Who we are
Co-founded by Mayo Clinic, OneOme is a Minneapolis, Minnesota-based precision medicine company focused on bringing high-quality pharmacogenomics (PGx) into patient care. We truly believe that PGx holds the potential to make a positive, appreciable difference in the lives of patients, and we work closely with our partners to help realize these benefits across the healthcare ecosystem. The OneOme team is guided by our vision, mission, and company values. These are more than words in an employee handbook, they are the principles that drive our decisions and shape our organizational strategy.
OneOme complies with all applicable ethics laws and is committed to maintaining high ethical standards in our business. For more information on our ethics and compliance program, and how to report a suspected violation using our Integrity Hotline, view our Code of Conduct.
The latest news from OneOme
Tabula Rasa HealthCare and OneOme Combine Powerful Precision Medication Tools to Improve Medication Safety, Efficacy and Adherence
MOORESTOWN, N.J., April 15, 2021 /PRNewswire/ -- Tabula Rasa HealthCare, Inc® (TRHC) (NASDAQ: TRHC), a leading healthcare technology company advancing the safe use of medications, today announced it has partnered with OneOme, co-founded by Mayo Clinic, a provider of solutions for implementing pharmacogenomics (PGx) in patient care to advance more optimal patient outcomes.
The partnership will combine OneOme's RightMed® Test and Interpretation Solutions with the deep pharmacy science of TRHC's medication decision support tool MedWise®. The introduction of MedWise increases the value of traditional PGx testing and interpretation services by considering the impact that external factors, such as other medications and certain imflammatory diseases, have on the expression of genes. It also allows PGx results to inform the safety of an entire medication regimen, going far beyond the traditional single drug-gene pair assessment, a property unique to MedWise®. Such synergy will help create better outcomes for patients and when patients experience better health outcomes, patients, providers and payors see more value for their healthcare investment.
PGx analysis provides important clinical insights into specific genes that may affect how a patient's body interacts with certain medications. Inherited variances in these genes can affect how a patient's body metabolizes, transports or responds to medication. In many instances, these variances can help clinicians inform prescribing decisions that may improve patient care and reduce adverse drug events – for example medication selection or dosing adjustments. However, several factors may influence the accuracy of genomic predicted drug response and influence how a body interacts with medications. TRHC's MedWise provides clinicians with more clarity on how certain diseases and other medications can influence drug response than a PGx analysis alone.
According to TRHC Chief Scientific Officer and CEO of Precision Pharmacotherapy Research and Development Institute, Jacques Turgeon, PhD, "Considering a patient's genetically-derived phenotype alone is not always sufficient for clinicians to adequately assess drug response. Other factors, such as disease state or the administration of other drugs leading to multi-drug-gene interactions, also should be considered."
"We are excited to partner with a forward-looking organization like Tabula Rasa HealthCare," said OneOme CEO Patrick McIntyre. "This collaboration represents a major opportunity to advance precision prescribing across the care continuum and further prove the utility and value of pharmacogenomics in combination with leading medication management technologies like MedWise."
"OneOme's pharmacogenomic testing services have undergone the scrutiny of Tabula Rasa's Precision Pharmacotherapy Research & Development Institute and were determined to meet the very high standards we set for lab partners," said TRHC Chairman and CEO Calvin H. Knowlton, PhD. "The additive power of combining OneOme's RightMed Test with TRHC's MedWise technology will bring more precision pharmacotherapy opportuntinities to our partners in Programs of All-inclusive Care for the Elderly (PACE) organizations and beyond."
About Tabula Rasa HealthCare
Tabula Rasa HealthCare (NASDAQ: TRHC) provides medication safety solutions that empower healthcare professionals to optimize medication regimens and reduce medication-related risk, specifically targeting adverse drug events. TRHC's technology solutions, including DoseMeRx™ and MedWise™, improve patient outcomes, reduce hospitalizations, and lower healthcare costs. TRHC's extensive clinical tele-pharmacy network improves care for patients nationwide. Its solutions are trusted by health plans and pharmacies to help drive value-based payment results. For more information, visit TRHC.com.
