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Color Health, Inc. (founded as Color Genomics) is an American healthcare organization.


History

The company was co-founded in 2015 by Elad Gil, Nish Bhat, Taylor Sittler, and Othman Laraki, who is the CEO, in
Burlingame, California Burlingame () is a city in San Mateo County, California, United States. It is located on the San Francisco Peninsula and has a significant shoreline on San Francisco Bay. The city is named after diplomat Anson Burlingame and is known for its ...
. In November 2021, the company had a valuation of $4.6 billion and collected $100 million in a series E financing round.


Expansion to population health

Color provides technology, software, and clinical services for
population health Population health has been defined as "the health outcomes of a group of individuals, including the distribution of such outcomes within the group". It is an approach to health that aims to improve the health of an entire human population. It ha ...
programs. Color has partnered with health systems including NorthShore University Health System,
Ochsner Health System Ochsner Health System is a not-for-profit health system based in the New Orleans metropolitan area of southeast Louisiana, United States. it is the largest non-profit, academic healthcare system operating in Louisiana, with 46 hospitals and ov ...
, and
Jefferson Health Thomas Jefferson University Hospitals, Inc, branded as Jefferson Health, is a multi-state non-profit health system whose flagship hospital is Thomas Jefferson University Hospital in Center City Philadelphia. The health system's hospitals serve ...
.


COVID-19 testing programs

In early 2020, recognizing the growing threat that the
COVID-19 pandemic The COVID-19 pandemic (also known as the coronavirus pandemic and COVID pandemic), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), began with an disease outbreak, outbreak of COVID-19 in Wuhan, China, in December ...
presented, Color mobilized its existing software, logistics expertise and lab operations to focus on mass COVID-19 testing. Color operates a high-throughput
CLIA CLIA may refer to: * Chemiluminescent immunoassay * Clinical Laboratory Improvement Amendments * Cruise Lines International Association Cruise Lines International Association (CLIA) is a cruise line trade association. It merged with Internationa ...
-certified
COVID-19 testing COVID-19 testing involves analyzing samples to assess the current or past presence of SARS-CoV-2, the virus that cases COVID-19 and is responsible for the COVID-19 pandemic. The two main types of tests detect either the presence of the viru ...
laboratory and processes thousands of samples a day. The integrated process includes sign up, the self-collection kit, and results returned via text and email to patients, clinicians, and public health authorities. Color returns results, on average, within 24–48 hours. In August 2020, Color was running some of the highest-capacity test sites in the country. Color was also responsible for the majority of
San Francisco San Francisco, officially the City and County of San Francisco, is a commercial, Financial District, San Francisco, financial, and Culture of San Francisco, cultural center of Northern California. With a population of 827,526 residents as of ...
's COVID-19 testing with an average turnaround time within 24 hours, and most results returned in under 48 hours. Color worked with San Francisco's CityTestSF program,
Alameda County Alameda County ( ) is a county located in the U.S. state of California. As of the 2020 census, the population was 1,682,353, making it the 7th-most populous county in the state and 21st most populous nationally. The county seat is Oakland. A ...
Health Services and federally qualified health centers in
Alameda County Alameda County ( ) is a county located in the U.S. state of California. As of the 2020 census, the population was 1,682,353, making it the 7th-most populous county in the state and 21st most populous nationally. The county seat is Oakland. A ...
,
Marin County Marin County ( ) is a county located in the northwestern part of the San Francisco Bay Area of the U.S. state of California. As of the 2020 census, the population was 262,231. Its county seat and largest city is San Rafael. Marin County is ac ...
and others. The company has also partnered with a wide variety of universities, employers and public health entities, including
USC USC may refer to: Education United States * Universidad del Sagrado Corazón, Santurce, Puerto Rico * University of South Carolina, Columbia, South Carolina ** University of South Carolina System, a state university system of South Carolina * ...
and
United Airlines United Airlines, Inc. is a Major airlines of the United States, major airline in the United States headquartered in Chicago, Chicago, Illinois that operates an extensive domestic and international route network across the United States and six ...
. In January 2022, Color had computer difficulties that resulted in delayed test results and closed testing stations.


