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The	
  Marriage	
  of	
  Transla/onal	
  Medicine	
  
  to	
  “Big	
  Data”:	
  Key	
  Opportuni/es	
  to	
  
      change	
  how	
  we	
  do	
  our	
  Science	
  



                  Stephen	
  H	
  Friend	
  
                    June	
  28,	
  2012	
  
                         WIN	
  	
  
Background:	
  Informa/on	
  Commons	
  for	
  Biological	
  Func/ons	
  
Oncogenes only make good targets in particular molecular
contexts : EGFR story

                             ERBB2
                                     •  EGFR	
  Pathway	
  commonly	
  mutated/ac/vated	
  in	
  Cancer	
  
 EGFRi             EGFR                  •  30%	
  of	
  all	
  epithelial	
  cancers	
  

         BCR/ABL
                                     •  Blocking	
  Abs	
  approved	
  for	
  treatment	
  of	
  metasta/c	
  
                                        colon	
  cancer	
  
              KRAS          NRAS
                                     •  Subsequently	
  found	
  that	
  RASMUT	
  tumors	
  don’t	
  respond	
  
                                        –	
  “Nega/ve	
  Predic/ve	
  Biomarker”	
  
                      BRAF

                                     •  However	
  s/ll	
  EGFR+	
  /	
  RASWT	
  pa/ents	
  who	
  don’t	
  
                     MEK1/2             respond?	
  –	
  need	
  “Posi/ve	
  Predic/ve	
  Biomarker”	
  

                                     •  And	
  in	
  Lung	
  Cancer	
  not	
  clear	
  that	
  RASMUT	
  status	
  is	
  
                   Proliferation,
                     Survival           useful	
  biomarker	
  


                                     Predic/ng	
  treatment	
  response	
  to	
  known	
  oncogenes	
  is	
  
                                     complex	
  and	
  requires	
  detailed	
  understanding	
  of	
  how	
  
                                     different	
  gene/c	
  backgrounds	
  func/on	
  
what will it take to understand disease?




	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  DNA	
  	
  RNA	
  PROTEIN	
  	
  

MOVING	
  BEYOND	
  ALTERED	
  COMPONENT	
  LISTS	
  
Familiar but Incomplete
Reality: Overlapping Pathways
Preliminary Probabalistic Models- Rosetta

                                                                          Networks facilitate direct
                                                                       identification of genes that are
                                                                               causal for disease
                                                                      Evolutionarily tolerated weak spots


                             Gene symbol   Gene name                   Variance of OFPM    Mouse   Source
                                                                       explained by gene   model
                                                                       expression*
                             Zfp90         Zinc finger protein 90      68%                 tg      Constructed using BAC transgenics
                             Gas7          Growth arrest specific 7    68%                 tg      Constructed using BAC transgenics
                             Gpx3          Glutathione peroxidase 3    61%                 tg      Provided by Prof. Oleg
                                                                                                   Mirochnitchenko (University of
                                                                                                   Medicine and Dentistry at New
                                                                                                   Jersey, NJ) [12]

                             Lactb         Lactamase beta              52%                 tg      Constructed using BAC transgenics
                             Me1           Malic enzyme 1              52%                 ko      Naturally occurring KO
                             Gyk           Glycerol kinase             46%                 ko      Provided by Dr. Katrina Dipple
                                                                                                   (UCLA) [13]
                             Lpl           Lipoprotein lipase          46%                 ko      Provided by Dr. Ira Goldberg
                                                                                                   (Columbia University, NY) [11]
                             C3ar1         Complement component        46%                 ko      Purchased from Deltagen, CA
                                           3a receptor 1
                             Tgfbr2        Transforming growth         39%                 ko      Purchased from Deltagen, CA
Nat Genet (2005) 205:370                   factor beta receptor 2
Extensive Publications now Substantiating Scientific Approach
              Probabilistic Causal Bionetwork Models
• >80 Publications from Rosetta Genetics


    Metabolic                "Genetics of gene expression surveyed in maize, mouse and man." Nature. (2003)
     Disease     "Variations in DNA elucidate molecular networks that cause disease." Nature. (2008)
                 "Genetics of gene expression and its effect on disease." Nature. (2008)
                 "Validation of candidate causal genes for obesity that affect..." Nat Genet. (2009)
                 ….. Plus 10 additional papers in Genome Research, PLoS Genetics, PLoS Comp.Biology, etc
   CVD                               "Identification of pathways for atherosclerosis." Circ Res. (2007)
                           "Mapping the genetic architecture of gene expression in human liver." PLoS Biol. (2008)
                                     …… Plus 5 additional papers in Genome Res., Genomics, Mamm.Genome

   Bone          "Integrating genotypic and expression data …for bone traits…" Nat Genet. (2005)
                                                            d
                 “..approach to identify candidate genes regulating BMD…" J Bone Miner Res. (2009)
   Methods       "An integrative genomics approach to infer causal associations ...”	
  Nat Genet. (2005)
                 "Increasing the power to detect causal associations… “PLoS Comput Biol. (2007)
                 "Integrating large-scale functional genomic data ..." Nat Genet. (2008)
                 …… Plus 3 additional papers in PLoS Genet., BMC Genet.
List of Influential Papers in Network Modeling




                                        50 network papers
                                        http://sagebase.org/research/resources.php
Sage Bionetworks
  A non-profit organization with a vision to enable networked team
         approaches to building better models of disease

      BIOMEDICINE INFORMATION COMMONS INCUBATOR

Building Disease Maps                               Data Repository




Commons Pilots                                     Discovery Platform
 Sagebase.org
Sage Bionetworks Collaborators

  Pharma Partners
     Merck, Pfizer, Takeda, Astra Zeneca,
      Amgen,Roche, Johnson &Johnson
  Foundations
     Kauffman CHDI, Gates Foundation

  Government
     NIH, LSDF, NCI

  Academic
     Levy (Framingham)
     Rosengren (Lund)
     Krauss (CHORI)

  Federation
     Ideker, Califano, Nolan, Schadt        12
Fundamentally	
  Biological	
  Science	
  hasn’t	
  changed	
  yet	
  because	
  of	
  
the	
  ‘Omics	
  Revolu/on……	
  


…..it	
  is	
  s/ll	
  about	
  the	
  process	
  of	
  linking	
  a	
  system	
  to	
  a	
  hypothesis	
  to	
  some	
  data	
  to	
  	
  
some	
  analyses	
  	
  




             Biological                                             Data                                                Analysis
              System
Driven	
  by	
  molecular	
  technologies	
  we	
  have	
  become	
  more	
  data	
  intensive	
  leading	
  to	
  
more	
  specializa/on:	
  data	
  generators	
  (centralized	
  cores),	
  data	
  analyzers	
  
(bioinforma/cians),	
  validators	
  (experimentalists:	
  lab	
  &	
  clinical)	
  
This	
  is	
  reflected	
  in	
  the	
  tendency	
  for	
  more	
  mul/	
  lab	
  consor/um	
  style	
  grants	
  in	
  
which	
  the	
  data	
  generators,	
  analyzers,	
  validators	
  may	
  be	
  different	
  labs.	
  

                  Single Lab Model                                                         Data

          •     R01 Funding
          •     Hypothesis->data->analysis->paper
          •     Small-scale data / analysis
          •     Reproducible?                                                 Biological              Analysis
                                                                               System




                 Multiple Lab Model
                                                                                            Data
           •    P01 Funding
           •    Hypothesis->data->analysis->paper
           •    Medium-scale data / analysis
           •    Data Generators/Analysts/Validators maybe
                different groups                                              Biological             Analysis
           •    Reproducible?                                                  System
Iterative Networked Approaches
To Generating Analyzing and Supporting New Models



                             Data




                Biological
                 System                Analysis




          Uncouple the automatic linkage between the
          data generators, analyzers, and validators	
  
Networked Approaches


           BioMedicine Information Commons
                                                                 Patients/
                                                                 Citizens
                Data
              Generators
                                       CURATED
                                         DATA
                                                                   Data
                                                   TOOLS/         Analysts

                                                  METHODS
                                RAW
                                DATA


                                           ANALYZES/
                                            MODELS


                   Clinicians


                                       SYNAPSE
                                                            Experimentalists
Networked Approaches                                                      2	
  
                                                    1	
  
                                                                       REWARDS	
  
                                                  USABLE	
  
                                                                     RECOGNITION	
  
                                                   DATA	
  


                                    BioMedical Information Commons
                                                                              Patients/
                                                                              Citizens
                    Data
                  Generators
                                              CURATED
                                                DATA
                                                                                Data
       5	
                                                  TOOLS/           3	
  
                                                                               Analysts

    REWARDS	
                                              METHODS       HOW	
  TO	
  
      FOR	
                            RAW                              DISTRIBUTE	
  
    SHARING	
                          DATA                                TASKS	
  

                                                  ANALYZES/
                                                   MODELS


                       Clinicians

                                  4	
  
                               PRIVACY	
      SYNAPSE
                                                                         Experimentalists
                               BARRIERS	
  
Open and Networked Approaches:Democratization of Science




                        1	
  
                      USABLE	
  
                       DATA	
  

                                      SYNAPSE	
  




                         2	
  
                      REWARDS	
  
                    RECOGNITION	
  
                                      SYNAPSE	
  
Two approaches to building common
             scientific and technical knowledge




                                        Every code change versioned
                                        Every issue tracked
Text summary of the completed project   Every project the starting point for new work
Assembled after the fact                All evolving and accessible in real time
                                        Social Coding
Synapse is GitHub for Biomedical Data




                                                   Every code change versioned
                                                   Every issue tracked
Data and code versioned                            Every project the starting point for new work
Analysis history captured in real time             All evolving and accessible in real time
Work anywhere, and share the results with anyone   Social Coding
Social Science
Why not share clinical /genomic data and model building in the
        ways currently used by the software industry
         (power of tracking workflows and versioning
Leveraging Existing Technologies



Addama




                                  Taverna
               tranSMART
sage bionetworks synapse project
                  Watch What I Do, Not What I Say
sage bionetworks synapse project
           Most of the People You Need to Work with Don’t Work with You
sage bionetworks synapse project
                   My Other Computer is “The Cloud”
Data Analysis with Synapse

Run Any Tool



On Any Platform


Record in Synapse


Share with Anyone
•  Automated	
  workflows	
  for	
  cura/on,	
  QC,	
  and	
  sharing	
  of	
  
               1%/2*       53,'6%(*      !7"(%,2/"*       large-­‐scale	
  datasets.	
  
