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Developing Cures with
 Less Time & Capital:
 A New Research Model to
Accelerate Drug Development

       March 25, 2010
Margaret Anderson
              Executive Director, FasterCures
              Catalyzing efforts across sectors to
              improve the effectiveness and efficiency
              of the medical research enterprise
              Committed to analyzing barriers to
              progress and overcoming them through
              action
Agenda
   Overview of Research Development Process
   Panel Discussion
   Open Questions
Participants
   • Scott Johnson, President and Founder, Myelin Repair
     Foundation
   • Lesa Mitchell, Vice President, Advancing Innovation,
     Kauffman Foundation
   • Nancy Barrand, Special Adviser for Program
     Development, Robert Wood Johnson Foundation
   • Scott Cook, Co-founder of the Scott Cook & Signe Ostby
     Foundation and co-founder of Intuit Inc.
   • Host: Margaret Anderson, Executive Director of
     FasterCures
Scott Johnson
                Founder and President, Myelin Repair
                Foundation
                Waiting for a cure for MS since 1976
                Leading the way toward faster
                development of new treatments and cures
                for ALL diseases
Crisis in Health Care
    Effective new treatments for difficult diseases are
    far too slow in reaching patients who can’t afford
    to wait.
    The economic impact in the U.S. of these untreated
    diseases is estimated at $1.3 trillion annually.
    Shrinking pharma pipeline threatens industry.
    Shrinking venture capital funding for biotech
    startups.
Increasing R&D Spend, but Flat Results
 R&D spending has grown steadily…                                                         …but NME approvals relatively flat

                                                                                          No. of approvals
  ($B)                                                                                    140
  45



                                                        CAGR
                                                        11.3%
  30

                                                                                            70
                                                                                                                         INDs
                   R&D abroad                           CAGR
                                                        10.5%
  15


                                        Domestic R&D
                                                                                                                         NMEs

   0                                                                                         0
       ’91 ’92 ’93 ’94 ’95 ’96 ’97 ’98 ’99 ’00 ’01 ’02 ’03 ’04 ’05                               ’91 ’92 ’93 ’94 ’95 ’96 ’97 ’98 ’99 ’00 ’01 ’02 ’03 ’04 ’05

              1. IMDs (Incrementally Modified Drugs) are new derivatives, formulations and combinations
              2. NME (New Molecular Entities) include both chemical and biological therapeutic agents, excludes contrast agents and diagnostics
              Source: FDA, PhRMA 2005 Yearbook
Evolution of the Medical Research Enterprise


                        Paradigm
1940         2010
                          shift
Holistic Approach Manages to Milestones:
Accelerating Basic Science
Holistic Approach Manages to Milestones:
Building a Network of CROs
Holistic Approach Manages to Milestones:
Building Partnerships with Biopharma
Holistic Approach Manages to Milestones



               MRF ARC Model
Shifting the Paradigm:
Rapid Results at Far Lower Cost
    Published > 75 peer-reviewed scientific articles.
    Established first partnership with pharmaceutical
    company to review and validate academic discoveries.
     • Demonstrated that myelin can be repaired in animal models of
       MS.
     • Identified 144 discoveries that have the potential to repair
       myelin; prioritized top 20 discoveries to develop further.
     • Developed 24 new research tools.
     • Created significant intellectual property; 20 patentable
       inventions
Panelists
   • Scott Johnson, President and Founder, Myelin
     Repair Foundation
   • Lesa Mitchell, Vice President, Advancing
     Innovation, Kauffman Foundation
   • Nancy Barrand, Special Adviser for Program
     Development, Robert Wood Johnson Foundation
   • Scott Cook, Co-founder of the Scott Cook & Signe
     Ostby Foundation and co-founder of Intuit Inc.
Nancy Barrand
                Special Adviser for Program
                Development, Robert Wood Johnson
                Foundation
                Works to ensure health coverage for all
                Americans, improve the social factors that
                shape health for vulnerable populations,
                and support innovative ideas that can
                transform the future of health and health
                care
                Wants to make the research enterprise
                work faster and more openly to accelerate
                treatment discoveries and cures
Lesa Mitchell
                Vice President of Advancing Innovation,
                Ewing Marion Kauffman Foundation
                20 years experience in biotech and
                pharmaceutical entrepreneurship
                Committed to improving pathways that
                shepherd research from universities and
                labs through commercialization
Scott Cook
             Founder & Chairman of the Executive
             Committee - Intuit
             Board Member – Procter & Gamble,
             eBay, Intuit
             Catalyst of paradigm change in health
             care, education, and Internet access for
             the developing world
Panelists
   • Scott Johnson, President and Founder, Myelin
     Repair Foundation
   • Lesa Mitchell, Vice President, Advancing
     Innovation, Kauffman Foundation
   • Nancy Barrand, Special Adviser for Program
     Development, Robert Wood Johnson Foundation
   • Scott Cook, Co-founder of the Scott Cook & Signe
     Ostby Foundation and co-founder of Intuit Inc.
   • Host: Margaret Anderson, Executive Director of
     FasterCures
For More Information
  Carol Menaker
  carol@myelinrepair.org
  408-871-2410
  Myelin Repair Foundation
  http://myelinrepair.org
  http://wherearethecures.org