OneOme offers stakeholders across the healthcare industry high-quality, end-to-end solutions for implementing pharmacogenomics in patient care – from individual testing to population-level analytics to laboratory software support. Co-founded by Mayo Clinic, OneOme combines leading-edge laboratory testing, advanced analytics, and clinical decision support solutions designed to help reduce the total cost of care and improve patient outcomes. OneOme serves customers across the globe from its Minneapolis, MN headquarters. For more information, visit oneome.com.
This press release includes forward-looking statements that we believe to be reasonable as of today's date, including statements regarding Medication Risk Mitigation technology. Such statements are identified by use of the words "anticipates," "believes," "estimates," "expects," "intends," "plans," "predicts," "projects," "should," and similar expressions. These forward-looking statements are based on management's expectations and assumptions as of the date of this press release. Actual results might differ materially from those explicit or implicit in the forward-looking statements. Important factors that could cause actual results to differ materially include: the need to innovate and provide useful products and services; risks related to changing healthcare and other applicable regulations; increasing consolidation in the healthcare industry; managing our growth effectively; our ability to adequately protect our intellectual property; and the other risk factors set forth from time to time in our filings with the SEC, including those factors discussed under the caption "Risk Factors" in our most recent annual report on Form 10-K, filed with the SEC on February 26, 2021, and in subsequent reports filed with or furnished to the SEC, copies of which are available free of charge within the Investor Relations section of the TRHC website http://ir.trhc.com or upon request from our Investor Relations Department. Any forward-looking statement speaks only as of the date on which it was made. TRHC assumes no obligation and does not intend to update these forward-looking statements, except as required by law, to reflect events or circumstances occurring after today's date.
Walgreens Boots Alliance subsidiary Alliance Healthcare launches pharmacogenomics as an employee benefit, powered by OneOme
The RightMed Test offers Alliance Healthcare employees a path to more personalized prescriptions.
Minneapolis, MN and 's-Hertogenbosch, Netherlands (November 13 2020) – OneOme, LLC today announced a new agreement with Alliance Healthcare Netherlands (a subsidiary of Walgreens Boots Alliance) to provide pharmacogenomic testing via the RightMed Test to Alliance Healthcare employees and immediate family members. This agreement builds on the pilot program announced last year that brought the RightMed Test to Boots and Alphega Pharmacy locations throughout the Netherlands.
Alliance Healthcare Netherlands decided to start a pilot in order to gain a better understanding of the crucial role that pharmacogenetic tests can play in advising appropriate medication for different conditions. Alliance Healthcare is excited to extend the test, as part of the pilot, to the company's own employees.
Pharmacogenomics (PGx) is the study of how DNA may affect individual response to medications. PGx testing analyzes a patient's DNA to give doctors and pharmacists information that may help them optimize medication selection for that patient, minimize trial and error in the prescribing process, reduce potential healthcare costs and decrease the likelihood of adverse drug reactions.
The first analysis of the test carried out by Dutch Alphega and Boots pharmacies, showed that one in three patients who had the pharmacogenetics test carried out in consultation with the doctor had their medication adjusted.
“We see this as an opportunity to bring the vast benefits of pharmacogenomic testing to our employees, as well as offering a unique and valuable benefit to aid in talent acquisition and retention,” said Manuel Voll, Commercial Director. “We’ve already seen how well we work with OneOme, so they were the obvious choice for this program.”
As part of the program, the RightMed Test will be available to more than 1,500 Netherlands-based Alliance Healthcare employees. Employees will provide a DNA sample using a simple cheek swab, which will be processed in OneOme’s CLIA-regulated lab in Minnesota, United States. Within seven days, they will receive their results via OneOme’s secure portal.