-./#"++0%(*   (3&4"#*
                                                            •  All	
  of	
  TCGA,	
  GEO,	
  and	
  user-­‐submined	
  data	
  
                                                                 processed	
  with	
  standard	
  normaliza/on	
  methods.	
  
               1%/2*       53,'6%(*      !7"(%,2/"*    •  Searchable	
  TCGA	
  data:	
  
-./#"++0%(*   (3&4"#*                                       •  23	
  cancers	
  
                                                            •  11	
  data	
  plaoorms	
  
                                                            •  Standardized	
  meta-­‐data	
  ontologies	
  
-./#"++0%(*                -./#"++0%(*
              !7"(%,2/"*                  !7"(%,2/"*
     1%/2*                      1%/2*
    (3&4"#*                    (3&4"#*
      53,'6%(*                  53,'6%(*




   !#"80)69"*&%8":*
      ;"("#'6%(*

                               !"#$%#&'()"*
                                '++"++&"(,*
1%/2*       53,'6%(*    !7"(%,2/"*  •  Comparison	
  of	
  many	
  modeling	
  approaches	
  applied	
  
-./#"++0%(*   (3&4"#*
                                                      to	
  the	
  same	
  data.	
  
                                                   •  Models	
  transparently	
  shared	
  and	
  reusable	
  through	
  
-./#"++0%(*
               1%/2*       53,'6%(* !7"(%,2/"*        Synapse.	
  
              (3&4"#*
                                                   •  Displayed	
  is	
  comparison	
  of	
  6	
  modeling	
  approaches	
  
                                                      to	
  predict	
  sensi/vity	
  to	
  130	
  drugs.	
  
                                                        •  Extending	
  pipeline	
  to	
  evaluate	
  predic/on	
  of	
  
-./#"++0%(*                -./#"++0%(*
              !7"(%,2/"*                !7"(%,2/"*            TCGA	
  phenotypes.	
  
     1%/2*                      1%/2*
    (3&4"#*                    (3&4"#*             •  Hos/ng	
  of	
  collabora/ve	
  compe//ons	
  to	
  compare	
  
      53,'6%(*                   53,'6%(*             models	
  from	
  many	
  groups.	
  
                                                    1--'&2-3$4567$

   !#"80)69"*&%8":*
                                                    *&+%,-./0$


      ;"("#'6%(*

                               !"#$%#&'()"*
                                '++"++&"(,*



                                                                                  !"#$%&'()$
REDEFINING HOW WE WORK TOGETHER:
   Sage/DREAM Breast Cancer Prognosis Challenge




             3	
  
         HOW	
  TO	
         COLLABORATIVE	
  
        DISTRIBUTE	
         CHALLENGES	
  
           TASKS	
  
What	
  is the problem?
Our current models of disease biology are primitive and limit
 doctor’s understanding and ability to treat patients




Current incentives reward those who
silo information and work in closed
systems                                                     30	
  
The Solution: Competitions to crowd-source research
in biology and other fields

  Why competitions?
   •    Objective assessments
   •    Acceleration of progress
   •    Transparency
   •    Reproducibility
   •    Extensible, reusable models

  Competitions in biomedical research
   •    CASP (protein structure)
   •    Fold it / EteRNA (protein / RNA structure)
   •    CAGI (genome annotation)
   •    Assemblethon / alignathon (genome assembly / alignment)
   •    SBV Improver (industrial methodology benchmarking)
   •    DREAM (co-organizer of Sage/DREAM competition)

  Generic competition platforms
   •  Kaggle, Innocentive, MLComp
                                                                  31	
  
The Sage/DREAM breast cancer prognosis
challenge
Goal: Challenge to assess the accuracy of computational models designed to
predict breast cancer survival using patient clinical and genomic data

Why this is unique:
  This Sage/DREAM Challenge is a pre-collated cohort: 2000 breast cancer samples
   from the Metabric cohort
  Accessible to all: A cloud-based common compute architecture is being made
   available by Google to support the computational models needed to develop and test
   challenge models
  New Rigor:
    •    Contestants will evaluate their models on a validation data set composed of newly generated
         data (provided by Dr. Anne-Lise Borreson Dale)
    •    Contestants must demonstrate their models can be reproduced by others
  New incentives: leaderboard to energize participants, Science Translational Medicine
   publication for winning team
  Breast cancer patients, funders and researchers can track this Challenge on BRIDGE,
   an open source online community being built by Sage and Ashoka Changemakers and
   affiliated with this Challenge



                                                                                                  32	
  
Sage/DREAM Challenge: Details and Timing

Phase	
  1: Apr thru end-Sep 2012         Phase	
  2:	
  Oct 1 thru Nov 12, 2012
    Training data: 2,000 breast cancer       Evaluation of models in novel
     samples from METABRIC cohort              dataset.
      •    Gene expression
      •    Copy number
                                              Validation data: ~500 fresh frozen
      •    Clinical covariates                 tumors from Norway group with:
      •    10 year survival                     •    Clinical covariates
                                                •    10 year survival
    Supporting data: Other Sage-
     curated breast cancer datasets
                                              Gene expression and copy number
      •    >1,000 samples from GEO             data to be generated for model
      •    ~800 samples from TCGA              evaluation
      •    ~500 additional samples from         •    Sent to Cancer Research UK to
           Norway group                              generate data at same facility as
      •    Curated and available on                  METABRIC
           Synapse, Sage’s compute              •    Models built on training data
           platform                                  evaluated on newly generated
                                                     data
    Data released in phases on
     Synapse from now through end-            Winners announced at November
     September                                 12 DREAM conference

    Will evaluate accuracy of models
     built on METABRIC data to predict
     survival in:
      •    Held out samples from
           METABRIC                                                             33	
  
      •    Other datasets
Summary

Transparency,	
                                                              Valida;on	
  in	
  novel	
  
reproducibility	
     -./#"++0%(*
                                     1%/2*
                                    (3&4"#*      53,'6%(*      !7"(%,2/"*
                                                                             dataset	
  
                                     1%/2*       53,'6%(*      !7"(%,2/"*
                      -./#"++0%(*   (3&4"#*



                      -./#"++0%(*                -./#"++0%(*
                                    !7"(%,2/"*                  !7"(%,2/"*
                           1%/2*                      1%/2*
                          (3&4"#*                    (3&4"#*
                            53,'6%(*                  53,'6%(*




                         !#"80)69"*&%8":*
                            ;"("#'6%(*

                                                     !"#$%#&'()"*
                                                      '++"++&"(,*




Publica;on	
  in	
  Science	
                                                Dona;on	
  of	
  Google-­‐
Transla;onal	
  Medicine	
                                                   scale	
  compute	
  space.	
  




