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The Organizational Strength Behind Notable Labs

Conor Prendergast • July 29, 2024

Notable Labs is a biotech startup on a mission to validate its name, and make notable waves in the way cancer is treated. It traces back to the moving story of founder Matthew De Silva, an investment analyst turned biotech entrepreneur after his father was diagnosed with glioblastoma, an extremely aggressive brain cancer that has limited options for treatment. 


De Silva was frustrated by the lack of treatment options, as well as the approach to selecting a cancer treatment. In 2014, he decided to create the change he wanted to see in healthcare, aiming to create a company that could leverage data and technology to identify the most effective treatments, and create an individualized care plan for each patient, heralding the era of precision medicine. 


De Silva saw an opportunity to apply his background in finance and investment, and teamed up with physician-scientist Dr. Thomas Bock, whose extensive background in hematology/oncology provided the medical acumens for De Silva to establish Notable Labs in 2014. The goal of the newborn company was to develop a platform that utilized  data science to rapidly test and identify the best existing drugs for each individual cancer patient’s disease, thereby creating personalized precision medicine and improving treatment outcomes. 


Meet The People Behind Notable Labs


The company is notable not only for its product and mission, but also for its people. In addition to founder Matthew De Silva and CEO Dr. Thomas Bock, the team also includes several other esteemed individuals, each of them uniquely qualified to help guide Notable Lab’s growth to success and deliver its mission. 


Dr. Joseph Wagner joined in 2020 as the Chief Scientific Officer in 2020, bringing nearly 20 years of biotech experience to Notable, ensuring the company’s scientific approach remains at the forefront of innovation. 


Dr. Glenn Michelson joined in 2023 as Chief Medical Officer, bringing his 25 years of pharmaceutical experience to Notable, where he oversees clinical trials and clinical development. 


Scott McPherson is the company’s Chief Financial Officer, having founded his own company in 2005 and holding CFO positions in various environmental, cybersecurity, and biotech companies. 


Michele Galen is a Board Director, bringing ample experience as Chief Communications Officer at previous pharmaceutical companies including Novartis, Shire Pharmaceuticals, and Cardax, as well as global public relations.


Peter Feinberg is a Board Director, with decades of experience in financial services. He founded his own biotechnology company in 2020, Sporos Bioventures, with a similar mission of revolutionizing the cancer drug development process; in 2014, he founded his previous company BridgeBio Pharma, with the goal of focusing on genetic disease therapy. 


Michael Rice is a Board Director seasoned in portfolio management, investment banking, and capital markets. He also serves on the board of directors for VBL, 9 Meters Biopharma, and Navidea Biopharmaceuticals. 


Thomas Graney is a Board Director with ample experience in commercial strategy and supply chain management, having served as CEO of Oxurion NV and previously as the CFO of Vertex Pharmaceuticals, Ironwood Pharmaceuticals, and Generation Bio. He also serves as a board member of the Audit Committee of Mogrify. 


Tuomo Pätsi is a Board Director bringing 30 years of experience in biotech as an advisor. He was instrumental to multiple strategic deals, including the integration of Celgene and Bristol-Myers-Squibb Company. 


Thomas I. H. Dubin is a Board Director and pharmaceutical executive and attorney. He has served as an advisor and board member to Warner-Lambert Company, and is currently Executive Chair of Cellphone Therapeutics, Norwalk Hospital, and was the Chief Legal Officer of Alexion Pharmaceuticals. 


The company is headquartered in Foster City, California, and boasts a team of over 30 esteemed scientists and engineers. Notable Labs has partnered with multiple renowned hospitals across the United States to better treat cancer, including MD Anderson, Stanford, University of California San Francisco, and Seattle Children’s Hospital. 


Notable Lab’s Drug Selection Process


At the heart of Notable Labs’ approach to precision medicine is its proprietary drug screening platform, called the Precision Predictive Medicine Platform (PMPP). It is designed to automate and expedite the rapid testing of numerous drugs on each patient’s cancer cells. 


When a surgeon or radiologist takes a sample of the patient’s cancer cells in a biopsy, it’s then shipped to Notable Labs where robotic automation technology tests the cancer cells against a vast library of FDA-approved drugs, as well as treatments in clinical trials and under investigation. The cancer cells are cultured and tested with these drugs; the results are then analyzed and quantified by how many cells the drugs killed or inhibited. Sophisticated machine learning algorithms help identify the most promising drugs for that patient’s cancer treatment, and the results are used to generate a report, which gets sent back to the patient’s physician for consideration into their treatment plan. 


