1 00:00:02,151 --> 00:00:03,568 By raising your hand, 2 00:00:03,592 --> 00:00:07,207 how many of you know at least one person on the screen? 3 00:00:08,367 --> 00:00:10,234 Wow, it's almost a full house. 4 00:00:10,258 --> 00:00:12,815 It's true, they are very famous in their fields. 5 00:00:12,839 --> 00:00:15,834 And do you know what all of them have in common? 6 00:00:15,858 --> 00:00:18,778 They all died of pancreatic cancer. 7 00:00:18,802 --> 00:00:21,310 However, although it's very, very sad this news, 8 00:00:21,334 --> 00:00:24,098 it's also thanks to their personal stories 9 00:00:24,122 --> 00:00:28,243 that we have raised awareness of how lethal this disease can be. 10 00:00:28,267 --> 00:00:31,643 It's become the third cause of cancer deaths, 11 00:00:31,667 --> 00:00:37,193 and only eight percent of the patients will survive beyond five years. 12 00:00:37,217 --> 00:00:39,136 That's a very tiny number, 13 00:00:39,160 --> 00:00:41,916 especially if you compare it with breast cancer, 14 00:00:41,940 --> 00:00:45,380 where the survival rate is almost 90 percent. 15 00:00:45,946 --> 00:00:48,313 So it doesn't really come as a surprise 16 00:00:48,337 --> 00:00:50,802 that being diagnosed with pancreatic cancer 17 00:00:50,826 --> 00:00:54,077 means facing an almost certain death sentence. 18 00:00:54,101 --> 00:00:57,747 What's shocking, though, is that in the last 40 years, 19 00:00:57,771 --> 00:01:00,149 this number hasn't changed a bit, 20 00:01:00,173 --> 00:01:02,277 while much more progress has been made 21 00:01:02,301 --> 00:01:03,988 with other types of tumors. 22 00:01:04,552 --> 00:01:08,212 So how can we make pancreatic cancer treatment more effective? 23 00:01:08,659 --> 00:01:10,565 As a biomedical entrepreneur, 24 00:01:10,589 --> 00:01:13,608 I like to work on problems that seem impossible, 25 00:01:13,632 --> 00:01:15,693 understanding their limitations 26 00:01:15,717 --> 00:01:18,789 and trying to find new, innovative solutions 27 00:01:18,813 --> 00:01:20,644 that can change their outcome. 28 00:01:21,035 --> 00:01:23,612 The first piece of bad news with pancreatic cancer 29 00:01:23,636 --> 00:01:27,107 is that your pancreas is in the middle of your belly, literally. 30 00:01:27,131 --> 00:01:29,966 It's depicted in orange on the screen. 31 00:01:29,990 --> 00:01:31,637 But you can barely see it 32 00:01:31,661 --> 00:01:34,621 until I remove all the other organs in front. 33 00:01:35,093 --> 00:01:38,089 It's also surrounded by many other vital organs, 34 00:01:38,113 --> 00:01:41,225 like the liver, the stomach, the bile duct. 35 00:01:41,249 --> 00:01:44,662 And the ability of the tumor to grow into those organs 36 00:01:44,686 --> 00:01:46,708 is the reason why pancreatic cancer 37 00:01:46,732 --> 00:01:49,664 is one of the most painful tumor types. 38 00:01:50,295 --> 00:01:53,457 The hard-to-reach location also prevents the doctor 39 00:01:53,481 --> 00:01:55,200 from surgically removing it, 40 00:01:55,224 --> 00:01:58,259 as is routinely done for breast cancer, for example. 41 00:01:58,716 --> 00:02:02,100 So all of these reasons leave chemotherapy as the only option 42 00:02:02,124 --> 00:02:04,267 for the pancreatic cancer patient. 43 00:02:04,745 --> 00:02:07,198 This brings us to the second piece of bad news. 44 00:02:07,579 --> 00:02:11,187 Pancreatic cancer tumors have very few blood vessels. 45 00:02:11,624 --> 00:02:15,410 Why should we care about the blood vessel of a tumor? 46 00:02:15,434 --> 00:02:18,900 Let's think for a second how chemotherapy works. 47 00:02:18,924 --> 00:02:20,813 The drug is injected in the vein 48 00:02:20,837 --> 00:02:25,481 and it navigates throughout the body until it reaches the tumor site. 49 00:02:25,505 --> 00:02:29,680 It's like driving on a highway, trying to reach a destination. 50 00:02:30,080 --> 00:02:33,965 But what if your destination doesn't have an exit on the highway? 51 00:02:33,989 --> 00:02:35,618 You will never get there. 52 00:02:35,642 --> 00:02:37,764 And that's exactly the same problem 53 00:02:37,788 --> 00:02:40,481 for chemotherapy and pancreatic cancer. 54 00:02:41,119 --> 00:02:43,964 The drugs navigate throughout all of your body. 55 00:02:43,988 --> 00:02:46,401 They will reach healthy organs, 56 00:02:46,425 --> 00:02:50,232 resulting in high toxic effect for the patients overall, 57 00:02:50,256 --> 00:02:52,771 but very little will go to the tumor. 