Testing system


Genetics

Color's physician-ordered test can be initiated by individuals online, and a sample collection kit is sent in the mail. Individuals provide a saliva sample and return the kit in a pre-paid package. Color's
CLIA CLIA may refer to: * Chemiluminescent immunoassay * Clinical Laboratory Improvement Amendments * Cruise Lines International Association Cruise Lines International Association (CLIA) is a cruise line trade association. It merged with Internationa ...
-certified and
CAP A cap is a flat headgear, usually with a visor. Caps have crowns that fit very close to the head. They made their first appearance as early as 3200 BC. The origin of the word "cap" comes from the Old French word "chapeau" which means "head co ...
-approved lab analyzes for
variants Variant may refer to: Arts and entertainment * ''Variant'' (magazine), a former British cultural magazine * Variant cover, an issue of comic books with varying cover art * ''Variant'' (novel), a novel by Robison Wells * " The Variant", 2021 epis ...
in the breast cancer genes ''
BRCA1 Breast cancer type 1 susceptibility protein is a protein that in humans is encoded by the ''BRCA1'' () gene. Orthologs are common in other vertebrate species, whereas invertebrate genomes may encode a more distantly related gene. ''BRCA1'' is a ...
'' and ''
BRCA2 ''BRCA2'' and BRCA2 () are human genes and their protein products, respectively. The official symbol (BRCA2, italic for the gene, nonitalic for the protein) and the official name (originally breast cancer 2; currently BRCA2, DNA repair associate ...
'', as well as 28 other genes associated with breast, prostate, colon, uterine, stomach, melanoma, pancreatic, and ovarian cancers. The test also identifies
variants Variant may refer to: Arts and entertainment * ''Variant'' (magazine), a former British cultural magazine * Variant cover, an issue of comic books with varying cover art * ''Variant'' (novel), a novel by Robison Wells * " The Variant", 2021 epis ...
in 30 genes related to hereditary heart conditions as well as genes that may impact medication response. Genetic counseling with board-certified genetic counselors is available for free to all individuals who use Color.


COVID-19

Color's
FDA The United States Food and Drug Administration (FDA or US FDA) is a federal agency of the Department of Health and Human Services. The FDA is responsible for protecting and promoting public health through the control and supervision of food ...
Emergency Use Authorization (EUA) COVID-19 test can be accessed as a part of testing programs initiated by a public health entity, university, employer or other organization. The test is a dry anterior nasal swab, approved for use either in an on-site or at-home setting without the need for a healthcare provider to monitor sample collection, which eases the burden on the healthcare system and reduces testing costs. The company has received an FDA EUA for the testing assay, which is a
nucleic acid amplification The polymerase chain reaction (PCR) is a method widely used to make millions to billions of copies of a specific DNA sample rapidly, allowing scientists to amplify a very small sample of DNA (or a part of it) sufficiently to enable detailed st ...
method called LAMP, or
loop-mediated isothermal amplification Loop-mediated isothermal amplification (LAMP) is a single-tube technique for the amplification of DNA for diagnostic purposes and a low-cost alternative to detect certain diseases. LAMP is an isothermal nucleic acid amplification technique. In c ...
. This enables processing test results 50% faster than RT-PCR, the amplification method used at most other labs. LAMP relies on a different set of chemical reagents than standard PCR tests, which helps the process avoids supply chain scarcity.


