Cancer Care

How Shepherd Works

powered by SHEPHERD

What SHEPHERD Does

SHEPHERD's technology identifies therapies specific to your tumor’s RNA. Via mathematical analysis, it is able to identify gene expression patterns — sometimes hundreds of them — that can lead to response to specific therapies. Every patient’s data is analyzed across over 450 drugs, including FDA-approved, repurposed, and adjuvant therapies. Because it does not rely principally on mutational data, SHEPHERD has a much higher chance of finding therapeutic matches than typical DNA-based methods. This means SHEPHERD can help find drugs for even the hardest-to-treat cancers, including pediatric, metastatic, and rare.

Drugs work in different ways for different people

Cancer is not generalizable. Even though there are agreed-upon groups of cancers with similar traits, every individual patient has their own distinct cancer, with its own distinct characteristics, that can be seen in the tumor’s DNA and RNA.

Similarly, drugs have a wide array of impacts. A drug’s mechanisms of action can affect each patient slightly differently because of these variations, which is why using the patient’s distinct transcriptional signature to predict efficacious drugs is vitally important.

What’s a Rich Text element?

The rich text element allows you to create and format headings, paragraphs, blockquotes, images, and video all in one place instead of having to add and format them individually. Just double-click and easily create content.

Static and dynamic content editing

A rich text element can be used with static or dynamic content. For static content, just drop it into any page and begin editing. For dynamic content, add a rich text field to any collection and then connect a rich text element to that field in the settings panel. Voila!

How to customize formatting for each rich text

Headings, paragraphs, blockquotes, figures, images, and figure captions can all be styled after a class is added to the rich text element using the "When inside of" nested selector system.

Understanding a drug's impact across many forms of cancer

Most drugs are developed for specific forms of cancer. That means they may never have been tested for many types of cancer for which they could be effective. SHEPHERD helps overcome this weakness of drug development by using data related to drug impact on many forms of cancer to train its algorithm. The result is an ability to understand a drug’s potential to work in a wide range of both common and understudied cancers — including yours.

What’s a Rich Text element?

The rich text element allows you to create and format headings, paragraphs, blockquotes, images, and video all in one place instead of having to add and format them individually. Just double-click and easily create content.

Static and dynamic content editing

A rich text element can be used with static or dynamic content. For static content, just drop it into any page and begin editing. For dynamic content, add a rich text field to any collection and then connect a rich text element to that field in the settings panel. Voila!

How to customize formatting for each rich text

Headings, paragraphs, blockquotes, figures, images, and figure captions can all be styled after a class is added to the rich text element using the "When inside of" nested selector system.

More than AI

More evidence. Increased precision.

In addition to the transcriptomic signature, SHEPHERD curates additional evidence in the form of FDA approvals, treatment guidelines, clinical trials, literature, bioinformatic analysis, and mechanism analysis — all specific to you — to finalize drug and drug combination identification.

What’s a Rich Text element?

The rich text element allows you to create and format headings, paragraphs, blockquotes, images, and video all in one place instead of having to add and format them individually. Just double-click and easily create content.

Static and dynamic content editing

A rich text element can be used with static or dynamic content. For static content, just drop it into any page and begin editing. For dynamic content, add a rich text field to any collection and then connect a rich text element to that field in the settings panel. Voila!

How to customize formatting for each rich text

Headings, paragraphs, blockquotes, figures, images, and figure captions can all be styled after a class is added to the rich text element using the "When inside of" nested selector system.

The Result

Most important multi-target approach

The result, an RNA “signature” that identifies all the genes responsible for drug response and resistance — simultaneously.

ID’s the drugs that represent the key to most dramatic response

With the signature identified, DELVE can match any individual patient – at any stage of diagnosis, with any type of cancer – with personalized therapeutics.

Like a fingerprint unlocking a phone, DELVE’s RNA signature unlocks the best existing therapeutic options for ALL patients.

Then curates additional evidence mechanisms

More evidence. Increased precision.

In addition to the transcriptomic signature, Shepherd curates additional evidence in the form of FDA approvals, treatment guidelines, clinical trials, literature, bioinformatic analysis, to finalize its drug and drug combination.

Combo ID

DELVE integrates mathematical models to assess synergy among in vitro combinations of drugs. This analysis is interwoven with machine learning based prediction, logical heuristics, hand-curated synergy predictions, and lab validation.

Traditional combinations only reference known genetic markers, which are limited in number. The DELVE combinations process measures true genomic alterations of all genes available, allowing for integration of pathway-based and target-based approaches alike.

A customized solution for every patient.

What SHEPHERD Does

SHEPHERD's technology identifies therapies specific to your tumor’s RNA. Via mathematical analysis, it is able to identify gene expression patterns — sometimes hundreds of them — that can lead to response to specific therapies. Every patient’s data is analyzed across over 509 drugs, including FDA-approved, repurposed, and adjuvant therapies. Because it does not rely principally on mutational data, SHEPHERD has a much higher chance of finding therapeutic matches than typical DNA-based methods. This means SHEPHERD can help find drugs for even the hardest-to-treat cancers, including pediatric, metastatic, and rare.

