personalized care for all Developing concrete innovative solutions to make medicine more personalized, more efficient and more accessible. BIOASSAYS // MOLECULAR IMAGING // PARTICLE THERAPY // DOSIMETRY // INDUSTRY SOLUTIONS ABOUT IBA Protect, enhance and save lives IBA. Making cancer treatment more efficient at a lower cost for society. Personalized care for all. IBA. Deeply ingrained values... IBA. Integrated activities... 02 03 05 07 IBA: Cutting a long story short and table of contents. 1986 2001 Founding of IBA (Ion Beam Applications): IBA develops its presence in the development of cyclotrons for the production of radiopharmaceutical sector: isotopes for Medical Imaging Acquisition of Eastern Isotopes 1992 First patient treated in an IBA clinical Proton IBA expands its activities into Sterilization and Therapy center at MGH Ionization 1997 Employees’ Buy Out 1998 IBA enters the Brussels Stock Market 1998/1999 2006 For its 20th birthday IBA focuses its strategy on fighting Cancer and grants itself a new brand identity 2007 Developing presence in Asia IBA enters the field of Dosimetry through the 2006/2008 acquisition of Scanditronix and Wellhöfer IBA develops its presence in Europe 1999 for the production and distribution of radiopharmaceuticals: acquisition of the IBA consolidates its strength in irradiation Schering radiopharmaceutical business and CIS technologies by the acquisition of Radiation bio International Dynamics, Inc Over 24 Bioassays years of Innovation Shaping medicine with innovative assays Improving human healthcare by providing high quality biological solutions. 11 Molecular Imaging giving ideas a future IBA. Making personalized diagnostic a reality. IBA. Developing the next generation radiopharmaceuticals. IBA. Delivering service and quality, every day. IBA. A global integrated solution for radioisotopes production. 15 17 19 21 PARTICLE THERAPY today, more than ever... IBA. Making particle therapy available to more patients, everywhere, everyday. IBA. Where vision becomes reality. IBA. Where experience really matters. IBA. Proton therapy made accessible at lower costs and smaller size. 25 27 29 31 Dosimetry Fastest, most accurate, most reliable IBA. Enabling safer radiation in medical diagnostics and treatment. 35 Industry Solutions Act responsibly IBA. Leadership in E-Beam accelerators to improve your industrial processes. The cleanest and most environment-friendly solutions on the market. 39 Contact us 43 41 IBA. Making cancer treatment more efficient at a lower cost for society. The rise of healthcare costs and the growing number of cancer patients worldwide represent one of the biggest challenges our society will have to face in the coming decades. protect, enhance and s ave lives At IBA, we are committed to developing leading-edge technologies and concrete innovative solutions to make medicine more personalized, more efficient and more accessible for the patient while in the long run, more cost-effective for society. Every day, by making personalized treatments a reality for all, we support physicians worldwide to Protect, Enhance and Save Lives. Pierre Mottet, CEO. 1 // iba ABOUT IBA iba ABOUT IBA // 2 about IBA // BIOASSAYS // molecular imaging // particle therapy // dosimetry // Industry Solutions // Personalized care for all. Every effort we make, every action we take is a new step towards a more PERSONALIZED approach to patient treatment. Triumphing over illness and recovering patient care and, in the long run, to tice for the diagnosis of their patients full health is the wish of every patient, more cost-effective healthcare for the as well as for treatment response the goal of each physician and the benefit of patients and society. evaluation. motivation for all researchers. Our Commitment at IBA, … In oncology for example, the use of Yet, today, with an aging popula- Thus, at IBA, we are committed to de- specific PET imaging can, in one case tion and the funding of healthcare veloping leading-edge technologies out of three, enable the physician to evermore challenging, the “one size and concrete innovative solutions to adapt the treatment procedure just a fits all” approach must unavoidably make medicine more specific, more few days after it has started. be questioned. It is a fact that in add­ efficient and more accessible for Making specific treatment that ition to technological limits, the lack the patient while more cost-effective avoids side effects more accessible of precision in diagnostics and treat- for society. In combination with this unique im- ment procedures leads to high levels aging technique, IBA is committed of treatment inefficiency. Inevitably, the Every day, we support physicians to making precise treatment access­ healthcare budget and cost to society worldwide to make personalized care ible to more patients worldwide. IBA By providing patients with a more effi- are negatively impacted. a reality for all. We do so by taking develops innovative proton therapy cient treatment with fewer side effects 2 main integrated paths: technologies associated with high and lower risk of relapse, this unique Towards a solution Improving the precision of diagno- end dosimetry solutions. These allow approach directly benefits patients At IBA, we believe that a more precise sis and treatment response evaluation the physician to deliver with certainty worldwide while lowering the long- diagnosis using functional images (i.e. thanks to Molecular Imaging high radiation doses to very precise term cost of healthcare to society. PET and SPECT ) will enable a more IBA provides its partners with a unique locations in the body. By confining the specific treatment, such as proton combination of know-how and innova- dose to the tumor, IBA proton therapy At IBA, we work relentlessly with our therapy, and a faster assessment of tion capabilities in PET Radiopharma- proposes a treatment method that customers to explore new horizons in treatment response. ceutical development combined with a reduces side effects drastically while medical fields and the industrial world to Protect, Enhance and Save Lives. 