              For	
  the	
  goal	
  of	
  promo;ng	
  democra;za;on	
  of	
  medicine…	
  
              Registra;on	
  star;ng	
  NOW…	
  
              sign	
  up	
  at:	
  	
  synapse.sagebase.org	
                                                 34	
  
Open and Networked Approaches

     4	
  
  PRIVACY	
      PORTABLE	
  LEGAL	
  CONSENT:	
  weconsent.us	
  
  BARRIERS	
     John	
  Wilbanks	
  
5	
  
REWARDS	
  	
  
  FOR	
  
SHARING	
                      Arch2POCM	
  

      An	
  approach	
  to	
  speed	
  our	
  basic	
  
   understanding	
  of	
  the	
  consequences	
  of	
  
      targe/ng	
  novel	
  high	
  risk	
  drivers	
  
                of	
  disease	
  states	
  	
  

                  Clinical	
  valida/on	
  (Ph	
  IIa)	
  of	
  	
  
                         pioneer	
  targets	
  
The Current R&D Ecosystem Is In Need of a New
             Approach to Drug Development

•     $200B per year in biomedical and drug discovery R&D

•     Only a handful of new medicines are approved each year

•     Productivity in steady decline since 1950

•     >90% of novel drugs entering clinical trials fail, and negative POC
      information is not shared

•     Significant pharma revenues going off patent in next 5 years

•     >30,000 pharma employees laid off from downsizing in each of last four
      years

•     90% of 2013 prescriptions will be for generic drugs


                                                                            37	
  
Issues With Drug Discovery


1.  The greatest attrition is at clinical proof-of-concept – once
    a “target” is linked to a disease in the clinic, the risk of
    failure is far lower

2.  Most novel targets are pursued by multiple companies in
    parallel (and most fail at clinical POC)

3.  The complete data from failed trials are rarely, if ever,
    released to the public




                                                                38	
  
Open access research tools drive science




                                      39	
  
SGC: Open Access Chemical Biology
                                              a great success

•  PPP:	
  	
  
   	
  -­‐	
  GSK,	
  Pfizer,	
  Novar/s,	
  Lilly,	
  Abbon,	
  Takeda	
  
   	
  -­‐	
  Genome	
  Canada,	
  Ontario,	
  CIHR,	
  Wellcome	
  Trust	
  

•  Based	
  in	
  Universi/es	
  of	
  Toronto	
  and	
  Oxford	
  

•  200	
  scien/sts	
  

•  Academic	
  network	
  of	
  more	
  than	
  250	
  labs	
  

•  Generate	
  freely	
  available	
  reagents	
  (proteins,	
  assays,	
  structures,	
  inhibitors,	
  
   an/bodies)	
  for	
  novel,	
  human,	
  therapeu/cally	
  relevant	
  proteins	
  

•  Give	
  these	
  to	
  academic	
  collaborators	
  to	
  dissect	
  pathways	
  and	
  disease	
  
   networks,	
  and	
  thereby	
  discover	
  new	
  targets	
  for	
  drug	
  discovery	
  


                                                                                                            40	
  
Some SGC Achievements

•  Structural	
  impact	
  
     –  SGC	
  contributed	
  ~25%	
  of	
  global	
  output	
  of	
  human	
  structures	
  annually	
  	
  
     –  SGC	
  contributes	
  >40%	
  of	
  global	
  output	
  of	
  human	
  parasite	
  structures	
  annually	
  

•  High	
  quality	
  science	
  (some	
  publica/ons	
  from	
  2011)	
  
     	
  	
  	
   	
  Vedadi	
  et	
  al,	
  Nature	
  Chem	
  Biol,	
  in	
  press	
  (2011);	
  Evans	
  et	
  al,	
  Nature	
  Gene;cs	
  in	
  
         press	
  (2011);	
  Norman	
  et	
  al	
  Science	
  Transl	
  Med.	
  3(88):88mr1	
  (2011);	
  Kochan	
  G	
  
         et	
  al	
  PNAS	
  108:7745	
  (2011);	
  Clasquin	
  MF	
  et	
  al	
  Cell	
  145:969	
  (2011);	
  Colwill	
  et	
  al,	
  
         Nature	
  Methods	
  8:551	
  (2011);	
  Ceccarelli	
  et	
  al,	
  Cell	
  145:1075	
  (2011;	
  
         Strushkevich	
  et	
  al,	
  PNAS	
  108:10139	
  (2011);	
  Bian	
  et	
  al	
  EMBO	
  J	
  in	
  press	
  (2011)	
  
         Norman	
  et	
  al	
  Science	
  Trans.	
  Med.	
  3:76cm10	
  (2011);	
  Xu	
  et	
  al	
  Nature	
  Comm.	
  2:	
  
         art.	
  no.	
  227	
  (2011);	
  Edwards	
  et	
  al	
  Nature	
  470:163	
  (2011);	
  Fairman	
  et	
  al	
  Nature	
  
         Struct,	
  and	
  Mol.	
  Biol.	
  18:316	
  (2011);	
  Adams-­‐Cioaba	
  et	
  al,	
  Nature	
  Comm.	
  2	
  (1)	
  
         (2011);	
  Carr	
  et	
  al	
  EMBO	
  J	
  30:317	
  (2011);	
  Deutsch	
  et	
  al	
  	
  Cell	
  144:566	
  (2011);	
  
         Filippakopoulos	
  et	
  al	
  Cell,	
  in	
  press;	
  Nature	
  Chem.	
  Biol.	
  in	
  press,	
  Nature	
  in	
  press	
  
                                                                                                                                         41	
  
Open access to the clinic?




                             42	
  
Most Novel Targets Fail at Clinical POC

                    Hit/
  Target    HTS   Probe/   LO     Clinical
                                               Tox./    Phase          Phase
    ID/                          candidate
                   Lead                      Pharmacy     I             IIa/ b
Discovery                            ID
                    ID


            50%            10%                 30%      30%             90+%




                                                                this is killing
                                                                our industry

            …we can generate “safe” molecules, but they
            are not developable in chosen patient group                  43	
  
This Failure Is Repeated, Many Times

                    Hit/
 Target     HTS   Probe/   LO     Clinical
                                             Toxicology/   Phase   Phase
   ID/                           candidate
                   Lead                      Pharmacy        I     IIa/ b
Discovery           Hit/             ID
 Target              ID           Clinical
                  Probe/                     Toxicology/   Phase   Phase
   ID/                           candidate
                   Lead                      Pharmacy        I     IIa/ b
Discovery           Hit/             ID         30%         30%     90+%
 Target              ID           Clinical
                  Probe/                     Toxicology/   Phase   Phase
   ID/              Hit/         candidate
 Target            Lead           Clinical   Pharmacy        I     IIa/ b
Discovery         Probe/             ID      Toxicology/   Phase   Phase
   ID/               ID          candidate      30%         30%     90+%
                   Lead                      Pharmacy        I     IIa/ b
Discovery           Hit/             ID
 Target              ID           Clinical
                  Probe/                     Toxicology/
                                                30%        Phase
                                                            30%    Phase
                                                                    90+%
   ID/                           candidate
                   Lead                      Pharmacy        I     IIa/ b
Discovery           Hit/             ID
 Target             ID            Clinical      30%         30%     90+%
                  Probe/                     Toxicology/   Phase   Phase
   ID/                           candidate
                   Lead                      Pharmacy        I     IIa/ b
Discovery           Hit/             ID         30%        30%     90+%
 Target             ID            Clinical
                  Probe/                     Toxicology/   Phase   Phase
   ID/                           candidate
                   Lead                      Pharmacy        I     IIa/ b
Discovery                            ID
                    ID                          30%        30%     90+%

            50%            10%                  30%        30%     90+%

              …and outcomes are not shared                           44	
  
A Possible Soution:Arch2POCM
                 An Open Access Clinical Validation PPP
•  PPP	
  to	
  clinically	
  validate	
  (Ph	
  IIa)	
  pioneer	
  targets	
  

•  Pharma,	
  public,	
  academia,	
  regulators	
  and	
  pa/ent	
  groups	
  are	
  ac/ve	
  
   par/cipants	
  

•  Cul/vate	
  a	
  common	
  stream	
  of	
  knowledge	
  
      –  Avoid	
  patents	
  	
  
      –  Place	
  all	
  data	
  into	
  the	
  public	
  domain	
  
      –  Crowdsource	
  the	
  PPP’s	
  druglike	
  compounds	
  
•  In	
  –validated	
  targets	
  are	
  iden/fied	
  before	
  pharma	
  makes	
  a	
  substan/al	
  
   proprietary	
  investment	
  
      –  Reduces	
  the	
  number	
  of	
  redundant	
  trials	
  on	
  bad	
  targets	
  	
  
      –  Reduces	
  safety	
  concerns	
  
•  Validated	
  targets	
  are	
  de-­‐risked	
  for	
  pharma	
  investment	
  
      –  Pharma	
  can	
  ini/ate	
  proprietary	
  effort	
  when	
  risks	
  are	
  balanced	
  with	
  returns	
  
      –  PPP	
  pharma	
  members	
  can	
  acquire	
  Arch2POCM	
  IND	
  for	
  validated	
  targets	
  and	
  benefit	
  from	
  
         shorter	
  development	
  /meline	
  and	
  data	
  exclusivity	
  for	
  sales	
  
                                                                                                                                  45	
  
Arch2POCM: Scale and Scope
•  Original Goal:
    –  Initiate 2 programs. One for Oncology/Epigenetics/Immunology. One for
       Neuroscience/Schizophrenia/Autism.
    –  Both programs will have 8 drug discovery projects (targets)
    –  By Year 5, 30% of projects will have started Ph 1 and 20% will have completed
       Ph Iia
    –  $200-250M over five years is projected as necessary to advance up to 8 drug
       discovery projects within each of the two therapeutic programs
    –  By investing $1.6 M annually into one or both of Arch2POCM’s selected disease
       areas, partnered pharmaceutical companies:
        1.  obtain a vote on Arch2POCM target selection
        2.  gain real time data access to Arch2POCM’s 16 drug discovery projects
        3.  have the strategic opportunity to expand their overall portfolio
•  Revised Goal:
    –  Initiate 1-2 projects, (1-2 novel target mechanisms), as pilots to assess
       Arch2POCM principle of sharing data and reagents till clinical validation
    –  In either Oncology or Neuroscience
    –  Specific target mechanisms to be determined by funders’ interest
    –  Interested funders include pharma, public research foundations and
       venture philanthropists
                                                                                       46	
  
