Precision medicine for transplantation

Give every transplanta safer chance.

Founded by a transplant survivor, advancing HLA-based compatibility modeling to reduce rejection and expand access.

A transplant survivor and her loved one
$0
NIH Phase I SBIR award
1 in 5
Kidney transplants fail within 5 years
15-35%
GVHD-related deaths in blood stem cell transplants
Foundations of the work
NIH
NIH SBIR
Phase I award
VTX
Vertex Pharmaceuticals
Founder background in FDA-approved therapeutics
SRTR
SRTR
Transplant registry data access
Lidio Meireles, founder of Immunomatics, with family after a stem cell transplant for relapsed lymphoma.
Our story
“I am alive today because I received a blood stem cell transplant to treat relapsed lymphoma. But when my doctors evaluated potential donors, none was a perfect match, and there was no way to predict which donor would be safest.”

That uncertainty stayed with me. I realized we need better tools to guide one of the most important decisions in transplantation. That is why I founded Immunomatics, to bring precision medicine to transplantation.

Lidio Meireles, PhD · Founder & CEO · Stem cell transplant survivor
The problem

Too many failed transplants.

Behind every failed kidney transplant is a patient forced back to dialysis, a family restarting the waitlist process, and billions in avoidable healthcare costs each year.

1 in 5kidney transplants fail within five years.

In blood stem cell transplantation, graft-versus-host disease (GVHD) accounts for 15-35% of deaths, and blood cancer relapse remains high at 25-50%, depending on disease risk.

Through optimal donor selection, Immunomatics aims to reduce the rates of rejection, GVHD, and cancer relapse.

Kidney transplant illustration
Technology

Better matches, better outcomes.

Current practice treats most donor-recipient mismatches as the same risk, missing the key immune details that decide whether an organ is accepted or rejected.

Immunomatics leverages advanced machine learning and HLA compatibility modeling to assess the risk of specific donor-recipient mismatches, helping clinicians make more precise decisions.

01

Smarter donor selection

Evaluates HLA compatibility beyond simply counting mismatches.

02

Personalized care

Supports tailored immunosuppression for safer recovery.

03

Improved access

Expands viable donor options for underrepresented patients.

04

Evidence-based insight

Built on real transplant outcomes, with planned clinical validation.

The difference · try it

Fewer mismatches aren’t always safer.

Traditionally, blood stem cell transplants prioritized fully HLA-matched donors. However, advances like post-transplant cyclophosphamide (PTCy) for GVHD prevention have shifted focus toward balancing HLA compatibility with factors such as age, gender, and transplant protocol, making donor selection complex without specialized decision support software.

Switch the donor selection criteria and watch the “safest” donor change.
Recipient
High-risk leukemia
49 · Male
Transplant protocol
  • · Reduced-intensity conditioning
  • · PTCy GVHD prophylaxis
Donor A
Related (sister)
52 · Female
✓ Best
  • · 0 mismatch
  • · Older donor
  • · Female to male
Medium risk
Donor B
Registry
30 · Female
  • · 1 high-risk mismatch
  • · Young donor
  • · Female to male
High risk
Donor C
Registry
26 · Male
  • · 2 low-risk mismatches
  • · Young donor
  • · Male to male
Low risk
Locus
Recipient
Donor A
Donor B
Donor C
HLA-A
02:01 / 03:01
02:01 / 03:01
02:01 / 03:01
02:01 / 03:01
HLA-B
07:01 / 15:01
07:01 / 15:01
07:01 / 15:07HR
07:01 / 15:01
HLA-C
03:03 / 08:01
03:03 / 08:01
03:03 / 08:01
03:04 / 08:01LR
HLA-DRB1
11:04 / 15:01
11:04 / 15:01
11:04 / 15:01
11:01 / 15:01LR
HLA-DQB1
03:01 / 06:02
03:01 / 06:02
03:01 / 06:02
03:01 / 06:02

Ranked the way donors were traditionally chosen, by mismatch count, Donor A looks like the safest match.

Illustrative; risk modeling in development, subject to clinical validation.

How it works

A rejection-risk score clinicians can act on.

Risk analysis uses existing transplant workflow data. No additional testing required.

How it works

Risk scored from data you already collect.

1
Existing data
HLA + non-HLA from donor, patient & procedure
2
AI model
Immunobiology-informed machine learning
3
Risk score
Donor selection · immunosuppression · monitoring
No additional testing required
The output

A clear score, at a glance.

LOWHIGH
0.18
Low rejection risk

Designed to guide donor selection, personalize immunosuppression, and improve rejection monitoring.

01

Modern computational methods

Models learn patterns linked to rejection risk using advanced machine-learning approaches.

02

Immunobiology-informed design

Architectures reflect how T and B cells recognize antigens, capturing compatibility more precisely.

