Ontrove

Personalized oncology

For the patients
the system has
given up on

Two AI-powered pipelines - genomic analysis and personalized vaccines. For rare cancer patients with no trials, and common cancer patients who've exhausted standard of care while waiting on trial enrollment or FDA approval. Both paths end in a single patient IND - a trial of one.

Pipeline detail

Analysis + Rx

From genomic sequencing to actionable treatment recommendations across all Rx categories.

1

Patient-ordered genomic data

Tissue sequencing and biomarker profiling

2

AI-powered analysis

Compare against standard of care and ongoing therapies

3

Treatment ranking

Personalized Rx scoring

4

Rx delivery

On-label, off-label, clinical trials, or a single patient IND

Personalized vaccine

Neoantigen-driven peptide and mRNA vaccines manufactured for the individual tumor profile.

1

Genomic data + tissue

Tumor and germline sequencing

2

Neoantigen prediction

Epitope selection via computational immunology

3

Vaccine manufacture

Peptide or mRNA synthesis at CDMO partner

4

Physician-coordinated administration

Navigate gatekeeper access and administer

Patients the system fails

Rare cancers

No clinical trials exist. Not enough patients (N) to ever run one. Pharma won't invest. These patients have zero evidence-based options and no path forward in the current system.

Long tail - hundreds of cancer types ignored

Common cancers, SOC exhausted

Recurrence after completing standard of care. The oncologist says "we've tried everything." Now they're waiting - for a trial slot, for FDA approval, for something. Ontrove fills that gap.

Moderna, BioNTech trials exist - but slots are limited

Right pipeline, right patient, right time

After genomic data and tissue are collected, the diagnosis context determines the primary pathway - but either is available on a patient-by-patient basis.

Newly diagnosed, no evidence

Has time for the vaccine manufacturing window. Routes primarily to the personalized vaccine pipeline.

or

Recurrence, time-constrained

Needs immediate options. Routes primarily to AI-powered analysis and targeted therapy.

Either path is available based on patient context - not a hard rule.


One intake, one decision, two clocks

Every patient enters the same way. What splits them is time - whether there's a manufacturing window to spend, or a recurrence that needs an answer now.

intake → decision → pipelines
P

Patient enrollment

G

Genomic data + tissue

DX

Diagnosis context

How much time does this patient have?

Key Personalized vaccine Analysis / Rx Either path

Personalized vaccine

window: weeks Newly diagnosed, no evidence - time for manufacture
V1

Neoantigen prediction

V2

Epitope selection

V3

Peptide / mRNA manufacture

CDMO partner

V4

Physician coordination

Gatekeeper access

V5

Vaccine administration

Analysis / Rx

clock: immediate Recurrence - needs options now
A1

AI-powered analysis

A2

Compare with SOC

A3

Treatment ranking

ranked output
R1On-label
R2Off-label
R3Clinical trials
R4Single patient INDn = 1

Patients the system fails

R4 and V5 arrive at the same population - the one standard of care and trial infrastructure were never built to reach. A conventional trial needs a cohort. A single patient IND needs a patient.

LT1Rare cancers - no trials, no big N LT2Common cancers - SOC exhausted, waiting

Patient-first, patient-ordered

Aligned incentives. The patient initiates. The doctor orders. No SOC hospital sales layer in between.

Incumbents are misaligned

Tempus, Caris, Foundation Medicine sell to hospitals, not to patients. Evidence goes to SOC systems. Many analyses never reach the people who need them.

AI makes it scalable

Every pipeline except final therapeutics is scalable. The AI model handles analytical heavy lifting that would otherwise require a team of oncologists.