Cambridge Healthtech Institute’s Sixteenth Annual

Enabling Point-of-Care Diagnostics

Accelerating Rapid Testing for At-Home, Clinical Labs, and Pharmacy Settings

August 22 - 23, 2022 ALL TIMES EDT

The revolution in self-testing is here and consumers are now empowered to access testing directly for COVID-19 and a growing range of tests utilizing direct-to-consumer, pharmacy, and emerging channels. The field is expanding enormously to enable and ensure a steady supply chain, reliable results, interconnectivity of platforms, and management of health data for pharmacies, healthcare professionals, and consumers. The challenge for the POCT community is to meet the current demands in the market and keep pace with consumer needs while delivering flexible testing platforms with rapid and reliable results.

Sunday, August 21

1:00 pm Conference Registration Open (Independence Foyer)

Monday, August 22

7:15 am Registration and Morning Coffee (Independence Foyer)

ROOM LOCATION: Independence East

AT-HOME TESTING AND SAMPLE COLLECTION

7:55 am

Chairperson's Remarks

Lawrence Worden, Founder, Principal, IVD Logix
Michaela Hoffmeyer, Director of Regulatory Affairs and Data Management, TE CONNECTIVITY

As the COVID-19 pandemic winds down, IVD developers should pursue full clearance for their COVID-19 tests if they want to continue to sell them after the emergency declaration ends. To transition from EUA to full clearance, either through 510(k) or de novo pathway, developers need several additional data sets beyond those required for EUA. TE IVD Solutions helps developers plan and execute the additional required studies, and create the submission.

Patrick Coffey, Vice President of Engineering, DCN Dx

A reader platform typically consists of optical, mechanical, electrical subsystems and software. Assembling these into one cohesive system is a complex process. Initiating a project from a design/concept can cost millions of dollars and take years with a high degree of risk. At DCN Dx we help our clients leverage our pre-developed instrument platforms to shorten, de-risk, and lower the cost of a more traditional development path. 

8:30 am KEYNOTE PRESENTATION:

Overcoming the Limitations of Current Point-of-Care Testing Methods – What the Future Holds for Diagnostics

Timothy I. Still, CEO, Sense Biodetection Ltd.

New technologies shape the future and extend the value of diagnostic testing. The pandemic has accelerated the rate of change both for healthcare delivery models and for diagnostic innovation. These innovations enhance and disrupt the current diagnostics paradigm for the benefit of patient access and community health. This talk will provide an overview of the current point-of-care (POC) diagnostic testing landscape and the limitations of current methods. He will examine how throughput, accuracy, and speed are of high value to healthcare clinically, operationally, and economically, and how this new technology can help to improve population health.

9:00 am

At-Home Testing: An Inflection Point for Adoption and Utility

Jordan S. Laser, MD, Chief Laboratory Officer, Everly Health

The pandemic has catapulted virtual care and at-home testing into the forefront of medicine. Many Americans have learned to manage their health virtually, but health cannot be properly managed without the critical datapoint from clinical laboratories. During this session, we will explore the landscape of at-home-testing, which will include both at-home collection of clinical samples to be mailed to clinical laboratories and point-of-care devices resulted in the home.

9:30 am

COVID-19 Catalyzed Acceleration in Mail-In Self-Collected Samples for Sexually Transmitted Infection Testing

Yukari Manabe, MD, Associate Director of Global Health Research and Innovation, Professor of Medicine, Johns Hopkins Medicine

COVID-19 has resulted in major disruptions in STI services, including diagnostic testing. Many public health clinics closed or severely curtailed in-person visits in lieu of telemedicine. The lack of walk-in services likely led to under-ascertainment of STIs. During that period,  self-collected mail-in specimen laboratory-based testing has increased dramatically for both STIs and COVID-19. Over-the-counter diagnostic testing for COVID-19 will also be discussed and its implications for future STI OTC testing.

10:00 am Coffee Break in the Exhibit Hall with Poster Viewing (Independence West B-E)
10:45 am

Adapting to Home Testing and Remote Sample Collection: The View from the Clinical Laboratory

Elizabeth M. Marlowe, PhD, D(ABMM) Senior Scientific Director, Head R&D Infectious Diseases & Immunology, Quest Diagnostics Nichols Institute

The SARS-CoV-2 pandemic impacted healthcare delivery systems and accelerated alternative delivery strategies. Remote specimen collection with samples sent to a central laboratory as well as at home testing options have shifted the paradigm in the patient journey. The goal of this talk is explore how clinical laboratories are pivoting to meet the needs of alternative delivery strategies for testing and the impact on the central laboratory. This talk will explore the position of the clinical laboratory in the healthcare ecosystem, the impact of SAR-CoV-2 testing on diagnostic delivery strategies, the future of remote specimen collection and at home testing and the role of the clinical laboratory with alternative delivery strategies.