Research

In 2018, Color was selected, alongside the
Broad Institute The Eli and Edythe L. Broad Institute of MIT and Harvard (IPA: , pronunciation respelling: ), often referred to as the Broad Institute, is a biomedical and genomic research center located in Cambridge, Massachusetts, United States. The institu ...
of
MIT The Massachusetts Institute of Technology (MIT) is a private research university in Cambridge, Massachusetts, United States. Established in 1861, MIT has played a significant role in the development of many areas of modern technology and sc ...
and
Harvard Harvard University is a private Ivy League research university in Cambridge, Massachusetts, United States. Founded in 1636 and named for its first benefactor, the Puritan clergyman John Harvard, it is the oldest institution of higher lear ...
, and the Laboratory for Molecular Medicine (LMM) at
Partners HealthCare Mass General Brigham (MGB) (formerly Partners HealthCare) is a not-for-profit, integrated health care system that engages in medical research, teaching, and patient care. It is the largest hospital-based research enterprise in the United States, ...
, to establish one of three genome centers around the country for the
National Institutes of Health The National Institutes of Health (NIH) is the primary agency of the United States government responsible for biomedical and public health research. It was founded in 1887 and is part of the United States Department of Health and Human Service ...
's historic ''
All of Us ''All of Us'' is an American sitcom that premiered on the UPN network in the United States on September 16, 2003, where it aired for its first three seasons. On October 1, 2006, the show moved to The CW, a new network formed by the merger of UP ...
'' Research Program. ''All of Us'' will sequence one million or more people across the US, with the goal of accelerating health research and enabling individualized prevention, treatment, and care. The program has a focus on recruitment from populations that have been historically underrepresented in clinical science and genomic medicine, in order to build a diverse biomedical data resource that provides a foundation for better insights into the biological, environmental, and behavioral factors that influence health. In 2019, Color was named the sole awardee to deliver all of the genetic counseling for ''All of Us''. As the awardee, Color will customize software and tools to integrate data from all the genome centers, standardize reporting across the program, and ensure all results are returned in a unified way. This is a first year $4.6 million grant as part of a multi-year $25 million project. In collaboration with the
Women's Health Initiative The Women's Health Initiative (WHI) was a series of clinical studies initiated by the U.S. National Institutes of Health (NIH) in 1991, to address major health issues causing morbidity and mortality in postmenopausal women. It consisted of three ...
and Dr.
Mary-Claire King Mary-Claire King (born February 27, 1946) is an American geneticist. She was the first to show that breast cancer can be inherited due to mutations in the gene she called ''BRCA1''. She studies human genetics and is particularly interested in g ...
at the
University of Washington The University of Washington (UW and informally U-Dub or U Dub) is a public research university in Seattle, Washington, United States. Founded in 1861, the University of Washington is one of the oldest universities on the West Coast of the Uni ...
, Color provided genetic sequencing for the cohort of 10,000 Fabulous Ladies Over Seventy (FLOSSIES). This is the largest publicly available dataset of genetic variants associated with hereditary cancer in healthy, older individuals. Color Data, a database containing aggregated genetic and clinical information from 50,000 individuals who took a Color test, helps researchers and scientists identify genotype-phenotype correlations and novel variants for functional analysis, as well as enables data-driven drug discovery and development. It is the largest public database of its kind. As a part of the MAGENTA Study, which aims to improve availability of
genetic testing Genetic testing, also known as DNA testing, is used to identify changes in DNA sequence or chromosome structure. Genetic testing can also include measuring the results of genetic changes, such as RNA analysis as an output of gene expression, or ...
for hereditary cancer syndromes to at-risk individuals through the use of an online genetic testing service, Color is working with a
Stand Up to Cancer Stand Up To Cancer (SU2C) is a charitable organization that was established as a division of the Entertainment Industry Foundation (EIF). In 2022, SU2C was separately incorporated and was recognized by the IRS as a Section 501(c)(3) public charit ...
Dream Team that includes physicians, scientists and researchers from the
MD Anderson Cancer Center The University of Texas MD Anderson Cancer Center (colloquially MD Anderson Cancer Center) is a comprehensive cancer center and autonomous university of the University of Texas System in Houston, Texas. It is the largest cancer center in the wo ...
and the
University of Washington The University of Washington (UW and informally U-Dub or U Dub) is a public research university in Seattle, Washington, United States. Founded in 1861, the University of Washington is one of the oldest universities on the West Coast of the Uni ...
to provide genetic counseling to high-risk individuals through delivery models such as tele-counseling. In collaboration with Dr. Laura Esserman at University of California and
Sanford Health Sanford Health is a nonprofit, integrated health care delivery system headquartered in Sioux Falls, South Dakota, with additional offices in Fargo and Bismarck, North Dakota, and Bemidji, Minnesota. History Sanford Health has its roots in ...
, Color is providing genetic testing for WISDOM, a 100,000-woman study that is comparing annual screenings with personalized, risk-based breast cancer screenings. As part of the
GENtleMEN Study ''Gentleman'' (Old French: ''gentilz hom'', gentle + man; abbreviated ''gent.'') is a term for a chivalrous, courteous, or honorable man. Originally, ''gentleman'' was the lowest rank of the landed gentry of England, ranking below an esquire a ...
, Color is working with Dr. Heather Cheng at the
Fred Hutchinson Cancer Research Center The Fred Hutchinson Cancer Center, formerly known as the Fred Hutchinson Cancer Research Center and also known as Fred Hutch or The Hutch, is a cancer research institute established in 1975 in Seattle, Washington (state), Washington. History ...
and the
University of Washington The University of Washington (UW and informally U-Dub or U Dub) is a public research university in Seattle, Washington, United States. Founded in 1861, the University of Washington is one of the oldest universities on the West Coast of the Uni ...
to provide genetic testing and counseling to men with advanced
prostate cancer Prostate cancer is the neoplasm, uncontrolled growth of cells in the prostate, a gland in the male reproductive system below the bladder. Abnormal growth of the prostate tissue is usually detected through Screening (medicine), screening tests, ...
. Color contributes anonymized variants to ClinVar, a free database managed by the National Center for Biotechnology Information (NCBI) at the National Institutes of Health (NIH) that helps researchers identify links between genes and disease. Color's research collaborators include: *
Mary-Claire King Mary-Claire King (born February 27, 1946) is an American geneticist. She was the first to show that breast cancer can be inherited due to mutations in the gene she called ''BRCA1''. She studies human genetics and is particularly interested in g ...
: advisor, scientific collaborator * Sekar Kathiresan: advisor, scientific collaborator * Heidi Rehm: scientific collaborator


References

{{reflist Genomics companies Medical tests Biotechnology Cancer research Companies based in Burlingame, California American companies established in 2015 2015 establishments in California Privately held companies based in California