Alfred E. Mann Foundation for Biomedical Engineering

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Alfred E. Mann Foundation for Biomedical Engineering Venture Philanthropy and Directed Philanthropy as a New Mode of Capitalization to Move University Scientific and Technological Research to the Marketplace and Commercial Success -Rethinking Translational Research to Facilitate the Movement of University IP to the Commercial Cycle- -Technology Transfer on Steroids and an Emerging Applied Research Model Leading to Enhanced Delivery of Healthcare- Flying Over the Valley of Death: Accelerating from Discovery to Products February 13, 2008 A. Stephen Dahms, Ph.D. President/CEO, AEMFBE ALFRED E. MANN FOUNDATION FOR BIOMEDICAL ENGINEERING

Universities: Intellectual Capital and Intellectual Property The Traditional Role of Universities UCLA s Charles Young Definition Is It Changing? Do Universities Have a Responsibility to Bring their Intellectual Capital and Intellectual Property to Benefit Mankind? Existing Realities and Impediments Trends Solutions New Programs Initiated by Foundations Alfred E. Mann s Approach Translational Research <-> Translational Development Alfred Mann Institutes for Biomedical Product Development 12-15 at $150m to $200m each

Return on Investment on Sponsored Research at US Universities $45 billion of sponsored research conducted by top 200 U.S. universities, research institutes, and hospitals in 2006 $1.4 billion of licensing and royalty income ROI of ~3% The best minds are being funded (largely with public dollars) on research which is focused on achieving breakthroughs for the benefit of mankind yet sufficient delivery of innovation and commercializable outcomes have not been attained AUTM ( Association of University Technology Managers) ALFRED E. MANN FOUNDATION FOR BIOMEDICAL ENGINEERING

Impediments to Successful Delivery of Innovation to the Commercial Cycle Commercialization output from universities has failed to keep pace with research-dollar input Interest by faculty to develop research with commercial potential lags behind their desire to perform the search for new knowledge Commercial potential of basic research and consequent IP is under-developed with the university, the inventor, and the public provider of research dollars not receiving the potential benefit of their investments Handoff of IP to industry can get bogged down in negotiations, bureaucratic overload, and unrealistic university expectations of returns (UIDP) ALFRED E. MANN FOUNDATION FOR BIOMEDICAL ENGINEERING

Differences Between Academia and Industry Main focus Resources Financial motivation Pace of research Career achievement Information exchange Academia Generating and disseminating new knowledge Limited resources Money not the critical incentive for performance Outcomes driven by desire for high quality research Tenure based on publications not entrepreneurship Free exchange of ideas Industry Commercialization of ideas for profit Often substantial resources available Money important incentive to boost performance Time to market is critical and permeates most every decision Value of research outcome often based mostly on revenue generated Intellectual property becomes corporate asset ALFRED E. MANN FOUNDATION FOR BIOMEDICAL ENGINEERING

Universities Net Licensing and Royalty Income as a % of Total Sponsored Research Expenditures 4.5% 4.0% 3.5% % Return on Investment 3.0% 2.5% 2.0% 1.5% 1.0% 0.5% Source: AUTM (Association of University Technology Managers) N = 98 Universities responding in 1991, increasing to 164 Universities in 2004 0.0% 1990 1992 1994 1996 1998 2000 2002 2004 2006 ALFRED E. MANN FOUNDATION FOR BIOMEDICAL ENGINEERING

ROI: The Top Tier Only 25% of the top 100 US universities have theoretical ROI over 1% Diversity of university objectives is appropriate; theoretical ROI isn t everything; while university goals should remain weighted toward basic research, balancing the portfolio on the commercializable science side also makes sense to see that science advancements benefit mankind.

