Mirabel Medical Systems: Startup gets money for breast cancer test
Venture capital, Army back Mirabel's 'T-Scan' system to assess risk.

By Robert Elder
AMERICAN-STATESMAN STAFF
Monday, April 04, 2005

Mirabel Medical Systems Inc., an Austin-based startup awaiting federal approval of its promising breast cancer-screening technology, has attracted new investment and an expanded clinical trial for the U.S. Army. Mirabel is expected to announce today that it has received an additional $9 million in investment from Stockton Partners and Denali Ventures, among other investors. The company also has received a second $1 million grant to expand clinical trials for the U.S. Army, which started studying the company's device last year. Army officials say their interest stems from the large number of minority female soldiers. African American and Hispanic women are more likely to develop breast cancer.

Mirabel's "T-Scan" system uses a low-level electric current to assess the risk of breast cancer in women younger than 40. Tests for U.S. Federal Drug Administration approval, which is pending, were conducted in part in Austin. Even if it's approved, it probably will be close to two years before Mirabel's machines hit the market. The Mirabel device could fill a gap in screening for the disease. X-ray mammography isn't generally recommended for women younger than 40 — its effectiveness is limited in examining the relatively dense breast issue of younger women — and physical self-examination is far from a surefire way to detect problems early on.

"We believe this technology can be used very inexpensively and very simply alongside a clinical breast exam," said Dr. Ron Ginor, Mirabel's CEO. "It's another tool for women with increased risk of breast cancer."

There are about 250,000 U.S. women under 40 living with breast cancer, according to the company. Eventually, Ginor said, he thinks that the device's screening for breast cancer could become another routine test, like pap smears and blood tests for prostate cancer.

The T-Scan works this way: A woman lies flat on an examination table, holding a device about the size of two D-size batteries in her hand. The device sends a low-level current through her body. Cancerous and healthy cells affect the current differently, and the machine provides a detailed reading of any anomalies. During the exam, a technician runs a probe over the woman's breasts to provide a detailed image of the findings. The findings don't pinpoint or conclusively identify cancer. Rather, they help identify early stage tumors and precancerous lesions; a positive T-Scan result indicates a woman is at significantly higher risk. Dr. Mark Akin, an Austin physician who treated patients with T-Scan as part of the FDA trial, likens the screening to a pap smear, which looks for abnormalities on the cervix.

Ginor said the machines will cost about $40,000 each, and physicians are likely to charge about $50 for each exam. That's about half the cost of a X-ray mammogram, but X-rays generally are covered by health insurance. Ginor said it usually takes one to two years after FDA approval for insurers to agree to cover a new procedure. But the company already has compiled "exhaustive financial analyses" to try to bolster its case for insurance coverage, Ginor said. Akin said insurers' reaction is a wild card for Mirabel.

"As a physician, dealing with them every day, I don't have a clue what insurers will decide", he said. "But I think (acceptance) will evolve because a significant percentage of women who get cancer at a young age have small children, active careers and face losing 40 to 50 years of their expected lifespan."

The company has published medical research that looks at other uses for the device, Ginor said. These include evaluating nodules on thyroids and detecting skin cancer, among other possible applications.

Ginor, a radiation oncologist, founded Mirabel in 2003. Investors have put in $20 million so far. The company acquired the technology from an Israeli company, Trans Scan Medical. Israeli venture firm Denali Ventures funded both Trans Scan and Mirabel. Ginor was a partner in Denali from 2000 to 2003, when he founded Mirabel. Ginor also helped found Medinol Ltd., a coronary stent company. Medical-devices giant Boston Scientific Corp. acquired licensing rights from Medinol in 1998.

Ginor said he put Mirabel in Austin because of the region's breadth of technical workers. He worked with Dell Inc. to modify the computers that power the T-Scan devices. Further, Ginor said he needed a young, tech-savvy city where women would be more likely to accept screening. "Here, a 35-year-old woman is quite sophisticated about technology," Ginor said. "They expect it."


Mirabel Medical Systems Closes $9 Million Funding
New Breast Cancer Screening System Development Continues

AUSTIN, TEXAS, April 5, 2005 – Mirabel Medical Systems, developer of the T-Scan™ breast cancer screening system, closed a $9 million second-round of funding today. The over-subscribed round was led by Stockton Partners, a New York based private equity firm. The funding will allow Mirabel Medical to continue plans to bring the T-Scan™ 2000 ED to market over the next 12 months.

“It appears that Mirabel Medical Systems is poised to transform breast cancer screening for younger women” said Ken Goldman, Managing Director of Stockton Partners. “We are excited about working with this technology and this management team, and look forward to helping Mirabel Medical become the undisputed leader in the development of innovative cancer screening solutions.” Harvey Krueger, Chairman of Stockton Partners and Vice Chairman of Lehman Brothers, Inc. will be joining the Mirabel Medical board of directors.

T-Scan is the first system designed to be used for routine annual breast cancer risk screening in women ages 30 to 40, who typically have denser breast tissue, as a complement to a clinical breast exam (CBE). The test is non-invasive, utilizing Electrical Impendence Scanning (EIS) to measure low-level electric signals as they pass through breast tissue. Like an ultrasound, the painless 10-minute exam provides immediate results, identifying signal flow patterns that are consistent with an increased risk for breast cancer. Women determined to be at high risk for breast cancer following a T-Scan screening would then be referred for mammography.

Mirabel Medical has submitted a premarketing approval application to the FDA for T-Scan™ 2000ED, and it has been assigned expedited review status by the agency based on its potential to provide clinically meaningful advantages over existing screening technology in women under 40 years of age.

“We are extremely encouraged by the strong support we’ve received from physicians involved in the clinical trials,” says Ron Ginor, MD, president and CEO of Mirabel Medical. “With more than 20,000 exams completed as part of our clinical development – and nearly 3,000 exams performed in just the last few months – we are convinced that this system will play a critical role in identifying young women who are at increased risk for breast cancer and most likely to benefit from additional imaging.”

Lt. Col. Alexander Stojadinovic, Vice Chairman of Surgery at the Walter Reed Army Medical Center, who is a primary investigator in a multi-center trial evaluating the T-Scan system and an expert on EIS technologies says, "T-Scan represents a potentially important approach to the challenge of identifying high-risk young women under 40 who generally have no other practical modality for the detection of breast cancer. If breast tissue changes detected by EIS are proven to correlate with cancer risk, this would advance significantly the approach to the selection of young women for advanced imaging and more diligent clinical surveillance."

Breast cancer is the leading cause of cancer death in women between the ages of 25 and 40, and will strike 1 of every 217 women by age 40.

The T-Scan™ 2000ED is currently available for investigational use only pending FDA approval for marketing. It is anticipated that the device will be available on the commercial market over the next 12 months.

About Mirabel Medical Systems, Inc.
Mirabel Medical Systems is a leading developer and manufacturer of Electrical Impedance Scanning (EIS) detection systems designed for early breast cancer risk assessment. Founded in 1993, Mirabel Medical is headquartered in Austin, Texas and has research, development and manufacturing operations in Israel.

Mirabel Medical Systems, T-Scan and the T-Scan 2000ED are trademarks of Mirabel Medical Systems, Inc. All other company or product names are the registered trademarks, or trademarks of their respective owners.

Mirabel Medical Systems Inc.
Founded: 2003
President and CEO: Dr. Ron Ginor
Headquarters: Austin
Manufacturing: Haifa, Israel
What it does: Breast cancer-screening devices
Employees: 27; 10 in Austin
Amount raised: $20 million


Copyright ©, Mirabel Medical Systems, Inc. All rights reserved.