De-risk Clinical Trials Using H&E and Multi-omics Data

Match your therapy with the patients most likely to benefit. MiraTyper uses H&E and multi-omics data to help your team identify potential responders and non-responders as you build a cohort, with interpretable measurements and pathologists in the loop.

  • Search active-patient databases for candidates who match your criteria
  • Use consistent, repeatable criteria to screen trial patients
  • Work with public data, your data, and third-party databases
A 7 by 7 grid of H&E-stained tissue regions from 49 TCGA colon cancer slides Predicted spatial niches in the same 49 tissue regions
Kite / Gilead
Elephas
UC Riverside
University of Kentucky

Plus many more

H&E Is Collected Everywhere and Measured Almost Nowhere

Standard-of-care histology records immune infiltration, vasculature, stroma, and tissue architecture, all linked to prognosis and drug response. Extracting that by hand is slow, and connecting it to RNA, DNA, and spatial data is harder still.

Decision risk

Heterogeneity Hides Efficacy

When a trial mixes likely responders with likely non-responders, a drug's true effect can disappear into the average, and biomarker hypotheses stay weak.

Workload

Pathologists Become Counters

Quantifying morphology across hundreds of slides is repetitive manual measurement, for pathology teams already stretched across H&E, IHC, and spatial data.

Unused evidence

Archived Slides Sit Idle

Slides from past and ongoing trials already hold answers to new questions, but without systematic measurement they cannot be queried.

See what MiraTyper finds in your data

Add your details, pick a time and we will run two datasets for free. Quick and easy.

  1. 1. Your details
  2. 2. Choose a time

From Routine H&E to an Analysis-Ready Dataset

MiraTyper returns measurements, not a single prediction: a feature table, slide overlays, and scores for every patient and across the cohort. Cell type is the join key, so H&E, spatial, and single-cell data share one label space.

Input

Slides and Data

Standard-of-care H&E, plus spatial, single-cell, or protein data where available.

  • H&E whole-slide images
  • Xenium, CosMx, Visium HD
  • Single-cell RNA-seq
  • Response, toxicity, outcomes
Primitives

Validated Detectors

Each primitive detects one thing reliably, such as a cell type or a molecular signal, validated on orthogonal data.

  • Malignant cells from H&E
  • Lymphocytes from H&E
  • 425 cell types from RNA
  • Tissue segmentation
Skills

Composable Analyses

Skills combine primitives to answer a study question, so a new question rarely requires a new model.

  • TLS detector
  • Immune triad detector
  • Niche detector
  • Report generator
Output

Actionable Measurements

Per-patient and cohort reports, ranked by the features that matter to the study.

  • Feature table per patient
  • Slide overlays
  • Percentiles versus cohort
  • Selection scores

Simple Histological Features Track Clinical Outcomes

Published studies link H&E features to MSI status, prognosis, and response to checkpoint, VEGF, and chemotherapy regimens. MiraOmics turns the features relevant to each program into primitives.

Table 1. Example context: colorectal cancer.
FeatureAppearance on H&ERelevant to
Tertiary lymphoid structures Organized lymphocyte clusters in or around the tumor MSI/MSSPrognosisCheckpoint
Tumor-infiltrating lymphocytes Lymphocyte density, and position relative to tumor and stroma MSI/MSSCheckpointPrognosis
Plasma cells Aggregates of plasma cells MSI/MSSCheckpoint
Dirty necrosis Neutrophil pockets and debris within necrotic tumor MSI/MSSPrognosisKRAS status
Fibrosis Dense stroma of elongated fibroblasts MSI/MSSPrognosisVEGFCheckpoint
Vasculature Tumor-associated blood vessels VEGF responseCheckpoint
Aneuploidy Abnormal chromosome content in tumor cells MSI/MSSPrognosisCheckpoint

Associations come from the published literature and vary in direction and strength by indication. Each feature is validated for a program before it is relied on.

What MiraTyper Reads from H&E Today

Examples from MiraOmics studies. Each H&E prediction is shown beside its reference.

