DNAnexus | Top eClinical Trial Management Solution Company 2018
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DNAnexus
Leveraging Genomic Data in Clinical Trials

DNAnexus: Leveraging Genomic Data in Clinical Trials

CIO VendorOmar Serang, Chief Cloud Officer
The increasing complexity of regulations and contracts coupled with the lack of supportive infrastructure make it all the more difficult to conduct successful clinical trials. When high throughput genomic data is built in to clinical trial design as a key component of patient stratification and readout of therapeutic response, the challenges become even greater. Clinical trial Electronic Data Capture systems (EDC) are not built to store and analyze large volumes of high-throughput molecular data, for example, NGS assays that capture the genomic sequence variants of study participants. Here, DNAnexus steps in with its ability to store and analyze high-throughput molecular data using its cloud-based genomic analysis and data management platform. DNAnexus formalized security and compliance controls enable incorporation of genomics and other high-throughput molecular data into clinical trials.

“Computer systems used in clinical trials capture and analyze data which affect either the course of trials or the course of treatment, making computer system validation essential,” explains Omar Serang, Chief Cloud Officer of DNAnexus. These systems require effective tracking of quality, reliability, and reproducibility—a traceability matrix tracking features from specification to production deployment is required to satisfy regulatory requirements for Computer System Validation (CSV). “A formalized process comprising CSV, and installation quality, operational quality, and performance quality testing (IQ/OQ/ PQ) is applied to demonstrate the fitness of software deployed into clinical environments for trials,” says Serang. The DNAnexus system becomes a formal validated system integrating with the clinical systems of record which in turn refer to the high throughput molecular data managed by DNAnexus.

DNAnexus, which complies with HIPAA, FedRAMP, and Quality Management standards, increases the efficiency of companies or contract research organizations (CRO) with its clinical trial platform. DNAnexus interfaces with Medidata, which develops SaaS solutions for clinical trials, through its API, extending the validated clinical trial environment to incorporate the high-throughput molecular data. DNAnexus, which has operational compliance and certification—ISO 27001 for information security and ISO 9001 for quality management—is using cloud computing and storage from Amazon and Azure.


When software is deployed into clinical environments for trials, a formalized qualification and validation process is applied to demonstrate the system’s fitness


In an implementation highlight, a global pharmaceutical company conducted clinical trials to treat inflammatory bowel disease using a live biotherapeutic—a cocktail of 17 microbes. Live biotherapeutic manufacture needs next-generation sequencing (NGS) analytics to assess the assay not only during the clinical trial but also during the manufacture of the drug. When the pharma customer sought to conduct trials and eventually deliver the biotherapeutic in diagnostic settings to review patient impact, DNAnexus came to the rescue. This was done by deploying a quality management system (QMS) and working closely with the pharma customer to validate their VE202 pipeline and convert it into a wholly reproducible hardened production pipeline. The DNAnexus Platform thus enabled the implementation of standards and technologies in a pipeline that could be used in multiple contexts: early research, clinical development and clinical diagnostic testing, improving the efficiency of the drug development and diagnostic process.

“If you have a molecular biomarker heading into a trial, you are a lot closer to a drug or treatment by a long shot,” says Serang. Utilizing genomic data in early phases to discover biomarkers useful in participant stratification and inclusion/ exclusion criteria can increase the efficacy of the treatment and open up opportunities for development of companion diagnostics in the near future. Whole exome sequencing is increasingly being incorporated into trial designs for cancer, immune, inflammatory, cardiovascular, and metabolomic diseases, and understanding participants metagenomics is continuing to gain significance. DNAnexus is expanding its translational informatics capability within a clinical context to enable clinical trial investigators, collaborators, and sponsors to gain insight from this data early in the drug discovery process through combined analysis of patients’ real-world evidence, genomic data, and aggregate data from other studies and programs. Integrated management and analysis of the clinical and genomic data enables understanding of the relationship between the participant’s genomic makeup and their response to therapy.

Serang draws attention to DNAnexus’ work powering precision FDA, a cloud-based platform used by the FDA to advance regulatory standards for NGS-based drugs and devices.