11:15 am

The Role of Online Testing Programs in Support of At-Home Test Development

Alex Kramer, Vice President, Digital Product and Engineering, binx health

The COVID-19 pandemic has undeniably accelerated the acceptance of self-diagnostic programs across the industry and influenced more patients to take ownership over their healthcare. In this session, we will examine the role of software in building effective testing programs that can contribute to testing and treatment compliance, expanding access to care, and managing population health outcomes.

Bryan Bothwell, Senior Director- Strategy, Business Development, and Commercialization, Qorvo Biotechnologies

COVID-19 testing solutions must provide the right combination of performance, ease of use, and data integration on-site facilities demand. They must be resistant to an ever-changing variant viral landscape. This presentation will address the technology battle providers face today, and present the data to highlight how the use of differentiated Bulk Acoustic Wave detection within the Qorvo Biotechnologies Omnia SARS-CoV-2 Antigen Test enables the future of on-site testing.

Dwight Egan, CEO, Co-Diagnostics, Inc. (Co-Dx)

Our Co-Dx PCR Home Platform is designed to provide fast, inexpensive, and accurate PCR test results, utilizing proprietary chemistry and instrumentation. See how we are disrupting the status quo with our revolutionary PCR Products.

Nicole Schreiner, Clinical Services Manager/Owner, Pharmacy, Streu's Pharmacy

Novel technologies now enable lab-comparable testing to be performed in point-of-care settings. Learn how implementation of the LumiraDx Platform in an independent community pharmacy contributed to community care in Green Bay, WI. LumiraDx, a next-generation diagnostics company, is transforming community-based healthcare. The LumiraDx Platform combines a small, easy-to-use, and portable instrument with an innovative microfluidic test strip to deliver high-sensitivity rapid antigen testing. 

1:15 pm Session Break

POC FOR DELIVERING TESTING FOR UNDERSERVED POPULATIONS: OUT OF THE HOSPITAL AND INTO THE COMMUNITY

1:30 pm

Chairperson's Remarks

James Nichols, PhD, DABCC, FACB, Professor of Pathology, Microbiology and Immunology, Medical Director, Clinical Chemistry and POCT, Vanderbilt University School of Medicine
1:35 pm KEYNOTE PRESENTATION:

How Do I Get a COVID-19 Test in California (aka Building an Airplane while in Flight)

Valerie L. Ng, MD, PhD, Chair of Laboratory Medicine & Pathology, and Director of Transfusion Services, Clinical Laboratories, Alameda Health System

The answer depends on when you wanted to be tested. This talk will review the COVID-19 testing experience in California since the beginning of the pandemic (March 2020).  This is a story of creativity, innovation, rapid-cycle change, and ongoing post-traumatic stress disorder. I will review the rapid development and scale-up of conventional clinical laboratory and point-of-care testing, creation and expansion of outreach efforts for underserved communities, collaboration of federal/state/local healthcare systems, and helping the inexperienced with regulatory compliance.

2:05 pm

Point-of-Care Kidney Disease Screening in Remote Communities: A Tool for Healthcare Equity

AbdulRazaq A.H. Sokoro, PhD, Executive Director, Provincial Laboratory Operations Diagnostic Services, Shared Health, Inc.

Health care equity is a cornerstone of healthy communities. Access to diagnostic care is critical to disease management in communities. This presentation will provide overview of a project launched to provide essential diagnostic testing for screening chronic kidney disease in remote communities in Manitoba, Canada, using point-of-care devices. The laboratory services provided meets laboratory quality requirements while allowing for its administration in non-lab setting, thereby ensuring access to care.

2:35 pm

At the Corner of Access and Quality: Community Pharmacy as a Public Health Destination

Kenneth C. Hohmeier, PharmD, Associate Professor, Director of Community Affairs, PGY-1 Community-Based Pharmacy Residency Program, The University of Tennessee Health Science Center

The COVID-19 pandemic has accelerated the pace at which point-of-care (POC) testing is being adopted in the community pharmacy setting. Increasing numbers of community pharmacies are interested in developing their POC test and treat programs, including large pharmacy chains, as the US increasingly looks to this setting as a public health destination. After two years of the pandemic, the question is not if community pharmacy will adopt, but how. 

3:05 pm Refreshment Break in the Exhibit Hall with Poster Viewing (Independence West B-E)
3:45 pm

What Policymakers Have in the Works for POCT

Vince Stine, PhD, Director, Government Affairs, American Association for Clinical Chemistry

In recent years, point-of-care testing has expanded rapidly. POCT is increasingly performed in a variety of care settings, ranging from hospitals and physicians’ offices to pharmacies, assisted living facilities, and patients' homes. Learn what policy options legislators and regulators are considering as they seek to balance patient access to testing with the need to assure the tests are accurate and useful.

