SlideShare a Scribd company logo
Novel
Biomarker
Firms

Specialty
Heart Labs

Mainstream

Alere

Atherotech

Mainframe diagnostics

BG Medicine

Aviir

BRAHMS

Berkeley Heart Laboratory

Critical Diagnostics
Boston Heart Diagnostics
diaDexus

POC diagnostics

CardioDx

•  In the US, there are about 50 million troponin, BNP, and
other cardiac assays performed annually. At a price of $6
to 25 per test, this equates to a current market of $300
million to $1.25 billion.

Hazard Ratio of 3 or Greater Required by
MDs to Use a Particular Assay

Estimated Required Hazard Ratio
Range

•  Moreover, if better biomarkers were available, market
research suggests that an additional 6 ½ million acute and
42 million chronic tests could be done for heart failure
discharge and monitoring for decompensation and
hospital readmission. The resulting potential market
would be $40 million to over $1 billion.

FFA Sciences
Cleveland Heart
Laboratory

LipoSciences

Health Diagnostic
Laboratory (HDL)

MedTest | Point Scientific

Singulex

Nexus Diagnostics

Extra-cellular
matrix
remodeling

Myocyte injury
and apoptosis

Ischemic Cluster
Reference laboratories

Oxidative
stress

Autoantibodies

Apo E genotype

MPO

AntioxLDL
Antitroponin

Extra-cardiac
involvement

Myocyte stress

Neurohormones

Cystatin C

(NTpro)BNP

Copeptin

Adiponectin

NGAL

MRproANP

ET-1

GlycoMark
®

RDW

GDF-15

MRproADM

UCN-1

LpPLa2

Genotyping

Deep vein
thrombosis

IL-6

ST2

Peripheral
arterial
disease

CRP

Troponin

9p21 Genotype
CYP2C19
Genotype

Pulmonary
embolism

Ischemic
stroke
Death rate / 100,000

KIF6 Genotype

LPA-Intron 25
Genotype

Multi-markers

LPA-Aspirin
Genotype

Heart disease

PTX3

Gene expression

Stroke

179

Cancer

TNF-a

CHD Risks
Smoker

173

25%

Corus® CAD
VAP® Test
HDL Map™

Lipids
(cholesterol)

Heart Failure 25%
readmission and 11%
death 30-day rates (22%
death at 1 year)

Inflammation

SLCO1B1
genotype
4q25-AF Risk
Genotype

Discharge of heart Failure Needs an Objective
Measurement, and MDs seem Willing to Move to a
Sufficiently Better Biomarker

Other

oxLDL

Galectin-3

Acute
coronary
syndrome

Cholesterol
Balance™
NMR
LipoProfile

uFFA

39

Lower respiratory

42

Injuries

High LDL

38

Diabetes

High blood
pressure

21

MIRISK®

Other

Source: AHA, ACC, NCHS, Van Kimmenade Clin Chem, market research

255

© 2013 Winton Gibbons

23%
12%

Some
risk
factor,
47%

No
risk
factor,
53%

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Cardiac biomarkers 111813

  • 1. Novel Biomarker Firms Specialty Heart Labs Mainstream Alere Atherotech Mainframe diagnostics BG Medicine Aviir BRAHMS Berkeley Heart Laboratory Critical Diagnostics Boston Heart Diagnostics diaDexus POC diagnostics CardioDx •  In the US, there are about 50 million troponin, BNP, and other cardiac assays performed annually. At a price of $6 to 25 per test, this equates to a current market of $300 million to $1.25 billion. Hazard Ratio of 3 or Greater Required by MDs to Use a Particular Assay Estimated Required Hazard Ratio Range •  Moreover, if better biomarkers were available, market research suggests that an additional 6 ½ million acute and 42 million chronic tests could be done for heart failure discharge and monitoring for decompensation and hospital readmission. The resulting potential market would be $40 million to over $1 billion. FFA Sciences Cleveland Heart Laboratory LipoSciences Health Diagnostic Laboratory (HDL) MedTest | Point Scientific Singulex Nexus Diagnostics Extra-cellular matrix remodeling Myocyte injury and apoptosis Ischemic Cluster Reference laboratories Oxidative stress Autoantibodies Apo E genotype MPO AntioxLDL Antitroponin Extra-cardiac involvement Myocyte stress Neurohormones Cystatin C (NTpro)BNP Copeptin Adiponectin NGAL MRproANP ET-1 GlycoMark ® RDW GDF-15 MRproADM UCN-1 LpPLa2 Genotyping Deep vein thrombosis IL-6 ST2 Peripheral arterial disease CRP Troponin 9p21 Genotype CYP2C19 Genotype Pulmonary embolism Ischemic stroke Death rate / 100,000 KIF6 Genotype LPA-Intron 25 Genotype Multi-markers LPA-Aspirin Genotype Heart disease PTX3 Gene expression Stroke 179 Cancer TNF-a CHD Risks Smoker 173 25% Corus® CAD VAP® Test HDL Map™ Lipids (cholesterol) Heart Failure 25% readmission and 11% death 30-day rates (22% death at 1 year) Inflammation SLCO1B1 genotype 4q25-AF Risk Genotype Discharge of heart Failure Needs an Objective Measurement, and MDs seem Willing to Move to a Sufficiently Better Biomarker Other oxLDL Galectin-3 Acute coronary syndrome Cholesterol Balance™ NMR LipoProfile uFFA 39 Lower respiratory 42 Injuries High LDL 38 Diabetes High blood pressure 21 MIRISK® Other Source: AHA, ACC, NCHS, Van Kimmenade Clin Chem, market research 255 © 2013 Winton Gibbons 23% 12% Some risk factor, 47% No risk factor, 53%