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- Harmonizing International Biobanking-
           Key to Global Science and Public Health




International Society for      European, Middle Eastern and
Biological and                 African Society for
Environmental Repositories     Biopreservation and Biobanking
www.isber.org                  www.esbb.orgRegional Chapter of ISBER



                        March 6, 2013
                     EU Parliament Session
                                                                 1
International Society for Biological and Environmental Repositories




is the leading international forum that addresses the
technical, legal, ethical, and managerial issues relevant to
repositories of biological and environmental specimens

Our mission is to create opportunities for sharing ideas
internationally, and harmonize approaches to evolving
challenges in biobanking, and biological and environmental
repository operation. ISBER fosters collaborations, creates
education and training opportunities, and provides an
international showcase for state-of-the art policies, processes,
and research
European, Middle Eastern&African Society forBiopreservation and Biobanking




                                      ESBB has an
                                      important
                                      regional focus
                                      for biobanking
                                      issueswithin the
                                      region of
                                      Europe, the
                                      Middle East
                                      and Africa
Major Goals of ISBER & ESBB



• Disseminate information on repository management

• Develop Best Practices

• Educate and Train on biobanking disciplines

• Provide a centralized information resource for repositories

• Unite members to address "hot button" topics

• Provide a voice for repositories to influence regulations to
  facilitate global research and collaboration
Our Members Represent a Wide Variety of Biorepositories

  •   Clinical-based biobanks/ tissue banks
  •   Population biobanks
  •   Culture collections
  •   Environmental biobanks
  •   Museum biobanks
  •   Biobanks of human, animal, plant and microbial
      samples
ISBER & ESBB Members Represent the Continuum of the
          Biobanking Chain in Health Care




           1.   Donors / Patients /Clinicans
           2.   Biobankers
           3.   Researchers / Academics / Industry
           4.   Vendors / Suppliers
           5.   Legal, Ethical, Social, Information Specialists
Collect/Process/Inventory/Store




 Biorepository
obtains informed                                                                      Search/Request
    consent



                           Biorepository Collection
       Develop                             Life Cycle                                     Evaluate
                                                                                            Use
New research protocols
                            Publish/ Submit to                           Distribute
New Clinical Application     Regulatory body
(diagnostic, prognostic,                            Analyze / Verify /
      therapeutic)                                      Validate
2012 ISBER Best Practices for Repositories


•   Specimen Collection, Processing, Storage And Retrieval
•   Legal And Ethical Issues in Biobanking
•   Specimen Access, Distribution, Use And Destruction

•   Repository Planning
     –   Facilities
     –   Storage Equipment And Environments
     –   Quality Management
     –   Safety                                   Effective Practices
     –   Records Management                       and Best Practices
     –   Biological Material Tracking             From Repositories
                                                   Across the Globe
•   Training
•   Cost Management & Sustainability
Focus on Education and Training


Educational workshops and webinars covering all areas
  of biobanking

Self assessment tool (SAT) to measure adherence to
  Best Practices

Encouraging the advancement and publication of quality
  biospecimen science on collection and handling
  practices.

Education to increase awareness of ethical, legal and
  social policy that affects biobanking

                                                         9
Tools for Collaborative Biobanking


SPREC - Standard PREanalyticalCode to annotate
preanalytical variations impacting biospecimen integrity

BRISQ – BiospecimenReporting for Improved Study Quality
to provide consistent and standardized information to better
evaluate, interpret, compare, and reproduce experimental
results

ISBER Proficiency Testing – focus on Intra- and Inter-
Laboratory Variability as well as sample variability to assure
comparability of samples and testing.
Global Working Initiatives – ISBER/ESBB


Facilitate International
Collaborationthroughharmonizationof IT and Data
forexchange

