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European Pharmaceutical Contractor

In a Heartbeat

In the face of the sensitive variables that constitute the cardiac safety challenge, promising new technologies may offer important solutions, state Susan Boyle of Spacelabs Healthcare and Sasha Latypova of iCardiac Technologies, Inc

For pharmaceutical companies seeking to improve the productivity of their development pipelines, cardiac safety presents both an obstacle and an opportunity. Most drug developers are familiar with the difficulty of establishing a definitive cardiac safety profile for a compound in development. They may not know, however, that emerging technologies offer a way to significantly reduce uncertainty and curtail the time and cost associated with cardiac safety testing. By providing a solution for what has become a significant hurdle, these new technologies offer the opportunity to accelerate development, reduce false-positive and false-negative results and significantly reduce costs.

THE CARDIAC SAFETY CHALLENGE

That many drugs – whether in development or on the market – have the potential to cause a life-threatening arrhythmia, known as torsades de pointes (TdP), is a significant safety concern. It has been estimated that as many as 86 per cent of all new chemical entities tested in pharmaceutical development may show human ether-a-go-go related gene (hERG) inhibitory activity, and thus have a potential to affect the potassium ion channel (Ikr) and to prolong the heart’s ventricular repolarisation process – the brief period between two heart beats which is known to be a vulnerable point for arrhythmia induction. This prolongation can trigger TdP, which can lead to sudden cardiac death (1).


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Alexandra (Sasha) Latypova, is Executive Vice President, at iCardiac Technologies, Inc. She is a co-founder of iCardiac Technologies, a branch of the University of Rochester Medical Center, engaged in the development of advanced ECG biomarkers and technologies for drug cardiac safety assessment. Prior to iCardiac Technologies, Sasha headed sales and business development at VirtualScopics, Inc. Before that, she was a Manager in healthcare practice at Analysis Group, Inc, where she advised pharmaceutical clients on a wide range of issues concerning product development, as well as providing economic analyses and expertise in pharmaceutical litigation cases. Sasha holds a Masters of Business Administration degree from the Amos Tuck School at Dartmouth College.

Susan Boyle is Director of Business Development, Spacelabs Healthcare Clinical Trial Services. She has over two decades of experience in operations and business development in the clinical research industry, specialising in centralised cardiovascular diagnostic services in both domestic and international markets. Susan established many of the first programmes at the company’s inception in 1985, and has held a range of operations and business development management positions. She has a degree in Nursing with a strong emphasis on cardiovascular disease.

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Susan Boyle
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Alexandra Latypova
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