1 2 global distribution network. It enables diminishing the probability of second- This more individualized approach to physicians to use specific functional ary cancers. patient treatment will lead to improved imaging as part of their daily prac- 3 // iba ABOUT IBA (1) Positron Emission Tomography (2) Single Photon Emission Tomography Today’s treatment efficacy 25% 30% 57% “Through the early identification and initiation of optimal treatments, personalized medicine has the potential Cancer, to lower the overall cost of healthcare dramatically.” Harvard Business Review, October 2007 Estimation based on: Brian B Spear, “Clinical Application of Pharmacogenetics”, Trends in Molecular Medicine, May 2001 iba ABOUT IBA // 4 about IBA // BIOASSAYS // molecular imaging // particle therapy // dosimetry // Industry Solutions // IBA. Deeply ingrained values, a compelling mission. At IBA, people are inspired by a common mission: to Protect, Enhance and Save Lives. IBA was created by people who are Through challenges and an attitude committed to developing technology of fairness, we stimulate excellence Making Business success sustainable to fight cancer. As the company grew, amongst all IBA employees and make To achieve sustainable business this passion evolved naturally into our business an exciting experience. success deeply ingrained beliefs that govern The outcome is the creation of tang­ the areas of health, safety and our business behavior. ible value for patients, our customers the environment, IBA is engaged and shareholders. in, Why do we fight? through amongst excellence others, two in main programs: Everyone is concerned by cancer and “I know of no other company that 1. IBA is engaged in a voluntary other major diseases. IBA employees would have the courage to open it- agreement with the European share a feeling of urgency in this mat- self up to its customers the way IBA Commission to reduce and op- ter and are inspired by the mission to does at its user meetings. This in turn timize energy consumption and Protect, Enhance and Save Lives. engenders a high degree of loyalty implement EcoDesign methods from users such as myself who prize to reduce energy consumption What do we think? information access above everything. throughout our equipment’s life We achieve our business goals be- This is one of the reasons why I rec- cycle. cause we dare to create innovative ommend IBA’s products.” and superior science to detect and treat cancer. We share knowledge, experience and expertise with our Prof. Roger Price, Head, Medical Technology, Physics & Radiopharmaceutical Production & Development, Sir Charles Gairdner Hospital, Perth, Australia. (Cyclone® 18/9 since 2003) 2. IBA is committed to ensuring safety at work for all employees by raising and aligning standards of safety throughout the Group. customers and partners, listening carefully to their needs, understanding their requirements. More information on www.iba-worldwide.com This dialogue enables us to provide them with operational solutions and concrete results that improve patient lives, which is what we care about. 5 // iba ABOUT IBA iba ABOUT IBA // 6 about IBA // BIOASSAYS // molecular imaging // particle therapy // dosimetry // Industry Solutions // IBA. Integrated activities to realize accessible personalized care for all. What do we do? R&D and partnerships and by com- and safety in diagnostics and therapy Our complementary solutions in bining its capacity to develop new through accurate dosimetry. pharmaceuticals and medical equip- radio­pharmaceuticals within a wide Extending its expertise in particle ment improve disease diagnosis distribution network with the largest acceleration related technologies to and therapy today, and promise even product portfolio in the market, and industrial sectors, IBA develops and more effective treatment tomorrow. its expertise in radiochemistry and supplies industry with surprising and particle acceleration. environment-friendly sterilization and IBA applies its unique know-how and Bioassays // molecular imaging // particle therapy // dosimetry // industrial applications ionization processes for everyday life. innovation capabilities to healthcare. Through countless efforts in R&D, in- Every day, the IBA team works to make telligent partnerships and the com- personalized care real and accessible mitment of all those involved, IBA to more patients. is continuously developing particle therapy solutions for patient care. By offering superior specificity and These solutions will help control and sensitivity to diagnostics, IBA mo- cure cancer worldwide in the most lecular imaging is opening up new flexible, effective and empathetic way opportunities in the early detection, possible. Having pioneered the field characterization and evaluation of of particle therapy and become the treatment response. This field gives worldwide leader in this market, IBA healthcare new solutions on the path is committed to following this path and towards a more personalized and ef- offering its customers ever more flex- fective medicine. ible and accessible state-of-the-art particle therapy solutions. To give those ideas a future, IBA has adopted a unique position and is com- In addition to these core activities, mitted to become a major player in IBA has the firm intention to develop this new era of radiopharmaceuticals. all its fields of expertise. This includes, The company will achieve this through for example, enhancing the precision 7 // iba ABOUT IBA iba ABOUT IBA // 8 Cisbio Bioassays Shaping medicine with innovative assays Cisbio Bioassays strives to enhance patient care through assays that enable uncompromised patient diagnosis and deliver solutions for the investigation and discovery of tomorrow’s new drugs. 9 // iba BIOASSAYS iba BIOASSAYS // 10 about IBA // BIOASSAYS // molecular imaging // particle therapy // dosimetry // Industry Solutions // Improving human healthcare by providing high quality biological solutions. a catalogue of more than 80 products, HTRF for advanced Drug Discovery Dedicated to customer results Key player in the GPCR market for the quantification of tumor markers Cisbio clearly focuses on oncology with Cisbio has always been at the forefront Cisbio is renowned across the world Through its product offering, Cisbio large set of methods and tools used and other biomarkers in clinical biol- more than 50% of its references being of innovation, applying novel technolo- for its dedication to meeting customer addresses most of the therapeutic to analyse and quantify biological ogy, providing the medical community tumor markers. As such, Cisbio plays a gies and assays to the drug discovery needs and for its custom services pro- targets explored in modern drug molecules in samples, particularly in with reliable and sensitive diagnos- central role in the diagnosis and prog- process. Its proprietary technology, gram. Beyond selling state-of-the-art discovery, such as oncology-relat- an in vitro context. When developed tic tools. nosis of patients suffering from cancer. HTRF , based on research by a Nobel products, Cisbio endeavors to provide ed kinase enzymes, or inflammation as immunoassays for in vitro diag- Cisbio Bioassays enables pharma- Prize winner, uses advanced fluores- hands-on technical support, recog- and metabolic disease biomarkers. nostics, these processes must allow ceutical and biotechnology compa- nized by key industry players as sec- Among these targets, G-protein nies, contract research organizations In Vitro Diagnostics Markers - A standard in the industry cence chemistry