The Commercialization of Compelling Ideas is Critical! Innovation fuels the entrepreneurial enterprise and both are keys to a thriving economy As a world, we are failing to develop and commercialize the majority of promising research Discoveries that could lead to new medical devices, therapeutic drugs, and other life-saving or lifeenhancing technologies are languishing within the walls of our universities or the university IP resides in the hands of small companies with inadequate capital to develop it

Funding Hurdles for Technology Development Gap funding needed

Technology Transfer of Yesterday OLD MODEL FACULTY Intellectual Property UNIVERSITY Technology Transfer Office Patent LICENSING

Technology Transfer of the Cognoscenti? EVOLVING MODEL FACULTY Intellectual Property UNIVERSITY Technology Commercialization Officer Chief Commercialization Officer Patent/ LICENSING

The Execution Gap Grants and sponsored research Early-stage venture equity Late-stage private and public equity Market roll-out Commercialization and clinical use Distribution channels Manufacturing Basic research, discovery Valley of Death FDA Feasibility study Engineering model Clinical trials Product development Product design Adapted from: Yongmin Kim, PhD University of Washington

New Models in the US Boston-based Center for Integration of Medicine and Innovative Technologies (CIMIT) Coulter Foundation Disease-focused Foundations Alfred Mann Foundation for Biomedical Engineering

CIMIT Regional technology assessment and commercialization-enhancement organization biomedical arena Boston U, Harvard hospitals, MIT, etc. $50k-$150k awards $2.5 million per year

Boston Medical, Biomedical, and Engineering Research Hub Partners HealthCare Mass General Hosp. Brigham & Women s Hosp. Boston Medical Center Fraunhofer Boston University BME CIMIT Children s Hosp. Boston Harvard Medical School HST MIT BME Beth Israel Deaconess Draper Lab

Coulter Foundation IP -> commercial cycle Seed capital awards to link faculty to new university commercialization processes Biomedical engineering focus 9 universities $580k/yr, 5 yrs 2-3 universities, $10m endowment

Disease Foundations Myelin Repair Foundation, Multiple Myeloma Foundation, Leukemia Society, etc. University IP -> companies $1-$5m awards to the companies Equity position

Alfred E. Mann Institutes for Biomedical Development A Vision to Commercialization

A Bridge Across the Funding Gap Grants and sponsored research Private equity Late-stage private and public equity Market roll-out Commercialization and clinical use AMI Distribution channels Manufacturing Basic research, discovery Valley of Death FDA Feasibility study Engineering model Product development Product design Source: Yongmin Kim, PhD University of Washington

The Alfred Mann Institutes Alfred Mann s vision: To enhance the flow of university biomedical research of into the stream of commercialization by speeding the transfer of technology. Alfred Mann s plan: To create 12 to 15 Institutes for Biomedical Development at selected elite universities and to provide the financial and business resources to guide the commercialization of promising research with funding of $150 m to $200 m each. The Alfred Mann Institute at USC is the first of these, followed by the Technion University, followed by Purdu

Timeline of Alfred E. Mann Companies

How to Engineer the Model for Success 1. Select a Target Market 2. Identify Underserved Needs 3. Evaluate Barriers to Entry 4. Establish Product Specifications 5. Create Business Model 6. Allocate Development Resources 7. Organize Market, Sales, Reimbursement and Support Infrastructure 8. Validate, Qualify & Transfer to Manufacturing 9. Pursue Clinical Trials & Regulatory Approval 10. Unleash Sales/Marketing and Service

Alfred E Mann Foundation for Biomedical Engineering A non-profit foundation has been endowed with an initial investment of $2.1b Its mission is to expedite development of promising new technologies at selected universities to create biomedical products that benefit mankind, while generating substantial value for universities and inventors, and the public taxpayer and importantly, the patient In the first round of his investment in expediting IP perfection, 12-15 universities will be selected from a pool of ~50, and each will receive a minimum of $150 million dollars to establish an Alfred E. Mann Institute on their campus The Foundation is seeking universities with strong biomedical engineering programs and commitments to interdisciplinary and translational research Funded projects at the selected universities will include medical devices, pharmaceuticals and biotechnology

Alfred E. Mann Institute Model Following the model of the first Alfred E. Mann Institute at University of Southern California Institutes will operate under affiliation agreements between their universities and the Mann Foundation Institutes will operate as a 501c3 under the umbrella of the university, with university co-governance Institutes will function as ~nonprofit angel investors, shepherding new technologies through the development process, using undiluted capital Products, developed with undiluted capital, will be commercialized via sub-license agreements or the establishment of new start-up ventures

