WEBVTT 00:00:02.151 --> 00:00:03.568 By raising your hand, 00:00:03.592 --> 00:00:07.207 how many of you know at least one person on the screen? 00:00:08.367 --> 00:00:10.234 Wow, it's almost a full house. 00:00:10.258 --> 00:00:12.815 It's true, they are very famous in their fields. 00:00:12.839 --> 00:00:15.834 And do you know what all of them have in common? 00:00:15.858 --> 00:00:18.778 They all died of pancreatic cancer. 00:00:18.802 --> 00:00:21.310 However, although it's very, very sad this news, 00:00:21.334 --> 00:00:24.098 it's also thanks to their personal stories 00:00:24.122 --> 00:00:28.243 that we have raised awareness of how lethal this disease can be. NOTE Paragraph 00:00:28.267 --> 00:00:31.643 It's become the third cause of cancer deaths, 00:00:31.667 --> 00:00:37.193 and only eight percent of the patients will survive beyond five years. 00:00:37.217 --> 00:00:39.136 That's a very tiny number, 00:00:39.160 --> 00:00:41.916 especially if you compare it with breast cancer, 00:00:41.940 --> 00:00:45.380 where the survival rate is almost 90 percent. 00:00:45.946 --> 00:00:48.313 So it doesn't really come as a surprise 00:00:48.337 --> 00:00:50.802 that being diagnosed with pancreatic cancer 00:00:50.826 --> 00:00:54.077 means facing an almost certain death sentence. 00:00:54.101 --> 00:00:57.747 What's shocking, though, is that in the last 40 years, 00:00:57.771 --> 00:01:00.149 this number hasn't changed a bit, 00:01:00.173 --> 00:01:02.277 while much more progress has been made 00:01:02.301 --> 00:01:03.988 with other types of tumors. 00:01:04.552 --> 00:01:08.212 So how can we make pancreatic cancer treatment more effective? 00:01:08.659 --> 00:01:10.565 As a biomedical entrepreneur, 00:01:10.589 --> 00:01:13.608 I like to work on problems that seem impossible, 00:01:13.632 --> 00:01:15.693 understanding their limitations 00:01:15.717 --> 00:01:18.789 and trying to find new, innovative solutions 00:01:18.813 --> 00:01:20.644 that can change their outcome. NOTE Paragraph 00:01:21.035 --> 00:01:23.612 The first piece of bad news with pancreatic cancer 00:01:23.636 --> 00:01:27.107 is that your pancreas is in the middle of your belly, literally. 00:01:27.131 --> 00:01:29.966 It's depicted in orange on the screen. 00:01:29.990 --> 00:01:31.637 But you can barely see it 00:01:31.661 --> 00:01:34.621 until I remove all the other organs in front. 00:01:35.093 --> 00:01:38.089 It's also surrounded by many other vital organs, 00:01:38.113 --> 00:01:41.225 like the liver, the stomach, the bile duct. 00:01:41.249 --> 00:01:44.662 And the ability of the tumor to grow into those organs 00:01:44.686 --> 00:01:46.708 is the reason why pancreatic cancer 00:01:46.732 --> 00:01:49.664 is one of the most painful tumor types. 00:01:50.295 --> 00:01:53.457 The hard-to-reach location also prevents the doctor 00:01:53.481 --> 00:01:55.200 from surgically removing it, 00:01:55.224 --> 00:01:58.259 as is routinely done for breast cancer, for example. 00:01:58.716 --> 00:02:02.100 So all of these reasons leave chemotherapy as the only option 00:02:02.124 --> 00:02:04.267 for the pancreatic cancer patient. NOTE Paragraph 00:02:04.745 --> 00:02:07.198 This brings us to the second piece of bad news. 00:02:07.579 --> 00:02:11.187 Pancreatic cancer tumors have very few blood vessels. 00:02:11.624 --> 00:02:15.410 Why should we care about the blood vessel of a tumor? 00:02:15.434 --> 00:02:18.900 Let's think for a second how chemotherapy works. 00:02:18.924 --> 00:02:20.813 The drug is injected in the vein 00:02:20.837 --> 00:02:25.481 and it navigates throughout the body until it reaches the tumor site. 00:02:25.505 --> 00:02:29.680 It's like driving on a highway, trying to reach a destination. 00:02:30.080 --> 00:02:33.965 But what if your destination doesn't have an exit on the highway? 00:02:33.989 --> 00:02:35.618 You will never get there. 00:02:35.642 --> 00:02:37.764 And that's exactly the same problem 00:02:37.788 --> 00:02:40.481 for chemotherapy and pancreatic cancer. 00:02:41.119 --> 00:02:43.964 The drugs navigate throughout all of your body. 00:02:43.988 --> 00:02:46.401 They will reach healthy organs, 00:02:46.425 --> 00:02:50.232 resulting in high toxic effect for the patients overall, 00:02:50.256 --> 00:02:52.771 but very little will go to the tumor. 