Team:Vilnius-Lithuania/Entrepreneurship

SUPPORTING ENTREPRENEURSHIP

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Introduction

This year our team developed probiotics and a rapid diagnostic test - tools that could reduce the prevalence of widespread infectious disease known as amebiasis. However, to make a real difference, our products need to enter the market and reach those communities that our solution can help the most. For this reason, we looked at our project from the entrepreneurial perspective and created a business plan for AmeBye. As a future start-up company with no previous experience in the life sciences sector, we focused mainly on the market entry of a diagnostic test. We aim to release genetically modified probiotics after diagnostic test entry, as this requires further development for enhanced efficiency and longer period for clinical trials.

You can take a look at the business plan itself below or read a brief overview of the most fundamental aspects.

Market research

Potential customers

In order to make our diagnostic test applicable and impactful, we need to define our target audience. Then we can strategize on how to reach them effectively. We have singled out four main groups of potential customers:

Locals Our customers are people living in tropical regions where the prevalence of the infection has the highest rates. Our test is rapid, cheap, specific, and the only one on the market that can be used by people without medical or scientific education. For this reason it could be bought by anyone at a local pharmacy and used to obtain quick results in order to receive the needed treatment as soon as possible.
Hospitals and clinics Usually people with serious symptoms are hospitalized. For this reason, efforts are made to determine the cause of the disease as quickly and accurately as possible so that special treatment can be prescribed. As we were trying to better understand the problem of amebiasis diagnostics, we spoke with several infectious disease physicians both in Lithuania and in the regions of amebiasis prevalence (Egypt, Mexico). They jointly agreed that quick and specific results generating tests would be extremely beneficial, and applicable in hospitals, for the rapid and accurate diagnosis of the deadly amebiasis.
Foundations and non-profit organizations The disease is most prevalent in developing countries, where a significant proportion of people live below the poverty line. For this reason, even the extremely low cost of a test would not be available to them or simply would not be a priority purchase. However, there are many foundations and organizations in those countries, such as the Bill & Melinda Gates Foundation, the Clinton Health Access Initiative (CHAI), the Foundation for Innovative New Diagnostics (FIND), the Global Fund, Unitaid, and the World Health Organization (WHO)), which seek to improve health protection and reduce social inequalities by developing health initiatives to prevent, diagnose and treat diseases of people living in poverty.
Travelers After traveling to developing countries, approximately 29 percent of international travelers return home carrying an infectious gastrointestinal disease [1]. As there are many causes to such diseases and symptoms are similar, it takes time to correctly perform differential diagnostics. Also, as amebiasis is a rare disease in the developed world some of the specialists have never faced it in clinical practice therefore there is limited experience and an increased possibility for human errors. To eliminate these reasons, AmeBye diagnostic tool facilitates the diagnostics of this life-threatening infection.

Competitor analysis

AmeBye is the first diagnostic tool that allows for an affordable and specific detection of invasive E. histolytica form. It is important to note that the infection is most prevalent in developing regions, therefore the price of the test is one of the most relevant criteria defining the leading diagnostic tool. In the table below we discuss other possible diagnostics types [2] in comparison with the AmeBye diagnostic test.

Competitor analysis table.
Microscopy detects protozoan morphology from stool. It is unsuitable for invasive form detection. It is widely available and requires minimal equipment and reagents. It is not user friendly and of low sensitivity.It does not show 
results within 20 min. It is cheap.
 Serology detects antibodies. It is suitable for invasive form detection. It is not widely available and requires more than minimal equipment and reagents. It is not user friendly and of low sensitivity.It does not show 
results within 20 min. It is not cheap.
Stool antigen detection detects antigens.It is unsuitable for invasive form detection. It is widely available and requires minimal equipment and reagents. It is user friendly and of low sensitivity.It shows 
results within 20 min. It is cheap.
PCR detects genetic material. It is suitable for invasive form detection. It is not widely available and requires more than minimal equipment and reagents. It is not user friendly and of high sensitivity. It does not show 
results within 20 min. It is not cheap.
AmeBye detects Proteins secreted by Entamoeba histolytica. It is suitable for invasive form detection. It is widely available and requires minimal equipment and reagents. It is user friendly and of high sensitivity. It shows results within 20 min. It is cheap.
Fig. 1. AmeBye solution in comparison with other diagnostic methods

Our solution

Inventive approach

Amebiasis diagnostic test is composed of two main components - plastic hard case and membranes. Very few elements go into this vertical flow prototype and thus provide at least few advantages against the popular alternative - lateral flow assay. Firstly, our test design allows us to maintain the primary concentration of particular infection biomarkers. This is important because the initial volume of the sample is very small and colorimetric shifts depend on the quantities of biomarkers. Our design solves these problems in a new manner where gravity filtration of pure blood plays a crucial role.

