Empowered Patient Podcast

Dr. Robert Rifkin, medical oncologist and hematologist at the University of Colorado in Steamboat Springs. He was also a clinical investigator in the trial that led to the approval of BLENREP, a multiple myeloma drug from GSK. Multiple myeloma is the second most common blood cancer, and while the prognosis has dramatically improved, BLENREP is a novel treatment for patients whose disease has relapsed after other therapies. It is the first drug antibody conjugate approved for relapsed multiple myeloma, targeting the BCMA antigen, which is present on nearly all myeloma cells.

Robert explains, "This is a condition that is really what I would call a disease of the Medicare population. So the median age of diagnosis is often early 60s, but occasionally you do see the younger patients with more aggressive disease. It's thought that African Americans who contract myeloma also may have a more virulent form of the disease."

"Right now we live in a great day and age where we have a tremendous number of good treatments, both upfront, which we really won't be discussing today. And then in patients that have unfortunately relapsed and failed other lines of therapy, that's where the exciting new drug BLENREP comes into play. It's going to have a very specific slot in the myeloma armamentarium."

"So BLENREP is unique in that it targets something on the myeloma cells called the BCMA target or B-cell maturation antigen target. That's expressed in 98% of patients with myeloma. So it provides a really great target to shoot at, if you will. Right now, we really have sort of three main classes of therapy to go after it: CAR T-cells and bispecific antibodies that your audience will likely be familiar with. This one is unique in that it's the first drug antibody conjugate approved to treat myeloma. So it's not a cellular therapy, but instead it's a molecule that has the BCMA that binds to the myeloma cells, and then it unloads a payload to kill the myeloma cells. So that's nice. You don't have to go to a huge center with experience in cellular therapies. It can be done readily in the community."

#MultipleMyeloma #Oncology #BLENREP #BloodCancer #Belamaf #CancerResearch #Hematology #ClinicalTrials #PrecisionMedicine #CancerTreatment #MedicalAdvancement

blenrephcp.com

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Dr. Robert Rifkin, medical oncologist and hematologist at the University of Colorado in Steamboat Springs. He was also a clinical investigator in the trial that led to the approval of BLENREP, a multiple myeloma drug from GSK. Multiple myeloma is the second most common blood cancer, and while the prognosis has dramatically improved, BLENREP is a novel treatment for patients whose disease has relapsed after other therapies. It is the first drug antibody conjugate approved for relapsed multiple myeloma, targeting the BCMA antigen, which is present on nearly all myeloma cells.

Robert explains, "This is a condition that is really what I would call a disease of the Medicare population. So the median age of diagnosis is often early 60s, but occasionally you do see the younger patients with more aggressive disease. It's thought that African Americans who contract myeloma also may have a more virulent form of the disease."

"Right now we live in a great day and age where we have a tremendous number of good treatments, both upfront, which we really won't be discussing today. And then in patients that have unfortunately relapsed and failed other lines of therapy, that's where the exciting new drug BLENREP comes into play. It's going to have a very specific slot in the myeloma armamentarium."

"So BLENREP is unique in that it targets something on the myeloma cells called the BCMA target or B-cell maturation antigen target. That's expressed in 98% of patients with myeloma. So it provides a really great target to shoot at, if you will. Right now, we really have sort of three main classes of therapy to go after it: CAR T-cells and bispecific antibodies that your audience will likely be familiar with. This one is unique in that it's the first drug antibody conjugate approved to treat myeloma. So it's not a cellular therapy, but instead it's a molecule that has the BCMA that binds to the myeloma cells, and then it unloads a payload to kill the myeloma cells. So that's nice. You don't have to go to a huge center with experience in cellular therapies. It can be done readily in the community."