DNAnexus News

DNAnexus-enabled UK Biobank Research Analysis Platform Surpasses 5,000 Users in Two Years

World’s largest biomedical research resource now features more than 28 PB of data to help accelerate scientific discovery and improve human health

MOUNTAIN VIEW - DNAnexus, Inc., announced that the DNAnexus-enabled UK Biobank Research Analysis Platform (UKB-RAP) community has grown to more than 5,000 users around the world. The UKB-RAP was designed to allow researchers to access and analyze the exponentially increasing scale of the UK Biobank (UKB) dataset, which now contains more than 28 petabytes (PB) of biomedical data, making it the world’s largest and most comprehensive resource for researchers looking to advance the understanding of human disease.

Before the introduction of the UKB-RAP, authorized researchers faced the challenge of downloading de-identified participant data for their research analyses. This process demanded substantial local storage capacity, computing resources, and technical support. The advent of the UKB-RAP has transformed access to the most extensive proteomics data release ever. Furthermore, later this year, it will serve as the gateway to the largest-ever release of whole-genome sequencing data. The UKB-RAP, designed with security and scalability in mind, has played a pivotal role in expediting both the pace and scope of health-related research. This has resulted in increased accessibility and cost-effectiveness for a more extensive community of scientists.

“The second year of the UKB-RAP has seen the platform and our community grow tremendously to more than 5,000 users,” said Dr. Mark Effingham, Deputy CEO of UK Biobank. “We are committed to working with DNAnexus as our partner to help democratize access to the world’s largest biomedical database of its kind, allowing researchers around the globe to advance modern medicine.”

The UKB-RAP has fostered increased collaboration among researchers worldwide by enabling users to analyze multiple data types concurrently and collaborate on the same research projects within a cloud-based platform. Over the past year, researchers have harnessed the capabilities of the UKB-RAP for an expanding array of research interests. These include generating fresh insights into obesity development, implementing novel techniques for phasing rare variants in large-scale genomic data, and addressing critical research inquiries such as exploring diverse methods for stratifying cancer patients.

“We’re excited about this milestone and how it demonstrates our commitment to enabling industry-leading science for our global user community,” said Thomas Laur, CEO at DNAnexus. “The team at UK Biobank continues to set the standard for future global health research projects and we are proud to be a part of this collaborative approach that will enable scientists to better understand, treat, and eventually cure many devastating diseases.”

In the coming year, UKB-RAP will persist in hosting data releases for new types of data, incorporating extra tools, and organizing additional awareness and community events. These efforts aim to further promote widespread adoption, enhance workflow efficiency, and foster collaborative initiatives.

DNAnexus and Oracle Collaborate to Advance Precision Health

MOUNTAIN VIEW - DNAnexus, Inc., announced that it will collaborate with Oracle to advance precision health.

This visionary endeavor is intended to drive scientific breakthroughs and improve patient outcomes globally by accelerating innovation in genomics and healthcare. This collaboration will:

• Focus on connecting Oracle’s and DNAnexus’ respective ecosystems. This includes making the DNAnexus platform seamlessly available to global Oracle Cloud Infrastructure, Oracle Health, and Oracle Database customers. In addition, customers will be able to use OCI integration services for their healthcare applications.

• Leverage Oracle’s expertise in accelerating AI pipelines and its industry partnerships to bring global customers even faster genomic analysis and better AI models. DNAnexus is already using OCI AI infrastructure to run genomic reports.

“Oracle’s focus on the simultaneous rapid global deployment of its cloud and electronic health records aligns very well with our industry-leading platform, which allows scientific innovators and healthcare professionals to manage, analyze, and collaborate on multi-omic, clinical, and real-world data,” said Thomas Laur, CEO at DNAnexus. “This connected ecosystem will enable users to reimagine the future of health, accelerate scientific discovery, and improve patient care.”

“Through our collaboration with DNAnexus, we believe we can help improve patient outcomes by connecting and delivering leading platforms for our customers,” said Dan Spellman, Global AI Cloud Director, Oracle. “Oracle’s vast ecosystem of partners and global footprint of 69 cloud regions is helping organizations accelerate innovations in healthcare and life sciences. Paired with DNAnexus’ expertise in genomic data management and analysis, we’re ultimately unlocking new insights and driving advancements in personalized medicine and healthcare.”

For more information, please stop by the Oracle (# 410) or the DNAnexus (# 28) booths at the Bio-IT World Conference & Expo, taking place April 15-17th in Boston.

Top 10 eClinical Trial Management Solution Companies - 2018

Company
DNAnexus

Management
Omar Serang, Chief Cloud Officer

Description
Provides security, scalability, and collaboration for organizations pursuing genomic-based approaches to health to accelerate medical discovery