INRtracker.com Deck

Helping Patients Regulate Their INR
Helping Warfarin Patients Better
www.INRTracker.com
Manage Their INR
Veronica Coulombe Pavan Katepalli
Presented by: Veronica Coulombe & Pavan Katepalli
Co-founder & CEO Co-founder & CTO
Veronica.Coulombe@inrtracker.com | Pavan.Katepalli@inrtracker.com
Veronica.Coulombe@inrtracker.com Pavan.Katepalli@inrtracker.com
© Copyright 2013, INR Tracker, www.INRTracker.com
© Copyright 2013 | www.INRTracker.com

Mission
In 2004 and 2005, Warfarin was implicated in an annual average of 43,000 ER
visits for adverse drug events (ADE’s).

That’s second only to ADE’s involving insulin, and it doesn’t include Warfarin-
related ADE’s in hospitals, nursing homes, clinics, offices, or homes.*1+

www.INRTracker.com the
INR Tracker provides patients with
necessary tools and support to better manage
their Warfarin treatment

Problem
An INR test measures the clotting time of a patient’s blood. Warfarin, a blood
thinner used by over 2 million people in the US, requires several INR tests
each month.

Frequent testing is obligatory for Warfarin patients, because Warfarin
interacts with a variety of things:
– Food
www.INRTracker.com
– Prescription medicines
– Over-the-counter medicines
– Exercise
– Weather
– Menstruation
– And more…

Problem
Warfarin interactions can cause the drug to be more potent, which will
increase the clotting time, or less potent, which will decrease the clotting
time. Any change in the clotting time of blood that is outside the therapeutic
range will usually result in a drug dosage adjustment.
Helping Patients Regulateconsequences such as
Not having the appropriate drug dosage can have fatal
Their INR
severe bleeding and blood clots.

www.INRTracker.com
The burden of frequent INR tests can result in:
– Increased medical costs
– Reduced quality of life (e.g. lifestyle restrictions and increased
bleeding risk)
– Patient dissatisfaction (e.g. inconsistent INR’s)
– Discontinuation of therapy [2]

Solution
INR Tracker provides the necessary online tools for Warfarin patients to
monitor their at home activity and better manage Warfarin interactions.

Our current online tools allow patients
to record their:
– INR readings
– Doctor appointments
–
–
www.INRTracker.com
Drug dosages, missed dosages, extra dosages
Exercise
– Weight
– Additional custom notes
– The Vitamin K in 7,906 foods from the USDA’s
food database
– Alcohol intake
We built a minimum viability product to testCo-founder & CTO
Co-founder & CEO and de-risk our assumptions.

Target Market
Warfarin is the most commonly prescribed anticoagulant medicine on the
market. [3]
Roughly 2 million people take Warfarin each year in the United States. It is
prescribed to patients who are at risk of developing blood clots. These
conditions include:
– Atrial fibrillation (a type of abnormal heart beat)
www.INRTracker.com
– Recurrent strokes
– Deep venous thrombosis
– Pulmonary embolism
– Heart valve replacement recipient [4]

User Acquisition
Signups Per Month
120

100
80

60
www.INRTracker.com
40

20

0
1-Apr 1-May 1-Jun 1-Jul 1-Aug 1-Sep 1-Oct 1-Nov 1-Dec 1-Jan

User Acquisition
Unique Hits Per Month
4500
4000
3500
3000
2500
2000 www.INRTracker.com
1500
1000
500
0
1-Apr 1-May 1-Jun 1-Jul 1-Aug 1-Sep 1-Oct & CTO 1-Dec 1-Jan
Co-founder & CEO Co-founder 1-Nov

User Acquisition
Conversion % = (sign ups/unique hits) * 100% Per Month
10.00%
9.00%

8.00%
7.00%
6.00%
5.00%
4.00% www.INRTracker.com
3.00%
2.00%
1.00%
0.00%
Co-founder1-Apr 1-May 1-Jun 1-Jul 1-Aug 1-Sep 1-Oct & CTO 1-Dec 1-Jan
& CEO Co-founder 1-Nov

Competition
3quibits Vitamin K Tracker Dr Gourmet INR Tracker
Online Tools    
Apps    soon
Record INR history    
Record Doctors Appointments    
Record Drug Dosages
Record Missed Dosages








Record Extra Dosages    
Record Weight    
Record Exercise    
Record Weather
Custom Reports
www.INRTracker.com






soon

Email Reminders    soon
Track Vitamin K in Single Foods    
Track Vitamin C in Single Foods    
Track Vitamin E in Single Foods    
Create Custom Meals    soon
Find PremadeCoulombe
Veronica Recipes   Pavan Katepalli
 soon
Allows Social Communication    soon

Future Product Features
Website Mobile & Social
• Responsive website redesign • Smartphone application that will:
(demo) – Log food using an image snapshot
• Premium paid membership – Query the food database
– Account management ability
• Better reporting & nutrient
tracking • Social Network consisting of
www.INRTracker.com
• Text message alerts
support groups and user
submitted meals
• Email reminders
• Better doctor-to-patient
• Ability to create custom meals communication, articles written
and find pre made meals by doctors & nutritionists
• Dynamic diet plans (what to eat
Co-founder & CEO it)
and when to eat Co-founder & CTO

Team

Veronica Coulombe | Co-Founder & CEO
Front-End Developer
Learn more about me: Linked In

www.INRTracker.com
Pavan Katepalli | Co-Founder & CTO
Engineer
Learn more about me: Linked In | Blog


Financials
We take pride in being a lean startup. Total startup costs of INR
Tracker:

Helping Patients Date
Expense Regulate Their INR
Cost
Domain name 3/22/2012 $10
Hosting already existed $0
PHP scripts
www.INRTracker.com
3/25/2012 $65
SEO software already existed $0

Total
Veronica Coulombe Pavan Katepalli $75

Thank You
Thank you for taking the time to view this presentation!

Please contact us if you have any questions.
Veronica Coulombe, CEO
Veronica.Coulombe@gmail.com

www.INRTracker.com
Pavan Katepalli, CTO
PavanKat@gmail.com


Citations
1. Carlson, Bob. BioCommunications LLC, "Declaring War on Warfarin Misdosing." Last modified Jul-
Aug, 2008. Accessed April 24, 2012. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2706162/.

2. University of Pennsylvania School of Medicine , "Genotyped Guided Dosing of Warfarin Clinical Trial
Funding Opportunity - Central Laboratory RFP." Last modified July 16, 2008. Accessed April 24, 2012.
http://rt5.cceb.med.upenn.edu/warfdcc/WARF-1_pg5.html.

3. Helping Patients Regulate Their INR
IMS Institute for Healthcare Informatics, "The Use of Medicines in the United States: Review of
2011, Top Medicines by Prescriptions." Last modified February 17, 2012. Accessed April 24, 2012.
http://www.imshealth.com/ims/Global/Content/Insights/IMS Institute for Healthcare
Informatics/IHII_Medicines_in_U.S_Report_2011.pdf.

4. www.INRTracker.com
University of Wisconsin, Madison, "Pharmaceuticals in Historical Context, Warfarin: A Chapter in
International Standardization of Therapeutic Practices beyond a Commercialized Drug." Last modified
October 22-23, 2010. Accessed April 24, 2012.
http://www.pharmacy.wisc.edu/sites/default/files/private/american-institute-history-
pharmacy/AIHPconf2010.pdf.


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