© Copyright 2016 OSIsoft, LLC EMEA USERS CONFERENCE • BERLIN, GERMANY
© Copyright 2016 OSIsoft, LLC EMEA USERS CONFERENCE • BERLIN, GERMANY
CONFIDENTIAL © 2016 PAREXEL INTERNATIONAL CORP.
TRANSFORMATION IN THE
CLINICAL RESEARCH
INDUSTRY
Peter Shone,
2016 OSIsoft EMEA User Conference,
Berlin, Germany
“In God we trust, all others bring their data.”
W.E. Deming
© 2016 PAREXEL INTERNATIONAL CORP. / CONFIDENTIAL 3
• Introduction to clinical research and PAREXEL
• Our vision
• How OSIsoft supports the vision
• Conclusions
AGENDA
© 2016 PAREXEL INTERNATIONAL CORP. / CONFIDENTIAL 4
TIME In the United States, it takes an
average of 12 years for an
experimental drug to travel
from the laboratory to your
medicine cabinet.
That is, if it makes it
* Medicinenet
http://www.medicinenet.com/
Health Care expenditure: 10% (2.8% - 17.1%) of GDP
Pharma expenditure: ~15% of Health Care
…and growing every year
https://data.oecd.org/healthres/pharmaceutical-spending.htm
http://data.worldbank.org/indicator/SH.XPD.TOTL.ZS
RISK 1 in 5 drugs that are tested in
people is approved. However,
the chance for a new drug to
actually make it to market
is only 1 in 5,000. Even
then payers may choose not to
adopt the treatment
* Medicinenet
http://www.medicinenet.com/
COST The average cost to develop
and gain marketing approval
for a new prescription
medicine, a process often
lasting longer than a decade, is
now
$2.56 billion dollars.*
* Tuft CSDD Outlook 2015
CLINICAL RESEARCH - BRINGING NEW TREATMENTS TO PATIENTS
© 2016 PAREXEL INTERNATIONAL CORP. / CONFIDENTIAL
PAREXEL IS A GLOBAL BIOPHARMA SERVICES ORGANIZATION
• Medical Education
& Communications
• Meetings, Events
& Exhibits
• Educational Services
• Scientific Publications
• Drug Development
Planning
• Regulatory Affairs
• Strategic Compliance
& Risk Management
• Clinical & Manufacturing
• Quality Process
Consulting
• Reimbursement & Patient
Assistance Programs
• Commercialization
• Medical Imaging
• IVRS/IWRS
• Electronic Data Capture –
DataLabs®
• Clinical Trial Management
System –IMPACT®
• ePRO
• MyTrials™
• eLogistics Suite
• Regulatory Publishing and
Submissions
• Supply Forecasting
• & Simulation
• Phase I-IV
• Project Management
• Site Management
• Data Management
• Biostatistics
• Bioanalysis
• Medical Services
• Protocol Optimization
• Clinical Trial Supply and
Logistics
• Import/Export Management
• Partnership/Transition
Office
Communications Strategy & Consulting Technology Clinical Research
30+ years of clinical research experience
PAREXEL INFORMATICS IS THE TECHNOLOGY DIVISION OF PAREXEL
© 2016 PAREXEL INTERNATIONAL CORP. / CONFIDENTIAL
PAREXEL AT A GLANCE
*Excluding circa $100M of technology related acquisitions
PAREXEL INFORMATICS AT A GLANCE
© 2016 PAREXEL INTERNATIONAL CORP. / CONFIDENTIAL 7
CHALLENGES FACING CLINICAL RESEARCH: THE NEED FOR DIGITAL TRANSFORMATION
The lack of information sharing throughout drug development lifecycle
impedes efficient and timely collaboration
Healthcare payers are looking for ever more evidence to underpin cost
effective results-driven treatment plans
Research processes have not evolved to keep pace with global
technological advances
The mapping of the human genome has increased rather than reduced the
complexity of bringing a drug to market
The end of the blockbuster drug era is putting pressure on R&D budgets and
personalized medicine makes research more expensive
© 2016 PAREXEL INTERNATIONAL CORP. / CONFIDENTIAL 8
We are at an inflexion point in clinical trials
digital technology. The focus will shift from
data collection to risk mitigation, from silos
of activity to consumer centricity, from
reaction to proactivity.
