CRDN Summit – 23rd October 2017
Dr Ignacio Hernández Medrano
mendelian.co
GENOTYPE OUT
Mendelian streamlines the rare
disease diagnosis process
mendelian
PHENOTYPE IN
➔ Macrocephaly
➔ Hypertelorism
➔ Low set ears
➔ Glabellar hemangioma
➔ Capillary hemangiomas
➔ Ventricular septal defect
Example Patient: UDN Participant 5
Patient Phenotypes
Gender:
Male
Age:
8yrs
➔ Sotos syndrome
➔ PTEN-related condition
➔ Simpson-Golabi-Behmel
➔ Beckwith-Wiedemann
➔ Microdeletion/duplication
➔ Fragile X syndrome
➔ Noonan and Costello
Example Patient: UDN Participant 5
Patient Differential
Diagnosis
Gender:
Male
Age:
8yrs
TRY IT HERE: https://app.mendelian.co
Search for patient’s signs
using our smart index of
clinical features
Search for patient’s signs
using our smart index of
clinical features
Semantic relationships are inferred from our refined ontology
Search for patient’s signs
using our smart index of
clinical features
Semantic relationships are inferred from our refined ontology
All the diseases in our
database are ranked and the
top diseases are returned in
real-time
UDN Participant 5
ASXL1 - x.2424delC -
p.P808fs
UDN Diagnosis
Gender:
Male
Age:
8yrs
UDN Participant 5
Gender:
Male
Age:
8yrs
All of these signs
were present at
birth!
➔ Macrocephaly
➔ Hypertelorism
➔ Low set ears
➔ Glabellar hemangioma
➔ Capillary hemangiomas
➔ Ventricular septal defect
Patient Phenotypes
The Mendelian Engine
OPEN DATA
Aggregate Existing
The Mendelian Engine
Central Normalised
Repository
OPEN DATA
Aggregate Existing
CLINICAL DATA
Collect Clinical
The Mendelian Engine
Central Normalised
Repository
Empirical
Data Sources
OPEN DATA
Aggregate Existing
CLINICAL DATA NEW UNPUBLISHED DATA
Predict UndiscoveredCollect Clinical
The Mendelian Engine
Central Normalised
Repository
Semantic
Search Engine
Empirical
Data Sources
Benchmarking on 850 existing
diagnosed clinical cases
Benchmarking on 850 existing
diagnosed clinical cases
Constantly improving our accuracy
Unique Data Points in Millions
Best competitor
accuracy
0.5 0.5 2 2.2 2.7 4.6 4.7 5 7.1
Specialist referrals, investigations….
More referrals, more investigations
UNAWARE
AWARE
DIAGNOSED
MISDIAGNOSEDDIAGNOSTIC SEARCH
TREATMENT
The Rare Disease Patient Journey
The Rare Disease Patient Journey
UNAWARE AWARE DIAGNOSED
The Rare Disease Patient Journey
UNAWARE AWARE DIAGNOSED
Geneticists and Specialists
Primary Care Secondary & Tertiary Care
General Practitioners
The Rare Disease Patient Journey
UNAWARE AWARE DIAGNOSED
DIFFERENTIAL DIAGNOSIS
Geneticists and Specialists
Primary Care Secondary & Tertiary Care
General Practitioners
The Rare Disease Patient Journey
DIFFERENTIAL DIAGNOSIS
UNAWARE AWARE DIAGNOSED
GENES VARIANTS
INVESTIGATION
Geneticists and Specialists
Primary Care Secondary & Tertiary Care
General Practitioners
The Rare Disease Patient Journey
DIFFERENTIAL DIAGNOSIS
UNAWARE AWARE DIAGNOSED
GENES & VARIANTS INVESTIGATION
Geneticists and Specialists
Primary Care Secondary & Tertiary Care
General Practitioners
The Rare Disease Patient Journey
DIFFERENTIAL DIAGNOSIS
UNAWARE AWARE DIAGNOSED
GENES & VARIANTS INVESTIGATION
RARE DISEASE ALERTS
Geneticists and Specialists
Primary Care Secondary & Tertiary Care
General Practitioners
Geneticists and Specialists
Primary Care Secondary & Tertiary Care
The Rare Disease Patient Journey
DIFFERENTIAL DIAGNOSIS
General Practitioners
GENES & VARIANTS INVESTIGATION
RARE DISEASE ALERTS
UNAWARE AWARE DIAGNOSED
Where he have come,
and where we are going
Mendelian
Startup was set up
in 2015
App into beta testing
in 2016
App opened for free
online in early 2017
And now has
thousands of monthly
users from around the
world
More to come
We need you!
info@mendelian.co
https://app.mendelian.co
Any Questions?
mendelian.co

Ignacio Medrano Mendelian crdn summit 2017

  • 1.