00:02:52.795 --> 00:02:55.223 Therefore, the efficacy is very limited. NOTE Paragraph 00:02:56.519 --> 00:03:01.333 To me, it seems very counterintuitive to have a whole-body treatment 00:03:01.357 --> 00:03:03.621 to target a specific organ. 00:03:03.645 --> 00:03:06.097 However, in the last 40 years, 00:03:06.121 --> 00:03:10.445 a lot of money, research and effort have gone towards 00:03:10.469 --> 00:03:14.552 finding new, powerful drugs to treat pancreatic cancer, 00:03:14.576 --> 00:03:16.987 but nothing has been done in changing the way 00:03:17.011 --> 00:03:19.074 we deliver them to the patient. NOTE Paragraph 00:03:20.397 --> 00:03:22.023 So after two pieces of bad news, 00:03:22.047 --> 00:03:25.076 I'm going to give you good news, hopefully. 00:03:25.806 --> 00:03:27.276 With a collaborator at MIT 00:03:27.300 --> 00:03:30.196 and the Massachusetts General Hospital in Boston, 00:03:30.220 --> 00:03:33.133 we have revolutionized the way we treat cancer 00:03:33.157 --> 00:03:36.500 by making localized drug delivery a reality. 00:03:36.974 --> 00:03:40.960 We are basically parachuting you on top of your destination, 00:03:40.984 --> 00:03:43.886 avoiding your having to drive all around the highway. 00:03:43.910 --> 00:03:49.200 We have embedded the drug into devices that look like this one. 00:03:49.224 --> 00:03:54.413 They are flexible enough that they can be folded 00:03:54.437 --> 00:03:56.359 to fit into the catheter, 00:03:56.383 --> 00:04:00.179 so the doctor can implant it directly on top of the tumor 00:04:00.203 --> 00:04:02.268 with minimally invasive surgery. 00:04:02.603 --> 00:04:06.373 But they are solid enough that once they are positioned 00:04:06.397 --> 00:04:08.088 on top of the tumor, 00:04:08.112 --> 00:04:09.881 they will act as a cage. 00:04:09.905 --> 00:04:13.056 They will actually physically prevent the tumor 00:04:13.080 --> 00:04:14.755 from entering other organs, 00:04:14.779 --> 00:04:17.214 controlling the metastasis. NOTE Paragraph 00:04:18.459 --> 00:04:20.743 The devices are also biodegradable. 00:04:20.767 --> 00:04:22.517 That means that once in the body, 00:04:22.541 --> 00:04:24.426 they start dissolving, 00:04:24.450 --> 00:04:29.813 delivering the drug only locally, slowly and more effectively 00:04:29.837 --> 00:04:33.320 than what is done with the current whole-body treatment. 00:04:33.344 --> 00:04:36.149 In pre-clinical study, we have demonstrated 00:04:36.173 --> 00:04:38.172 that this localized approach 00:04:38.196 --> 00:04:42.415 is able to improve by 12 times the response to treatment. NOTE Paragraph 00:04:42.758 --> 00:04:45.535 So we took a drug that is already known 00:04:45.559 --> 00:04:49.390 and by just delivering it locally where it's needed the most, 00:04:49.414 --> 00:04:53.063 we allow a response that is 12 times more powerful, 00:04:53.087 --> 00:04:55.848 reducing the systemic toxic effect. 00:04:57.039 --> 00:05:01.233 We are working relentlessly to bring this technology to the next level. 00:05:01.257 --> 00:05:04.104 We are finalizing the pre-clinical testing 00:05:04.128 --> 00:05:08.207 and the animal model required prior to asking the FDA for approval 00:05:08.231 --> 00:05:09.838 for clinical trials. NOTE Paragraph 00:05:10.969 --> 00:05:16.100 Currently, the majority of patients will die from pancreatic cancer. 00:05:16.124 --> 00:05:17.959 We are hoping that one day, 00:05:17.983 --> 00:05:21.254 we can reduce their pain, extend their life 00:05:21.278 --> 00:05:24.311 and potentially make pancreatic cancer 00:05:24.335 --> 00:05:25.873 a curable disease. NOTE Paragraph 00:05:26.257 --> 00:05:28.977 By rethinking the way we deliver the drug, 00:05:29.001 --> 00:05:32.758 we don't only make it more powerful and less toxic, 00:05:32.782 --> 00:05:37.567 we are also opening the door to finding new innovative solutions 00:05:37.591 --> 00:05:40.306 for almost all other impossible problems 00:05:40.330 --> 00:05:43.604 in pancreatic cancer patients and beyond. NOTE Paragraph 00:05:43.628 --> 00:05:44.789 Thank you very much. NOTE Paragraph 00:05:44.813 --> 00:05:50.250 (Applause)