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Virtual gastrointestinal care start-up bags US$30m investment

Digestive disorders affect one in four Americans, with women accounting for nearly 60% of patients

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The virtual gastrointestinal care clinic Oshi Health has secured US$30m in funding to scale access to its virtual multidisciplinary digestive care.

The start-up provides diagnosis and integrated care for digestive conditions and aims to empower people to achieve control of their symptoms.

The clinic works with employers, health insurance partners, health systems and community GI practices to scale access to multidisciplinary care and reduce healthcare costs.

Its latest funding round, led by Koch Disruptive Technologies (KDT), is hoped to scale the company’s clinical team and forge relationships with health plans, employers, channel partners and provider groups.

“We’ve seen the impact of Oshi Health’s unique care model, and we want to be part of helping health plans and employers understand the significant potential of its virtual multidisciplinary digestive care,” said David Mauney, managing director of Koch Disruptive Technologies.

“We are excited to help scale access to Oshi’s best-in-class virtual clinic and proven outcomes which have given them the clear market lead.”

Oshi Health is currently available to over 20 million people as an in-network virtual gastroenterology clinic for national and regional insurers, as well as their employer customers.

The start-up is also partnering with community GI practices in a collaborative hybrid model to extend access to care, including reimbursed access to dietary and behavioural therapies proven to improve GI outcomes.

“We’ve paved the way for broad access to proven treatments that our traditional healthcare system is not structured or incentivised to provide, while building value for patients, employers, health plans and provider groups,” said Sam Holliday, Oshi Health CEO.

“Our investors are collectively funding the change-makers in the most crucial categories of healthcare.

“They see the transformation opportunity and urgency in digestive care as clearly as we do, and we’re proud to have them back our mission to free millions of Americans from their struggle with digestive symptoms and conditions.”

Digestive disorders affect one in four Americans, with women accounting for nearly 60 per cent of patients.

The conditions have a high economic burden, driving US$135b in annual costs – a collective impact greater than diabetes, heart disease and mental health, the company argues.

In traditional GI care, patients lack support between visits and are left on their own to decipher complicated symptoms and coordinate their own care.

For many, symptom control remains elusive, and unmanaged digestive symptoms are the number one cause of emergency department treat-and-release visits.

“Because of its unique ability to diagnose, prescribe, treat and coordinate care, Oshi Health is able to intercept and change the trajectory of unmanaged symptom escalations and drive the most significant outcomes and cost savings in the industry,” the CEO explained.

“Oshi Health members work with a dedicated integrated team of GI specialists – board-certified gastroenterologists, registered dietitians, GI-specialised mental health clinicians, and nurse practitioners.

“This high-touch care experience quickly gets to the root causes of chronic digestive symptoms and members come to understand their own dietary and psychological triggers through iterative treatment and response.”

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Early PET scan could chemo response in aggressive breast cancer – study

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An early PET scan after one cycle of chemotherapy may help predict how aggressive breast cancer responds to treatment, a study suggests.

Research led by The Institute of Cancer Research, London and King’s College London suggests that an early scan taken after one cycle of chemotherapy could help predict how well a patient’s cancer will respond to treatment.

The study focused on patients with triple-negative breast cancer (TNBC), an aggressive form of the disease in which cancer cells lack receptors for the hormones oestrogen and progesterone, as well as the HER2 protein.

Patients with TNBC are usually treated with chemotherapy prior to surgery. While many respond well, residual disease at surgery, typically around six months later, is associated with a significantly poorer prognosis. Identifying people sooner who are unlikely to respond remains a major clinical challenge.

The research explored whether using PET imaging shortly after treatment begins, rather than relying only on MRI scans later in the treatment process, could provide earlier insight into how a patient’s cancer is responding. Twenty-two patients were recruited, with fourteen undergoing FDG-PET scans before treatment and after the first cycle of chemotherapy.

The findings, published in Clinical Cancer Research, showed that changes seen on PET scans after just one cycle of chemotherapy were strongly associated with subsequent response, including whether there was no detectable cancer, known as a complete response, by the end of treatment. Importantly, early PET response showed stronger associations with treatment outcomes than standard mid-treatment MRI scans in this study.

Being able to identify patients who are not responding well at an early stage could allow clinicians to adjust treatment sooner or consider alternative approaches. These findings may also support future strategies to better tailor treatment intensity to individual patients.

The study also compared two types of PET tracers, FDG and FLT, to determine which was most suitable. While both met the study’s technical criteria, FDG-PET was selected for further evaluation due to its better image quality, greater consistency and wider use in clinical practice.

The research also explored how imaging changes after just one cycle of chemotherapy relate to the body’s immune response to treatment. Biopsies taken before and after the first cycle of chemotherapy showed that an increase in immune cells within the tumour was strongly associated with both early PET changes and improved treatment outcomes.

The researchers emphasise that these findings now need to be validated in larger studies. Future work will aim to confirm these results in broader patient groups and explore more accessible imaging approaches, such as ultrasound, alongside PET and MRI.

Sheeba Irshad, professor of cancer immunology at King’s College London and lead of the Breast Cancer Now KCL Research Unit, said:

“In patients who had PET scans both before treatment and after the first cycle, we found that this early scan could predict whether they were likely to achieve a complete response by the end of treatment. These findings highlight the potential of early imaging to guide treatment decisions, and now need to be validated in larger, modern clinical trials.”