to identify interactions a highly reliable measurement of between complex biological entities. ond-to-none. coupled receptors (GPCRs), which biomarkers in human blood and tis- (CROs) and academic institutes to Cisbio’s in vitro diagnostics products This robust and integrated technology From assisting a customer in imple- are present in every organ system, sues to help patient disease diagno- shape the drugs of tomorrow. are renowned worldwide for their qual- platform provides critical benefits to menting an HTRF assay, to developing have been validated as therapeutic What are Bioassays? To do so, Cisbio develops, manufac- as immunoassay design. While offering Bioassays are a paramount element tures and markets diagnostic assays of life sciences. They consist of a ® ity and robustness, so much so that drug discovery customers, contributing a custom assay to meet very specific targets in areas including central Cisbio products are used as refer- to streamline their research processes needs, Cisbio’s team of scientific con- nervous system disorders, car- can be optimized to investigate the Pioneering new markers, focusing on oncology ences throughout the industry. A team and screening, and helping them to sultants is highly involved in all aspects diac dysfunction, pain, inflamma- biology and pharmacology of thera- Improving the precision of diagnostics of scientists is dedicated to ensur- find tomorrow’s therapies. of customer service and support, and tion, cancer, diabetes, and obesity. peutic targets among which the in- will enable physicians to provide spe- ing strict quality assurance and that is truly committed to helping its custom- Drugs targeting GPCRs account dustry and the academic field are cific and adapted treatment. Hence, Cisbio’s very high standards are met, ers reach their research goals. for the majority of the best selling seeking new drug candidates. this individualized approach of treat- consistently. Cisbio has ISO 9001 and ment allows a better patient care at ISO 13485 certification for all its in vitro Biomedical technologies for biomarker assessment and drug screening lower societal costs. diagnostics products. Cisbio’s R&D teams have an outstand- ther explore GPCRs’ function and Cisbio Bioassays explores biology and ing track record in the development of mechanism of action, through novel immunoassay design to provide physi- novel immunoassays, based on more approaches to the study of these cians, biologists, clinical chemists and than two decades of experience in the targets under a cellular, close-to- scientists with enhanced solutions for production and optimization of mono- improving patient care. clonal and polyclonal antibodies as well sis and follow-up. In drug discovery, very similar experimental settings 11 // iba BIOASSAYS The development of an immunoassay for Chromogranin A, marked a milestone in clinical biology for the follow up of neuroendocrine tumors drugs and about 40% of all preMore information on in vitro diagnostics www.ria-cis.com or Drug Discovery www.htrf.com Cisbio Bioassays employs the most advanced technologies and equipment to meet pharmaceutical industry demands scription pharmaceuticals in the marketplace. Cisbio is committed to developing new tools to fur- physiology environment. iba BIOASSAYS // 12 IBA Molecular Imaging Giving Ideas a Future Molecular Imaging allows to easily diagnose,treat and stage disease. Thanks to it’s unique capabilities in Molecular Imaging, IBA will enable personalized medicine, therefore bringing major benefits to both patients and healthcare systems. 13 // iba MOLECULAR IMAGING iba MOLECULAR IMAGING // 14 about IBA // BIOASSAYS // molecular imaging // particle therapy // dosimetry // Industry Solutions // IBA. Making personalized diagnostic a reality. What is Molecular Imaging? IBA’s know-how, network of research and clinical partners, versatile solutions and unique innovation capabilities allow partnering customers to redefine the standards of molecular imaging. IBA Molecular is part of this progress. Brain We have unique expertise in the design Neurolite® Dopacis® aging is an in vivo imaging tech- Radiopharmaceutical development, production and distribution Towards personalized medicine nique that enables the non-invasive IBA believes that the use of molecular healthcare centers around the world. visualization of cellular function and medicine in everyday healthcare prac- tracking of the molecular process tice is still in its infancy. We share the By providing superior science and ser- in living organisms. Biomarkers enormous enthusiasm of the world- vice in both production and distribution, or tracers are used to help image wide medical community for the de- we are helping to ensure the uninter- Sentinel nodes NANOCIS The key to early detection and adaptive treatment. Molecular im- of cyclotrons and the development, production and distribution of pharmaceutical tracers used in thousands of Thyroid CAPSION® I-131-S-1 I-131-S-2 I-123-S-1 I-123-S-2 particular targets or pathways. The velopment of more personalized and rupted supply of radiopharmaceuticals ability to image small molecular effective medicine through accurate that is vital for the highest standards of changes opens up a number of molecular diagnosis. Building for this patient care. possibilities for medical applica- future, IBA Molecular has established tions, including earlier detection, strategic partnerships with research more accurate diagnosis and im- institutions and biotechnology com- Comprehensive range of nuclear medicine solutions proved treatment monitoring. Mo- panies new-generation Fulfilling our role as the leader in radio- lecular imaging will also play a more radiopharmaceuticals that will take dis- pharmaceuticals, we are committed to important role in the development ease screening and treatment to the providing complete solutions for all our Liver of drugs by providing high quality next level. customers’ needs. With major product LIPIOCIS® PHYTACIS® to develop ANGIOCIS® cardiogen-82® cardiolite® SERALB-125 STAMICIS® TL-201-S-1 VASCULOCIS Kidneys NORCHOL-131 PENTACIS® RENOCIS® Filtracis Lymphatic system NANOCIS® Joints (various sizes) ERMM-1 RE-186-MM-1 YMM-1 Inflammation/ infection GA-67-MM-1 SCINTIMUN® applications in oncology, cardiology data on the efficacy of the pharma- and neurology, in PET and SPECT, in di- ter diagnosis, patients worldwide Growing use of radiopharmaceuticals can benefit from safer, more effec- The healthcare industry is using molec- nuclear medicine solutions is one of the tive and cheaper treatments. ular imaging to detect diseases earlier most complete in the industry. ceutical under trial. Thanks to a bet- Lung NEOSPECT™ PENTACIS PULMOCIS VENTIBOX VENTICIS Cardio-vascular system and treat them better. Each and every agnostics and therapy, the IBA range of Bones OSTEOCIS® QUADRAMET® TECEOS® cisnaf Other ELUMATIC® III FDG MIBG-131-D MIBG-131-T YTRACIS® day, considerable improvements are being made in diagnosis and therapy. 