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Epatients on the Front Lines: Precision Medicine, the FDA, and Me

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Janet Freeman-Daily, MS, ENG Writer, Science Geek, Lung Cancer Patient February 19, 2015 Twitter: @JFreemanDaily blog: grayconnections.net
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Janet Freeman-Daily, MS, ENGWriter, Science Geek, Lung Cancer Patient

February 19, 2015

Twitter: @JFreemanDailyblog: grayconnections.net

Janet Freeman-Daily -- @JFreemanDaily -- grayconnections.net 2

http://maryrobinettekowal.com/journal/jay-lake-genome-scarf/

Janet Freeman-Daily -- @JFreemanDaily -- grayconnections.net 3

http://maryrobinettekowal.com/journal/jay-lake-genome-scarf/

http://www.youcaring.com/medical-fundraiser/sequence-a-science-fiction-writer/38705

My Lung Cancer Journey

© Janet Freeman-Daily 2015 -- @JFreemanDaily -- grayconnections.net 4

Stage 3aNSCLC

05/2011

5/2011 5/2012 5/2013 5/2014

© Janet Freeman-Daily 2015 -- @JFreemanDaily -- grayconnections.net 5

Stage 3aNSCLC

05/2011

Stage 3b/410/2011

Clinicians

My Lung Cancer Journey

chemo-rad

5/2011 5/2012 5/2013 5/2014

© Janet Freeman-Daily 2015 -- @JFreemanDaily -- grayconnections.net 6

Stage 3aNSCLC

05/2011

Stage 3b/410/2011

Metastatic09/2012

Clinicianschemo-rad chemo rad

My Lung Cancer Journey

5/2011 5/2012 5/2013 5/2014

© Janet Freeman-Daily 2015 -- @JFreemanDaily -- grayconnections.net 7

Stage 3aNSCLC

05/2011

Stage 3b/410/2011

Metastatic09/2012

Clinicianschemo-rad

Patient

chemo rad

EGFR, ALK neg

Submit slides for

gene panel

Request pathology

results

10-gene panel neg

Interact with online lung cancer community and follow research developments

My Lung Cancer Journey

© Janet Freeman-Daily 2015 -- @JFreemanDaily -- grayconnections.net 8

Stage 3aNSCLC

05/2011

Stage 3b/410/2011

Metastatic09/2012

Clinicianschemo-rad

Patient

chemo rad

clinical trial (crizotinib for ROS1 NSCLC)

EGFR, ALK neg

Submit slides for

gene panel

Request pathology

results

Visit U of Colorado Hospitalrequest ROS1/RET tests

enroll in clinical trial

ROS1pos

10-gene panel neg

travel to site, take meds, labs/scans, track SEs

Interact with online lung cancer community and follow research developments

My Lung Cancer Journey

I’m Alive Thanks to Precision Medicine… and Other Patients

© Janet Freeman-Daily 2015 -- @JFreemanDaily -- grayconnections.net 9

Stage 3aNSCLC

05/2011

Stage 3b/410/2011

Metastatic09/2012

Clinicians

No Evidence of Disease since 12/31/2012

chemo-rad

Patient

chemo rad

clinical trial (crizotinib for ROS1 NSCLC)

EGFR, ALK neg

Submit slides for

gene panel

Request pathology

results

Visit U of Colorado Hospitalrequest ROS1/RET tests

enroll in clinical trial

ROS1pos

10-gene panel neg

travel to site, take meds, labs/scans, track SEs

Interact online with lung cancer patients and follow research developments

Janet Freeman-Daily -- @JFreemanDaily -- grayconnections.net 10

http://www.smartpatients.com/lung-cancer/trials

What is the purpose of a Clinical Trial?

EXPERIMENT TREATMENT & HOPE

©Janet Freeman-Daily -- @JFreemanDaily -- grayconnections.net 11Image Credits: Microsoft Powerpoint clipart

For Clinicians, Researchers, Pharma, Industry:

For Patients:

The Life Raft Group: gastrointestinal stromal tumors (GIST) Patients began sharing Gleevec trial experiences online in 2000

In 2001, published review of Gleevec side effects from patient viewpoint

Maintains largest patient-provided clinical database in world, including GIST tissue, patient history, side effects, relapse rates

Initiated “Project D-Day” in 2010 to sequence GIST genome , conduct gene knockdown studies, screen drugs, validate research

Janet Freeman-Daily -- @JFreemanDaily -- grayconnections.net 12http://liferaftgroup.org/

The new research model pioneered by the Life Raft Group is making it possible for patients and family members to contribute to clinical research for their diseases in unprecedented ways.

George Demetri, M.D., Medical Director, Center for Sarcoma and Bone Oncology at Dana-Farber Cancer Center

LeioMyoSarcomaDirect Research Foundation

Janet Freeman-Daily -- @JFreemanDaily -- grayconnections.net 13http://www.lmsdr.org/stanfordu.php

Janet Freeman-Daily -- @JFreemanDaily -- grayconnections.net 14http://dev.transparencyls.com/

ALCMIBiobank

Labs

• Online recruitment• Online consenting• Remote sample handling• Remote follow-up• Site coordination

ALCMI Project ManagerSite Coordinators

Clinicians

Genomics of Young Lung Cancer

Janet Freeman-Daily -- @JFreemanDaily -- grayconnections.net 15

Genomics of Young Lung Cancer

0

10

20

30

40

50

60

Projected

Actual

Janet Freeman-Daily -- @JFreemanDaily -- grayconnections.net 16

Patient Enrollment in Trial

Janet Freeman-Daily -- @JFreemanDaily -- grayconnections.net 17

https://www.change.org/p/protect-patient-access-to-precision-medicine-tell-fda-to-withdraw-proposed-ldt-regulations

Janet Freeman-Daily -- @JFreemanDaily -- grayconnections.net 18

http://www.ctti-clinicaltrials.org/home

Where to find epatients Research Advocacy Network

ePatient organizations -- Society for Participatory Medicine

Disease-specific advocacy organizations

ePatient advisory boards

Patient-centered conferences -- Stanford Medicine X

Healthcare chats on Twitter -- #LCSM, #HCLDR …

Patient blogs

Online patient forums and Facebook groups

Janet Freeman-Daily -- @JFreemanDaily -- grayconnections.net 19

Janet Freeman-Daily -- @JFreemanDaily -- grayconnections.net 20

Janet Freeman-Daily, MS, ENG

Writer, Science Geek, Lung Cancer PatientTwitter: @JFreemanDailyblog: grayconnections.net

[email protected]

Janet Freeman-Daily -- @JFreemanDaily -- grayconnections.net 21


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