Immuno-oncology: AgBiotech: AusMedtech 2016:
Transcription
Immuno-oncology: AgBiotech: AusMedtech 2016:
Volume 26 | Number 2 Australasian BioTechnology The journal of Immuno-oncology: changing the cancer care landscape AgBiotech: 20 years of GM crops AusMedtech 2016: event recap PRINT POST APPROVED 100022288 Look South A place where world-leading researchers come together in first-class facilities to address some of the world’s grand challenges. Our Vision Our Team Adelaide Enterprise www.adelaide.edu.au/enterprise Research Collaborations & Partnerships www.adelaide.edu.au/research-partnerships 2561-2 Research Strategy Adelaide Research for Impact www.adelaide.edu.au/research CRICOS 00123M The University of Adelaide works closely with government, industry and the community to translate cutting edge research into innovative products and services that deliver positive impacts around the globe. Innovations as diverse as biofuel made from microalgae, improving IVF success and drought resistant crops are changing our lives for the better. If you are interested in incorporating novel and applied research thinking into your organisation’s innovation ecosystem then look south, to the University of Adelaide. AusBiotech Welcome CHAIR AND CEO REPORT As we reach mid year, during our 30th anniversary celebrations, AusBiotech has much to share with you as evidence that Australia’s largest life sciences network and industry advocate is just getting warmed up. AusBiotech was pleased to announce the appointment of Executive Media as the official publisher of this journal, Australasian Biotechnology, and this is the first edition resulting from the partnership. As a highly-regarded publisher with over 40 years’ experience, Executive Media is ideally positioned to engage members, stakeholders, investors and government on the biotechnology industry in Australia. The journal began as the Australian Biotechnology Association Bulletin in May 1986 and it later became the Australian Journal of Biotechnology in 1987, and then Australasian Biotechnology in 1992. It is fitting that this new chapter in its history commence at the mid point of AusBiotech’s 30th year. The journal will have some new features, such as the new-look masthead, but continues to be published three times a year (March, July and October) and carry regular features, such as this Chair and CEO report, and AusBioSTOCK, an exclusive report from Baillieu Holst Stockbroking’s Joanna Hill. Australia is among the world leaders for biotechnology, boasting the largest listed biotechnology sector (as a proportion of GDP) in the world. The combined market cap of 46 responding companies was $48.6 billion and the industry is expected to create 213 new jobs this year. Julie Phillips Australian life sciences companies have attracted more than $2 billion in deal flow over the last 18 months, which is bolstering confidence and showing that success is not theoretical Australian life sciences companies have attracted more than $2 billion in deal flow over the last 18 months, which is bolstering confidence and showing that success is not theoretical. The Survey, now in its sixth year, was open to all ASXlisted and unlisted biotechnology companies. Forty four companies responded and 60 companies participated in roundtable discussions held around Australia between February and March 2016. Key findings of the survey: • Confidence remains strong and sets some records. Companies planning to increase their staff this year are at an all-time high; 70 per cent of companies intend to hire staff this year (up from 64 per cent last year and 69 per cent in 2014), with 30 companies intending to recruit to 213 identified new roles. 41 per cent of respondents said the environment was conducive to growing a biotechnology company, up from 16 per cent last year. The 2016 AusBiotech CEO Industry Position Survey was launched on 31 May and confirmed biotechnology’s central position in Australia’s post mining–boom economic transition. The Survey, conducted by AusBiotech with support from Grant Thornton and a contribution from Novotech, revealed key themes surrounding the industry’s value to the Australian economy; business sentiment; finance, investment, listing and costs; and government policy. Dr Anna Lavelle • All eyes on the R&D Tax Incentive. The R&D Tax Incentive was confirmed as the most significant government program for promoting innovation in the private sector, and plays a pivotal role in motivating and attracting research, development and clinical trials to be conducted in Australia. The preservation of the program remained clearly the most commonly cited, unprompted concern for the industry’s future. Australasian BioTechnology | Volume 26 | Number 2 1 AusBiotech Welcome • AusBiotech launched the Australian Life Science Innovation Directory in May this year, in order to connect the industry by offering a fully searchable platform with access to information on biotechnology and life science companies and organisations in Australia • Smart science needs smart money. Access to capital for companies developing new technologies remains a critical issue. The number of companies planning to raise capital dropped slightly to 40 per cent, down from the same position last year (48 per cent). • Policy stability is key. The constant reviews, threats and tweaks to industry support programs are unsettling for biotechnology developers that have long development cycles, and they undermine business confidence. AusBiotech is preparing for the highlight of the year, the International BioFest 2016, which will be the largest ever gathering in Australian life sciences, with three major conferences coming together in one week, in one place, as one integrated network. For 30 years, the annual AusBiotech conference has brought together the entire biotechnology ‘ecosystem’ to share challenging and informative ideas, and progress their biotechnology development work—and this year will see a greater event. International BioFest 2016 is expected to attract over 2500 delegates to attend the academic, industry and investor events at the Melbourne Convention Centre from 24– 27 October 2016. Special deals are available for more than one event or the whole event. Earlybird discounts end in mid July, so there is benefit in planning early for this not-to-bemissed event, which will comprise: • IBS 2016, the 17th International Biotechnology Symposium and Exhibition • AusBiotech 2016, Australia’s life sciences conference 2 Australasian BioTechnology | Volume 26 | Number 2 Australia Biotech Invest 2016, Australia’s life sciences investment showcase. For further information, please visit the International BioFest 2016 website at internationalbiofest.org, where you can also access the three individual events’ websites. This event will be the first time the International Biotechnology Symposium and Exhibition (IBS 2016), has been held in Australia. IBS is the most representative biotechnology event at the global level, at which participants congregate from academia and industry, to explore the advances and frontiers of science, as well as applied biotechnologies. IBS presents and promotes the contribution that chemistry provides to the development of biotechnological research and industry. The symposium program will include topics such as agribusiness; industrial and environmental biotechnology; pharmaceutical, medical and molecular; bioenergy and biorefinery; the bio-economy, policy and investment; and biosensors and nanotechnology. AusBiotech launched the Australian Life Science Innovation Directory in May this year, in order to connect the industry by offering a fully searchable platform with access to information on biotechnology and life science companies and organisations in Australia. Integrated within the larger Biotechgate global life science database, which includes more than 38,000 company and organisation profiles, the Directory is designed to help promote the growth and potential of Australian biotechnology on a global scale. Members of AusBiotech have received an exclusive profile that will help communicate each organisation’s valuable contribution to Australian biotechnology and life sciences, including: • an extended profile to display tailored company information • a login to customise company information • endorsement from the AusBiotech logo. To use the Directory, simply visit www.ausbiotech.org/ directory. You can search by sector, indications, product phase, and many other categories with the comprehensive search form and automated alerts. AusBiotech Welcome AUSBIOTECH BOARD Julie Phillips Chairman AusBiotech Ltd CEO and Executive Director BioDiem Ltd Tel: 03 9692 7240 Michelle Burke Director, External Affairs Bristol-Myers Squibb Tel: 03 9213 4000 Lawrence Gozlan Chief Executive Officer Scientia Capital Tel: 03 9661 8274 Dr Andrea Douglas Vice President, R&D Strategy and External Affairs CSL Limited Tel: 03 9389 1135 Dr Anna Lavelle Chief Executive Officer AusBiotech Ltd Tel: 03 9828 1404 Barry Thomas Managing Director Cook Australia Pty Ltd Tel: 07 3434 6010 Serina Cucuzza Manager, Commercial Development & Industry Engagement Burnet Institute Tel: 03 9282 2204 Serg Duchini Partner, Leader Speciality Taxes & Co. Director Deloitte Touche Tohmatsu Tel: 03 9671 7376 AusBiotech staff list Chief Executive Officer Dr Anna Lavelle Events Manager Vincent Portier Chief Operations Officer Glenn Cross Project Manager Hayley Laing Executive Assistant Jo Beamsley Business Development Manager Mel Nelson Chief Industry Affairs Officer Lorraine Chiroiu Web & Data Administrator Harshini Bellana Chief Finance Officer & Company Secretary Penny Brassington Events Co-ordinator Sienna Deano Events Co-ordinator Amelia Lundstrom National Programs Manager Helen Arthur Media and Communications Officer Kristen Goodgame Member Services Manager Tanya Daw Accountant Crystal Tan National Conference and Events Manager Kirsty Grimwade Representative, Asia Pacific and NSW, Business Development Stephen Pattillo Australasian BioTechnology | Volume 26 | Number 2 3 CONTENTS WELCOME IMMUNO-ONCOLOGY 1 32 Immunotherapy to treat AFL star’s melanoma, by Giulia Heppell 34 Immunotherapy overview AusBiotech Chair and CEO report, by Julie Phillips and Dr Anna Lavelle 3 AusBiotech Board NEWS 8 Industry news AUSMEDTECH 2016 16 22 AusMedtech 2016: Australia’s medtech conference Helping clinicians to develop innovative medical devices, by Dr Olivia Lockwood, SA Health 26 Technology convergence: the impact of digital technology on treatment and patient interaction, by Murdoch Childrens Research Institute staff Anita Petris, Phoebe Macleod and Dr James Dromey. 38 Cancer immunotherapy comes of age (finally!), by Dr Ian Nisbet, Afandin Pty Ltd 41 Next-generation DNA vaccine targets HPV tumour cells, by Eden Cox 43 Combination therapies with immune checkpoint inhibitors, by Dr Jamie Lopez, Peter MacCallum Cancer Centre 45 Outpacing cancer: an interview with Josie Downey, MSD AGBIOTECH 28 Shifting gears: how the changing landscape of Australian manufacturing can benefit the medtech industry, by Peter Roberts, Australian Manufacturing Forum 50 GM and the community: a call to action, by Rob Neely, Integrated Animal Health SPONSORED ARTICLES 4 6CSL 30 Bosch Australia 12MSD 36 Monash University 14Bio-Link 47 Anteo Technologies 20 The IQ Group Global 62 Davies Collison Cave 24 McCloud Consulting Group Australasian BioTechnology | Volume 26 | Number 2 Contents 53 20 years growing GM crops: regulation, not science, has curtailed the benefits of our experience, by Matthew Cossey, CropLife Australia 56 Biotechnology and beef tenderness: 1995 to today, an interview with Dr Gregory Harper, Agriculture Research and Development 59 AusBiotech Business Solutions Program IP LAW 60 Gene Genie: the judicial revolution in biotech IP, by Prof Matthew Rimmer, Queensland University of Technology STOCK 64 Biotechnology stock index, by Joanna Hill, Baillieu Holst PEOPLE 69 71 New member profiles Corporate members Australasian Biotechnology is the official journal of AusBiotech, Australia’s Biotechnology Organisation. Australasian Biotechnology reports on research and business news within the biotechnology arena. AusBiotech: Level 4, 627 Chapel Street, South Yarra VIC 3141 Tel: 03 9828 1400 | Email: [email protected] | Web: www.ausbiotech.org Published by: Executive Media ABN 30 007 224 204 430 William Street, Melbourne VIC 3000 | Tel: (03) 9274 4200 | Fax: (03) 9329 5295 Email: [email protected] | Web: www.executivemedia.com.au Editor: Eden Cox | Graphic Designer: Robert Smith The editor, publisher, printer and their staff and agents are not responsible for the accuracy or correctness of the text of contributions contained in this publication, or for the consequences of any use made of the products and information referred to in this publication. The editor, publisher, printer and their staff and agents expressly disclaim all liability of whatsoever nature for any consequences arising from any errors or omissions contained within this publication, whether caused to a purchaser of this publication or otherwise. The views expressed in the articles and other material published herein do not necessarily reflect the views of the editor and publisher or their staff or agents. The responsibility for the accuracy of information is that of the individual contributors, and neither the publisher nor editors can accept responsibility for the accuracy of information that is supplied by others. It is impossible for the publisher and editors to ensure that the advertisements and other material herein comply with the Competition and Consumer Act 2010 (Cth). Readers should make their own inquiries in making any decisions, and, where necessary, seek professional advice. © 2016 Executive Media Pty Ltd. All rights reserved. Reproduction in whole or part without written permission is strictly prohibited. Australasian BioTechnology | Volume 26 | Number 2 5 SPONSORED CONTENT 100 YEARS OLD AND JUST GETTING STARTED CSL employees in 1920 packing a mixed bacterial vaccine to help combat the Spanish influenza pandemic in Australia CSL was established in 1916 by the Australian Government to ensure that the isolated nation had reliable access to life-saving biological products. One hundred years later, it has become Australia’s largest and most successful biotechnology company, with substantial in-house, onshore translational research and development capabilities. We have evolved from being a company that largely brought international discoveries to Australians to one that translates its own early research into commercial medicines for patients around the globe. In 1994, CSL spent less than US$20 million on research and design (R&D). In 2016, we will spend close to US$600 million. R&D represents both the past and the future of CSL, and today, our future has never looked brighter. Our mission is to broaden the pool of life-saving, lifechanging medicines by bringing more new products and technologies to market, particularly for patients with rare and serious diseases. In order to do this, we maintain a robust R&D pipeline—beginning with early-stage research—so that we have new products to launch next year, and the year after, and a decade from now. And we employ a high- A6 Australasian BioTechnology | Volume 26 | Number 2 performance, dedicated staff comprising some of Australia’s best and brightest researchers. In April 2016, on our 100th birthday, we announced the establishment of the CSL Centenary Fellowship Program. This $25-million commitment is intended to formally pay tribute to CSL’s origins by supporting Australia’s scientific community, as well as helping to foster future research excellence. We plan to award two long-term, high-value fellowships each year, for 10 years, to support mid-career Australian scientists to pursue world-class research. We keep our global R&D function headquartered in Australia because we believe that Australia’s medical research community is world class, and a rich source of potential new discoveries to address the world’s unmet medical needs. We have also announced the establishment of the CSL Global Hub for Research and Translational Medicine, which will be housed at the University of Melbourne’s Bio21 Institute. We will be doubling the number of CSL research scientists based there, and we are intending to use the Bio21 facility as an expanded base for new research collaborations, in both Australia and in other parts of the world. We are CSL. And we are just getting started… Spanish flu vaccine 1919 Diphtheria toxin-antitoxin 1920 Insulin 1923 Tiger snake antivenom 1930 Tetanus vaccine 1938 Blood-typing sera 1939 Influenza virus vaccine 1942 Penicillin 1944 CSL CENTENARY FELLOWSHIPS Call for Applications Blood plasma therapies 1952 Diptheria, tetanus, whooping cough vaccine 1953 Polio vaccine 1956 Asian flu pandemic vaccine 1957 Plasma-derived clotting factor for haemophilia 1961 Rh(D) Immunoglobulin for newborns 1966 Hong Kong flu pandemic vaccine 1968 Funnel web spider antivenom 1981 Q fever vaccine 1989 The CSL Centenary Fellowships support world-class medical research in Australia. Each fellowship is valued at $1.25 million over five years. Australian medical researchers working on early stage or translational research with a focus on rare and serious diseases, immunology or inflammation are invited to apply for these competitively-selected grants. Applications for the first two fellowships, to commence in January 2017, are now open and will close on July 31st. Plasma therapies for global markets 2000 Seasonal flu vaccine for global markets 2002 National HPV vaccine program for girls 2007 For further information and to apply please visit: www.cslfellowships.com.au We are CSL. And we are just getting started. Next generation IV immunoglobulin 2007 H1N1 (Swine) flu vaccine 2009 Next generation subcutaneous immunoglobulin 2010 National HPV program for boys 2013 Adjuvanted seasonal flu vaccine 2015 Novel recombinant clotting factors for haemophilia 2016 CSL100.com.au CSL Limited, ABN 99 051 588 348, 45 Poplar Road, Parkville Victoria 3052 Australia. OCH OPRH0014 04/16 News INDUSTRY NEWS Admedus wins manufacturer of the year at 2016 Manufacturers’ Monthly Endeavour Awards On 12 May 2016, Admedus was chosen from more than 40 other finalists to take out the major award of Manufacturer of the Year. Admedus was also awarded ‘Most Innovative Manufacturing Company’ for its work in the research, manufacture and export of its lead regenerative tissue product CardioCel®, which is undertaken at the company’s state-of-theart bio-manufacturing facility in Malaga, Western Australia. Admedus’s state-of-the-art bio-manufacturing facility was officially opened in August 2014 in order to support global demand for the company’s lead regenerative tissue product CardioCel. CardioCel is developed using a high-tech engineering process called ADAPT®, whereby scientists treat a piece of animal pericardium (the heart-covering membrane) to remove all RNA, DNA and remnants of cells to produce an off-the-shelf, ready-to-use collagen bioscaffold that functions like human tissue. University collaboration launched to discover new medicines Victorian Premier Daniel Andrews has announced a new $80-million collaboration between Monash University and the University of Melbourne in the field of biomedical research. The Victorian Government will contribute $10 million towards the $60 million needed to get the enterprise underway, with the two universities having already committed $50 million. The new enterprise will be owned jointly by the two universities, but will be independently governed by a board. It has the aim of bringing the advanced commercialisation skills and funding needed to successfully address the early-stage ‘valley of death’ that faces new discoveries. In a statement, the universities said the enterprise is expected to generate about $360 million in activity, support new companies, increase investment and exports, and create specialised jobs in the sector. Applications open for CSL fellowship CSL is now calling for applications for the first two inaugural fellowships under the recently announced $25-million program for early-stage and translational research in Australia. Two five-year fellowships are to be awarded each calendar year for 10 years. The total value of each award is $1.25 million, paid in annual instalments of $250,000 to the employing university or medical research institute. The grants are available to outstanding Australian researchers seeking to consolidate their career and undertake medical research in an Australian academic institution. Applicants must be mid-career Australian citizens (or permanent residents) working in early-stage and translational research. Preference is expressed for a focus on rare and serious diseases, immunology, or inflammation. Applications for the first two CSL Centenary Fellowships close on 31 July 2016. Successful applicants will be announced on 30 September. Established in 2016 as the government-owned Commonwealth Serum Laboratories, today CSL operates in more than 30 countries, manufactures across three continents, and employs more than 16,000 people. ‘CSL may be one hundred years old, but we are just getting started,’ says CEO Paul Perreault. 8 Australasian BioTechnology | Volume 26 | Number 2 News Worldview ranks Australia in top five for third year Scientific American Worldview: A Global Biotechnology Perspective has launched its eighth annual scorecard at the BIO International Convention in San Francisco, confirming that Australia has held its place in the top five countries for the third consecutive year. The report said: ‘It might be down under geographically, but Australia finished in the scorecard’s top five for the past three years. It also produced the 12th highest output on the Nature Index 2015 Global’. AusBiotech’s attraction of industry-building conferences was noted in the report: ‘Experts around the world recognise the biotechnology opportunities in this country, as some events demonstrate. In October 2016, for example, Australia will host BioFest 2016, which is billed as “the largest-ever gathering in Australian life sciences, with three major conferences coming together in one week, in one place, as one integrated network”’. Australia ranked fifth this year, measured by IP protection, intensity (ranked #3), enterprise support, workforce/education (ranked #4), productivity (ranked #2), policy and stability. Australia also ranked in the global top three on four indicators: • #3 Greatest public company revenues • #2 Most public companies • #2 Most public company employees • #2 Largest biotech public markets. 20 Years of GM crops in Australia This year marks 20 years of Australian farmers growing genetically modified (GM) crops. CropLife says an independent report released by Graham Brookes, of United Kingdombased PG Economics, has outlined the significant economic and environmental benefits experienced by farmers. The ‘Adoption and Impact of Genetically Modified (GM) Crops in Australia: 20 Years’ Experience’ report provides insights into the reasons why many farmers in Australia have adopted, and continue to increasingly use, crop biotechnology since it became commercially available 20 years ago. Matthew Cossey, CropLife Australia CEO, says the report provides evidence that ‘statebased moratoria on GM crop cultivation serve no purpose other than to stifle innovation and, in some cases, act as a political football for people who blatantly refuse to acknowledge the real-world benefits GM crops provide to farmers and the nation. ‘GM cotton is credited as being the saviour of Australia’s cotton industry, with Australian farmers among the first in the world to plant GM cotton seeds in 1996… It’s about time state policy settings are supportive of Australian farmers and their right to choose to reap the wellestablished benefits of GM crops.’ Business agreement signed by European and Australian life sciences organisations At the 2016 BIO International Convention in San Francisco, six organisations representing health clusters and life sciences in Australia and Europe signed a business development agreement that aims to accelerate business results and assist small to medium-sized enterprises to enter new markets. Two Australian organisations—BioSA and Health Industries South Australia—signed on behalf of more than 100 health industries companies and research bodies based locally in South Australia. Other signatories included organisations from the Auvergne-Rhone-Alpes region in France, Bavaria in Germany, Catalonia in Spain and Piedmont in Italy. Marco Baccanti, chief executive of Health Industries South Australia, said that the cooperative effort is set to deliver real, practical results for companies and research organisations in the region. South Australian companies will also benefit by creating networks in European markets, a development that is highly significant to the growing health and life sciences sector in Adelaide. Job creation and professional collaboration, as well as exports and commercial opportunities are also foreseen for the South Australian sector following the agreement. BioM CEO Professor Dr Horst Domdey also commented that a smoother exchange of academic and clinical research will be made possible through the agreement. Australasian BioTechnology | Volume 26 | Number 2 9 News Pfizer Australia to change hands Melissa McGregor will succeed David Gallagher as leader for Pfizer Australia following Gallagher’s promotion and relocation to Ireland. Before his relocation to Australia, Gallagher led Pfizer for 13 years in his native Ireland, where he also served as president of the Irish Pharmaceutical Healthcare Association, a researchbased industry association. Speaking of his colleague’s departure, regional president of International Developed Markets Richard Blackburn said that Gallagher had brought professionalism and dedication to serving patients, and that he is held in high regard by colleagues in Australia and New Zealand, adding also that the company looks forward to seeing McGregor build upon Gallagher’s strong legacy. McGregor is also an experienced Pfizer veteran, having worked for 18 years in various roles including sales, marketing and training. For the last two years, she has also bolstered her experience with Pfizer New Zealand as country manager. McGregor commented that she looks forward to ensuring that the company continues to deliver for the patients who count on it. Retiring CEO and co-founder predicts growth for LBT Innovations ‘Although this will be my final letter to you as the chief executive of LBT Innovations, I enter my retirement with tremendous confidence that the company I co-founded will only continue to grow and prosper,’ said CEO and co-founder Lusia Guthrie to shareholders upon her retirement last month. Brent Barnes will succeed Guthrie, and was welcomed enthusiastically by the retiring CEO for his previous experience with Cochlear. Guthrie said that Barnes has a strong IT background and a capacity for hard work, along with impressive vision for the company’s future. Guthrie added that Barnes, who will begin his tenure on 8 August, joins LBT at a critical point in the company’s development. Guthrie will continue in a consulting role to assist transitional arrangements for the new CEO. Barnes said, ‘I’m thrilled to be joining LBT Innovations at such a critical period for the company. APAS® is close to market and LBT has tremendous opportunities to further exploit its innovative digital imaging platform, including WoundVue®.’ Two external companies have also reportedly approached LBT to discuss the possibility of collaborating to further commercialise LBTs MicroStreak technology into new international markets. Success in laser trials for early age-related macular degeneration Ellex Medical Lasers, a world-leader in medical technologies for the diagnosis and treatment of eye disease, has announced progress in a clinical trial of its 2RT retinal rejuvenation laser treatment for intermediate stage age-related macular degeneration. The Adelaide-based company has completed an interim review of the initial participants in its clinical trial. Following the interim review, Ellex will be able to continue the trial to its full course until at least April 2018. Ellex CEO Tom Spurling said the company was happy to report that the trial passed this important milestone, and that the analysis revealed a meaningful difference in drusen progression and retinal sensitivity between the two groups, one of which received sham treatment and the other 2RT treatment. Spurling added that the trial also demonstrated a good safety profile. The trial is sham-controlled, double-masked and randomised, and is being conducted over six sites, including five Australian sites and one in Northern Ireland. The trial comprises 292 participants, the latest having been recruited and randomised in April 2015. Each participant will undergo a comprehensive review every six months over 36 months, with the review period coming to an end in April 2018. The leader of Ellex’s Laser trials is Professor Robyn Guymer, MBBS, PhD, FRANZCO, an internationally renowned retinal professor currently based at Melbourne’s Centre for Eye Research Australia. 10 Australasian BioTechnology | Volume 26 | Number 2 News Immuron announces increase in recruitment Immuron has announced that its 50 per cent recruitment milestone has been reached for its IMM-124E Phase II clinical trial for the treatment of non-alcoholic steatohepatitis. 60 patients have been successfully randomised to date, and overall, 25 patients have successfully completed treatment. Patients eligible for the clinical trial are randomised into three groups, and receive a 600-milligram or 1200-milligram dose of IMM-124E, or placebo, three times a day. Immuron has also announced that the treatments have not produced any significant negative effects. ‘This is a significant milestone for the company, and a great achievement by the team,’ reported Head of Medical for Immuron Dan Peres. ‘We continue to work with our study sites to find ways to accelerate recruitment. ‘IMM-124E has several advantages over our competitors, including a great safety profile, which provides a compelling option for our PIs and their patients,’ continued Peres. Recruitment is expected to be finalised by the end of the year. To date, Immuron has 28 active study clinical study sites in the United States, Israel and Australia, and the company has identified two additional United States sites, which will begin enrolment this month. Developments in research targeting Zika virus Biotron has announced positive results from tests involving two compounds targeting the Zika virus. The Zika virus has been identified in more than 40 countries, including 20 in the Americas and many in the Pacific, and has been confirmed as a Public Health Emergency of International Concern by the World Health Organization. Brazil experiences the worst of the virus, with an estimated one million people currently infected. The Zika virus is contracted after being bitten by an infected mosquito, and common symptoms include conjunctivitis, fever, joint pain and rash. Symptoms are often mild; however, the virus presents a serious threat during pregnancy. It has been associated with the serious birth defect microcephaly, as well as other serious brain defects. Currently, no approved vaccine or treatment is available. Biotron, which is based in Sydney, exported compounds to an independent screening facility in the United States for screening against the virus. According to a statement made by Biotron, ‘One compound showed activity in the first round of screening and this result has been confirmed in repeat assays. In a subsequent round of screening, a second compound has also shown to inhibit replication of Zika virus’. This is an important development for Biotron, and has prompted positive responses from investors. Managing director Dr Michelle Miller remarked that the results so far are encouraging, adding that they demonstrate the robustness of Biotron’s library of compounds, and approach to drug development. A treatment for the Zika virus would be a large valuation driver for Biotron. Starpharma, a Victoria-based developer of dendrimer products for pharmaceutical, life science and other applications, has also made promising developments in the treatment of the Zika virus. Its VivaGel active, astodrimer sodium (SPL7013), has demonstrated antiviral activity against the virus in laboratory studies, which have shown near-complete antiviral protection at SPL7013 concentrations considerably lower than that of the VivaGel condom (marketed in Australia as the Dual Protec condom by Ansell). Australasian BioTechnology | Volume 26 | Number 2 11 SPONSORED CONTENT A 100-DAY BIOTECH PLAN ideas for an incoming industry minister BY DR PHIL KEARNEY, DIRECTOR, LICENSING & EXTERNAL RESEARCH, MSD After the longest election campaign in 50 years, readers of Australasian Biotechnology are probably thinking, ‘what now for biotech?’ With a new Cabinet to be sworn in soon, we can anticipate that the Minister for Industry, Innovation and Science will want to engage biotech leaders, bed down worthy reforms and build long-term foundations for a thriving biotech sector. The Minister might consider the following four ideas for the 100-day plan. Call an international investors’ forum In January, Prime Minister Malcolm Turnbull, the Hon. Scott Morrison MP and other government leaders met with 50 global fund managers at the Sydney Opera House. The A50 Australian Economic Forum, convened with global bank Citi, aimed to reverse the declining share of investment funds that Australia has received since the end of the mining boom. It gave government the chance to showcase our strengths as an open, stable and innovative economy, and hear views on the policy settings that could encourage greater investment. In the keynote address to the forum, Morrison discussed the government’s National Innovation and Science Agenda (NISA), noting that it ‘was a deliberate statement not of just policy detail, but government intent…to spark a fire amongst the innovators around this country [and] say that you are a key part of this country’s future’. 12A Australasian BioTechnology | Volume 26 | Number 2 AusBiotech welcomed the new funding, tax and institutional policies announced in NISA, and the related proposals in Labor’s FutureSmart policy platform. Maximising the benefit of these new policies to Australian biotech will require the full awareness and engagement of international investors and commercial partners with a specific interest in the biosciences. The government has always Dr Phil Kearney been well represented at international biotech events like the annual BIO conference. The industry minister should consider hosting a local forum so that selected investors can discuss opportunities for bioscience investment in Australia, and explore what steps could be taken to further encourage commercialisation of Australian research. This forum could also help in identifying investment partners for translational research funds. It would also assist the National Health and Medical Research Council (NHMRC) and other granting bodies to identify the kind of development work that would best meet the needs of global investors. Finally, it would help other partnering institutions to identify participants for initiatives to build linkages between industry and academia. SPONSORED CONTENT Investors participating in the A50 Australian Economic Forum in January Support clinical trial reform Red-tape reduction is another policy objective with strong bipartisan support. Although both Labor and Liberal governments have recognised clinical trial reform as a critical priority for years, streamlining clinical trial approvals has proved challenging. It was therefore heartening to see the state and federal health ministers’ communiqué on clinical trials from the April 2016 Council of Australian Governments (COAG) meeting in Perth. The communiqué noted the importance of clinical trials in advancing clinical practice and stimulating innovation. It tasked the Australian Health Ministers’ Advisory Council (AHMAC) with improving the efficiency of trials, to better engage sponsors and improve trial start-up times and outcomes. The industry minister is well placed to support these efforts, and ensure that they lead to practical improvements and the clinical trial administration through the Clinical Trials Advisory Committee, which advises both health and industry departments. Cut TGA red tape Another positive development in the build-up to the election was the commitment of $20 million to implement recommendations from the Expert Review of Medicines and Medical Device Regulation. These include the implementation of new approval pathways that could accelerate the registration process, giving patients earlier access to life-saving medicines, and reducing the cost and administrative burden for companies. Given the critical importance of timely and predictable regulatory review to biotech and innovative pharmaceutical companies alike, the industry minister should support the timely implementation of these reforms. The Medicines Industry Forum, which is scheduled to meet after the election, would present a good opportunity to keep industry abreast of developments on this. Ask for a briefing on the PBAC guidelines A final action for the new industry minister would be to request a briefing on the proposed new Pharmaceutical Benefits Advisory Committee (PBAC) guidelines, which will be implemented shortly after the election. The guidelines include new provisions that could seriously compromise the valuation of innovative therapies, significantly reducing the incentive to bring new medicines to market in Australia. These provisions have implications that go well beyond the health portfolio, and need whole-of-government consideration. MSD and other innovative pharmaceutical companies are actively involved in translational research, clinical development and commercialisation in Australia. Together, innovative pharmaceutical companies invest more than $1 billion in Australian research and development, employ 14,000 Australians directly, and underwrite thousands more jobs in universities and research institutions. The industry is well placed to support the deeper integration of Australian science into global markets, as well as the significant employment and economic benefits that this will generate. There has never been a more exciting time to be involved in biotech research, commercialisation and policymaking, and the industry minister will play a critical role in facilitating the relationships and reforms that will help the sector reach its full potential. Australasian BioTechnology | Volume 26 | Number 2 13B SPONSORED CONTENT REALISING VALUE FROM BIOTECHNOLOGY Investment into scientific innovation has thankfully become an important focus for Australia. The launch of the National Science and Innovation Agenda and the creation of the Biomedical Translation Fund are particularly encouraging for our sector. To capitalise on these opportunities, it becomes paramount to focus on the ‘business of biotech’. The health and economic benefits of biotechnology are inextricably linked to its commercialisation, rather than translation per se. Biotechnology is a challenging business, and it requires specialised capabilities, experienced insights and significant capital. Australian innovators typically must engage with global partners to realise maximum value from their intellectual property. All too often, biotech innovators, understandably, focus their limited resources on what they do best—innovation, preclinical and clinical development—with the underlying assumption being ‘build it, and they will come’. Their somewhat vague business goal is to ‘partner with Big Pharma’ after positive efficacy trials. It is a risky strategy. Patents are filed, dollars are invested, and even significant milestones are achieved before anyone answers (or sometimes even asks) ‘how are we going to sell this technology, and to whom are we going to sell it?’ Unless a real-time commercial expert is onboard—someone currently in the business of doing deals with or for actual biotech buyers— the answers to these questions tend to involve guesswork and speculation. As partnering is on the critical path to realisation of value from biotechnology, the cost of leaving these questions unanswered cannot be underestimated. The technology and intellectual property come first, but without experienced and effective business development, even good biotechnology often won’t sell itself-and certainly not at an optimum price 14A Australasian BioTechnology | Volume 26 | Number 2 At Bio-Link, we believe that the best way to realise maximum value from biotechnology is to engage early and often with actual biotech buyers all over the world to find out who may be interested and what will motivate them to do a deal. We call this ‘commercial outreach’. The commercial intelligence acquired through this process is typically invaluable, and prospective partner engagement invariably identifies at least a few well-qualified companies as potential licensing partners. Engagement with multiple prospects fosters crucial competitive tension to optimise licensing terms, and may also be leveraged to attract and negotiate more favourable deal terms from investors. The technology and intellectual property come first, but without experienced and effective business development, even good biotechnology often won’t sell itself—and certainly not at an optimum price. We specialise in the commercialisation of biotechnology, though our niche expands into a range of complementary activities. When it comes to evaluating science, exploring patent landscapes, analysing competitors, modelling cash flows, strategic planning, engaging with prospective partners, pitching to investors, or structuring and negotiating deals—we cover it all, ‘…from hello to cash flow™’. Please contact us today to explore how Bio-Link can build value for your organisation. Professional business development for commercialisation of innovative biotechnologies – drugs, diagnostics and medical devices Bio-Link is a life sciences business development consultancy offering a team of experienced professionals based in Melbourne and Sydney, and an extensive global network of industry contacts. Bio-Link has a strong track record of facilitating commercial deals for our biotech, medical device and academic clients worldwide. We specialise in the following range of high quality services: Proactive Business Development Positioning technologies Engaging potential partners Structuring & negotiating deals Strategic Review Access to Australasia Executive Management Fundraising Corporate strategy Project management Bio-Link Australia Pty Ltd Gap analysis Data packaging IP and competitive landscapes Technology scouting Local representation Facilitation of commercial partnerships ppartpartnerships www.bio-link.com Executive Directors - Christopher Boyer (Melbourne) / Christian Toouli (Sydney) Ph: +61 3 9005 7040 / +61 2 9571 8815 E: [email protected] AusMedtech AUSMEDTECH 2016: AUSTRALIA’S MEDTECH CONFERENCE More than 250 delegates from interstate and overseas gathered in Adelaide from 10–11 May this year to attend the 2016 AusMedtech conference. Supported by BioSA and the Adelaide Convention Bureau, and hosted by the Adelaide Convention Centre, this year’s AusMedtech Conference featured the largest line-up to date, and showcased a wide range of national and international products servicing the medical technology (medtech) field. 16 Australasian BioTechnology | Volume 26 | Number 2 The Australian medtech industry is one of the nation’s fastest-growing and evolving sectors. Having experienced vigorous growth in recent years, in no small part propelled by research developments and innovations in the biomedical sphere, there is now an established community of more than 1000 companies, which are mostly start-ups, operating within Australia’s medtech industry. The annual AusMedtech conference, celebrating its ninth year in 2016, is a vital forum that brings together the medical AusMedtech AusMedtech 2016 Conference Dinner, supported by Cook Medical devices and diagnostics sector to support the growth of Australian medical technology around the globe. As AusBiotech’s medical device and diagnostics conference, the event is evidence that AusBiotech is working to connect and grow the Australian medtech industry. The two-day program featured six plenary sessions and 58 speakers, and hosted six breakout panel discussions, which explored key topics affecting the industry, such as building success within the Australian market, global challenges, digital and telehealth, incubation and the start-up space, government initiatives, investment and investor relations, and regulatory issues. Kick-starting the conference was Dr Anna Lavelle, CEO of AusBiotech, who welcomed attendees to the exciting two-day event. Following Dr Lavelle was the opening address by the Hon. Kyam Maher MLC, South Australian Minister for Employment, Minister for Aboriginal Affairs and Reconciliation, Minister for Manufacturing and Innovation, Minister for Automotive Transformation, and Minister for Science and Information Economy. According to Maher, ‘Innovation in our high-value industries has never been more important. The major challenges facing traditional manufacturing in South Australia have led to greater focus on developing future growth industries, such as medical technologies’. Following these opening addresses were plenary sessions that explored the current trends in the sector, as well as the challenges that are faced by the medical technology industry. The ‘Incubating your way to success’ session had industry experts explore the pathway from bench to business success, a challenging journey with many fundamental areas of business that need to be supported and considered, and that are often outside the design of the technology that has been created. This session was chaired by Warren Bingham, Clinical Genomics, and featured Petra Andren, ATP Innovations (and her case study, ‘From Incubation to Commercialisation’); Dr Olivia Lockwood, Flinders University (and her case study ‘Helping clinicians commercialise their inventions’); and Greg Eaton, Greg Eaton and Associates (who spoke on the topic ‘When it doesn’t go to plan… what does it look like?’). ‘Shifting gears: How the changing landscape of Australian manufacturing can benefit the medtech industry’, explored the skills and capabilities of Australian manufacturers that are transferable to the medical devices industry, and what value and opportunities they represent. The session was chaired by Peter Roberts, journalist and founder of the Australian Manufacturing Forum, and featured discussion from John Croft Robert Bosch (Australia) Pty Ltd, Bosch Australia Manufacturing Solutions; Andrew Richards, SMR Technologies; Grant Tinney, Precise Advanced Manufacturing Group; and Shay Wilkinson, Cook Medical Pty Ltd. The final panel of the day, ‘AusMedtech start-up showcase’, looked at some of Australia’s latest medtech start-ups. This session was chaired by Warren Bingham, Clinical Genomics, In the first breakout session, Stephen Tomisich, CEO, Trajan Scientific and Medical, presented on the topic ‘Building a sustainable Australian scientific and medical device company’, while Joanna Batstone, of IBM Research Australia and IBM Australia and New Zealand, detailed the company’s current and future efforts in the digital health arena. Day one of the conference also featured various breakout sessions, including ‘Technology convergence’, an interactive panel discussion that explored the impact of digital technology on the treatment of, and interaction with, patients, which was chaired by Peter Bradley, LBT Innovations Ltd, and featured Fred Blochlinger, Outerspace Design; Dr James Dromey, Murdoch Childrens Research Institute; Bronwyn Le Grice, Fidere Group Pty Ltd; and Sam Holt, GP2U. Dr Anna Lavelle, CEO, AusBiotech, and the Hon. Kyam Maher MLC, Minister for Employment, Minister for Aboriginal Affairs and Reconciliation, Minister for Manufacturing and Innovation, Minister for Automotive Transformation, Minister for Science and Information Economy, Government of South Australia. Australasian BioTechnology | Volume 26 | Number 2 17 AusMedtech and featured Dr John Cross, Expia; Dr Peter French, BCAL Diagnostics; Dr Mark McEwen, FBE Pty Ltd; Dr Paul Pers, FORE cms; and Dr Tori Wade, Netcare Resources. The second and final day of the conference started with a bang, with delegates attending the Australian National Fabrication Facility (ANFF) business breakfast, which provided updates on the new technologies evolving from the research sector, such as nano-medicine and biophotonics sensors. The breakfast was chaired by Dr Warren McKenzie, ANFF, and featured discussion by Professor Mark Hutchinson, ARC Centre of Excellence for Nanoscale BioPhotonics, University of Adelaide; and Professor Nico Voelcker, UniSA node leader, ARC Centre of Excellence in Convergent Bio-Nano Science and Technology, University of South Australia. The breakfast also included a question and answer session on how companies can engage with Australian researchers to bring such technologies to market, which was chaired by moderator Dr Stuart Hazell, Fusidium. Following the breakfast, Neal Fearnot, Cook Advanced Technologies and vice president, Cook Group Incorporated, Cook Medical (USA), presented on key issues for the global medtech industry. This was followed by Natasha Gulati, Frost & Sullivan, whose session topic was an outlook on the telehealth market in Australia. Conference highlights • Joanna Batstone, VP and lab director, IBM Research Australia, who detailed IBM’s current and future efforts in digital health • Lee Hickin, Microsoft’s commercial lead for Internet of Things, exploring what we can predict about the direction of health IT by looking at emerging platforms and infrastructure • Neal Fearnot, president, Cook Advanced Technologies and vice president, Cook Group Incorporated, Cook Medical (USA), who provided an overview of key issues in the global medtech industry • Stephen Tomisich, CEO, Trajan Scientific and Medical, speaking on how to build a sustainable Australian scientific and medical device company. Key conference topics • building successful medical device companies in Australia • advances in the space of digital health • capital-raising and government initiatives Delegates were then able to network with exhibitors, before returning for mid-morning panel sessions. Glenn Cross, AusBiotech, chaired the ‘Medtech investment’ session, which had experts in the field exploring the sources of capital that have opened up, and those that have dried up. These experts included Thomas Mechtersheimer, Passion Investment Group; Graydon Smith, AusIndustry; Matt McNamara, BioScience Managers; and Jarred Shein, M.H. Carnegie & Co. • the Australian start-up space. ‘Medtech exports—leveraging Australia’s Free Trade Agreements (FTAs)’ was another discussion, which was chaired by Brendan Mason, SinoSA, and Richard Barrett, MedDev SA Alliance. The panel members included Liu Bing, Austrade, and Tracy Colgan, Kamsky Associations Inc, and provided vital information on how to export medical technologies using Australia’s recently enacted free-trade agreements. Other conference discussions included ‘New Federal Government initiatives’, and ‘Investor Relations’, which both featured the expert opinions of those working in these areas, before the conference convened for lunch and more networking opportunities. After lunch, two more panel discussions were held. Option one was on ‘United States patentable subject matter’, which had chair Martin Pannall, Madderns Patent & Trade Mark Attorneys lead a discussion with Brett Lunn, AusMedtech Intellectual Property Expert Panel; Robert Kramer, Finnegan (USA); and Derek Minihane, Cochlear Limited, on how what constitutes eligible subject matter for patents is in flux in the United States in a way that risks invalidating many valuable existing patents, and a flight of investment capital from the medical and biotech sectors. 