4:15 pm

Innovative Clinical Applications of POCT in Different Settings

James Nichols, PhD, DABCC, FACB, Professor of Pathology, Microbiology and Immunology, Medical Director, Clinical Chemistry and POCT, Vanderbilt University School of Medicine

Point-of-care testing (POCT) provides rapid test results with the potential for improved patient care. With the COVID pandemic, traditional POCT options in the hospital and clinics have expanded POCT use into the community with pharmacy testing, visiting nurses, and doctor on-call services providing more personalized patient care. POCT is being conducted at sports, concerts, and other events. At-home self-testing is increasing with reliance on remote doctor visits and telehealth. Patients are purchasing POCT devices at pharmacies, grocery stores, and through the internet. This session will explore the various ways that POCT is being utilized in healthcare. 

Claire Huguet, PhD, Randox Laboratories

The Vera-stat instrument is a novel POC device resulting from the collaboration of Randox Laboratories and Labmaster. With its proprietary cathodic electrochemiluminescence technology, it enables quantitative measurements of single analytes in 5 to 10 minutes, with exquisite accuracy and sensitivity, from a little as 10 µL of whole blood. The current pipeline is focused on infectious diseases, with ambition for development in multiple therapeutic areas and the addition of multiplex capabilities.

Michael Gallagher, Senior Clinical Project Manager, Curebase

In a diagnostics study for infectious disease, it it important to be able to pinpoint geographic hot spots and have the ability to activate local sites in that region to reach optimal patient pools. Learn how the utilization of decentralized sites in these studies allows for quick site pivoting to endemic geographic areas of high infection rates. 

5:15 pm Wine and Cheese Pairing Welcome Reception in the Exhibit Hall with Poster Viewing
6:30 pm Close of Day

Tuesday, August 23

7:15 am Registration Open

ROOM LOCATION: Independence East

7:30 am Breakout Discussions with Continental Breakfast

Breakout Discussions are informal, moderated discussions, allowing participants to exchange ideas and experiences and develop future collaborations around a focused topic. Each discussion will be led by a facilitator who keeps the discussion on track and the group engaged. To get the most out of this format, please come prepared to share examples from your work, be a part of a collective, problem-solving session, and participate in active idea sharing. Please visit the Interactive Discussion page on the conference website for a complete listing of topics and descriptions.

TABLE 1: At-Home Testing: An Inflection Point for Adoption and Utility - IN-PERSON ONLY

Jordan S. Laser, MD, Chief Laboratory Officer, Everly Health

The pandemic has catapulted at-home testing 10 years into the future. The entire nation has essentially experienced a 2-year training session on at-home collection and at-home diagnostics. Beyond the experience, the general population has realized the quality, convenience and value of at home testing. This talk will explore the widespread adoption of at home testing/telehealth care, the impact on outcomes as well as state government adoption.

TABLE 4: Regulatory Requirements for IVDs and RADx Insights - IN PERSON ONLY

Gail Radcliffe, PhD, President, Radcliffe Consulting, Inc.

NEXT-GENERATION POC TECHNOLOGIES

8:25 am

Chairperson's Remarks

David Giles, Senior Director, Medical Devices, Battelle Memorial Institute
8:30 am

Next-Generation Molecular Detection

Tara Dalton, PhD, CEO, Altratech Ltd.

We present an alternative to PCR for the detection and quantification of molecular targets. The method – Detection by Proxy – combines nanotechnology, microfluidics, and semiconductors in a unique way that facilitates molecular detection outside a clinical setting.

9:00 am

eRapid: Antifouling Coating Enables Multiplexed Electrochemical Diagnostics

Pawan Jolly, PhD, Senior Scientist

eRapid is a multiplexed electrochemical diagnostics platform capable of performing immunoassays, detecting nucleic acids and small molecules in complex fluid samples, including blood, saliva, and urine without sample preparation. Our novel platform based on antifouling nanocomposite coating enables us to multiplex analytes within the same microfluidic channel, achieve up to 100x sensitivity over traditional platforms, and do so at a fraction of the cost of competing platforms. Designed from the ground up with scalable manufacturing in mind, flexibility to pursue a massive range of tests, eRapid is adaptable to a variety of testing strategies addressing high-value diagnostic and detection challenges in multiple fields, ranging from healthcare to industrial, environmental, and food applications. 

9:30 am

Exposure Health Epigenetic Diagnostic Biomarker Discovery

Rachel Spurbeck, PhD, Senior Genomics Research Scientist, Health Outcomes and Biotechnology Solutions, Battelle Memorial Institute

The epigenome is the molecular link between the environment and the genome causing different phenotypes to be expressed due to environmental stimuli. By understanding epigenetics, one can identify chemical or biological exposures affecting health. We present a platform for diagnostic target identification to enable rapid development of diagnostic tests for exposure health. These markers are being developed into diagnostic assays to rapidly identify exposures to prevent or treat illness.