Drugs work in different ways for different people

Cancer is not generalizable. Even though there are agreed-upon groups of cancers with similar traits, every individual patient has their own distinct cancer, with its own distinct characteristics, that can be seen in the tumor’s DNA and RNA.

Similarly, drugs have a wide array of impacts. A drug’s mechanisms of action can affect each patient slightly differently because of these variations, which is why using the patient’s distinct transcriptional signature to predict efficacious drugs is vitally important.

Understanding a drug's impact across many forms of cancer

Most drugs are developed for specific forms of cancer. That means they may never have been tested for many types of cancer for which they could be effective. SHEPHERD helps overcome this weakness of drug development by using data related to drug impact on many forms of cancer to train its algorithm. The result is an ability to understand a drug’s potential to work in a wide range of both common and understudied cancers — including yours.

More than AI

More evidence. Increased precision.

In addition to the transcriptomic signature, SHEPHERD curates additional evidence in the form of FDA approvals, treatment guidelines, clinical trials, literature, bioinformatic analysis, and mechanism analysis — all specific to you — to finalize drug and drug combination identification.

The Result

Therapeutic matches regardless of specific cancer or stage of disease

SHEPHERD is able to match patients with FDA-approved therapies regardless of age of the patient, specific diagnosis, pre-treatment history, or stage of disease.

ID’s the drugs that represent the key to most dramatic response

With the signature identified, DELVE can match any individual patient – at any stage of diagnosis, with any type of cancer – with personalized therapeutics.

Like a fingerprint unlocking a phone, DELVE’s RNA signature unlocks the best existing therapeutic options for ALL patients.

Then curates additional evidence mechanisms

More evidence. Increased precision.

In addition to the transcriptomic signature, Shepherd curates additional evidence in the form of FDA approvals, treatment guidelines, clinical trials, literature, bioinformatic analysis, to finalize its drug and drug combination.

Combo ID

DELVE integrates mathematical models to assess synergy among in vitro combinations of drugs. This analysis is interwoven with machine learning based prediction, logical heuristics, hand-curated synergy predictions, and lab validation.

Traditional combinations only reference known genetic markers, which are limited in number. The DELVE combinations process measures true genomic alterations of all genes available, allowing for integration of pathway-based and target-based approaches alike.

A customized solution for every patient.

Summary
SHEPHERD looks at each tumor through hundreds of different analyses and compares it – gene by gene – to hundreds of thousands of samples and drug comparisons in search of drugs and drug combinations that can have maximum impact for each patient. SHEPHERD can identify therapies whether or not a tumor has previously been successfully matched with targeted therapies and even if other technologies have failed to find treatment options.
“I’ve never seen this.”
“3 days ago she was dying...now she’s out of the ICU. Off oxygen.”
Dr. Patricio Gargollo, the Mayo Clinic

Single Agents

Each drug is matched to a tumor via a specific equation derived from its response-resistance signature. When a tumor transcriptome matches a drug, it indicates that existing data shows a high probability that the therapy may provide therapeutic benefit.

Combo Agents

Combinations are created from single agents that pass all of DELVE’s tests. Combinations can include known combinations that are part of existing treatment protocols, or novel combinations of drugs that have evidence for use for each specific patient and tumor.

Dr. Patricio Gargollo,The Mayo Clinic
"I have been involved with Shepherd and the DELVE program for several years. As a clinician and scientist specializing in pediatric rhabdomyosarcoma I have seen first hand the devastation that faces so many cancer patients, especially those that relapse or do not respond to initial therapy. SHEPHERD provides a path forward for actionable individualized care when these patients are otherwise out of options."
“I’ve never seen this.”
“3 days ago she was dying...now she’s out of the ICU. Off oxygen.”
Dr. Patricio Gargollo, the Mayo Clinic
Summary
DELVE looks at each tumor dozens of different ways and compares it – gene by gene – to hundreds of thousands of samples and drug comparisons in search of drugs and drug combinations that can have maximum impact for each patient. DELVE can work whether a tumor has previously been successfully matched with targeted therapies or if other technologies have failed to find treatment options.
Single Agents

Single Agents

Each drug is matched to a tumor via a specific equation derived from its response-resistance signature. When a tumor transcriptome matches a drug, it indicates that existing data shows a high probability that the therapy may provide therapeutic benefit.

Combo Agents

Combo Agents

Combinations are created from single agents that pass all of DELVE’s tests. Combinations can include known combinations that are part of existing treatment protocols, or novel combinations of drugs that have evidence for use for each specific patient and tumor.

Things you might see on your report
Drugs of interest are drugs that you or your doctor expressed interest in, such as drugs you are currently receiving or are considering. They can also be drugs that pass some SHEPHERD analyses but which have inferior evidence to the drugs that are formally identified.
“I’ve never seen this.”
“3 days ago she was dying...now she’s out of the ICU. Off oxygen.”
Dr. Patricio Gargollo, the Mayo Clinic