The key advantage of Notable’s automated, data-driven approach is the patient-specific context. Live cells derived from the patient’s cancer cells are used in the analysis, so the results of the testing are tailored to the genotype, not a generic cell line that might be used in other labs. This allows Notable to identify the treatments most likely to be effective, and with great confidence given the exhaustive number of drugs tested. Therefore, physicians can focus on the drugs that will most likely work and avoid drugs that probably won’t, yielding better outcomes for the patient and saving time and costs on healthcare. This is the ultimate example of personalized medicine, and its application to cancer is just the beginning of an exciting new chapter in medicine and biotechnology. 



Conclusion


Notable Labs stands at the forefront of personalized cancer treatment, driven by a passionate and dedicated team, innovative technology, and a commitment to improving patient outcomes. The company's founding story, rooted in a personal quest to find better cancer treatments, has evolved into a pioneering effort to revolutionize oncology care. By leveraging advanced drug screening technologies and a patient-centric approach, Notable Labs is poised to make significant strides in the fight against cancer, offering hope and new possibilities for patients worldwide.



About the Author


Conor is a fourth-year medical student at New York Medical College, with a strong interest in cancer, radiology, and medical research. He is also an avid writer, having published articles in science magazines like Discover, multiple papers in medical journals, and is also a freelance general copywriter for healthcare, technology, and business websites. He has a BS from Muhlenberg College, an MS from New York Medical College, and will earn his MD in 2025.



Disclaimer


The content of these blogs reflects the research and opinions of the individual authors and does not necessarily represent the views or positions of Notable Labs or its affiliates. The information provided is for educational and informational purposes only and should not be construed as medical, legal, or financial advice.


Notable Labs makes no representations as to the accuracy, completeness, or validity of any information in these blogs and will not be liable for any errors, omissions, or any losses, injuries, or damages arising from their use.


These blogs may reference third-party research, studies, or resources. Notable Labs does not endorse or assume responsibility for the content or practices of these third parties. Any reliance on the information provided is at the reader's own risk.


For biotechnology and pharmaceutical content, note that ongoing research and clinical trials may change the context and results discussed. Always refer to the latest research and guidelines from reputable sources.