18 Australasian BioTechnology | Volume 26 | Number 2 Additional networking • tours of Flinders University’s Medical Device Research Institute, Tonsley • the AusMedtech Cook Conference Dinner • the Australian National Fabrication Facility (ANFF) Business Breakfast • AusMedtech 2016 Closing Reception. The second panel explored the topic of regulation of emerging technologies, a discussion led by Grant Bennett, Brandwood Biomedical Pty Ltd, and involving Lusia Guthrie, LBT Innovations Ltd; Neal Fearnot, Cook Advanced Technologies and Cook Group Incorporated, Cook Medical (USA); Yasushi Murayama, INFOSERVICE Group and TÜV SÜD Japan Ltd; and Simranjit Singh, Quintiles, who all shared their experiences of innovator pathways in international markets in Asia and the United States. After a quick afternoon tea, two keynote addresses remained: ‘Digital Health’, chaired by Dr James Dromey, Murdoch Childrens Research Institute; and featuring Lee Hickin, Microsoft; and Dr Adrian Nowitzke, Telstra Health, which discussed what we can predict from the emerging software platforms, hardware and infrastructure that are supporting these changes. The traditional wrap-up session summarised the main outcomes raised during the conference, and looks ahead to AusMedtech 2017. Read ahead in this edition of Australasian Biotechnology for further insights by AusMedtech 2016 conference presenters Dr Olivia Lockwood, Dr James Dromey and Peter Roberts. AusMedtech 1. 3. 2. 4. 5. 6. 7. 6. 8. 9. 1. The Hon. Jack Snelling MP, Minister for Health, Minister for the Arts, Minister for Health Industries; 2.Neal Fearnot, president, Cook Advanced Technologies and vice president, Cook Group Inc, Cook Medical (USA); Dr Meera Verma, acting CEO, BioSA; and Dr James Dromey, general manager business development & strategy, Murdoch Childrens Research Institute; 3. Stephen Tomisich, CEO, Trajan Scientific and Medical; 4. Lee Hickin, Commercial Lead for Internet of Things, Microsoft; 5. Marco Baccanti, chief executive, Health Industries SA; 6. Lunch at AusMedtech; 7. Joanna Batstone, vice president, IBM Research, CEO; 8. Networking event; 9. Dr Anna Lavelle, Katrine Hildyard and Dr Meera Verma Australasian BioTechnology | Volume 26 | Number 2 19 SPONSORED CONTENT ERADICATING DISEASE THROUGH CAPITAL INVESTMENT iQX Limited is a listed investment company and fund manager that supports physicians, scientists and entrepreneurs who are developing innovationbased businesses across the life science sector. iQX believes that discoveries in the laboratory will translate into novel therapeutics, diagnostics and medical devices. iQX helps to drive the development of leading innovations through a unique network of medical, scientific and investment knowledge and expertise aimed at sourcing ground-breaking opportunities and pairing them with the appropriate capital through bespoke investment products. iQX is part of the wider iQ Group Global Companies leading Australia to the forefront of international biotechnology research and commercialisation. This relationship expands the group’s client base and development capability by combining a deep understanding of life science with access to major international capital markets. iQX has established a compelling portfolio of investment products through the inception of the iQ Series 8 Fund, an Early Stage Venture Capital Limited Partnership (ESVCLP). The iQ Series 8 Fund is a uniquely structured, highly specialised and strategically focused A$300-million investment series. The first product in the iQ Series 8 Fund range is a closedend, six- to seven-year term, A$100-million Life Science Fund (Global) ESVCLP LP. This series is predominantly dedicated to investing in Australian early-stage life science companies with preference towards private companies engaged in discovery and preclinical research. In September 2015, Innovation Australia granted the Fund conditional registration as an ESVCLP LP. The iQ Series 8 Fund is eligible for concessional tax treatment, making it an attractive investment for iQX’s sophisticated high-net worth investors. As part of a consortium, iQX recently acquired an interest in a biologic compound, introducing a novel approach to preventing cancer progression and metastatic disease. The unique compound and associated biomarker is a monoclonal antibody that modulates parathyroid hormonerelated protein (PTHrP) expression. This research program originated at McGill University, Canada. This asset will benefit from the synergies provided by the wider iQ Group Global Companies; iQnovate is the asset manager, managing the preclinical–clinical development life cycle and upon regulatory approval, the product life cycle. CRC leads the data generation strategy for clinical validation, evaluation and submission to regulatory bodies. In its capacity of corporate advisor iQ3 formulates and executes the company’s corporate finance strategy and funding, and executes the transaction. Finally, iQX structures bespoke investment products to meet the client company’s capital needs, and generate profits for the investors. Leading the development and commercialisation of a biotech asset compound from early preclinical stage right through to the regulatory approval and placement on the market is a clear example of the value ad iQX provides independently and in collaboration with the other member companies of The iQ Group Global. www.iqxinvestments.com.au [email protected] 20 A Australasian BioTechnology | Volume 26 | Number 2 An investment company and fund manager specialising in the life sciences sector. We work collaboratively with scientists, physicians and entrepreneurs to help translate a molecule into a medicine that will make a difference to society. We invest in the early stage, typically in the transition from discovery to preclinical and focus on the long term. We are heavily involved in, and committed to, the growth and success of our investee companies adding premium value to our investment portfolio iQX offers to select investors: Access to early stage biotech investment opportunities through its two Australian funds; Series 8 I & II Plus, other life science investments iQX chooses to participate in To the investee companies iQX adds value by: Providing early access to strategically placed venture capital Access to structured funding products and instruments Underwriting of IPO’s and private equity funding CONTACT US AT iQX www.iqxinvestments.com.au [email protected] A member of The iQ Group Global Companies AusMedtech HELPING CLINICIANS TO DEVELOP INNOVATIVE MEDICAL DEVICES BY DR OLIVIA LOCKWOOD, TECHNICAL MANAGER, STATEWIDE RESEARCH AND TEACHING, SA BIOMEDICAL ENGINEERING, SA HEALTH The SA Biomedical Research and Teaching (R&T) team members are the go-to gadget gurus, using cutting-edge technology to find innovative solutions to problems faced by clinicians and medical researchers within SA Health and Flinders University, School of Medicine. The R&T team has mechanical, electronic, software and biomedical expertise, accumulated during more than 30 years creating medical devices, from original concept and prototyping, through to clinical trial. The team’s work is very diverse, and the solutions provided have many local, national and international benefits. Such solutions include improved standards of health care through innovative medical device design; improved staff safety through innovative solutions to mitigate or reduce workplace injuries; the facilitation of groundbreaking research by developing technology to make medical research possible; and the creation of intellectual property with commercial potential. Dr Olivia Lockwood Innovative medical device development model to regulatory requirements. The service has expertise in medical standards and regulations, medical device design, repairs, maintenance and installations, and is involved from device purchase, all the way through to disposal. There are biomedical engineering departments within all major public hospitals, plus a mobile team for the country and community (rural and remote), dental, and pathology health services located throughout the state. The SA Biomedical Engineering Research and Teaching team provides a unique service within the Australian public health system. The team operates within an innovative model, which promotes and enhances medical device development for the state. This model is based on partnering biomedical engineers with clinical and research staff. The clinical and research staff know the clinical needs, and ensure a patient focus, while the engineers provide the biomedical expertise and technology solutions to solve the problem. This leads to the creation of innovative medical devices solving identified clinical needs. Due to the role that SA BME plays in SA Health, the engineers have a close working relationship with a wide range of clinical and research staff. This places SA BME in a very unique and ideal position, whereby it can engage with clinical and research staff to discuss their needs, problems or visions for better health care. When there is an identified clinical or research need, the R&T team works collaboratively with staff to understand the problem, identify their needs, evaluate possible solutions and develop the medical devices. This is a very streamlined path for medical device research and innovation. Integrated model of service The devices developed by this model are very diverse and demonstrate innovations. Some examples include the following: The R&T team is part of the South Australian Government’s SA Biomedical Engineering (SA BME) statewide service. SA BME regulates access of medical devices into SA Health, ensuring that all medical devices used within the hospital are safe, suitably designed for medical use and conform 22 Australasian BioTechnology | Volume 26 | Number 2 • Fluid Warmer: a non-powered, portable device that saves lives at accident scenes by quickly warming blood before delivery to hypothermic victims. AusMedtech AirGuards have been installed at major hospitals in Adelaide • • • • • Air Guard: a safeguard measure to reduce the incidence of oxygen and air outlet mix-up within clinical areas, thereby reducing the use of air when oxygen is required. SA Health (FMC, RGH, TEQH and RAH sites) have these devices installed and 11,400 units have been sold internationally. At FMC, the incidence of incorrect air use dropped from 12 cases to three in two years after air guards were introduced. Hip Implant Remover: developed to allow surgeons to use a new surgical approach to hip implant removal through the manufacture of a novel, custom-made orthopaedic tool, preventing the need for a more invasive surgical alternative. Sonographer Safety: research to understand the causes of, and possible solutions to eliminate, musculoskeletal workplace injuries experienced by sonographers when scanning patients. Heel Pressure Relief System: a pressure ulcer care tool used to reduce ulcer formation, while providing a solution that is comfortable and usable by patients. Quantifiable Blood Flow: a Doppler flow meter with a unique ability to measure blood flow into transplanted tissues in the leg, which allows researchers to gather evidence to reduce the number of bed-stay days from the current average of seven to three days. Commercial potential The medical devices developed by the R&T team have commercial potential. To maximise this and enhance the R&T medical device model, Flinders Biomedical Enterprises (FBE) Pty Ltd was created in 2007. FBE is owned by the Flinders Medical Centre Foundation. FBE provides a vehicle to commercialise the medical devices developed by the R&T team. Over the last eight years, FBE has successfully commercialised the Fluid Warmer and Air Guard, making the innovative outcomes of the R&T team available worldwide. Medical device clinical trials A very important part of medical device development is clinical trials. The R&T is ideally positioned to run medical device clinical trials with: • expertise in designing and running clinical trials • experience in writing and negotiating the ethics application approval process • access to animal and clinical trial facilities • access to a wide range of patient types • one ethics application for all trials in SA Health. While private pharmaceutical clinical trial facilities in South Australia are prominent, there are limited options in the state for medical device clinical trial services that industry can use. SA Biomedical, through FBE Pty Ltd, is looking at facilitating clinical trials for the medical device industry in South Australia. The SA BME R&T medical device model allows the incubation of innovation by assisting clinical and research staff to convert their inventions into medical device realities—a need that will grow with more medical device industries taking advantage of South Australia’s focus in the medical techology space. Australasian BioTechnology | Volume 26 | Number 2 23 SPONSORED CONTENT MCCLOUD CELEBRATES FIVE YEARS This year, Australian CRO McCloud Consulting Group (MCG) celebrated its five-year anniversary. From its humble beginnings with two staff members working from home in early 2011, the company has grown to a 12-person, full- service data management and biostatistics team working at the company’s beautiful corporate headquarters in Belrose, Sydney. The company boasts more than 160 years of combined experience, several studies submitted to health authorities, many statistical training courses and publications in some of the world’s best journals. Company Director Philip McCloud reflects on some of the highlights: ‘For me, it’s the variety of the services we have provided over the years that has been so exciting. From building and maintaining high-quality clinical databases, attending health authority meetings on behalf of a sponsor, analysing clinical trial data and explaining the results, to tailoring a study design to meet the complex needs of a sponsor – we’ve had a chance to do it all. Every day brings a new challenge, and it keeps us all motivated and excited’. One of the greatest achievements for the MCG statistics team over the past few years has been providing statistical analytics to iconic Australian company Spinifex Pharmaceuticals. MCG supported the development of Spinifex’s drug EMA401 in peripheral neuropathic pain by performing the statistical analysis of its Phase II trial data, leading to publication in The Lancet and one of Australia’s 24A Australasian BioTechnology | Volume 26 | Number 2 largest ever corporate buyouts—when Novartis acquired Spinifex in 2015. A high point for the data management team has been to become expert users of the cost-effective, high-quality clinical database system ‘OpenClinica’. This has allowed MCG to offer affordable database solutions that meet the rigorous health authority requirements of ICH GCP, CDISC and 21 CFR Part 11. This has solved the conundrum of many clients who understand the need for good-quality data, but do not have the in-depth skills and training required to collect it in a compliant manner, and cannot afford the expensive licenses of most clinical database systems. Using this cost-effective, high-quality solution has also had significant flow-on savings for clients in their statistics budgets. MCG Study Statistician Sandra Louw comments, ‘When we [statisticians] receive data from our data management team, we know that it is validated and clean, and this saves us time’. MCG Lead Data Manager Jill Schaefer agrees: ‘You can’t retrospectively add integrity to the data, so it’s important the data are recorded, handled and stored from the beginning in a way that allows accurate reporting, interpretation and verification’. Data inconsistencies are routinely identified and queried by MCG data managers while the clinical trial is ongoing, allowing the data to be clean and complete when it comes time to do the statistical analysis. This saves a lot of money during the analysis phase and leads to more rigorous results. Over the next decade, McCloud Consulting Group will continue to grow as a leader in the Australian marketplace for data management and statistical services. Superior biostatistics and data management Accurate • Insightful • Innovative • Consultative • Highly skilled We have the skills you need. MCG statisticians are expert at designing clinical development programs in conjunction with Australian and global companies and adept at addressing FDA, EMA and TGA questions at IND or registration. Our data management system is fully validated and comprehensive, including developing data quality plans, with eCRF or paper CRF design. Fully validated Comprehensive experience in protocol writing and sample size calculations system; qualified AE and concomitant medication coders; CDISC-compliant deliverables Statistics for health economics, including meta-analysis Customer-focussed, collaborative and approachable Design and analysis of clinical trials, clinical audits and patient registries Exciting and engaging statistical training McCloud Consulting Group International Biostatistics & Data Management Specialists Let’s talk about your project: +61 2 9975 2270 • mccloudcg.com AusMedtech TECHNOLOGY CONVERGENCE The impact of digital technology on treatment and patient interaction BY ANITA PETRIS, PROJECT MANAGER DIGITAL HEALTH; PHOEBE MACLEOD, LEGAL AND BUSINESS DEVELOPMENT MANAGER; AND DR JAMES DROMEY, GENERAL MANAGER BUSINESS DEVELOPMENT AND STRATEGY, MURDOCH CHILDRENS RESEARCH INSTITUTE The PEERS assessment tool for children The use of digital technology in health is becoming ubiquitous. The rapid rise in wearables, along with the growing consumer interest in managing and tracking one’s health, is now a major worldwide trend. This is changing how consumers access and interact with health care, and is leading to greater participation in the control and management of their own health, as highlighted in Eric Topol’s book The Patient Will See You Now: The Future of Medicine is in Your Hands. In this article, we outline how digital technology is affecting treatment and patient interaction, and how it is opening up new models of research and clinical care. 26 Australasian BioTechnology | Volume 26 | Number 2 The interaction of people with technology is a rich fount of information that can be captured, analysed and acted upon. Mobile technology has enabled patients to report personal health information, such as answering questions in real time and capturing objective data through the use of technologies. The research and clinical community is becoming increasingly engaged in patient-reported data, particularly when the collected data can be used to inform a clinical decision—for example, adjusting treatment according to the patient response. As an example, the Murdoch Childrens Research Institute (MCRI) recently released a mobile application called Saliva Tracker to help parents and caregivers of children with cerebral palsy to track how a child is progressing on their AusMedtech prescribed medication for dribbling. Dribbling is a significant factor impeding the successful integration of individuals with disabilities into home, school and community life. Saliva Tracker enables parents to participate in their child’s treatment by collecting data outside of the clinic, and providing valuable feedback to their specialist on whether the prescribed treatment is working, or if a different approach is required. The use of technology allows for frequent, real-time feedback, as well as the benefit of enriched data sets and automated analytics, while enabling increased compliance and compliance reporting through push notifications and reminders. Our focus group research during the development of Saliva Tracker reinforced the growing trend of patients wanting to be more involved in their health care, as well as highlighting how technology can provide a powerful medium. Patient-reported data is also being used in large population health studies, facilitated through technology like Apple’s ResearchKit, and online and social media channels. These enable new ways to recruit participants, and provide insights that may help uncover new and more accurate risk predictors, as well as early interventions for noncommunicable diseases. For example, the Health eHeart Study in the United States—which is currently being undertaken by the University of California, San Francisco, in collaboration with the American Heart Association—is crowdsourcing its study participants. By inviting people to use smart phones and sensors to collect a broad range of data, including on sleep, diet, activity and physical measurements, researchers are aiming to predict the likelihood of the development of heart disease. Researchers are also taking the potential application of technology one step further by investigating ways that technology can be used to improve cardiovascular health, and encourage people to live a more heart-healthy lifestyle. The demand for greater access to high-quality health care outside of hospitals and clinics, continuity of care and the evolution of technology is resulting in a shift towards distributed care. Telehealth and advances in communication technology have given us the ability to extend medical expertise beyond the hospital and clinic, and out into the community. Consumer demand for convenient access to medical care has also spawned a number of health tech startups, with telehealth platforms like Australian companies GP2U, HealthKit and Telstra’s ReadyCare. Technology is also enabling a stepped care approach to patient treatment, where the degree of intervention and treatment can be stepped up or down based on the patient’s need. This has been particularly effective in treating mental health conditions, and drug and alcohol addiction. Technology-enabled regular monitoring of interventions and treatments of patients in their day-to-day environments has yielded more ‘reliable’ data that isn’t influenced by visits to the clinic. This has opened up the possibilities for use in patient screening, and in early detection and intervention. For example, MCRI is developing a clinically validated digital assessment tool for psychologists, educators and health professionals to identify social problems in children and adolescents to enable early intervention and targeted treatment for patients. Called PEERS (paediatric evaluation of emotions, relationships and socialisation), this tool has the ability to individually characterise a patient’s social strengths and weaknesses that will directly inform tailored treatment and early interventions. The use of technology in mental health is yielding positive results, with many patients feeling more comfortable reporting their health information through an app or web tool than via a face-to-face consultation with their health professional. Today, we are having numerous encounters with technology and its use in the management and maintenance of our health. In future, there is the real possibility that we will view technology as therapeutic in the same way that we would a drug. Development is already underway for the use of digital games as a therapeutic for conditions such as Alzheimer’s disease, attention deficit hyperactivity disorder (ADHD) and schizophrenia. Virtual reality technology is currently being used in the real estate industry for house viewing, and even in criminal trials to recreate crime scenes for jurors. Its potential application in surgical training, patient education, pain management and mental health are areas of interest for health tech companies. A number of recent research studies have indicated that some people relate better to an avatar when discussing mood and feelings than to a clinician. This provides an opportunity for meaningful data to be collected and the use of artificial intelligence (AI) to deliver targeted treatment; patients can receive immediate personalised care at a time of their choosing. The role of technology in patient treatment, and in how patients interact with the healthcare system and manage their own health, is increasing. To date, this has largely been driven by consumer technology companies. It is critical that the use of technology in health care is evidence-based, and has been demonstrated in clinical trials and studies to have health benefits and clinical utility. It is only then that we will see large-scale acceptance by patients, the medical profession, investors and government. Australasian BioTechnology | Volume 26 | Number 2 27 AusMedtech SHIFTING GEARS: How the changing landscape of Australian manufacturing can benefit the medical techology industry BY PETER ROBERTS, JOURNALIST AND FOUNDER, AUSTRALIAN MANUFACTURING FORUM 28 Australasian BioTechnology | Volume 26 | Number 2 AusMedtech For medical technology industries, there may be a silver lining to the dark cloud that is hanging over Australia’s manufacturing sector, but it does not make up for the damage being wrought on the country’s industrial capacity. During AusMedtech 2016 in Adelaide earlier this year, delegates gathered in the state that is feeling the brunt of a worrying de-industrialisation of Australia. South Australia, traditionally a manufacturing state, is reeling from the decision by GMH to cease car manufacturing at Elizabeth in 2016, taking with it numerous automotive suppliers that either can’t or won’t diversify to survive. On top of that, the primary steel blast furnace operated by Arrium at Whyalla is under threat, with the company under voluntary administration, and uncertainty hangs over the state’s naval shipbuilding sector. South Australia is suffering the most from a shrinking of manufacturing from 25 per cent of gross domestic product (GDP) as recently as the 1980s, to 6.2 per cent today. While this still represents more than $106 billion in annual output, there is no doubt that much has been lost. Entire industries have closed, and in many key sectors, there are only one or two companies still in business. Sydney’s Silanna Semiconductor, for example, is Australia’s only large-scale manufacturer of the silicon chips that are at the heart of all modern products and services, including medical devices. Silanna is known for designing and manufacturing the communications chips on board NASA’s Mars Curiosity Rover. The operations of companies like Silanna bode well for the capability available to the medical technology sector from among our estimated 2500 small and medium-sized enterprises (SMEs) operating globally. But this is sadly still a small number for a nation that boasts the world’s 13thlargest economy, and one of the most successful. In the past, the car industry, linked as it is to global supply chains, brought skilled people, new technologies, cuttingedge manufacturing techniques, and advanced management ideas to Australia. The country, and the medical technology sector that has often recruited from the automotive companies, will have to find a new source of new ideas when GMH, Ford and Toyota exit in 2017. Our observations are that the medical devices industry is still a very labourintensive industry, and can benefit from increased levels of automation and technology But speakers at the AusMedtech session ‘Shifting Gears’ do show that, in the short term at least, medical technology companies can still draw on car companies for inspiration. Robert Bosch is the cornerstone supplier to car making in Australia, engineering and making most of Peter Roberts the onboard computers that make up a high proportion of the value of a car. John Croft, business development manager at Robert Bosch, told AusMedtech that the company was investing $50 million to give itself a new future in Australia by providing high-technology automation solutions and advanced business processes. ‘Our expertise is gained from decades of automotive product development and manufacturing,’ Croft says. ‘This is important because automotive is a highly mature industry with very small margins for error, high levels of scale and an absolute requirement for quality processes. A lot of these requirements can be transferred to other manufacturing industries.’ Bosch manufactures millions of diodes—a simple semiconductor device—at its Melbourne factory each year. More typical of its future operations is the work it is doing with Shay Wilkinson, process engineering team leader at Cook Medical in Brisbane, to identify improved manufacturing systems and processes. Cook manufactures in-vitro fertilisation (IVF) needles and aortic stents used to ward off heart failure. Croft says, ‘Our observations are that the medical devices industry is still a very labour-intensive industry, and can benefit from increased levels of automation and technology’. Bosch is not alone among automotive players that are diversifying for the future. Grant Tinney chairs Precise Advanced Manufacturing Group, which offers industry advanced manufacturing services, such as additive machining and fabrication. He told AusMedtech that Precise also assists companies, research organisations and inventors to take their medical device or technology concept from idea to commercial success. Andrew Richards, product marketing manager at SMR Technologies, also outlined changes to his business, which is part of a global group that manufacturers exterior mirrors for cars and commercial vehicles. Services include providing end-to-end product design, engineering, production and logistics solutions. ‘The company has been, and continues to be, driven by research, development and commercialisation of innovative new technologies and products.’ Peter Roberts is a former managing editor at the Australian Financial Review and BRW, and founder of the Australian Manufacturing Forum networking group, which can be found on Linkedin. Australasian BioTechnology | Volume 26 | Number 2 29 SPONSORED CONTENT BOSCH AUSTRALIA MANUFACTURING SOLUTIONS Australian manufacturing is the subject of intense government and media scrutiny. Manufacturing now accounts for approximately six per cent of GDP from 12 per cent in the early 2000s. And this is before the impending cessation of high-volume vehicle manufacturing in Australia. However, any developed economy needs to be diverse and not reliant on one single industry, so manufacturing is still very important. Despite the doom and gloom associated with automotive manufacturing, there are still pockets of success in traditional and new industries. The Australian Industry Group performance index is reporting seven consecutive months of increased growth from late 2015 to now. At Bosch, we recognise that in order to maintain a sustainable manufacturing sector, we need to continue to invest in new technologies, processes and services. Our group, Bosch Australia Manufacturing Solutions, was set up to support Australian companies to gain efficiencies and productivity, and to introduce new technologies to the market. Our expertise is gained from decades of automotive product development and manufacturing. This is important because automotive is a highly mature industry with very small margins for error, high levels of scale and an absolute requirement for quality processes. A lot of these requirements can be transferred to other manufacturing industries. We have been able to help this transfer of expertise and have been involved in multiple industries, including medical device manufacturing and agriculture. Both these industries can benefit from improved efficiencies and productivity. In agriculture, connectivity and the internet of things (IoT) is top of mind. However, automated solutions are also required to keep up with the projected scale that new harvesting solutions will bring. Bosch is confident in the development of this industry and has recently invested in a Tasmanian agriculture technology company. We are already working in the highly specialised medical device industry in Australia, which is already globally competitive. Besides a few large companies, such as Cochlear, Cook Medical and ResMed, most companies in the industry are young and small but have the potential to grow significantly with the right technology. 30 A Australasian BioTechnology | Volume 26 | Number 2 The medical device industry in Australia is highly specialised, but there are more than 500 companies operating in it—in comparison, the automotive supply chain is approximately 700 companies large. Besides the few large companies, most medical device companies are young and small, and compete globally. On 19 February this year, we introduced an important part of our technology suite, the APAS mobile collaborative robot. APAS is a family of automation solutions designed for the flexible, networked, smart factories of the future. APAS can be used safely in collaboration with staff and without guarding due to its sensitive sensor skin, which prevents direct contact. Systems like the APAS robot are a step towards making our industry sustainable. Investment in these technologies and processes can make already competitive companies and industries world class. John Croft Business Development Manager [email protected] www.bosch-manufacturingsolutions.com.au Bosch Australia Manufacturing Solutions Your partner in automation and robotics APAS assistant collaborative robot The APAS assistant is a versatile automatic production assistant. As an intelligent and intrinsically safe robot system, the APAS assistant allows direct collaboration with people without expensive additional shielding. This is made possible by the unique sensor skin, which covers the robot arm of the APAS assistant and which reacts, as soon as somebody approaches. With a breadth of industries and products that extend from the automotive industry, to medical, pharmaceutical, healthcare, food, energy, power tools, household appliances and whitegoods. With a strong history in supplying equipment to the automotive supply chain, Bosch Manufacturing Solutions now delivers into a diverse range of Industries. Automation Assembly Line, Assembly Equipment, Material Handling, Axis /Robotics & Jigs & Fixtures Test & Measurement Product Test Systems, Communication Interfaces, Data Analysis & Data Acquisition Process Technology Dispensing Systems, Riveting, Tightening Systems & Vision Systems Engineering Services Feasibility studies, Lean equipment design, Project Management, System Integrators The standardized production assistants APAS assistant, APAS inspector and APAS flexpress, as a stand-alone solution or in a manufacturing island, are designed for: ad-hoc small series production, semi-automation, pilot production for safeguarding a process, agile engineering with early interim results and quality tests. To find out more contact John Croft (61) (0) 434 185 329 M (03)9541 5086 T [email protected] E bosch-manufacturingsolutions.com.au W Immuno-oncology IMMUNOTHERAPY TO TREAT AFL STAR’S MELANOMA BY GIULIA HEPPELL Cancer cell and lymphocytes 32 Australasian BioTechnology | Volume 26 | Number 2 Immuno-oncology Hawthorn star player Jarryd Roughead has commenced 12 months of immunotherapy to treat cancer. Jarryd Roughead will be receiving treatment for four small melanoma spots on his lungs—a recurrence of melanoma that was surgically removed from his lip last year—at Melbourne’s world-renowned Peter MacCallum Cancer Centre, with specialist Professor Grant McArthur leading his case. In a press conference held in May, Hawthorn club doctor Michael Makdissi revealed the star player’s recent diagnosis. ‘Jarryd has had a recurrence of his melanoma,’ Makdissi said. ‘He’s been feeling perfectly well, so it’s come as a bit of a surprise to us. He has four small spots on his lung. He had a biopsy last week on one of those spots, and it confirmed the diagnosis of melanoma. It’s a serious problem, but we’re optimistic of a good outcome. ‘Jarryd met with Grant McArthur and his team at Peter Mac, who are world experts in this area, and he’ll be starting immune therapy next week. That will go for a period of 12 months.’ Speaking about his diagnosis, Roughead revealed, ‘When you hear they are on organs it’s a little bit scary, but I feel fine... It’s not as if I’m home or bedridden’. While chemotherapy and radiotherapy are the most common—and most aggressive—forms of medical therapies used to treat cancer, Roughead will be undergoing immunotherapy, the latest cancer treatment often claimed to be revolutionary, which doesn’t have the usual side effects of its traditional counterparts. Treatment for Roughead comprises four infusions of the immunotherapy drug three weeks apart, before progressing to an infusion every second week. This treatment not only provides a very good prognosis for survival, but it could also fundamentally change the way that cancer is treated. According to Makdissi, ‘It’s really changed the landscape of melanoma therapy. We go there expecting a really good result’. Professor Grant McArthur leads the team responsible for Roughead’s cancer treatment at Peter McCallum Cancer Centre Immunotherapy is a treatment that stimulates the body’s immune system to destroy the cancer. Immunotherapies are thought to work by slowing the growth and spread of cancerous cells, and by boosting the immune system’s natural defences to fight and destroy existing cancer cells. There are a number of different types of immunotherapies available, including treatments using monoclonal antibodies, nonspecific immunotherapies and cancer vaccines. The immune system is a powerful tool, and immunotherapy is set to play a huge role in cancer treatment in the future, particularly in melanoma, where the revolutionary treatment has had a big impact on patient survival in cases where other therapies have failed. In the following pages of this edition of Australasian Biotechnology, we feature contributions from immunooncology experts Dr Jamie Lopez, Peter MacCallum Cancer Centre; Dr Ian Nisbet, Cancure; Josie Downey, MSD; and David Rhodes, Admedus. Australasian BioTechnology | Volume 26 | Number 2 33 Immuno-oncology IMMUNOTHERAPY OVERVIEW Monoclonal antibodies (mAbs) are manufactured in a laboratory, and are designed to work in the same way that natural antibodies do—identifying and fighting foreign antigens and targets from the body, such as bacteria, viruses and other substances. Interestingly, mAbs can be designed to alter cancer cells in different ways. These are by: • attaching to cancer cells in order to signal the immune system to destroy that cell • slowing the growth of cancer cells by blocking the parts of the cell that enable them to grow • delivering radiotherapy to cancer cells without damaging healthy cells—this is achieved by attaching radioactive molecules to antibodies, which can also be used to diagnose some cancers by flagging where cancer cells exist in the body • carrying drugs, such as chemotherapy, directly to cancerous cells. In contrast, non-specific immunotherapies refer to the use of cytokines—proteins produced by white blood cells in order to control the immune system and its responses. These non-specific immunotheraphies use cytokines to help the body’s immune system to destroy the cancer cells. Melanoma cells remembers them. This vaccine-induced memory allows the immune system to react quickly to infections already encountered, allowing it to prevent another attack and protect the body. There are two types of cancer vaccines: • preventative (prophylactic)—intended to prevent the development of cancer in healthy patients. These vaccines are only useful for cancers that are developed through infection (such as HPV) • treatment (therapeutic)—intended to treat an existing cancer by strengthening the immune system’s natural response against the cancer. The types of cytokines being produced include: • interferons: these help the immune system to slow the growth of cancer cells Treatment cancer vaccines are classified as immunotherapy. • interleukins: these can increase the production of white blood cells and antibodies in order to fight cancer At this stage, there are three preventative cancer vaccines available: • hematopoietic growth factors: can be used to counteract some chemotherapy side effects. The last type of immunotheraphy is cancer vaccines. Vaccines, simply put, boost the immune system’s natural instinct to fight against ‘foreign invaders’, such as infectious agents that may cause disease and illness. When a foreign ‘threat’ invades the body, the immune system recognises and destroys it. It then stores this in its memory in order to prevent future attacks. Vaccines take advantage of this natural defence. The majority of vaccines are created using harmless and inactive versions of the microbes—either killed or weakened microbes, or parts of them—that do not cause diseases, but are still able to stimulate the immune system’s natural fight instinct. When a vaccine is administered, the immune system responds to these microbes, eliminates them from the body, and 34 Australasian BioTechnology | Volume 26 | Number 2 • Gardasil—for people aged nine to 26 to prevent: • cervical, vaginal, and vulval cancers in girls and women • anal cancer in women and men • genital warts in men and boys • Cervarix—also protects against HPV, and is used in the prevention of cervical cancer in females aged 10 to 25 • hepatitis B vaccination—prevents hepatitis B infection (HBV), which can cause liver cancer if the infection is long lasting. In comparison, most cancer treatment vaccines are only available through clinical trials; however, in 2010, the United States FDA approved sipuleucel-T (Provenge) for men with metastatic prostate cancer. This treatment is not available in Australia at this time. At INC Research, helping our clients develop the medicines patients need is important to us. Our Biotechnology Solution is critical in our mission to support patient access to treatment. INC Therapeutic Expertise INC Global/Local Expertise INC Partnership with Highly Specialized Sites for Complex Studies INC Pediatric Expert Network INC Development, Regulatory, Quality, Commercial Consulting INC Full or Functional Services* We know biotechnology is different! We understand the sense of urgency to accelerate the early phase development of your science. This is why INC Research created our Biotechnology Solution to support clinical development strategies tailored to your specific needs. Our unique operating model is therapeutically aligned, inclusive of project management and monitoring. INC Rare Disease Consortium INC Research: CRO of Choice for Biotechs INC Partnerships with Site & Patient Advocacy Groups Our tailored approach offers fit-for-purpose early phase and operational expertise, pricing proposals and contracting, and endto-end development and commercialization advice as your full service or functional service partner. INC Early Phase I/II Development Unit For more information about INC Research’s Biotechnology Solution, please contact us: Judith Ng-Cashin, M.D. Chief Scientific Officer Tel: +1 919 257 6823 [email protected] Jill McGuinn, MBA Vice President, Biotechnology Strategy Tel: +1 737 529 5004 [email protected] incresearch.com *INC Research is able to offer full service or functional service provider models, e.g. any combination of services: Feasibility/ Study Start-Up, Monitoring, Pharmacovigilance, Medical Monitoring, Data Management, Statistics, and Medical Writing. © 2016 INC Research, LLC THE-0516-10025 SPONSORED CONTENT TRANSFORMING BIOMEDICAL DISCOVERY AT MONASH Monash University has a long track record of commercialising technology and innovation that brings new products and services to the market. Examples such as Monash IVF, Relenza™ and Axiron™ were all developed at Monash and commercialised with local partners such as Biota and Acrux. These developments rely on both world-leading science for their initial generation, and working with industry partners to get them to the market. Over the past five years, Monash has invested significantly in its researchers, to both recruit the best and provide them with the best equipment and facilities to be truly world class. As a result, Monash is consistently ranked in the top 100 universities globally, and ranked equal fourth in Pharmacy and Pharmacology, and 39th in Medicine in 2016 (QS World University Ranking by subject). At the same time, there is an increasing emphasis on working more closely with industry, both for commercialising research and to ensure from the earliest stages that research is informed by current industry issues. This has resulted in an increase of over 40 per cent in industry income since 2011 across the Faculty of Medicine, Nursing and Health Sciences, and the Faulty of Pharmacy and Pharmaceutical Sciences. Equally important are the relationships that have developed with companies such as Pfizer, Janssen, Regeneron, Novo Nordisk, Servier, Capsugel and GSK. Monash is now looking to deliver greater benefits to society through a series of initiatives that will increase engagement with industry and opportunities for commercialisation. This has been highlighted in Focus Monash, the university strategy that has enterprise and engagement embedded as one of four key priorities. Monash Biomedicine Discovery Institute The new Monash Biomedicine Discovery Institute (BDI) is positioning Monash University at the forefront of medical discovery, research translation and industry engagement. The Monash BDI is part of the three-institute Discovery Precinct, alongside the Australian Regenerative Medicine Institute (ARMI) and the Monash Institute of Cognitive and Clinical Neurosciences (MICCN). researchers, but as is the case in many universities, they have been, to a degree, siloed in discipline-focused departments. We saw an opportunity to cluster research into Discovery Programs that tackle global health problems, and at the same time better align our research with our clinical programs and industry needs’. BDI director Professor John Carroll led the BDI’s formation in 2015, commenting that, ‘Monash has exceptional biomedical Monash University has longstanding translational research partnerships with Monash Health and Alfred Health, 36 A Australasian BioTechnology | Volume 26 | Number 2 SPONSORED CONTENT representing one of the largest and fastest-growing patient populations in Australia. ‘Bringing clinical expertise, patient cohorts and samples within reach of BDI scientists will accelerate translation of early-stage research’, says Professor Carroll. The BDI brings together more than 100 research teams of 700 researchers and 270 PhD students from multiple disciplines into six health-focused Discovery Programs: Cancer, Cardiovascular Disease, Development and Stem Cells, Infection and Immunity, Metabolic Disease and Obesity, and Neuroscience. Critically, these programs have been configured to align with clinical imperatives and the needs of our industry partners rather than traditional academic disciplines. The research is underpinned by the Monash Technology Research Platforms; a strong network of more than 24 platforms ranging from antibody production, molecular profiling, drug optimisation and structural biology, and many more. ‘The scale of the BDI provides greater scope for our scientists to work together and create insights at the intersection of diseases,’ says Professor Carroll. ‘It also provides a strong platform to work with clinicians and collaborate with local and international companies earlier in the research process.’ Already, the BDI discovery engine is powering the innovation pipeline, with close to 20 therapeutic opportunities under development and translation. Monash Innovation Monash Innovation was established in 2015 to improve the commercialisation outcomes from Monash University. Led by Dr Alastair Hick, who has over 15 years of global commercialisation experience, Monash Innovation is committed to making an impact by getting technologies developed and put to use. This focus on impact and finding the right path for each opportunity is the key to successful commercialisation. Dr Hick is convinced that working with the BDI will be transformational for commercialisation at Monash. ‘We are not driven primarily by income, but impact. However, if we do enough good-quality deals, we will make a significant return for the university and our researchers. I have no doubt that the quality of the opportunities for commercialisation and collaboration in the BDI is the equal of anywhere, and my team are excited about bringing researchers together with our industry partners to deliver real-world impact’, says Dr Hick. Monash Innovation is developing a team capable of delivering on this vision: a team that has real deal-making experience and can flourish at the interface between research and industry. They also have access to additional funding that is often necessary to develop commercially viable opportunities. Monash has developed the Monash Research Impact Fund (MRIF), which invests in promising opportunities based on market feedback from potential commercial partners. ‘Access to MRIF funding is often crucial to our ability to develop opportunities to a stage where commercial partners or investors will commit. We are also working on a number of other large-scale funding and investment initiatives that will transform our ability to develop the innovation coming from the BDI much further and much faster than we have ever been able to do before. We are at the turning point for innovation—with greater industry interest at the stage of discovery, strong government initiatives for supporting and funding innovation and entrepreneurship, and new venture funds and angel investors with a range of investment models providing us with more choices. We look forward to working with our industry partners to turn our discoveries into the next generation of therapeutics, diagnostics and devices’, says Dr Hick. To learn more about the Biomedicine Discovery Institute, visit www.monash.edu/discovery-institute, or contact Monash Innovation at [email protected]. Web: monash.edu/discovery-institute Email: [email protected] Australasian BioTechnology | Volume 26 | Number 2 B 37 Immuno-oncology CANCER IMMUNOTHERAPY COMES OF AGE (FINALLY!) BY DR IAN NISBET, AFANDIN PTY LTD T cell attacking cancer 38 Australasian BioTechnology | Volume 26 | Number 2 Immuno-oncology ‘Immuno-oncology’ is the current buzzword in cancer treatment, with drugs like pembrolizumab (KEYTRUDA®) and nivolumab (Opdivo®) providing exciting new treatment options for an expanding range of tumour types, including melanoma and lung cancer. The ability to activate the immune system to kill cancer cells has become a focus area for oncology drug discovery and development. Manipulation of the immune system to control cancer is not a new concept; however, the idea can be traced back to at least the 1890s, when William Coley began treating patients with a preparation from streptococcal cultures (Coley’s toxins) to stimulate immune activity. The use of the BCG (Bacillus Calmette-Guérin) vaccine for the treatment of bladder cancer was an ultimate outcome from Coley’s original concept. Despite these early hints of efficacy, enthusiasm for immune system involvement in (and control of) cancer has waxed and waned over the subsequent years. In the 1960s and the following decades, tumour immunology again came to the fore as a result of studies into the rejection of tumour transplants. It became clear that the immune system had an ability to distinguish ‘normal self’ from ‘tumour self’, and a number of tumour-associated antigens (TAAs) were identified. This opened up the prospect of immunising against cancer and, during the following years, development of the first generation of cancer vaccines, which, at best, yielded