Empowered Patient Podcast

Niels Riedemann, the CEO, Founder, and Executive Director of the Board of InflaRx, explains that InflaRx develops pioneering anti-inflammatory therapeutics against a specific portion of the complement cascade, a part of the body's immune system that responds to infectious microbes. By applying its proprietary monoclonal anti-C5a and anti-C5aR technologies, InflaRx hopes to affect the progression of a wide variety of inflammatory diseases. Niels explains, "Absolutely. So, I was a postdoc and research fellow at the University of Michigan and I researched this immune response I was talking about with another fellow in settings of sepsis of devastating, life-threatening inflammation and the other fellow and myself found it so intriguing that we ended up founding a company saying we're going to one day hopefully save people's lives with this approach by controlling this immune response. And when COVID came along, while we had a focus on other diseases and we have a key focus on devastating chronic diseases as well in the immune dermatological space and others, when COVID came along, we had all this knowledge and all this work in the immune response in life-threatening infections including in other viruses with our drug, for example, in an influenza type of virus. But we had not tested it, of course, in COVID or humans with this disease." "We felt we had to do something about it. We were very sure that this was a potential lifesaving approach. So we ended up running what we believe is the largest global study, a one-to-one randomized placebo-controlled study that was powered to show a benefit, a survival benefit, in the most severely sick COVID-patients. And when I say most severely sick, I really mean patients that need invasive mechanical ventilation or even lung replacement therapy, also called ECMO. So that's our focus, and we ended up showing a survival benefit. We may be talking about this a bit today, but it's an interesting story and a life endeavor. I should probably also mention that in order to better understand the other side of the research part, I became a physician, and I actually ran a large academic ICU in Germany for almost seven years, and also enrolled patients in trials. So, I know how it is as an intensive care physician to take care of patients when they're that devastatingly sick. The lots of motivations within the company, and we are really glad that we could bring this drug forward to help patients." InflaRx.de Download the transcript here

Michael Oleksiw is the CEO of Pleio, a company focused on addressing the emotional barriers to patient engagement and medication adherence that medical professionals often overlook. Emotional barriers like loneliness, fear, and stigma can impact patients of all ages and backgrounds when they are facing a health challenge. Pleio uses technology and a peer-to-patient model to personalize interactions with empathetic humans, provide ongoing patient support, track emotional patterns, and bring pharmacists in to work with patients taking multiple medications or with chronic conditions. Michael explains, "Our focus on the emotional barriers is meant to complement what's out there today. The bulk of the focus when it comes to engaging patients and supporting patients is really on supporting the transaction, ensuring that a patient can get their medication, that they can get it cost-effectively, that they can pick it up, that it gets into their hands. But once they're at home, everything gets real really fast and they're faced with a variety of emotions such as loneliness, stigma, fear, etc. The American Medical Association recognizes that five of the eight major barriers to adherence are emotional, as I mentioned. So we try to stay in that swim lane and connect with the patient to target those barriers as a complement to all the stuff already being done out there." "You can say that we break White Coat syndrome in that we get the patient to focus on what's important to them. Many times, patients don't know or are intimidated by their healthcare professionals and don't know how to engage in conversation. So one of the things we do is instill confidence so they can engage in fruitful conversations with their pharmacists and the like. So, the best way to think of it is we're an extension of the pharmacy. We bring that trust and the care in the pharmacy into the home with what we call a peer-to-patient model where patients engage in conversation with people just like them to complement the baseline they received at the pharmacy." "Technology helps us be more efficient in terms of the patients we target, the words we choose, and the times we call. So, our view on technology is we use technology to support human interaction and make it better, optimize it, and make it more efficient, but not replace it. So, we don't use technology to pretend to be human. Humans do a good job at that. I think humans could own being human. Technology is meant to support the human to be more efficient, make things more personalized, and take that step back to see the big picture and address trends over time." #Pleio #MedicationAdherence #PatientEngagement #EmotionalBarriers #MedAI #DigitalHealth pleio.com Download the transcript here

