Photo: SurViva

SurViva joins Oslo Cancer Cluster

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Surviva

Meet the newest member of Oslo Cancer Cluster – SurViva, a Norwegian consultancy providing quality guidance for life science companies.

“Cancer research is one of SurViva’s strategic areas of focus, as this is an area where Norway clearly has the potential to develop innovative treatments and value-creating businesses. SurViva is joining Oslo Cancer Cluster to offer our comprehensive Quality package enabling businesses to more efficiently turn great science into lifesaving products,” said Astrid Hilde Myrset, CEO of SurViva.

SurViva is a small Norwegian consultancy offering services including quality assurance (QA) and customised digital quality management systems (eQMS) to health start-ups.

“Quality assurance and the establishment of a quality management system may represent a significant hurdle for small developing companies. Historically, the solution for the individual company has been to employ a QA in a 100% position. A newly hired QA is often alone, may have limited experience, and can easily end up creating resource-intensive systems that can grow out of proportion and require an unnecessary amount of time and expense for the company,” said Myrset.

Focus on quality

SurViva works to grow a pool of quality expertise available for several companies in parallel, to accelerate product development and promote industrial growth.

“In this way, the individual company can get started with its quality system at the right time and have flexible access to qualified resources at any time throughout the development process. When desirable, own QA personnel may be hired, and by having access to a competence pool, it will be easier to make smart choices based on shared experiences and expertise,” said Myrset.

Helping developing companies

SurViva became a member of Oslo Cancer Cluster in September 2023 to contribute to the organisation’s vision of accelerating cancer treatments and diagnostics that improve patients’ lives.

“We think our vision is very well aligned with Oslo Cancer Cluster’s vision. Our Quality package will save time and costs for developing companies, and thus enable accelerated development of new cancer treatments,” said Myrset.

 

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Eivind Hovig, Professor at the Department of Bioinformatics at the University of Oslo, is one of the co-authors behind the research article published in MDPI Cancer.

New research on genetic risk and breast cancer

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How a simple saliva test can reveal the risk of breast cancer in the Norwegian population.

A study by the University of Oslo, Oslo University Hospital and OÜ Antegenes looking into Polygenic Risk Scores (PRS) and breast cancer in Norway was recently published in the journal MDPI Cancer. PRS technology is a type of genetic test that can reveal an individual’s risk of developing cancer.

“The study was initiated to assess the possibility of using a combination of genetic markers for a given woman here in Norway to predict the risk of developing breast cancer over her life,” said Eivind Hovig, Professor at the Department of Bioinformatics at the University of Oslo, and one of the co-authors to the article.

Early detection

Every year, there are close to 4 200 new breast cancer cases and almost 600 deaths from breast cancer in Norway, according to reports from the Norwegian Cancer Registry. Early detection is crucial for survival, but almost 40 per cent of breast cancer cases are not diagnosed at an early stage.

“The results indeed indicate that it is entirely feasible to apply such a predictor meaningfully in a Norwegian context,” said Hovig.

Personalised screening

Current breast cancer screening in Norway is implemented for women at age 50-69, but approximately 20 per cent of breast cancer cases are diagnosed in younger women. These tests can potentially be used to identify younger women with a higher risk and lead to a more personalised screening approach.

“As the application of such a predictor may have implications for management of patients with high risk scores, it may lead to different screening strategies and a better understanding of the risk profiles of these patients,” added Hovig.

The PRS test used in the study was developed by the Estonian company Antegenes. The study was conducted as a part of AnteNOR, a project that investigates how PRS can be implemented for prevention and early detection of breast cancer in Norway.

The post New research on genetic risk and breast cancer first appeared on Oslo Cancer Cluster.

Ministers Jan Christian Vestre and Ingvild Kjerkol released the roadmap for the health industry from Nykode Therapeutics laboratories. Photo: Nærings- og fiskeridepartementet

A roadmap for the health industry

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How will Norway commercialise research and turn health into a green export success?

The roadmap for the health industry was released today by Ingvild Kjerkol, Minister of Health and Care Services, and Jan Christian Vestre, Minister of Industry, Trade and Fisheries. The roadmap includes 12 focus areas and 41 actions, which the two ministries have worked together with industry to identify.

Commercialising research

One of the focus areas is testing and piloting of novel health solutions.

“We will become better at commercialising research results and create industry. We want the state to contribute considerably more so companies have access to testing facilities, so they can develop their solutions. We will develop the catapult scheme for the health industry,” said Vestre.

Today there is no health catapult in Norway. SIVA, the Research Council of Norway and Innovation Norway will now investigate how the health industry can better utilise the catapult scheme.

“The health clusters are ready to contribute! Based on work we did in 2019 and 2020, Oslo Cancer Cluster, Norwegian Smart Care Cluster and Norway Health Tech have set up Health Catalyst, a national arena for developing, testing and piloting novel solutions in health. Among other things, we have signed an agreement to collaborate with Nortrials,” commented Ketil Widerberg, general manager of Oslo Cancer Cluster.

A green export opportunity

In 2021, the Norwegian health industry had a total turnover of NOK 65 billion, where NOK 22 billion came from export alone, according to a Menon Economics report (2023).

“The health industry has a natural place in a low emission society. We believe we can increase the export from the health industry considerably, and this will contribute to solve global challenges and create workplaces in our own country,” commented Vestre and added there will be additional funding for this.

The Norwegian health industry is united through the clusters and is ready to contribute as the government launches this historical investment.

“When we work with pharma and biotech, we create green workplaces. We work to establish national production, local testing, and precision medicine, which will shorten value chains, as well as decrease transport and logistics,” commented Widerberg.