Diagnostic test prototype which has three holes for blood drops
Fig. 2. Diagnostic test prototype

Exit strategy

Consequently we thought about patenting our whole diagnostic test including a specific aptamer which is binding E. histolytica biomarker. Currently we are in final decision making steps for filing the initial application. By having overall advantage with our own intellectual property (IP) we can begun searching for business partners who may help in further diagnostic tool development.

Our business model approach is asset creation and out-licensing. As a biotech company, we aim to focus on research and prototype development and find strategic partners, who would be responsible for conducting clinical trials, manufacturing, and distribution. This kind of transaction is based on a royalty agreement - a legal contract between a licensor (strategic partner) and a licensee (AmeBye). It grants the licensor the right to use the licensee’s intellectual property, under specific terms, in exchange for royalty payments. This business model is very favorable for startups in the life sciences sector, providing possibilities to gain a foothold in the market faster .

Scalability

We envision further growth in these directions:

  • One of the main advantages is creating aptamers for more diverse infectious diseases as technology behind this is well known for our team. There are not so many diagnostic tests which are based on aptamer technology or colorimetric response and the market niche is quite flexible for our product. Detecting non-invasive intestinal Entamoeba histolytica could potentially be a further research cornerstone.
  • As our team has developed genetically modified probiotics capable of naringenin synthesis for the prevention of infection, we aim to continue the improvement of this solution and eventually release it to the market. It could become the center of upcoming research projects as well as a sole income provider in the near future.
  • Non invasive amebiasis diagnostics. It is always better to prevent the disease than to treat it, however if not succeeded, the diagnostics and treatment strategy must be established as soon as possible as the delay takes a heavy toll on the patient outcomes. In amebiasis case, it can lead to invasive extraintestinal form. The demand for non-invasive amebiasis diagnosis was expressed by the professionals that we consulted - microbiologist prof. Maria Del Socorro Flores Gonzalez from Mexico, parasitologist prof. Azza El-Adawy from Egypt, Vilnius University Santaros clinics infectologist Audronė Marcinkutė. Comprehensive insights from meetings can be accessed on Integrated Human Practices page.

Implementation

We have carefully considered the feasibility of our idea. During productive discussions we agreed on goals, terms and deadlines, possible hardships and several alternatives on how to tackle particular milestones. Firstly, we have conducted a SWOT analysis in order to assess our business competitive advantages, weaknesses and how to convert them into strengths, further opportunities and feasible threats directing the path of our business growth.

SWOT

Swot analysis table. Our strengths - first user-friendly, cheap and reliable test on the market to detect invasive forms of Entamoeba histolytica.Interdisciplinary team and novel solutions.Innovative detection method which can be used for multiple purposes.Precise and unique software and mathematical modeling for research.
Our weaknesses - Undergraduate team: further education needed to become experts in our fields.
No previous business or entrepreneurship experience.
The new company not yet established a reputation in the market.High initial investment cost.
The diagnostic test does not identify the non-invasive Entamoeba histolytica form.Challenging communication with the target audience in endemic regions.Not attaining wide enough scientific and commercial distribution for profit.
Project opportunities - Compatibility with iGEM foundation’s BioBrick standard.New infections, open opportunities for diagnostic test scalability.Competitors’ tests are more expensive, need experienced laboratory staff.European Union funding for in vitro medical devices.
As global travel intensifies, the demand for pro-travel medical consultations increases.
Project threats - Being overshadowed by companies with more expertise and capital.Having trouble finding necessary financing.Regulatory laws vary from country to country and tend to change constantly.

We acknowledge our weaknesses and threats and understand that it is vital to create a strategy for solving them, in order to gain a foothold in the global market. We are going to overcome them by expanding our knowledge, raising competencies, and keeping close relationships with the target audience. More about our strategy can be found in our business plan.

Finances

Analysis of the product and idea was followed by arranging a financial plan. Below there is a balance sheet, cash - flow analysis.

Table 1. Balance sheet
Fixed assets
Property none 
Equipment  15 000 EUR
Custom assets
Liquid assets (cash in bank) 35 000 EUR
Petty cash 1000 EUR
Assets (stocks) 40000
Table 2. Cash flow
Cash flow
2021 2022 2023 2024 2025
Cash inflow
Sales income 0 10000 65000 150000 250000
Personal investments 4000 4400 4840 5324 5856
Net cash inflow 4000 14400 69840 155324 255856
Cash flow
Wages 0 0 0 50000 52500
Professional fees 0 10000 10000 0 15000
Patent 0 10000 20000 20000 20000
Overheads 1700 6500 10000 14800 18600
Materials 7000 10000 14000 20000 35000
Net cash outflow 8700 36500 54000 104800 141100
Net cash flow -8700 -26500 11000 15200 58900
Balance (with stocks) 70300 48200 64040 84564 149320
Gradually growing expenses from 2021 to 2025. 9k in 2021, 36,5k in 2022, 54k in 2023, 105,8k in 2024 and 140k in 2025
Fig. 3. All expenses from 2021 to 2025
Gradually rising flows from 2021 to 2025. Cash inflow goes from 0k to 200k. Balance goes from 70k to 150k. Cash outflow goes from 10k to 140k. Net cash flow goes from -10k to 60k.
Fig. 4. All cash flows and balance through years