“Alliance Healthcare is a forward-thinking organization, and we are excited to embark on this next step in our relationship with them,” said Patrick McIntyre, CEO at OneOme. “Genomic benefits are the next frontier in employee benefit offerings, and I expect that organizations across the globe will soon follow in Alliance Healthcare’s footsteps."
OneOme offers stakeholders across the healthcare industry high-quality, end-to-end solutions for implementing pharmacogenomics in patient care. Central to OneOme’s portfolio of solutions is the RightMed Test, which analyzes 27 genes to provide valuable information doctors and pharmacists can use in prescribing or medication management. Co-founded by Mayo Clinic, OneOme combines leading-edge laboratory testing with advanced analytics designed to help reduce the total cost of care and improve patient outcomes. OneOme serves customers across the globe from its Minneapolis, MN headquarters. For more information, visit oneome.com.
About Alliance Healthcare
Alliance Healthcare Netherlands is a versatile company in the entire pharmaceutical care chain from producer to consumer. This unique position enables Alliance Healthcare to integrate the various needs of stakeholders within the chain and thus arrive at innovative solutions. The health and well-being of customers is the companies connecting factor. By forming strategic partnerships, Alliance Healthcare guarantees the quality of the care and the optimal support of the customer. Cooperation is the companies key to success.
Internationally leading brand Alliance Healthcare Nederland is part of the Walgreens Boots Alliance. Walgreens Boots Alliance is present in more than 25* countries, employs more than 450,000 people and has more than 21,000 stores, delivering to more than 250,000** pharmacies, doctors, health centers and hospitals each year in more than 20* countries. Alliance Healthcare is the market leader in Europe.
* As of Aug. 31, 2020, including equity method investments.
**For 12 months ended Aug. 31, 2020, including equity method investments
OneOme comments on FDA’s Table of Pharmacogenetic Associations
As a leader in the pharmacogenetics (PGx) space, OneOme believes this is a positive step toward achieving consensus evidentiary standards for PGx testing. Our intent in providing the following comments was to help move toward this consensus by offering constructive feedback using our team’s extensive experience in evaluation of PGx evidence and our practical knowledge of how clinicians use PGx testing in patient care.*
OneOme appreciates FDA's move to further precision medicine as well as the opportunity to review and provide feedback on the Table of Pharmacogenetic Associations. The following comments are intended to promote development and consensus around evidentiary standards and best practices in pharmacogenomics ("PGx").
- OneOme requests FDA publish the level of evidence criteria that was required for inclusion in each of Tables 1, 2 and 3, including requirements around demographics and in vitro and in vivo data, as well as how FDA assessed and reconciled limitations of the studies reviewed. Clarifying how FDA defines "sufficient scientific evidence" will help healthcare practitioners evaluate lab-developed PGx tests and laboratories assure their gene-drug associations meet FDA's standards.
- OneOme recognizes the challenges large organizations and regulatory agencies have in maintaining updates to their publications every time new, impactful research is published. However, citations are important to help providers understand what information was considered by FDA and therefore reconcile any differences between new or other existing data that may be applicable to patient care and the practice of medicine.
- OneOme has concerns that the lack of transparency around criteria for inclusion and absence of specific guidance from FDA related to PGx abrogates the clinical utility of this table. Moreover, it is likely that this will be misinterpreted by patients and providers as FDA's official guidance on PGx testing.
Critical omissions: Phenytoin and HLA-B*15:02 and CYP2C9
Phenytoin (PHT) is metabolized by CYP2C9. Studies have associated the *3 allele with increased risk of severe cutaneous adverse reactions, particularly in patients of Chinese and Thai descent. Poor CYP2C9 metabolism of phenytoin is associated with increased plasma concentrations and probability of toxicity. The Clinical Pharmacogenetics Implementation Consortium (CPIC) and Dutch Pharmacogenetics Working Group (DPWG) have published specific guidelines regarding this association.1,2 In addition, CPIC, FDA, and the Canadian Pharmacogenomics Network for Drug Safety (CPND) noted that presence of the HLA-B*15:02 allele is associated with the risk of developing Stevens-Johnson Syndrome (SJS)/Toxic epidermal necrolysis (TEN).1,3,4 The high frequency of HLA-B*15:02 in Chinese, Thai, Taiwanese, and Indonesian populations (4%-36%) means it is important to note the risk of PHT-associated SJS/TEN in patients carrying this allele.