anecdotal evidence for patient benefit. The modern era of cancer immunotherapy began with the advent of recombinant DNA technology and the emergence of the biopharmaceutical industry. Early initiatives included the development of immune-stimulating cytokines, such as the interferons (for example IFN-a, IFN-g) and interleukins (for example IL-2). Although these drugs were approved for use in niche cancer (and other) indications, their severe side effect profiles and limited efficacy meant that the early expectations for these drugs as the ‘silver bullets’ for the treatment of cancer were never realised. High-priced therapies (often at a cost of more than $100,000 per patient per annum per drug) create challenges for the healthcare system Over the same period, advances in DNA sequencing provided new insights into cancer cell biology, and provided the impetus for a new generation of therapeutic cancer vaccines. Throughout the 1990s and into the 2000s, multiple variations on the cancer vaccine theme (whole cells plus or minus immune-stimulating cytokines, cell lysates, subunit vaccines, DNA vaccines, et cetera) have been taken into the clinic. These products have generally shown excellent safety profiles, and occasionally evidence for the induction of relevant immune responses, but they have rarely shown any meaningful efficacy. The sole exception was Dendreon’s sipuleucel-T (Provenge®) for the treatment of Dr Ian Nisbet advanced prostate cancer, which was successful in gaining market approval in the United States and European Union, but was a commercial disaster. The failure of multiple cancer vaccines over the past 20 years has dampened enthusiasm for cancer therapeutic vaccines (at least for the time being). In contrast to the experience with cancer vaccines, the use of antibodies as effector molecules, receptor antagonists or drug-targeting agents has blossomed since the 1990s. Drugs such as rituximab (Rituxan®), trastuzumab (Herceptin®), cetuximab (Erbitux®) and many others have become established as standards of care across a range of tumour types. While not necessarily acting strictly as immunotherapies, these products have a demonstrated the power of leveraging one arm of the immune system (the humoral arm) for the treatment of cancer. More recently, a greater understanding of the ways that tumour cells evade and block the immune system has opened up new treatment paradigms. Thanks to the pioneering work of James Allison, chairman of Immunology at The University of Texas MD Anderson Cancer Center in Houston, Texas, and others, we now appreciate the complexity of the relationship between cancer cells and the immune system. We now know that cancer cells can deactivate killer T cells through checkpoint pathways; that they can block T cell infiltration by the expression of galectins and other inhibitory molecules; and that they can downregulate the expression of MHC class 1 molecules, and thereby make themselves largely invisible to the immune system. Clearly, cancer cells can manipulate the immune system not to kill them, and understanding the protection mechanisms has provided opportunities for drug developers to out-manipulate the manipulators. KEYTRUDA®, Opdivo® and YERVOY® are known as checkpoint inhibitors (they block checkpoint pathways). KEYTRUDA® and Opdivo® block PD1-PDL1 signalling between tumours and immune cells, while YERVOY® blocks a separate tumour cell/T cell engagement pathway (namely CTLA4-CD28). In doing so, these antibodies release a cancerinduced ‘handbrake’ on the immune system, resulting in dramatic anti-tumour responses. In melanoma, previously unheard-of response rates of around 30 per cent have been achieved in late-stage patients. As impressive and unprecedented as these response rates are, there is clearly substantial room for improvement—a 30 per cent response rate still means that the majority of patients are not deriving benefit from the treatment. Australasian BioTechnology | Volume 26 | Number 2 39 Immuno-oncology So, where to from here? It is reasonable to argue that we are still in the early stages of the immuno-oncology revolution One way that is being actively explored to increase response rates is for immunotherapies to be used in combination with themselves, or with other therapies. Again in melanoma, the combination of Opdivo® with YERVOY® has pushed response rates into the 50 per cent and above range; however, the extra activity comes at a cost—both financially and clinically. High-priced therapies (often at a cost of more than $100,000 per patient per annum per drug) create challenges for the healthcare system. For the individual, doubly activating the immune system increases the incidence and severity of side effects: particularly debilitating inflammatory conditions, such as inflammatory bowel disease. The immune system is a powerful beast, and there are good reasons why it is subject to natural control mechanisms such as checkpoints. On the treatment horizon is a range of cellular therapies, which represent another dimension of the immuno-oncology arsenal. It is now possible to engineer and expand T cells targeting specific TAAs by transfecting the cells with chimeric antigen receptors (CARs) to create CAR-T cells. These cells do not need to be activated through the normal T cell activation pathways; they are ready to seek out and destroy tumour cells expressing the cognate TAA. In clinical trials in patients with rare leukaemias, such as acute lymphoblastic leukaemia (ALL), response rates of 95 per cent have been achieved using CD19-targeted CAR-T cells in patients who have failed all existing therapies. To describe this as unprecedented is a gross understatement! However, despite such extraordinary results (and the associated optimism and hype), the CAR-T approach is yet to prove itself in other tumour types, particularly solid tumours. 40 Australasian BioTechnology | Volume 26 | Number 2 Finally, another form of cellular immunotherapy that is beginning to gain momentum is to leverage the innate immune system, particularly through the activity of natural killer (NK) cells. Mechanisms for the activation of endogenous NK cells are being explored, as is the infusion of exogenous NK cells. In some ways, this brings the field of immuno-oncology full circle. It is now known that bacterial cell components are natural activators of the immune system (through, for example, binding of bacterial DNA to toll-like receptors on immune cells), and it is quite likely that the occasional beneficial effects obtained with ‘Coley’s toxins’ were due, at least in part, to non-specific stimulation of innate immunity. So, where to from here? It is reasonable to argue that we are still in the early stages of the immuno-oncology revolution. It is also reasonable to argue that prior oncology drug development efforts (whether successful or not) needs to be reconsidered in light of treatments such as checkpoint inhibitors. It is likely that treatments like cancer vaccines, and even chemotherapy, may be much more effective in the context of an immune system ‘with the handbrake released’. Similarly, other emerging approaches, such as oncolytic viruses, need to be assessed in combination with checkpoint inhibitors. There is a huge amount of work to be done, both pre-clinically and clinically. One thing seems certain: after a gestation period of more than a century, manipulating and using the immune system to treat existing disease, as well as to prevent disease recurrence, will finally be entrenched as a central feature of cancer therapy. Dr Ian Nisbet is a partner in the biotechnology consulting company Afandin Pty Ltd. He is actively involved in cancer drug development, with multiple companies; he is the parttime CEO of Cancure Pty Ltd, which is developing a portfolio of cancer drugs that includes both immunotherapies and targeted therapies; he is a co-founder and executive director of Senz Oncology Pty Ltd, which is developing a small-molecule treatment for acute myeloid leukaemia (AML); he is a co-founder and corporate adviser to Cartherics Pty Ltd, which is developing a next-generation CAR-T platform; and he is chairman of vivoPharm Pty Ltd, a preclinical contract research organisation that specialises in cancer pharmacology. He is also an Industrial Fellow at the Australian Institute for Bioengineering and Nanotechnology (AIBN) at the University of Queensland. ERBITUX® IS A REGISTERED TRADEMARK OF ELI LILLY AND COMPANY. HERCEPTIN® IS A REGISTERED TRADEMARK OF GENENTECH USA, INC. KEYTRUDA® IS A REGISTERED TRADEMARK OF MERCK AND CO. OPDIVO® AND YERVOY® ARE REGISTERED TRADEMARKS OF BRISTOL-MYERS SQUIBB COMPANY. PROVENGE® IS A REGISTERED TRADEMARK OF DENDREON CORP. RITUXAN® IS A REGISTERED TRADEMARK OF BIOGEN, INC. Immuno-oncology NEXT-GENERATION DNA VACCINE TARGETS HPV TUMOUR CELLS BY EDEN COX Australasian BioTechnology | Volume 26 | Number 2 41 Immuno-oncology In 2006, Professor Ian Frazer won the Australian of the Year award for his research that led to the Gardasil vaccine, which provides immunity from some human papillomavirus (HPV) strains and associated cervical cancers. Working with Admedus Ltd (ASX: AHZ), Prof Frazer is now developing a next-generation DNA vaccine technology, which, if successful, will target and clear HPV-positive tumour cells in people who are already infected. Gardasil is a very effective vaccine, and take-up in Australia has been strong, at approximately 70–75 per cent; however, despite selling more than $1 billion annually, 2014 data out of the United States indicates that only around 40 per cent of that country’s eligible population has been vaccinated with Gardasil. This is also despite the 79 million people in the United States who are infected with HPV, and the further 14 million people contracting the virus each year. Research by the United States’ National Cancer Institute shows that high-risk HPV types cause approximately five per cent of all cancers worldwide. In addition to cervical cancer, HPV is believed to be responsible for 90 per cent of anal cancers; 71 per cent of vulva, vaginal and penile cancers; and 72 per cent of oropharyngeal cancers. These figures, and the limited uptake of prophylactic vaccines, have presented a great need for a therapeutic vaccine to treat people already infected with HPV and suffering from HPV-related cancers. Dr David Rhodes, Admedus’s chief scientific officer, says that studies show that cancerous cells express less of the L1 protein that is key in the Gardasil vaccine. So, in developing the patented DNA platform technology for the delivery of a HPV therapeutic vaccine, Frazer and Admedus have optimised a different set of HPV genes for the safe and efficient production of antigens in the body’s cells. These antigens then stimulate the body’s immune cells and alert them to its presence, which, in turn, enables them to mount a defence against the HPV-infected cells that carry these antigens. Admedus has conducted several animal studies with the HPV vaccine candidate, and has shown that the therapeutic vaccine produces strong cytotoxic T lymphocyte (CTL) responses. HPV-positive tumour cells were injected into animals, and only vaccinated animals prevented tumour growth, while non-vaccinated animals had uncontrolled tumour growth. In more than 87 per cent of the animals, there was no tumour 50 days post treatment. The effectiveness of the vaccine in this challenge model is a significant advance on published results. Admedus is tracking towards its first HPV vaccine clinical study this year, following the expected successful completion of preclinical studies. As part of the Phase Ib clinical study, the company will look at the safety of the vaccine, as well as efficacy data in the study participants. ‘Due to previous experience with the DNA vaccine platform in other areas, this program, once initiated, was able to rapidly progress into animal models and into formal 42 Australasian BioTechnology | Volume 26 | Number 2 Dr David Rhodes Prof Ian Frazer preclinical studies. As such, the HPV program has only been in development for relatively few years,’ says Rhodes. Admedus believes that should the vaccine prove successful, it will offer a simpler, more effective treatment for cervical and other HPV-associated cancers, greatly improving the outlook for diagnosed patients, and potentially making such cancers a thing of the past. The potential applications for the novel DNA vaccine technology are promising, with indications that, alone or in conjunction with other therapies, it may be able to treat a range of other viruses and cancers, as well as bacterial infections. In addition to a HPV therapeutic vaccine, Admedus is also using the novel DNA vaccine technology to target the herpes simplex virus 2 (HSV-2). Admedus’s HSV-2 program has already completed a successful Phase I study in uninfected participants, with results indicating no safety issues. And, importantly, 19 out of 20 study participants showed a T cell response to the vaccine antigen. This is an early indicator of the vaccine’s ability to generate an immune response. The HSV-2 vaccine Phase II study—undertaken with the primary outcome being assurance that the vaccine is safe in people who are already infected with the virus—revealed no safety issues among participating patients, according to results released in March this year. Study participants had a marked decrease in viral lesions (outbreaks), with a drop of more than 90 per cent in the monthly rate versus baseline. The average number of days HSV-2 was detected in patients was also reduced versus baseline. ‘Admedus is now on track to initiate the first clinical study with the HPV vaccine this year after anticipated successful completion of preclinical studies,’ says Rhodes. ‘As part of the Phase Ib clinical study, the company will look at the safety of the vaccine, as well as efficacy data in the study participants.’ Admedus will also examine other outcomes after vaccination, including a reduction of the symptoms and viral flares that are related to HSV-2 lesion outbreaks and other immunologic markers. ‘Programs like Gardasil and others really show how researchers and companies can, and must, combine effectively to commercialise these technologies.’ Immuno-oncology COMBINATION THERAPIES WITH IMMUNE CHECKPOINT INHIBITORS BY DR JAMIE LOPEZ, PETER MACCALLUM CANCER CENTRE, MELBOURNE Despite decades of work that has contributed to our fundamental understanding of cancer immunology, it has only been in recent years that we have seen this translate into effective cancer treatments. The unprecedented success of immune checkpoint inhibitors, such as PD-1/ PD-L1 and CTLA-4 antibodies, has ushered in a new era of cancer treatments, with improved response rates compared with standard-ofcare chemotherapeutics. These therapies work by boosting the host’s natural cancer immune surveillance. While initial clinical trials with immunotherapeutic drugs have focused on cancers with a high mutational load and higher immune infiltrates, such as melanoma and lung cancer, many other cancers are now being actively assessed, such as renal, breast, head and neck, and haematological malignancies. Immune checkpoint inhibitors and immune agonists dominate pharma pipelines, and considerable effort has focused on developing the next blockbuster drug by identifying novel cell surface checkpoint targets that are amenable to biologics. Notwithstanding the success of these new therapies, still little is known about why some patients respond while others don’t. Rational combination therapies of immunotherapies with conventional and targeted treatments offer hope for improved response rates among patients. These new combination approaches are supported by a growing appreciation for how these existing treatments engage the immune system, and their potential to synergise with immunotherapies to prolong long-term cancer immunity. Chemotherapeutics has been a mainstay in cancer treatment for decades. Toxicity remains a problem, and therefore better use of chemotherapies through immunotherapy combination approaches may serve to reduce toxicities, and improve the patient’s quality of life. A proper evaluation of the effect of chemotherapies on the immune system has Dr Jamie Lopez only taken place relatively recently. Chemotherapies have been shown to improve the recognition of tumours by the innate immune system through upregulation of natural killer (NK) cell activation ligands of the surface of tumour cells. Furthermore, immunogenic cell death as a consequence of chemotherapy treatment also elicits an adaptive immune response; immature dendritic cells engulf dying tumour cells, and therefore tumour antigens (neoantigens). These antigens are presented to CD8+ killer T cells to promote an adaptive immune response following dendritic cell maturation. Doxorubicin and cyclophosphamide have been shown to prime the immune system through immunogenic cell death, a process that can be enhanced by combination with immune checkpoint blockade. Non–small cell lung cancer clinical trials using the ipilimumab (CTLA-4 antibody) combination with the frontline platinum-based chemotherapies, Paclitaxel and Carboplatin are now being assessed to determine whether such combination therapies improve patient outcomes. Australasian BioTechnology | Volume 26 | Number 2 43 Immuno-oncology A cytotoxic lymphocyte killing a tumour cell. Dr Jamie Lopez Radiation therapy has been shown to induce tumour regression both within and distal to the irradiation volume. The systemic effect of radiation treatment, beyond killing cancer cells directly exposed to the radiation, was thought to occur through the induction of host anti-cancer immune responses. The pro-immunogenic effects of radiation therapy can lead to increased neoantigen expression on tumour cells, and improved T cell–based immune responses that can contribute to the control and/or elimination of cancer cells. These immune stimulatory effects of radiation therapy have been shown to promote the therapeutic activity of immunotherapy. Enthusiasm for radioimmunotherapy as a combined treatment modality for cancer care is well reflected by their rapid translation into the clinic. Targeted small-molecule therapies have provided survival benefit over conventional therapies, and their cell permeability properties offer an advantage over many of the immune-modulating biologics that are only effective against surface targets; however, high rates of relapse are inevitable with targeted therapies due to the emergence of drug-resistant pathways. Historically, targeted therapies have been thought to work exclusively by blocking the tumour’s oncogenic driver. Any additional effects on the immune system have been overlooked, since traditional patient-derived xenograft mouse models use animal models deficient in an immune system. Syngeneic models have uncovered an unappreciated requirement for the immune system in some targeted therapies. Vemurafenib, a small-molecule inhibitor of the most common BRAF activating mutation V600E, has been shown to increase CD8+ T cell infiltration into the tumour site, which suggests that using this in combination with immunotherapies may offer a two-pronged approach: 1) disarm the tumour from the inside and impair its growth; and 2) enhance the underlying anti-tumour activity of the adaptive immune response. The full therapeutic benefit of cancer immunotherapy will likely be realised when used in combination with these conventional anti-cancer treatments 44 Australasian BioTechnology | Volume 26 | Number 2 Combining immunotherapies with epigenetic modifying therapies is gaining traction in the clinic for a number of solid cancers. Epigenetic therapies such as the histone deacetylase inhibitors (HDACi) have traditionally focused on haematological cancers, where they have been most effective as single agents. A number of preclinical studies in mouse models of blood cancer have demonstrated that the immune system is required for their efficacy. There is growing evidence to suggest that epigenetic therapies can be used to render solid cancers more immunogenic, either through priming the immune system or alleviating the tumour’s immunosuppressive environment. A number of trials are now underway testing immune checkpoint inhibitors with epigenetic therapies in various solid cancers, including a Phase II trial to assess the DNA hypomethylating reagent Azacitidine with PD-1 therapy Pembrolizumab in advanced colon cancer. Dosing regimens will also be an important factor in such studies, since it is thought that initial dosing with the epigenetic modifying therapy will be more beneficial as it acts to prime the patient’s immune response, before subsequent immune boosting by the checkpoint inhibitors. Rational combinations, in addition to more effective dosing regimes, using the new class of immunotherapies have the potential to improve the immune system’s anti-tumour response, improve treatment efficacy and lead to better patient outcomes; however, a major challenge will be reducing the potential adverse effects observed with each respective therapy—including immunotherapies as they target important immune regulatory pathways critical to the maintenance of normal immune homeostasis. The success of immunotherapies has led cancer researchers and oncologists to reassess the contribution of the immune system in all cancer treatments, including conventional chemotherapies, radiotherapy and targeted therapies. The full therapeutic benefit of cancer immunotherapy will likely be realised when used in combination with these conventional anti-cancer treatments. Australia has made a number of seminal contributions to the field of cancer immunology, and immunology more broadly. Pharma is now looking to the immunologists for new clues on how to control the inherent anti-tumour properties of the immune system, and boost the antigenicity of tumours. The Peter MacCallum Cancer Centre’s move to the newly established Victorian Comprehensive Cancer Centre this year will mark a new era in cancer treatment for Australian cancer patients. This presents opportunities to explore new areas of research in immuno-oncology, develop these projects through commercial partnerships and ultimately translate these findings into the clinic. Immuno-oncology OUTPACING CANCER An interview with Josie Downey, MSD Cancer immunotherapy is a breakthrough that is providing much hope for patients with the greatest needs. MSD is advancing a broad and fast-growing clinical development program for its immunotherapy medicine KEYTRUDA®. The success of KEYTRUDA is as much about regulatory innovation as it is about scientific innovation. Regulatory approval for KEYTRUDA was secured in Australia in record time, an achievement made possible by MSD’s recognition of the drug’s importance to the Australian population, and the willingness and commitment of the Therapeutic Goods Administration to complete the registration process as quickly as possible. For an inside look at immuno-oncology in Australia, Australasian Biotechnology speaks with Josie Downey, MSD’s director of Oncology Business Unit, who is responsible for a number of marketed products, as well as the launch of new products, including immuno-oncology drugs like KEYTRUDA. Josie Downey Australasian BioTechnology | Volume 26 | Number 2 45 Immuno-oncology What is the current state of immuno-oncology in Australia? Research in the area of immuno-oncology is changing the way cancer is treated, and MSD’s immuno-oncology development program is one of the fastest-growing in the industry. KEYTRUDA, the company’s anti-PD-1 therapy, was registered by the Therapeutic Goods Administration for the treatment of advanced metastatic melanoma. Australia was the first country in the world to register KEYTRUDA for the first-line treatment of unresectable or metastatic melanoma in adults. What are the challenges and opportunities in the development of new immunotherapy drugs? Cancer is a complex disease, and MSD is investing significant resources in the development of innovative oncology medicines to help people with cancer. Over the past decade, scientific research has led to the discovery of new pathways and treatments, such as the PD-1 pathway and anti-PD-1 therapies, that harness the power of the body’s own immune system to help fight cancer. We believe this approach can have an impact on survival expectations for many cancer patients. The KEYTRUDA clinical development program includes more than 30 tumour types in more than 270 clinical trials, including in excess of 100 trials that combine KEYTRUDA with other cancer treatments. How do collaborations emerge in immunotherapy, and what do you believe is the value of these? Our strategy begins with building a foundation with monotherapy, in refractory settings and then in earlier stages, and looking thoughtfully at combinations (with standard of care, emerging approaches and other immunotherapy agents). Our goal in combining KEYTRUDA with other therapies is to improve outcomes while maintaining tolerability and open new treatment paths for a broader range of patients that may not respond to monotherapy treatment. We have a strong scientific rationale for each of the combination studies that we choose to undertake based on biological hypotheses and what we have seen preclinically. We are open to partnerships and collaborations with academia, other companies, investigators and large cooperative groups. To date, a significant proportion of the more than 100 combination trials that are already underway are through collaborations or partnerships. Australia was the first country in the world to register KEYTRUDA for the first-line treatment of unresectable or metastatic melanoma in adults 46 Australasian BioTechnology | Volume 26 | Number 2 Can you discuss some recent research and developments that MSD has been undertaking in immunotherapy? At this year’s meeting of the American Society of Clinical Oncology in early June, researchers presented data from studies of KEYTRUDA as monotherapy, and in combination with other therapies, in more than 15 different cancers. These included melanoma and non small–cell lung cancer, as well as bladder, colorectal, esophageal, gastric, head, neck and renal cancers, lymphoma and multiple myeloma. Firsttime presentation of findings for KEYTRUDA were presented in new tumour types, including cervical, endometrial, pancreatic, salivary and thyroid. What do you believe is in store for the future of immunooncology, and what is the key to ensuring commercial success? MSD is rapidly advancing the KEYTRUDA clinical trial program because we believe that it has the potential to become an integral part of cancer treatment, either as monotherapy or as combination therapy, for many different types of cancer where innovative treatments are greatly needed. Additionally, we have a number of promising new immuno-oncology candidates moving through early-phase development. We are moving at an unprecedented pace because we need to do everything possible to help outpace cancer. We are working quickly, smartly and collaboratively to accelerate the drug development process, and the speed with which we can bring new hope to people with cancer. SPONSORED CONTENT SPONSORED CONTENT ANTEO BECOMING GLOBAL GAME CHANGER Nanoglue technology and offshore acquisition excites investors and industries. Anteo Diagnostics is on the cusp of transformational growth as it extends its world-class nanoglue technology platform across industry and global markets. The combination of a major offshore acquisition, new management and additional working capital has boosted Anteo’s capacity to commercialise its platform technology in other industries, and effectively de-risked the Brisbanebased company. Chaired by finance innovator Mark Bouris, Anteo has achieved several key milestones in the past 12 months. The goal is to quicken technology commercialisation, enter Joe Maeji new markets such as batteries, and capitalise on Anteo’s recently acquired global sales channel. ‘After more than a decade of development, our nanoglue technology is reaching a tipping point with customers who continue to validate its benefits. In response to industry demand, we are also developing the technology for markets such as lithium-ion batteries.’ In January 2016, the ASX-listed company concluded the acquisition of DIAsource ImmunoAssays SA, a leading Brussels-based global speciality diagnostics company with a presence in 75 countries. The acquisition gives Anteo an extensive global sales channel to commercialise its technology. DIAsource CEO Dr Jef Vangenechten was appointed group CEO of Anteo Diagnostics as of June, replacing Dr Geoff Cumming, who is assisting Anteo’s board for six months as the Brisbane-based company transitions to a new COO, organisation structure and global reach. Institutional investors are backing Anteo. It was announced that United States investor Bergen Asset Management could invest up to US$6.5 million to contribute to the earn-out component of the DIAsource ImmunoAssays acquisitions, and to provide working capital. A Australasian BioTechnology | Volume 26 | Number 2 ‘This is a pivotal phase for Anteo,’ says Dr Joe Maeji, Anteo co-founder and chief scientific officer. ‘We have the global distribution channels, funding and team to accelerate the commercialisation of our technology and deliver on Anteo’s promise for shareholders. Exceptional technology driving Anteo Anteo’s technology has huge application. Its patented healthcare nanoglue family of metal-ion polymers, (Mix&Go™), attaches biomolecules to synthetic surfaces using a multipoint binding technique that is stronger, gentler and more flexible than conventional binding technologies. Standard chemistries tend to damage a large part of biomolecules attached to a synthetic surface. This results in a reduction or loss of function of biomolecules, an important issue with miniaturisation, such as in pointof-care products. In addition, different surfaces can dramatically affect biomolecules in different ways, forcing manufacturers to use binning and other strategies to maintain consistency and reproducibility in testing. Anteo’s initial focus is the in vitro diagnostics (IVD) market, the largest of medtech sub-sectors, and forecast to be worth $70 billion by 2017. The IVD market is expanding quickly as an ageing global population, growth in emerging markets and development of point-ofcare testing requires faster, cheaper and more accurate laboratory test results. Australasian BioTechnology | Volume 26 | Number 2 47 SPONSORED CONTENT SPONSORED CONTENT patent could provide an automatable, effective sample pre-treatment that mitigates interference without affecting laboratory workflows. Anteo is developing a patent portfolio for effective enrichment or removal of desirable or undesirable materials in both life science and large-scale industrial applications. ‘Our technology could dramatically simplify many purification processes such as wastewater treatment,’ says Dr Maeji. ‘We are receiving excellent feedback on our concept from stakeholders in this market.’ Batteries is another large opportunity. The $30-billion lithium-ion battery market is expected to be growing strongly as demand for innovative energy solutions booms. Preliminary research shows that Anteo’s nanoglue technology can be easily implemented in the battery manufacturing process between the raw materials and electrode manufacturing states to improve efficiencies in battery capacity, charging time and life. Studies have shown that Anteo’s polymeric technology, Coupling Kits, improves diagnostic tests and is a faster, cheaper and easier alternative to incumbent technologies. It can transform the way scientists work by saving them hours in reagent preparation time and, being water based, it reduces the amount of hazardous materials they work with. ‘Anteo’s nanometre-thin metal-ion polymer binders, primers and coatings for nanomaterials are a breakthrough technology,’ says Dr Maeji. ‘It is effectively a universal surface-coating solution that can be applied to almost any range of synthetic surfaces and used as binders, primers and coatings across industry. Its potential applications go well beyond the life sciences sector.’ Leveraging a unique platform into new applications Anteo believes the platform technology can be applied to bio/separations, medical devices and batteries, in addition to life sciences research and development. In April 2015, Anteo announced a patent filing in the field of bioseparations, which is a key process in many industries, including the growing immunoassay market. Worldwide, around 10 billion immunoassays that run each year are susceptible to sample-specific interference, which can result in bad test results and poor patient outcomes. Anteo’s 48 Australasian BioTechnology | Volume 26 | Number 2 Anteo has three patent applications directed at the energy sector. ‘The recent PCT filing is an important milestone in our commercialisation activities in the industrial area,’ says Dr Maeji. ‘We will be interacting with potential partners over the next six to nine months.’ Dr Maeji says there are a lot of commonalities between nanomaterials used in life sciences research and in lithiumion batteries, as well as other energy areas, electronics and industrial coatings, among others. ‘Since we are binder and coating specialists, energy storage is a natural progression for our metal-ion polymer technologies,’ he says. The IVD market is expanding quickly as an ageing global population, growth in emerging markets and development of point-of-care testing require faster, cheaper and more accurate laboratory test results Australasian BioTechnology | Volume 26 | Number 2 B SPONSORED CONTENT SPONSORED CONTENT Allan Wong, Process Development Scientist, Anteo Dr Maeji says multi-point binding that can break and reform is a ‘self-healing coating’ and can prevent fragmentation of siliconbased anodes that swell three to four times during charge and discharge cycles. Commercialisation of these anodes that have more than 10 times the energy storage density of current graphite-based anodes is being hindered by these current limitations. ‘We also believe Anteo coatings can help resolve the stability problems of new generation cathode materials.’ Preliminary research shows that Anteo’s nanoglue technology can be easily implemented in the battery manufacturing process between the raw materials and electrode manufacturing states to improve efficiencies in battery capacity, charging time and life Investors are interested in Anteo’s potential in energy storage. Anteo successfully completed a $1-million equity placement in May 2015 to enhance its Anteo Energy division. The company said: ‘The level of enthusiasm shared by our investors for the potential of Anteo Energy, driven by the data, now gives us the ability to fast-track our program for the use of nanoglues in batteries. This is potentially a very large market opportunity for Anteo’. C Australasian BioTechnology | Volume 26 | Number 2 Global reach to commercialise Anteo technology Anteo’s full acquisition of DIAsource is a critical part of its strategy. DIAsource develops, makes, markets and distributes clinical diagnostic products in the field of endocrinology. It services customers in 75 countries and sells products directly and through a global network of 90 main distributors and 40 original equipment manufacturer partners. DIAsource is performing strongly: revenue was €14.1 million ($21.7 million) in 2015 and it achieved its ninth consecutive quarter of revenue growth (9 per cent over 2015) in March 2016 with sales of €3.8 million. The deal transitions Anteo towards a cash flow–positive organisation with significant earnings upside. It also provides Anteo with an experienced, globally networked sales team that dovetails with its scientific strengths, a strategic location in Europe, and a range of additional commercialisation opportunities for its metal-ion polymer technology. ‘There is a tremendous opportunity to leverage its product range and capabilities through DIAsource’s supply chain,’ says Dr Maeji. ‘Anteo also gains access to a large production capability that will allow us to manufacture products at scale. Effectively, this acquisition fast-tracks Anteo’s capabilities in production and commercialisation in the diagnostics and life sciences global market. It would have taken years and significant further investment for Anteo to build these capabilities on its own.’ The key pieces in Anteo’s strategy—to apply core technology into new application areas and create new business opportunities—are rapidly coming together. ‘It’s been a long journey, but Anteo is in the right place at the right time,’ says Dr Maeji. ‘We are determined to capitalise on all the hard work over the past decade and ensure our technology, which has almost limitless potential across industry, benefits more customers.’ To learn more about Anteo Diagnostics, visit www.anteodx.com. Australasian BioTechnology | Volume 26 | Number 2 49 Agbiotech GM AND THE COMMUNITY A call to action BY ROB NEELY, FOUNDER AND EXECUTIVE DIRECTOR, INTEGRATED ANIMAL HEALTH GM can help the world’s population to be safer and healthier 50 Australasian BioTechnology | Volume 26 | Number 2 Agbiotech A recent mega study in the United States, ‘Genetically Engineered Crops: Experience and Prospects,’ has proven the safety of GM crops Over the last decade, we have seen a tectonic shift in public opinion in two critical areas of agricultural biotechnology. On the one hand, the public has been convinced that genetic modification (GM) of plants is a bad thing, while on the other, it applauds the efforts of fast-food retailers and supermarkets to eliminate antibiotics from the food chain due to fears of antimicrobial-resistant superbugs. Where is the logic in this thinking? Isn’t the GM of plants— designed to decrease the use of insecticides and pesticides, and to reduce the impact of drought through carefully selecting plants that are hardier and naturally more insectresistant—a good thing, and if so, where does this fear of GM crops arise? As the founder of an animal health company built on the back of a ‘natural is better’ approach, I have worked with the human biotech industry for the last six or seven years, with the view of taking novel therapies destined for humans and creating animal health products from them. Well before the general public was aware that farmers were treating animals prophylactically with antibiotics (as growth promoters), my team was looking at ways in which biotechnology could be used to produce similar outcomes, naturally, by hyper-stimulating the immune system. A recent mega study in the United States, ‘Genetically Engineered Crops: Experience and Prospects,’ has proven the safety of GM crops, and while it may have unknowns attached to it, so did the microwave oven and air travel when they were first introduced. So, why has the weight of public opinion come down so heavily against GM now, while being equally strongly supportive of antimicrobialresistance mitigation? My view is that it’s the same answer: powerful lobby groups combined with the widespread use (and ubiquity) of social media. The lobby groups have been successful in portraying one form of biotechnology as ‘good’ and the other as ‘bad’, if not ‘evil’. Increasingly, we are seeing ‘non GM’ labels on foods Rob Neely and feeds everywhere; there is clearly commercial impact. For example, our stockfeed company just went through and received organic certification for several of its dairy inclusion products, but we had to prove that we had no GM material involved in the raw materials. Lobby groups have been around for a very long time, but generally they have been confined to the halls of power—in ivory towers or, indeed, in parliaments. What’s different these days is the power of social media and its role in shaping public opinion. This happens in the form of tweets, Facebook posts, YouTube videos or Snapchats in bite-sized pieces, which rarely, if ever, tell the whole story. Fear drives a lot of traffic, and traffic is power—enormous power that is almost instantaneous in nature—but unfortunately, more often than not, there is very little basis in real science. Agricultural biotechnology needs to understand this. The scare campaign perpetrated by the ‘ban genetic modification’ social media set is one reason there is so much disdain for GM. The same campaign against antibiotic resistance has already been fought and won, but animal health was quick to act, and responded by being proactive rather than reactive. Australasian BioTechnology | Volume 26 | Number 2 51 Agbiotech It’s a juxtaposition that the industry needs to understand. If you were to ask the public, would they support genetic modification that would cure a disease in babies? I bet you that almost 100 per cent of the public would approve; however, if you instead asked them if they were willing to eat GM food, I bet most would say no. The biotech industry needs to understand that good science is not always understood, and that the public doesn’t read peer-reviewed journals to critically evaluate scientific methods. Scientists use a language that members of the public don’t understand, in order to describe results the public doesn’t understand, and they then get upset when fake science is spread via tweets or reposted for thousands of connected users to see and share. In Australia alone, there are apparently 15 million unique users on Facebook each week. Clearly, Facebook is not a scientific peer-reviewed journal, but it should be looked upon as a ‘peer review app’. The agricultural biotech (plant) industry needs to bring itself up to speed with public sentiment and begin to look at strategies to change or align it with the animal biotech industry, in order to capitalise on the decades of science behind GM. I suspect that the resistance to genetically modified organisms (GMOs) has come about because while the science seems easy to understand for scientists, the non- scientific community has made up its own versions of the science, in part because they don’t understand scientific jargon, or just don’t trust the multinational companies that have put hundreds of millions of dollars into the research and development (R&D) of GM. As a result, the ‘science’ has become an easy target for ‘keyboard warriors’ to disparage. This has created an overwhelmingly strong consumer sentiment—and, increasingly, farmer sentiment—that GM food is bad, when, in fact, it can help the industry, and thus the world’s population, to be safer and healthier. Australia needs a strategic panel to investigate how to engage the community, take real action and get the truth out there using simple concepts and a significant educational campaign that doesn’t preach, but rather shares—through tweets, posts, videos and snaps. Rob Neely founded Integrated Animal Health (IAH) in Australia three years ago after amalgamating a group of animal health biotech licences that he owned. Having grown up on a dairy and become an entrepreneur at a young age, Neely charted a path in animal health when he established a boutique, yet nationally distributed, horse feed brand in Australia in 2001. Unknown at the time, the brand became a disruptor in a rather staid industry, and he still owns the horse feed company today. Rob Neely will be speaking at the Ag & Foodtech Symposium 2016, to be held in Brisbane from 2–3 August. Brisbane 2 – 3 August 2016 Stamford Plaza, Brisbane www.agfoodtech.com.au Host Industry Body 52 Australasian BioTechnology | Volume 26 | Number 2 Major Partners Agbiotech 20 YEARS GROWING GM CROPS Regulation, not science, has curtailed the benefits of our experience. BY MATTHEW COSSEY, CHIEF EXECUTIVE OFFICER, CROPLIFE AUSTRALIA Matthew Cossey In 2009, the European Joint Research Centre (JRC) surveyed the public and private sector plant biotechnology product pipelines. This resulted in a report that predicted new traits that would come to market by 2015, including additional ‘first generation traits’ that protect plants from pests and diseases, but also ‘second generation traits’ that result in consumer benefits from increased nutritional value in crops. Australasian BioTechnology | Volume 26 | Number 2 53 Agbiotech While the JRC predicted 91 new GM events on the markets by 2015, we only saw 16. This begs the question: where did we fail? Was it a science issue? Were researchers not able to develop and deliver on the new traits and crops? Interestingly, of the 91 new events predicted, nearly two-thirds of them were already in the advanced development stage in 2008, so it was not the science holding us back. 2008 Status of GM events and predictions for 2015 from the Institute for Prospective Technology Studies, Joint Research Commission, European Commission http://ipts.jrc.ec.europa.eu/publications/pub.cfm?id=2420 The unfortunate reality is that access to biotechnology innovation, and the significant benefits that it could have delivered, fell well short of the JRC predictions, and completely unnecessary costly government regulation is the prime cause of this failure. The JRC had predicted that 91 new events would be commercialised by 2015, and by 2014 there were only 16 new events: a mere 17 per cent of what was predicted. In spite of the significant annual growth in genetically modified (GM) crop adoption (currently approximately 18 million farmers in 28 countries), we have still not seen the predicted introduction of new crops; 80 per cent of the major GM events are still in four major field crops: soy, corn/maize, cotton and canola. We have also not seen the predicted introduction of new traits, including new combinations of stacked traits—85 per cent of traits on the markets are still herbicide tolerant or insect resistant. What is more, the growth we had expected to see in public sector–developed products has hardly materialised. Seventyfive per cent of commercialised products are still coming from the leading private sector technology developers. In a 2012 Phillips McDougall survey of the major private sector technology developers, it was found that, on average, it costs US$136 million over 13.1 years to develop a biotech crop and take it to market. The majority of this cost and time was concentrated in the regulatory science and registration part of the product time line. The reality is that it is not an issue of technology developers being unable to deliver on innovation, but is rather that the regulatory system is failing to deliver the innovation to farmers. In this time line to commercialisation, we have seen that the most time-consuming and resource-intensive part of getting a new GM trait to market is actually outside of the technology developer’s control. Technology developers have improved the science of plant biotechnology so that they can efficiently create new traits and events; it is the regulatory science and registration aspects of the product time line that are holding up new innovations getting into the hands of farmers. The cost and time involved in regulatory science and registration has increased by 50 per cent over the last decade. What is truly shocking is that for those countries that import crops for use as food or animal feed, which should require a much less substantial regulatory dossier, the time lines for approval are increasing! For cultivating countries that benefit the most from the technology, approval time lines have remained flat or have slightly improved. All in all, it is the regulatory system, not the science, that is failing to deliver innovations in plant biotechnology to farmers. Table 1: Number of Commercial GM events: 2008 and 2014. Note: Commercial means approved and marketed in at least one country. 54 Australasian BioTechnology | Volume 26 | Number 2 Agbiotech Table 2: Events in Commercial GM crops by trait: 2008 and 2014. Commercial means approved and marketed in at least one country. Are the days of science-based regulatory systems over? Trait In many countries around the world, regulatory decisions are increasingly influenced by protectionism, trade manipulation, and ideology such as the anti-science and anti-multinational company movements perpetuated by ideologues and activists. Increase in farm income 2015 Increse in farm income 19962015 GM herbicide-tolerant cotton 10.2 (13.6) 101.6 (136.2) GM herbicide-tolerant canola 16.6 (22.2) 73.8 (98.9) GM insect-resistant cotton 47.9 (64.1) 849.6 (1138.5) Totals 74.7 (99.9) 1025.0 (1373.6) In some countries (albeit not in Australia), regulators consider more than just the safety of products, taking into account socio-economic impacts, equality of technology impacts, and ethical and spiritual values—and these nonscience considerations are preventing innovation from getting into the hands of farmers, and helping to make an impact on food security. Globally, regulatory systems are failing to deliver such innovation to farmers. For example: • authorisation time lines for cultivation and import are increasing • the backlog of pending submissions is increasing • regulatory decisions will become more complicated as new plant breeding innovations are introduced. Australia has been lucky enough to have access to GM crop innovations for 20 years. During this time, the technology has provided significant economic and environmental benefits to Australian farmers, and the public at large. Australia’s cotton and canola growers have gained $1.37 billion worth of extra income, and have produced an additional 226,000 tonnes of canola that would not have been produced if conventional technology had been used. Table 3: Farm income benefits from growing GM crops in Australia 1996– 2015: million US $ (Aus $ million in brackets) Note: All values are nominal. Farm income calculations are net farm income changes after inclusion of impacts on yield, crop quality and key variable costs of production (for example, payment of seed premia, impact on crop protection and weed control expenditure). There are three actions that need to be taken to fully realise the potential of the plant biotechnology pipeline, and to ensure that the regulatory delays we have experienced over the last two decades do not hold back the next 20 years of adoption of the technology: • There is the need to engage with policymakers to reduce the boundaries to entry through regulatory reform (currently all but multinational companies are largely excluded from the regulatory system). • The technology has allowed Australia’s farmers to reduce their use of insecticides and herbicides by 22 million kilograms of active ingredient, equal to a 26 per cent improvement in the environmental impact associated with pesticide use on these two crops (cotton and canola). There is the need to educate stakeholders about the true barriers to new innovation. • There is the need to look for opportunities for public– private partnerships to deliver advances in agricultural biotechnology to wider groups of farmers. The reduced use of pesticides has also resulted in a saving of nearly 27 million litres of fuel use, with 71.5 million kilograms less carbon dioxide being released into the atmosphere. The future of agricultural biotechnology is bright, but only if the science is allowed to prevail, and public policy and regulation is based on facts, not activist falsehoods. Australasian BioTechnology | Volume 26 | Number 2 55 Agbiotech BIOTECHNOLOGY AND BEEF TENDERNESS: 1995 TO TODAY In the mid 1990s, Dr Gregory Harper was investigating the factors that affect the tenderness of Australian beef, and the way in which biotechnology might be applied in order to produce meat to market specifications. Dr Harper—then at CSIRO Division of Tropical Animal Production at the Tropical Beef Centre in Rockhampton, Queensland—outlined his research in an article published in 1995 in Australasian Biotechnology (Volume 5, Number 3). Now executive director of the Victorian Government’s Agriculture