Andrew Tutt, professor of breast oncology at The Institute of Cancer Research, London, said:

“Research that helps us determine early who is already benefitting from standard neoadjuvant chemotherapy and who might benefit from clinical trials to find better treatments is vital. This study shows that FDG-PET may have great value in this regard. We hope to be able to design studies that further investigate and validate these findings.”

The study was supported by funding from King’s College London and Guy’s and St Thomas’ NHS Foundation Trust, Breast Cancer Now, Cancer Research UK, and Guy’s and St Thomas’ Charity.

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Femtech World reveals startup of the year shortlist

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We are excited unveil the three finalists competing for one of the Femtech World Awards’ most coveted honours: the Startup of the Year Award, sponsored by Future Fertility.

This award celebrates an early-stage company making a bold impact in women’s health through innovation, vision and execution.

The winner will be announced at our virtual ceremony on 19 June, with the decision made by a representative from category sponsor Future Fertility.

Congratulations to the shortlist and thank you to everyone who entered or nominated.

Startup of the Year Shortlist

Hello Inside is the first women’s health AI company to turn daily metabolic signals into outcomes women feel and healthcare systems reimburse.

Women’s health has long been under-researched, and current AI benchmarks fail on women’s health questions roughly sixty percent of the time.

Hello Inside built the architecture to close that gap.

Across four years and 12,000+ validated metabolic profiles, three in four women improve at least one symptom within ninety days.

They lose four kilograms in three months, moving from overweight into the healthy range. In a clinical study with Alisa Vitti’s Flo Living, 91.9 per cent reduced PMS burden within sixty days.

OvartiX is doing something that has never been done before: building a drug discovery engine purpose-built for women’s health.
Its lead programme, OVX001, targets medically induced menopause – a condition affecting young female cancer patients who undergo chemotherapy or radiotherapy.
These women are cured of cancer but enter menopause overnight.
There is currently no approved drug to prevent it. OVX001 is designed to change that, preserving 80–95 per cent of ovarian follicles during treatment without compromising anti-tumour efficacy.
Behind the science is the OmiXX platform: the first ML-driven drug discovery tool built specifically for female physiology, using proprietary ovarian cellular models and human multi-omics data.

U-Ploid is an early-stage biotechnology company tackling one of the most fundamental challenges in fertility care: the sharp, age-related decline in egg quality that limits outcomes across IVF and egg freezing.

While much of the field focuses on improving assessment and selection, U-Ploid is developing a first-in-class therapeutic approach designed to improve egg quality itself by addressing the biological causes of age-related chromosomal errors.

Supported by strong preclinical evidence and now advancing into human studies, U-Ploid combines scientific rigour, regulatory discipline and long-term vision to help redefine what is possible in fertility care.

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Gestational diabetes increases risk of type 2 diabetes – even at normal weight, study finds

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Gestational diabetes is a strong risk factor for future type 2 diabetes, even in women with normal pre-pregnancy weight, according to a study at the University of Gothenburg.

The researchers call for earlier testing and better follow-up.

“Our results show that gestational diabetes functions as a kind of stress test for the body’s ability to manage blood sugar, and identifies women with a greatly increased risk of future type 2 diabetes”, said Jon Edqvist, PhD and affiliated to research at the University of Gothenburg, and operating room nurse at Sahlgrenska University Hospital.

Gestational diabetes is a special type of diabetes that can affect pregnant women.

The condition is defined as elevated blood sugar levels, without previously known diabetes. Treatment involves self-monitoring of blood sugar, advice on lifestyle habits and, if necessary, medication.

Identifying gestational diabetes is important because the disease increases the risk of complications such as preeclampsia, the need for a cesarean section and high birth weight for the baby.

Those who have had gestational diabetes are also at higher risk of later developing type 2 diabetes.

In the current study, published in eClinicalMedicine, researchers now show that gestational diabetes is a strong indicator of future risk of developing type 2 diabetes, even in women with normal weight before pregnancy.

Elevated risk even with normal weight

The study is based on data from the Medical Birth Registry on just over 1.15 million first-time mothers in Sweden, who gave birth between 1987 and 2019. 16,870 women with confirmed gestational diabetes were compared with age-matched women without the diagnosis. The median follow-up period was nine years.

The results show that women with a BMI of 35 and above, i.e. severe obesity, had an almost tenfold increased risk of developing gestational diabetes compared to women with normal weight.

The risk of subsequent type 2 diabetes also increased with higher BMI, but it was significantly increased even with normal weight, which the researchers describe as particularly worrying.

More follow-up and more studies

The researchers behind the study welcome the recently updated recommendations on gestational diabetes in Sweden, where a higher proportion of pregnant women at increased risk are expected to be offered testing earlier in pregnancy, and if necessary, interventions.

“Diagnostics and care of gestational diabetes have looked very different in different parts of the country,” said Annika Rosengren, professor at the University of Gothenburg.

“There is a need for both improved follow-up after gestational diabetes, and more studies that investigate how such follow-up affects future health and prognosis”

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