Latest / The BioHub - by Avetix / Alex Blyth - CEO LifT Biosciences at BIO Boston 2025
Transcript
- 0:04So here we are in Boston for bio.
- 0:06I'm with Alex Blythe, the CEO and founder of Lyft Biosciences.
- 0:10Just gives us a bit of context about who you are, Alex.
- 0:13Yeah, sure. So I'm the founder of Lyft and
- 0:17Lyft is a new to world technology and modality.
- 0:21Essentially, we use innate immune cells that we mass
- 0:26produce from stem cells, from people who have very good immune
- 0:31systems, and we use those to produce a special kind of white
- 0:35blood cell that restores innate immune function in patients, in
- 0:41particular cancer patients, and replaces their defective innate
- 0:46immune cells that are preventing cancer therapies working.
- 0:50Yeah, amazing. Just tell us a little bit about
- 0:54the journey of it. It's been a long road so far,
- 0:58right? But but really rewarding one at
- 1:00least, right? Yes, yes.
- 1:03So I originally came up with the idea behind Lyft some 10 years
- 1:09ago. I'd worked in the industry prior
- 1:13to that for about 15 years, bringing novel biopharma assets
- 1:18through to market, as you'd say, or through to patients.
- 1:22And often they would be targeted because what the industry likes
- 1:26to have is the idea that it works on the part of the body
- 1:29that you want to change without affecting the rest of the body.
- 1:35And that's because in the 1950s and through to about 1970s,
- 1:39there are a lot of dirty chemo drugs.
- 1:41And so that's been the direction of travel.
- 1:44And while that makes sense to a degree, in most areas of
- 1:48medicine where like a Swiss watch, you only want to mess
- 1:50with this bit and not the rest of it, unfortunately in cancer
- 1:54it makes less sense. And I experienced that first
- 1:57hand when my own mother got pancreatic cancer and she went
- 2:01on to cancer therapies that I'd been involved with, actually
- 2:04bringing them through to patients that were targeted.
- 2:08And sadly, what I saw first hand was how the tumour adapts and
- 2:13the targeted therapy doesn't. And then you get something
- 2:17called tumour escape. And in reality, 90% of people
- 2:21who die from cancer die from tumor escape.
- 2:25In effect, you've got a lock and key mechanism.
- 2:29And when the only key you've got is one or two and there are
- 2:351,000,000 different locks and they're all changing every
- 2:37couple of weeks, it's basically a, a failed attempt to try and
- 2:43control the tumor that that results.
- 2:46And that's why, sadly, you know, the vast majority of people who
- 2:50are no longer able to have surgery on their cancer because
- 2:53it's gone beyond that organ, particularly using to being
- 2:57metastatic throughout the body. You know, for those people, you
- 3:04know, sadly, you're going to have about 90% of people having
- 3:07a shorter life span than they would have thought.
- 3:10And a lot of them will not even live beyond 12 months.
- 3:13And a lot of drugs have come through that are targeted drugs
- 3:18and the industry is obsessed with them.
- 3:21And what they tend to measure is do we debulk the tumor?
- 3:23Do we make it smaller? And do we actually then manage
- 3:29to get the tumor not growing for a a longer period of time?
- 3:34And they call this, you know, progression free survival, but
- 3:38it's no, with nothing like actual overall survival.
- 3:41All it's meaning is these primary tumor is shrunk down,
- 3:45but in 90% of cases they're going to die from a distant
- 3:48metastasy that doesn't relate to this primary tumor that's being
- 3:51hit with the target. And So what you see is a a very
- 3:55strange situation where we have new things like bispecifics
- 3:59coming out and a lot of money being thrown at them.
- 4:02And while the bispecifics made it better to reduce tumor size
- 4:05and improve progression free survival, and we've had people
- 4:10like Summit Therapeutics look like they had great data, when
- 4:13you actually look at overall survival, it doesn't change.
- 4:16And the reason it doesn't change is because it's tumour escape
- 4:20that is killing people. And just coming up with another
- 4:23way to use targets doesn't solve the problem of the patient's own
- 4:27immune system not being able to recognise a tumour.
- 4:30They can't recognise friend versus foe.
- 4:33So once the tumour adapts around those targets, it just escapes,
- 4:37right? And no matter what they do with
- 4:40different targeted agents, whether they put a, a payload on
- 4:44it and they call this a antibody drug conjugate, but it's like a
- 4:47little bomb on an antibody that goes into you.
- 4:51Or whether they're using a bispecific, which is 2
- 4:53antibodies, if you like. Together, all of these things
- 4:58are using the same targets that don't work.
- 5:00And it's like Einstein's very famous quote, you know,
- 5:04repeating the same things and expecting different results is
- 5:07madness. And that's what they're doing.
- 5:10Yeah. And that's the sad thing I
- 5:12realized when I saw my mum die. And so I instead looked at,
- 5:17well, how is it that healthy people are destroying mutating
- 5:22cells in their body every day? Very successfully, in fact.