Epigenetics: Exciting Science and Also A New Area
               For Drug Discovery


                                                  Lysine

                               DNA

                                     Histone




                      Modification   Write     Read    Erase

                      Acetyl         HAT       Bromo   HDAC
                      Methyl         HMT       MBT     DeMethyl
                                                          47	
  
The Case For Epigenetics/Chromatin Biology

1.     There are epigenetic oncology drugs on the market (HDACs)

2.     A growing number of links to oncology, notably many genetic links (i.e.
       fusion proteins, somatic mutations)

3.     A pioneer area: More than 400 targets amenable to small molecule
       intervention - most of which only recently shown to be “druggable”, and
       only a few of which are under active investigation

4.     Open access, early-stage science is developing quickly – significant
       collaborative efforts (e.g. SGC, NIH) to generate proteins, structures,
       assays and chemical starting points




                                                                            48	
  
Poten;al	
  Targets-­‐	
  Bromodomain	
  Family	
  	
  
                Evidence	
  that	
  this	
  target	
  plays	
  an	
  important	
          Maturity	
  of	
  the	
        Posi;ve	
               Data	
  showing	
                          Mouse	
  knockout	
  model	
  	
  (MGI)	
  
                   role	
  in	
  tumors	
  (in	
  vitro,	
  in	
  vivo,	
  animal	
         program	
                  evidence	
  of	
          a	
  failed	
  result	
  
                                      model	
  data)	
                                                                         the	
                     of	
  the	
  
                                                                                                                        compound	
               compound	
  for	
  
                                                                                                                      playing	
  a	
  role	
           the	
  given	
  
                                                                                                                       in	
  the	
  given	
             disease	
  
                                                                                                                           disease	
  


               Expression	
  correlates	
  with	
  development	
  of	
                    potent,	
                           NA	
                        NA	
               Homozygotes	
  for	
  a	
  null	
  allele	
  die	
  in	
  utero	
  before	
  
SMARCA4	
      prostate	
  cancer	
  	
                                                   selec/ve,	
  cell	
                                                                implanta/on.	
  Embryos	
  heterozygous	
  for	
  this	
  null	
  
               BUT	
  SMARCA4	
  in	
  general	
  acts	
  as	
  tumor	
                   ac/ve	
                                                                            allele	
  and	
  an	
  ENU-­‐induced	
  allele	
  show	
  impaired	
  
               suppressor	
  and	
  is	
  necessary	
  for	
  genome	
                    compound	
                                                                         defini/ve	
  erythropoiesis,	
  anemia	
  and	
  lethality	
  
               stability;	
  targeted	
  knockdown	
  of	
  SMARCA4	
                     iden/fied	
                                                                         during	
  organogenesis.	
  Heterozygotes	
  show	
  
               poten/ates	
  lung	
  cancer	
  development;	
  	
                                                                                                            cyanosis	
  and	
  cardiovascular	
  defects	
  and	
  are	
  pre-­‐
                                                                                                                                                                             disposed	
  to	
  breast	
  tumors	
  
               Gastric	
  cancer;	
  mutated	
  in	
  CLL;	
  deple/on	
  of	
            potent,	
                           NA	
                        NA	
               Mice	
  homozygous	
  for	
  a	
  targeted	
  muta/on	
  in	
  this	
  
SMARCA2A	
     BRM	
  causes	
  accelerated	
  progression	
  to	
  the	
                 selec/ve,	
  cell	
                                                                gene	
  may	
  exhibit	
  infer/lity	
  and	
  a	
  slightly	
  increased	
  
               differen/a/on	
  phenotype	
                                                ac/ve	
                                                                            body	
  weight	
  in	
  some	
  gene/c	
  backgrounds.	
  
               BUT	
  targeted	
  dele/on	
  is	
  causa/ve	
  for	
  the	
               compound	
  
               development	
  of	
  prosta/c	
  hyperplasia	
  in	
  mice	
               iden/fied	
  

               Transloca/on	
  of	
  CBP	
  with	
  MOZ,	
  monocy/c	
                    potent,	
                           NA	
                        NA	
               Homozygotes	
  for	
  null	
  or	
  altered	
  alleles	
  die	
  around	
  
CBP	
          leukemia	
  zinc	
  finger	
  protein	
  	
  cause	
  	
  acute	
           selec/ve,	
  cell	
                                                                midgesta/on	
  with	
  defects	
  in	
  hemopoiesis,	
  blood	
  
               myeloid	
  leukemia	
  ;	
  other	
  transloca/ons	
                       ac/ve	
                                                                            vessel	
  forma/on,	
  and	
  neural	
  tube	
  closure.	
  
               involve	
  MLL	
  (HRX);	
  Mutated	
  in	
  ALL	
  BUT	
  CBP	
           compound	
                                                                         Heterozygotes	
  may	
  exhibit	
  skeletal,	
  cardiac,	
  and	
  
               has	
  also	
  been	
  	
  proposed	
  as	
  a	
  classical	
  tumor	
     iden/fied	
                                                                         hematopoie/c	
  defects,	
  retarded	
  growth,	
  and	
  
               suppressor	
  	
                                                                                                                                              hematologic	
  tumors.	
  

               Correlated	
  with	
  survival	
  of	
  high-­‐grade	
                     Weak	
  hits	
                      NA	
                        NA	
               NA	
  
ATAD2	
        osteosarcoma	
  pa/ents	
  ayer	
  chemo-­‐therapy;	
  
               required	
  for	
  breast	
  cancer	
  cell	
  prolifera/on	
  ;	
  
               differen/ally	
  expressed	
  in	
  NSCLC	
  	
  
               Transloca/ons	
  produce	
  BRD4-­‐NUT	
  fusion	
                         JQ1	
                        JQ1	
  in	
  BRD-­‐                NA	
               Homozygotes	
  for	
  a	
  gene-­‐trap	
  null	
  muta/on	
  die	
  
BRD4	
         oncogene	
  causing	
  midline	
  carcinoma	
                                                           NUT	
  fusion	
                                       soon	
  ayer	
  implanta/on.	
  Heterozygotes	
  exhibit	
  
                                                                                                                        and	
  MLL	
                                         impaired	
  pre-­‐	
  and	
  postnatal	
  growth,	
  head	
  
                                                                                                                                                                             malforma/ons,	
  lack	
  of	
  subcutaneous	
  fat,	
  
                                                                                                                                                                             cataracts,	
  and	
  abnormal	
  liver	
  cells.	
  	
  	
  

               In	
  transgenic	
  mice,	
  cons/tu/ve	
  lymphoid	
                      JQ1	
                        JQ1	
  in	
  BRD-­‐                NA	
               Mice	
  homozygous	
  for	
  a	
  null	
  muta/on	
  display	
  
BRD2	
         expression	
  of	
  Brd2	
  causes	
  a	
  malignancy	
  most	
                                         NUT	
  fusion	
                                       embryonic	
  lethality	
  during	
  organogenesis	
  with	
  
               similar	
  to	
  human	
  diffuse	
  large	
  B	
  cell	
                                                 and	
  MLL	
                                         decreased	
  embryo	
  size,	
  decreased	
  cell	
  
               lymphoma	
                                                                                                                                                    prolifera/on,	
  a	
  delay	
  in	
  the	
  cell	
  cycle,	
  and	
  
                                                                                                                                                                             increased	
  cell	
  death.	
  Heterozygous	
  mice	
  also	
  
                                                                                                                                                                             display	
  decreased	
  cell	
  prolifera/on.	
  
Poten;al	
  Targets-­‐	
  Demethylases	
  
              Evidence	
  that	
  this	
  target	
  plays	
  an	
  important	
  role	
  in	
      Maturity	
  of	
          Posi;ve	
                   Data	
  showing	
  a	
                      Mouse	
  model	
  	
  (MGI)	
  
                 tumors	
  (in	
  vitro,	
  in	
  vivo,	
  animal	
  model	
  data)	
            the	
  program	
      evidence	
  of	
  the	
          failed	
  result	
  of	
  
                                                                                                                          compound	
                    the	
  compound	
  
                                                                                                                       playing	
  a	
  role	
  in	
      for	
  the	
  given	
  
                                                                                                                           the	
  given	
                    disease	
  
                                                                                                                            disease	
  


              Upregulated	
  in	
  prostate	
  cancer;	
  expression	
  is	
  higher	
           potent,	
               NA;	
  inhibits	
  	
                    NA	
               Mice	
  homozygous	
  for	
  a	
  knock-­‐out	
  allele	
  
JMJD3	
       in	
  metasta/c	
  prostate	
  cancer	
                                            selec/ve,	
             TNF-­‐alpha	
                                               exhibit	
  perinatal	
  lethality	
  associated	
  with	
  
              BUT	
  JMJD3	
  contributes	
  to	
  the	
  ac/va/on	
  of	
  the	
                cell	
  ac/ve	
        produc/on	
  in	
                                            thick	
  alveolar	
  septum	
  and	
  absences	
  of	
  air	
  
              INK4A-­‐ARF	
  tumor	
  suppressor	
  locus	
  in	
  response	
  to	
              compound	
            macrophages	
  of	
                                           space	
  in	
  the	
  lungs.	
  Bone	
  marrow	
  chimera	
  
              oncogene	
  -­‐	
  and	
  stress-­‐induced	
  senescence.	
  	
                    iden/fied	
              RA	
  pa/ents	
                                             mice	
  derived	
  from	
  fetal	
  liver	
  cells	
  exhibit	
  
                                                                                                                                                                                     impaired	
  eosinophil	
  recruitment	
  and	
  
                                                                                                                                                                                     abnormal	
  response	
  to	
  helminth	
  infec/on.	
  

