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EXODON
Overview
Our Company

Exodon offers a novel combination of CRO services. Over the past several
years we have provided intelligent and creative solutions for accelerating
the clinical trial process by identifying and selecting investigator sites using
a proprietary internationally based site and patient recruitment database
model.

We also have been meeting the needs of pharmaceutical and nutraceutical
clients with smaller Phase I and II projects, bioequivalent, comparative
effectiveness and post-marketing clinical research projects offering a
timelier, cost-effective and comprehensive CRO solutions. We conduct the
majority of these studies in our own clinical research units located in the
USA, India, the Philippines and Argentina. This approach allows for far
more control over the project which reduces both errors and cost, allowing
for faster completion of the clinical research project.
Therapeutic Expertise


•   Oncology

•   Cardiovascular Diseases

•   CNS

•   Infectious Disease

•   Rheumatology

•   Endocrinology

•   Nutrition
History of Work
PRODUCTS AND SERVICES


   Patient Recruitment

   Site Selection and Management

   Comprehensive Product R & D CRO services for
    Phase I, II, PK/Bio-equivalence and IITs

   Outsourced Central and Field Medical Sales
    Representatives

   Exodon’s Patient Services Center™ offers:
    Healthcare/Lifescience Central Support Services
PRODUCT RESEARCH AND DEVELOPMENT
           DEPARTMENT
Product R & D Department

From Concept to Closeout

    Pre-clinical Studies

    Nutraceutical Division

    Phase I and II Division

    Bioequivalence/PK Division

    Investigator Initiated Trials Division

    Outsourced Sale Representatives for approved products
Product R & D Department

We offer a timelier, more cost-effective and comprehensive CRO solution
for our clients. We conduct the majority of these studies in our own clinical
research units with our in-house team of experts in pharmaceutical and
nutraceutical product development, pre-clinical and clinical research trials.

This approach allows for far more control over the project
which reduces both errors and cost, allowing for faster
completion of the clinical research project.

State of the Art Clinical Research Units (CRUs)
     India
     The Philippines
     USA
     Argentina
Product R & D Department

Pharmaceutical, Nutraceutical, Medical Food and Biotech Companies

 Many companies who make these products would love to test the safety
 and efficacy of their products. But without adequate R & D funding,
 which can often exceed several hundred thousand dollars to test their
 products, these manufacturers have been unable to clinically test their
 products - until now.

 Exodon, in its ongoing efforts to transform clinical research, has
 developed a cost effective way to test these dietary supplement,
 functional food, pharmaceutical and nutraceutical products and those
 that pass safety and efficacy testing, we design, develop, implement and
 mange the necessary clinical trial to test the efficacy of the product in
 humans. You just supply the product to be tested.
Product R & D Department

Phase I-II Studies
  Drug Design and Consultation

  Multinational Regulatory Affairs Filing

  Phase I-II Clinical Trials Management

  Drug Safety and Pharmacovigilance

  Medical Monitoring

  Data Capture and Management

  Statistical Analysis and Medical Writing
Product R & D Department

Bioequivalence Studies

 We offer you the opportunity to have your products undergo
 pharmacokinetic studies - the study of the mechanisms of absorption
 and distribution of an administered drug, the rate at which a drug action
 begins and the duration of the effect, the chemical changes of the
 substance in the body, and the effects and routes of excretion of the
 metabolites of the drug.
Product R & D Department

Investigator – Initiated Trials

Investigator Initiated Trials (IITs) are challenging as sponsors have to strike a
delicate balance between providing oversight while maintaining a “hands-
off” approach.
Exodon and ERA Clinical can offer the following:
   • Study design, protocol creation, CRF development and e-data mgt.
   • Regulatory document preparation and IRB Submission
   • Identification, selection, qualification and training of investigators
   • Contract negotiation and management
   • Monitor subject enrolment, and source document verification
   • Write the FSR and assist investigator with publications, posters & presentations
VALIDATE System® and VALtrack™ Site Selection
VALIDATE System® Site Database


