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Personalized Medicine Research Solutions Andy Felton Ph.D. Vice President Marketing & Product Management Clinical Sequencing Division The world leader in serving science Overview • Platforms • Ion AmpliSeq™ & Oncomine™ Assays for Oncology Research • New FFPE Direct Reagent • Liquid Biopsy Solutions • In Development – Immune Response Assays Platforms Ion Torrent NGS Cancer Research Tools THE ONCOMINE™ KNOWLEDGEBASE Ion AmpliSeq™ Technology* Ion Torrent™ Systems* Ion Torrent™ NGS platform: Pre-NGS sample prep: • Custom / pre-designed panels • Hundreds of gene variants per sample in single run • Low input amounts • • • • • Minimal sample input Fast turnaround times Enables reproducible results Enables accurate performance All in a single run *For Research Use Only. Not for use in diagnostic procedures. * Clinical research trials are not referring to any of the products presented in these slides. Compendia Bioinformatics One of the world’s largest curated cancer genomic database: • Public sources • Peer reviewed literature • Published clinical research trials * Solid Tumor Driver Variant Map Legend: Copy gain Copy loss Hotspot Deleterious Gene fusion Bladder Breast Colorectal Endometrial Esophageal Gastric GIST Glioblastoma Head and Neck Kidney Liver Melanoma Mesothelioma NSCLC Osteosarcoma Ovarian Pancreas Prostate Basal Cell SCLC Sarcoma Testicular Thyroid Gene variants 0.01 >0.30 Oncomine™ Focus Assay Intelligent design includes hotspot SNV and indels, CNVs and gene fusions Categorized by somatic alteration type 52 Categorized by potential relevance genes 35 Hotspot genes Labels 19 Focal CNV gains Guidelines 23 Fusion drivers Drug Targets 43 Clinical Trials >400(US) *For Research Use Only. Not for use in diagnostic procedures. 12 9 Oncomine Comprehensive Assay* 143 genes: Several used in multiple applications (hotspot, CNV, driver fusion) Categorized by somatic alteration type 143 Categorized by potential relevance genes 73 Hotspot genes Labels 49 Focal CNV gains Guidelines 26 Full CDS for DEL mutations & CNV loss Drug Targets 72 Clinical Trials >450(US) 22 Fusion drivers *For Research Use Only. Not for use in diagnostic procedures. 12 9 Oncomine Knowledgebase Reporter: Variant Summary Table For Research Use Only. Not for use in diagnostic procedures. National Cancer Institute-Molecular Analysis for Therapy Choice (MATCH) Phase I technical results – June 2016 • 795 patients enrolled for screening in the first 3 months -739 core needle biopsies sequenced with 87% success rate • 9.5% of the 13% which were not sequenced had no tumor present at all, giving an effective 97.5 % success rate • Optional fine needle aspirates, 97% of the samples were successfully sequenced - mandatory in Phase II providing a projected 98.6% Goals success rate based on Phase I analysis 1Mickey Williams, PhD, Frederick National Laboratory for Cancer Research http://www.cancer.gov/about-cancer/treatment/clinical-trials/nci-supported/nci-match Expanding Menu of Panels and Assays for Cancer Research Oncomine™ Assays Ion AmpliSeq™ Panels Robust results with limited sample input & simple automatable workflows • Informed by the Oncomine™ Knowledgebase • Single workflow for DNA and RNA • Pre-designed or Custom-design options • • Primer pools only Complete solution containing Primer Pools plus Library, Templating and Sequencing kits • Cancer Hotspot Panel v2 Comprehensive Cancer Panel Colon and Lung Research Panel v2 50 Genes 400 Genes 22 Genes& Fusions BRCA1 and BRCA2 Panel RNA Fusion Research Panel TP53 Panel Complete coverage of coding exons and exon-intron boundaries AML Panel > 70 fusion transcripts White Glove Oncomine™ Comprehensive Assay Exons and UTRs Custom Panels 21 Genes For Research Use only. Not for use in diagnostic procedures. Oncomine™ Focus Assay Our Vision for the Future: Oncomine Universal Dx Product • One workflow to deliver results across many biomarkers enabled by targeted NGS • One Test – all answers for patient stratification to available targeted therapies Oncomine™ Focus Assay* Oncomine™ Universal Dx Test* Oncomine™ Universal Dx Test* RUO Early Development IUO Registration Trials IVD Companion Diagnostics 2015 Solid tumor sample 2016 Oncomine™ IVD Assay Sample report The content provided herein may relate to products