Confusing category assignments
FDA presented three tables, describing only the first as being supportive of therapeutic management recommendations. The rationale and practical implications of FDA's categorical divisions are unclear at the outset and become more so when, for example, citalopram and escitalopram are categorized separately, in Tables 1 and 3, respectively.
Citalopram is a racemic mixture in which the S-enantiomer, escitalopram, is the active component (167x more active than the R-enantiomer4) and favored target of CYP-mediated metabolism (CYP2C19, -3A4, and -2D6).5,6 Given the adverse drug event (ADE) and efficacy data available for citalopram, the pharmacokinetic data alone, which FDA acknowledges by inclusion of escitalopram in Table 3, should be sufficient to support the use of CYP2C19 PGx in therapeutic management with escitalopram and thus its inclusion in Table 1. The FDA tables also note only the likelihood of increased systemic drug concentrations in poor metabolizers but ignore the substantial data available indicating the likelihood of reduced systemic drug concentrations and lack of efficacy in rapid and ultrarapid metabolizers (carriers of CYP2C19*17).2,7-9
The confusion lies with the implication that the contents of Table 3 have less supporting evidence than those in Table 1. The case of citalopram/escitalopram belies this demarcation, because the racemic mixture of R and S citalopram is comprised of 50% escitalopram. Given the level of data supporting increased ADE risk with the racemic mixture demonstrated by FDA's inclusion of citalopram in Table 1, additional in vivo studies of escitalopram would unnecessarily expose human subjects to increased risk without demonstrable benefit.
As FDA works on future drafts of the Table of Pharmacogenetic Associations, OneOme offers the following recommendations:
- Collaborate with PGx experts in academia, industry, pharmacy, and clinical practice to achieve consensus on criteria and level of evidence for documented PGx associations.
- Develop and share information on the timelines for reviewing new evidence and schedule for updating the Table.
- Publish draft guidance for PGx testing to clarify how this table fits into FDA’s future plans regarding PGx.
- CPIC®. Guideline for Phenytoin and CYP2C9 and HLA-B. https://cpicpgx.org/guidelines/guideline-for-phenytoin-and-cyp2c9-and-hla-b/ Accessed 2/27/2020.
- Dutch Pharmacogenomic Working Group. Dutch guidelines, November 2018 update. https://api.pharmgkb.org/v1/download/file/attachment/DPWG_November_2018.pdf Accessed 2/27/2020.
- FDA. Dilantin (phenytoin sodium) package insert: https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/084349s060lbl.pdf Accessed 2/27/2020.
- FDA. Celexa (citalopram) package insert: https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/020822s038s040,021046s016s017lbl.pdf Accessed 2/27/2020.
- von Moltke, Lisa L., et al. "Citalopram and desmethylcitalopram in vitro: human cytochromes mediating transformation, and cytochrome inhibitory effects." Biological psychiatry 46.6 (1999): 839-849.
- Olesen, Ole V., and Kristian Linnet. "Studies on the stereoselective metabolism of citalopram by human liver microsomes and cDNA-expressed cytochrome P450 enzymes." Pharmacology 59.6 (1999): 298-309.
- CPIC®. Guideline for Selective Serotonin Reuptake Inhibitors and CYP2D6 and CYP2C19. https://cpicpgx.org/guidelines/guideline-for-selective-serotonin-reuptake-inhibitors-and-cyp2d6-and-cyp2c19/ Accessed 2/27/2020.
- Rudberg, I., et al. "Impact of the ultrarapid CYP2C19* 17 allele on serum concentration of escitalopram in psychiatric patients." Clinical Pharmacology & Therapeutics 83.2 (2008): 322-327.