   VALIDATE System® site database- this system identifies
    clinical trial sites with the necessary experience in the
    needed therapeutic area that likely has the necessary
    patient population for the study. The patient data from
    these sites can be searched by the study I/E criteria.
    Additionally we have various site metrics on these sites such
    as PI experience, on-site staffing, equipment at site or
    available, etc. Confirmation of patient population will be
    performed prior to site submission to the sponsor.
VALtrack™ site database



   VALtrack™ site database – is an international database of
    physicians per therapeutic area that we screen. All VT sites
    will be contacted, screened and validated by our medical
    liaison and study start up specialist teams to as part of the
    site feasibility process. Those sites that pass the screening
    for this study are moved into our VS site database, their
    patient data pre-screened and selected sites forwarded to
    the sponsor.
Exodon VALIDATE System® and VALtrack™
     Patient Recruitment Programs
Exodon’s VALIDATE System®
             Patient Recruitment Database

   Database includes searchable de-identified medical records
    of patients from multiple global regions that have pre-
    consented for participation in upcoming clinical research
    trials

   The patients in our VS database have authorized us and
    their treating doctors to find new diagnostic and treatment
    options relevant to their condition(s) by signing a HIPAA
    Authorization and pre-consent form. The pre-consent form
    is an Informed Consent without naming a specific trial.
Exodon VALtrack™
             Direct Patient Recruitment Database
          Contains Approximately 42 million Patients


   Is a much larger database of approximately 40 million patients,
    some who have opted in to participate in clinical trials.
   The patients in the database are not yet pre-consented or if they
    opted to participate in clinical trials we do not have access to their
    full medical records.
   We have various levels of diagnostic and clinical related information
    on our VT patients and the ability to pre-screen and pre-consent
    those who meet criteria for our clients’ trials. Those patients who
    meet criteria and want to participate in the trial are referred to the
    already enrolled study site.
Some Patient Recruitment Vignettes

       Pediatric Bipolar Disorder Phase III Trial
         Recruited 6 VS sites during site-selection with an average of 6 pre-consented
    Pts per site; 32 of these patients were successfully enrolled into this study shortly
    after their SIV. 4 pre-qualified patients per month were referred to sponsor sites
    throughout the length of this contract.

       PFO Migraine Phase III Trial
        Referred an average of 14 pre-consented and pre-qualified migraine patients
    each month to be screened at sponsor sites for a period of approx. 1 year.

       Hepatitis B Phase II Trial
         Successfully recruited 5 sites in Eastern Europe with approximately 50-60
          pre-
    consented patients and 3 sites in the US with 16 pre-qualified pts. Their patient
    enrollment was completed before the trial started.
Some Patient Recruitment Vignettes

       Cancer Pain Study
           2 network sites participated. Ranked the highest enrolling site in the
           multisite international trial.
       Chemotherapy induce nausea study
           3 network sites participated in the study. Ranked the highest enrolling site in the
           multisite international trial.


       Breast Cancer Study
           Joined the study in the late stages, but still had 14 out of 57 screened patients
           enrolled into the study.


       Ovarian Cancer Study
           1 network site participated – enrolled 4 patients
           Enrolled 3 patients from a database approach for Patient Recruitment for other study
           sites
Screening Centers


• Point of care centers that have the patient
  population needed for the trial , but not
  participating in clinical trials.
• Patients are pre-screened against the
  Inclusion/Exclusion criteria, and qualified candidates
  are referred to the nearest study site for final
  screening.
Referral Centers and Site Based
                     Patient Recruitment

   Patient Support Groups               Site-based
    and Community Outreach
                                          Using the searching software
    Programs                              built into our VALIDATE System
    Exodon has established                we have developed a quick and
    relationships with patient            effective method to help study
    support and advocacy groups           sites reach out within minutes
    worldwide who refer patients          to all their patients with the
    matching their medical profiles       study diagnosis. Either the site
    to different clinical trials          or Exodon’s doctors then
    opportunities.                        screen these patients for
                                          eligibility into the trial. This
                                          approach is coupled with
                                          proven trial promotional
                                          strategies at the site level.
Public Relations and Media-based
       Patient Recruitment
   PR, TV, Radio, and the Internet