PromotecollaborationamongAcademia / Industry /
Government

Integrate Environmentaland Animal specimen
collectionpractices

Provideunique biospecimens locator for Rare Diseases

Focus on biobankinfrastructurebuilding in Africa and low
resourcecountries
World maps resized by a) population, b) burden of disease, c) density of
              medical schools, d) density of workforce
21st Century Personalized Medicine

20th Century (Not Sustainable)               21st Century

 Focus on treatment                 Focus on predisposition, early
                                      detection and biological
                                      processes
 Diagnosis based on                 Diagnosis based on molecular
  morphologic and pathologic          characterization and biological
  analysis                            processes


 Expensive; perpetuates             Evidence-based; continually
  unsuccessful approaches            assesses standard of care

 No systematic connection           Connects bench  bedside 
  between research,                   bench in seamless feedback loop
  preclinical trials and clinical
  care
                The Ideal: 21st Century Medicine that is
                 Predictive, Pre-emptive, Personalized

                                                   A.Barker, NCI
21st Century Personalized Medicine



 It is vital that as a community, we
    harmonize our processes and
procedures for Global biobanking in
           the 21st century.

  At stake is the pace -- and the
  ultimate success -- of our shift
towardstruly personalized medicine




                           A.Barker, NCI   14
Classification of Cancers
Cancer Phenotypes
Molecular Taxonomy Cancer “Biotypes”
From Generic to Precision Treatment
Industry Projections



                         Initiation of Biomarker Driven Clinical Trials                                            Demand for Biomaterials Outpacing Supply

                                       60                                                                         1,600
                                                                                                                                                              $2,583
                                                                                                                                                23.2%
# of Clinical Trials with Biomarkers




                                                                                                                            Non-commercial
                                                                                                                  1,400
                                       50                                                                                                       CAGR




                                                                                              Total Sales ($mm)
                                                                                                                            Commercial
                                                                                                                  1,200
                                       40
                                                                                                                  1,000
                                       30
                                                                                                                                   $840
                                                                                                                   800

                                       20
                                                                                                                   600

                                       10                                                                          400

                                       -                                                                           200

                                            <2009   2009         2010           2011
                                                                                                                     -

                                                                                                                                    2009                          2014

                         Source: Presentation by Biomerieux at the Biomarker World Congress                         Source: Visiongain. Biobanking for Medicine: Technology and
                         2012 (May 2012)                                                                            Market 2010-2025. 2011
Enabling Global Collaboration Effectively


Investment in the
harmonization of quality
biobanking practices is the
fuel for advancing
sustainable global public
health

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Harmonizing International Biobanking