#MultipleMyeloma #Oncology #BLENREP #BloodCancer #Belamaf #CancerResearch #Hematology #ClinicalTrials #PrecisionMedicine #CancerTreatment #MedicalAdvancement

blenrephcp.com

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Haresh Patel, Founder of Diagnostic MD AI, discusses the transformative potential of AI in healthcare diagnostics, particularly for patients with chronic or complex issues. Based on his own struggle to get an accurate diagnosis of an autoimmune condition, Haresh has developed a patient-centric platform where individuals can build their complete health story, integrating modern and functional medicine with a more holistic approach, which AI analyzes to help doctors connect disparate symptoms, ask the right questions, identify patterns, and reach the correct diagnosis faster while reducing human bias. Haresh talks about his own journey in his book The Ghost in My Body, where he emphasizes the need to identify the root cause of disease and to understand the patient narrative over time.

Haresh explains, "Sometimes that story has to come together in different ways because sometimes the patient doesn't want to share it or doesn't remember. But if we can get the whole story, then we're going to have a much better chance. AI is going to open up the world of possibilities. And I immediately went into high gear because that's exactly what I did with the prior company that I sold to State Street Bank. It was a FinTech platform, but we had FinTech investors put together all of their fragmented data, create a visualization so they could actually see patterns."

"In the medical world, we're a machine too, but the difference is we had a symptom, which is a scenario. And so I all of a sudden thought, wow, I can solve this problem with AI, and if I can help solve one person's problem, my 12 years of suffering while I was building this company will all be worth it. So that's kind of a quick overview about how this all came together. Had I not had any of the experiences of my medical journey or my own journey in the FinTech world, and how I connected the dots, maybe this idea might not have sparked with me. Maybe somebody else would've gotten that spark."

#EmpoweredPatient #HealthcareInnovation #AutoimmuneAwareness #PatientAdvocacy #HealthTech #ChronicIllnessJourney #MedicalMystery #PatientEmpowerment #TechForGood#HolisticHealth#AIDiagnostics #DigitalHealth #PatientCare #MedicalInnovation #HealthcareAI #IntegrativeMedicine #HealthTechnology #MedicalDiagnostics

Hareshpatel.ai

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Haresh Patel, Founder of Diagnostic MD AI, discusses the transformative potential of AI in healthcare diagnostics, particularly for patients with chronic or complex issues. Based on his own struggle to get an accurate diagnosis of an autoimmune condition, Haresh has developed a patient-centric platform where individuals can build their complete health story, integrating modern and functional medicine with a more holistic approach, which AI analyzes to help doctors connect disparate symptoms, ask the right questions, identify patterns, and reach the correct diagnosis faster while reducing human bias. Haresh talks about his own journey in his book The Ghost in My Body, where he emphasizes the need to identify the root cause of disease and to understand the patient narrative over time.

Haresh explains, "Sometimes that story has to come together in different ways because sometimes the patient doesn't want to share it or doesn't remember. But if we can get the whole story, then we're going to have a much better chance. AI is going to open up the world of possibilities. And I immediately went into high gear because that's exactly what I did with the prior company that I sold to State Street Bank. It was a FinTech platform, but we had FinTech investors put together all of their fragmented data, create a visualization so they could actually see patterns."

"In the medical world, we're a machine too, but the difference is we had a symptom, which is a scenario. And so I all of a sudden thought, wow, I can solve this problem with AI, and if I can help solve one person's problem, my 12 years of suffering while I was building this company will all be worth it. So that's kind of a quick overview about how this all came together. Had I not had any of the experiences of my medical journey or my own journey in the FinTech world, and how I connected the dots, maybe this idea might not have sparked with me. Maybe somebody else would've gotten that spark."

#EmpoweredPatient #HealthcareInnovation #AutoimmuneAwareness #PatientAdvocacy #HealthTech #ChronicIllnessJourney #MedicalMystery #PatientEmpowerment #TechForGood#HolisticHealth#AIDiagnostics #DigitalHealth #PatientCare #MedicalInnovation #HealthcareAI #IntegrativeMedicine #HealthTechnology #MedicalDiagnostics

Hareshpatel.ai

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Ben Scharfe, Executive VP of AI at Altera Digital Health, addresses the evolving regulatory landscape for AI in healthcare, emphasizing AI developers' primary responsibility to ensure transparency so clinicians can understand and verify AI-generated outputs. AI is positioned to be a supportive tool for providers, not as an autonomous decision-maker, with emerging regulations beginning to codify the human-in-the-loop requirement. Ben warns of setting higher standards for AI than physicians and automation complacency, in which clinicians might over-rely on AI.