Dan Levendowski, Co-Founder and President, and Chris Berka, Co-Founder and CEO of Advanced Brain Monitoring, have developed medical devices that measure brain activity through electroencephalography (EEG) during awake and sleeping states. These easy-to-use EEG devices can be used at home and in a clinic to identify biomarkers for cognitive decline and neurodegenerative diseases. The company has built large databases of EEG data from healthy individuals and those with various neurodegenerative diseases, which allows them to compare a patient's brain activity to healthy controls and track changes over time. Dan explains, "We're now in year seven of a large longitudinal study where we've identified and extracted these measures of the brain's electrical activity under different conditions that help us differentiate or characterize whether the person has normal cognition or their sleep looks like somebody with normal cognition. Or how the brain responds to certain stimuli and if it looks like somebody with Parkinson's disease or early Alzheimer's disease. We do that both during sleep and during wake." Chris elaborates, "What differentiates our products is that Dan mentioned that we've received a little over $40 million in funding from NIH, DARPA, and other funding sources. And that has allowed us to create very large databases with tens of thousands of recordings from healthy controls. So people ages 6 to 96. For any new patient that comes in, we can compare their brain to a group of people in the same age range and sex and say, how far are you quantitatively from your healthy control peers?" "We print everything, all of the EEG sensors, on a very lightweight flex cable, which is easily applied and hits all the target sites according to the neurology 10-20 system. That is fully disposable. So after you take it off, you discard it. It's only used once. Then, all of the electronics for our system, which does the amplification of the signals, the digitization of the signals, and then sending via Bluetooth to a laptop or a handheld or desktop computer. All of that is in a very small electronics box worn on the head. The entire system weighs less than three ounces. So we've had patients wear it for many hours and forget they're wearing it. It's so lightweight and comfortable." #AdvancedBrainMonitoring #EEG #NeuroBiomarkers #Cognition #NeuroDiagnosticDevice #AlzheimersDisease #Dementia #ParkinsonsDisease #LewyBodyDementia advancedbrainmonitoring.com Download the transcript here

Dr. Julie Schulz, VP of product at Avalon Healthcare Solutions, a company that helps health plans manage their laboratory spend and benefits by contracting with labs and analyzing lab data. Lab tests are important for identifying the right patients for GLP-1 drugs and assessing their cardiometabolic health. While GLP-1 drugs were initially developed for diabetes they have been found to have broader benefits in treating conditions like obesity, heart disease, and kidney disease. Avalon's real-time access to lab data can help health plans and providers better identify appropriate patients for GLP-1 drugs and address health equity and access issues. Julie explains, "Labs are increasingly looking at biomarkers that provide an overall sense of patient health. Molecular diagnostics, including genetic testing, is on the upswing. Understanding the complexities of that testing and the clinical decisions that come from it is more and more important for health plan employers in the broader healthcare ecosystem." "So GLP-1 drugs were initially indicated for diabetes and help patients who struggle to control their diabetes with other medications to help bring down their hemoglobin A1c. But we found they have a much broader effect on the entire cardio kidney metabolic syndrome. Increasingly, clinicians in the American Heart Association are recognizing that cardiorenal metabolic syndrome is a collection of related disorders that involve cardiovascular disease, diabetes, obesity, liver disease, and others as well. What's interesting about GLP-1s is they've been shown to have an impact on many of these systems." "Now all of those labs can come together and can actually be used to calculate a score of a patient's tenure and 30-year risk of major adverse cardiac events. So, heart attack and stroke, but also heart failure. So, bringing all those things together will inform the patient's broader cardiometabolic health status and can also help start identifying patients who will benefit the most from these drugs." #AvalonHCS #LaboratoryBenefitsManager #HealthPlans #HealthEquity #GLP1 #CardiometabolicDiseases #Obesity #KidneyDisease #HeartDisease avalonhcs.com Download the transcript here

Adrian Mendes, CEO of Perimeter Medical Imaging AI, is solving the problem of margin assessment in cancer surgery. Surgeons often have to perform a second surgery on breast cancer patients because they are unable to completely remove all of the cancerous cells the first time. The company has developed Optical Coherence Tomography (OCT) imaging technology that allows surgeons to see cells at a microscopic level in real-time during surgery, helping them remove the tumor and all surrounding cancerous tissue. Adrian explains, "The surgeon is trying to ensure that when they extract the tumor and the cancer, there is a margin of healthy cells around it. Studies have shown that if they can achieve that, and with breast cancer, that margin needs to be two millimeters generally, then the likelihood of them having left cancer cells back in the body goes down drastically. This is every surgeon's objective for cancer treatment. We help the surgeons ensure that they've achieved what they call clean margins." "Yes, it's quite significant. So, for breast cancer surgery alone, it's about one in every five surgeries are unsuccessful because the margins aren't clean, and then the patient has to come back for a second surgery. So, there are about 300,000 breast cancer surgeries per year in the United States. If you think about 20% of that, there are a lot of women that are having to go back for a second surgery every year. That's just in the United States. And it's a global problem." "What's unique about our technology is we use an imaging tech called OCT or Optical Coherence Tomography that allows images to be created down at around 15-micron width level. And that's small enough to be able to distinguish cells. And so with that, it just gives the surgeon so much more ability to see what they're looking at." "The next generation uses the same imaging modality, the OCT imaging, but it adds an artificial intelligence and AI layer to it. So what we've done is trained an AI algorithm to recognize suspicious areas inside images of breast tissue. And these suspicious areas are indicative of cancer. The way we train the model is we have a library of about 2 million images of breast tissue, both cancerous and healthy tissue, and we've got labels that have been provided by pathologists." #PerimeterMedical #Oncology #BreastCancerSurgery #OCT #Tumors #MedAI perimetermed.com Download the transcript here

