JDRF, Less Until None: A Plan for a World without T1D

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    Less Until None:

    A Planfor a Worldwithout T1D

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    2

    LESS UNTIL NONE

    2

    JDRFs Vision for the Future

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    3

    Mission: Less Until None

    DangerLESS

    ComplexityLESS

    InvasiveLESS

    BurdenLESS

    UNTIL NONE

    LESS UNTIL NONE

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    4

    Therapies CureDelivery of Continuous

    Therapeutic Improvements

    Side-Effects

    Complications

    Patient Burden

    Glycemic ControlSafety

    Normal PhysiologyRestored

    Better Safety, Fewer Side-Effects, Less Exposure to Complications

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    5

    $ $$$ $$$$$$

    DiscoveryResearch

    ClinicalDevelopment

    RegulatoryDelivery

    to Patients

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    6

    DiscoveryResearch

    ClinicalDevelopment

    RegulatoryDelivery

    to Patients

    Investment

    Investment

    $ $$$ $$$$$$

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    Near Term Medium Term Long Term

    Complications

    Diabetic EyeDisease

    Insulin Pumps

    Infusion

    Artificial Pancreas

    Low GlucoseSuspend

    Complications

    PredictiveDiagnosis

    Artificial Pancreas

    Treat-to-Range

    Prevention

    SecondaryPrevention

    Artificial Pancreas

    Treat-to-Target

    Artificial Pancreas

    Multihormone

    Encapsulation

    Implantable Islets

    Control

    GlucoseResponsive Insulin

    Prevention

    Primary: Vaccine

    Complications

    ComprehensivePrevention Therapy

    Regeneration

    This timeline is based on clinical delivery goals of identified therapies and will be updated as progress is achieved

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    Artificial PancreasAutomated technologies to helpmaintain better control of blood-glucose levels

    Integrated smart technology toautomate routine elements of insulinmanagement

    FDA released final guidance onpathway for commercialization of

    devices

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    Glucose Responsive Insulin(GRI)

    Form of insulin that activated whenblood-glucose levels start to rise

    Simplifies life for and improves overallblood-glucose controls

    JDRF competition underway toaccelerate progress on GRI

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    Encapsulation

    Easily implantable Beta cells or isletssurrounded by a protectiveshield/capsule

    Able to sense glucose levels andproduce insulin as needed

    Hidden from the immune system tosustain normal function

    Eliminating the need for

    immunosuppressive drug therapy

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    Regeneration

    Ability to create new insulin producingcells destroyed by autoimmune attack

    Creating abundant supply of Beta cells

    through stem cells and regeneration

    Immune therapy for suspected

    triggers including viruses

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    Secondary Prevention

    Preserve beta cell function in thesenewly diagnosed individuals

    Approaches include:

    Reducing inflammation

    Boosting beta cell survival

    Suppressing the autoimmune attack

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    Primary Prevention

    Prevent the autoimmune attack onbeta cells before it starts

    Approaches include:

    Viral vaccines

    Beta Cell Autoantigen Vaccines

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    Funding Scaleand Scope

    IndustryInfluence

    R&DExpertise

    GovernmentAdvocacy

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    Funding Scaleand Scope

    R&DExpertise

    IndustryInfluence

    GovernmentAdvocacy

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    More = LessT1DFunding $$$ Funding $$$Funding

    Funding

    FundingFunding

    Funding

    $$$LESS UNTIL NONEFundingFunding

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    Thank you!