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Translating a Trillion Points of
Open Data into Diagnostics, Therapies
and New Insights in Health and Disease
Atul Butte, MD, PhD
Chief Data Scientist, University of California Health (UC Health)
Director, Bakar Computational Health Sciences Institute, UCSF
Priscilla Chan and Mark Zuckerberg Distinguished Professor
Conflicts of Interest
• Scientific founder and
advisory board membership
– Genstruct
– NuMedii
– Personalis
– Carmenta
• Honoraria for talks
– Lilly
– Pfizer
– Siemens
– Bristol Myers Squibb
– AstraZeneca
– Roche
– Genentech
– Warburg Pincus
– CRG
– AbbVie
– Westat
• Past or present consultancy
– Lilly
– Johnson and Johnson
– Roche
– NuMedii
– Genstruct
– Tercica
– Ecoeos
– Helix
– Ansh Labs
– uBiome
– Prevendia
– Samsung
– Assay Depot
– Regeneron
– Verinata
– Pathway Diagnostics
– Geisinger Health
– Covance
– Wilson Sonsini Goodrich & Rosati
– Orrick
– 10X Genomics
– GNS Healthcare
– Gerson Lehman Group
– Coatue Management
• Corporate Relationships
– Northrop Grumman
– Genentech
– Optum
– Aptalis
– Allergan
– Astellas
– Thomson Reuters
– Intel
– SAP
– SV Angel
– Progenity
– Illumina
• Speakers’ bureau
– None
• Companies started by students
– Carmenta
– Serendipity
– Stimulomics
– NunaHealth
– Praedicat
– MyTime
– Flipora
– Tumbl.in
– Polyglot
– Iota Health
– Ongevity Health
@affymetrix
bit.ly/genedata
The Cancer Genome Atlas
• 14 thousand cases
• 39 types of cancers
• 13 types of data: molecular, clinical, sequencing
Cancer researchers share data
Genetics researchers share data
170 million substances x
1.1 million assays
More than a billion
measurements within a
grid of 190 trillion cells
122 million meet Lipinski 5
1 million active substances
Chemical biologists share data
Molecular
biologists
share data
Yes, clinical trialists can share data!
Download 300+ studies today
Clinical trials, new patient subsets,
digital comparative effectiveness, more
immport.org
Sanchita Bhattacharya
Elizabeth Thomson
10 reasons to share study data openly
• Reproducibility
• Transparency
• Support public policy
• Return data to the community
• Visibility into failed trials
• Speed results reporting
• Enable learning
• Enable new ventures
• New science
• Trust and Believability
Reproducibility
Transparency
Support public policy
Return data to
the community
Visibility into failed trials
Speed results reporting Enable new ventures
Enable learning
New Science
bit.ly/10kimpdf
http://10kimmunomes.org/
The 10,000 Immunome Project: From the control groups
of 242 manually curated experiments
Kelly Zalocusky
Sanchita Bhattacharya
@ImmPortDB
Share successful, failed, and so-so data
• Rituximab in ANCA-Associated Vasculitis (RAVE) trial of new approach to
the induction of remission
• But even though rituximab was found to be non-inferior than
cyclophosphamide, which drug is the right one to use?
Journal reputation is at a critical moment
• How are journals going to respond to professional skeptics?
• How does a journal respond to another journal’s editor criticizing approval?
• How will journals respond to health systems (like University of California) who will
now look at drug efficacy in real world clinical data? Will the data match?
• How will journals respond to payers incentivized to challenge expensive drug
approvals, who will now want to see the raw data? $Billions riding on these
papers.
• How will journals address the family ready to sell their house to pay for a drug for
their family member?
• How will journals counter when government officials label them “fake news”?
”Trust us, it works, we’ve looked at the data”?! Really?

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Presentation by Atul Butte at the NSTC Interagency Working Group on Biological Data Sharing

  • 1. Translating a Trillion Points of Open Data into Diagnostics, Therapies and New Insights in Health and Disease Atul Butte, MD, PhD Chief Data Scientist, University of California Health (UC Health) Director, Bakar Computational Health Sciences Institute, UCSF Priscilla Chan and Mark Zuckerberg Distinguished Professor
  • 2. Conflicts of Interest • Scientific founder and advisory board membership – Genstruct – NuMedii – Personalis – Carmenta • Honoraria for talks – Lilly – Pfizer – Siemens – Bristol Myers Squibb – AstraZeneca – Roche – Genentech – Warburg Pincus – CRG – AbbVie – Westat • Past or present consultancy – Lilly – Johnson and Johnson – Roche – NuMedii – Genstruct – Tercica – Ecoeos – Helix – Ansh Labs – uBiome – Prevendia – Samsung – Assay Depot – Regeneron – Verinata – Pathway Diagnostics – Geisinger Health – Covance – Wilson Sonsini Goodrich & Rosati – Orrick – 10X Genomics – GNS Healthcare – Gerson Lehman Group – Coatue Management • Corporate Relationships – Northrop Grumman – Genentech – Optum – Aptalis – Allergan – Astellas – Thomson Reuters – Intel – SAP – SV Angel – Progenity – Illumina • Speakers’ bureau – None • Companies started by students – Carmenta – Serendipity – Stimulomics – NunaHealth – Praedicat – MyTime – Flipora – Tumbl.in – Polyglot – Iota Health – Ongevity Health
  • 5. The Cancer Genome Atlas • 14 thousand cases • 39 types of cancers • 13 types of data: molecular, clinical, sequencing Cancer researchers share data
  • 7. 170 million substances x 1.1 million assays More than a billion measurements within a grid of 190 trillion cells 122 million meet Lipinski 5 1 million active substances Chemical biologists share data
  • 9. Yes, clinical trialists can share data! Download 300+ studies today Clinical trials, new patient subsets, digital comparative effectiveness, more immport.org Sanchita Bhattacharya Elizabeth Thomson
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  • 11. 10 reasons to share study data openly • Reproducibility • Transparency • Support public policy • Return data to the community • Visibility into failed trials • Speed results reporting • Enable learning • Enable new ventures • New science • Trust and Believability
  • 13. Visibility into failed trials Speed results reporting Enable new ventures Enable learning
  • 15. bit.ly/10kimpdf http://10kimmunomes.org/ The 10,000 Immunome Project: From the control groups of 242 manually curated experiments Kelly Zalocusky Sanchita Bhattacharya @ImmPortDB
  • 16. Share successful, failed, and so-so data • Rituximab in ANCA-Associated Vasculitis (RAVE) trial of new approach to the induction of remission • But even though rituximab was found to be non-inferior than cyclophosphamide, which drug is the right one to use?
  • 17. Journal reputation is at a critical moment • How are journals going to respond to professional skeptics? • How does a journal respond to another journal’s editor criticizing approval? • How will journals respond to health systems (like University of California) who will now look at drug efficacy in real world clinical data? Will the data match? • How will journals respond to payers incentivized to challenge expensive drug approvals, who will now want to see the raw data? $Billions riding on these papers. • How will journals address the family ready to sell their house to pay for a drug for their family member? • How will journals counter when government officials label them “fake news”? ”Trust us, it works, we’ve looked at the data”?! Really?