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From CARB-X To DRIVeHow BARDA is Building Novel Public-Private Partnerships with Non-
Dilutive Funding to Foster Disruptive Innovation to Enhance National
Health Security
Tyler Merkeley
DRIVe Director (Interim)
Non-Dilutive Funding Summit
January 9, 2019
DRIVe.hhs.gov
2Saving Lives. Protecting Americans.
SAVE LIVES,
PROTECT
AMERICANS
2Saving Lives. Protecting Americans.
ASPR Mission
3Saving Lives. Protecting Americans.
The BARDA Model
BARDA develops and makes
available medical
countermeasures (MCMs) by
forming unique public-private
partnerships with industry
partners
4Saving Lives. Protecting Americans.
BARDA Seeks Innovation in Science
and in the Way We Do Business
OTA Portfolio
PartnershipCollaborations
Xccelerator
“X –Model”
Non-Clinical Studies Network
Broad Agency
Announce-ment
Medical Countermeas-
uresInnovation Partnership
(MCIP)
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Est. 2018
Est. 2016
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The Power of Non-Dilutive Investments
Often overlooked non-financial benefits
✓ A committed partner looking at a non-financial value proposition (e.g., preparedness)
✓ Scientific and Business due diligence
✓ Free consulting support
✓ Technical oversight
✓ Interim milestone funding decisions
✓ Access to internal knowledge and industries lessons learned
Access to funding to support R&D without financial strings attached:
✓ No equity positions
✓ No loans or convertible loans
✓ No requirement for revenue sharing
✓ Maintain your IP
6Saving Lives. Protecting Americans.
CARB-X – The World’s Largest Global PPP to Accelerate
Antibacterial Innovation
Projects are selected through a competitive process by panels of experts.
Funded projects are supported by a network of world-class accelerators.
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EOI
#2
+350
EOI #1
Expression of Interest
• Written Application
Short Form
• Written Application
Long Form
• Written Application
• Oral Presentation
Funding Decision
• Joint Oversight Committee
Powered By
CARB-X
• Non-Dilutive Funding
• Technical & Business Support
Graduate from CARB-
X
• Obtain follow-on external public and/or private investment
CARB-X State of Play: January 2017
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What is in the CARB-X Portfolio?
Rapid Fire Overview
Visit www.CARB-X.org for the most up-to-date portfolio
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* includes Spero Therapeutics, which graduated in 2Q2018
So many products - they no longer fit
on a single slide that’s readable!
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Ten New Classes of Antibiotics
GYROX CZ-02 Debio1453 Helical AMP Non-BL PBPI
FG-LpxCTOPESKAPE Pyrrolocytosines SMT-571 Series VNRX-PBP
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Eleven Candidates with New Molecular Targets
CZ-02 Debio1453 FG-LpxCLysinsCD201PEI
Pyrrolocytosines SMT-571 VIS-705INBRX-111 T3SS
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Nineteen Small Molecules
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Ten Nontraditionals and One Vaccine
PEI
T3SS
CD201 Lysins INBRX-111Amicidin-β IBT-V02
VIS-705SCB-102 SER-155 VE303
Immunotherapeutics, ADCs, microbiome, lysins
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Five Diagnostics
Rapid/BSIOptical Bacterial
ImagingSPECIFAST T2MR
POC DX FOR
NG/CT
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Five Therapeutic Candidates Achieved Clinical
Development
Oral Bl-BLI
combination
Oral and IV
penem
*Antibiotic
potentiator
Next generation
tetracycline
Microbiome
therapeutic
*Graduated from Powered by CARB-X portfolio in 2Q2018
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Private Investment Followed CARB-X Funding
Every $1 that CARB-X invested in
Powered by CARB-X projects was
followed by $8.7 in private funding
$15.0M $20.0M
$40.0M $106.9M $15.0M
$93.1M
$65.0M $42.0M $46.7M$52.6M
$20.0M $123.2M $158.6M
$9.0M
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CARB-X’s ability to:
✓ Populate a diverse R&D portfolio of antibacterial candidates
✓ Develop a network of R&D capabilities and technical support
✓ Perform the function of an Accelerator
✓ Progress antibacterial candidates in preclinical development
✓ Support business needs of innovators
How will we measure the success of
CARB-X?
Leadership naturally asks?
“WHAT’S next”….
“Why can’t we leverage
the accelerator model for
all BARDA?”
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BARDA Division of Research, Innovation,
and Ventures (DRIVe)
DRIVe Mission: Transforming Health Security
Accelerate the research, development, and
availability of transformative countermeasures to
protect Americans from natural and intentional
health security threats.
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Our Guiding Principles
EMPOWER
DECENTRALIZE
URGENCY
COLLABORATIVE
SCALEABLE
DISRUPTIVE
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Response Framework
Identification/Characterize
What is it, is it drug resistant, are certain
subpopulations more susceptible, will it
become an epidemic?