- 5:25You know, today you will have, your body will have destroyed
- 5:29around 70 billion cells, which is about the same as A5
- 5:33centimetre cube, which is, you know, for a tumour, you could do
- 5:37that. You would be able to get rid of
- 5:38that. You're a healthy person.
- 5:41So it seems crazy, but your immune system is very good at
- 5:43getting rid of your own cells. And that's all a tumour is
- 5:46actually. And so we we make it into
- 5:48something else, like it's not your body, it's cancer.
- 5:51But no, it's your body and your body knows how to deal with
- 5:54that. So I looked at it was working
- 5:56for those people. So why don't we get that working
- 5:59for patients? And So what in effect we do is
- 6:03we give patients the Super immune system that some people
- 6:07are privileged enough to have. Yeah, it's amazing.
- 6:10So where are you guys at with it now?
- 6:12What's happening? Well, in order to go into
- 6:16clinical trials with patients, you have to do a lot of
- 6:19preclinical work to show that the the benefit is worth the
- 6:25risk to the patient. So you have to show that you are
- 6:29able to in models destroy tumors and do it in a Safeway.
- 6:35So for example, you know you're not harming mice and at the same
- 6:40time you're able to show in models could be a mouse model,
- 6:43but can also be something called a tumoroid model, which is
- 6:46little fragments of real human tumors that you're then showing
- 6:50you can destroy in a three-dimensional way, or it can
- 6:55be a tumour chunk. So it's literally a chunk of the
- 6:58tumour, which is most realistic actually.
- 7:00And you show how you essentially can destroy destroy that outside
- 7:05the body. And we've done a lot of those
- 7:07models to show it works very effectively at recruiting in the
- 7:10rest of the immune system to destroy these things.
- 7:13But really a hindrance of all these models is you don't have
- 7:17the body's whole immune system there.
- 7:19So the data is never going to be as good as it would be in a
- 7:23person because the person has almost an infinite supply of
- 7:27white blood cells you can recruit and you've got your your
- 7:31lymphatic system and you've got your blood, which you are like
- 7:34the high speed transporters of these white blood cells, like
- 7:37having a little M25 in your body.
- 7:40And you don't have that in these models.
- 7:43And that's why drugs like Keytruda, which is a checkpoint
- 7:46inhibitor that has revolutionised cancer care and
- 7:49arguably is the most successful cancer drug in history, didn't
- 7:53actually do very well in preclinical models because it
- 7:57was showing that cells that are recruited, T cells have the
- 8:01breaks taken off and work well at killing.
- 8:04But it didn't have a specific target type.
- 8:08And so actually, it didn't look as good preclinically as it
- 8:11actually was in practice. But in the end it was, it was
- 8:15the best thing because it enabled your own immune system
- 8:18to destroy the tumors. But sadly, it only works in a
- 8:22small proportion of patients because if you have an
- 8:26ineffective innate immune system, it still won't work
- 8:30because the T cells need to be brought into the tumour.
- 8:34They need to be stimulated. And if the tumour adapts, you
- 8:38need something that's going to recognise the escape variants
- 8:40and kill it. Yeah.
- 8:41And that thing we're talking about is the innate immune
- 8:43system. And when that is not intact,
- 8:46even if you've got a checkpoint inhibitor, it's not going to
- 8:48work. And that's now been shown in
- 8:50clinical papers that are published in Cell in Nature.
- 8:53Yeah. Amazing.
- 8:54So what's what's next then? Well, what's next is we've got
- 8:59our clinical trials starting in 15 months.
- 9:02Amazing. So we've done our GMP good
- 9:05manufacturing practice. Essentially you, you can only
- 9:07put clean things into people's bodies.
- 9:10And we're very excited to be doing that in Ireland.
- 9:13And the Irish government to their credit have given us a €13
- 9:18million grant to do that in, in Galway.
- 9:22And that really speaks to their commitment towards ending cancer
- 9:27for their population. And I think it's something they
- 9:29should be very proud of. And, you know, we are delighted
- 9:34that we can be a part of that story.
- 9:36Yeah, that's incredible. Just looking at the industry as
- 9:40a whole at the moment, there's a general consensus there.
- 9:44It's not right. How?
- 9:46How was it like being a smaller company with such big ambitions
- 9:50in in a space like this at the moment?
- 9:52Yeah, it's very hard. I mean, I feel like I've built
- 9:56an amazing speedboat that does all the things we wanted it to
- 10:00do. And I the data is better than I
- 10:01ever could have hoped for. You know, we can recruit in 1000
- 10:04T cells for one of our cells in the tumor.
- 10:06I never thought it would be that good.
- 10:07And our cells live for a month there.
- 10:09You know, normally neutrals, like, live for a few days.
- 10:11So amazing data, but it's like coming out of the speedboat and
- 10:18the tide's gone out. Yeah.
- 10:19And it's just a desert. Yeah.