- Mrazek, David A., et al. "CYP2C19 variation and citalopram response." Pharmacogenetics and genomics 21.1 (2011): 1.
*Note: Due to commenting platform constraints, the comments presented here include minor changes to formatting. References have also been included as part of the comments rather than listed in a separate reference sheet as they are on the docket.
People of OneOme
Patrick McIntyre — Chief Executive Officer
Patrick joined OneOme as Chief Executive Officer in July 2019. Patrick has more than 25 years of healthcare experience, the vast majority of which has been in leadership roles over advanced analytics, healthcare economics, clinical informatics, and medical finance in national and regional payer organizations. He has built and led industry-leading analytics capabilities at UnitedHealthcare/Optum, Anthem, and Aetna. Patrick received his MBA from Winthrop University and his BBA from Texas Tech University. He is a former Certified Public Accountant in South Carolina, and he served for 5 years on active duty in the United States Marine Corps.
Gerry Cole — VP, Business Development for Provider Markets
As OneOme’s VP, Business Development for the US Provider Market, Gerry provides overall leadership and strategic direction for new business development in the markets while maintaining and growing existing client relationships. He is responsible for the national business development and sales activities for targeted health systems, Accountable Care Organizations, academic medical centers, hospitals, physician groups, other provider organizations, and related channel partners in the U.S. He is also responsible for driving new product opportunities and the expansion of OneOme’s core offerings in the market. Gerry is a seasoned sales and marketing executive with over 20 years of strong leadership skills in the healthcare industry, with domestic and international management experience in sales, marketing, organizational transformation, product launches, strategy development and global execution.
Jamie Dupris — Senior Director of Finance
Jamie joined OneOme as the Senior Director of Finance in February 2021. Jamie has more than 20 years of accounting and finance experience. The majority of Jamie’s career involves leading financial planning and analysis activities, improving business processes and driving financial strategy. Prior to joining OneOme, she was employed by Anthem for four years. Jamie holds an MBA from Saint Cloud University and a BBA from Capella University.
Bernard Esquivel, MD, PhD — Chief Medical Officer
As OneOme’s International Chief Medical Officer, Dr. Esquivel serves as subject matter expert and clinical and scientific resource in pharmacogenomic testing - ensuring awareness and understanding as well as expediting account adoption and international growth. He oversees OneOme's clinical development and laboratory teams, clinical trials, and scientific communication, and he also leads OneOme's global regulatory efforts. Dr. Esquivel is a practicing physician-scientist, senior executive, and international business leader focused on developing the genomics and precision medicine space over the past ten years. He is a clinical immunologist by training (UNAM) and received a postgraduate degree in Medical Genetics as well as a Ph.D. in Immunogenetics (Valencia). His passion for advancing the global clinical implementation of precision medicine is evident through his involvement with multiple genomics and pharmacogenomics organizations around the world, including having founded the Latin American Association of Personalized Medicine.
Sean Handel — Chief Product Officer
Sean joined OneOme as Chief Product Officer in April 2021. Sean has more than 20 years of healthcare and technology experience, with executive roles in healthcare technology companies such as Epocrates and Proteus Digital Health. Both were early pioneers in digital health with a focus on improving how medications are prescribed by physicians and used by patients. Sean has also held product and marketing roles in a number of enterprise software and software-as-a-service companies. Sean received both a BA and Master of Science in Computer Science with a focus on artificial intelligence from Northwestern University.
George Karageorgos — VP, Business Development for U.S. Payer Markets
George joined OneOme as the Vice President of Business Development for the U.S. Payer Market. George has over 18 years of healthcare experience, with the vast majority of his time spent in software and analytics, both with Payers and Providers. His most recent experience was commercializing and developing oncology platforms for TEMPUS. Before that, George was a proven sales leader with companies such as NantHealth Inc., Navient Inc., and Teradata Corporation. George has his BA from Bentley University and holds an MBA and a Master’s in Public Health from the University of Massachusetts Amherst.