Alfred E. Mann Institute for Biomedical Development UNIVERSITY AEM INSTITUTE PRODUCTS ~$2B $100M IP LICENSING/ SPINOUT/ SALE FACULTY FBE

AMI Technology Transfer Model UNIVERSITY FACULTY Intellectual Property INSTITUTE Commercial Development AMI AMI AMI PRODUCT AMI AMI AMI FBE AMI LICENSING/ SPINOUT/ SALE ALFRED E. MANN FOUNDATION FOR BIOMEDICAL ENGINEERING

Enhancement of Royalty Rates as a Function of Commercialization Stage 12% 10% 10% 8% 8% 6% 6% 4% 4% 2% 2% 2% 1% 0% Basic Research Discovery Feasibility Study Engineering Model Product Development Prototype Manufacturing Prototype FDA Approval Commercial Release Royalty Rates

Character of the Alfred Mann Institutes Each Institute is a non-profit corporation.affiliated and located within the university Governed by a Board: half university, half Foundation Funded through earnings from endowment held in trust The Director works closely with academic staff to select and manage projects All projects have defined commercial goals, via 40-70 staff Institute licenses a very select and small portion of university IP Institute provides resources and staff for commercialization Income is shared among inventors, university, the Institute, and the Mann Foundation for Biomedical Engineering, which in turn acts as a coordinator and facilitator among Institutes

Robust Due Diligence Process A 12-member AMI Site Selection Committee has been established with significant experience in a range of scientific, financial and business development areas On-going evaluation to select potential partnering universities is in process, with a total of ~50 universities to be identified and evaluated in the first round Metrics include analysis of the current university brain trust, areas of research, collaborative research focus, amount of sponsored research, patent portfolio, technology transfer metrics and a range other matters Campus site visits requested as a component of the analysis 16 Universities have been invited, 12 have been site-visited, 5 have been selected, 3 have been made public 1-2 AMI s per year Examples of just a few of the metrics analyzed follows

What Makes a Good University/AMI Alignment Quality and type of research work that is likely to generate specific products on a continuing basis University senior management team with entrepreneurial spirit and commitment to make the AMI work Willingness to accept critical AMI requirements on IP, governance, project selection, endowment management, and income sharing Faculty that supports conduct of application-focused commercialization, as opposed to research Track record of Engineering and Medical School collaboration Track record of conducting clinical trials Adequate, on-campus facilities for the AMI

AMI s Recipe for Success Working with the best people on projects with the best commercial potential Creation of an entrepreneurial environment and dedicated project teams Strong commitment to generate an economic return Adequate resources to projects with undiluted capital, including augmentation with federal and corporate funding Control of IP Institute staff capability to bridge from academic to commercial areas Consonance with the philanthropic objective and the vision to further link universities with societal impact a sharing of Alfred Mann s vision and commitment

The Process IP access (post-disclosure) provided by the university to the AMI Director in areas defined by the AMI Board AMI Director selects potential projects for Board funding (note: only 2-3 projects will be in the AMI at any one time) University co-directed AMI Board approves projects and budgets University provides an exclusive, worldwide royalty-free license to the AMI The AMI staff brings the IP to a stage of perfection for out-licensing, thereby having greatly increased the value of the IP and the rewards for all parties Revenues flow 5-8 years required per project, with $5-20 million expended per project

What is Next for TT on Steroids? 12-15 more Institutes after 5-7 years? Mann peer activities? International activities Specialized smaller scale projects for colleges or departments Larger scale projects Regional AMI s NIH Federal labs AMI Consortia Regional accelerator funds Mann Foundation Development Corporation

Summary Venture Philanthropy and Directed Philanthropy as a New Mode of Capitalization to Move University Scientific and Technological Research to the Marketplace and Commercial Success -Rethinking Translational Research to Facilitate the Movement of University IP to the Commercial Cycle- -Technology Transfer on Steroids and an Emerging Applied Research Model Leading to Enhanced Delivery of Healthcare- ALFRED E. MANN FOUNDATION FOR BIOMEDICAL ENGINEERING