- 10:21So at the moment, trying to innovate when you're a
- 10:25preclinical oncology company with a cell therapy is
- 10:28incredibly difficult because the market has run away from
- 10:33biotech. Generally, then cell therapies
- 10:36like CAR T's didn't work very well in solid tumors, and they
- 10:39were too expensive to produce autologous.
- 10:41And although we're made from IPSCS and we're off the shelf,
- 10:44Yeah, there's an industry fear factor.
- 10:47So we've got it double, not just the biotech down, but we've on
- 10:51top of that, we've got the cell therapy down.
- 10:53And to be honest, oncology is down, yeah.
- 10:56And so it's a triple hit really. But we are unique in what we do
- 11:01and we've got extremely good results and the people who know.
- 11:06So we have Nobel Prize winning supporters like Jim Allison and
- 11:13Pam Sharma who are joining us. You know, the people who are
- 11:16really smart and know their stuff.
- 11:18They can see what we're doing makes sense.
- 11:20And it's the missing piece of the jigsaw puzzle.
- 11:24And it's because of those smart people who, you know, are not
- 11:28just following the trend. And they are people who can make
- 11:33their own minds up that we exist and we're able to keep moving
- 11:37forward. But they are a minority.
- 11:40I'm sorry to share. Yeah.
- 11:42It's a shame, right? But also how do you deal with
- 11:45it? Like personally, your own
- 11:47mindset, It's. Yeah, it is hard.
- 11:52Yeah. When I started this, I thought,
- 11:56well, once I'd shown that these people in the population had
- 12:01superior neutrophils who were healthy versus cancer patients
- 12:05or people who had a family history of cancer, I thought,
- 12:07well, I'll just get those people, stem cells, boom, do
- 12:11this in we go, project done three years and then somebody
- 12:15else will take this off me and off they'll go.
- 12:17And you know, charities don't do this sort of stuff.
- 12:20They give money to universities. It's just wasted, doesn't go
- 12:23anywhere. They don't really do innovative
- 12:25things like this. They just look for some academic
- 12:28to give the money to, and the academic's looking to publish
- 12:31his paper. Once he's published his paper,
- 12:33he'll just move on to the next paper and the next.
- 12:35No one ever gets around to actually doing these things.
- 12:38And nor were they really working with that mission in in mind.
- 12:42A lot of people were just doing things for their careers, I'm
- 12:46sorry to say. And not all, but many.
- 12:50Yeah. So I do find it personally very
- 12:52hard when you talk to people who've been affected by cancer
- 12:55and they think if you've got something that could cure
- 12:57cancer, that everyone would be supporting you.
- 13:00And when I tell them it's just not like that, you know, people
- 13:03say they will cure cancer quietly if it helps their
- 13:08career. And if at any point 1 is at odds
- 13:10with the other, they will go with their career.
- 13:13And that can just be not wanting to do something that looks
- 13:15risky, that looks like if it went wrong, they get Eggo on
- 13:18their face. And that's a career limiting
- 13:20step. So what they'll tend to do is do
- 13:22the thing that's on the hyper train that everybody else would
- 13:24do because it's more likely they can get support and momentum
- 13:28from other people. And if it does go wrong, they
- 13:30can say, well, everyone else did it as well.
- 13:32And unfortunately, that passive self-interest is totally
- 13:37demolishing progress in healthcare.
- 13:41And it the result is that people are dying.
- 13:44You know, 10 million people die a year still of cancer.
- 13:48And everyone doing the same thing that doesn't really work
- 13:51very well is not going to change that.
- 13:55I've always said this like this industry is an interesting
- 13:58dynamic in the fact that every decision is a business decision.
- 14:03It's not always with patients in mind.
- 14:07So yeah. I agree.
- 14:08I'm sure like, yeah, let's finish it on on a positive note.
- 14:14You guys have come ahead a long way.
- 14:16We have it's. Been a great journey just so
- 14:19through like how grateful you are and in terms of what you
- 14:23achieved already. Yeah, I'm very grateful for the
- 14:25investors who've supported me and had the belief and were able
- 14:30to think for themselves. You know, that's been fantastic
- 14:34and my team have been fantastic in over delivering what I
- 14:38thought was ever possible. And you know if you follow the
- 14:43science you will get there eventually.
- 14:45I just wished that investors really did follow the science
- 14:48like they talked to most other investors.
- 14:52And I think as we make more and more progress and show this new
- 14:57way to help patients do better, the industry will be forced to
- 15:03adapt. It can't just continue to churn
- 15:05out more variations on using targets that don't really save
- 15:09people's lives. And so that's what I'm going to
- 15:12do. I'm going to force their hand to
- 15:14do the right thing, not because they're evil people, but because
- 15:19they're people doing what works already.
- 15:21And they just keep doing it and turning the handle.
- 15:23Yeah. And people don't understand
- 15:24that. They think it's some conspiracy,
- 15:26that, that that's not what's going on here.
- 15:27It's just people paying their mortgages, doing what works.
- 15:31And that isn't often a revolution.
- 15:33Yeah. Amazing to have you.
- 15:35On Thank you so much. Cheers.