Monogram Biosciences Drug and Vaccine Development Support Monogram Biosciences • Monogram was founded in November 1995 and acquired by LabCorp in August 2009 – Monogram is a LabCorp Center of Excellence with a focus on Virology and Infectious Disease • HIV – Leader in drug resistance • HCV – Comprehensive portfolio • Respiratory viruses – Novel services • Clinical Reference Laboratory – – CLIA/CAP accredited Testing for clinical patient management and drug/vaccine development • Monogram’s assays for clinical trials are offered directly at Monogram and through Covance Clinical Trials Services • Monogram has supported development of every clinically available HIV antiretroviral Covance Clinical Trial Services Offers a Broad Range of Clinical Trial Support Central Labs Dedicated labs for clinical trials Cranford, NJ Mechelen, Belgium Beijing, China Singapore Broad, validated test menu Bioanalytical Labs Esoteric Testing Biomarker Discovery 8 Centers of Excellence Small and large molecule Discovery and development Coagulation Endocrinology Oncology Infectious disease Anatomic pathology Molecular pathology Flow cytometry Method development and validation GLP biomarker services Companion Diagnostics Discovery, development, commercialization FDA experience MS-based assays IVD Trial Participation LC/MS/MS Non-GLP discovery services Cell-based assays Global expertise: Cranford, NJ Mechelen, Belgium San Diego, CA West Trenton, NJ Successful PMA submission 40,000 ft2 biorepository Test method harmonization Commitment to Quality Integrated Data Management Dedicated Project Management History of Monogram HIV Assay Offerings Monogram HIV Assays and Services for Clinical Research and Development • Protease/Reverse Transcriptase Inhibitor Resistance Assays – PhenoSense ® (phenotype; infectivity assay) – GenoSure® MG (genotype; DNA sequencing assay) – PhenoSense ® GT≤ (combination phenotype/genotype) • • • • • • • • • • • • • • GenoSure Archive – DNA resistance testing for patients with undetectable VL Entry Inhibitor Susceptibility Assays (inhibitors of attachment, co-receptor engagement and membrane fusion) Trofile®, Trofile ® DNA (co-receptor tropism determination) Integrase Inhibitor Resistance Assays (phenotype; genotype) GenoSure PRIme (combination PR/RT, INI genotype) Assembly Inhibitor Resistance Assays (phenotype; genotype) Replication Capacity Assays (viral “fitness” ) for HIV Subtype/clade determinations (A, B, C, D, F, AE, AG, BF, etc.) Neutralizing Antibody Assay for HIV Quasispecies characterization…clonal analysis Next Generation Sequencing (minor variant characterization) HIV Curative Strategy assays PhenoScreen® Novel Drug Testing (lead compound characterization) Other supportive assays – Viral Load (Roche COBAS, Abbot Real Time), RVP Summary of HCV Assays • Population and Next Generation Sequencing (NS3/4A, NS5A, NS5B) • Phenotypic resistance testing (luciferase reporter replicon assays) • Replication Capacity (viral “fitness” for HCV) • IL28b allele determination • Genotyping/subtyping (remove LiPA) • Viral load (multiple platforms and assay available) • HCV diagnosis, quantitation and blood screening • UltraQual, SUPERQUANT & QuantaSure assays • Fibrosis: FibroSure (necro-inflammatory markers) • Standard liver function testing (ALT,AST) • Bioanalytical, immunoanalytical, biomarker HCV Resistance Assays: GT 1a/1b Assay RUO CLIA/CAP GenoSure NS3/4A RUO CLIA/CAP GenoSure NS5A RUO CLIA/CAP GenoSure NS5B RUO CLIA/CAP PhenoSense NS3 protease RUO PhenoSense NS5A RUO PhenoSense NS5B RUO Next Generation Sequencing RUO CLIA/CAP HCV Resistance Assays: GT2, 3, 4, 6 Assay Development / RUO / CLIA/CAP GT2a GT2b GT3a GT4 GT6 GenoSure NS3/4A CLIA/CAP CLIA/CAP DEV (NGS) DEV (NGS) DEV (NGS) GenoSure NS5A CLIA/CAP CLIA/CAP DEV (NGS) RUO DEV (NGS) GenoSure NS5B RUO RUO RUO RUO PhenoSense NS5A DEV DEV DEV RUO (subset) PhenoSense NS5B RUO RUO RUO RUO (subset) PhenoSense NS3 protease Next Generation Sequencing CLIA/CAP CLIA/CAP CLIA/CAP CLIA/CAP CLIA/CAP Monogram Biosciences Respiratory Virus Testing Capabilities • GenMark Respiratory Virus Panel (RVP) – Validated in multiple sample types for up to 14 virus targets – Can test for 10, 14 or 19 virus panels – Includes subtyping of Influenza and RSV – Validated for Nasopharyngeal Swabs, Blown Mucus and Nasal Swabs – Validation of blown mucus in progress • Cell-Based Neutralizing Antibodies Assay – High throughput – Influenza A and B, RSV A and B • qRT/PCR – Qualitative/Quantitative qRT/PCR assays: for specific viruses, please contact Monogram for more information • Phenotyping – RSV, Influenza A and B – High throughput characterization of new and existing anti-viral compounds against a panel of clinical isolates and reference strain Oncology - VeraTag FFPE Assays • Proximity-based immunoassays that quantitate protein expression and/or protein complex formation in formalin-fixed, paraffinembedded (FFPE) specimens. • Assays proprietary to Monogram • The term VeraTag refers to the platform technology. • HERmark refers specifically to HER2 total protein (H2T) measurements for breast cancer VeraTag Technology for Oncology Pathway Profiling and Biomarker Development Monogram’s Oncology Pharma partners include: For more information: Andrew Gale galea@Labcorp.com