              High	
  levels	
  in	
  breast	
  cancer	
  cell	
  lines,	
  strong	
       No	
  progress	
                       NA	
                            NA	
               NA	
  
JARID1B	
     expression	
  in	
  the	
  invasive	
  but	
  not	
  in	
  the	
  benign	
  
              components	
  of	
  primary	
  breast	
  carcinomas.	
  BUT	
  
              tumor	
  suppressor	
  in	
  melanoma	
  cells	
  
Poten;al	
  Targets-­‐	
  Histone	
  Methyltransferases	
  
                         Evidence	
  that	
  this	
  target	
  plays	
  an	
  important	
  role	
  in	
            Maturity	
  of	
  the	
        Posi;ve	
  evidence	
               Data	
  showing	
  a	
  
                            tumors	
  (in	
  vitro,	
  in	
  vivo,	
  animal	
  model	
  data)	
                     program	
                    of	
  the	
  compound	
           failed	
  result	
  of	
  the	
  
                                                                                                                                                   playing	
  a	
  role	
  in	
     compound	
  for	
  the	
  
                                                                                                                                                  the	
  given	
  disease	
            given	
  disease	
  


                    Recent	
  data	
  indicates	
  that	
  SETD8	
  deregulates	
  PCNA	
                      Weak	
  inhibitors	
                           NA	
                               NA	
  
SETD8	
             expression	
  by	
  degrada/on	
  accelerated	
  by	
  methyla/on	
  at	
                  iden/fied	
  (8	
  microM)	
  
                    K248.	
  	
  Expression	
  levels	
  of	
  SETD8	
  and	
  PCNA	
  upregulated	
  in	
     in	
  chemistry	
  
                    cancer	
  cells.	
  	
  Cancer	
  Research	
  May	
  2012	
  Takawa	
  et	
  al.	
         op/miza/on.	
  
                    EZH2	
  upregulated	
  in	
  cancer	
  cells.	
  	
  Studies	
  on	
  mutants	
        potent,	
  selec/ve,	
  cell	
                     NA	
                               NA	
  
EZH2	
              indicates	
  an	
  interes/ng	
  profile	
  where	
  both	
  wild-­‐type	
  and	
       ac/ve	
  compound	
  
                    mutant	
  (Y641F)	
  are	
  required	
  for	
  malignant	
  phenotype.	
  	
           iden/fied.	
  	
  	
  
                    Sneeringer	
  et	
  al.	
  PNAS	
  2012.	
  	
  Compounds	
  iden/fied	
  in	
  GSK	
  
                    patents	
  WO	
  2011/140324	
  and	
  140315	
  and	
  WO	
  2012/005805	
  
                    and	
  075080.	
  
                    MMSET,	
  WHSC1,	
  NSD2	
  is	
  overexpressed	
  in	
  cancer	
  cells.	
  	
            No	
  hits—currently	
                         NA	
                               NA	
  
MMSET	
             Hudlebusch	
  et	
  al.	
  Clinical	
  Cancer	
  Res	
  2011	
                             screening	
  


                    Daigle	
  et	
  al.	
  Cancer	
  Cell	
  2011	
  elegantly	
  show	
  that	
  potent	
     potent,	
  selec/ve,	
  cell	
     Transgenic	
  mouse	
  
DOT1L	
             DOT1L	
  inhibitors	
  kill	
  cells	
  containing	
  MLL	
  transloca/ons	
               ac/ve	
  compound	
                  model	
  tumors	
  
                    and	
  do	
  not	
  kill	
  cell	
  not	
  containing	
  the	
  transloca/ons	
            iden/fied.	
                           shrunk	
  by	
  SC	
  
                                                                                                                                                  dosing	
  of	
  inhibitor	
  
Program Activities Grid For Arch2POCM
Ac;vity	
  	
                                                                           Arch2POCM	
  Loca;on/Inves;gator	
  (TBD)	
  

Target	
  Structure	
  
Compound	
  libraries	
  
Assay	
  development	
  for	
  epigene/c	
  screens	
  and	
  biomarkers	
  
HTP	
  screens	
  for	
  epigene/c	
  hits	
  
Med	
  Chem	
  SAR	
  To	
  ID	
  Two	
  Suitable	
  Binding	
  Arch2POCM	
  Test	
  
Compounds	
  
Non-­‐GLP	
  scaleup	
  of	
  Arch2POCM	
  Test	
  Compounds	
  and	
  associated	
  
analy/cs	
  
Distribu/on	
  of	
  Arch2POCM	
  Test	
  Compounds	
  
PK,	
  PD,	
  ADME,	
  Tox	
  Tes/ng	
  
GMP	
  Manufacturing	
  of	
  Arch2POCM	
  Test	
  Compounds	
  
GMP	
  Formula/on	
  

GMP	
  Drug	
  Storage	
  and	
  Distribu/on	
  
IND	
  Prepara/on	
  Support	
  
Clinical	
  Assay	
  Development	
  and	
  Qualifica/on	
  
Ph	
  I-­‐II	
  Clinical	
  Trials	
  
Ph	
  I-­‐II	
  Database	
  Management	
  and	
  CSR	
  Produc/on	
  
                                                                                                                                        52	
  
Networked Approaches                                                      2	
  
                                                    1	
  
                                                                       REWARDS	
  
                                                  USABLE	
  
                                                                     RECOGNITION	
  
                                                   DATA	
  


                                    BioMedical Information Commons
                                                                              Patients/
                                                                              Citizens
                    Data
                  Generators
                                              CURATED
                                                DATA
                                                                                Data
       5	
                                                  TOOLS/           3	
  
                                                                               Analysts

    REWARDS	
                                              METHODS       HOW	
  TO	
  
      FOR	
                            RAW                              DISTRIBUTE	
  
    SHARING	
                          DATA                                TASKS	
  

                                                  ANALYZES/
                                                   MODELS


                       Clinicians

                                  4	
  
                               PRIVACY	
      SYNAPSE
                                                                         Experimentalists
                               BARRIERS	
  

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Friend WIN Symposium 2012-06-28