15 // iba MOLECULAR IMAGING iba MOLECULAR IMAGING // 16 about IBA // BIOASSAYS // molecular imaging // particle therapy // dosimetry // Industry Solutions // IBA. Developing the next generation radiopharmaceuticals. Making PET radiopharmaceuticals available worldwide technology and an expanding global distribution network, we are helping healthcare professionals provide better patient Developing tracers that target major unmet medical needs Molecular Imaging, a solution to build a costeffective medicine care – safe in the knowledge that their supply of radiopharmaceuticals is predictable and reliable. In addition to our current portfolio, IBA Today, society needs to put in place mercially available radiopharmaceu- is also managing a pipeline of candi- a more cost-effective medicine. It is tical product. IBA stood out as the date tracers. IBA Molecular is the only a priority to: ideal partner for this critical task. Our industry player that targets large scale avoid the usage of drugs that are collaboration with IBA will facilitate in-licensing of innovative products in not effective on a given patient; the development and optimization of medical areas that are not currently avoid waste by administering the the radiochemistry and processes for addressed, as part of its long-term exact doses required in a given GMP grade radiolabeling and distri- strategy. IBA plans to launch 7 generic patient situation; bution of ML-10, to the standards of IBA is the n°1 provider of PET radiopharmaceuticals worldwide. With constant innovation in our underlying production or proprietary tracers between 2010 and 2015. Among those are tracers avoid costly surgical procedures where not necessary. that are expected to answer major unmet medical needs such as ML10, Thanks to its specificities, Molecular an apoptosis (cellular death) trac- imaging has the capability to facili- er; cancer), tate the selection of individualized Scintimun® (inflammation/infection) or therapeutic plans, enable finer as- Redectane (kidney cancer). sessment of the response to treat- F-Choline (prostate “We looked for a partner to make APOSENSE® 18F-ML-10, our agent for PET imaging of apoptosis, a com- the most demanding end-user.” Yoram Ashery, CEO, Aposense Ltd. More information on molecular imaging www.iba-molecular.com ment as well as provide excellent risk assessment techniques. Molecular imaging will enable personalized diagnosis that minimizes Northern America 14 FDG Sites Albany (NY), Cleveland (OH), Dallas (TX), gilroy (CA), haverhill (MA), kansas city (KA), los angeles (CA), Montreal (CA), Morgantown (WV), richmond (VI), romeoville (IL), somerset (OH), sterling (VA), totowa (NJ) EUROPE 26 cGMP FDG Sites Amsterdam, bad oeynhausen, Barcelona, bern, Bordeaux, brussels, Casablanca, Coimbra, dinnington, fleurus, ghent, guilford, Lyon, madrid, Malaga, Milan, nancy, Nimes, orsay, paris AP-HP, rennes, Rome, Santander, sarcelles, Sevilla, Udine ASIA the timing and burden of treatment to a more fragile aging population and minimizes the medical and legal risks of therapeutic plans. 13 cGMP FDG Sites Adana, ankara, daejun, daegu, delhi, istanbul, izmir, kuala lumpur, pusan, pyeongchon, seoul(2), suncheon 17 // iba MOLECULAR IMAGING iba MOLECULAR IMAGING // 18 about IBA // BIOASSAYS // molecular imaging // particle therapy // dosimetry // Industry Solutions // IBA. Delivering service and quality, every day. IBA controls and handles all aspects of the production process, from the cyclotron itself to the distribution of 18F-FDG through its own network IBA activities The preparation of unit-dose 18F-FDG Injection USP, starts with bombardment of the stable target material 18O-Water, with an IBA cyclotron. Through a proton neutron nuclear reaction the stable 18O-Water is changed to the 18F radioisotope, a positron emitter. IBA technology: Cyclotron Solutions and Radiopharmacy design multi-purpose capacity, the new Synthera® has been redesigned and im- IBA is a world leader in designing and proved so as to provide many additional benefits. new Synthera® While keeping its main unique advantages of compactness, multi-runs and manufacturing SPECT and PET cyclotrons and chemistry systems used to manufacture radiopharmaceuticals for The 18F solution then enters chemical synthesis where a sugar molecule is attached to the 18F, nuclear medicine diagnostic proce- resulting in an 18F-FDG preparation, suitable for patient injection. dures (molecular imaging). IBA also offers the broadest range of technologies for radioisotopes production. After extensive quality control on each and every batch, the 18F-FDG is drawn into individual unit-dose syringes, assayed in the pharmacy and packaged according to official regulations. Up until now, IBA has provided adapted technology solutions to produce radioisotopes to hundreds of hospitals, nuclear medicine departments, PET production and distribution laboratories The doses are then delivered in a timely manner to the nuclear medecine imaging department of the hospital. as well as R&D centers and biotechs worldwide. “By working with IBA you will become Hospital activities With the advancements in PET technology, the time necessary to acquire a PET scan has dramatically decreased, an active member of the network of while the quality of the images has significantly increased. This has resulted in both higher patient comfort during independent partners and experts the scanning procedure as well as improved detail in the images, both leading to better study results. that will shape the future of nuclear medicine. IBA innovation capabilities FDG PET scans are often acquired in conjunction with a CT scan. The images are then fused together so the physician can easily see both the anatomical and the metabolic abnormalities in one image. will be with you along the way to produce and distribute the molecules of the future.” Renaud Dehareng, President IBA Molecular 19 // iba MOLECULAR IMAGING iba MOLECULAR IMAGING // 20 about IBA // BIOASSAYS // molecular imaging // particle therapy // dosimetry // Industry Solutions // IBA. A global integrated solution for radioisotopes production. Your GMP Radiopharmacy, Risk free IBA supports hospitals and radio- experience in setting up radiopharma- “IBA surpassed our expectations in pharmaceutical distribution centers ceuticals production centers. In addi- terms of quality of equipment and IntegraLab® – Radioisotopes production equipment and support, from project to reality. for their in-house radioisotopes produc- tion to high-quality technology, IBA is price. The construction and instal- Based on 25 years of expertise, IBA offers a global solution for your radioisotopes production. tion