                The director of this division has 20
                years experience in promoting clinical
                trials and new healthcare options thru
                strategic PR campaigns and broad
                based media. This division nicely
                supplements our database-driven
                patient recruitment solutions.
Patient Recruitment Performance-based Pricing

   VS and VT products                   Media-based
       Set-up and performance              Budget driven

   Screening Centers                    Site-selection
       Set-up and monthly fee              Screening fees
                                            Selection fee optional
   Referral Centers
       Per Active Center

              We use a shared-risk partnership model
              with our clients based on performance
Site Selection Metrics

   We use our Top 30 Model per Medical Discipline
       Model is expandable based on needs of client

   World Wide Study Center Options
       Asia and Asia-Pacific Region
       India
       Latin America
       Eastern and Western Europe
       US and Canada

   Sites are selected based on experience, ability to meet the study
    requirements and the number of pre-consented patients meeting the
    protocol’s requirements at each site
Site Selection Features & Benefits

   Systematic, comprehensive and objective method of identifying
    potential sites from Exodon’s Worldwide Network of Clinical
    Investigators.

   Potential Clinical Investigators are experienced in their field of medical
    specialization and can implement studies immediately.

   Complete investigator’s information on their medical practice, patients,
    study history, site facility, etc.

   Established professional and working relations for smooth coordination.

   Targets your precise therapeutic areas of interests/topics
Patient Services Center™ and Medical Sales
                    Representatives


   Our 1,000 seat clinically staff Patient Services Center™
    specializes in pre-screening patients for clinical trials,
    conducting healthcare assessment, medical triage and
    support services. All clinicians are supervised by doctoral-
    level supervisors

   Outsourced central and field sales representative to detail
    and sell client products globally to a wide network of
    healthcare practitioners
CRO Sales Outsourcing

Exodon’s central and
regional medical and            R International Network of Healthcare providers

nutraceutical sales             R Scientifically-trained sales and medical
representatives can             representatives!
educate, detail and sell your
                                R Experienced professionals across multiple
products to our global and      specialities
international network of
healthcare                      R Affordable and flexible purchasing options
practitioners.                  R Licensing agreements available


We offer full as well as
shared marketing and sales
programs to help you launch
or revive your product line.
Looking forward to working with you!

Exodon
US Headquarters
111 Howard Blvd
Mt. Arlington, NJ 07856
Contact No: 973-398-2900
www.exodon.com

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Exodon - Company Profile and Service Overview