  • 1. The  Marriage  of  Transla/onal  Medicine   to  “Big  Data”:  Key  Opportuni/es  to   change  how  we  do  our  Science   Stephen  H  Friend   June  28,  2012   WIN    
  • 2. Background:  Informa/on  Commons  for  Biological  Func/ons  
  • 3. Oncogenes only make good targets in particular molecular contexts : EGFR story ERBB2 •  EGFR  Pathway  commonly  mutated/ac/vated  in  Cancer   EGFRi EGFR •  30%  of  all  epithelial  cancers   BCR/ABL •  Blocking  Abs  approved  for  treatment  of  metasta/c   colon  cancer   KRAS NRAS •  Subsequently  found  that  RASMUT  tumors  don’t  respond   –  “Nega/ve  Predic/ve  Biomarker”   BRAF •  However  s/ll  EGFR+  /  RASWT  pa/ents  who  don’t   MEK1/2 respond?  –  need  “Posi/ve  Predic/ve  Biomarker”   •  And  in  Lung  Cancer  not  clear  that  RASMUT  status  is   Proliferation, Survival useful  biomarker   Predic/ng  treatment  response  to  known  oncogenes  is   complex  and  requires  detailed  understanding  of  how   different  gene/c  backgrounds  func/on  
  • 4. what will it take to understand disease?                                        DNA    RNA  PROTEIN     MOVING  BEYOND  ALTERED  COMPONENT  LISTS  
  • 7.
  • 8. Preliminary Probabalistic Models- Rosetta Networks facilitate direct identification of genes that are causal for disease Evolutionarily tolerated weak spots Gene symbol Gene name Variance of OFPM Mouse Source explained by gene model expression* Zfp90 Zinc finger protein 90 68% tg Constructed using BAC transgenics Gas7 Growth arrest specific 7 68% tg Constructed using BAC transgenics Gpx3 Glutathione peroxidase 3 61% tg Provided by Prof. Oleg Mirochnitchenko (University of Medicine and Dentistry at New Jersey, NJ) [12] Lactb Lactamase beta 52% tg Constructed using BAC transgenics Me1 Malic enzyme 1 52% ko Naturally occurring KO Gyk Glycerol kinase 46% ko Provided by Dr. Katrina Dipple (UCLA) [13] Lpl Lipoprotein lipase 46% ko Provided by Dr. Ira Goldberg (Columbia University, NY) [11] C3ar1 Complement component 46% ko Purchased from Deltagen, CA 3a receptor 1 Tgfbr2 Transforming growth 39% ko Purchased from Deltagen, CA Nat Genet (2005) 205:370 factor beta receptor 2
  • 9. Extensive Publications now Substantiating Scientific Approach Probabilistic Causal Bionetwork Models • >80 Publications from Rosetta Genetics Metabolic "Genetics of gene expression surveyed in maize, mouse and man." Nature. (2003) Disease "Variations in DNA elucidate molecular networks that cause disease." Nature. (2008) "Genetics of gene expression and its effect on disease." Nature. (2008) "Validation of candidate causal genes for obesity that affect..." Nat Genet. (2009) ….. Plus 10 additional papers in Genome Research, PLoS Genetics, PLoS Comp.Biology, etc CVD "Identification of pathways for atherosclerosis." Circ Res. (2007) "Mapping the genetic architecture of gene expression in human liver." PLoS Biol. (2008) …… Plus 5 additional papers in Genome Res., Genomics, Mamm.Genome Bone "Integrating genotypic and expression data …for bone traits…" Nat Genet. (2005) d “..approach to identify candidate genes regulating BMD…" J Bone Miner Res. (2009) Methods "An integrative genomics approach to infer causal associations ...”  Nat Genet. (2005) "Increasing the power to detect causal associations… “PLoS Comput Biol. (2007) "Integrating large-scale functional genomic data ..." Nat Genet. (2008) …… Plus 3 additional papers in PLoS Genet., BMC Genet.
  • 10. List of Influential Papers in Network Modeling   50 network papers   http://sagebase.org/research/resources.php
  • 11. Sage Bionetworks A non-profit organization with a vision to enable networked team approaches to building better models of disease BIOMEDICINE INFORMATION COMMONS INCUBATOR Building Disease Maps Data Repository Commons Pilots Discovery Platform Sagebase.org
  • 12. Sage Bionetworks Collaborators   Pharma Partners   Merck, Pfizer, Takeda, Astra Zeneca, Amgen,Roche, Johnson &Johnson   Foundations   Kauffman CHDI, Gates Foundation   Government   NIH, LSDF, NCI   Academic   Levy (Framingham)   Rosengren (Lund)   Krauss (CHORI)   Federation   Ideker, Califano, Nolan, Schadt 12
  • 13. Fundamentally  Biological  Science  hasn’t  changed  yet  because  of   the  ‘Omics  Revolu/on……   …..it  is  s/ll  about  the  process  of  linking  a  system  to  a  hypothesis  to  some  data  to     some  analyses     Biological Data Analysis System
  • 14. Driven  by  molecular  technologies  we  have  become  more  data  intensive  leading  to   more  specializa/on:  data  generators  (centralized  cores),  data  analyzers   (bioinforma/cians),  validators  (experimentalists:  lab  &  clinical)   This  is  reflected  in  the  tendency  for  more  mul/  lab  consor/um  style  grants  in   which  the  data  generators,  analyzers,  validators  may  be  different  labs.   Single Lab Model Data •  R01 Funding •  Hypothesis->data->analysis->paper •  Small-scale data / analysis •  Reproducible? Biological Analysis System Multiple Lab Model Data •  P01 Funding •  Hypothesis->data->analysis->paper •  Medium-scale data / analysis •  Data Generators/Analysts/Validators maybe different groups Biological Analysis •  Reproducible? System
  • 15. Iterative Networked Approaches To Generating Analyzing and Supporting New Models Data Biological System Analysis Uncouple the automatic linkage between the data generators, analyzers, and validators  
  • 16. Networked Approaches BioMedicine Information Commons Patients/ Citizens Data Generators CURATED DATA Data TOOLS/ Analysts METHODS RAW DATA ANALYZES/ MODELS Clinicians SYNAPSE Experimentalists
  • 17. Networked Approaches 2   1   REWARDS   USABLE   RECOGNITION   DATA   BioMedical Information Commons Patients/ Citizens Data Generators CURATED DATA Data 5   TOOLS/ 3   Analysts REWARDS   METHODS HOW  TO   FOR   RAW DISTRIBUTE   SHARING   DATA TASKS   ANALYZES/ MODELS Clinicians 4   PRIVACY   SYNAPSE Experimentalists BARRIERS  
  • 18. Open and Networked Approaches:Democratization of Science 1   USABLE   DATA   SYNAPSE   2   REWARDS   RECOGNITION   SYNAPSE  
  • 19. Two approaches to building common scientific and technical knowledge Every code change versioned Every issue tracked Text summary of the completed project Every project the starting point for new work Assembled after the fact All evolving and accessible in real time Social Coding
  • 20. Synapse is GitHub for Biomedical Data Every code change versioned Every issue tracked Data and code versioned Every project the starting point for new work Analysis history captured in real time All evolving and accessible in real time Work anywhere, and share the results with anyone Social Coding Social Science
  • 21. Why not share clinical /genomic data and model building in the ways currently used by the software industry (power of tracking workflows and versioning
  • 23. sage bionetworks synapse project Watch What I Do, Not What I Say
  • 24. sage bionetworks synapse project Most of the People You Need to Work with Don’t Work with You
  • 25. sage bionetworks synapse project My Other Computer is “The Cloud”
  • 26. Data Analysis with Synapse Run Any Tool On Any Platform Record in Synapse Share with Anyone
  • 27. •  Automated  workflows  for  cura/on,  QC,  and  sharing  of   1%/2* 53,'6%(* !7"(%,2/"* large-­‐scale  datasets.   -./#"++0%(* (3&4"#* •  All  of  TCGA,  GEO,  and  user-­‐submined  data   processed  with  standard  normaliza/on  methods.   1%/2* 53,'6%(* !7"(%,2/"* •  Searchable  TCGA  data:   -./#"++0%(* (3&4"#* •  23  cancers   •  11  data  plaoorms   •  Standardized  meta-­‐data  ontologies   -./#"++0%(* -./#"++0%(* !7"(%,2/"* !7"(%,2/"* 1%/2* 1%/2* (3&4"#* (3&4"#* 53,'6%(* 53,'6%(* !#"80)69"*&%8":* ;"("#'6%(* !"#$%#&'()"* '++"++&"(,*
  • 28. 1%/2* 53,'6%(* !7"(%,2/"* •  Comparison  of  many  modeling  approaches  applied   -./#"++0%(* (3&4"#* to  the  same  data.   •  Models  transparently  shared  and  reusable  through   -./#"++0%(* 1%/2* 53,'6%(* !7"(%,2/"* Synapse.   (3&4"#* •  Displayed  is  comparison  of  6  modeling  approaches   to  predict  sensi/vity  to  130  drugs.   •  Extending  pipeline  to  evaluate  predic/on  of   -./#"++0%(* -./#"++0%(* !7"(%,2/"* !7"(%,2/"* TCGA  phenotypes.   1%/2* 1%/2* (3&4"#* (3&4"#* •  Hos/ng  of  collabora/ve  compe//ons  to  compare   53,'6%(* 53,'6%(* models  from  many  groups.   1--'&2-3$4567$ !#"80)69"*&%8":* *&+%,-./0$ ;"("#'6%(* !"#$%#&'()"* '++"++&"(,* !"#$%&'()$
  • 29. REDEFINING HOW WE WORK TOGETHER: Sage/DREAM Breast Cancer Prognosis Challenge 3   HOW  TO   COLLABORATIVE   DISTRIBUTE   CHALLENGES   TASKS  
  • 30. What  is the problem? Our current models of disease biology are primitive and limit doctor’s understanding and ability to treat patients Current incentives reward those who silo information and work in closed systems 30  