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Specifically, Notable was involved in conducting ex vivo experiments on peripheral blood mononuclear cells (PBMCs) isolated from the blood samples of non-APL AML patients. Harnessing the power of high-throughput flow cytometry, these experiments revealed that a 72-hour ex vivo exposure of PBMCs to tamibarotene upregulates various markers of myeloid cell differentiation, including the RARα pathway target CD38. Importantly, treatments that can promote myeloid cell differentiation are known to be effective against some subtypes of AML. Therefore, by testing a patient’s blood sample using Notable’s ex vivo approach, it is possible to predict whether the patient is likely to respond well to tamibarotene in monotherapy and combination therapy. Indeed, Notable’s ex vivo assay became one of the strategies Syros adopted when screening patients for enrolment in the phase II clinical trial of tamibarotene (alone as well as in combination with azacitidine). Market Challenges Currently, cancer treatment – and thus, the oncology market as a whole – is faced with a three-pronged challenge. There are millions of non-responders who are not benefiting from chemotherapeutic drugs, thousands of compelling drugs that need to be shelved because of perceived non-response, and hundreds of promising candidate drugs that are struggling to navigate the drug development pipeline. Notable Labs is committed to resolving these challenges through its successfully tested predictive precision medicine pipeline, a significant application of which was demonstrated during the Syros clinical trial.  Notable Labs’ commitment is also one of the reasons why it has decided not to commercialize the combination therapy technology immediately. Notable wants to focus on refining the technology further, expanding its applications, and ensuring that it integrates seamlessly into existing healthcare systems. The company aims to develop more sophisticated prediction models and address regulatory and logistical challenges. This approach will help make Notable's technology accessible to a broader patient population, maximizing the life-saving potential of predictive diagnostics as well as combination therapy. Broader Applications The high-throughput nature of Notable’s ex vivo flow-cytometry-based predictive precision medicine pipeline has helped identify many powerful drug combinations to treat other cancers such as juvenile myelomonocytic leukemia. This pipeline also has great potential for identifying effective drug combinations and guiding patient enrolment in clinical trials of combination therapies for other cancers, including solid tumors. In the case of solid tumors, the Notable pipeline’s blood samples for ex vivo testing could be replaced by biopsy samples, circulating tumor cells, pleural effusion, or ascites, among other sampling options. Founding Story Notable’s CEO, Dr. Thomas Bock (MD, MBA), has ensured that the company is well-positioned to transform combination therapy for cancer. For decades, our CEO has worked on multiple dimensions of oncology, including precision medicine, prevention of inherited cancers, and cancer vaccines. At Notable, Dr. Bock combines his medical and business training to accomplish the company’s mission of dramatically improving patient outcomes and the success, speed, and cost of developing new medicines. Strength of the Board of Directors Notable’s esteemed Board of Directors boasts of more than 150 years of combined professional experience in premier life science companies. Our board members excel in medicine (Dr. Bock), pharmacology (Mr. Tuomo Pätsi), business (Dr. Bock), finance (Mr. Michael Rice, Mr. Peter Feinberg, Mr. Thomas Graney), media communications (Ms. Michele Galen), and law (Mr. Thomas Dubin), fostering a vibrant and eclectic environment for Notable to thrive. This diverse team of bona fide giants from the pharmaceutical and biotechnology sectors is set to efficiently guide Notable Labs on its path to success in combination therapy and beyond. Conclusion Combination therapy for cancer, aided by predictive methods, could significantly improve patient outcomes while also broadening the population of patients who can benefit from a given drug combination. Leading the charge in this direction, Notable Labs’ predictive precision medicine pipeline boasts of massive potential to not only identify effective drug combinations for combination therapy, but also guide patient enrolment in clinical trials through predictive screening. Moving ahead, Notable’s technology is set to transform the treatment of multiple types of cancer by ensuring positive patient outcomes of personalized combination therapies in shorter times and at lower costs. Additional Data Points AML statistics (American Cancer Society): estimated 20,800 new diagnoses and 11, 220 deaths in the US in 2024. Success stories and collaborations in the field of combination therapy: Notable’s collaboration with Syros to develop a predictive test for patient response to monotherapy and combination therapy. Potential impact on cancer treatment outcomes: Combination therapy, aided by predictive methods, has the potential to enhance patient outcome while also broadening the population of patients who can benefit from a given combination of drugs. Future directions for research and development: AML treatment strategies must pivot towards personalized/precision medicine because of overwhelming heterogeneity of the disease. References Combination therapy in combating cancer . (2017). Oncotarget Notable’s collaboration with Syros . (2017). Notable Labs + Syros Differentiation therapy for myeloid malignancies: beyond cytotoxicity . (2021). Blood Cancer Journal New strategies to treat AML: novel insights into AML survival pathways and combination therapies . (2021). Leukemia Precision oncology using ex vivo technology: a step towards individualised cancer care? . (2022). Expert Reviews in Molecular Medicine Targeting RARA overexpression with tamibarotene, a potent and selective RARα agonist, is a novel approach in AML . (2023). Blood Advances Notable Labs’ JMML data . (2023). Notable Labs Key statistics for acute myeloid leukemia (AML) . (2024). American Cancer Society About the Author Dr. Anjaney Kothari is a scientific writer and researcher with a decade of experience in biomedical research. He completed his Ph.D. in Biomedical Engineering from Virginia Tech (USA) in 2019, developing and characterizing holistic in vitro and ex vivo models of hepatic and gastrointestinal toxicity. He has since been working as a freelance writer and researcher for companies operating in diverse niches, including biotechnology and biopharmaceuticals. Disclaimer The content of these blogs reflects the research and opinions of the individual authors and does not necessarily represent the views or positions of Notable Labs or its affiliates. The information provided is for educational and informational purposes only and should not be construed as medical, legal, or financial advice. Notable Labs makes no representations as to the accuracy, completeness, or validity of any information in these blogs and will not be liable for any errors, omissions, or any losses, injuries, or damages arising from their use. These blogs may reference third-party research, studies, or resources. Notable Labs does not endorse or assume responsibility for the content or practices of these third parties. Any reliance on the information provided is at the reader's own risk. For biotechnology and pharmaceutical content, note that ongoing research and clinical trials may change the context and results discussed. Always refer to the latest research and guidelines from reputable sources.
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