George McNulty — Chief Technology Officer
George brings more than 20 years of experience leading technology development, operations and programs within healthcare, government and financial services organizations, including extensive product development and marketing efforts. George has more than 10 years’ experience as a CIO/CTO, most recently serving as Chief Information Officer at Celere Health, where he focused on the convergence of remote patient monitoring, telehealth and patient engagement. He also previously served in CIO roles for UnitedHealth Group, Uniphy Health and Aetna.
Steve Quinn — VP, Business Development for International Markets
As OneOme’s VP, Business Development for International Markets, Steve provides overall leadership and strategic direction for new business development in the international markets while maintaining and growing existing international client relationships. Steve has extensive experience in introducing new technologies to international markets through collaborations and team building with key opinion leaders. His commercial experience spans both medical devices and molecular genetics and includes 20 years of experience working for a leading diagnostics company where he held a number of senior leadership positions around the globe. He is also a former medical technologist, with several years’ experience working for the United Kingdom National Health Service. Steve holds multiple qualifications in medical sciences, business and finance, and he has also completed numerous courses in executive development.
Tanya Rylee — Chief Administrative Officer
Prior to joining OneOme, Tanya worked at Anthem, Inc. for almost six years in executive roles focused on strategy, planning, and process improvement. Previously, she was employed by UnitedHealth Group for 11 years, where she worked within the areas of program and project management and served as chief of staff for Quality Management and Performance. In 2016, she was honored as one of the 51 Women in Business award winners by the Minneapolis/St. Paul Business Journal. Tanya holds a B.S. in Dietetics and a minor in Psychology from the University of North Dakota and a M.B.A. degree from Webster University.
Mayo Clinic Co-founders
John L. Black III, M.D. — Mayo Clinic, Co-Founder OneOme
John L. Black III, M.D. is one of the co-founders of OneOme and also a consultant in the Division of Clinical Biochemistry and Immunology with a joint appointment in the Department of Psychiatry and Psychology at Mayo Clinic in Rochester. He joined the staff of Mayo Clinic in 1985 and is currently the co-director of the Personalized Genomics Laboratory. He received his B.A. and M.S. in psychology from the University of Wyoming. He received his M.D. (cum laude) from Creighton University School of Medicine. He is board certified in general, geriatric, and addiction psychiatry and is a clinical chemist.
Liewei Wang, M.D., Ph.D. — Mayo Clinic, Co-founder OneOme
Dr. Wang is a professor in the Department of Molecular Pharmacology and Experimental Therapeutics (MPET) at Mayo Clinic Rochester. Her research involves the application of high-throughput "omics" technologies to identify biomarkers that might help us individualize cancer therapies, understand mechanisms of drug action, and facilitate target identification and drug development. She is also a co-leader of the Mayo Pharmacogenomics Program within the Mayo CIM, where many of the projects involving personalized medicine have been conducted. She is the co-PI for the Mayo-NIH clinical pharmacology T32 training grant and the Associate Director for the Mayo MPET graduate program.
Richard Weinshilboum, M.D. — Mayo Clinic, Co-founder OneOme
Dr. Weinshilboum received B.A. and M.D. degrees from the University of Kansas, followed by residency training in internal medicine at the Massachusetts General Hospital. He was also a pharmacology Research Associate at the National Institutes of Health (NIH). He began his affiliation with the Mayo Medical School and Mayo Clinic in 1972, where he is presently Professor of Pharmacology and Medicine and Mary Lou and John H. Dasburg Professor of Cancer Genomics Research. He currently directs the Pharmacogenomics Program of the Mayo Center for Individualized Medicine and is co-Principal Investigator of the long-standing US NIH Pharmacogenomics Research Network Center at the Mayo Clinic.
OneOme was named one of the World's 50 Most Innovative Companies for 2018 by Fast Company:
#22 overall and #2 in biotech.