Brent Lucas, CEO of Envoy Medical, highlights the lack of innovation in hearing aids and the need to better address hearing health. Envoy has developed fully implanted hearing devices that provide 24/7 hearing assistance without the need for daily recharging of the battery. With the introduction of over-the-counter hearing aids and the advanced Apple AirPods Pro 2, customer options have been expanded, making it easier to address some forms of hearing loss. Implanted devices eliminate the limitations of external hearing aids and reduce the impact of hearing loss on their daily lives. Brent explains, "Part of the problem in the hearing loss industry has been that it's not well understood. So there has not been a great deal of competition and innovation in the hearing loss world. Most of us have thought about hearing loss and how it's addressed by looking to our grandparents, the elders. Plenty of people joke about our dads or our grandfathers not being able to hear our grandmothers. When I tell people I'm in the hearing industry, the first thing that they say is, I can't hear you. And I always fall for it. And I say, I'm in the hearing industry, and they come clean that it was a joke. At the end of the day, there are unmet needs in finding solutions for people that are not just the status quo. That's really where Envoy Medical is building products that are fully implanted, in a sense, a better life because they're not tied to their hearing loss." "Right now, the current solutions on the market are all external products that need to be taken off at night or around water in the shower, during strenuous activity, working out, sweating too much, that sort of thing. You have to take your external device off. Our devices are fully implanted, meaning you can be capable of hearing 24/7, hearing all day, every day. We think that's the right thing to do for a patient because your hearing loss, after all, is a 24-hour problem. It shouldn't be that your solution is only on for part of the day." #EnvoyMedical #HearingLoss #Acclaim #HearingAids #CochlearImplant $COCH #HearingHealth envoymedical.com Download the transcript here

Caleb Manscill, President of Vyne Medical, has a mission to present a holistic view of data, from origination to use, within a healthcare organization. The goal is to guide them to find ways to streamline the workflow, save time, reduce errors and costs, and improve patient outcomes. Using AI to handle faxes, data entry, and other administrative tasks can free up staff to handle issues that require human intervention. Vyne Medical provides insights about implementing technology and overcoming cultural resistance to changes in healthcare organizations. Caleb explains, "We've got multiple use cases, but I'll speak to two. The first one is the simple handling of faxes. There's lots of unstructured data coming into different points of care. In this case, I'll talk about the hospital, but there are lots of referrals being made. There are lab reports being sent and there's data that needs to be appended through HIM. Often, this data will come in through the fax machine as unstructured data, and individuals will pick up this paper. And we're talking, again, going back to the paper and picking it up and keying it in. There's the risk, not to mention miskeying it or accuracy. Still, that process is potentially taking place anywhere. If it's a simple patient order, it could take a few minutes. If it's an extensive lab report, it could take upwards of 20 minutes. The automation or AI utilized within our product suite and platform can take that down to 30 seconds or even just a few seconds, depending on the workflow that needs to be initiated." "That's why we exist in that very specific use case of fax management. The way that our solution works is it streamlines the whole process so that there isn't any paper handling. So it's almost as if it's being sent electronically, through the internet, or however you want it to be. What's most important to us is that if they're not going to change their behavior, at least we can meet them where they are and streamline it as if they had adopted the most up-to-date APIs or ways of sending those data." #VyneMedical #Workflow #Hospitals #Automation #HospitalWorkflow vynemedical.com Download the transcript here

