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Revolutionizing Psychiatric Treatment with Brain-Computer Interfaces

Society


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  • Inner Cosmos introduces non-invasive BCI for depression treatment
  • Device mimics TMS, showing positive results in mood improvement
  • CEO aims to match TMS efficacy with portable device
  • Challenges include product commercialization and reimbursement strategies
  • Facing competition from Motif in the mental health sector
360 summary
  • The pill developed by Inner Cosmos delivers treatment through transcranial magnetic stimulation, targeting specific areas in the brain without invasive procedures.
  • Patients can conveniently activate the treatment at home without the need for scheduled office visits or transportation, enhancing accessibility and comfort.
  • Co-founder Eric Leuthardt emphasizes the importance of designing neurotechnologies that are minimally invasive yet clinically effective, aiming to reach a broader population in need of mental health support.
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  • Inner Cosmos aims to fine-tune brain electrophysiology for therapeutic benefit by better understanding the network dynamics associated with mood and depression.
  • The company's device does not record electrical data, allowing adjustments to the treatment protocol to be made with input from a patient's psychiatrist through standard clinical assessments like MADRS.
  • Inner Cosmos has developed a BCI that enables a patient-centered, clinically-driven care model for depressed patients unresponsive to conventional pharmaceutical therapies.
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  • Eric's depression began almost two decades ago, triggered by the birth of his child and compounded by traumatic incidents at work, leading to a series of challenges in his career and personal life.
  • After facing a difficult termination in 2022, Eric decided to focus on his health full-time, leading him to explore alternative treatment options such as TMS for depression and anxiety.
  • Upon learning about the Inner Cosmos study, Eric was intrigued by the non-invasive device and its potential to offer relief from his symptoms, especially after finding TMS therapy uncomfortable but somewhat helpful.
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  • Eric found the device to be comfortable and non-painful, experiencing only a mild pressure during treatment sessions.
  • He integrated the device seamlessly into his daily routine, wearing it while performing various activities like making breakfast and doing yard work.
  • Eric's decision to proceed with the treatment was influenced by the empathy and transparency of the medical team at WashU, highlighting the importance of patient care in the treatment process.
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  • Meron Gribetz leads Inner Cosmos with a focus on safety and efficacy, aiming to match the gold standard set by TMS in the industry.
  • Gribetz's strategic approach involves advancing the clinical-stage platform with a global team and significant investment, emphasizing the importance of delivering effective psychiatric treatments.
  • Under Gribetz's leadership, the company is dedicated to developing innovative solutions beyond traditional antidepressants, driven by a commitment to helping individuals who have not benefited from conventional therapies.
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  • Inner Cosmos aims to make TMS more accessible by offering a portable device, addressing the limited utilization of TMS due to its requirement for in-clinic sessions.
  • The introduction of an accelerated 1-week TMS protocol called SAINT by startup Magnus Medical could disrupt the traditional treatment approach for depression.
  • Emerging technologies like low-intensity focused ultrasound and wearable transcranial stimulation devices are being explored alongside TMS, indicating a shift towards more diverse treatment options in psychiatry.
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  • BCI leaders are considering whether the technology should be accessible to all individuals or remain limited to specific populations, raising questions about inclusivity and market reach.
  • Psychiatric BCI startups face challenges in funding despite the significant market opportunity, highlighting the disparity in investment compared to other BCI applications.
  • There is a growing emphasis on updating BCI terminology to distinguish between movement/communication and treatment categories, aiming to enhance clarity for regulation, investment, and public engagement in the field.
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  • Inner Cosmos faces challenges with product commercialization due to the potential difficulty in selling implantable pulse generators in mental health for both patients and psychiatrists.
  • Introducing transformational upgrades like a wireless charging system and broader digital health tools in their next-gen device will require additional capital for development and regulatory approvals.
  • Reimbursement remains a critical variable for Inner Cosmos, and they are studying reimbursement based on current payments and codes to support a rapid launch.
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  • Inner Cosmos faces competition from Motif, a company pursuing a similar approach with their DOT device and securing significant funding from the UK-based ARIA program.
  • Psychiatric BCI startups have raised less than $40m in total to date, despite facing a far larger market opportunity compared to other BCI categories.
  • Morgan Stanley analysts project a substantial market size for therapeutic BCI, with depression comprising a significant portion of the opportunity, emphasizing the potential revenue growth in the mental health sector.
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  • The distinction between "non-invasive" and "invasive" technologies raises ethical concerns in categorizing surgically installed BCIs.
  • Leuthardt advocates for specific language beyond "minimally invasive" to guide stakeholders in the BCI industry.
  • The need for a rubric to balance surgical risk, information requirement, and clinical need remains relevant despite advancements in BCI technology.
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  • The emergence of psychiatric neurostimulators like Inner Cosmos' Digital Pill could tap into a larger market by offering precise, in-home dosing of neurostimulation for daily life improvement.
  • Engaging the public about the attributes and applications of psychiatric BCI devices can drive broad crossover appeal, especially with their lower invasiveness and potential for psychological or cognitive enhancement.
  • Inclusivity in the neurotech field, including regulatory reforms and synergies, could facilitate the integration of psychiatric BCI devices and pave the way for next-gen products based on user feedback.
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ExploreThe above information is compiled by Forbes and does not represent any position of Arbor. It does not constitute any investment advice made by Arbor. Before making any investment decisions, investors should consider the risk factors related to the investment products based on their own circumstances and seek advice from professional investment advisors if necessary. We strive to ensure but cannot guarantee the truthfulness, accuracy, and originality of the above content, and we make no promises or guarantees in this regard. As machine learning has a probabilistic nature, it may lead to incorrect reflection of facts in certain situations. You should appropriately evaluate the accuracy of any information summary based on your usage, including through manual evaluation of the information summary. We are not responsible for any losses or liabilities incurred by you due to your use, viewing, and access of the platform or failure to do so.
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