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As an analyst who spends a great deal of time
researching biotech and pharma companies, I'm well aware of the challenges
facing the drug industry in the US today. From onerous regulation and an
approval process that has made drug development prohibitively costly and
complex to the pending patent cliff that puts more than $35 billion in
annual sales at risk to the apparent decline in innovation suggested by the
steep drop in patent applications from big pharma – all portend an
increasing inability to replenish shrinking pipelines with new products…
i.e., to produce drugs that improve and save lives.
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Despite
its techie name, "virtual R&D" actually refers to the way the
process is directed and managed, relying mostly on outsourcing. The goal is
to attain clinical proof of concept for a drug as efficiently as possible
by building a lean core management team and outsourcing the bulk of the
process.
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But the news is not all bad. Scientists and
entrepreneurs (often one and the same) are fighting back. With computer-aided drug discovery, the rise of backyard biotech, and virtual R&D, developers are experimenting with
numerous ways to cut costs and time from the arduous process. One new and
particularly interesting effort in this area is a play on the well-known
system-on-a-chip (SoC) technology from the world of computers, that can be
described as human-organs-on-a-chip. I guess we can call it HOOC for short?
Scientists have been experimenting with this concept of
creating living systems on chips for more than a decade – cutting tiny
grooves into silicon and plastic substrates, introducing living cells into
the spaces, and hoping the end result will mimic a particular biological
system, like a human organ. The idea is not to make replacement organs for
transplant, but to replicate enough of an organ's functions to make the chips
useful in testing substances for toxic and therapeutic effects. Now the
technology has finally advanced to near the point of practical application,
and that could be a game-changer in drug development.
As you no doubt know, in order for biotech and pharma
companies to market their drugs in the US, they first must receive FDA
approval. I won't go into a lengthy description of that approval process
here, but I will note that bringing a drug from the pre-clinical or discovery
phase all the way to market can easily take more than a decade and cost
significantly more than $1 billion. (Only about 1 in 10,000 compounds
evaluated in the pre-clinical stage will ever successfully navigate the
entire process.)
A big part of that pre-clinical phase involves
assessing safety and biological activity in the laboratory – especially
in animal studies. (It's difficult to access reliable figures, but it's safe
to say that billions of dollars a year is spent on animal tests.) The problem
with these animal models (without even touching on the various potential
ethical issues involved) is that, although they have historically been one of
the most trusted tools in drug development, they are not actually all that
predictive of the human situation. Not only do animal models fail to identify
numerous drugs that are toxic to humans, they also derail drugs that would
have been good treatments for patients.
Of course this makes sense. We see it all the time in
nature. The Sydney funnel-web spider is one of the most deadly spiders in the
world to humans; but apparently its bite has little effect on the family dog
or cat. At the same time, the venom of Australian tarantulas is deadly to
dogs but relatively harmless to humans. Different animals evolved differently
and have different biologies. Nevertheless, we continue to rely on expensive,
time-consuming, and unreliable animal models in the drug development process
because they're the best we have. But what if something better came along?
That's where human organs on chips come in…
We noted that scientists have been experimenting with
the idea for some time. But a breakthrough came in mid-2010 when researchers
from the Wyss Institute for Biologically Inspired Engineering at
Harvard announced they had successfully developed a lung-on-a-chip. The
device, which is about the size of a rubber eraser and is made using human
lung and blood-vessel cells, actually mimics a living, breathing human lung.
Prior to lung-on-a-chip, tissue-engineered microsystems
were limited either mechanically or biologically. According to Judah Folkman,
professor of vascular biology at Harvard Medical School, the Wyss group used
a novel microfabrication process employing clear rubbery materials and took a
new approach to tissue engineering "by placing two layers of living
tissues – the lining of the lung's air sacs and the blood vessels that
surround them – across a porous, flexible boundary. Air is delivered to
the lung lining cells, a rich culture medium flows in the capillary channel
to mimic blood and cyclic mechanical stretching mimics breathing."
Basically, you have a porous membrane with human cells
from the lung's air sac on one side and human capillary blood vessel cells on
the other side. There's air flowing through the channel on the lung side and
a medium (like blood) with human blood cells in it flowing through the
channel on the capillary side. The whole thing stretches and relaxes like our
lungs do when we breathe. And it does a good job replicating the natural
responses of living lungs to various stimuli. Just as the living lung-blood
interface recognizes invaders such as inhaled bacteria or toxins and
activates an immune response, so too does lung-on-a-chip. The researchers
tested this by introducing E. coli bacteria into the air channel on
the lung side of the device while concurrently adding white blood cells to
the channel on the blood vessel side. The lung cells detected the bacteria
and, through the porous membrane, activated the blood vessel cells, which in
turn triggered an immune response that ultimately caused the white blood
cells to move to the air chamber and destroy the bacteria. I'm pretty sure
you don't even have to be a nerd like me to think that's cool.
Lung-on-a-chip was just the beginning. The Wyss
Institute also has kidney-on-a-chip, bone-marrow-on-a-chip, and its newest
creation, gut-on-a-chip – a silicon polymer device about the size of a
flash-memory stick that mimics complex 3D features of the human intestine
– was just announced at the end of March. All could prove to be
valuable diagnostic tools in the development of safe and effective new
therapeutics.
The bottom line: In theory, since these
human-organs-on-a-chip use human cells and mimic both the mechanics and
biology of the organs they represent, they would be more predictive than
animal models, so drug failure rates would be lower. Modeling with these
chips would cut costs and reduce the time involved in the drug-discovery
process. The technology is so simple that scientists without any engineering
background could easily use it to screen for things like toxicity using much
smaller amounts of the test drug.
It's still too early to tell how successful this field
of research will be. But the recent advancements make the thought of doing
away with animal models for drug testing entirely and replacing them with
tiny micro-engineered devices that incorporate human cells and reconstitute
organ level functions seem a little less crazy today.
Ultimately, the goal is to integrate the various
organs-on-a-chip into a whole microsystem-like human-on-a-chip, as well as to
develop personalized chips that could predict a specific individual's drug
response. Amazing. But this is still years away.
I usually like to conclude these pieces by discussing
potential investment opportunities related to the technology I've introduced.
Much of the best work in the field, however, is still tied up in private or
taxpayer-funded labs like the Wyss Institute. And while companies like CellASIC, Hurel, and Hepregen have
successfully transitioned from academic labs to producing and marketing chips
or substrates that grow primary cells in ways that have functionality for pharma
testing and validation, they are not publicly traded. So, to invest in this
technology, we're just going to have to wait a bit longer.
(Editor's note: While it's too early to stake positions
in organ-on-a-chip technology, there are some alternative investments that
are ripe right now. You can be among the first to hear about the most
promising of these at the Casey Research Recovery Reality Check
Summit. Some seats are still available.)
How long we'll have to wait is unknown. We do know that
pharmaceutical companies are interested in the chips, but for the most part
they're proceeding with caution. The concern, of course, is that the chips
may not capture certain necessary aspects of living physiology the way
whole-animal models do.
It's also important to recognize that the FDA has to
get on board with the idea that the chips are a valuable research tool before
the technology can really take off. The good news there is that they're at
least already considering the idea. According to Jesse Goodman, chief
scientist and deputy commissioner for science and public health at the FDA,
the agency is preparing guidelines on how to replace animal tests with chips
or related technologies, including computational and cell-based screening.
So stay tuned. I'm quite certain we'll be hearing a lot
more about these human organs on chips soon.
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