  Kelly Rohrs
  kelly.rohrs@edelman.com
  212-819-4852
  Edelman

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Developing Cures with Less Time & Capital:A New Research Model to Accelerate Drug Development

  • 1. Developing Cures with Less Time & Capital: A New Research Model to Accelerate Drug Development March 25, 2010
  • 2. Margaret Anderson Executive Director, FasterCures Catalyzing efforts across sectors to improve the effectiveness and efficiency of the medical research enterprise Committed to analyzing barriers to progress and overcoming them through action
  • 3. Agenda Overview of Research Development Process Panel Discussion Open Questions
  • 4. Participants • Scott Johnson, President and Founder, Myelin Repair Foundation • Lesa Mitchell, Vice President, Advancing Innovation, Kauffman Foundation • Nancy Barrand, Special Adviser for Program Development, Robert Wood Johnson Foundation • Scott Cook, Co-founder of the Scott Cook & Signe Ostby Foundation and co-founder of Intuit Inc. • Host: Margaret Anderson, Executive Director of FasterCures
  • 5. Scott Johnson Founder and President, Myelin Repair Foundation Waiting for a cure for MS since 1976 Leading the way toward faster development of new treatments and cures for ALL diseases
  • 6. Crisis in Health Care Effective new treatments for difficult diseases are far too slow in reaching patients who can’t afford to wait. The economic impact in the U.S. of these untreated diseases is estimated at $1.3 trillion annually. Shrinking pharma pipeline threatens industry. Shrinking venture capital funding for biotech startups.
  • 7. Increasing R&D Spend, but Flat Results R&D spending has grown steadily… …but NME approvals relatively flat No. of approvals ($B) 140 45 CAGR 11.3% 30 70 INDs R&D abroad CAGR 10.5% 15 Domestic R&D NMEs 0 0 ’91 ’92 ’93 ’94 ’95 ’96 ’97 ’98 ’99 ’00 ’01 ’02 ’03 ’04 ’05 ’91 ’92 ’93 ’94 ’95 ’96 ’97 ’98 ’99 ’00 ’01 ’02 ’03 ’04 ’05 1. IMDs (Incrementally Modified Drugs) are new derivatives, formulations and combinations 2. NME (New Molecular Entities) include both chemical and biological therapeutic agents, excludes contrast agents and diagnostics Source: FDA, PhRMA 2005 Yearbook
  • 8. Evolution of the Medical Research Enterprise Paradigm 1940 2010 shift
  • 9. Holistic Approach Manages to Milestones: Accelerating Basic Science
  • 10. Holistic Approach Manages to Milestones: Building a Network of CROs
  • 11. Holistic Approach Manages to Milestones: Building Partnerships with Biopharma
  • 12. Holistic Approach Manages to Milestones MRF ARC Model
  • 13. Shifting the Paradigm: Rapid Results at Far Lower Cost Published > 75 peer-reviewed scientific articles. Established first partnership with pharmaceutical company to review and validate academic discoveries. • Demonstrated that myelin can be repaired in animal models of MS. • Identified 144 discoveries that have the potential to repair myelin; prioritized top 20 discoveries to develop further. • Developed 24 new research tools. • Created significant intellectual property; 20 patentable inventions
  • 14. Panelists • Scott Johnson, President and Founder, Myelin Repair Foundation • Lesa Mitchell, Vice President, Advancing Innovation, Kauffman Foundation • Nancy Barrand, Special Adviser for Program Development, Robert Wood Johnson Foundation • Scott Cook, Co-founder of the Scott Cook & Signe Ostby Foundation and co-founder of Intuit Inc.
  • 15. Nancy Barrand Special Adviser for Program Development, Robert Wood Johnson Foundation Works to ensure health coverage for all Americans, improve the social factors that shape health for vulnerable populations, and support innovative ideas that can transform the future of health and health care Wants to make the research enterprise work faster and more openly to accelerate treatment discoveries and cures
  • 16. Lesa Mitchell Vice President of Advancing Innovation, Ewing Marion Kauffman Foundation 20 years experience in biotech and pharmaceutical entrepreneurship Committed to improving pathways that shepherd research from universities and labs through commercialization
  • 17. Scott Cook Founder & Chairman of the Executive Committee - Intuit Board Member – Procter & Gamble, eBay, Intuit Catalyst of paradigm change in health care, education, and Internet access for the developing world
  • 18. Panelists • Scott Johnson, President and Founder, Myelin Repair Foundation • Lesa Mitchell, Vice President, Advancing Innovation, Kauffman Foundation • Nancy Barrand, Special Adviser for Program Development, Robert Wood Johnson Foundation • Scott Cook, Co-founder of the Scott Cook & Signe Ostby Foundation and co-founder of Intuit Inc. • Host: Margaret Anderson, Executive Director of FasterCures
  • 19. For More Information Carol Menaker carol@myelinrepair.org 408-871-2410 Myelin Repair Foundation http://myelinrepair.org http://wherearethecures.org Kelly Rohrs kelly.rohrs@edelman.com 212-819-4852 Edelman