INDUSRTY LANDSCAPE:
© 2016 PAREXEL INTERNATIONAL CORP. / CONFIDENTIAL
• File transfer or even snail
mailed
• 2-6 weeks delay after collection
• Mb and Gb class data
• Transfer Through the Wire
• Near Real-Time
• Tb and Pb class data
• Limited Cleaning Needed: Data Recorded Standardized at the Source
• Near Real-Time, Ongoing
Visualization
• After Data Have Been
Integrated and Cleaned
• Months After Data Collection
• Patient Instrumentation - Wearables and sensors - Mobile data - Medical Records - Genomic Database
• Data entered manually in
fragmented systems
• Often paper based primary data
• Poor data quality
9
COLLECT DATA AT THE SOURCE, WITH NEAR REAL-TIME VISUALIZATION &
ANALYSIS SUPPORTING DECISIONS
THE FUTURE (Real time, predictive, data driven decisions)
THE PAST (Slow, reactive, siloed)
Data Collection
Data Transfer
Visualization & Reporting
© 2016 PAREXEL INTERNATIONAL CORP. / CONFIDENTIAL
THERE IS A GROWING WAVE OF NEW TYPES OF SENSOR BASED DATA
SOURCES TO INCREASE MEDICAL VALUE
• There are many sensors available today, though
not many are validated as clinical end points - yet -
with high value for clinical trials
• New sensors are coming to market every year and
we can expect medical value and data volume to
increase exponentially in the coming years
• We need a platform to manage these Petabytes of
data
Expected revenue in wearables:
$18.9B in 2020,
growing at 29.9% CAGR**
* Adapted with permission of Frost & Sullivan
** Source: Frost & Sullivan, “Wearable Technologies in
Clinical and Consumer Health”, 2016
EEG
Cortical Stimulator
Eye Tracking
Ear/Audio
ECG/EKG, Heart Rate
Heart Rate Variability Respiratory Rate
SpO2
Blood pH
Body Temperature
Total Activity
Calorie Meter
EMG
Body Pressure
Muscle Tension
Body Motion
Body Weight
Insulin Level
Blood Glucose
Blood Pressure
Body Posture
Fall Deduction
Sleep
Stress
Critical/High Value
Nice to Have
General/Wellness Va
lue t
o H
ea
lth
Wearables Harnessing Human Body Data/Biometrics*
© 2016 PAREXEL INTERNATIONAL CORP. / CONFIDENTIAL 11
PAREXEL INFORMATICS & OSISOFT PARTNERSHIP
•PAREXEL & OSIsoft have formed a Strategic Alliance Partnership
•OSIsoft PI System technology to be embedded within PARXEL’s
technology framework to develop a next generation sensor
platform for to transform the delivery of clinical trials in the
Biopharmaceutical industry
• Initial focus on 2 PAREXEL use cases
–Patient Direct (wearable devices)
–Active Tracking (temperature controlled drug shipments)
© 2016 PAREXEL INTERNATIONAL CORP. / CONFIDENTIAL
Trial Supply
Logistics
Customer Care
Service
12
PAREXEL NEXT GENERATION SENSOR PLATFORM USE CASE 1. PATIENT WEARABLES
GxP Services
PAREXEL Systems and Services
Business Intelligence & Analytics Researcher
Data Acquisition & Transport Systems
Workflow
Focused persona-
based apps
Secure, scalable, and integrated clinical data infrastructure
Cloud-based Data
Aggregation
Multi-Channel Data
Collectors
Body Area Network Devices
Investigator
Patient
Data Manager
CTMS
EDC
MI
RIM
RTSM
Safety
Site
Feedback
LIMS
GxP Systems
Care Provider
Secure Data
Infrastructure
Consumers
© 2016 PAREXEL INTERNATIONAL CORP. / CONFIDENTIAL
EXAMPLE - PATIENT ACTIVITY MONITORING DASHBOARD
13
Mean amount of time device worn for
each patient, grouped by study and site.
