1. MCG INVESTOR PITCH RAFFI EDIT 12-16-2016-1
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Transcript of 1. MCG INVESTOR PITCH RAFFI EDIT 12-16-2016-1
MULTIFUNCTION CARDIOGRAM (MCG) – A DIAGNOSTIC REVOLUTION VIA COMPUTATIONAL SYSTEMS BIOLOGY
Low CostAmazing Accuracy Unmatched SpeedObjective &
Quantitative Non-Invasive
Clear Market Differentiation
Cutting Edge Computational Electrophysiology
2
Empirically Data Driven
3Confidential - Do Not DistributeDr. Joseph Shen • August 2015
What differentiate MCG from all the other imaging tools? Anatomy vs. Function
ACS Types MCG Current
Type 1 95 to 100% 0 to 30%
Type 2 95 to 100% 0 to 30%
Type 3 89-100% 50 to 90%
Type 4 80 to 100% 0%
MI Type 3
MI Type 4
MI Type 2
MI Type 1
How
Cur
rent
Car
diac
Tes
ts M
easu
re U
pHow Do We Compare?
Two major meta-analysis of ~ 1,000,000 people undergoing angiographyshowed ~60% false positive rate of combined use of CTA, EKG, Nuclear and Echo Stress
How
Cur
rent
Car
diac
Tes
ts M
easu
re U
pHow Do We Compare?
Two major meta-analysis of ~ 1,000,000 people undergoing angiographyshowed ~60% false positive rate of combined use of CTA, EKG, Nuclear and Echo Stress
6
1.Safavi KC,
Confidential - Do Not DistributeDr. Joseph Shen • December 2016
Critical Issues to Remember
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Misdiagnosis = Tremendous Waste and Injures to the Public ($750B with $210B repeated testing) This is another reason why we urgently need a better diagnostic tool - (5)
Studies Population Source Result Date os Discovery
MCG Data-Mining ~100,000 IJMS; 2009
(1) 40% yield before 1990
Patel, et al; 398,978ACC
database NEJM (2)
38% yield 2010
Medscape ~600,000 JAMA; 2014 (3) 40% yield 2014
Anders
Eklund. et al
20 years literature
review
fMRI failed (4)
70% False Positive 2016
1. Strobeck JE et al. Comparison of a two-lead, computerized, resting ECG signal analysis device, the MultiFunction-CardioGrams or MCG (a.k.a. 3DMP), to quantitative coronary angiography for the detection of relevant coronary Artery stenosis (>70%) - A Meta-analysis of all published trials performed and analyzed in the US. International Journal of Medical Sciences 2009; 6:143-155.
2. Patel MR et al. Low diagnostic yield of elective coronary angiography. N Eng J Med 2010;362:886-95.
3. Dharmarajan K, Venkatesh AK, et al. Hospital variation in the use of noninvasive cardiac imaging and its association with downstream testing, interventions, and outcomes. JAMA Intern Med 2014; DOI:10.1001. Jama. Intern. med..2013.14407
4. Anders Eklund. et al Cluster failure: Why fMRI inferences for spatial extent have inflated false-positive rates www.pnas.org/cgi/doi/10.1073/pnas1602413113
5. IOM Report: Estimated $750B Wasted Annually In Health Care System http://khn.org/morning-breakout/iom-report/
THE MAJOR GLOBAL MARKETS AND HEART DISEASE
Source: World Health Organization
Global annual cardiovascular disease deaths (17.327 million)
Americas: 1.94 million
Europe: 4.58 million
East Med.: 1.19 million
Africa: 1.25 million
SE Asia: 3.62 million
West Pacific: 4.74 million
Region / Country Annual CVD Deaths
Annual Market (USD)
China 3.87M $20.8 Billion
West Pacific (less China)
1.38M $7.40 Billion
India 2.71M $14.56 Billion
SE Asia (less India) 1.45M $7.78 Billion
Europe (incl. Russian Federation)
4.23M $22.74 Billion
Americas (less USA) 1.30M $8.28 Billion
Total (less USA) 14.94M $81.53 BillionThese include emergency markets only, and do not include other application areas (internal medicine, etc.)
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INTELLECTUAL PROPERTY AND LICENSING FLOW
Innovation, Intellectual Property, Clinical Trials, R&D
$4.1Bn Annual Market
$81.5Bn Annual Market
The United States has 23.5 million patient acute chest pain emergency room visits each year. Cardiovascular disease is estimated to cost the US $1 trillion by 2030, and kills 17 million people each year globally (AHA 2015; 800K in the US).
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STRONG MOMENTUM IN USA, JAPAN, KOREA, AND IN OTHER ASIAN COUNTRIES
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•After Premier Heart Japan was established in 2010 in Tokyo, the MCG has enjoyed early and enthusiastic adoption in Japan. Japanese hospitals were some of the first to implement MCG.
• MCG systems are in 100+ hospitals and clinics across China, Japan, Korea, Nepal, Myanmar, Indonesia, the Philippines, and India, with several thousand MCG tests performed each month.
• Clinical trials to validate the MCG’s high accuracy, as well as to expand its clinical use, are being conducted in Japan, Korea, and other Asian Pacific countries in addition to the current US trials.
http://PremierHeart.jp
• Toray is the MCG’s primary Japanese marketing partner. We are finalizing a ten year technology agreement with Toray to develop the next generation of Atrial Fibrillation technology.
Pediatrics
Cardiology
Anesthesiology
Neurology
Oncology
EMERGENCY MEDICINE IS THE MOST IMMEDIATE MARKET… ... BUT ONLY THE TIP OF THE ICEBERG
Neonatal and specialty care
Intervention, surgery and specialty care
Pre-operative heart strain assessment
Stroke and neurocardiology diagnosis
Chemotherapy tolerance
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These medical applications represent revenue above and beyond our market estimates for MCG.
Screening and ongoing general carePrimary Care and Internal Medicine
Trauma care and severity assessmentFirst Responders Military or Civilian
Obstetrics and Gynecology Screening and ongoing general care for Women
THE CONVERGENCE OF TIMING AND OPPORTUNITY
• Mankind’s #1 killer.
• Decades of ineffectual, expensive, invasive, harmful, and obsolete technology.
• A tremendous and untapped global market.
Poised for Revolution
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