by providing them with a global able to offer the support required for lation are rigorously on time and on From the definition of your radiopharmaceutical production needs to the operation of your PET center, the IntegraLab® solution, from project design to the installation and maintenance, as well budget. For sure, we will have the team provides full support for a cost-effective solution. operation of their facility. IBA’s custom- as an evolutive and innovative product most complete and modern radio- ers can therefore concentrate on their range with new targets for developing pharmaceuticals production facility in core business. new molecules. our country.” IBA will, above all, support you from IBA supports a large number of R&D project to reality with a team of ex- centers and biotechs worldwide by Sérgio Chaves Cabral Project Manager, Centro Regional de Ciências Nucleares, Brazil perts defining your needs, complying answering their ever-growing needs with GMP regulations, designing your for support and original solutions for radiopharmacy, building it on time and research and innovative applications. on budget, and give you the best sup- The versatility of our product range port during the operation. and depth of innovations in the pipeline can provide all the tools required When developing a radiopharmacy, to transform an idea into a concrete acquiring a cyclotron is only the first saleable product. step in a complex project. Several processes and specific equipment must be integrated into a cost effective and performing solution. For many years, More information on cyclotron solutions www.iba-cyclotronsolutions.com IBA’s large team of experts has provided optimum support in order to achieve fully-compliant GMP/cGMP centers. Through its worldwide distribution network, IBA has developed in-depth 21 // iba MOLECULAR IMAGING CYCLOTRONS - EXTERNAL BEAM TRANSPORT LINE - TARGETERY - CYCLOTRON CONTROL AND UTILITIES - 18F AND R&D CHEMISTRY iba MOLECULAR IMAGING // 22 IBA PARTICLE THERAPY today, more than ever... Cancer patients seek the most advanced and least invasive treatment possible. As a leader in particle therapy, IBA continues to innovate and provide the most effective and cost efficient solutions available. Making proton therapy accessible today. 23 // iba particle therapy iba particle therapy // 24 about IBA // BIOASSAYS // molecular imaging // particle therapy // dosimetry // Industry Solutions // IBA. Making particle therapy available to more patients everywhere, everyday. What is Particle Therapy? attacks. Particle therapy offers the The new frontier in cancer therapy. most deposition healthy tissue in preventing side ef- ing the best possible cancer treatment, fects should not be underappreciated. Making Particle therapy accessible to more patients, everyday Particle therapy is a form of external properties possible with external beam radiotherapy using beams of beam techniques. It also increases The superior dose limiting properties Particle therapy is an emerging cancer- IBA is dedicated to making particle energetic protons, neutrons, or posi- the effectiveness of other forms of of protons versus x-rays are depicted fighting technology that is becoming therapy available to more patients and tive ions for cancer treatment. The cancer therapy and, in clinical trials, in the comparative distributions for more widely accepted. Because there more affordable for healthcare. IBA chief advantage of particle therapy has proven easier to combine with pediatric medulloblastoma.” are relatively few particle therapy facili- continues to provide clinical, scientific, is the ability to more precisely localize chemotherapy and surgery. ties, existing sites are treating not only engineering and business develop- patients from their region, but also from ment expertise to our customers mak- around the world. It is clear: when seek- ing particle therapy more accessible. favorable dose the beam dosage compared to other types of external beam radiotherapy. As a noninvasive treatment, particle Particle therapy works by aiming en- therapy may even be an alternative ergetic ionizing particles at the tar- to surgery for certain patients. Fewer, get tumor. These particles damage less severe treatment side effects the DNA of tissue cells, ultimately translate into a better quality of life causing their death. Cancerous cells for patients and, ultimately, health are particularly vulnerable to such care cost savings. Pediatric Medulloblastoma comparison “The importance of dose sparing to “Treating Patients with the NPTCC Accelerator Based Proton Treatment Facility” J. Flanz, M.D. from MGH wrote in 2003 together with T. Delaney, M.D., H. Kooy, M.D., and S. Rosenthal, M.D. patients are not deterred by distance. Radiation therapy requires the release of many photons to damage the cancerous cells. However, the energy deposited between the skin and the tumor site and beyond limits the dose physicians can prescribe. 100% Dose Deposition 60% Photons Proton beams deliver a precise dose of energy directly to the tumor site with what is called the Bragg peak, thereby reducing adverse effects to adjacent normal tissues inevitable with conventional radiation treatment. 10% Protons: Vital healthy organs are spared with particle therapy 25 // iba particle therapy iba particle therapy // 26 about IBA // BIOASSAYS // molecular imaging // particle therapy // dosimetry // Industry Solutions // IBA. Where vision becomes reality. 1 Flexible Approach the precise energy required to treat Having designed and equipped the tumors located up to 32 cm beneath majority of the clinically operational the skin. particle therapy centers in the world, The protons are directed into a fixed IBA has unmatched experience deal- beam treatment room or a gantry ing with the financial and logistical is- treatment room via the beam trans- sues involved in developing a particle port system . A rotating isocentric therapy facility. gantry is used to direct the beam into IBA’s flexible approach can get a facility the patient with sub-millimeter accu- up and running while planning for racy. Robotic positioning technology of- future fers 6 degrees of freedom allowing the expansion. Scalable, multi- room facility designs provide efficient patient to be ideally oriented. workflow and optimized throughput, This system is currently the only com- enabling provide mercially available technology officially treatment and realize returns while cleared for patient treatment in the preparing for growth. USA, Europe, Korea and the People’s IBA works with leading medical equip- Republic of China. ment manufacturers to ensure complete Our experience, expertise and satisfied integration and compatibility between users make IBA the world’s leading de- the particle therapy system and other veloper of Particle Therapy systems. physicians