Ben explains, "Altera provides electronic health records predominantly as well as interoperability solutions for hospitals, health systems, and ambulatory systems. We predominantly serve the US, but we're also present in Canada, in Europe, and in the Asia Pacific region. So we have a global presence, but we do a lot of our work in the US."

"I think the regulatory landscape around the division of responsibilities is really something that is evolving. And so last year, at one point, there was a proposed federal moratorium on state-level legislation, with little, I would say, federal regulation to counterbalance."

"Maybe fortunately, it didn't pass, but since then, there's been a patchwork of state regulation. So I'd say the responsibilities are not entirely defined because they vary by state, and some of those regulations are somewhat contradictory. But recently, the FDA did put out some new guidance and essentially where the responsibility lies for builders. I'd say the primary responsibility is around transparency and enabling clinicians and care providers to understand the reasoning behind any output from an AI system. To be able to review the citations, the evidence used, and the data points the AI may have ingested or consulted in creating some sort of output, so the provider can still have ownership of the care. And essentially, I'd say the core theme there is not having AI that is really acting autonomously on a patient, but rather AI that supports providers who know what they're doing and are licensed."

#AlteraDigitalHealth #HealthcareAI #ClinicalAI #DigitalHealth #HealthTech #AIRegulation #PatientSafety #HealthcareInnovation #MedicalTechnology #AIInMedicine #HealthcareLeadership

Alterahealth.com

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Ben Scharfe, Executive VP of AI at Altera Digital Health, addresses the evolving regulatory landscape for AI in healthcare, emphasizing AI developers' primary responsibility to ensure transparency so clinicians can understand and verify AI-generated outputs. AI is positioned to be a supportive tool for providers, not as an autonomous decision-maker, with emerging regulations beginning to codify the human-in-the-loop requirement. Ben warns of setting higher standards for AI than physicians and automation complacency, in which clinicians might over-rely on AI.

Ben explains, "Altera provides electronic health records predominantly as well as interoperability solutions for hospitals, health systems, and ambulatory systems. We predominantly serve the US, but we're also present in Canada, in Europe, and in the Asia Pacific region. So we have a global presence, but we do a lot of our work in the US."

"I think the regulatory landscape around the division of responsibilities is really something that is evolving. And so last year, at one point, there was a proposed federal moratorium on state-level legislation, with little, I would say, federal regulation to counterbalance."

"Maybe fortunately, it didn't pass, but since then, there's been a patchwork of state regulation. So I'd say the responsibilities are not entirely defined because they vary by state, and some of those regulations are somewhat contradictory. But recently, the FDA did put out some new guidance and essentially where the responsibility lies for builders. I'd say the primary responsibility is around transparency and enabling clinicians and care providers to understand the reasoning behind any output from an AI system. To be able to review the citations, the evidence used, and the data points the AI may have ingested or consulted in creating some sort of output, so the provider can still have ownership of the care. And essentially, I'd say the core theme there is not having AI that is really acting autonomously on a patient, but rather AI that supports providers who know what they're doing and are licensed."

#AlteraDigitalHealth #HealthcareAI #ClinicalAI #DigitalHealth #HealthTech #AIRegulation #PatientSafety #HealthcareInnovation #MedicalTechnology #AIInMedicine #HealthcareLeadership

Alterahealth.com

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Dr. John Birkmeyer, President of the medical group at Sound Physicians, defines value-based care as an evolution from older managed care models, with closer alignment of incentives for quality of care and cost-effectiveness. Working within the hospital environment, this approach emphasizes standardizing patient-centered care and communication across multiple hospital departments, reducing redundant tests and improving patient outcomes. The use of AI is one way to reduce the administrative burden on physicians, freeing up more time for patient care, a departure from earlier technologies that added to clinicians' workload.