  • 1. - Harmonizing International Biobanking- Key to Global Science and Public Health International Society for European, Middle Eastern and Biological and African Society for Environmental Repositories Biopreservation and Biobanking www.isber.org www.esbb.orgRegional Chapter of ISBER March 6, 2013 EU Parliament Session 1
  • 2. International Society for Biological and Environmental Repositories is the leading international forum that addresses the technical, legal, ethical, and managerial issues relevant to repositories of biological and environmental specimens Our mission is to create opportunities for sharing ideas internationally, and harmonize approaches to evolving challenges in biobanking, and biological and environmental repository operation. ISBER fosters collaborations, creates education and training opportunities, and provides an international showcase for state-of-the art policies, processes, and research
  • 3. European, Middle Eastern&African Society forBiopreservation and Biobanking ESBB has an important regional focus for biobanking issueswithin the region of Europe, the Middle East and Africa
  • 4. Major Goals of ISBER & ESBB • Disseminate information on repository management • Develop Best Practices • Educate and Train on biobanking disciplines • Provide a centralized information resource for repositories • Unite members to address "hot button" topics • Provide a voice for repositories to influence regulations to facilitate global research and collaboration
  • 5. Our Members Represent a Wide Variety of Biorepositories • Clinical-based biobanks/ tissue banks • Population biobanks • Culture collections • Environmental biobanks • Museum biobanks • Biobanks of human, animal, plant and microbial samples
  • 6. ISBER & ESBB Members Represent the Continuum of the Biobanking Chain in Health Care 1. Donors / Patients /Clinicans 2. Biobankers 3. Researchers / Academics / Industry 4. Vendors / Suppliers 5. Legal, Ethical, Social, Information Specialists
  • 7. Collect/Process/Inventory/Store Biorepository obtains informed Search/Request consent Biorepository Collection Develop Life Cycle Evaluate Use New research protocols Publish/ Submit to Distribute New Clinical Application Regulatory body (diagnostic, prognostic, Analyze / Verify / therapeutic) Validate
  • 8. 2012 ISBER Best Practices for Repositories • Specimen Collection, Processing, Storage And Retrieval • Legal And Ethical Issues in Biobanking • Specimen Access, Distribution, Use And Destruction • Repository Planning – Facilities – Storage Equipment And Environments – Quality Management – Safety Effective Practices – Records Management and Best Practices – Biological Material Tracking From Repositories Across the Globe • Training • Cost Management & Sustainability
  • 9. Focus on Education and Training Educational workshops and webinars covering all areas of biobanking Self assessment tool (SAT) to measure adherence to Best Practices Encouraging the advancement and publication of quality biospecimen science on collection and handling practices. Education to increase awareness of ethical, legal and social policy that affects biobanking 9
  • 10. Tools for Collaborative Biobanking SPREC - Standard PREanalyticalCode to annotate preanalytical variations impacting biospecimen integrity BRISQ – BiospecimenReporting for Improved Study Quality to provide consistent and standardized information to better evaluate, interpret, compare, and reproduce experimental results ISBER Proficiency Testing – focus on Intra- and Inter- Laboratory Variability as well as sample variability to assure comparability of samples and testing.
  • 11. Global Working Initiatives – ISBER/ESBB Facilitate International Collaborationthroughharmonizationof IT and Data forexchange PromotecollaborationamongAcademia / Industry / Government Integrate Environmentaland Animal specimen collectionpractices Provideunique biospecimens locator for Rare Diseases Focus on biobankinfrastructurebuilding in Africa and low resourcecountries
  • 12. World maps resized by a) population, b) burden of disease, c) density of medical schools, d) density of workforce
  • 13. 21st Century Personalized Medicine 20th Century (Not Sustainable) 21st Century  Focus on treatment  Focus on predisposition, early detection and biological processes  Diagnosis based on  Diagnosis based on molecular morphologic and pathologic characterization and biological analysis processes  Expensive; perpetuates  Evidence-based; continually unsuccessful approaches assesses standard of care  No systematic connection  Connects bench  bedside  between research, bench in seamless feedback loop preclinical trials and clinical care The Ideal: 21st Century Medicine that is Predictive, Pre-emptive, Personalized A.Barker, NCI
  • 14. 21st Century Personalized Medicine It is vital that as a community, we harmonize our processes and procedures for Global biobanking in the 21st century. At stake is the pace -- and the ultimate success -- of our shift towardstruly personalized medicine A.Barker, NCI 14
  • 17. Molecular Taxonomy Cancer “Biotypes”
  • 18. From Generic to Precision Treatment
  • 19. Industry Projections Initiation of Biomarker Driven Clinical Trials Demand for Biomaterials Outpacing Supply 60 1,600 $2,583 23.2% # of Clinical Trials with Biomarkers Non-commercial 1,400 50 CAGR Total Sales ($mm) Commercial 1,200 40 1,000 30 $840 800 20 600 10 400 - 200 <2009 2009 2010 2011 - 2009 2014 Source: Presentation by Biomerieux at the Biomarker World Congress Source: Visiongain. Biobanking for Medicine: Technology and 2012 (May 2012) Market 2010-2025. 2011
  • 20. Enabling Global Collaboration Effectively Investment in the harmonization of quality biobanking practices is the fuel for advancing sustainable global public health