Green region represents compliance
Mean value of activity parameters for all
patients, grouped by study, over the time
range
Activity value for each day in time range,
for each patient.
Compliance metric for each day in time
range, for each patient.
© 2016 PAREXEL INTERNATIONAL CORP. / CONFIDENTIAL
Trial Supply
Logistics
Customer Care
Service
14
PAREXEL NEXT GENERATION SENSOR PLATFORM USE CASE 2. CONDITION SENSITIVE TREATMENT - ACTIVE TRACKING
GxP Services
PAREXEL Systems and Services
Business Intelligence & Analytics Researcher
Data Acquisition & Transport Systems
Workflow
Focused persona-
based apps
Secure, scalable, and integrated clinical data infrastructure
Cloud-based Data
Aggregation
Multi-Channel Data
Collectors
Body Area Network Devices
Investigator
Patient
Data Manager
CTMS
EDC
MI
RIM
RTSM
Safety
Site
Feedback
LIMS
GxP Systems
Care Provider
Secure Data
Infrastructure
Consumers
Real-time management of condition controlled products (‘cold chain’) across supply chain
© 2016 PAREXEL INTERNATIONAL CORP. / CONFIDENTIAL 15
OSISOFT PI SYSTEM TECHNOLOGY WITHIN THE PAREXEL PLATFORM
Key Benefits of OSIsoft Technology
• Quick to integrate time series data flow
• Minimal coding required
• SDK available to code key functions
• Functions required to access data already available
QUALCOMM® 2net
Data Cloud
PAREXEL Analytics Systems
Sensor Data Archive
Asset Framework
Integrator for BA
SDK
Coresight
© 2016 PAREXEL INTERNATIONAL CORP. / CONFIDENTIAL
COMMUNICATION & ANALYTICS TECHNOLOGY IS THE CORE
Data from human sensors are collected a high frequency and produce high volume of data – unknown to pharma industry today
OSIsoft is helping us managing volume of data in near real time
• Data infrastructure that allows us to capture, store and access continuous data
• Integration with communication & analytics
Key benefits of OSIsoft technology
• Quick to integrate time series data flow
• Minimal coding required
• SDK available to code key functions
• Functions required to access data already available
OSIsoft PI System infrastructure will allow us to manage and analyse petabytes of continuous data, enabling new approaches to research problems
© 2016 PAREXEL INTERNATIONAL CORP. / CONFIDENTIAL
TRANSFORMING CLINICAL RESEARCH - ACCELERATE DRUG DEVELOPMENT
The availability and timeliness of data will dramatically affect the future conduct and approach to clinical research and regulation
These new influences will have profound effects on:
• Collapsing the cost of research
• improving the quality of the data
• increasing timeliness of decisions
• maximizing the scientific outcome of the trial process
Decisions will become real time and collaborative, moving us from phased and costly drug development process to lean and adaptive approaches
The focus will shift from data collection to risk mitigation, from silos of activity to consumer centricity, from reaction to proactivity
The PAREXEL Digital Transformation will simplify the research journey so safe new treatments can reach patients quicker, tackling disease and changing lives
© 2016 PAREXEL INTERNATIONAL CORP. / CONFIDENTIAL © 2016 PAREXEL INTERNATIONAL CORP. / CONFIDENTIAL 18
THANK YOU
© Copyright 2016 OSIsoft, LLC EMEA USERS CONFERENCE • BERLIN, GERMANY