  • 31. The Solution: Competitions to crowd-source research in biology and other fields   Why competitions? •  Objective assessments •  Acceleration of progress •  Transparency •  Reproducibility •  Extensible, reusable models   Competitions in biomedical research •  CASP (protein structure) •  Fold it / EteRNA (protein / RNA structure) •  CAGI (genome annotation) •  Assemblethon / alignathon (genome assembly / alignment) •  SBV Improver (industrial methodology benchmarking) •  DREAM (co-organizer of Sage/DREAM competition)   Generic competition platforms •  Kaggle, Innocentive, MLComp 31  
  • 32. The Sage/DREAM breast cancer prognosis challenge Goal: Challenge to assess the accuracy of computational models designed to predict breast cancer survival using patient clinical and genomic data Why this is unique:   This Sage/DREAM Challenge is a pre-collated cohort: 2000 breast cancer samples from the Metabric cohort   Accessible to all: A cloud-based common compute architecture is being made available by Google to support the computational models needed to develop and test challenge models   New Rigor: •  Contestants will evaluate their models on a validation data set composed of newly generated data (provided by Dr. Anne-Lise Borreson Dale) •  Contestants must demonstrate their models can be reproduced by others   New incentives: leaderboard to energize participants, Science Translational Medicine publication for winning team   Breast cancer patients, funders and researchers can track this Challenge on BRIDGE, an open source online community being built by Sage and Ashoka Changemakers and affiliated with this Challenge 32  
  • 33. Sage/DREAM Challenge: Details and Timing Phase  1: Apr thru end-Sep 2012 Phase  2:  Oct 1 thru Nov 12, 2012   Training data: 2,000 breast cancer   Evaluation of models in novel samples from METABRIC cohort dataset. •  Gene expression •  Copy number   Validation data: ~500 fresh frozen •  Clinical covariates tumors from Norway group with: •  10 year survival •  Clinical covariates •  10 year survival   Supporting data: Other Sage- curated breast cancer datasets   Gene expression and copy number •  >1,000 samples from GEO data to be generated for model •  ~800 samples from TCGA evaluation •  ~500 additional samples from •  Sent to Cancer Research UK to Norway group generate data at same facility as •  Curated and available on METABRIC Synapse, Sage’s compute •  Models built on training data platform evaluated on newly generated data   Data released in phases on Synapse from now through end-   Winners announced at November September 12 DREAM conference   Will evaluate accuracy of models built on METABRIC data to predict survival in: •  Held out samples from METABRIC 33   •  Other datasets
  • 34. Summary Transparency,   Valida;on  in  novel   reproducibility   -./#"++0%(* 1%/2* (3&4"#* 53,'6%(* !7"(%,2/"* dataset   1%/2* 53,'6%(* !7"(%,2/"* -./#"++0%(* (3&4"#* -./#"++0%(* -./#"++0%(* !7"(%,2/"* !7"(%,2/"* 1%/2* 1%/2* (3&4"#* (3&4"#* 53,'6%(* 53,'6%(* !#"80)69"*&%8":* ;"("#'6%(* !"#$%#&'()"* '++"++&"(,* Publica;on  in  Science   Dona;on  of  Google-­‐ Transla;onal  Medicine   scale  compute  space.   For  the  goal  of  promo;ng  democra;za;on  of  medicine…   Registra;on  star;ng  NOW…   sign  up  at:    synapse.sagebase.org   34  
  • 35. Open and Networked Approaches 4   PRIVACY   PORTABLE  LEGAL  CONSENT:  weconsent.us   BARRIERS   John  Wilbanks  
  • 36. 5   REWARDS     FOR   SHARING   Arch2POCM   An  approach  to  speed  our  basic   understanding  of  the  consequences  of   targe/ng  novel  high  risk  drivers   of  disease  states     Clinical  valida/on  (Ph  IIa)  of     pioneer  targets  
  • 37. The Current R&D Ecosystem Is In Need of a New Approach to Drug Development •  $200B per year in biomedical and drug discovery R&D •  Only a handful of new medicines are approved each year •  Productivity in steady decline since 1950 •  >90% of novel drugs entering clinical trials fail, and negative POC information is not shared •  Significant pharma revenues going off patent in next 5 years •  >30,000 pharma employees laid off from downsizing in each of last four years •  90% of 2013 prescriptions will be for generic drugs 37  
  • 38. Issues With Drug Discovery 1.  The greatest attrition is at clinical proof-of-concept – once a “target” is linked to a disease in the clinic, the risk of failure is far lower 2.  Most novel targets are pursued by multiple companies in parallel (and most fail at clinical POC) 3.  The complete data from failed trials are rarely, if ever, released to the public 38  
  • 39. Open access research tools drive science 39  
  • 40. SGC: Open Access Chemical Biology a great success •  PPP:      -­‐  GSK,  Pfizer,  Novar/s,  Lilly,  Abbon,  Takeda    -­‐  Genome  Canada,  Ontario,  CIHR,  Wellcome  Trust   •  Based  in  Universi/es  of  Toronto  and  Oxford   •  200  scien/sts   •  Academic  network  of  more  than  250  labs   •  Generate  freely  available  reagents  (proteins,  assays,  structures,  inhibitors,   an/bodies)  for  novel,  human,  therapeu/cally  relevant  proteins   •  Give  these  to  academic  collaborators  to  dissect  pathways  and  disease   networks,  and  thereby  discover  new  targets  for  drug  discovery   40  
  • 41. Some SGC Achievements •  Structural  impact   –  SGC  contributed  ~25%  of  global  output  of  human  structures  annually     –  SGC  contributes  >40%  of  global  output  of  human  parasite  structures  annually   •  High  quality  science  (some  publica/ons  from  2011)          Vedadi  et  al,  Nature  Chem  Biol,  in  press  (2011);  Evans  et  al,  Nature  Gene;cs  in   press  (2011);  Norman  et  al  Science  Transl  Med.  3(88):88mr1  (2011);  Kochan  G   et  al  PNAS  108:7745  (2011);  Clasquin  MF  et  al  Cell  145:969  (2011);  Colwill  et  al,   Nature  Methods  8:551  (2011);  Ceccarelli  et  al,  Cell  145:1075  (2011;   Strushkevich  et  al,  PNAS  108:10139  (2011);  Bian  et  al  EMBO  J  in  press  (2011)   Norman  et  al  Science  Trans.  Med.  3:76cm10  (2011);  Xu  et  al  Nature  Comm.  2:   art.  no.  227  (2011);  Edwards  et  al  Nature  470:163  (2011);  Fairman  et  al  Nature   Struct,  and  Mol.  Biol.  18:316  (2011);  Adams-­‐Cioaba  et  al,  Nature  Comm.  2  (1)   (2011);  Carr  et  al  EMBO  J  30:317  (2011);  Deutsch  et  al    Cell  144:566  (2011);   Filippakopoulos  et  al  Cell,  in  press;  Nature  Chem.  Biol.  in  press,  Nature  in  press   41  
  • 42. Open access to the clinic? 42  
  • 43. Most Novel Targets Fail at Clinical POC Hit/ Target HTS Probe/ LO Clinical Tox./ Phase Phase ID/ candidate Lead Pharmacy I IIa/ b Discovery ID ID 50% 10% 30% 30% 90+% this is killing our industry …we can generate “safe” molecules, but they are not developable in chosen patient group 43  
  • 44. This Failure Is Repeated, Many Times Hit/ Target HTS Probe/ LO Clinical Toxicology/ Phase Phase ID/ candidate Lead Pharmacy I IIa/ b Discovery Hit/ ID Target ID Clinical Probe/ Toxicology/ Phase Phase ID/ candidate Lead Pharmacy I IIa/ b Discovery Hit/ ID 30% 30% 90+% Target ID Clinical Probe/ Toxicology/ Phase Phase ID/ Hit/ candidate Target Lead Clinical Pharmacy I IIa/ b Discovery Probe/ ID Toxicology/ Phase Phase ID/ ID candidate 30% 30% 90+% Lead Pharmacy I IIa/ b Discovery Hit/ ID Target ID Clinical Probe/ Toxicology/ 30% Phase 30% Phase 90+% ID/ candidate Lead Pharmacy I IIa/ b Discovery Hit/ ID Target ID Clinical 30% 30% 90+% Probe/ Toxicology/ Phase Phase ID/ candidate Lead Pharmacy I IIa/ b Discovery Hit/ ID 30% 30% 90+% Target ID Clinical Probe/ Toxicology/ Phase Phase ID/ candidate Lead Pharmacy I IIa/ b Discovery ID ID 30% 30% 90+% 50% 10% 30% 30% 90+% …and outcomes are not shared 44  
  • 45. A Possible Soution:Arch2POCM An Open Access Clinical Validation PPP •  PPP  to  clinically  validate  (Ph  IIa)  pioneer  targets   •  Pharma,  public,  academia,  regulators  and  pa/ent  groups  are  ac/ve   par/cipants   •  Cul/vate  a  common  stream  of  knowledge   –  Avoid  patents     –  Place  all  data  into  the  public  domain   –  Crowdsource  the  PPP’s  druglike  compounds   •  In  –validated  targets  are  iden/fied  before  pharma  makes  a  substan/al   proprietary  investment   –  Reduces  the  number  of  redundant  trials  on  bad  targets     –  Reduces  safety  concerns   •  Validated  targets  are  de-­‐risked  for  pharma  investment   –  Pharma  can  ini/ate  proprietary  effort  when  risks  are  balanced  with  returns   –  PPP  pharma  members  can  acquire  Arch2POCM  IND  for  validated  targets  and  benefit  from   shorter  development  /meline  and  data  exclusivity  for  sales   45  