After thorough research, we found 22 possible sources for financing. We divided them into four categories by the stages of business development during which the financing opportunity would be the most relevant: early-stage financing, minimum viable product development stage, further development and international market entry, non-specified suitable for any of the stages. The amount of sponsorship starts from 10 000 EUR and the sources include National Lithuanian and governments of targeted regions funding programmes, European Union instruments, accelerator programmes, venture capitals, angel investors.

Development roadmap

Development_roadmap.
Development and testing of specificity and sensitivity from 2021 to 2022
Shortening reaction time in 2022
Improving the strength of colorimetric response signal in 2022
Testing and improving the stability of test and its components from mid 2021 to 2023
Clinical trials from 2022 to mid 2024
Hardware creation (test case design and manufacturing) in 2021
Design of diagnostic kit packaging and documentation in 2022
Test design validation with end-users in 2022
Further research of aptamers detection methods and product development from 2021 to 2025 end
Acquire funding from 2021 to 2025 end
Company and trademark registration 2021 to mid 2022
Patenting 2021 to 2023
Searching for strategic partners from 2022 to 2024
Establish agreements with kit manufacturers from 2022 end to mid 2024
Optimzation of manufacturing processes from 2023 to 2025 end
Establish distribution channels from 2023 to 2025 end
Acquire customers in Africa, Mexico, India from 2023 to 2025 end
Entering the market from mid 2024 to 2025 end
Fig. 5. Development roadmap

Credibility

Skills

We do understand that a combination of multiple skills is essential for running a successful business. The most crucial ones include financial literacy,scientific knowledge and capability to use it, effective marketing and communication skills, powerful leadership as well as strong time management. As our team mainly consists of undergraduate members with little entrepreneurship, we are sure that professional assistance is needed for our business development. While the Vilnius-Lithuania iGEM team has many strong long-term connections with various scientific research teams in Vilnius University, we also have valuable collaborations with several companies and biotech startups including Biomatter Designs and CasZyme. These aforementioned connections grant us the opportunity to gain specific insights and knowledge in the fields where our team may lack the specific experience or skills and lead to the faster company's growth.

Stakeholders

Our stakeholders include employees, local communities, competing firms and government agencies

While talking about the stakeholders, employees, local communities, competing firms, government agencies can bring important issues to light and encourage the organization to develop corporate social responsibility as well as to provide the support needed for long-term sustainability:

  • Employees - have significant financial and time investments in the organization, and play a defining role in the strategy, and operations the organization carries out;
  • Local communities - can improve a company’s decision-making, legitimacy and competitiveness by tapping into local knowledge, reducing conflict, boosting recruitment and preventing costly delays. As we found out during our consultation with dr. I. Giedraitytė, community leaders are the real local influencers and can be a significant partners in introducing the diagnostic test to local people for actual usage at home;
  • Competing firms - competition improves the conduct of managers, as they understand that in such markets only the fittest can survive. This improves quality of products and reduces prices for consumers, maintains or increases market share, and returns on shareholders' investment;
  • Government agencies - the decisions of government, businesses and other organisations inevitably affect different groups within society, which, thus, may directly affect the development of the business.

Establishing ground rules for effective stakeholders communication may be the way to save time, remove obstacles and ultimately, finish projects on time and within budget. Stakeholder meetings are the most common communication method, especially since they can save time in conveying the message to a large number of people. This way we could constantly get feedback and be as effective and relevant as possible.

Long term impact

While thinking about the long term perspective of our business, we chose not to focus only on financial growth but to have a long term impact on society's healthcare. Our team believes in the possibility of improving people’s lives by scientific solutions. We believe that our specific detection tool will ensure more effective diagnostics of amebiasis. This would bring lower rates of amebiasis infection, better infection control. Although we are taking our first steps to establish a company and it will take time to grow, we believe that effective and focused work would allow us to become a part of the global market. We aim to implement our product in at least 3 target countries like India, Mexico and Egypt as well as in Europe in the following 5 years. Additionally, our end goal is to distribute our products in other countries, where rates of infection are the highest.

With AmeBye future business we focus on three sustainable development goals. On goal three - good health and well being, also on goal nine - industry, innovation and infrastructure and on goal seventeen - partnerships for the goals

We kept in mind that while creating the business we should fulfill the present needs without compromising the future generations ability to meet theirs. That is why we decided to follow a sustainable approach while planning and building our company. This approach was inspired by Sustainable Development Goals proposed by the United Nations. Our business is based on goals 3, 9 and 17.

