INR Tracker Deck

Helping Patients Regulate Their INR
Helping Warfarin Patients Better
www.INRTracker.com
Regulate 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 2012, INR Tracker, www.INRTracker.com
© Copyright 2012 | www.INRTracker.com

Mission
According to the New England Journal of Medicine, in
2009 there were nearly 100,000 adverse drug events
(ADE) in U.S. impacting adults ages 65 years and older.
Warfarin was the number one medication responsible for
those ADE’s, having caused roughly the same number of
www.INRTracker.com
hospitalizations as the other top three drugs combined.1

INR Tracker strives to provide patients with the
necessary tools and support to better manage their
Veronica Coulombe Warfarin treatment
Pavan Katepalli

Problem
• Warfarin requires patients to have several tests (INR’s) each month to
monitor the drugs function within the body. This burden on the patient
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 highly-efficacious therapy2
• Patients taking Warfarin have a difficult time managing the drug due to its
www.INRTracker.com
inherent volatility. Warfarin interacts with:
– Food
– Prescription medicines
– Over-the-counter medicines
– Exercise
– Weather
– Coulombe
VeronicaMenstruation Pavan Katepalli
– And more…

Solution / Assumptions
• Solution
– Provide patients with an at-home drug and dietary
management system to better handle their Warfarin
treatment and obtain a consistent INR
• Helping Patients
Assumptions Regulate Their INR
– Patients want a tool to help them record their Warfarin
treatment history
www.INRTracker.com
– Patients want a tool to help them manage their dietary
needs in conjunction with their Warfarin therapy
– Patients are willing to give effort to repeatedly record their
treatment history
– Coulombe
VeronicaDocumenting their treatment history Katepalli decrease
Pavan will help
Co-founder &burden of being on Warfarin by reducing doctor visits
the CEO Co-founder & CTO

Target Market
• Warfarin is the most commonly prescribed oral
anticoagulant medicine on the market3 and has been in
use since 1954
• Helping Patients Regulate Their INR
Roughly 2 million people take Warfarin each year in the
United States alone. It is prescribed to patients who are
at risk of developing blood clots. These conditions
include:
www.INRTracker.com
– Atrial fibrillation
– Recurrent strokes
– Deep venous thrombosis
– Pulmonary embolism
VeronicaHeart valve replacement4
– Coulombe Pavan Katepalli

Current Product
We built a minimum viability product to test and
de-risk our assumptions
Our current features enable patients to
document:
– INR readings
– Doctor appointments
– Drug dosages, missed dosages, extra
dosages
– Exercise
– Weight
www.INRTracker.com
– Additional custom notes
– The Vitamin K in 7,906 foods from the
USDA’s food database
– Alcohol intake

Veronica Coulombe documentation on
Patients can view the above
their personal color-coded calendar & via Pavan Katepalli
Co-founder & CEO
reports. Co-founder & CTO

Milestones
• Formed a solid team with
complementary skills User base as of
April 25, 2012
• Completed core
functionality of website
within 2 months of U.S.
conception Canada

• Acquired users
www.INRTracker.com U.K.
India
immediately upon launch
via organic methods
• Continued user growth
with repeat users

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 www.INRTracker.com
already existed $0
PHP scripts 3/25/2012 $65
SEO software already existed $0

Veronica Coulombe
Total Pavan Katepalli $75

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
Additional Website Features Mobile & Social
• Premium paid membership • Mobile apps to log food, check
• Better reporting & nutrient food database, and see overall
tracking calendar
• Text message alerts • Social Network consisting of
• Email reminders support
www.INRTracker.com badges, user
groups, Q&A,
• Weather & menstruation
written articles, user
logger
submitted meals
• Ability to create custom
• Better doctor patient
meals and find pre made
Veronica Coulombe communication, articles
Pavan Katepalli
meals
Co-founder & CEO written by doctors &
Co-founder & CTO
Veronica.Coulombe@inrtracker.com nutritionists
Pavan.Katepalli@inrtracker.com

Team
Veronica Coulombe | Co-Founder & CEO
B.A. in Women's & Gender Studies from Rutgers University.
Self taught front-end developer with technical skills including: Dreamweaver,
Photoshop, Microsoft Office 2007, XML, HTML, PHP, CSS.
Designed the UI and was integral in the product development, marketing, and
branding for INR Tracker.
In 2011 I found out the hard way that I have a genetic blood clotting disorder
called Factor V Leiden. As a patient of Warfarin, I quickly discovered how
difficult of a drug it is to manage. INR Tracker is designed for people like me to
better deal with the treatment process.
Learn more about me: Linked In
www.INRTracker.com
Pavan Katepalli | Co-Founder & CTO
B.A. in Mathematics from Rutgers University.
Self taught back-end developer with technical skills including: PHP, MySQL,
jQuery, phpMyAdmin.
Built a MVP in 2 months from conception and was crucial in the product
development and marketing for INR Tracker.
Veronica CoulombeHad a past startup that grew to 300+Pavan Katepallipress on Web Pro
News.
users and received

Co-founder & CEO Learn more about me: Linked In | Blog
Co-founder & CTO

Thank You
Thank you for taking the time to view this
presentation!
Please contact us if youRegulate Their INR
Helping Patients have any questions.
Veronica Coulombe, CEO
www.INRTracker.com
Veronica.Coulombe@inrtracker.com
Pavan Katepalli, CTO
Pavan.Katepalli@inrtracker.com

Citations
1. Budnitz, Daniel. New England Journal of Medicine, "Emergency Hospitalizations
for Adverse Drug Events in Older Americans." Last modified November 24, 2011.
Accessed April 24, 2012.
http://www.nejm.org/doi/full/10.1056/NEJMsa1103053.
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. IMS Institute for Healthcare Informatics, "The Use of Medicines in the United
States: Review of 2011, Top Medicines by Prescriptions." Last modified February
www.INRTracker.com
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. 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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