	
  
•  President	
  Obama	
  made	
  precision	
  health	
  one	
  of	
  the	
  centerpieces	
  of	
  his	
  
State	
  of	
  the	
  Union	
  address	
  in	
  January.	
  Obama’s	
  administraCon	
  is	
  
requesCng	
  a	
  $215M	
  investment	
  in	
  a	
  Precision	
  Medicine	
  IniCaCve	
  with	
  
the	
  following	
  key	
  aAributes:	
  
–  CollecCon	
  and	
  analysis	
  of	
  genomic	
  data	
  from	
  a	
  million	
  or	
  more	
  volunteers;	
  
–  Expanded	
  research	
  into	
  the	
  geneCc	
  mutaCons	
  that	
  drive	
  cancer;	
  
–  Funding	
  to	
  maintain	
  databases	
  and	
  develop	
  industry	
  standards.	
  
–  Through	
  the	
  NaConal	
  InsCtutes	
  of	
  Health	
  and	
  the	
  NaConal	
  Cancer	
  InsCtute,	
  the	
  federal	
  
government	
  proposed	
  dozens	
  of	
  new	
  funding	
  opportuniCes	
  to	
  support	
  research	
  in	
  geneCc	
  
sequencing	
  and	
  analysis.	
  
	
  
Global	
  Genomics	
  in	
  2015:	
  
Governments	
  as	
  Catalysts	
  
And	
  a	
  few	
  of	
  this	
  year’s	
  highlights	
  worldwide:	
  
•  Germany	
  and	
  the	
  U.K.	
  expanded	
  eligibility	
  for	
  government-­‐funded	
  geneCc	
  tesCng	
  
for	
  breast	
  cancer	
  paCents.	
  
•  Israel	
  announced	
  its	
  intent	
  to	
  establish	
  a	
  government-­‐sponsored	
  geneCc	
  database.	
  
•  Japan	
  launched	
  an	
  IniCaCve	
  on	
  Rare	
  and	
  Undiagnosed	
  Diseases	
  to	
  provide	
  genomic	
  
analysis	
  and	
  expert	
  consultaCon	
  for	
  up	
  to	
  1,000	
  individuals	
  with	
  childhood	
  onset	
  of	
  
undiagnosed	
  condiCons.	
  
•  Through	
  Genomics	
  England,	
  the	
  U.K.	
  Department	
  of	
  Health	
  tapped	
  WuXi	
  NextCODE	
  
and	
  others	
  to	
  begin	
  interpretaCon	
  in	
  its	
  groundbreaking	
  100,000	
  Genomes	
  Project.	
  
•  WuXi	
  NextCODE	
  and	
  the	
  Sidra	
  Medical	
  and	
  Research	
  Center	
  partnered	
  to	
  power	
  
populaCon	
  genomics	
  and	
  precision	
  medicine	
  in	
  Qatar.	
  Our	
  partnership	
  will:	
  
–  Facilitate	
  clinical	
  diagnosCcs;	
  
–  Accelerate	
  research;	
  and	
  
–  Support	
  the	
  Qatar	
  Genome	
  Project.	
  
Global	
  Genomics:	
  	
  
Game-­‐Changing	
  Poten-al	
  
•  Large-­‐scale	
  populaCon	
  studies	
  are	
  an	
  essenCal	
  step	
  in	
  
harnessing	
  the	
  power	
  of	
  genomics	
  to:	
  
–  End	
  diagnosCc	
  odysseys	
  for	
  rare	
  diseases;	
  and	
  	
  
–  Improve	
  health	
  worldwide.	
  	
  	
  
•  Since	
  WuXi	
  NextCODE’s	
  foundaConal	
  heritage	
  as	
  part	
  of	
  
deCODE	
  GeneCcs’	
  landmark	
  analysis	
  of	
  Icelanders,	
  we	
  have	
  
always	
  developed	
  the	
  tools	
  to	
  help	
  translate	
  sequence	
  data	
  
into	
  precision	
  medicine	
  on	
  a	
  large	
  scale.	
  	
  	
  
–  In	
  our	
  work	
  with	
  Genomics	
  England,	
  our	
  collaboraCon	
  with	
  Fudan	
  Children’s	
  
Hospital	
  to	
  diagnose	
  rare	
  diseases	
  in	
  China,	
  and	
  our	
  partnership	
  with	
  Sidra,	
  
WuXi	
  NextCODE	
  is	
  leading	
  the	
  effort	
  to	
  realize	
  the	
  potenCal	
  of	
  	
  
genomics	
  on	
  a	
  truly	
  global	
  scale.	
  	