John explains, "Sound Physicians is a multi-specialty medical group. It's distinguished in a couple of ways from a lot of the physician groups that your listeners and patients are used to. Number one, it focuses exclusively on specialties that are practiced inside the hospital. So in that context, we work in anesthesia, in the ICU, in hospital medicine, and in the emergency department. And we're different to the extent that we're a very large group. So we're in our 25th year of operations, but we currently run over 400 practices in about the same number of hospitals across most of the states of the US. So in that context, we've learned a lot about what care looks like in different parts of the United States, what things are similar, what things are different, and most importantly, what things work."

"Some of the most important strategies for succeeding with value-based care are things that are very aligned with ensuring not just high quality, but high empathy care to patients. And most importantly, making sure that clinical decisions physicians make in partnership with their patients account for not just scientific evidence but also the values and preferences of patients and their families. More often than not, there's no single right answer for what that patient needs in terms of tests or procedures or other types of care that occur in the hospital. And many of them involve trade-offs between quality of life and length of life, how patients feel about being in the hospital and for how long, how they feel about risk, and what they want to do when they're ultimately discharged from the hospital."

#SoundPhysicians #ValueBasedCare #HospitalMedicine #HealthcareInnovation #PatientCare #HealthTech #MedicalGroup #QualityImprovement #HealthcareleaderShip #PhysicianLife #HospitalAdministration

soundphysicians.com

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Dr. John Birkmeyer, President of the medical group at Sound Physicians, defines value-based care as an evolution from older managed care models, with closer alignment of incentives for quality of care and cost-effectiveness. Working within the hospital environment, this approach emphasizes standardizing patient-centered care and communication across multiple hospital departments, reducing redundant tests and improving patient outcomes. The use of AI is one way to reduce the administrative burden on physicians, freeing up more time for patient care, a departure from earlier technologies that added to clinicians' workload.

John explains, "Sound Physicians is a multi-specialty medical group. It's distinguished in a couple of ways from a lot of the physician groups that your listeners and patients are used to. Number one, it focuses exclusively on specialties that are practiced inside the hospital. So in that context, we work in anesthesia, in the ICU, in hospital medicine, and in the emergency department. And we're different to the extent that we're a very large group. So we're in our 25th year of operations, but we currently run over 400 practices in about the same number of hospitals across most of the states of the US. So in that context, we've learned a lot about what care looks like in different parts of the United States, what things are similar, what things are different, and most importantly, what things work."

"Some of the most important strategies for succeeding with value-based care are things that are very aligned with ensuring not just high quality, but high empathy care to patients. And most importantly, making sure that clinical decisions physicians make in partnership with their patients account for not just scientific evidence but also the values and preferences of patients and their families. More often than not, there's no single right answer for what that patient needs in terms of tests or procedures or other types of care that occur in the hospital. And many of them involve trade-offs between quality of life and length of life, how patients feel about being in the hospital and for how long, how they feel about risk, and what they want to do when they're ultimately discharged from the hospital."

#SoundPhysicians #ValueBasedCare #HospitalMedicine #HealthcareInnovation #PatientCare #HealthTech #MedicalGroup #QualityImprovement #HealthcareleaderShip #PhysicianLife #HospitalAdministration

soundphysicians.com

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Dr. Jim Berenson, Founder of the Institute for Myeloma & Bone Cancer Research and the Berenson Cancer Center, describes the Institute's work, which includes maintaining a large biobank of patient samples that support both its own research and that being conducted by external groups. This biobank is being used to develop new blood markers for faster disease diagnosis, to assess treatment efficacy, and to support drug development for multiple myeloma and other cancers. Real-time monitoring of patient symptoms with a mobile app is capturing critical, often-missed patient data and providing evidence of clinical trial success.

Jim explains, "Myeloma is a bone marrow-based cancer of a type of white cell called a plasma cell. These cells normally make a type of protein antibody that helps us fend off infections. And what happens in myeloma is that one of these types of cells goes rogue and takes over the bone marrow. As a result, these patients make lots and lots of only one type of antibody, and that protein becomes our tumor marker. They can get into trouble with their kidneys, their blood counts, their bones, and their immune system because they can become very compromised both by the disease and the treatment. Therefore, patients can develop frequent infections."