58 00:02:52,795 --> 00:02:55,223 Therefore, the efficacy is very limited. 59 00:02:56,519 --> 00:03:01,333 To me, it seems very counterintuitive to have a whole-body treatment 60 00:03:01,357 --> 00:03:03,621 to target a specific organ. 61 00:03:03,645 --> 00:03:06,097 However, in the last 40 years, 62 00:03:06,121 --> 00:03:10,445 a lot of money, research and effort have gone towards 63 00:03:10,469 --> 00:03:14,552 finding new, powerful drugs to treat pancreatic cancer, 64 00:03:14,576 --> 00:03:16,987 but nothing has been done in changing the way 65 00:03:17,011 --> 00:03:19,074 we deliver them to the patient. 66 00:03:20,397 --> 00:03:22,023 So after two pieces of bad news, 67 00:03:22,047 --> 00:03:25,076 I'm going to give you good news, hopefully. 68 00:03:25,806 --> 00:03:27,276 With a collaborator at MIT 69 00:03:27,300 --> 00:03:30,196 and the Massachusetts General Hospital in Boston, 70 00:03:30,220 --> 00:03:33,133 we have revolutionized the way we treat cancer 71 00:03:33,157 --> 00:03:36,500 by making localized drug delivery a reality. 72 00:03:36,974 --> 00:03:40,960 We are basically parachuting you on top of your destination, 73 00:03:40,984 --> 00:03:43,886 avoiding your having to drive all around the highway. 74 00:03:43,910 --> 00:03:49,200 We have embedded the drug into devices that look like this one. 75 00:03:49,224 --> 00:03:54,413 They are flexible enough that they can be folded 76 00:03:54,437 --> 00:03:56,359 to fit into the catheter, 77 00:03:56,383 --> 00:04:00,179 so the doctor can implant it directly on top of the tumor 78 00:04:00,203 --> 00:04:02,268 with minimally invasive surgery. 79 00:04:02,603 --> 00:04:06,373 But they are solid enough that once they are positioned 80 00:04:06,397 --> 00:04:08,088 on top of the tumor, 81 00:04:08,112 --> 00:04:09,881 they will act as a cage. 82 00:04:09,905 --> 00:04:13,056 They will actually physically prevent the tumor 83 00:04:13,080 --> 00:04:14,755 from entering other organs, 84 00:04:14,779 --> 00:04:17,214 controlling the metastasis. 85 00:04:18,459 --> 00:04:20,743 The devices are also biodegradable. 86 00:04:20,767 --> 00:04:22,517 That means that once in the body, 87 00:04:22,541 --> 00:04:24,426 they start dissolving, 88 00:04:24,450 --> 00:04:29,813 delivering the drug only locally, slowly and more effectively 89 00:04:29,837 --> 00:04:33,320 than what is done with the current whole-body treatment. 90 00:04:33,344 --> 00:04:36,149 In pre-clinical study, we have demonstrated 91 00:04:36,173 --> 00:04:38,172 that this localized approach 92 00:04:38,196 --> 00:04:42,415 is able to improve by 12 times the response to treatment. 93 00:04:42,758 --> 00:04:45,535 So we took a drug that is already known 94 00:04:45,559 --> 00:04:49,390 and by just delivering it locally where it's needed the most, 95 00:04:49,414 --> 00:04:53,063 we allow a response that is 12 times more powerful, 96 00:04:53,087 --> 00:04:55,848 reducing the systemic toxic effect. 97 00:04:57,039 --> 00:05:01,233 We are working relentlessly to bring this technology to the next level. 98 00:05:01,257 --> 00:05:04,104 We are finalizing the pre-clinical testing 99 00:05:04,128 --> 00:05:08,207 and the animal model required prior to asking the FDA for approval 100 00:05:08,231 --> 00:05:09,838 for clinical trials. 101 00:05:10,969 --> 00:05:16,100 Currently, the majority of patients will die from pancreatic cancer. 102 00:05:16,124 --> 00:05:17,959 We are hoping that one day, 103 00:05:17,983 --> 00:05:21,254 we can reduce their pain, extend their life 104 00:05:21,278 --> 00:05:24,311 and potentially make pancreatic cancer 105 00:05:24,335 --> 00:05:25,873 a curable disease. 106 00:05:26,257 --> 00:05:28,977 By rethinking the way we deliver the drug, 107 00:05:29,001 --> 00:05:32,758 we don't only make it more powerful and less toxic, 108 00:05:32,782 --> 00:05:37,567 we are also opening the door to finding new innovative solutions 109 00:05:37,591 --> 00:05:40,306 for almost all other impossible problems 110 00:05:40,330 --> 00:05:43,604 in pancreatic cancer patients and beyond. 111 00:05:43,628 --> 00:05:44,789 Thank you very much. 112 00:05:44,813 --> 00:05:50,250 (Applause)