H&E section of a cervical tumor H&E input
Reference cell composition from MiraTyper cell labels Reference
Cell composition predicted from the H&E Predicted from H&E
Zero-shot Figure 1. Tumor and immune composition of a cervical tumor, predicted from H&E alone by a model trained on ovarian tissue, beside the reference composition built from MiraTyper cell labels.
  • Malignant
  • Immune
  • Other
H&E of a region containing a tertiary lymphoid structure H&E input
Predicted malignant cells in red and immune cells in blue Predicted
Ground-truth malignant cells in red and immune cells in blue Ground truth
H&E only Figure 2. Tile-level prediction of immune (blue) and malignant (red) cells around a tertiary lymphoid structure, from H&E alone using the ovarian lymphocyte and tumor models, beside ground truth for the same tiles.
PSMA RNA expression predicted from H&E across a prostate cancer section, shown as green tiles Predicted from H&E
PSMA RNA expression measured by Xenium on the same section Measured by Xenium
Early result Figure 3. PSMA (FOLH1) RNA expression predicted from H&E across a prostate cancer section, out of sample, beside the expression measured by Xenium on the same tissue. Across slides the aggregate Spearman ρ is about 0.50, reaching 0.82 on the best single slide; the model is not yet calibrated for quantitative use, and evaluation against IHC on serial sections is under way.

Why a Feature-Based Approach

If you train to predict outcomes directly, you need slide collections linked to those outcomes, and their predictions can be hard to interpret. MiraTyper measures defined tissue features that your team can inspect, compare, and combine for the decision at hand.

PropertyManual Feature SelectionFoundation ModelMiraTyper
Data sourceManually annotated imagesWhole-slide images with metadataLiterature and public data
InterpretabilityHighLowHigh
Effort and costVery highModerate to highLow
ThroughputLowHighHigh
Configurable across drug classesYesNoYes
Combinations (drug X and/or Y)LimitedLimitedYes
Portability across diseasesHighModerateHigh
Spatial, IHC, and other modalitiesNoNoYes

The Process, Not Just the Product

A pilot runs for three months against one asset and one decision. What it delivers, when, and who owns the result afterwards are written down before any analysis starts.

Acceptance Criteria Agreed Up Front

The question, the cohort, the features, and the success metrics are fixed in the scope before work begins — so there is a defined test the work either passes or fails, not a subjective review at the end.

Documentation as a Deliverable

Methods, model versions, parameters, and QC are written down as the work proceeds. Every measurement traces back to the region of the slide it came from, so results survive an audit and a change of staff.

Milestone Reviews with Your Pathologists

Findings are reviewed at each milestone with the people who will have to defend them internally. Feature definitions get refined with the pathology team rather than handed to them finished.

Handover, Not Lock-In

The container, the model versions, and the configuration run in your environment. Your team can rerun everything after the pilot ends, and the primitives built for you stay available across platforms.

Before You Run Your Datasets

Do our slides or clinical data have to leave our network?

No. MiraTyper ships as a Docker package and runs inside your environment — a laptop, your cloud, or an air-gapped network. Transcriptomics inference runs on CPU with no GPU required.

How do we know the measurements are valid?

Every supported panel is benchmarked and published on the technical page, and the model has been evaluated against four published annotation tools across seven independent datasets. H&E feature detectors are validated against matched molecular data before they are used on a program.

What if the feature our program cares about has no detector?

Most new primitives take about a week to build, and are validated on orthogonal data before use. The feature set is agreed at the start of a pilot so the build happens before any scoring.

Will this replace our pathologists?

No. MiraTyper performs the exhaustive measurement; pathologists decide which features matter, review the overlays, and own diagnosis, QC, adjudication, and interpretation. Every number traces back to a region of the slide.

How reproducible is it?

The model is deterministic and is not LLM-based: the same slide yields the same measurements on every run. No tokens, no sampling, no run-to-run variance.

What does a first engagement cost?

Pilots are scoped per program — one asset, one decision, three months, with success metrics agreed up front. Bring the asset to the call and you will get a number and a timeline.

Run two datasets for free

Bring one asset and one decision. We will tell you on the call whether the tissue can answer it.

P.S. The slides are already cut, already archived, and already paid for. The only question is whether anyone measures what is on them.