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Consumer Genomics
 June 2009 Updates

  Simon Lin
Agenda
s   What is Consumer Genomics?
s   The Current Status of Consumer Genomics
s   Consumer Genomics and Translational Research
s   Ten Predictions by Bob Green at Harvard




                 “Consumer Genomics”   Simon Lin   June 2009
What is “consumer genomics”?




      “Consumer Genomics”   Simon Lin   June 2009
Current Status
s   More than 4,500 physicians have been trained by
    Navigenics Inc. through CME
s   About 500 attendees at the Consumer Genomics
    Conference, Boston, June 2009
s   Venture Capital firms are still investing
s   Consumer product companies, such as P&G, is
    using genomics in R&D, and maybe future product
    offerings



                 “Consumer Genomics”   Simon Lin   June 2009
Consumer Branding
            Navigenics       23andme       Sorenson        TruGeentics


Ancestry    NO               ✔             ✔


Health      ✔                ✔                             ✔


Paternity   NO                             ✔


Price       $2,499           $399          $149            $0




                     “Consumer Genomics”       Simon Lin          June 2009
Effect Size too Small?
 Environment
Risk Factor       Condition             Effect Size
Ex-smoker         T2D                   1.15
HDL<35mg/dl       CHD                   2.08
BMI>35            T2D                   42

 Gene
Risk Factor       Condition             Effect Size
PPARG             T2D                   1.53
MHC               RA                    5
APOE              AD                    18


                “Consumer Genomics”   Simon Lin       June 2009
Annotation of Evidences
s   Study Design:
    – Sample size
    – Population: ethnicity, gender, age
    – QC of the genotyping
s   Significance of the findings
    – Statistically significant: multiple testing; population
      stratification
    – Biologically sound




                     “Consumer Genomics”     Simon Lin          June 2009
Consumer Genomics Companies (CGCs) and
 Translational Research




             “Consumer Genomics”   Simon Lin   June 2009
CGCs have the Infrastructure




Biobank          Genotyping             Bioinformaitcs
               (CLIA-certified)


          “Consumer Genomics”     Simon Lin      June 2009
CGCs need the Revenue
s   IPO is unlikely for CGCs in the near future
s   If focusing on consumers
    – Assuming 10% profit margin of a $400 test
    – Needs 250,000 tests per year for $10M profit




                   “Consumer Genomics”   Simon Lin   June 2009
CGCs can make it more efficient
s   Grass-root organizations
    – patients like me. Com
    – Self-reported data
    – Prospective validation




                   “Consumer Genomics”   Simon Lin   June 2009
Ten Predictions from Bob Green
s   # of human genomes            s    Hospital will be sued by
s   Biomarker-driven                   not testing genes
    consumer products in          s    Microsoft will buy more
    the supermarket                    genomics
s   Larger GWAS studies           s    Facebook will be used
s   Market Channeling                  in marketing healthcare
                                       products
s   Point-of-Care
s   WG price: drop 2/3
                                  s    Multiple payer system



                 “Consumer Genomics”       Simon Lin    June 2009

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Consumer Genomics: Updates from the Boston Conference in 2009

  • 1. Consumer Genomics June 2009 Updates Simon Lin
  • 2. Agenda s What is Consumer Genomics? s The Current Status of Consumer Genomics s Consumer Genomics and Translational Research s Ten Predictions by Bob Green at Harvard “Consumer Genomics” Simon Lin June 2009
  • 3. What is “consumer genomics”? “Consumer Genomics” Simon Lin June 2009
  • 4. Current Status s More than 4,500 physicians have been trained by Navigenics Inc. through CME s About 500 attendees at the Consumer Genomics Conference, Boston, June 2009 s Venture Capital firms are still investing s Consumer product companies, such as P&G, is using genomics in R&D, and maybe future product offerings “Consumer Genomics” Simon Lin June 2009
  • 5. Consumer Branding Navigenics 23andme Sorenson TruGeentics Ancestry NO ✔ ✔ Health ✔ ✔ ✔ Paternity NO ✔ Price $2,499 $399 $149 $0 “Consumer Genomics” Simon Lin June 2009
  • 6. Effect Size too Small? Environment Risk Factor Condition Effect Size Ex-smoker T2D 1.15 HDL<35mg/dl CHD 2.08 BMI>35 T2D 42 Gene Risk Factor Condition Effect Size PPARG T2D 1.53 MHC RA 5 APOE AD 18 “Consumer Genomics” Simon Lin June 2009
  • 7. Annotation of Evidences s Study Design: – Sample size – Population: ethnicity, gender, age – QC of the genotyping s Significance of the findings – Statistically significant: multiple testing; population stratification – Biologically sound “Consumer Genomics” Simon Lin June 2009
  • 8. Consumer Genomics Companies (CGCs) and Translational Research “Consumer Genomics” Simon Lin June 2009
  • 9. CGCs have the Infrastructure Biobank Genotyping Bioinformaitcs (CLIA-certified) “Consumer Genomics” Simon Lin June 2009
  • 10. CGCs need the Revenue s IPO is unlikely for CGCs in the near future s If focusing on consumers – Assuming 10% profit margin of a $400 test – Needs 250,000 tests per year for $10M profit “Consumer Genomics” Simon Lin June 2009
  • 11. CGCs can make it more efficient s Grass-root organizations – patients like me. Com – Self-reported data – Prospective validation “Consumer Genomics” Simon Lin June 2009
  • 12. Ten Predictions from Bob Green s # of human genomes s Hospital will be sued by s Biomarker-driven not testing genes consumer products in s Microsoft will buy more the supermarket genomics s Larger GWAS studies s Facebook will be used s Market Channeling in marketing healthcare products s Point-of-Care s WG price: drop 2/3 s Multiple payer system “Consumer Genomics” Simon Lin June 2009