Kaushal Vyas, General Manager, Digital, Planet Innovation
Michael Robards, Vice President, Planet Innovation
Adam Henry, Senior VP, Corporate Development, Proof Diagnostics

Point-of-care technology empowers patients to take ownership and responsibility for shaping their health-related decisions. This panel of industry experts will discuss the importance of real-time, point-of-care testing and the potential impact of being able to access lab-accurate results in minutes. They will also discuss the changing point-of-care market and the need to meet the surging demand for point-of-care diagnostics without sacrificing quality, affordability, and accessibility.

 

10:30 am Coffee Break in the Exhibit Hall with Poster Viewing
11:00 am Registration Open for Part B Tracks
11:15 am Transition to Plenary Keynote

PLENARY SESSION Co-Organized with PMC

11:25 am

Plenary Panel Introduction

Cynthia A. Bens, Senior Vice President, Public Policy, Personalized Medicine Coalition
11:30 am PANEL DISCUSSION I:

Legislative Efforts to Modernize Diagnostic Oversight

Panel Moderator:
Cynthia A. Bens, Senior Vice President, Public Policy, Personalized Medicine Coalition
  • Why has there been a sustained, multi-year push for legislation to modernize the regulatory and oversight landscape for diagnostics?
  • How will leading legislative proposals, like the Verifying Accurate Leading-edge IVCT Development (VALID) Act, change diagnostics regulation and oversight? What impacts will these changes have on the diagnostics industry and on patient care?
  • How have legislative proposals such as the VALID Act evolved over time based on extensive stakeholder feedback and technical assistance from the federal agencies?
  • Are there lessons from the COVID-19 pandemic that the Food and Drug Administration and the diagnostics industry have learned that will serve as a foundation for regulatory and oversight activities in the future?
Panelists:
Jeff Allen, PhD, President and CEO, Friends of Cancer Research
Sarah Thibault-Sennett, PhD, Director, Public Policy & Advocacy, Association for Molecular Pathology
Lauren R. Silvis, PhD, Senior Vice President, External Affairs, Tempus, Inc.
Susan Van Meter, President, American Clinical Laboratory Association
Zach Rothstein, PhD, Executive Director, AdvaMedDx; Senior Vice President, Technology & Regulatory Affairs, AdvaMed
12:15 pm

Plenary Panel Introduction

Franklin R. Cockerill III, MD, Founding Partner, Trusted Health Advisors; Adjunct Professor, Medicine, Rush University
12:20 pm PANEL DISCUSSION II:

Self-Testing – Applying What We Have Learned from the Pandemic for Future Applications

Panel Moderator:
Franklin R. Cockerill III, MD, Founding Partner, Trusted Health Advisors; Adjunct Professor, Medicine, Rush University
  • In your opinion, what is the single most important advance in diagnostic testing that has occurred with the COVID-19 pandemic?
  • What are the pluses and minuses of self-swabbing for respiratory viruses (can be other specimen sources for self-collections, e.g., HPV, STD)?
  • What are the pluses and minuses of self-testing for respiratory viruses (e.g., COVID self-testing antigen tests)?
  • What have we learned from the EUA FDA approval process for COVID testing (antigen, nucleic acid amplification, antibody)? Can this approach be applied for any LDT validation as proposed by the FDA?
  • What is the next big advance you see in diagnostic testing especially related to self-collection and self-testing?
Panelists:
Karen A. Heichman, PhD, Deputy Director, Bill & Melinda Gates Foundation
Jack Jeng, MD, MBA, CMO, Hone Health
Elizabeth M. Marlowe, PhD, D(ABMM) Senior Scientific Director, Head R&D Infectious Diseases & Immunology, Quest Diagnostics Nichols Institute
Raquel M. Martinez, PhD, D(ABMM), MBA, Director, System & Core Lab, Clinical & Molecular Microbiology, Geisinger Health System
Nicole Zitterkopf, PhD, D(ABMM), MPH, MT(ASCP), Vice President Laboratory, Service Line Advancement Team, OptumHealth
Ulrich Thomann, Senior Director, Molecular Biology, Research & Development, Covaris, LLC

The truCOLLECT Whole Blood Collection Kit (Class I Device), is an alternative to phlebotomy for small volume decentralized blood collection.  After collection, whole capillary blood is stabilized by active desiccation allowing shipment and long-term storage at ambient temperature.   An efficient and automatable DNA extraction and purification protocol was developed that yields high quality DNA for NGS and other assays.  Protocols for plasma protein extraction (anti-SARS IgG titer determination) are available.

1:30 pm Luncheon Presentation (Sponsorship Opportunity Available)
2:00 pm Close of Enabling Point-of-Care Diagnostics Conference