Research and Development, Dr Harper revisits his research in an interview with Australasian Biotechnology to discuss the influence that biotechnology has had on meat tenderness over the last 20 years, and how it compares with his expectations in the 1990s. How has biotechnology affected consistency in beef tenderness in Australia over the last 20 years? Biotechnology has had less impact on beef tenderness over the last 20 years than I had originally thought it would. It has had some impact…but I think I was more optimistic than I really should have been. Of course, biotechnology has had a significant impact on animal health through vaccines and drugs, and biotechnology has helped to reduce the off-site impacts of cattle feedlots and piggeries, but tenderness? Not so much. When considering the technological factors that affect meat tenderness (rate of chilling, anatomical features, processing techniques, et cetera), what has changed since the mid 1990s? When you think about where we were back in 1995 when I wrote that review, we had a rudimentary understanding of where meat tenderness as a trait was going to go. Ultimately, variation in meat tenderness has been minimised 56 Australasian BioTechnology | Volume 26 | Number 2 through a mixture of sciencebased interventions in processing, as well as a process management system approach [Meat Standards Australia (MSA): a beef, lamb and sheepmeat quality program]. We have, however, had some outstanding advances in genetic improvement. Who would have thought, when I wrote the article in Dr Gregory Harper 1995, that we’d only just begun to see the revolutions in animal genetics that were coming downstream from the human genetics revolution? We’d only just started to understand that we could identify the genes and gene regulatory networks that underpin such complex characteristics as tenderness. How have research efforts progressed since 1995 in the quest to define biochemical markers for tough meat? What I imagined in 1995 was the opportunity to use biochemical and gene markers to identify potentially tough meat in the living animal. To some extent, through the understanding of the functions of calpain and calpastatin, the lysosomal enzymes, and also connective tissue, we were developing a mechanistic model for post-rigor tenderisation. We also developed an understanding of how glycogen depletes and changes the colour of muscle and meat. All of these things helped us to identify the components of tough meat, and what contributed to its variation across the population of animals and carcasses. But, ultimately, biotechnology wasn’t needed to get there. As I said, biotechnology ended up contributing more to animal genetics per se, and that contributed to the toughness/ tenderness problem and solution. Agbiotech genes to a point of whole-genome sequencing as it occurs In the four phases of the beef production process that you now, in the context of the Angus breed, in particular. outlined in 1995 (breed, nutrition and management; slaughter Industry is doing its best to move past pedigrees and and deboning; post-slaughter processing; and valuation and progeny tests, to whole-genome scans and phenotype predictions. Innovations in the sequencing of genomes marketing), you identified aspects of each phase that would and the assessment of variation, made initially for human benefit from biotechnological improvements. Can you outline application, have revolutionised animal breeding systems. what these were and whether any of these improvements have Still, there is more to come. Have the genes or gene products that determine the rate or now been made? The area in which the most advances have been seen is in form of muscle development been identified since the ‘90s? the breeding, and that has been through the development of gene tools, such as gene markers initially, and ultimately through the development of things like whole-genome selection. It’s systems like this, where the technologies that have underpinned high-throughput gene sequencing and high-throughput genomic analysis, that have enabled us to accelerate genetic selections in all species: most specifically, the bovine species. The trait that has been most affected by genetic selection technologies is the marbling trait within red meat, which is the accumulation of fat within the grain of meat. While back in the early 1990s we thought that this trait was really controlled by nutrition alone, we worked out that it is largely driven by genetics, and we quickly moved past candidate By the time we were in the 2000s, we were identifying gene markers and single genes that we thought accounted for variation with complex traits, and those were being commercialised in the marketplace. Whole-genome sequencing and analytical technologies quickly made gene marker tests obsolete and the patents of limited value. How has selective breeding for beef tenderness progressed? Selective breeding for beef tenderness has been much less an issue than I had imagined it would be in 1995. This has really been the result of a whole-of-supply-chain analysis reflecting that animal breed, plus pre-slaughter stress, plus aspects of how the animal is grown, plus the way it is processed as meat, all packaged up within a standardisation Australasian BioTechnology | Volume 26 | Number 2 57 Agbiotech system, such as MSA, has delivered the goods. The proof of it all has recently been summarised in an audit of red meat quality right across Australia. We have come a long way, indeed. How has mechanisation and automation affected meat tenderness over the last 20 years? There is no question that automation has also contributed to the delivery of better-quality red meat, as more accurate cutting lines facilitate great control around chilling and ageing, for example. Have biosensor technologies played a role? Biosensors have not really taken us far in this area. They were an attractive concept, but have played no role. Back in 1995, I imagined greater cost reductions in biochemical testings: I didn’t imagine that gene sequencing costs would shrink so radically. Are blood-based gene tests for tenderness now in use? Likewise, blood-based gene tests for tenderness were commercialised for a number of years in the early 2000s by organisations such as Genetic Solutions and Pfizer, but ultimately, that technology was rendered obsolete by the whole-genome sequencing and the multi-gene marker technologies, such as gene panels. Has research into muscular dystrophy using the MDX mouse shed any light on genetic/biological markers for meat tenderness? It has been valuable to look at aspects of genetic polymorphism, such as what you see in muscular dystrophy of the MDX mouse. In the early 2000s, a lot of work was done around the callipyge breed of sheep and the Belgian blue breed of cow as opportunities to increase the efficiency of growth by genetic or exogenous means. The impact of these discoveries in the Australian market or global context has been minor. Likewise, these gene and regulatory networks could have been the target of gene editing, but we are yet to see such applications. Perhaps callipyge-derived muscle cells are the best ones to use for in-vitro meat production. In pursuit of meat tenderness, has the addition of enzymes to meat been successfully implemented? In pursuit of tenderness, again I think that understanding the enzymes that were involved in the meat tenderisation after slaughter generated some value in terms of our stock of knowledge, but larger strides were made from good oldfashioned control and optimisation of individual steps in the growth, development, slaughter, and post-slaughter arena. What role has biotechnology played in regards to the classification of meat at the marketing stage of meat production? Biotechnology has played no role in the classification of meat at the marketing stage. It has, to some extent, underpinned the perceived value of Angus, and when we look around the marketplace for meat at the moment, we 58 Australasian BioTechnology | Volume 26 | Number 2 know about the brands like Angus. Generic animal breed names like Wagyu have had incredible impact in the fastfood market and also the gourmet meat market. All of that has been underpinned by technologies around selection and identification, which we could regard as biotechnologies, but reduced to the simplest of practices in selection and optimisation of meat quality. Has community acceptance of such technologies improved since the ‘90s? I think that consumer acceptance has taken quite a dive, even though we have some marvellous technologies available to us, such as trans-genetic or gene edited–type technologies for achievement of disease resistance in animals, or even feed efficiency–type traits. I think that consumer acceptance of animals that are in any way modified remains low. So, I think the biggest impact of the biotechnologies is going to be in the breeding and selection of animals. How has labelling legislation responded to meat science developments over the last 20 years? The MSA system has given us spectacularly improved quality, and I think ‘trace back’—the capacity for individuals and brands to trace problems in the meat supplier all the way from an Asian consumer back to a farm, or an individual feedlot— has certainly developed over the last 20 years, as have other aspects of animal production, such as animal welfare, and the verification of breed type or country of origin. As a result, these now underpin truly enormous diversification of animal production in Australia and have also underpinned the Australian red meat breeding market specifications around the world. The markets have grown enormously in this time, in both sophistication and in volume. 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Members should carefully consider all information provided and conduct independent evaluations before making a decision to enter into any arrangements with a service provider. In some circumstances, AusBiotech receives revenue on any member generated activity through these service providers. This revenue is used to benefit and maintain the services that AusBiotech offers to its members. IP Law GENE GENIE The judicial revolution in biotech IP BY PROF MATTHEW RIMMER, INTELLECTUAL PROPERTY AND INNOVATION LAW, FACULTY OF LAW, QUEENSLAND UNIVERSITY OF TECHNOLOGY (QUT) Over the past few years, there have been some dramatic developments in intellectual property (IP) and biotechnology. In landmark rulings in gene patents in superior courts in the United States and Australia, as well as a significant settlement in Canada, the judiciary has sought to draw tighter boundaries around what can be protected as an invention under patent law. The superior courts have been keen to emphasise that mere products of nature, abstract ideas, and intellectual information cannot be protected under patent law. This has caused some consternation among the commercial providers of medical diagnostics, the pharmaceutical industry and the biotechnology sector. The judicial revolution in IP and biotechnology will have an impact in agriculture, medicine, health care and clean technologies. United States In 2013, the Supreme Court of the United States rejected Myriad Genetics’ patent claims to isolate genes related to breast and ovarian cancer on the grounds that they were products of nature. This ruling sought to demarcate the scope of patentable subject matter in new technologies. The precedent has been applied in a number of cases by lower courts. In 2016, the United States Court of Appeals for the Federal Circuit ruled against Australian company Genetic Technologies, finding that its patent for methods of detecting genetic variations was invalid. This ruling is significant given that Genetic Technologies has been Myriad Genetics’ exclusive licensee of genetic testing in Australia and New Zealand, and has faced controversy over patent claims in non-coding and genomic mapping. Australia In October 2015, the High Court of Australia handed down a landmark decision, ruling unanimously in favour of Yvonne D’Arcy in her challenge against Myriad Genetics’ patents on genetic testing for breast and ovarian cancer. Reading the Myriad Genetics’ patent claims, Chief Justice French, and Justices Kiefel, Bell and Keane, were concerned about the chilling effect of broad, over-reaching claims: ‘Claims 1 to 3 include the products of applying any process, known or unknown, to the cells of a human being, which extracts or replicates from them nucleotides, which code for mutant or polymorphic BRCA1 in the sequences specified in the patent, whether or not the isolate contains other components and sequences.’ Chief Justice French and his colleagues concluded that its 60 Australasian BioTechnology | Volume 26 | Number 2 patentability would not serve the purposes of the concept of ‘manner of manufacture in s 18(1)(a) of the Act or of the Act itself’. IP Australia has sought to develop new patent examination guidelines in the wake of this decision. Canada In Canada, the Children’s Hospital of Eastern Ontario (CHEO) launched a legal Prof Matthew Rimmer challenge against gene patents in order to protect patient care. It stated, ‘Our clinicians and scientists believe that no-one should be able to patent human DNA…. [because] it would be like patenting water or air’. CHEO hoped that Canada would follow Australia’s lead after the ruling of the High Court of Australia: ‘The ruling sets a significant international trend and CHEO is optimistic about its own legal challenge to gene patents in Canada, which was launched in November 2014.’ In the end, CHEO and patent holders reached settlement; Transgenomic agreed to provide CHEO and other Canadian public-sector laboratories and hospitals with the right to test Canadians for the long QT syndrome on a not-for-profit basis. Debate continues about whether this settlement is a positive solution to the conflict over gene patents. Conclusion Superior courts in the United States, Australia, and Canada are now taking a stricter approach to IP and biotechnology, and the judiciary seeks to delineate unpatentable biotechnology subject matter. While the Supreme Court of the United States has explored the notion of ‘products of nature’, the High Court of Australia has emphasised that purely intellectual information is not patentable. IP disputes will have significant impact on patient care, research freedom, access to health care, innovation and commercialisation. There are also major implications for the biotechnology industry in medicine, diagnostics, agriculture and the environment. Rather than focusing on gene patents, the industry will have to instead focus upon downstream inventions. Professor Matthew Rimmer is a leader of the QUT Intellectual Property and Innovation Law research program, and a member of the QUT Digital Media Research Centre, the QUT Australian Centre for Health Law Research, and the QUT International Law and Global Governance Research Program. Nurture your innovation Your IP is the core of your business. We want to help you grow and flourish… Some of Australia’s most successful companies in the life sciences sector have relied on DibbsBarker to help them grow from start-ups to global success stories. Whether you need help with R&D contracting, commercialisation and licensing transactions, clinical trials and regulatory, branding and trade marks, or patent strategy and defence, local or global, we understand the journey you’re on. We’ll collaborate with you to deliver advice and support that fits with your strategy and stage of growth. Contact us to learn more. Anna Feros T +61 7 3100 5137 [email protected] Melissa McGrath T +61 2 8233 9573 [email protected] Scott Sloan T +61 2 8233 9554 [email protected] Stuart Green T +61 2 8233 9586 [email protected] Rob McInnes T +61 2 8233 9556 [email protected] www.dibbsbarker.com SPONSORED CONTENT Image: University of Michigan School of Natural Resources & Environment CC-BY 2.0: flickr.com/photos/snre/6946913891/ THE MEANING OF MYRIAD BY MARK ROBERTS, PARTNER, DAVIES COLLISON CAVE Before you can qualify for patent protection in Australia, and before you need to worry about the normal requirements of novelty and inventive step, you must have an invention that falls within the categories of technology that are generally considered patentable—that is, there needs to be patentable subject matter. The requirement for patentable subject matter is governed by subsection 18(1)(a) of the Patents Act 1990, which specifies that in order to qualify for patent protection in Australia, an invention must be a ‘manner of manufacture’ within the meaning of Section 6 of the Statute of Monopolies. The Statute of Monopolies is a United Kingdom act from 1624. While it may seem rather strange for the current Australian patent legislation to refer to a requirement under a British act from the early 17th century, this has, in fact, served Australia well because the patentable subject matter test has been flexible enough to adapt to the previously unimaginable advances in technology of the 20th and 21st centuries. 62 A Australasian BioTechnology | Volume 26 | Number 2 The landmark High Court of Australia decision of 1959 in National Research Development Corporation v Commissioner of Patents ([1959] 102 CLR 252) (NRDC), which related to a method of removing weeds from a crop using a selective herbicide, gave rise to a simple test to determine when a manner of manufacture exists. In the Mark Roberts NRDC case, the High Court determined that in order to meet the manner of manufacture requirement, an invention must relate to an artificially created state of affairs that is of economic significance. Under this test, Australia has been able to reward and incentivise innovation in a range of new areas, including internet-related technologies and biotechnology. In October 2015, however, the High Court issued a decision in D’Arcy v Myriad Genetics Inc. ([2015] HCA 35) (Myriad). In this dispute, breast cancer survivor Yvonne D’Arcy sought revocation of the Myriad patent claims directed to isolated nucleic acids encoding mutant or polymorphic forms of the BRCA1 polypeptide that are markers for breast cancer. The revocation action was run solely on the ground that those patent claims SPONSORED CONTENT did not constitute a manner of manufacture and were therefore not eligible for patent protection. Ironically, other claims in the patent directed to methods of diagnosis and diagnostic kits were not challenged, with the result that whatever the outcome of the case, the commercial activities of Myriad and its licensee GTG would not be affected by the decision. In a surprising and complex decision, the court found that although the claimed isolated nucleic acids are chemically distinct from nucleic acids that exist in nature, when properly construed, the claims in dispute related merely to information. The court went on to reason that as this information exists in nature, it was not made and therefore could not be considered a manner of manufacture. The court outlined a challenging six-step test for determining manner of manufacture in relation to new technology areas along the following lines (which unfortunately will be difficult for lower courts, practitioners and the industry to understand and apply). Would the decision to uphold the patent to the invention as claimed: • give rise to a large new field of monopoly protection with potentially negative effects on innovation? • have a chilling effect on activities beyond those formally the subject of the exclusive rights granted to the patentee? • involve assessing important and conflicting public and private interests? • enhance or detract from the coherence of the law relating to inherent patentability? • be consistent or inconsistent with (1) Australia’s obligations under international law and (2) patent laws of other countries? • best be left for the legislature? If any of these questions are answered in the affirmative, then the claims in question do not constitute a manner of manufacture. Following the High Court decision in Myriad, IP Australia has altered its examination guidelines and has indicated that claims directed to the following subject matter will no longer be accepted: Isolated, naturally occurring nucleic acid molecules, whether: • DNA or RNA • human or non-human • coding or non-coding. Claims to the following are excluded from patentability where they merely replicate the genetic information of a naturally occurring organism: • complementary DNA and synthetic nucleic acids • probes and primers Image: wheatfields CC-BY 2.0: flickr.com/photos/wheatfields/2074121298/ • isolated interfering/inhibitory nucleic acids. Claims directed to the following subject matter are still considered by IP Australia to meet the manner of manufacture requirement: • naturally occurring isolated bacteria • naturally occurring isolated virus • isolated polypeptides • synthesised or modified polypeptides • isolated polyclonal antibodies • monoclonal antibodies • isolated cells • isolated stem cells • chemical molecules purified from natural sources • transgene comprising naturally occurring gene sequences • vectors, microorganisms, animals and plants comprising a transgene. It is going to be very interesting to see how lower court judges interpret the Myriad decision. In the meantime, while the IP Australia guidelines are a relatively sensible interpretation of a very complex decision, it will take some time before the full implications of the Myriad decision are realised. Australasian BioTechnology | Volume 26 | Number 2 63 B AusBioSTOCK INDEX BY JOANNA HILL, FINANCIAL ADVISER, BAILLIEU HOLST Issuer Name ASX Principal Activity First List Date M Cap $m Last Price $ Yr H $ Yr L $ EPS c PER Asset B (c) AtCor Medical Holdings Limited ACG Developer & international marketer of blood pressure at the Heart device SphygmoCor 9-Nov-05 26.2 0.12 0.35 0.11 -2 -6 3 Alchemia Limited ACL Drug discovery & development Fondaparinux, antithrombotic; oncology compounds FAK pathway 23-Dec-03 2.6 0.01 0.02 0.00 7 0 10 9.3 Acrux Limited ACR Transdermal drug delivery platform technology 29-Sep-04 117.4 0.71 1.02 0.57 8 8 13 6 Actinogen Ltd ACW Developer of lead candidate Xanamem for treatment of neurodegenerative disorders, incl. Alzheimer’s 16-Oct-07 43.1 0.07 0.10 0.04 -1 -6 2 Anteo Diagnostics Limited ADO Multi-component coatings for solid phase of immunoassays for biomarker development 7-Apr-00 42.0 0.04 0.12 0.04 -1 -7 0 Adherium Ltd ADR Digital technologies for monitoring medication use in chronic respiratory conditions 26-Aug-15 56.7 0.49 0.72 0.43 -4 0 22 Agenix Limited AGX ThromboView clot imaging diagnostics 2-Sep-92 1.4 0.01 0.03 0.01 -1 -2 0 Admedus Ltd AHZ Tissue engineering regenerative medicine & vaccine development for herpes & HPV 24-Mar-04 55.9 0.30 0.98 0.28 -16 -2 12 Analytica Limited ALT eHealth devices. PericCoach system for stress urinary incontinence 25-Oct-00 13.0 0.01 0.02 0.00 -0 -1 0 Allegra Orthopaedics Ltd AMT Prosthetic implants tools 5-Dec-07 9.6 0.15 0.05 0.02 -3 -6 4 Antisense Therapeitics ltd ANP Antisense Pharmaceuticals. (Psoriasis, MS) 20-Dec-01 5.5 0.03 0.04 0.01 1 2 3 Antara Lifesiences Ltd ANR Natural, plant-based therapeutics for gastrointestinal diseases 16-Oct-14 49.5 1.25 1.80 0.70 -5 -23 26 Avita Medical Ltd AVH Tissue-culture, regenerative products treatment of wounds, scars & skin defects 11-Aug-93 48.5 0.09 0.15 0.06 -2 -5 2 Avexa Limited AVX R & D drugs for treatment of infectious diseases. HIVintergrase program & antibiotic-resistant bacterial infections 29-Sep-04 2.6 0.02 2.63 0.75 -24 8 1 AirXpanders Ltd AXP Aeroform tissue expander for breast reconstruction 29-Sep-04 223.4 0.90 2.63 0.75 -7 8 11 Biotron Limited BIT Antiviral drug developer, HIV & HCV 24-Jan-01 17.9 0.05 0.14 0.04 -1 -5 1 Benitec Limited BLT Gene silencing technology 17-Feb-97 13.5 0.09 1.00 0.09 -17 -1 19 Bone Medical Limited BNE Development & commercialisation of therapeutics for bone & joint disease 24-Jan-85 2.1 0.03 0.05 0.02 0 0 0 Bionomics Limited BNO Small molecule product developer in areas of cancer, anxiety, epilepsy & multiple sclerosis 21-Dec-99 144.3 0.30 0.59 0.27 -4 -8 0 Brain Resource Limited BRC Provider International Database for Human Brain Function 28-Aug-01 20.2 0.14 0.28 0.10 -2 -5 -4 Bioxyne Ltd BXN Developer of treatments for respiratory diseases 14-Dec-00 5.5 0.03 0.03 0.01 0 14 0 Cellmid Limited CDY Midkine–novel cancer therapeutic and diagnostic target and anti-midkine antibodies with hybridoma cell lines and nucleotides 9-Dec-05 27.9 0.03 0.04 0.02 -0 -6 0 Cogstate Ltd CGS Diagnostic & therapeutic products for neurodegenerative diseases (also Alzheimer’s & Parkinson’s) 13-Feb-04 89.5 0.78 0.85 0.19 0 Clover Corporation Limited CLV Refines & supplies natural oils 30-Nov-99 65.2 0.40 0.60 0.16 0 64 Australasian BioTechnology | Volume 26 | Number 2 Div (c) 0 0 0 9 0 17 0.75 AusBioSTOCK Issuer name ASX Principal activity First list date Cochlear Ltd COH Manufacturer & marketer implants for impaired hearing 4-Dec-95 M cap $m 6,861.7 Last price $ Yr H $ Yr L $ EPS c PER Asset B (c) Div (c) 120.25 124.95 76.73 296 41 316 210 CSL Limited CSL Supply blood products & vaccines 8-Jun-94 48,836.9 108.82 117.61 85.40 415 26 571 171.464 Cryosite Limited CTE Collection, processing & long-term storage blood stem cells 9-May-02 8.7 0.19 0.33 0.18 1 29 7 1 Clinuvel Pharmaceuticals Limited CUV Developer of treatment for UV-related skin disorders. Lead drug CUV1647 in Phase III clinical trial for the treatment of polymorphous light eruption (PLE) 13-Feb-01 202.0 4.29 5.00 2.50 -24 -18 25 Cyclopharm Limited CYC Manufacturer & distributor of radiopharmaceuticals, molecular imaging. Lead product Technegas (lung ventilation imaging drug) 18-Jan-07 49.5 0.90 0.89 0.40 9 10 20 Cynata Therapeutics CYP Large-scale production of mesenchymal stem cells 20-Dec-07 20.7 0.28 0.95 0.23 -7 -4 9 Dorsavi Ltd DVL Motion analysis device technologies for clinical, elite sports & OHS 11-Dec-13 40.5 0.27 0.42 0.25 -11 0 0 Dimerix Ltd DXB Oraline device for occupational & law enforcement multi-drug testing & Dimeris Ph2 chronic kidney disease & diabetic retinopathy 4-Feb-93 11.8 0.01 0.01 0.00 -0 -4 0 1 Ebos Group Ltd EBO Distributor healthcare products 6-Dec-13 2,289.4 15.13 15.70 8.95 68 0 26 40.986 Ellex Medical Lasers Ltd ELX Production of ophthalmic instruments for treatment of impaired vision 12-Sep-94 110.7 0.95 1.06 0.29 2 0 19 0 Factor Therapeutics Ltd FTT Developer biomedical technology, wound healing, tissue regeneration, cell culture; VitoGro platform tech. enhancing cell growth & migration 19-Mar-04 26.1 0.04 0.08 0.03 -5 -1 1 Genera Biosystems Limited GBI Advanced molecular diagnostic tests 11-Jun-08 19.1 0.18 0.34 0.17 -3 -7 -2 Gi Dynamics, Inc GID EndoBarrier, endoscopically delivered treatment for obese type 2 diabetes 7-Sep-11 11.3 0.03 0.17 0.02 -508 0 0 Genetic Technologies Limited GTG Genomics. Genetic Technology - NonCoding DNA 30-Jul-87 30.9 0.02 0.04 0.02 -0 -5 1 IDT Australia Ltd IDT Manufacturer of pharmaceuticals & clinical trial management services 24-Sep-93 53.7 0.25 0.42 0.22 -1 -35 0 Innate Imunotherapeutics Ltd ILL Immunomodulator Microparticle technology 23-Dec-13 56.0 0.29 0.34 0.11 -3 -11 2 Immuron Ltd IMC Oral immunotherapy treatments 30-Apr-99 20.4 0.26 0.57 0.22 -5 -5 3 Imugene IMU Immuno-oncology biopharma, gastric & breast cancer immunotherapies 2-Dec-93 13.9 0.01 0.01 0.01 -0 -4 0 Impedimed Limited IPD Diagnostic devices: lymph oedema; muscle wasting; metabolic disorders 24-Oct-07 347.4 0.92 1.25 0.77 -7 -14 8 ITL Limited ITD Innovative medical devices blood collection and related markets 29-Oct-03 14.2 0.19 0.28 0.15 2 0 10 Invion Ltd IVX Clinical-stage developer for inflammatory respiratory diseases & high blood pressure 15-Feb-10 6.2 0.00 0.03 0.00 -1 0 0 LBT Innovations Limited LBT Automated preparation & streaking of microbiological specimens. MicroStreak — automated routine agar plate processing 31-Jul-06 19.5 0.17 0.20 0.06 3 5 7 Living Cell Technologies Limited LCT Developer of live cell products for treatment of neurological and metabolic disorders 1-Sep-04 37.2 0.07 0.09 0.03 -2 -5 1 Lifehealthcare Group LHC Critical care medical devices & implantable devices 5-Dec-13 70.0 1.65 3.60 1.26 6 26 31 MedTech Global Ltd MDG Healthcare software solutions, clinical management, EMR capability, consultancy services 13-Aug-87 8.0 0.08 0.15 0.07 -2 -3 -1 MediBio MEB Diagnostic tests for depression & other mental health disorders 29-Jan-01 32.5 0.29 0.49 0.19 -12 -2 0 Australasian BioTechnology | Volume 26 | Number 2 0 0.25 12.5 65 AusBioSTOCK Issuer name ASX Principal activity First list date Last price $ Yr H $ Yr L $ EPS c PER Asset B (c) Medigard Limited MGZ Medical safety devices. Lead products: retractable hypodermic syringes; blood collection device; IV cannula/catheter introducer device 5-Feb-04 M cap $m 3.5 0.04 0.08 0.01 0 -17 -1 Medical Australia Limited MLA Distributor of medical devices, IV system, blood banking lab collection of human & animal biologics 20-Dec-04 5.5 0.04 0.08 0.04 -4 -1 2 Mach7 Tech Ltd M7T Imaging IT solutions: 3D printing & holographic projection provider 30-Nov-05 18.5 0.04 0.13 0.04 -4 -1 1 Mesoblast Limited MSB Commercialisation of adult stem cell technology with specific application in the regeneration of bone & cartilage 16-Dec-04 402.3 1.04 4.06 1.02 -35 -3 -3 0 Monash IVF Group MVF Reproductive, obstetric, gynaecological services; diagnostic & genetic testing 26-Jun-14 427.2 1.84 1.93 1.05 10 18 -43 7.7 Medical Developments International Limited MVP Medical & veterinary equipment. Lead Analgesic Agents (pre-hospital & emergency). Penthrox Inhaler. 