to RESEARCH ROOM 2 3 4 BEAM LINE 4 GANTRY TREATMENT ROOMS 3 CYCLOTRON 1 FIXED BEAM TREATMENT ROOM 2 DIAGNOSTIC oncology systems and processes. PROTEUS 235, a flexible configuration Inside the IBA Proteus 235 Proton Therapy system, a proton beam is generated in a 230-MeV (million electron volts) cyclotron . Protons are accelerated to 27 // iba particle therapy Proteus 235 is the only Proton Therapy system having clearance on the 3 continents assuring quality and safety. iba particle therapy // 28 about IBA // BIOASSAYS // molecular imaging // particle therapy // dosimetry // Industry Solutions // IBA. Where experience really matters. Financing Solutions IBA. Your trusted partner As the leader in particle therapy facil- Any large-scale project has multiple necessary to manage a flexible con- ity development, IBA understands that layers of detail, each requiring preci- figuration design and fully integrated financing is a critical component. And, sion and knowledge. facility. And we know what it takes to with global experience, IBA also under- That’s where experience really mat- generate a solid business plan that stands the various financial and busi- ters. While others are still in the works for a particular and unique Clinical particle therapy centers installed by IBA around the world. 2 Midwest Proton Radiotherapy Institute Bloomington, IN, USA 4 CDH Proton Therapy Center, A ProCure Center Chicago, IL, USA ROOMS ness models used around the world. design stage, IBA particle therapy fa- situation. For a capital-intensive project of this cilities are at work around the world. With leading-edge technology and scale, gaining the leverage needed to IBA has provided equipment, as well unmatched experience, IBA Particle gather the right financing program is as clinical, scientific and engineering Therapy can help a facility become a paramount to success. IBA works with expertise, to the majority of clinically sought-after destination for the most financial institutions such as ONDD dedicated particle therapy centers in advanced cancer treatment. and the Belgian Export Credit Agency, the world. that understand the scope and intrica- In addition to making particle therapy “At the University of Pennsylvania we cies involved in particle therapy facility available to more patients, IBA’s goal took a long time going through the development. IBA can help develop di- is to ensure peak performance of process and analyzing the landscape verse, flexible programs for almost any equipment to keep your facility on for vendors in proton therapy. And we financial need. time and on budget—and ensuring were very excited by our partnership No matter where you’re considering that patients get the timely and ad- with IBA. We do believe IBA brings the developing a particle therapy facility, vanced treatment they need. best technology to the table. We be- IBA can help facilitate the all-impor- We are helping our customers by lieve they have the most experience in tant financial aspects to help make sharing our expertise and knowledge the world with proton therapy. Based your vision a reality. IBA will help en- so they can make particle therapy a on their experience, we think that they sure particle therapy is accessible for reality for more people. At IBA, we are the most likely group, vendor, to more medical professionals and their work closely with you every step of come through with bringing in the fa- patients. the way to develop the best solu- cility on time and on budget.” tion for your goals. We understand the commitment and experience 29 // iba particle therapy Dr. James Metz, M.D., Radiation Oncology, University of Pennsylvania ROOMS Two gantry rooms. 2 Massachusetts General Hospital Burr Proton Therapy Center One gantry room, two inclined-beam Boston, MA, USA ROOMS rooms, one fixed-beam room. Opening in early 2011. 4 ROOMS 2 ROOMS Cyclotron, Energy Selection System (ESS), two gantry rooms. Centre de Protonthérapie de I’Institut Curie Paris (Orsay), France New cyclotron connected to two existing fixed-beam rooms. Extension of the existing facility by one gantry room. ProCure Proton Therapy Center Seattle, WA, USA 2 Bronowice Cyclotron Center Kraków, Poland ROOMS Cyclotron, ESS, one research room, one fixed-beam room. Opening in 2012. 4 ROOMS Westdeutsches Protonentherapiezentrum Essen (WPE) Essen, Germany Cyclotron, ESS, three gantry rooms, one fixed-beam room. First Proton Therapy center based on a public-private partnership (PPP) model. In development. Expect to have four treatment rooms. 3 ROOMS 4 ROOMS National Cancer Center Ilsan, Korea Cyclotron, ESS, two gantry rooms, one fixed-beam room. Expandable by one gantry room. ProCure Proton Therapy Center in Oklahoma City Oklahoma City, OK, USA 2 National Cancer Center ROOMS First USA Proton Therapy facility in a private practice setting, one gantry room, two inclined-beam rooms, one fixed-beam room. Kashiwa, Japan Cyclotron, ESS, two gantry rooms. Developed in association with Sumitomo Heavy Industry, LTD. 5 Hampton University Proton Therapy Institute Hampton, VA, USA ROOMS Cyclotron, ESS, four gantry rooms, one fixed-beam room. Fastest build to date for IBA and partners. 2 ROOMS 4 University of Florida Proton Therapy Institute Jacksonville, FL, USA Wanjie Proton Therapy Center Zibo, China Cyclotron, ESS, one gantry room, one fixed-beam room. Expandable by two additional gantry rooms. From project start to first patient treated in only three years. ROOMS Cyclotron, ESS, three gantry rooms, one fixed-beam room. Treating 100 patients per day within two years of opening. 4 ProCure Proton Therapy Center Princeton, NJ, USA ROOMS In development. Expect to have four treatment rooms. 5 ROOMS University of Pennsylvania Health System Roberts Proton Therapy Center Philadelphia, PA, USA Cyclotron, ESS, four gantry rooms, one fixed-beam room, one research room. The largest Proton Therapy center project to date. 3 ROOMS Agenzia Provinciale Per la Protonterapia (ATreP) Trento, Italy Cyclotron, ESS, two gantry rooms and one fixed-beam room. First gantry-equipped Proton Therapy center in Italy. Opening in 2013. 