We aimed to contribute to goal 3 (good health and well being) by producing an affordable and efficient diagnostic test for amebiasis. We chose this objective to lower the chances of aggressive infection and to avoid possible worldwide pandemics. Following goal 9 (industry, innovation and infrastructure) results in adding to the general knowledge on the topic of amebiasis and its detection. Our innovative diagnostic technology is reliable, scalable and universal for development of new diagnostic tests in the future. Contributing to goal 17 (partnerships for the goals) by building bonds with foreign iGEM teams ensures insights on local society, its knowledge that are crucial to offer the best solutions for the existing problem. Moreover, we plan to build partnerships with strategic partners from target countries and local communities to ensure proper development of our product.

By critically evaluating the product we are developing, we understand that it might as well have a negative impact . It could arise from manufacturing and false positive user readings of colorimetric response. Furthermore, in polymer synthesis it is crucial to create safe disposal of hazardous materials, keep personnel away from toxic substances. For this reason laboratory equipment should have high air flow rate fume hoods. It should also be mentioned that unsafe usage of potentially carcinogenic substances raises health concerns.

Experience

We want AmeBye to be a successful business, therefore we have searched for opportunities to strengthen our entrepreneurial knowledge. We are glad that we managed to find several ways of doing that.

First of all, we participated in the workshop “From iGEM to Entrepreneur'' organized by the Stockholm team. It was our first encounter with entrepreneurship in the iGEM competition. During the workshop, we gained valuable information on what shall be considered before starting a business. Guest speakers, invited by the Stockholm iGEM team, talked about stakeholders, business models, market analysis, and many more. It was a rewarding experience that provided more insight into where to start when developing the AmeBye business plan.

it is a photo from Stockholm entrepreneurship workshop
Fig. 6. Moment from the workshop “From iGEM to Entrepreneur'' organized by the Stockholm team

At the end of spring, we participated in the “Life sciences start-up masterclass” entrepreneurship event organized by the Science, Innovation, and Technology Agency (MITA). It was a weeklong training on how to set up a life sciences-oriented start-up in Lithuania, how to prepare a business plan, enter the market, and attract funding. The event was led by nine lecturers from Lithuania, Norway, the USA, and Spain. During the training, we had the opportunity to personally consult with one of the lecturers, Steinar Hoel Korsmo, President of the "Seed Forum International" foundation, on the development of a business plan. In workshop sessions, we put together our 5-year financial plan, prepared a pitch for the investors, and developed a business model.

This is a photo from  “Life sciences start-up masterclass” entrepreneurship event
Fig. 7. Moment from the “Life sciences start-up masterclass” entrepreneurship workshop

During the project, we constantly consulted with Monika Paulė, innovations expert & entrepreneur, CEO at CasZyme, a company working with CRISPR-based molecular tools. She has a lot of experience working with life science start-ups, so she introduced us to the Lithuanian and foreign markets, and helped us a lot in creating a business plan. You can read more about her contribution here .

We also had initial talks with two potential investors - our long-term sponsor and his partner CEO of a high-end aviation enterprise. They proposed to help with our products’ realization financially and offered assistance in implementing amebiasis diagnostic test in emergent nations and their healthcare systems. We were also suggested the opportunity to develop a more standardized methodology for creating a wider range of products. Currently, there are mutual agreements to extend our research with aforementioned investors as both sides continue to see prospects in both diagnostic tests and genetically modified probiotics.

References

1.
Swaminathan, A., Torresi, J., Schlagenhauf, P., Thursky, K., Wilder-Smith, A., Connor, B. A., Schwartz, E., Vonsonnenberg, F., Keystone, J., O'Brien, D. P., & GeoSentinel Network (2009). A global study of pathogens and host risk factors associated with infectious gastrointestinal disease in returned international travellers. The Journal of infection, 59(1), 19–27. To the article.
2.
Shirley, D. T., Farr, L., Watanabe, K., & Moonah, S. (2018). A Review of the Global Burden, New Diagnostics, and Current Therapeutics for Amebiasis. Open forum infectious diseases, 5(7), ofy161. To the article.
3.
Tanyuksel, M., & Petri, W. A., Jr (2003). Laboratory diagnosis of amebiasis. Clinical microbiology reviews, 16(4), 713–729. To the article.
4.
CARDOEN, G. (2021, May 11). Current Directives. Public Health - European Commission. Retrieved October 10, 2021. To the article.
5.
Saker, L., Lee, K., Cannito, B., Gilmore, A., & Campbell-Lendrum, D. H. (2004). Globalization and infectious diseases: a review of the linkages. To the book.