Situational Awareness/Recognize
How do we know something is
happening, an agent has entered
the community?
Design
How do we stop the spread of
the disease? Drugs, vaccines,
PPE, social distancing?
Produce
On demand
manufacturing of X.
Administration
Everyone who needs X
is provided.
Validate
Methods under design are evaluated,
clinical trials, non-clinical trials,
epidemiology, surveillance.
Distribute
Novel ways to get
product/information to those
who need it.
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Our goal is to transform health security innovation to
protect Americans from 21st-century health security threats
DRIVE IS A BOLD NEW APPROACH TO THE POWER OF
COLLABORATION AND INNOVATION
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ACCELERATORLAUNCH/
VENTURESDRIVE-X
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The DRIVe Accelerator Network
Seattle, WA
Los Angeles, CA
Houston, TX
New Orleans, LA
Raleigh, NC
Philadelphia, PA
Long Island, NY
Lowell, MA
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Impact Areas
DRIVe is looking for new approaches, innovative clinical management strategies, detection technologies,
diagnostic platforms, application of biological indicators (chemical, physical, molecular, immunological,
serological), and diagnostics. Opportunities could include non-dilutive funding and/or dilutive funding through
DRIVe Launch or DRIVe Ventures.
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OTHERSENACT SEPSIS
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• Infectious disease agents, such as influenza, are a significant threat to health security
▪ CDC estimates that influenza infections have led to up to 710,000 hospitalizations and up to
56,000 deaths annually since 2010
▪ A pandemic strain could
cause millions more deaths
▪ Novel diseases can spread
in communities undetected
• Late or no diagnosis prevents
best use of medications,
contributes to spread of
infectious diseases in
communities, and delays in
public health response in an
emergency
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• Empower patients & healthcare providers
• Reduce impact
• Reliable data to inform outbreak response
• Bring innovation into the home and on the person
Early, Actionable Information is Needed
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SOLVING
SEPSISIn the event of a bio
attack or pandemic, all
roads potentially lead
to sepsis.
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Why is DRIVe taking on Sepsis?
MORTALITY
Americans die
each year
are discharged
to hospice
MANAGEMENT
patients who die
in hospital have
sepsis
ECONOMIC
BURDEN
responsible for
nearly
Billion$24
Annually(6.2% of hospital costs)
MORBIDITY
each year in
U.S.
CDC.gov
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Program Vision
PUBLIC AWARENESS
• Virtual partnerships
• Patient and clinician
decision support toolkits
PREDICTION DIAGNOSIS PROGNOSIS TREATMENT
• Redirect host
response, restore
homeostasis
• Individualized
plans
RECOVERY
• Prevent hospital
readmission• Machine learning algorithms
• Host-based biomarker
identification
• POC/wearable device
• AI clinical
prediction/management
• Continuous Monitoring
Devices/integrated feedback
• Data enclave access
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Bringing It All Together
Driving Life-Saving Innovation
Impact
Areas DRIVe Partnering Model
TRADITIONAL
PRODUCT
DEVELOPMENT
Hit - Lead OP
Feasibility & OP
Development
Preclinical
Development
Product
Development
Clinic
Clinical
Evaluation Market
TRADITIONAL VC FUNDING Friends & Family Angel Series A Series B Series C IPO
DRIVe-LaunchDRIVe VC FUNDING
DRIVe R&D Support
Augmenting other USG Partners (NIH/DOD)
DRIVe-X
Solve
Sepsis
ENACT
DTRABARDA ARD BARDA PBS MCSNIH FDA
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Augmenting other USG Partners
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San Francisco, CA
HEALTH TAGWear and forget health tracker that invisibly monitors
respiration, heart rate, sleep, and other markers.
Chicago, IL
PREDICTIVE ANALYTIC ASSAYValidation of sepsis biomarker assays with the
potential to incorporate into a point of care device.
Allen, TX
SWEATSENSER DxLeveraging sweat to tell you you're sick
before you feel sick.
Philadelphia, PA
SEPSIS BIOMARKER
DETECTION ASSAYElectrochemical proximity assay for rapid detection
of a promising sepsis biomarker
Israel
FLU WEARABLE MONITORING
DEVICEBodily changes that signal the user has been
exposed to an influenza virus or other pathogen
San Francisco, CA
DEFORMABILITY CYTOMETRY
DIAGNOSTIC5 minute, easy to use, point of care diagnostic for
measuring immune cell dysregulation associated
with sepsis
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Stay in touch with us!
Saving Lives. Protecting Americans.
Program Managers
Julie Schafer, PhD, MPH, MS
ENACT Acting Program Manager
Kimberly Sciarretta, PhD
Solving Sepsis Acting Program Manager
Donna Boston, MS
Accelerator Network Program Manager
Links
Learn more about DRIVe
www.DRIVe.hhs.gov
Official announcements and info on all
government contract solicitations
https://www.fbo.gov/
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WILL YOU BE?
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DRIVe.hhs.gov