  • 2. Our Company Exodon offers a novel combination of CRO services. Over the past several years we have provided intelligent and creative solutions for accelerating the clinical trial process by identifying and selecting investigator sites using a proprietary internationally based site and patient recruitment database model. We also have been meeting the needs of pharmaceutical and nutraceutical clients with smaller Phase I and II projects, bioequivalent, comparative effectiveness and post-marketing clinical research projects offering a timelier, cost-effective and comprehensive CRO solutions. We conduct the majority of these studies in our own clinical research units located in the USA, India, the Philippines and Argentina. This approach allows for far more control over the project which reduces both errors and cost, allowing for faster completion of the clinical research project.
  • 3. Therapeutic Expertise • Oncology • Cardiovascular Diseases • CNS • Infectious Disease • Rheumatology • Endocrinology • Nutrition
  • 5. PRODUCTS AND SERVICES  Patient Recruitment  Site Selection and Management  Comprehensive Product R & D CRO services for Phase I, II, PK/Bio-equivalence and IITs  Outsourced Central and Field Medical Sales Representatives  Exodon’s Patient Services Center™ offers: Healthcare/Lifescience Central Support Services
  • 6. PRODUCT RESEARCH AND DEVELOPMENT DEPARTMENT
  • 7. Product R & D Department From Concept to Closeout  Pre-clinical Studies  Nutraceutical Division  Phase I and II Division  Bioequivalence/PK Division  Investigator Initiated Trials Division  Outsourced Sale Representatives for approved products
  • 8. Product R & D Department We offer a timelier, more cost-effective and comprehensive CRO solution for our clients. We conduct the majority of these studies in our own clinical research units with our in-house team of experts in pharmaceutical and nutraceutical product development, pre-clinical and clinical research trials. This approach allows for far more control over the project which reduces both errors and cost, allowing for faster completion of the clinical research project. State of the Art Clinical Research Units (CRUs)  India  The Philippines  USA  Argentina
  • 9. Product R & D Department Pharmaceutical, Nutraceutical, Medical Food and Biotech Companies Many companies who make these products would love to test the safety and efficacy of their products. But without adequate R & D funding, which can often exceed several hundred thousand dollars to test their products, these manufacturers have been unable to clinically test their products - until now. Exodon, in its ongoing efforts to transform clinical research, has developed a cost effective way to test these dietary supplement, functional food, pharmaceutical and nutraceutical products and those that pass safety and efficacy testing, we design, develop, implement and mange the necessary clinical trial to test the efficacy of the product in humans. You just supply the product to be tested.
  • 10. Product R & D Department Phase I-II Studies Drug Design and Consultation Multinational Regulatory Affairs Filing Phase I-II Clinical Trials Management Drug Safety and Pharmacovigilance Medical Monitoring Data Capture and Management Statistical Analysis and Medical Writing
  • 11. Product R & D Department Bioequivalence Studies We offer you the opportunity to have your products undergo pharmacokinetic studies - the study of the mechanisms of absorption and distribution of an administered drug, the rate at which a drug action begins and the duration of the effect, the chemical changes of the substance in the body, and the effects and routes of excretion of the metabolites of the drug.
  • 12. Product R & D Department Investigator – Initiated Trials Investigator Initiated Trials (IITs) are challenging as sponsors have to strike a delicate balance between providing oversight while maintaining a “hands- off” approach. Exodon and ERA Clinical can offer the following: • Study design, protocol creation, CRF development and e-data mgt. • Regulatory document preparation and IRB Submission • Identification, selection, qualification and training of investigators • Contract negotiation and management • Monitor subject enrolment, and source document verification • Write the FSR and assist investigator with publications, posters & presentations
  • 13. VALIDATE System® and VALtrack™ Site Selection
  • 14. VALIDATE System® Site Database  VALIDATE System® site database- this system identifies clinical trial sites with the necessary experience in the needed therapeutic area that likely has the necessary patient population for the study. The patient data from these sites can be searched by the study I/E criteria. Additionally we have various site metrics on these sites such as PI experience, on-site staffing, equipment at site or available, etc. Confirmation of patient population will be performed prior to site submission to the sponsor.
  • 15. VALtrack™ site database  VALtrack™ site database – is an international database of physicians per therapeutic area that we screen. All VT sites will be contacted, screened and validated by our medical liaison and study start up specialist teams to as part of the site feasibility process. Those sites that pass the screening for this study are moved into our VS site database, their patient data pre-screened and selected sites forwarded to the sponsor.
  • 16. Exodon VALIDATE System® and VALtrack™ Patient Recruitment Programs
  • 17. Exodon’s VALIDATE System® Patient Recruitment Database  Database includes searchable de-identified medical records of patients from multiple global regions that have pre- consented for participation in upcoming clinical research trials  The patients in our VS database have authorized us and their treating doctors to find new diagnostic and treatment options relevant to their condition(s) by signing a HIPAA Authorization and pre-consent form. The pre-consent form is an Informed Consent without naming a specific trial.