that have not been officially released and is subject to change without notice. “For investigational use only. The performance characteristics of this product have not been established." Physician-patient treatment decision New solutions for FFPE sample handling Introducing Ion AmpliSeq Direct FFPE DNA Protocol • Fast and easy one-tube, two-step protocol using Direct Reagent that eliminates the requirement for deparaffinization and purification • DNA is prepared in 30 min with only 10 min hands-on time • DNA lysate can either be quantified or used directly for Ion AmpliSeq targeted sequencing Demonstration video: https://www.youtube.com/watch?v=x8Rb50oHRug For Research Use Only. Not for use in diagnostic procedures. Excellent Coverage Uniformity Across Challenging Sample Types Performance of Ion AmpliSeq high-content gene panel* across different tissues and varied amounts of input Ion AmpliSeq Direct FFPE DNA lysate (2-75 ng) 30 100% 25 Sample DNA Yield (ng/µL) 20 60% 15 40% 10 20% 5 0 Uniformity of Base Coverage 80% 0% Liver Liver Lung Lung Colon Colon Liver Liver Lung Lung Colon Colon 11cm2 cm2 0.25cm2 0.25 cm2 FFPE Samples Uniformity of base coverage >95% *134 gene targets 2,530 primer pairs For Research Use Only. Not for use in diagnostic procedures. DNA yield measured using InvitrogenTM QubitTM 3.0 Fluorometer and Qubit ds HS Assay Kit. Peripheral Monitoring New Oncomine Lung cell free DNA assay Breast and Colon panels in late stage development New library method for targeted sequencing of key variants from single tube of banked blood research sample Gene List ALK BRAF EGFR ERBB2 KRAS MAP2K1 MET NRAS PIK3CA ROS1 TP53 Increased sensitivity to detect rare variants present down to 0.1% in cfDNA Covering key hotspot mutations in 11 genes 157 Cosmic Hotspots T790M Included For Research Use only. Not for use in diagnostic procedures. Variant calls from FFPE vs Plasma (late stage lung cancer) Samples Variant FFPE Plasma 1 EGFR-L858R 71.42% 2.62% 2 TP53-R158L 51.89% 4.32% 3 MET-T1010I KRAS-G12C 43.87% 34.62% 51.75% 0.28% 4 N/A No detection No detection 5 EGFR-L858R 58.44% MET-T1010I 41.93% TP53-Y220C 35.54% 7.28% 48.72% 1.93% 6 TP53-R158L 1.26% 10.19% Circulating Tumor Cell & Cell Free DNA Analysis with Cynvenio Liquid Biopsy Immunomagnetic capture of CTC’s from single blood research tube enables CTC analysis without whole genome amplification as well as cfDNA and germline comparison • • • • Circulating tumor DNA (ctDNA) isolation Circulating tumour cells (CTCs) enrichment via the Cynvenio CTC Platform NGS sequencing assays for both CTC DNA and ctDNA analysis Unique workflows to get results from both ctDNA and CTCs from one sample, in one analysis One sample ctDNA and CTC protocols NGS on one chip For Research Use only. Not for use in diagnostic procedures. Analysis Immuno-Oncology Immuno-Oncology Field Expanding Rapidly >500 Immuno-Oncology clinical trials registered Seizing the future in oncology (2015) For Research Use only. Not for use in diagnostic procedures. In Development 400 gene AmpliSeq Gene Expression Assay* Enables Accurate Stratification Robust panel design strategy to enable a unique molecular signature development 0.20 Expert content selection 0.15 ≥ 200 Publications 0.10 Large data sources Clinical researchers from leading cancer centers and academic medical centers Key Opinion Leaders *The content provided herein may relate to products that have not been officially released and is subject to change without notice. Squ.highTIL_53-3 Squ.highTIL_53-1 Squ.highTIL_53-2 Squ.lowTIL_63-1 Squ.lowTIL_63-2 Squ.lowTIL_63-3 Squ.lowTIL_57-1 Squ.lowTIL_57-2 Squ.lowTIL_57-3 Ade.lowTIL_59-3 Ade.lowTIL_59-1 Ade.lowTIL_59-2 Ade.lowTIL_61-1 Ade.lowTIL_61-2 Ade.lowTIL_61-3 Ade.highTIL_51-3 Ade.highTIL_51-1 Ade.highTIL_51-2 Ade.highTIL_55-3 Ade.highTIL_55-1 Ade.highTIL_55-2 Ade.highTIL_49-1 Ade.highTIL_49-2 Ade.highTIL_49-3 0.05 0.00 Oncomine™ Knowledgebase 1-correlation Primary Literature Immuno-oncology panel segregates high TIL tumor samples For Research Use only. Not for use in diagnostic procedures. A Mission We’re Proud Of We enable our customers to make the world healthier, cleaner and safer © 2016 Thermo Fisher Scientific Inc. All rights reserved. All trademarks are the property of Thermo Fisher Scientific and its subsidiaries unless otherwise specified.