4 Proton Therapy Center Czech s.r.o. Prague, Czech Republic ROOMS Cyclotron, ESS, three gantry rooms, one fixed-beam room. The first of its kind in eastern Europe. Opening in 2012. iba particle therapy // 30 about IBA // BIOASSAYS // molecular imaging // particle therapy // dosimetry // Industry Solutions // IBA. Proton therapy made accessible at lower costs and smaller size. Proteus ONE™, a smaller*, more cost-effective proton therapy system the typical gantry treatment room con- “The Proteus ONE™ is truly a ground- figuration. The new design also allows breaking system that will continue to one-room facilities to be expanded to revolutionize proton therapy treatment Two of the most significant barriers to multi-room facilities without disruption. around the world with its reduced size developing new proton therapy centers Currently, gantry treatment rooms must and cost, and greater efficiency,” — size and cost — will soon be broken be closed while equipment in newly down. IBA engineers and designers built rooms is tested, which delays have spent more than a year devis- treatment scheduling. The new Proteus ing Proteus ONE™, a smaller, more ONE™ system helps centers avoid this cost-effective proton therapy system. obstacle as they expand, improving The new design also produces fewer overall patient care. The Proteus ONE™ construction-related treatment disrup- also offers 3-D imaging. As a patient tions, requires less land and leaves a lies in the new, compact gantry, a 3-D smaller footprint. The new single-room cone beam CT rotates around him or system is about one-third the size of her to capture images of the tumor a current gantry configuration. The prior to treatment to ensure the most size reduction is made possible by precise beam placement. This tumor a much smaller cyclotron; a shorter imaging is highly targeted, so clinicians proton-beam route from the cyclotron can develop a unique treatment plan for to the treatment room; and a smaller, each patient. While the current gantry compact gantry. The decreased size system has proven successful since it directly corresponds to a significant was introduced 11 years ago, anticipa- cost differential. Although pricing has tion is building for the Proteus ONE™. not been determined at this time, the Proteus ONE™ is expected to be a much lower capital investment than Yves Jongen, IBA Founder * Subject to review by Competent Authorities (FDA,European Notified Bodies, et al.) before being commercially available. Proteus ONE™, a smaller, more cost-effective proton therapy system (Subject to review by Competent Authorities (FDA,European Notified Bodies, et al.) before being commercially available) 31 // iba particle therapy iba particle therapy // 32 IBA DOSIMETRY Fastest, Most Accurate, Most reliable At IBA Dosimetry we provide innovative high-end QA solutions and imaging markers for radiation diagnostics and therapy. We help healthcare professionals to improve cancer care by delivering maximum efficiency and minimized errors for better outcome. 33 // iba dosimetry iba dosimetry // 34 about IBA // BIOASSAYS // molecular imaging // particle therapy // dosimetry // Industry Solutions // IBA. Enabling safer radiation in medical diagnostics and treatment. What is Dosimetry? Ensure patient safety and better treatment outcomes by eliminating the unknown. COMPASS provides you critical details needed for confident plan verification and approval. improving the quality of cancer treat- diagnostics (X-ray and CT imaging) Delivering safer Radiation in Medical Diagnostics and Treatment and in radiation therapy. Dosimetry In medical fields, radiation is used in COMPASS Patient Dose Analysis Precise Tumor Targeting COMPASS is revolutionizing Radia- decisions to be made based on clini- gether with our renowned scientific tion Therapy Plan Verification by intro- cal relevance and detailed informa- IBA Dosimetry offers a full range of and industrial partners, we combine ducing patient anatomy into the QA tion, for fast corrective measures and provides the methods and solutions innovative solutions comprising in- expertise and knowledge in order to process. Tools such as dose-volume- earlier patient treatment. that ensure the quality and effic­ struments and software that enables develop comprehensive solutions and histograms and dose distribution on iency of the applied ionizing radia- medical physicists and radiologists to new technologies. the patient CT make COMPASS an “COMPASS’ output display on pa- tion doses, helping to improve care perform the necessary quality assur- Innovative solutions, high quality outstanding tool, allowing physicists tient CT will be very beneficial for and patient safety. ance and calibration procedures. technologies and reliable relation- and radiation oncologists to combine our physicians. […] COMPASS will More precisely, dosimetry, a sub- When working with radiation, precision ships with scientists and indus- their expertise in a common under- take a significant place for our IMRT specialty of medical physics, is the is fundamental to ensure accurate diag- trial partners make IBA a partner of Organ movement and related tu- standable platform, enabling better and Rotational treatment plan verifi- calculation of the absorbed dose in nosis and efficient treatment outcome choice. mor motion during radiation therapy plan verification and safer treatments. cation.” matter and tissue resulting from the while ensuring patients’ safety. In radia- treatment is a common challenge Plan evaluation is no longer a purely ionizing radiation exposure. tion therapy, health providers strive to for doctors aiming to provide more physics-based exercise but is brought The radiation dose, defined by the be 100% sure that they deliver exactly efficient to a true clinical level, allowing sound intensity and energy, the exposure the prescribed dose to a precisely de- The MagicMax is a new solution de- accuracy. time, the area exposed and the fined area in the patient’s body. signed to make Quality Assurance IBA’s flexible, linear tissue marker depth of energy deposition, influ- IBA Dosimetry is the world’s N° 1 do- in medical imaging much more effi- Visicoil™ overcomes this prob- ences the biological effectiveness simetry solution provider in installed cient for all types of X-ray diagnos- lem. This helical fine gold wire de- of that dose and needs to be Qual- systems and in bringing innovations tic devices and procedures. Unlike vice can be clearly seen using most ity Assured. ment and diagnostic procedures. To- One-Shot full QA solution for Medical Imaging treatments with higher into hospitals. Whether in radio­therapy, other solutions, only one single routine types of imaging procedure. or in radiodiagnostics, we strive to be X-ray shot is needed to validate the Easily implanted in the patient’s the leading total dosimetry partner for quality of both the X-ray dose and body by needle insertion, and de- the community. the X-ray image. signed to stay stable in the tissue, Charles W. Coffey, Ph.D. and Jostin Brian Crass, M.S. Radiation Oncology Department, Vanderbilt-Ingram Cancer Center, USA Visicoil™ makes it possible to corBy combining efficient dosimetry solutions with premium customer support, our mission is to contribute to 35 // iba dosimetry More information on www.iba-dosimetry.com rect for organ displacement and deformity, hence maximizing treatment efficiency, and minimizing errors. iba dosimetry // 36 act IBA Industry Solutions RESPONSIBLY IBA Industry Solutions are made possible by efficient electron-beam and X-ray solutions meeting