15-Dec-03 347.8 6.20 6.85 2.10 2 363 0 2 Mayne Pharma Ltd MYX Branded & generic pharma products, oral drug delivery systems, complex oral dose forms 29-Jun-07 1,223.2 1.49 1.68 0.93 3 50 4 Nanosonics Limited NAN Disinfection & sterilisation technology, decontamination products to prevent spread of infections 17-May-07 642.2 2.21 2.59 1.16 -4 -60 15 Neuren Pharmaceuticals Limited NEU Biopharmaceutical therapies for brain injury, neurodegenerative & neurodevelopmental disorders 3-Feb-05 96.2 0.06 0.13 0.05 -1 0 1 Novogen Limited NRT Patents around ATM technology in cancer therapeutics 1-Sep-94 42.1 0.10 0.30 0.10 -3 0 9 NuSep Ltd NSP Cell & protein separation systems 14-May-07 3.4 0.01 0.04 0.01 -1 0 -1 OBJ Limited OBJ Magnetic micro array drug delivery technologies 29-May-00 141.6 0.08 0.11 0.05 -0 -46 1 Orthocell Ltd OCC Regenerative cellular soft tissue therapies for restoration of tendon, cartilage injuries 12-Aug-14 18.0 0.29 0.99 0.28 -4 -7 0 Div (c) 0 0 Opthea Ltd OPT Biologics drugs for opthalmic diseases 18-Apr-91 68.3 0.19 0.28 0.07 -1 -30 13 Oncosil Medical Ltd OSL Medical Radiation treatments, OncoSil silicon & phosphorus beta emitter to be used as brachytherapy 15-Aug-05 54.5 0.12 0.28 0.08 -1 -19 2 Osprey Med Inc OSP AVERT™ Plus System, to reduce dye (contrast) usage in coronary & peripheral angiographic procedures, preventing induced nephropathy (CIN). Limb Recovery™ System, percutaneous technology to deliver targeted doses of antibiotics to the lower limb in patients with diabetes 2-May-12 31.6 0.21 0.85 0.19 -11 -2 10 Pharmaaust Ltd PAA Drug developer of synthetic compounds for treatment of human and canine cancers 2-Oct-01 7.5 0.08 0.20 0.07 -2 -4 3 Patrys Limited PAB Developer of natural human antibody based therapies, including cancer 13-Jul-07 3.7 0.01 0.01 0.01 -1 Probiotec Limited PBP Distributor of prescription & OTC pharmaceuticals 14-Nov-06 27.5 0.52 0.57 0.19 9 6 44 Prana Biotechnology Limited PBT Commercialising research into agerelated neuro-degenerative diseases inc. Alzheimer’s, Crutzfeldt-Jacobs, MND, Parkinson’s. Lead compound PBT in Ph2 clinical trials 28-Mar-00 52.3 0.11 0.18 0.06 -1 -7 7 PolyNovo Ltd PNV PolyNovo Biomaterials tissue engineering & Metabolic pharma 26-Nov-98 13.69 0.25 0.34 0.08 -0 0 2 Phosphagenics Limited POH Vital Health Science. D & C patented phosphorylation technologies, nutraceuticals, dietary supplements, Vit E phosphate complex 11-Aug-93 16.4 0.01 0.03 0.01 -2 0 1 0 Prima Biomed Ltd PRR Fund Biotechnology Research (inc. cancer immunotherapy, rheumatoid arthritis, vaccine technology preventing parasitic diseases in animals) 23-Jun-88 88.7 0.04 0.09 0.04 -4 0 1 0 Prescient Therapeutics Ltd PTX Immunotherapeutic products for chronic infectious diseases & Co-XGene thechnology for cancer treatment 2-Jan-92 9.6 0.08 0.13 0.04 -3 0 2 66 Australasian BioTechnology | Volume 26 | Number 2 0 0 AusBioSTOCK Issuer name ASX Principal activity Yr H $ Yr L $ EPS c pSivida Corp. PVA Sustained-release micro-insert drug & biologics controlled-delivery products First list date 12-Jun-08 M cap $m 23.8 Last price $ 4.08 6.65 3.50 -86 PER -5 Asset B (c) 0 Pharmaxis Ltd PXS R&D & commercialisation treatment autoimmune, chronic respiratory diseases (inc. MS, cystic fibrosis, rheumatoid arthritis) 10-Nov-03 82.5 0.26 0.42 0.19 4 6 8 Phylogica Limited PYC Discovery & development novel peptide therapeutics for treatment of asthma, stroke and diabetes 30-Mar-05 28.1 0.01 0.02 0.01 -0 -4 0 ResApp Health Ltd RAP Developer of smartphone medical app for respiratory diseases 12-Jan-05 177.0 0.37 0.49 0.02 -1 0 1 Regeneus Ltd RGS Developer of adipose-derived cells with regenerative capacity for cell therapies 19-Sep-13 31.3 0.15 0.20 0.07 -2 -9 3 Reproductive Health Science RHS Developer of chromosomal abnormality embryo testing in IVF cycles 5-Mar-87 8.0 0.14 0.21 0.08 -3 -5 2 Resonance Health Ltd RHT MRI & tools for diagnosis and monitoring of liver diseases, FerriScan & HepaFat 2-Jan-92 6.8 0.02 0.05 0.01 -0 -170 1 Resmed Inc RMD Developer, manufacturer, distributor of medical equipment for diagnosis and management of sleep disordered breathing 25-Nov-99 11,650.5 8.28 8.46 6.94 34 24 0 Rhinomed Limited RNO BreatheAssist technology nasal device for sport, sleep and drug delivery 21-Sep-07 13.8 0.02 0.05 0.02 -1 -2 0 RSH Respiri Ltd RSH Mobile health applications for respiratory disorders 14-Jul-00 15.6 0.04 0.07 0.03 -2 -2 0 Reva Medical, Inc RVA Bioresorbable stent products, drugeluting coronary scaffolding treatment for cardiovascular diseases 23-Dec-10 427.0 1.00 1.28 0.40 -33 -3 -29 Sonic Healthcare Limited SHL Diagnostic pathology & radiology services 30-Apr-87 8,671.2 20.91 23.73 16.84 93 22 -380 SciGen Limited SIE Development marketing sales pharmaceuticals (inc. Sci-B-Vac Hepatitis B vaccine) 15-Nov-02 .5 0.01 0.02 0.01 0 3 -20 Somnomed Ltd SOM Specialises in products for sleep apnoea. Lead product SomnoMed mandibular advancement splint (MAS) 27-Aug-04 182.6 3.33 3.39 2.23 1 264 25 Starpharma Holdings Limited SPL Global R&D funding for biotechnology. Commercialisation Dendrimer Nanodrugs (inc.treatment STD) 28-Sep-00 238.6 0.68 0.98 0.54 -6 -11 14 Sirtex Medical Limited SRX R&D novel technology for cancer treatment (radioactive particles SIRSpheres for liver cancer treatment) 24-Aug-00 1,494.8 25.94 41.33 25.98 86 30 149 Suda Ltd SUD Drug delivery OroMist, oro mucosal administration for off-patent drugs 24-Jan-02 22.8 0.02 0.05 0.02 0 -8 0 Simavita Ltd SVA Wireless sensor technology solution for assessment of urinary incontinence in the elderly 22-Feb-14 5.2 0.05 0.59 0.03 -12 0 5 Div (c) 12.255 71 20 TBG Diagnosticas Ltd TDL Molecular diagnostics 22-Dec-95 43.5 0.26 0.30 0.14 -7 -3 4 Universal Biosensors Inc. UBI Specialist medical in vitro diagnostic tests for point-of-care; blood test C-reactive protein test 13-Dec-06 51.8 0.31 0.50 0.24 -4 -8 8 Uscom Limited UCM Develop supply operate medical equipment—ultrasonic cardiac output monitor 10-Dec-03 26.6 0.24 0.28 0.13 -2 -13 2 Viralytics Limited VLA Anti-cancer Virotherapy technology using naturally occurring Coxsackievirus and Echovirus. Lead product CAVATAK 15-Oct-86 227.9 0.92 1.12 0.52 -4 -22 20 Virtus Health Ltd VRT Assisted reproductive services, diagnostics, day hospitals 11-Jun-13 526.0 6.80 7.29 4.55 38 18 -176 28 Vita Life Sciences Limited VSC Development & distribution of ‘over the counter’ medicines; complementary; alternative; dietary supplements; health foods 23-Aug-07 77.2 1.35 1.90 0.75 8 17 40 3.75 Australasian BioTechnology | Volume 26 | Number 2 67 AusBioSTOCK This quarter’s top 20 ASX healthcare sector performers ASX CODE Company Name Quarter Rolling Return % ALT Analytica Limited 110 SIE SciGen Limited 69 CYC Cyclopharm Limited 49 POH Phosphagenics Ltd. 49 CDY Cellmid Limited 46 IIL Innate Immuno 41 PBT Prana Biotechnology 36 VLA Viralytics Limited 36 LCT Living Cell Tech. 35 RAP Resapp Health Ltd 32 SOM SomnoMed Limited 29 MEB Medibio Limited 28 RSH Respiri Limited 27 CGS Cogstate Ltd 26 MGZ Medigard Limited 24 UCM Uscom Limited 23 AMT Allegra Orthopaedics 22 MVP Medical Developments 22 BXN Bioxyne Ltd 20 ELX Ellex Medical Lasers 20 This year’s top 20 ASX healthcare sector performers ASX CODE Company Name Year Rolling % Return RAP Resapp Health Ltd 284 ACL Alchemia Limited 139 CGS Cogstate Ltd 122 PBP Probiotec Limited 112 ELX Ellex Medical Lasers 106 PNV Polynovo Limited 102 LBT LBT Innovations 101 MVP Medical Developments 94 CLV Clover Corporation 92 OPT Opthea Limited 84 BXN Bioxyne Ltd 73 RVA Reva Medical, Inc 72 IIL Innate Immuno 58 AXP Airxpanders, Inc. 48 CYC Cyclopharm Limited 47 MYX Mayne Pharma Ltd 41 COH Cochlear Limited 40 OBJ OBJ Limited 40 LCT Living Cell Tech. 39 CUV Clinuvel Pharmaceut. 37 Data current at 27 June 2016. This information which has been collated by company reports released to the ASX contains general information only and does not constitute financial product advice. Baillieu Holst Stockbroking Ltd and AusBiotech make no assertions as to the merits of any investment opportunities in the companies referred to in these articles. 68 Australasian BioTechnology | Volume 26 | Number 2 People NEW MEMBER PROFILES China Bioengineering Technology Group Limited (CBT) China Bioengineering Technology Group Limited (CBT) is situated in Hong Kong Science and Technology Park. It is a high-tech professional body comprising biomedical science and precision medicine, as well as big data access, statistics and analysis. Our company possesses independent intellectual property right for gene test technology and biomedical data analysis platform. CBT pioneers the application of genes on people’s daily personal medication, disease prevention, nutrition and exercise, intelligence development, and other related domains in Hong Kong and China. Dr Jay Liang China Bioengineering Technology Group Limited T: (852) 2208 7904 E: [email protected] W: www.cbtgene.com.hk Efic When Efic helps you grow, it helps Australia grow. Efic is committed to unlocking finance for export success. As Australia’s export finance agency, Efic delivers simple and creative solutions for Australian companies—to enable them to win business, grow internationally and achieve export success. Through its loans, guarantees, bonds and insurance products, Efic has helped many Australian exporters and subcontractors to take advantage of new contract opportunities that may otherwise have been out of reach. T: 1800 093 724 W: www.efic.gov.au GO Resources Pty Ltd GO Resources Pty Ltd is a private Australian clean technology business established in 2013 to focus on the sustainable production and supply of renewable and biodegradable raw materials for use in industrial and oleochemical markets. GO Resources has the exclusive, worldwide licence to commercialise a super high oleic (SHO) safflower plant that produces uniquely super high levels of oleic acid (>92 per cent) in its seed. This is the world’s highest-grade plant-derived oil for industrial use. Mr Michael Kleinig T: +61 425 761 997 E: [email protected] Gold Coast Health and Knowledge Precinct Located in Australia’s emerging global city, the Gold Coast Health and Knowledge Precinct is a 200-hectare health innovation hub offering unparalleled commercial opportunities for business location, research collaboration, investment and growth. Already home to a world-class university, public teaching hospital and private hospital, the Precinct offers exclusive access to research and development partnerships, and generous financial incentives from all levels of government. It’s a vibrant and innovative community where people can live, learn and work. Diane Dixon Project Director E: [email protected] W: www.gchkp.com.au Macquarie University Macquarie University is a vibrant hub of intellectual thinkers, serving the world through discovery, knowledge sharing, innovation and deep partnerships. We are home to Australia’s first and only fully owned, not-for-profit hospital on a university campus. Macquarie is also home to the Australian Hearing Hub, a unique, world-class facility focused on collaborative research into hearing and communication. Our facilities and people give Macquarie unparalleled flexibility to deliver translational biotechnology solutions. Dr Lisa Rodgers Corporate Engagement Manager T: +61 2 9850 4595 E: [email protected] W: www.mq.edu.au Australasian BioTechnology | Volume 26 | Number 2 69 People Shelston IP With a rich history spanning 155 years, and specialist teams of patent attorneys, trademark attorneys and IP lawyers, Shelston IP is a leading intellectual property (IP) firm in Australasia. Our tagline, ‘Mind to Market’, reflects a crucial difference between Shelston IP and other firms. It encapsulates our thorough understanding of the processes involved in converting ideas and innovations into intellectual assets, and our appreciation of what it takes to successfully commercialise those assets. Dr Michael Christie E: [email protected] The Queensland Alliance for Agriculture and Food Innovation (QAAFI) The Queensland Alliance for Agriculture and Food Innovation (QAAFI) is a research institute dedicated to improving the competitiveness and sustainability of Queensland’s tropical and subtropical agriculture and food sectors through high-impact science. QAAFI is a research collaboration between The University of Queensland (UQ) and the Queensland Government, bringing together senior agricultural scientists in the regions across Queensland, where they are well-placed to understand industry needs and develop the best scientific solutions. Margaret Puls Marketing and Communications Manager E: [email protected] W: www.qaafi.uq.edu.au Wellspect HealthCare Wellspect HealthCare is a knowledgeable innovator of urology and surgery products and services. We aim to make a real difference, shown in our focus to pioneer quality solutions that improve outcomes. Our LoFric intermittent catheters are the world’s first single-use hydrophilic catheter and remain the gold standard. Our iconic Bellovac®, Exudrain® and Kilroid ® deliver dependable performance every day. DENTSPLY Sirona, as our parent company, gives customers the assurance of working with a globally responsible healthcare leader. P: 1800 622 492 E: [email protected] W: www.wellspect.com.au AusBiotech’s fully searchable directory offers access to information on biotechnology and medical technology companies and organisations in Australia. ausbiotech.org/directory 70 Australasian BioTechnology | Volume 26 | Number 2 People CORPORATE AUSBIOTECH MEMBERS 3M Australia Pty Ltd AbbVie Pty Ltd Acrux Ltd Actinogen Limited AdAlta Pty Ltd Adelaide Research & Innovation Pty Ltd Adherium Limited Admedus Limited Agriculture Victoria Services Pty Ltd Ainscorp Pty Ltd AJ Park Alcidion Corporation Pty Ltd (Australia) Alexion Pharmaceuticals Australasia P/L Allens Patent & Trade Mark Attorneys Alzhyme Pty Ltd AMGEN Australia Pty Ltd Analytica Ltd Anatara Lifesciences Anteo Diagnostics Antisense Therapeutics Ltd ANU Connect Ventures Pty Ltd Arnold Bloch Leibler AstraZeneca Pty Ltd ATP Innovations Pty Ltd Austanz Chitin P/L Australia China Business Council (ACBC) Victoria Australian Agricultural Company Limited (AACo) Australian Institute for Bioengineering & Nanotechnology (AIBN) Australian National Fabrication Facility (ANFF) Australian National University (ANU) Australian Proteome Analysis Facility (APAF) Australian Red Cross Blood Service (ARCBS) Australian Regenerative Medicine Institute Australian Synchrotron Co. Ltd Avatar Brokers Pty Limited Baillieu Holst Ltd Baker IDI Heart and Diabetes Institute Baxalta Australia Pty Ltd Bayer CropScience Pty Ltd BCAL Diagnostics Pty Ltd Bellberry Limited Benitec Biopharma Limited Bio21 Molecular Science and Biotechnology Institute, University of Melbourne Bioactive Laboratories Pty Ltd BioDiem Ltd Biointelect Pty Ltd Bio-Link Australia Biomedical Research Victoria (BioMedVic) BioMelbourne Network Bionics Institute Bionomics Ltd BioPacific Partners BioPharmaceuticals Australia (BPA) Bioplatforms Australia Ltd BioSA BioScience Managers Pty Ltd Biotech Dispatch BioTech Primer Inc. Biotechnique Pty Ltd Biotron Limited Biovite Australia Pty Ltd Bioxyne Limited Blueprint Life Science Group Bosch Australia Pty Ltd Brandon Capital Partners Brandwood Biomedical Pty Ltd Bristol-Myers Squibb (Australia) Pty Ltd Brooker Consulting BTG Australasia P/L Buchan Consulting Burnet Institute Business Events Sydney Calimmune Australia Celestino Pty Limited Cell Therapies Pty Ltd Cellmid Limited Centre for Drug Candidate Optimisation Children’s Medical Research Institute China Bioengineering Technology Group Limited Chubb Insurance Company of Australia Ltd Clarity Pharmaceuticals Clinical Genomics Technologies Pty Ltd Clinical Network Services (CNS) Pty Ltd Clinical Research Corporation Cochlear Limited Coloplast Pty Ltd Compounds Australia ConvaTec (Australia) Pty Ltd Cook Australia Pty Ltd CPR Pharma Services Pty Ltd CSIRO CSL Behring Australia CSL Limited CTX CRC Limited Cure Brain Cancer Foundation Curtin University - School of Biomedical Sciences CV Laser Pty Ltd (CustomVis) Cyclopharm Limited Cynata Therapeutics D3 Medicine Datapharm Australia Pty Ltd Davies Collison Cave Deakin Research Commercial DEK Technologies Deloitte Touche Tohmatsu Department of Economic Development, Jobs, Transport and Resources Department of Science, Information Technology and Innovation (DSITI) Department of State Growth (TAS) DesignMedix, Inc. DibbsBarker Dimerix Limited DLA Piper Australia DorsaVi Pty Ltd EFIC - Export Finance and Insurance Corporation EIB Insurance Brokers Pty Ltd Elastagen Pty Ltd Eli Lilly Australia Pty Ltd Ellex Medical Lasers Limited Ellume ELSEVIER B.V. Eppendorf ERA Consulting (Australia) Pty Ltd Eskitis Institute, Griffith University Eurofins | ams EY Factor Therapeutics FB Rice Fisher Adams Kelly Callinans Fitgenes Australia Pty Ltd Flanders Investment & Trade - Embassy of Belgium Franke Hyland Freehills Patent Attorneys French Embassy, Trade Commission Business France Australia & New Zealand Frost & Sullivan (Australia) Pty Ltd Fusidium Pty Ltd Gamma Vaccines Pty Limited Garvan Institute of Medical Research GBS Venture Partners Pty Ltd Genesearch Pty Ltd Genetic Signatures Genzyme - a Sanofi company Global Kinetics Corporation Pty Ltd Global Orthopaedic Technology GO Resources Pty Ltd Gold Coast Health & Knowledge Precinct Golja Haines & Friend Australasian BioTechnology | Volume 26 | Number 2 71 People Grant Thornton Australia Limited Griffith Hack Griffith University Heidrick & Struggles Australia Pty Ltd Holman Webb Lawyers Houlihan² Patent & Trade Mark Attorneys Hydrix Pty Ltd ide IDT Australia Ltd Ikaria Australia (now part of Mallinckrodt Pharmaceuticals) Immuron Limited Imugene Ltd INC Research Australia Pty Limited Innate Immunotherapeutics Limited Institute for Glycomics Inter-K Peptide Therapeutics (Inter-K Pty Ltd) Invion Limited iPug Pty Ltd IQ3 Corp Ltd IQnovate Life Science Organisation IQX Ltd Johnson & Johnson Innovation Johnson Matthey (Aust) Ltd Kain C+C Lawyers King & Wood Mallesons KPMG LBT Innovations Ltd Liberty Medical Pty Ltd (Hollister/Dansac) Linear Clinical Research Ltd Lipotek Pty Ltd Logan Office of Economic Development M. H. Carnegie & Co. M+W Group Macquarie University - Faculty of Science and Engineering Madderns Patent & Trade Mark Attorneys MasterControl Inc. McCloud Consulting Group Meat and Livestock Australia Ltd MedAdvisor Ltd Medibio Ltd Medical Device Research Institute, Flinders University Medlab Clinical Ltd Medtronic Australasia Pty Ltd Melbourne Convention Bureau (MCB) Melbourne School of Engineering Merck Sharp & Dohme Mesoblast Limited Minomic International Limited Minter Ellison Lawyers Mobius Medical Pty Ltd Monash Innovation Monsanto Australia Ltd Morgans Financial Limited MPR Group Pty Ltd Murdoch Childrens Research Institute Murdoch University Nanosonics Limited 72 Australasian BioTechnology | Volume 26 | Number 2 National Association of Testing Authorities Australia National Trauma Research Institute, Alfred Health and Monash University Neoclinical Neuren Pharmaceuticals Limited Neuroscience Trials Australia Neurosciences Victoria Ltd New Venture Institute Newcastle Innovation Ltd Newline Australia Insurance Pty Ltd Norton Rose Fulbright Australia Novartis Pharmaceuticals Australia Pty Ltd Novo Nordisk Pharmaceuticals Pty Ltd Novogen Limited Novotech Nucleus Network NZBIO OccuRx Pty Ltd OFX Omnigon Pty Ltd ONBoard Solutions Pty Ltd OncoSil Medical Ltd Opthea Limited Orthocell Osprey Medical Paranta Biosciences Limited Patheon Biologics Pty Ltd Patrys Ltd Peter MacCallum Cancer Centre Pfizer Australia PharmaSynth Pharmaxis Ltd Phillips Ormonde Fitzpatrick Phosphagenics Limited Phylogica Ltd Planet Innovation Pty Ltd PolyNovo Limited Prana Biotechnology Ltd PresSura Neuro Pricewaterhouse Coopers Protagonist Pty Ltd Proteomics International Laboratories Limited Provectus Biopharmaceuticals, Inc. pSivida Corp QBiotics Limited QIAGEN Pty Ltd QIMR Berghofer Medical Research Institute Q-Pharm Pty Limited Queensland Alliance for Agriculture & Food Innovation (QAAFI) Queensland University of Technology Quintiles Pty Ltd qutbluebox Pty Ltd Regeneus Ltd ResApp Health Limited Research Australia Limited Research, Innovation & Commercialisation (RIC), University of Melbourne REVOX Sterilization Solutions RSM Australia Russell Kennedy Pty Ltd Sanofi-Aventis SeerPharma Pty Ltd Sementis Limited Seqirus Australia - a CSL Company Shelston IP Shire Australia Pty Ltd Sienna Cancer Diagnostics Ltd Simavita Pty Ltd SMART Arm Pty Ltd Southern Star Research Pty Ltd SpeeDx Pty Ltd Spruson & Ferguson St Vincent’s Hospital Melbourne Starpharma Holdings Limited Suda Limited SydPath Synchrotron Light Source Australia Talu Ventures Tasmanian Alkaloids Telethon Kids Institute Terra Rossa Capital Pty Ltd Terragen Biotech Pty Ltd TetraQ Teva Pharmaceuticals Australia Pty Ltd TGR Biosciences Pty Ltd The University of Queensland The University of Western Australia The Walter & Eliza Hall Institute of Medical Research THEMA Consulting Pty Ltd Therapeutic Innovation Australia Trajan Scientific and Medical TransPerfect Translations Pty Ltd TruScreen Pty Ltd UK Trade & Investment UniQuest Pty Ltd Universal Biosensors Pty Ltd University of Southern Queensland University of Sydney, Engineering and Information Technologies University of Western Australia University of Wollongong UNSW - School of Biotechnology and Biomolecular Sciences UNSW Innovations Vectus Biosystems Limited Venture Valuation Viralytics Ltd Virtual Regulatory Solutions, Inc Volpara Solutions Limited WA Health Translation Network (WAHTN) WATERMARK Patent & Trade Mark Att. Wellspect HealthCare West Pharmaceutical Services Western Sydney University World Courier (Australia) Pty Ltd Wrays Celebrating life sciences CONFERENCE MAJOR INTERNATIONAL with 3 events in 1 week Celebrating life sciences with 3 events in 1 week 24 – 27 October 2016 Melbourne, Australia Presented by internationalbiofest.org @AusBiotech #BioFest16 IBS 2016 17th International Biotechnology Symposium and Exhibition Australia’s Life Sciences Conference ausbiotechnc.org #AusBio16 Supporting Partners ibs2016.org #IBS2016 17th International Biotechnology Symposium and Exhibition www.ibs2016.org Australia’s Life Science Investment Showcase australiabiotechinvest.com.au #AusBioInv