  • 46. Arch2POCM: Scale and Scope •  Original Goal: –  Initiate 2 programs. One for Oncology/Epigenetics/Immunology. One for Neuroscience/Schizophrenia/Autism. –  Both programs will have 8 drug discovery projects (targets) –  By Year 5, 30% of projects will have started Ph 1 and 20% will have completed Ph Iia –  $200-250M over five years is projected as necessary to advance up to 8 drug discovery projects within each of the two therapeutic programs –  By investing $1.6 M annually into one or both of Arch2POCM’s selected disease areas, partnered pharmaceutical companies: 1.  obtain a vote on Arch2POCM target selection 2.  gain real time data access to Arch2POCM’s 16 drug discovery projects 3.  have the strategic opportunity to expand their overall portfolio •  Revised Goal: –  Initiate 1-2 projects, (1-2 novel target mechanisms), as pilots to assess Arch2POCM principle of sharing data and reagents till clinical validation –  In either Oncology or Neuroscience –  Specific target mechanisms to be determined by funders’ interest –  Interested funders include pharma, public research foundations and venture philanthropists 46  
  • 47. Epigenetics: Exciting Science and Also A New Area For Drug Discovery Lysine DNA Histone Modification Write Read Erase Acetyl HAT Bromo HDAC Methyl HMT MBT DeMethyl 47  
  • 48. The Case For Epigenetics/Chromatin Biology 1.  There are epigenetic oncology drugs on the market (HDACs) 2.  A growing number of links to oncology, notably many genetic links (i.e. fusion proteins, somatic mutations) 3.  A pioneer area: More than 400 targets amenable to small molecule intervention - most of which only recently shown to be “druggable”, and only a few of which are under active investigation 4.  Open access, early-stage science is developing quickly – significant collaborative efforts (e.g. SGC, NIH) to generate proteins, structures, assays and chemical starting points 48  
  • 49. Poten;al  Targets-­‐  Bromodomain  Family     Evidence  that  this  target  plays  an  important   Maturity  of  the   Posi;ve   Data  showing   Mouse  knockout  model    (MGI)   role  in  tumors  (in  vitro,  in  vivo,  animal   program   evidence  of   a  failed  result   model  data)   the   of  the   compound   compound  for   playing  a  role   the  given   in  the  given   disease   disease   Expression  correlates  with  development  of   potent,   NA   NA   Homozygotes  for  a  null  allele  die  in  utero  before   SMARCA4   prostate  cancer     selec/ve,  cell   implanta/on.  Embryos  heterozygous  for  this  null   BUT  SMARCA4  in  general  acts  as  tumor   ac/ve   allele  and  an  ENU-­‐induced  allele  show  impaired   suppressor  and  is  necessary  for  genome   compound   defini/ve  erythropoiesis,  anemia  and  lethality   stability;  targeted  knockdown  of  SMARCA4   iden/fied   during  organogenesis.  Heterozygotes  show   poten/ates  lung  cancer  development;     cyanosis  and  cardiovascular  defects  and  are  pre-­‐ disposed  to  breast  tumors   Gastric  cancer;  mutated  in  CLL;  deple/on  of   potent,   NA   NA   Mice  homozygous  for  a  targeted  muta/on  in  this   SMARCA2A   BRM  causes  accelerated  progression  to  the   selec/ve,  cell   gene  may  exhibit  infer/lity  and  a  slightly  increased   differen/a/on  phenotype   ac/ve   body  weight  in  some  gene/c  backgrounds.   BUT  targeted  dele/on  is  causa/ve  for  the   compound   development  of  prosta/c  hyperplasia  in  mice   iden/fied   Transloca/on  of  CBP  with  MOZ,  monocy/c   potent,   NA   NA   Homozygotes  for  null  or  altered  alleles  die  around   CBP   leukemia  zinc  finger  protein    cause    acute   selec/ve,  cell   midgesta/on  with  defects  in  hemopoiesis,  blood   myeloid  leukemia  ;  other  transloca/ons   ac/ve   vessel  forma/on,  and  neural  tube  closure.   involve  MLL  (HRX);  Mutated  in  ALL  BUT  CBP   compound   Heterozygotes  may  exhibit  skeletal,  cardiac,  and   has  also  been    proposed  as  a  classical  tumor   iden/fied   hematopoie/c  defects,  retarded  growth,  and   suppressor     hematologic  tumors.   Correlated  with  survival  of  high-­‐grade   Weak  hits   NA   NA   NA   ATAD2   osteosarcoma  pa/ents  ayer  chemo-­‐therapy;   required  for  breast  cancer  cell  prolifera/on  ;   differen/ally  expressed  in  NSCLC     Transloca/ons  produce  BRD4-­‐NUT  fusion   JQ1   JQ1  in  BRD-­‐ NA   Homozygotes  for  a  gene-­‐trap  null  muta/on  die   BRD4   oncogene  causing  midline  carcinoma   NUT  fusion   soon  ayer  implanta/on.  Heterozygotes  exhibit   and  MLL   impaired  pre-­‐  and  postnatal  growth,  head   malforma/ons,  lack  of  subcutaneous  fat,   cataracts,  and  abnormal  liver  cells.       In  transgenic  mice,  cons/tu/ve  lymphoid   JQ1   JQ1  in  BRD-­‐ NA   Mice  homozygous  for  a  null  muta/on  display   BRD2   expression  of  Brd2  causes  a  malignancy  most   NUT  fusion   embryonic  lethality  during  organogenesis  with   similar  to  human  diffuse  large  B  cell   and  MLL   decreased  embryo  size,  decreased  cell   lymphoma   prolifera/on,  a  delay  in  the  cell  cycle,  and   increased  cell  death.  Heterozygous  mice  also   display  decreased  cell  prolifera/on.  
  • 50. Poten;al  Targets-­‐  Demethylases   Evidence  that  this  target  plays  an  important  role  in   Maturity  of   Posi;ve   Data  showing  a   Mouse  model    (MGI)   tumors  (in  vitro,  in  vivo,  animal  model  data)   the  program   evidence  of  the   failed  result  of   compound   the  compound   playing  a  role  in   for  the  given   the  given   disease   disease   Upregulated  in  prostate  cancer;  expression  is  higher   potent,   NA;  inhibits     NA   Mice  homozygous  for  a  knock-­‐out  allele   JMJD3   in  metasta/c  prostate  cancer   selec/ve,   TNF-­‐alpha   exhibit  perinatal  lethality  associated  with   BUT  JMJD3  contributes  to  the  ac/va/on  of  the   cell  ac/ve   produc/on  in   thick  alveolar  septum  and  absences  of  air   INK4A-­‐ARF  tumor  suppressor  locus  in  response  to   compound   macrophages  of   space  in  the  lungs.  Bone  marrow  chimera   oncogene  -­‐  and  stress-­‐induced  senescence.     iden/fied   RA  pa/ents   mice  derived  from  fetal  liver  cells  exhibit   impaired  eosinophil  recruitment  and   abnormal  response  to  helminth  infec/on.   High  levels  in  breast  cancer  cell  lines,  strong   No  progress   NA   NA   NA   JARID1B   expression  in  the  invasive  but  not  in  the  benign   components  of  primary  breast  carcinomas.  BUT   tumor  suppressor  in  melanoma  cells  
  • 51. Poten;al  Targets-­‐  Histone  Methyltransferases   Evidence  that  this  target  plays  an  important  role  in   Maturity  of  the   Posi;ve  evidence   Data  showing  a   tumors  (in  vitro,  in  vivo,  animal  model  data)   program   of  the  compound   failed  result  of  the   playing  a  role  in   compound  for  the   the  given  disease   given  disease   Recent  data  indicates  that  SETD8  deregulates  PCNA   Weak  inhibitors   NA   NA   SETD8   expression  by  degrada/on  accelerated  by  methyla/on  at   iden/fied  (8  microM)   K248.    Expression  levels  of  SETD8  and  PCNA  upregulated  in   in  chemistry   cancer  cells.    Cancer  Research  May  2012  Takawa  et  al.   op/miza/on.   EZH2  upregulated  in  cancer  cells.    Studies  on  mutants   potent,  selec/ve,  cell   NA   NA   EZH2   indicates  an  interes/ng  profile  where  both  wild-­‐type  and   ac/ve  compound   mutant  (Y641F)  are  required  for  malignant  phenotype.     iden/fied.       Sneeringer  et  al.  PNAS  2012.    Compounds  iden/fied  in  GSK   patents  WO  2011/140324  and  140315  and  WO  2012/005805   and  075080.   MMSET,  WHSC1,  NSD2  is  overexpressed  in  cancer  cells.     No  hits—currently   NA   NA   MMSET   Hudlebusch  et  al.  Clinical  Cancer  Res  2011   screening   Daigle  et  al.  Cancer  Cell  2011  elegantly  show  that  potent   potent,  selec/ve,  cell   Transgenic  mouse   DOT1L   DOT1L  inhibitors  kill  cells  containing  MLL  transloca/ons   ac/ve  compound   model  tumors   and  do  not  kill  cell  not  containing  the  transloca/ons   iden/fied.   shrunk  by  SC   dosing  of  inhibitor  
  • 52. Program Activities Grid For Arch2POCM Ac;vity     Arch2POCM  Loca;on/Inves;gator  (TBD)   Target  Structure   Compound  libraries   Assay  development  for  epigene/c  screens  and  biomarkers   HTP  screens  for  epigene/c  hits   Med  Chem  SAR  To  ID  Two  Suitable  Binding  Arch2POCM  Test   Compounds   Non-­‐GLP  scaleup  of  Arch2POCM  Test  Compounds  and  associated   analy/cs   Distribu/on  of  Arch2POCM  Test  Compounds   PK,  PD,  ADME,  Tox  Tes/ng   GMP  Manufacturing  of  Arch2POCM  Test  Compounds   GMP  Formula/on   GMP  Drug  Storage  and  Distribu/on   IND  Prepara/on  Support   Clinical  Assay  Development  and  Qualifica/on   Ph  I-­‐II  Clinical  Trials   Ph  I-­‐II  Database  Management  and  CSR  Produc/on   52  
  • 53. Networked Approaches 2   1   REWARDS   USABLE   RECOGNITION   DATA   BioMedical Information Commons Patients/ Citizens Data Generators CURATED DATA Data 5   TOOLS/ 3   Analysts REWARDS   METHODS HOW  TO   FOR   RAW DISTRIBUTE   SHARING   DATA TASKS   ANALYZES/ MODELS Clinicians 4   PRIVACY   SYNAPSE Experimentalists BARRIERS