    CRDN Summit –23rd October 2017 Dr Ignacio Hernández Medrano mendelian.co
  • 2.
    GENOTYPE OUT Mendelian streamlinesthe rare disease diagnosis process mendelian PHENOTYPE IN
  • 3.
    ➔ Macrocephaly ➔ Hypertelorism ➔Low set ears ➔ Glabellar hemangioma ➔ Capillary hemangiomas ➔ Ventricular septal defect Example Patient: UDN Participant 5 Patient Phenotypes Gender: Male Age: 8yrs
  • 4.
    ➔ Sotos syndrome ➔PTEN-related condition ➔ Simpson-Golabi-Behmel ➔ Beckwith-Wiedemann ➔ Microdeletion/duplication ➔ Fragile X syndrome ➔ Noonan and Costello Example Patient: UDN Participant 5 Patient Differential Diagnosis Gender: Male Age: 8yrs
  • 5.
    TRY IT HERE:https://app.mendelian.co
  • 6.
    Search for patient’ssigns using our smart index of clinical features
  • 7.
    Search for patient’ssigns using our smart index of clinical features Semantic relationships are inferred from our refined ontology
  • 8.
    Search for patient’ssigns using our smart index of clinical features Semantic relationships are inferred from our refined ontology All the diseases in our database are ranked and the top diseases are returned in real-time
  • 21.
    UDN Participant 5 ASXL1- x.2424delC - p.P808fs UDN Diagnosis Gender: Male Age: 8yrs
  • 24.
    UDN Participant 5 Gender: Male Age: 8yrs Allof these signs were present at birth! ➔ Macrocephaly ➔ Hypertelorism ➔ Low set ears ➔ Glabellar hemangioma ➔ Capillary hemangiomas ➔ Ventricular septal defect Patient Phenotypes
  • 25.
  • 26.
    OPEN DATA Aggregate Existing TheMendelian Engine Central Normalised Repository
  • 27.
    OPEN DATA Aggregate Existing CLINICALDATA Collect Clinical The Mendelian Engine Central Normalised Repository Empirical Data Sources
  • 28.
    OPEN DATA Aggregate Existing CLINICALDATA NEW UNPUBLISHED DATA Predict UndiscoveredCollect Clinical The Mendelian Engine Central Normalised Repository Semantic Search Engine Empirical Data Sources
  • 29.
    Benchmarking on 850existing diagnosed clinical cases
  • 30.
    Benchmarking on 850existing diagnosed clinical cases
  • 31.
    Constantly improving ouraccuracy Unique Data Points in Millions Best competitor accuracy 0.5 0.5 2 2.2 2.7 4.6 4.7 5 7.1
  • 33.
    Specialist referrals, investigations…. Morereferrals, more investigations UNAWARE AWARE DIAGNOSED MISDIAGNOSEDDIAGNOSTIC SEARCH TREATMENT The Rare Disease Patient Journey
  • 34.
    The Rare DiseasePatient Journey UNAWARE AWARE DIAGNOSED
  • 35.
    The Rare DiseasePatient Journey UNAWARE AWARE DIAGNOSED Geneticists and Specialists Primary Care Secondary & Tertiary Care General Practitioners
  • 36.
    The Rare DiseasePatient Journey UNAWARE AWARE DIAGNOSED DIFFERENTIAL DIAGNOSIS Geneticists and Specialists Primary Care Secondary & Tertiary Care General Practitioners
  • 37.
    The Rare DiseasePatient Journey DIFFERENTIAL DIAGNOSIS UNAWARE AWARE DIAGNOSED GENES VARIANTS INVESTIGATION Geneticists and Specialists Primary Care Secondary & Tertiary Care General Practitioners
  • 38.
    The Rare DiseasePatient Journey DIFFERENTIAL DIAGNOSIS UNAWARE AWARE DIAGNOSED GENES & VARIANTS INVESTIGATION Geneticists and Specialists Primary Care Secondary & Tertiary Care General Practitioners
  • 39.
    The Rare DiseasePatient Journey DIFFERENTIAL DIAGNOSIS UNAWARE AWARE DIAGNOSED GENES & VARIANTS INVESTIGATION RARE DISEASE ALERTS Geneticists and Specialists Primary Care Secondary & Tertiary Care General Practitioners
  • 40.
    Geneticists and Specialists PrimaryCare Secondary & Tertiary Care The Rare Disease Patient Journey DIFFERENTIAL DIAGNOSIS General Practitioners GENES & VARIANTS INVESTIGATION RARE DISEASE ALERTS UNAWARE AWARE DIAGNOSED
  • 41.
    Where he havecome, and where we are going Mendelian Startup was set up in 2015 App into beta testing in 2016 App opened for free online in early 2017 And now has thousands of monthly users from around the world More to come
  • 42.
  • 43.