INR Tracker Deck

Helping Patients Regulate Their INR

www.INRTracker.com

Veronica Coulombe Co-founder & [email protected]

Pavan KatepalliCo-founder & [email protected]

© Copyright 2012 | www.INRTracker.com

Helping Warfarin Patients Better Regulate Their INR

Presented by: Veronica Coulombe & Pavan [email protected] | [email protected]

© Copyright 2012, INR Tracker, www.INRTracker.com


www.INRTracker.com




Mission

According to the New England Journal of Medicine, in 2009 there were nearly 100,000 adverse drug events (ADE) in U.S. impacting adults ages 65 years and older.

Warfarin was the number one medication responsible for those ADE’s, having caused roughly the same number of hospitalizations as the other top three drugs combined.1

INR Tracker strives to provide patients with the necessary tools and support to better manage their

Warfarin treatment


www.INRTracker.com




Problem• Warfarin requires patients to have several tests (INR’s) each month to monitor

the drugs function within the body. This burden on the patient can result in: – Increased medical costs– Reduced quality of life (e.g. lifestyle restrictions and increased bleeding risk)– Patient dissatisfaction (e.g. inconsistent INR’s)– Discontinuation of highly-efficacious therapy2

• Patients taking Warfarin have a difficult time managing the drug due to its inherent volatility. Warfarin interacts with: – Food– Prescription medicines– Over-the-counter medicines– Exercise– Weather– Menstruation– And more…


www.INRTracker.com




Solution / Assumptions

• Solution– Provide patients with an at-home drug and dietary management

system to better handle their Warfarin treatment and obtain a consistent INR

• Assumptions– Patients want a tool to help them record their Warfarin treatment

history– Patients want a tool to help them manage their dietary needs in

conjunction with their Warfarin therapy– Patients are willing to give effort to repeatedly record their

treatment history– Documenting their treatment history will help decrease the burden

of being on Warfarin by reducing doctor visits


www.INRTracker.com




Target Market

• Warfarin is the most commonly prescribed oral anticoagulant medicine on the market3 and has been in use since 1954

• Roughly 2 million people take Warfarin each year in the United States alone. It is prescribed to patients who are at risk of developing blood clots. These conditions include:– Atrial fibrillation– Recurrent strokes– Deep venous thrombosis– Pulmonary embolism– Heart valve replacement4


www.INRTracker.com




Current Product

We built a minimum viability product to test and de-risk our assumptions

Our current features enable patients to document:

– INR readings– Doctor appointments– Drug dosages, missed dosages, extra

dosages– Exercise – Weight– Additional custom notes– The Vitamin K in 7,906 foods from the

USDA’s food database– Alcohol intake

Patients can view the above documentation on their personal color-coded calendar & via reports.


www.INRTracker.com




Milestones

• Formed a solid team with complementary skills

• Completed core functionality of website within 2 months of conception

• Acquired users immediately upon launch via organic methods

• Continued user growth with repeat users

User base as of April 25, 2012

U.S.CanadaU.K.India


www.INRTracker.com




Financials

We take pride in being a lean startup. Total startup costs of INR Tracker:

Expense Date Cost

Domain name 3/22/2012 $10

Hosting already existed $0

PHP scripts 3/25/2012 $65

SEO software already existed $0

Total $75


www.INRTracker.com




Competition3quibits Vitamin K Tracker Dr Gourmet INR Tracker

Online Tools Apps soonRecord INR history Record Doctors Appointments Record Drug Dosages Record Missed Dosages Record Extra Dosages Record Weight Record Exercise Record Weather soonCustom Reports Email Reminders soonTrack Vitamin K in Single Foods Track Vitamin C in Single Foods Track Vitamin E in Single Foods Create Custom Meals soonFind Premade Recipes soonAllows Social Communication soon

http://www.3qubits.com/

http://www.hollender.com/VitaminK.html

http://www.drgourmet.com/


www.INRTracker.com




Future Product Features

Additional Website Features• Premium paid membership• Better reporting & nutrient

tracking • Text message alerts• Email reminders• Weather & menstruation

logger• Ability to create custom

meals and find pre made meals

Mobile & Social• Mobile apps to log food,

check food database, and see overall calendar

• Social Network consisting of support groups, Q&A, badges, user written articles, user submitted meals

• Better doctor patient communication, articles written by doctors & nutritionists


www.INRTracker.com




TeamVeronica Coulombe | Co-Founder & CEO

B.A. in Women's & Gender Studies from Rutgers University. Self taught front-end developer with technical skills including: Dreamweaver, Photoshop, Microsoft Office 2007, XML, HTML, PHP, CSS.Designed the UI and was integral in the product development, marketing, and branding for INR Tracker. In 2011 I found out the hard way that I have a genetic blood clotting disorder called Factor V Leiden. As a patient of Warfarin, I quickly discovered how difficult of a drug it is to manage. INR Tracker is designed for people like me to better deal with the treatment process. Learn more about me: Linked In

Pavan Katepalli | Co-Founder & CTOB.A. in Mathematics from Rutgers University. Self taught back-end developer with technical skills including: PHP, MySQL, jQuery, phpMyAdmin.Built a MVP in 2 months from conception and was crucial in the product development and marketing for INR Tracker.Had a past startup that grew to 300+ users and received press on Web Pro News. Learn more about me: Linked In | Blog

http://www.linkedin.com/in/veronicacoulombe

http://www.webpronews.com/both-bloggers-and-advertisers-win-with-new-crowd-sourcing-platform-2011-09

http://www.linkedin.com/in/pavankat

http://www.venturelateral.com/


www.INRTracker.com




Thank You

Thank you for taking the time to view this presentation!

Please contact us if you have any questions.

Veronica Coulombe, [email protected]

Pavan Katepalli, [email protected]

mailto:[email protected]

mailto:[email protected]


www.INRTracker.com




Citations1. Budnitz, Daniel. New England Journal of Medicine, "Emergency Hospitalizations for

Adverse Drug Events in Older Americans." Last modified November 24, 2011. Accessed April 24, 2012. http://www.nejm.org/doi/full/10.1056/NEJMsa1103053.

2. University of Pennsylvania School of Medicine , "Genotyped Guided Dosing of Warfarin Clinical Trial Funding Opportunity - Central Laboratory RFP." Last modified July 16, 2008. Accessed April 24, 2012. http://rt5.cceb.med.upenn.edu/warfdcc/WARF-1_pg5.html.

3. IMS Institute for Healthcare Informatics, "The Use of Medicines in the United States: Review of 2011, Top Medicines by Prescriptions." Last modified February 17, 2012. Accessed April 24, 2012. http://www.imshealth.com/ims/Global/Content/Insights/IMS Institute for Healthcare Informatics/IHII_Medicines_in_U.S_Report_2011.pdf.

4. University of Wisconsin, Madison, "Pharmaceuticals in Historical Context, Warfarin: A Chapter in International Standardization of Therapeutic Practices beyond a Commercialized Drug." Last modified October 22-23, 2010. Accessed April 24, 2012. http://www.pharmacy.wisc.edu/sites/default/files/private/american-institute-history-pharmacy/AIHPconf2010.pdf.

Health & Medicine

INR Tracker Deck