  • 18. Exodon VALtrack™ Direct Patient Recruitment Database Contains Approximately 42 million Patients  Is a much larger database of approximately 40 million patients, some who have opted in to participate in clinical trials.  The patients in the database are not yet pre-consented or if they opted to participate in clinical trials we do not have access to their full medical records.  We have various levels of diagnostic and clinical related information on our VT patients and the ability to pre-screen and pre-consent those who meet criteria for our clients’ trials. Those patients who meet criteria and want to participate in the trial are referred to the already enrolled study site.
  • 19. Some Patient Recruitment Vignettes  Pediatric Bipolar Disorder Phase III Trial  Recruited 6 VS sites during site-selection with an average of 6 pre-consented Pts per site; 32 of these patients were successfully enrolled into this study shortly after their SIV. 4 pre-qualified patients per month were referred to sponsor sites throughout the length of this contract.  PFO Migraine Phase III Trial  Referred an average of 14 pre-consented and pre-qualified migraine patients each month to be screened at sponsor sites for a period of approx. 1 year.  Hepatitis B Phase II Trial  Successfully recruited 5 sites in Eastern Europe with approximately 50-60 pre- consented patients and 3 sites in the US with 16 pre-qualified pts. Their patient enrollment was completed before the trial started.
  • 20. Some Patient Recruitment Vignettes  Cancer Pain Study  2 network sites participated. Ranked the highest enrolling site in the  multisite international trial.  Chemotherapy induce nausea study  3 network sites participated in the study. Ranked the highest enrolling site in the  multisite international trial.  Breast Cancer Study  Joined the study in the late stages, but still had 14 out of 57 screened patients  enrolled into the study.  Ovarian Cancer Study  1 network site participated – enrolled 4 patients  Enrolled 3 patients from a database approach for Patient Recruitment for other study  sites
  • 21. Screening Centers • Point of care centers that have the patient population needed for the trial , but not participating in clinical trials. • Patients are pre-screened against the Inclusion/Exclusion criteria, and qualified candidates are referred to the nearest study site for final screening.
  • 22. Referral Centers and Site Based Patient Recruitment  Patient Support Groups  Site-based and Community Outreach Using the searching software Programs built into our VALIDATE System Exodon has established we have developed a quick and relationships with patient effective method to help study support and advocacy groups sites reach out within minutes worldwide who refer patients to all their patients with the matching their medical profiles study diagnosis. Either the site to different clinical trials or Exodon’s doctors then opportunities. screen these patients for eligibility into the trial. This approach is coupled with proven trial promotional strategies at the site level.
  • 23. Public Relations and Media-based Patient Recruitment  PR, TV, Radio, and the Internet The director of this division has 20 years experience in promoting clinical trials and new healthcare options thru strategic PR campaigns and broad based media. This division nicely supplements our database-driven patient recruitment solutions.
  • 24. Patient Recruitment Performance-based Pricing  VS and VT products  Media-based  Set-up and performance  Budget driven  Screening Centers  Site-selection  Set-up and monthly fee  Screening fees  Selection fee optional  Referral Centers  Per Active Center We use a shared-risk partnership model with our clients based on performance
  • 25. Site Selection Metrics  We use our Top 30 Model per Medical Discipline  Model is expandable based on needs of client  World Wide Study Center Options  Asia and Asia-Pacific Region  India  Latin America  Eastern and Western Europe  US and Canada  Sites are selected based on experience, ability to meet the study requirements and the number of pre-consented patients meeting the protocol’s requirements at each site
  • 26. Site Selection Features & Benefits  Systematic, comprehensive and objective method of identifying potential sites from Exodon’s Worldwide Network of Clinical Investigators.  Potential Clinical Investigators are experienced in their field of medical specialization and can implement studies immediately.  Complete investigator’s information on their medical practice, patients, study history, site facility, etc.  Established professional and working relations for smooth coordination.  Targets your precise therapeutic areas of interests/topics
  • 27. Patient Services Center™ and Medical Sales Representatives  Our 1,000 seat clinically staff Patient Services Center™ specializes in pre-screening patients for clinical trials, conducting healthcare assessment, medical triage and support services. All clinicians are supervised by doctoral- level supervisors  Outsourced central and field sales representative to detail and sell client products globally to a wide network of healthcare practitioners
  • 28. CRO Sales Outsourcing Exodon’s central and regional medical and R International Network of Healthcare providers nutraceutical sales R Scientifically-trained sales and medical representatives can representatives! educate, detail and sell your R Experienced professionals across multiple products to our global and specialities international network of healthcare R Affordable and flexible purchasing options practitioners. R Licensing agreements available We offer full as well as shared marketing and sales programs to help you launch or revive your product line.
  • 29. Looking forward to working with you! Exodon US Headquarters 111 Howard Blvd Mt. Arlington, NJ 07856 Contact No: 973-398-2900 www.exodon.com