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“Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars...

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“Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars through the NIH's Phase II Competing Renewal program Adapted from a presentation to: Washington Technology Center SBIR Breakfast June 12, 2007 William Ross - Director of Software Engineering, Pathway MRI & Vice-President, VPDiagnostics [email protected] Dr. William Kerwin - Associate Professor, Vascular Imaging Laboratory, University of Washington [email protected]
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Page 1: “Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars through the NIH's Phase II Competing Renewal program Adapted.

“Paying for clinical trials with an SBIR grant”Our experience obtaining millions of dollars through the

NIH's Phase II Competing Renewal program

Adapted from a presentation to:

Washington Technology Center SBIR Breakfast

June 12, 2007

William Ross - Director of Software Engineering, Pathway MRI & Vice-President, VPDiagnostics

[email protected]

Dr. William Kerwin - Associate Professor, Vascular Imaging Laboratory,

University of Washington

[email protected]

Page 2: “Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars through the NIH's Phase II Competing Renewal program Adapted.

Background

● Vascular Imaging Lab (VIL) researchers developed advanced imaging technology to visualize and quantify atherosclerosis (hardening of the arteries)

● Dr. Kerwin of VIL teamed up with small businessPathway MRI and submitted Phase I & II SBIR proposals to NIH to fund commercialization of the technology

● A software product, the Pathway Carotid Artery Platform (PCAP), was successfully delivered at theend of Phase II

● PCAP was intended to help physicians identify patientsmost at risk for stroke

Page 3: “Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars through the NIH's Phase II Competing Renewal program Adapted.

● #3 cause of death

● #1 cause of long-term disability

● At least 88% caused by atherosclerotic plaque (“hardening of the arteries”)

● “Vulnerable” plaque in the Carotid artery breaks off, travels to brain, blocks blood vessels, causes stroke

Stroke Facts

Page 4: “Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars through the NIH's Phase II Competing Renewal program Adapted.

MRI imaging of Carotid plaque

Carotid plaque specimen

Carotid plaque MRI

Vulnerable plaque

(Display in “Notes” view for more information)

Page 5: “Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars through the NIH's Phase II Competing Renewal program Adapted.

PCAP 3D display of Carotid plaque

Vulnerable plaque

Page 6: “Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars through the NIH's Phase II Competing Renewal program Adapted.

SBIR Timeline

● Pathway/VIL SBIR Collaboration Agreement since 2002

● Pathway licensed VIL Intellectual Property (IP) in 2005

● 3 Patents Pending

● Phase I: $99K Developed image analysis algorithms

● Phase II: $940K Developed commercial product, submitted “clinical aid” 510K to FDA

● NIH/NHLBI funded Pathway MRI and VIL

(Display in “Notes” view for more information)

Page 7: “Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars through the NIH's Phase II Competing Renewal program Adapted.

Pathway MRI:● Had completed commercial software product: PCAP

● Had exclusive, worldwide license to UW Intellectual Property

● Had no FDA approval to market

● Was out of money

Result: ● Product & IP license sold to investor to create VPDiagnostics, Inc.

At conclusion of SBIR Phase II

(Display in “Notes” view for more information)

Page 8: “Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars through the NIH's Phase II Competing Renewal program Adapted.

Main Barrier to Commercial Success

● FDA approval as “Diagnostic” tool requires clinical trials

● Clinical trials require years to perform, cost millions of $

NIH SBIR Phase II Competing Renewal

=A way through the FDA barrier

(Display in “Notes” view for more information)

Page 9: “Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars through the NIH's Phase II Competing Renewal program Adapted.

“Activities supported by a competing continuation of a Phase II SBIR grant may include an extension and

expansion of preclinical research and development,

clinical testing, and other scientific research and

development activities that would ultimately be useful in

meeting the requirements and expectations of

Federal regulatory processes.”

SBIR Phase II Competing Renewal program

PA-06-079 - NIH/NIMH

(Display in “Notes” view for more information)

Page 10: “Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars through the NIH's Phase II Competing Renewal program Adapted.

Who is eligible:● SBIR/STTR Phase II grantees (still small business)

● NIH only (NIA, NIAAA, NIAID, NICHD, NIDA, NIDCD, NIDDK, NHLBI, NIMH, and NINDS)

● The product must be one for which Federal regulatory approval is required

● Product can be devices, drugs, vaccines, therapeutics, and medical implants

● Also supports continuing refinements to durable medical equipment (DME) designs

SBIR Phase II Competing Renewal

(Display in “Notes” view for more information)

Page 11: “Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars through the NIH's Phase II Competing Renewal program Adapted.

What is available:

● Up to $1M/year (varies by Institute/Center)

● Up to 3 years support

SBIR Phase II Competing Renewal

(Display in “Notes” view for more information)

Page 12: “Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars through the NIH's Phase II Competing Renewal program Adapted.

● Submitted Phase II Competing Renewal proposal 8/2005

● Enhance PCAP with:- Stroke Risk Score- 3D Surgical Planning Tool

● Perform multi-center clinical trial

● Obtain FDA approval

● Develop & validate Training Program

● Obtain procedure codes (CPT) and Medicare reimbursement codes (HCPCS)

● Requested $2.6M over 3 years

Our Phase II Competing Renewal Proposal

(Display in “Notes” view for more information)

Page 13: “Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars through the NIH's Phase II Competing Renewal program Adapted.

● Successful commercialization in Phase II

● Planned 510K FDA submission in Phase II

● Patent awarded in Phase II

● Intellectual Property license for VIL technology

● >$300K cost sharing

● Strong R&D proposal

● Training Course & Reimbursement

● Strong commercialization proposal

Proposal Highlights

Phase II Momentum:

Keep Momentum Going:

(Display in “Notes” view for more information)

Page 14: “Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars through the NIH's Phase II Competing Renewal program Adapted.

● CSR score of 216

● Reviewers focused exclusively on scientific issues

● NIH FY2006 budget cut = less SBIR $

● 12/2005 - NIH Program Director encouraged us to resubmit

Proposal Not Funded

(Display in “Notes” view for more information)

Page 15: “Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars through the NIH's Phase II Competing Renewal program Adapted.

● Addressed all reviewer comments

● Added Vascular Surgeon

● Added more patents

● Now had enhanced product with 3D display

● 510K submission to FDA complete

● Requested $2.87M

Resubmitted Proposal 4/2006

(Display in “Notes” view for more information)

Page 16: “Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars through the NIH's Phase II Competing Renewal program Adapted.

● CSR score of 153 (63 point improvement)

● Reviewers approved requested budget

● Phase II Competing Renewal grant for $2.93M awarded April 2007

Proposal Funded

(Display in “Notes” view for more information)

Page 17: “Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars through the NIH's Phase II Competing Renewal program Adapted.

● Significant post-Phase II funding is available from NIH

● Be patient, start process while in Phase II

● Cover all the commercialization issues, but remember that the science is what reviewers really care about

● Resubmission can pay off

Conclusion

(Display in “Notes” view for more information)

Page 18: “Paying for clinical trials with an SBIR grant” Our experience obtaining millions of dollars through the NIH's Phase II Competing Renewal program Adapted.

SBIR Phase II Competing Renewal

Official information:

PA-07-280 - NIH/CDC/FDA Omnibus Solicitation for SBIR

PHS 2007-2 - Omnibus Solicitation for SBIR/STTR Grant Applications

SBIR Consultant:

Dr. Alan [email protected](415) 883-3773


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