“revolutionising healthcare through continuously improving diagnostic solutions” Randox Laboratories Limited • Privately owned diagnostic and instrument company • UK and Ireland’s largest indigenous diagnostic company • Established in 1982 • Employs 850 people • 200 scientists and engineers We supply quality products to: • Hospitals, clinical laboratories and veterinary and research laboratories • Over 130 countries • An estimated 60,000 clients using Randox products. In 2009: • 4 billion diagnostic tests manufactured by Randox. Our facilities may have been basic but we developed excellent diagnostic products, many of which we still manufacture today! Princess Royal Visit 1987 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 9 20 9 0 20 0 0 20 1 0 20 2 0 20 4 0 20 5 0 20 6 0 20 7 0 20 8 0 20 9 10 NUMBER OF STAFF 900 Staff Levels.. 800 700 600 500 400 300 200 100 0 Current Product Range • Biochip Array Technology (Including Molecular) • Clinical Chemistry analysers and reagents • Quality Control systems • Life Sciences Department • Randox Testing Services • Randox Health Checks We now have 60,000 customers worldwide and have achieved significant market share Miami-Dade County California, USA “We are very happy with the huge advantages that the Evidence Investigator has brought to our death investigation abilities.” Dr Lee Hearn Planned Population Federation of Korea (PPFK) Seoul, South Korea “I am very happy with the performance of the Imola as my QC results from Korea's national EQA scheme are always perfect on the RX Imola.” Randox Offices and Distributors Collaborations Network Randox has an extensive network of international collaborations ~ We collaborate with 35 universities and hospitals in 7 different countries ~ Including Queen’s University Belfast and the University of Ulster 20th position out of the estimated 1,850 diagnostic companies worldwide 4th in QC serum and calibrators Number 1 in supply to international EQA schemes Randox manufactures 8% of all clinical chemistry tests in the world Randox provides the reagents for 11% of all HDL Cholesterol tests executed world wide Last year we manufactured our 40 billionth test is a world class manufacturer ! PRODUCT PORTFOLIO Innovation Our mission statement: “Revolutionising healthcare through continuously improving diagnostic solutions” PRODUCT PORTFOLIO Innovation Products are designed and developed with the customer and patient in mind ~ Our rigorous design and development process ensures that all products are fit for purpose Biochip Array Technology Primary research High throughput Huge versatility of technology Expanding portfolio Complimentary clinical chemistry Excellent QC throughout Clinical Randox has spent $225million developing Biochip Array Technology Highly innovative… . . with over 400 new tests in development – more than any other company in the world Randox Sales Conference October 2008 Randox in Cardiology Cutting edge technology and novel biomarkers to accurately diagnose patients with suspected heart attacks Randox has developed tests to save 20% of patients lives Respiratory Pathogen Biochip Moraxella catarrhalis Streptococcus pneumoniae Influenza A Influenza B Staphylococcus aureus Human Respiratory Syncytial virus A Human Respiratory Syncytial virus B Human parainfluenzavirus 1 Human parainfluenzavirus 2 Haemophilus influenzae Human parainfluenzavirus 3 Mycoplasma penumoniae Human parainfluenzavirus 4 Legionella pneumophila Human coronavirus 229E/NL63 Chlamydophila pneumoniae Human coronavirus OC43/HKU1 Human adenovirus B/C/E Human metapneumovirus Human rhinovirus A/B Human bocavirus 1/2/3 Human enterovirus A/B/C Randox 10-plex STI Biochip Neisseria gonorrhoea (NG) Chlamydia trachomatis (CT) Trichomonas vaginalis (TV) Mycoplasma genitalium (MG) Ureaplasma urealyticum (UU) Haemophilus ducreyi (HD) 9 patient samples hybridized in one carrier Up to 54 samples run simultaneously Treponema pallidum (TP) Herpes simplex 1 (HSV1) Mycoplasma hominis (MH) Herpes simplex 2 (HSV2) 10 pathogens detected in one PCR reaction! Bladder Cancer Development of diagnostic algorithm to remove the need for cystoscopy Breast Cancer RNA/cDNA array Low