Andre Esteva is the CEO and Co-Founder of Artera, a company focused on improving prostate cancer diagnostics. The company uses an AI-driven test, validated in large-scale clinical trials, to analyze a tumor biopsy or surgical specimen and predict response to therapy and likely long-term outcomes. This helps inform treatment decisions, reduce the risk of over-treatment, and support healthcare equity in diverse patient populations. Plans are underway to expand the AI-driven diagnostic tools to other solid tumor types leveraging the ability of AI to learn across different cancers. Andre explains, "In general, when it comes to the treatment of prostate cancer, and this is true for most cancers, clinicians tend to be conservative, rightfully so, and there is a tendency to overtreat patients. You see, when it comes to assigning a therapy to a patient, there's this notion of the optimal therapy, and you want to get it right. If you undertreat your patient, the disease will progress, and nobody wants their cancer to progress. So as a result, patients tend to be overtreated when too much therapy is applied. While that does support killing the cancer, it also comes with a series of negative side effects. Real toxicities occur, and this is especially true in the case of prostate cancer." "The ArteraAI test is an AI that will look at an image of a patient's tumor, specifically a digitized image of the patient's histopathology of a biopsy or surgical specimen. It will look at all the patient's cells and the tumor morphology and the tumor microenvironment, everything else that you'll see on a histopathology slide in the form of a digital image. From that, it'll generate a report for the patient's clinician with two pieces of really important information on it. The first piece is how that patient will respond to therapy. The AI will predict the response to therapy. The second piece is prognostic information. So, the AI will prognosticate patient outcomes. Outcomes here mean will the patient's cancer metastasize in the next five or 10 years, will the patient die of cancer, will dangerous biochemical levels recur in time and so forth. And in doing so, we help to inform treatments." #Artera #MedAI #AI #ProstateCancer #CancerDiagnostics #Tumors #HealthEquity artera.ai Download the transcript here

Len D'Avolio is the CEO of Blue Circle Health a program launched with the support of the Helmsley Charitable Trust to provide care, education, and support to adults with type 1 diabetes. The program provides free, remote support for 6 months including access to continuous glucose monitors, endocrinologists, counseling, insurance navigation, and affordable insulin and clinical care. The program aims to address the care gaps that exists for people with T1D and support them to better manage their condition. Len explains, "The Helmsley Charitable Trust, which is a major philanthropic donor to the space dedicated to improving the lives of people with T1D, basically recognized that there's this big care gap between what people with T1D need to live healthy lives and what the US healthcare system tends to provide, based on what is or isn't reimbursable. So, they gathered a bunch of experts and conducted a number of focus groups and decided they'd like to close that gap. They formed Blue Circle Health as a free care education and support program designed to work with folks for about six months, trying to empower and educate them and close the gap." "Education itself is not as widely reimbursed as it should be, and this particular condition requires a thousand more decisions a day than the average person dealing with a health problem because you're playing the role of your pancreas. You're having to understand your blood glucose levels, the foods you're about to eat, and then it's one of the few diseases in which we ask people to measure out and administer a potentially deadly bolus of drugs many times a day." #BlueCircleHealth #T1D #Type1 #Type1Diabetes #DiabetesAwareness #CGM #TypeOneDiabetes #TypeOne #EmpoweredPatient #Florida #Ohio #Delaware #Maine #Vermont bluecirclehealth.org Download the transcript here

Henry O'Connell is the CEO and Co-Founder of Canary Speech, which analyzes voice biomarkers to detect various medical conditions, including neurological disorders like Alzheimer's, Parkinson's, and cognitive decline. Their approach looks at the underlying mechanisms of speech controlled by the central nervous system rather than the words spoken. The technology has been validated to correlate with clinical diagnoses at a high accuracy level. It provides real-time, objective assessments to healthcare providers, which could help overcome biases and reveal early signs of the presence of a disease. Henry explains, "Canary Speech is now about eight years old. Jeff Adams, my business partner and friend, and I created Canary Speech to evaluate voice for a range of different human conditions and diseases. We actually established an approach that was unique in the market. Jeff has a history of innovation in voice and voice analysis. He was the lead that developed the first natural language processing commercial tools. He also led the team that developed Dragon naturally speaking, the most prominent tool for transcription services in healthcare. He also led the team that built the Amazon Echo." "With that deep experience and 40 years of relationship together and friendship, we created Canary speech. Canary looks at sub-language characters and elements. We look at 15 million different data elements every minute, and we process those for a range of different diseases, progressive neurological diseases, cognitive health, and behavioral health. We're beginning to build models for children's health." "Everything that we have built has been built in clinical settings with peer review with organizations such as The Harvard Beth Israel, Hackensack Meridian, Intermountain Healthcare, Cala Hospital in Dublin, Ireland, Belfast Hospital, and Alster Hospital in Belfast, and also National Institutes of Health in Japan. So, we use those rigorous environments and those clinical settings to build local biomarker algorithms that can identify." #CanarySpeech #Biomarkers #NeurodegenerativeDiseases #Alzheimers #Parkinsons #CognitiveDecline canaryspeech.com Download the transcript here