  

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Hannes Smarason: 2015 = An Inflection Point in Genomics

  • 1. 2015  =  An  Inflec-on  Point  for  Genomics:     Shi:ing  the  Global  Care  Paradigm   Hannes  Smarason     Genome  Sequencing  |Personalized  Medicine  |  Transforming  Health  Care  
  • 2. Diagnosing  Rare  Diseases:  Genomics   Goes  Global,  Shi:s  Paradigm   •  Rare  diseases  are  an  area  of  significant  advancement  for   genomics,  driven  by  the  important  goal  of  reaching  all  people   around  the  world,  no  maAer  where  they  live     •  AcCve  programs  are  underway  in  many  populous  countries   around  the  world,  and  WuXi  NextCODE  has  established   collaboraCve  efforts  on  three  conCnents,  most  recently   adding  Fudan  Children’s  Hospital  as  a  partner  in  its  efforts  to   lead  whole  genome  diagnosCcs  for  rare  diseases  in  China  
  • 3. Global  Genomics:  Bringing  an  End   to  Diagnos-c  Odysseys   •  Across  the  globe,  every  day  there  are  new  cases  of  children  with  “unknown”   diseases.   –  Approximately  80%  are  related  to  a  hereditary  geneCc  disorder.   –  Children  with  rare  diseases  and  their  families  oWen  spend  years  undergoing  tesCng  and   experimental  treatments  for  a  wide  range  of  diseases.   –  These  “diagnosCc  odysseys”  are  usually  accompanied  by  a  very  high  financial  and  emoConal   burden.   •  Genomics  can  deliver  a  correct  and  precise  diagnosis  for  rare  diseases  that  have   iden-fiable  gene-c  causes.       •  The  benefits  of  genomics  in  rare  diseases  –  to  individuals,  their  families,  and  their   physicians  –  are  increasingly  making  a  difference  to  paCents.    These  benefits  are   being  scaled  globally,  as  leading  medical  centers  in  many  countries  are  using   genomics  to  support  diagnosis  and  treatment  of  rare  diseases.        
  • 4. Global  Genomics  in  2015:   Governments  as  Catalysts   •  Around  the  globe,  governments  are:   –  AcCvely  promoCng  widespread  uClizaCon  of  genomics;   –  SupporCng  academic  research;   –  Establishing  industry  guidelines;  and     –  Raising  public  awareness.     •  The  increasing  efforts  of  officials  worldwide  to  engage   with  and  support  the  private  sector’s  tremendous   potenCal  is  helping  to  drive  the  successful  use  and   applicaCon  of  genomics  worldwide.  
  • 5. Global  Genomics  in  2015:   Governments  as  Catalysts   A  few  of  this  year’s  highlights  in  the  United  States   •  President  Obama  made  precision  health  one  of  the  centerpieces  of  his   State  of  the  Union  address  in  January.  Obama’s  administraCon  is   requesCng  a  $215M  investment  in  a  Precision  Medicine  IniCaCve  with   the  following  key  aAributes:   –  CollecCon  and  analysis  of  genomic  data  from  a  million  or  more  volunteers;   –  Expanded  research  into  the  geneCc  mutaCons  that  drive  cancer;   –  Funding  to  maintain  databases  and  develop  industry  standards.   –  Through  the  NaConal  InsCtutes  of  Health  and  the  NaConal  Cancer  InsCtute,  the  federal   government  proposed  dozens  of  new  funding  opportuniCes  to  support  research  in  geneCc   sequencing  and  analysis.    
  • 6. Global  Genomics  in  2015:   Governments  as  Catalysts   And  a  few  of  this  year’s  highlights  worldwide:   •  Germany  and  the  U.K.  expanded  eligibility  for  government-­‐funded  geneCc  tesCng   for  breast  cancer  paCents.   •  Israel  announced  its  intent  to  establish  a  government-­‐sponsored  geneCc  database.   •  Japan  launched  an  IniCaCve  on  Rare  and  Undiagnosed  Diseases  to  provide  genomic   analysis  and  expert  consultaCon  for  up  to  1,000  individuals  with  childhood  onset  of   undiagnosed  condiCons.   •  Through  Genomics  England,  the  U.K.  Department  of  Health  tapped  WuXi  NextCODE   and  others  to  begin  interpretaCon  in  its  groundbreaking  100,000  Genomes  Project.   •  WuXi  NextCODE  and  the  Sidra  Medical  and  Research  Center  partnered  to  power   populaCon  genomics  and  precision  medicine  in  Qatar.  Our  partnership  will:   –  Facilitate  clinical  diagnosCcs;   –  Accelerate  research;  and   –  Support  the  Qatar  Genome  Project.  
  • 7. Global  Genomics:     Game-­‐Changing  Poten-al   •  Large-­‐scale  populaCon  studies  are  an  essenCal  step  in   harnessing  the  power  of  genomics  to:   –  End  diagnosCc  odysseys  for  rare  diseases;  and     –  Improve  health  worldwide.       •  Since  WuXi  NextCODE’s  foundaConal  heritage  as  part  of   deCODE  GeneCcs’  landmark  analysis  of  Icelanders,  we  have   always  developed  the  tools  to  help  translate  sequence  data   into  precision  medicine  on  a  large  scale.       –  In  our  work  with  Genomics  England,  our  collaboraCon  with  Fudan  Children’s   Hospital  to  diagnose  rare  diseases  in  China,  and  our  partnership  with  Sidra,   WuXi  NextCODE  is  leading  the  effort  to  realize  the  potenCal  of     genomics  on  a  truly  global  scale.