density chip-based cDNA arrays, using a molecular signature panel that can divide breast tumours into clinically relevant sub-types • • • • • • One in nine women will be affected by breast cancer Complex disease involving a number of sub groups Sub-groups have treatment & prognostic significance Current IHC methodology is not standardised Interpretation of IHC can be problematic IHC relies on small number of targets for diagnosis Aim: to accurately subtype breast cancer and predict outcome using a gene expression array Metabolic Syndrome Defined as the Clustering of Cardiovascular Risk Factors with 20-25% of adults affected Metabolic Syndrome Arrays I II Adiponectin C-Peptide C-reactive Protein (CRP) Ferritin Cystatin C Insulin Interleukin-1 alpha (IL-1α) Interleukin-6 (IL-6) Leptin Plasminogen Activator Inhibitor-1 (PAI-1) Resistin Tumour Necrosis Factor-alpha (TNFα) Co-morbidities of Metabolic Syndrome • • • • • • • • • • • • Cardiomyopathy Coronary Heart Disease Atherogenic Dyslipidemia Peripheral and Cerebrovascular Disease Calcific Aortic Valvular Disease Type 2 Diabetes Polycystic Ovary Syndrome (PCOS) Non-Alcoholic Fatty Liver Disease (NFALD) Cognitive Impairment Cancer Chronic Kidney Disease Mental Health Conditions Applicability of other arrays to metabolic conditions Synergy with other biochip arrays available – – – – – Adhesion molecules array Cardiac arrays Cerebral arrays Cytokine arrays Endocrine array Ovarian Cancer RNA/cDNA array Low density chip-based cDNA arrays, using a molecular signature panel that can predict responders and nonresponders to chemotherapy (Taxol and Platinum-based) Ovarian Cancer RNA/cDNA array • Low density chip-based cDNA array • Predicts responders and non-responders to platinum and taxol chemotherapies (using Ovarian tumours as models) • Provides a rapid (1 day) test prior to treatment • Ensures the patient gets the best treatment at the right time • Standardised and easy to use protocols Disease prediction – Cardiac disease risk • Cardiovascular disease (CVD) is a complex multifactorial and polygenic disorder • Results from interaction between genetic makeup and environment • Identification of SNPs in known CVD genes may therefore aid in the identification of individuals at risk • Use with Framingham score to better gauge patient risk • This will permit lifestyle changes or target therapy • Includes the best 20-SNP combination for prediction of cardiac disease – derived from GWAS and meta analyses Randox TxB Cardio® Assay Randox Health Checks Due to the slowness of uptake of new tests by the health service, we decided to set up Randox Health Checks, our own clinic Randox Health Checks Conclusion With the unravelling of the Human Genome Project – the potential for life changing inventions is immense ~ We, at Randox, have developed the world’s most revolutionary technology – in fact a disruptive technology in Laboratory Medicine ~ We can help improve the lives of many people in this world Belfast is as good a place to do this as anywhere in the world ~ We have a highly educated workforce open to the world ~ All we need is entrepreneurial leadership to overcome hurdles and problems put in our way ~ Remember that Belfast has been the source of many inventions and significant entrepreneurial endeavours Henry George Ferguson Ferguson designed and built a new plough which was coupled to the tractor in three-point linkage, so that both formed a single unit. This 'Ferguson System', building on the earlier two-point linkage patented in 1919, was patented in 1928. Together with many other inventions, it was to revolutionise farming. John Dunlop Dunlop’s great invention, of the inner tube for cycle tyres, came about more or less by chance. In 1888 his small son was prescribed cycling as cure for a heavy cold; Dunlop hit on the idea of making the boy's tricycle more comfortable by fitting it with inflated tubes, made of canvas and bonded together with liquid rubber. He patented this idea, using the word 'pneumatic' for the first time, in the same year. Invention is in our genes! Thank you for listening… “revolutionising healthcare through continuously improving diagnostic solutions”