A supercluster is needed

The Norwegian clusters were also mentioned especially for their ability to facilitate collaboration and knowledge transfer between large and small companies, and research environments – which will strengthen the success of Norwegian export.

“We want to clarify that the three internationally renowned, National Centres of Expertise (NCE) clusters in health, including Oslo Cancer Cluster, Norwegian Smart Care Cluster and Norway Health Tech, wish to unite into a supercluster.

“We hope the revised cluster programme builds on an understanding that all parties must contribute to the development and financing of the clusters to make public-private collaboration a reality,” commented Widerberg.

Towards a Cancer Mission?

Kjerkol also mentioned several actions that will make a big difference for the development of cancer therapeutics and diagnostics in Norway. These include:

  • Securing that research milieus in the private and public sector get guidance on clinical studies
  • Developing the Directorate for Medical Products
  • Facilitating access to health data for the health industry
  • Investing in clinical studies and personalised medicine
  • Creating a strategic arena for dialogue between health authorities and industry

“Oslo Cancer Cluster is delighted that input we have made over the last two years towards public policy are taken seriously in this roadmap, but there is still work to do. Our project CONNECT shows the opportunities of public-private collaboration in implementation of precision medicine including regulatory innovation. We applaud that the government wants to build on this.”

“We believe these combined efforts represent the first steps towards Norway making its mark internationally and are a contribution to the European Mission on Cancer,” said Widerberg.

Oslo Cancer Cluster has set up a hub to pursue the EU’s Cancer Mission nationally, together with the Research Council of Norway, the Cancer Society and several other key players.

 

 

The post A roadmap for the health industry first appeared on Oslo Cancer Cluster.

A panel conversation about how personalised medicine can create value in the national health service. From left to right: Åsmund Flobakk, oncologist at St Olavs hospital, Siri Børø, Medical Advisor Oncology at Merck, Giske Ursin, director at the Cancer Registry of Norway and Ulrich Spreng, Chief Medical Officer of Helse Sør-Øst.

Personalised medicine to relieve the health service

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Smaller patient groups and targeted treatments are the future of cancer care in Norway.

It is no longer a question of if but when personalised medicine will be a reality for all cancer patients in Norway. This was a key message in a recent meeting arranged by the public-private consortium CONNECT during Arendalsuka, where the resource crisis in the health service was discussed.

Forward-looking health authorities

Ulrich Spreng, Chief Medical Officer of the South-Eastern Regional Health Authority (Helse Sør-Øst), underlined how critical personalised treatments will be in the future. Spreng sits in the Decision Forum of New Methods, the national system that manages the introduction of new treatments in Norway. The Decision Forum looks at three criteria; the severity of the disease, the effect of the treatment and the resources it requires.

“If you can target treatment better according to an individual patient’s genetic profile, there will be a greater effect. This makes it easier to implement that drug since it is a different relationship between resources and effect than when you treat a large patient group where many do not have an effect. It is important for us to separate a total patient group into subgroups according to their genetic profile. This is very exciting for New Methods!” Spreng commented.

Urgent lack of resources

The Norwegian health service faces a lack of resources and personnel, according to an investigation by the Health Personnel Commission in 2022. Gro Live Fagereng, Coordinator Precision Cancer Medicine at Oslo University Hospital, agreed this is a major challenge:

“We have limited time and finances in the health service, so we must prioritise the available resources. Both personalised medicine and research in general form the basis for making the best priorities. We need to invest in research to make the most of our resources. I hope and believe we will have a more systematic and learning health service in the future; that we will learn more from patients, so we can update treatments and make better priorities.”

Åsmund Flobak, oncologist at St. Olavs Hospital, explained how personalised medicine enables us to learn from patients:

“Traditionally, we have treated patients on a group level, but we know that patients are different; some respond and some do not. The goal is to find out which biomarkers relate to which treatments. We have worked to establish publicly financed precision diagnostics through InPreD and we give patients precision treatment through IMPRESS. A third of us will at some point get cancer, so we must implement better treatments.”

Watch this video (in Norwegian) to understand personalised medicine:

Health economists also agree that this strategy can help to save resources.

“When a patient gets the right treatment, you avoid giving a treatment that doesn’t work well enough first and there are fewer side effects. The consequence is less use of resources in the health service and we can live better lives,” commented Erik Magnus Sæther, Partner at Oslo Economics.

Public-private collaboration needed

Karoline Knutsen, Manager Market Access at Legemiddelindustrien (LMI), said that the vision for the future looks grim:

“The number of people of working age will decrease, while there will be more elderly in need of health services. We will see more chronically ill people with complex diseases. We believe new technologies and treatments are part of the solution, so more of us can keep working. The success of implementation of personalised medicine relies not just on financial investments, but also on contributions from many key players and stakeholders. Everyone must sit around the same table.”

CONNECT was set up to be that table, as a public-private consortium driving the implementation of precision cancer medicine in Norway. Since 2020, CONNECT has gathered 30 partners, including industry, patient organisations, university hospitals and several governmental institutions.

“We need to nurture this collaboration, develop it and use it in more areas,” commented Thomas Axelsen, Head of Politics at the Norwegian Cancer Society. “Personalised medicine in cancer needs to happen, no matter what. It is just about how fast we want it to happen. If we do it faster, we can save patients’ lives.”

Political ambitions

The government’s ambition is also high in this area, as seen in the Strategy for Personalised Medicine launched in January 2022.

“Personalised medicine should be an integrated part of the specialist health service. We need to develop the health service in a way that maximises value creation, both for the individual and for society as a whole,” said Truls Vasvik, State Secretary of the Ministry of Health and Care Services.

“Our doors are always open. We need to talk together about the development of competences, research and new price models; how we can get documentation of small patient groups and single treatments with uncertain long-term effects,” added Vasvik.

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