03

Multi-modal evidence

Combines registry outcomes, bioassays, and protein sequences and structures to strengthen the model.

The opportunity

The need is global. The market is growing.

Initial global TAM
~$220M/yr

About 220,000 solid-organ and blood stem cell transplants worldwide, at an assumed ~$1,000 in software value per procedure.

Broader opportunity
$1B+

Adding allogeneic cell therapies and biopharma partnerships expands the total addressable market well beyond the initial wedge.

U.S. market · our primary focus
49,000+
organ transplants in 2025, across 251 hospitals
~9,000
allogeneic blood stem cell transplants, across 150 centers
~$116M
U.S. opportunity at ~$2,000 software value per transplant
Go-to-market goal
10-30
early-adopter institutional accounts
2.5-7.5%
of the U.S. transplant hospital network
$2-6M
initial ARR, at ~$200K average contract value

Estimates reflect internal planning assumptions and remain subject to product performance, clinical validation, pricing, and commercial execution.

Multiple paths to scale, without re-engineering the platform

01
Land and expand

Widen adoption across additional transplant departments within existing hospital networks, raising contract value per customer.

02
Geographic expansion

Scale sales and regulatory efforts into the high-volume European and Asia-Pacific markets.

03
Strategic out-licensing

Partner with multinational transplant-diagnostic companies to embed our AI models in their existing software.

04
Biopharma partnerships

Commercial agreements with cell-therapy companies that need advanced immune-compatibility modeling.

Roadmap

Progress at a glance

Now

Foundation

  • NIH-funded development
  • SRTR data access
  • Collaboration with UC San Diego's Immunogenetics & Transplantation Lab
Next 12-18 months

Execution

  • Proof of concept
  • Pilot programs at transplant centers
  • NIH Phase II application ($2M)
Destination

Vision

  • Regulatory clearance
  • Expansion across the U.S. and abroad
Team

People who understand both the science and the stakes.

Core team
Lidio Meireles, PhD, MS

Lidio Meireles, PhD, MS

Founder & CEO

Stem cell transplant survivor and scientist trained in computational biology and AI. Experience includes contributions to FDA-approved therapeutics at Vertex Pharmaceuticals. Leads product strategy, model design, and clinical validation.

Tonislav Ivanov, MS

Tonislav Ivanov, MS

Senior AI Scientist

Specializes in deep learning, with 10+ years of experience spanning the aerospace, healthcare, and semiconductor sectors.

David de Oliveira Lima, MS Candidate

David de Oliveira Lima, MS Candidate

AI Scientist

Specializes in deep learning for biomedical applications, including computational histopathology software to assess renal glomerular lesions.

Advisors & consultants
Gerald P. Morris, MD, PhD

Gerald P. Morris, MD, PhD

Scientific Advisor

Director of the Immunogenetics and Transplantation Laboratory at UC San Diego, with over a decade of expertise in histocompatibility. Advises on transplant immunology and clinical relevance.

Vera Tomazella, PhD

Vera Tomazella, PhD

Biostatistician, Consultant

Professor of Biostatistics at the Federal University of Sao Carlos (UFSCar). Specializes in survival analysis, cure fraction models, and frailty modeling. Advises on survival analysis methods.

Danilo Alvares, PhD

Danilo Alvares, PhD

Biostatistician, Consultant

Postdoctoral Research Fellow at the University of Sao Paulo; Visiting Researcher at the MRC Biostatistics Unit, University of Cambridge. Specializes in survival analysis and Bayesian methods. Advises and conducts survival analyses.

Reference to UC San Diego, the Federal University of Sao Carlos, the University of Sao Paulo, and the MRC Biostatistics Unit at the University of Cambridge is for identification purposes only and does not imply institutional endorsement or support.

Join us in improving transplant outcomes.

Fighting transplant rejection should be a shared mission. Your investment directly accelerates development, clinical validation, and the partnerships needed to bring this technology to real-world clinical use.

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FAQ

Answers to the questions we hear most

Immunomatics AI-based software estimates the relative risk of specific donor-recipient incompatibilities before transplantation, helping clinicians optimize donor selection for better transplant outcomes, less rejection, more survival.

Transplant centers and histocompatibility labs evaluating donor-recipient compatibility across solid organ and blood stem cell transplantation.

Immunomatics has received a $207,740 NIH Phase I SBIR award (non-dilutive, third-party scientific validation) plus $120,000 in founder capital. This crowdfunding round is intended to advance product development, data partnerships, and clinical validation.

Immunomatics designed neural network architectures that model how immune cells recognize foreign antigens. These models learn to correlate patterns of amino acid mismatches between donor and recipient HLA with the risk of rejection (time-to-event) using transplant registry data. The risk score is then adjusted for non-HLA factors, such as donor and recipient age and comorbidities.

You can invest in the current crowdfunding round, or connect directly with founder Lidio Meireles to learn more about the science and roadmap.