"It's diagnosed mainly through blood work, bone marrow examination, and radiologic tests. The latter used to be X-rays, but today it is MRI, CT, or PET scans. The bone marrow test usually demonstrates too many plasma cells that are clonal, meaning they are all of one type. So, usually, the bone marrow plasma cells make up only one-half percent. Myeloma patients have no less than 10% and up to 99% plasma cells, and they are all of one type. They all make one antibody because normally one plasma cell makes one antibody, but this is a clone that's grown a lot in the bone marrow. So, because the bone marrow directly releases proteins into the blood, there's a lot of the myeloma cell-produced antibody in the blood and/or the urine of these patients."

"We now have nearly 60,000 bone marrow and blood specimens collected over the last 25 years from our patients, and we collect them in a way that's very systematic. So we obtain blood weekly in the first month, and bone marrow when they undergo the procedure. And then after the first month, the blood is drawn and obtained for research and for the Biobank about every month. And this is a huge resource for not only our own research, which has uncovered two new blood biomarkers through the use of these samples. And we are also able to use the Biobank as a resource for other research groups and companies, whether biotech, pharma, or in vitro diagnostics, to see if they can find a new marker. So we send them a sample, and they can use it for their work."

#IMBCR #MultipleMyeloma #HematologyOncology #PrecisionMedicine #PatientMonitoring #DigitalHealth #CancerResearch #Biomarkers #PersonalizedTreatment #QualityOfLife #MedicalInnovation

IMBCR.org

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Dr. Jim Berenson, Founder of the Institute for Myeloma & Bone Cancer Research and the Berenson Cancer Center, describes the Institute's work, which includes maintaining a large biobank of patient samples that support both its own research and that being conducted by external groups. This biobank is being used to develop new blood markers for faster disease diagnosis, to assess treatment efficacy, and to support drug development for multiple myeloma and other cancers. Real-time monitoring of patient symptoms with a mobile app is capturing critical, often-missed patient data and providing evidence of clinical trial success.

Jim explains, "Myeloma is a bone marrow-based cancer of a type of white cell called a plasma cell. These cells normally make a type of protein antibody that helps us fend off infections. And what happens in myeloma is that one of these types of cells goes rogue and takes over the bone marrow. As a result, these patients make lots and lots of only one type of antibody, and that protein becomes our tumor marker. They can get into trouble with their kidneys, their blood counts, their bones, and their immune system because they can become very compromised both by the disease and the treatment. Therefore, patients can develop frequent infections."

"It's diagnosed mainly through blood work, bone marrow examination, and radiologic tests. The latter used to be X-rays, but today it is MRI, CT, or PET scans. The bone marrow test usually demonstrates too many plasma cells that are clonal, meaning they are all of one type. So, usually, the bone marrow plasma cells make up only one-half percent. Myeloma patients have no less than 10% and up to 99% plasma cells, and they are all of one type. They all make one antibody because normally one plasma cell makes one antibody, but this is a clone that's grown a lot in the bone marrow. So, because the bone marrow directly releases proteins into the blood, there's a lot of the myeloma cell-produced antibody in the blood and/or the urine of these patients."

"We now have nearly 60,000 bone marrow and blood specimens collected over the last 25 years from our patients, and we collect them in a way that's very systematic. So we obtain blood weekly in the first month, and bone marrow when they undergo the procedure. And then after the first month, the blood is drawn and obtained for research and for the Biobank about every month. And this is a huge resource for not only our own research, which has uncovered two new blood biomarkers through the use of these samples. And we are also able to use the Biobank as a resource for other research groups and companies, whether biotech, pharma, or in vitro diagnostics, to see if they can find a new marker. So we send them a sample, and they can use it for their work."

#IMBCR #MultipleMyeloma #HematologyOncology #PrecisionMedicine #PatientMonitoring #DigitalHealth #CancerResearch #Biomarkers #PersonalizedTreatment #QualityOfLife #MedicalInnovation

IMBCR.org

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