industry’s high performance requirements in a safe and environment friendly way. 37 // iba Industry Solutions iba Industry Solutions // 38 about IBA // BIOASSAYS // molecular imaging // particle therapy // dosimetry // Industry Solutions // IBA. Leadership in E-Beam accelerators to improve your industrial processes. What is “IBA Industry Solutions”? organisms, such as bacteria, resulting impeded, making the polymer stable in microbial death and sterilization. against heat. This locking together of High-current electron beam accelera- E-beam processing is used for the molecules is the origin of all of the ben- tors are used in various industries to re- sterilization of medical products and efits of crosslinking, including the im- duce undesirable contaminants, such aseptic packaging materials for foods provement of the following properties: as pathogens in medical devices, and as well as disinfestation, such as the thermal (resistance to temperature, ag- to enhance the physical and chemical elimination of live insects from grain. ing, etc.), mechanical (abrasion resis- properties of materials. When tance, pressure rating, etc.), chemical Electron beam processing has the abil- through the use of an electron beam, ity to break the chains of DNA in living the molecular movement is severely polymers are crosslinked decision ever. IBA keeps on upgrad- Undisputed leadership in the supply of high-power electron beam accelerators ing it whenever new developments World-class expertise in the produc- are available.” tion of high power electron beam ac- “Purchasing the first Rhodotron® was a real challenge. It has been my best Leoni Studer Hard AG (www.studerhard.ch) (stress crack resistance, etc.)... facility turnkey project. The main appli- Crosslinking improves polymers for a better heat resistance of wire insulation. E-beam “cold” sterilization reduces degradation of medical devices. cations for E-beam and X-ray accelerators can be summarized as follows: celerators enables IBA to produce a Sterilization of Medical Devices wide range of process improvement E-beam sterilization of medical devices solutions for industrial customers. With is a well-known technology adopted by more than 250 electron beam accelera- leading medical device manufacturers. tors installed worldwide, IBA is the glo- Its main advantage is its high process- bal leader in the industry. In the last 10 ing speed, making it a very competi- years, more than 50% of the power of tive alternative to other sterilization installed industrial accelerators world- methods. wide has been supplied by IBA. X-ray sterilization is tomorrow’s sterili- IBA’s involvement in customer projects zation technology which is expected to can vary from providing the electron progressively replace traditional Gam- beam accelerator up to a complete ma facilities. Electron beam and X-rays are used for insect and parasite control reducing food spoilage. 39 // iba Industry Solutions iba Industry Solutions // 40 about IBA // BIOASSAYS // molecular imaging // particle therapy // dosimetry // Industry Solutions // The cleanest and most environment-friendly solutions on the market. Polymer enhancement through elec- E-beam & X-ray Technologies: the Cleanest and most Environment-friendly Solutions on the Market tron beam crosslinking is one of the Electron beam accelerators are du- long-life Gamma-ray emitting isotopes, When turned off, workers can safely ac- first practical applications of radiation rable electrically-sourced equipment such as cobalt-60. cess the equipment. processing. As an example, crosslink- producing ionizing radiation without E-beam and X-ray equipment also offer IBA has developed two main electron ing wire and cable plastic insulation relying upon radioactive isotopes. a major advantage in terms of worker beam accelerators: gives the material more strength and Therefore E-beam units do not face safety, since the equipment can be • the Rhodotron® for customer resistance against heat and abrasion. the security, transportation and dis- turned off at any time. Materials Improvement posal issues that confront the use of Food Sanitization and Other Industrial Applications applications requiring high energy • the Dynamitron® for medium energy applications. IBA technology allows many other applications such as E-beam and X-ray food processing to kill harmful bacteria, cargo safety screening, mail sanitization, crystal cutting, improving the color of glass and gemstones, disinfection of drinking water and many environmental treatments. More information on www.iba-sterilization.com and www.iba-industrial.com 41 // iba Industry Solutions Rhodotron®, for customer applications requiring high energy. IBA’s Rhodotron® is the most powerful electron beam accelerator available on the market Easy-e-Beam™, Dynamitron® based solution for improving wire & cable insulation properties iba Industry Solutions // 42 about IBA // BIOASSAYS // molecular imaging // particle therapy // dosimetry // Industry Solutions // Contact us. IBA Molecular IBA Particle Therapy Production & Distribution of Radiotracers USA: +1 (877) 334 3673 Other than USA: +32 10 47 58 58 info-radiopharma@iba-group.com Outside USA: +32 10 47 58 11 USA: +1 (904) 491 6080 USA Toll free: 877-IBA 4 PBT info-particletherapy@iba-group.com Worldwide presence Cisbio Bioassays IBA Cyclotron Solutions Headquarters: +32 10 201 275 China: +86 64 34 46 40 info-cyclo@iba-group.com Europe: +33 (0)4 66 79 67 05 USA: +1 888 963 4567 China: +86 10 8080 9288 bioassays@cisbio.com IBA Dosimetry Solutions IBA Industry Solutions USA: +1 901 386 2242 Europe: +49 9128 607 0 Asia-Pacific: +86 10 8080 9288 info@iba-dosimetry.com www.iba-dosimetry.com Europe: +32 10 47 58 92 industrial.eu@iba-group.com USA: +1 631 254 6800 industrial.us@iba-group.com Asia: +86 10 8080 9288 industrial.china@iba-group.com Headquarters IBA Group IBA Investor and Press Relations Worldwide: +32 10 47 58 90 investorrelations@iba-group.com 43 // iba locations & contacts. Radiopharmaceuticals production Louvain-la-Neuve Belgium Main offices and distribution sites northern america IBA Asia-Pacific Beijing IBA Industrial Louvain-la-Neuve IBA Industrial Edgewood, NY IBA Molecular Saclay IBA Molecular Sterling, VA IBA Dosimetry Schwarzenbruck IBA Dosimetry Bartlett, TN IBA Particle Therapy Louvain-la-Neuve IBA Particle Therapy Jacksonville, FL CISBIO Bioassays Bagnols-sur-Cèze China 15 pet sites Belgium USA France Europe 23 cGMP pet sites USA Germany USA asia 13 cGMP pet sites Belgium USA France iba locations & contacts. // 44 IBA Corporate brochure v1 - November 2010 IBA delivers solutions of unprecedented precision in the fields of cancer diagnosis and therapy. The company also offers sterilization and ionization solutions to improve the hygiene and safety of everyday life. IBA Locations & Contacts: see previous pages.