Latest / The BioHub - by Avetix / Episode 48 - Michael Kauffman- CEO of Nereid Therapeutics
Transcript
- 0:04Back to another episode of the Bio Hub.
- 0:06Today, we're thrilled to be joined by Michael Kaufman, who
- 0:09is the President and CEO of Neriad Therapeutics.
- 0:12With over 25 years of experience spanning drug development,
- 0:16regulatory strategy and biotech leadership, Michael has left an
- 0:19incredible mark on the field of oncology and has held leadership
- 0:22roles at Kaya Farm, Onyx Pharmaceuticals, Proteolics and
- 0:26Millennium Pharmaceuticals and has contributed to several
- 0:30several FDA approved drugs. Now as CEO of Nerio Therapeutics
- 0:34and a board member for multiple biotech companies, he continues
- 0:38to be at the forefront of driving innovation.
- 0:41So join us today as Michael runs us through his journey, the
- 0:44difference between good drug developers and good scientists,
- 0:47as well as how to get on a board.
- 0:48So Michael, thanks so much for coming on.
- 0:51How are you? Pleasure to be here and I'm
- 0:53doing well, thanks. Good.
- 0:55Awesome. Well, let's dive into it with a
- 0:57little bit about you. So can you tell us about your
- 0:59journey in the biotech field and what inspired you to join Myriad
- 1:04Therapeutics as as CEO? Sure.
- 1:07Well, I'll, I'll go through quickly.
- 1:10It's been, it's been a few years.
- 1:12I was an academic physician. I did my training MDPHD at
- 1:16Hopkins, Johns Hopkins and then over to Beth Israel and then
- 1:20Mass General for rheumatology. After internal medicine I would
- 1:24thought I was going to be an academic Dr. but I was recruited
- 1:28heavily to Biogen was my first job out of Mass General.
- 1:31I kept my clinic going for a few years until I just got too busy
- 1:36in the company and cut my teeth on 1st in human studies with a a
- 1:40drug for Lupus which is actually finally just had its first phase
- 1:44three. This is a long time ago, so can
- 1:47take a long time, but I was long gone after that and went over to
- 1:51Millennium. They're a diagnostics company
- 1:54called Millennium Predictive Medicine.
- 1:55We were bought by the parent and I showed up at the parent
- 1:58company as a vice President of clinical with really not a lot
- 2:03to do and a drug fell into our lap.
- 2:06And I bring this up because it's very typical of our industry,
- 2:09the first proteasome inhibitor, namely what became Velcade,
- 2:13which we really didn't understand how good it could be.
- 2:16And I was a doctor without a drug and that was a drug without
- 2:18a physician. So they handed it to me and the
- 2:22rest is sort of history. We did the first accelerated
- 2:25approval of multiple myeloma and and that drug eventually hit
- 2:29about 2 1/2 billion in sales, I think in the in the mid 2000s.
- 2:34So really a wonderful drug that helped transform myeloma from
- 2:38really a death sentence within most people were dying within
- 2:40two years. And now we have patients with
- 2:43all the breakthrough therapies in myeloma.
- 2:45We have patients living 10 and sometimes 1520 years.
- 2:48Many of them are achieving a normal, so-called normal
- 2:51lifespan. So that was my first real hit.
- 2:56I then went on to become CEO of a company, brought several drugs
- 2:59into the clinic. The company was called Predix
- 3:02Pharmaceuticals, which was a super cool computational
- 3:06company. We designed nice small molecule
- 3:10drugs. Ultimately, the first one failed
- 3:12in a couple of depression and anxiety studies.
- 3:16In my opinion, small companies should really try to stay clear
- 3:19of these sorts of studies because they're super hard to do
- 3:22and even the best drugs we have only win 50 or 60% of the time.
- 3:27And that company eventually went, went to bankrupt and I had
- 3:33left. It was venture capitalist for a
- 3:34little while and then on to proteolics and Onyx and the
- 3:37approval of Kyprolis, the second proteasome inhibitor for
- 3:41myeloma, hit a billion dollars recently.
- 3:44Terrific drug actually beat my first child and went head to
- 3:48head against Velcade and won. So I had sort of a fight between
- 3:51the two kids and the younger one won and then I went on my wife
- 3:56started a company called called Carrier Farm Therapeutics, the
- 4:00first in class nuclear export inhibitor.
- 4:03This was started in our house. It was her idea and we put some
- 4:07of our own money into it, grew the company, got a big Series A
- 4:1020 million and then Series B crossover round.
- 4:15We had responses in the clinic, ultimately leading to a drug
- 4:18called Expovio, which is approved in diffuse arch B cell
- 4:22lymphoma and in myeloma. So a really nice set of drugs
- 4:27mostly for myeloma and lymphoma. And I was pretty much retired
- 4:32and joined a bunch of boards and I got antsy after about a year
- 4:36and a half. And I decided I needed to do
- 4:38something else. And I was, I was talking to this
- 4:41company called Niriyad Therapeutics and they had
- 4:44technology based on the newly discovered entities in cells
- 4:48called biomolecular condensates. And this, this is actually an
- 4:53old, it's like most things in biology, they were always there.
- 4:56For those of you that know some biology, the nucleolus is a
- 4:59condensate. We just didn't call it that.
- 5:02We called it an organelle without a membrane.
- 5:04Turns out there's multiple hundreds of these organelles
- 5:08without membranes and cells. And Muriad had a very focused
- 5:11and unique way of screening for these technology from Cliff,
- 5:14Cliff Brangman's lab out of Princeton.
- 5:17And I couldn't, I, I just thought we were working on some
- 5:19of the toughest targets in oncology Beta Katinin, CMIC, a
- 5:25very tough target in acute in ALS, amyotrophic lateral
- 5:29sclerosis, TDP 43. And and we decided, I decided
- 5:34that this is what I wanted to do.
- 5:36Small 15 person company, very focused are we're funded by
- 5:40Apple Tree Partners. So we have a lot of the
- 5:42corporate functions that are in the parent and this has allowed
- 5:47us to run a really streamlined operation and we're hopefully
- 5:50going to be in the clinic this year.
- 5:52So yeah. So you come from a medical
- 5:54background yourself. What do you think the big
- 5:56differences are between scientists and physicians in
- 5:59terms of how they think and the big difference between good
- 6:03scientists and good drug developers?
- 6:06Yeah, it's a it's a super interesting question and it's
- 6:09it's as philosophical as it is probably practical.
- 6:13And I think this is a really important distinction.
- 6:15When I was a young nerdy kid, I really wanted to be a doctor.
- 6:19I didn't, of course, I didn't really know what that mean.
- 6:21No means nobody does until they actually get in there and do it.
- 6:26But I love the idea that you could take people that were sick
- 6:29and give them something usually, or do some surgery and then they
- 6:32were better again. They can go on and live their
- 6:34life. And I think that's one of the,
- 6:35the great pillars of civilization.
- 6:38And I really did, I love this. But I also realized that the
- 6:40language of science was very different than the language of
- 6:43medicine. And that's why I went to, I
- 6:46applied for the combined MDPHD programs at a few different
- 6:51universities. I picked Hopkins overall because
- 6:55frankly, they recruited me the hardest and they have a great
- 6:58track record, especially in the medical training.
- 7:01Excellent research as well, of course, in Baltimore, MD.
- 7:04And I think that was a great choice.
- 7:08Turned out the medical training there was incredible as a as a
- 7:11young aspiring Dr. and it became very clear that these two
- 7:16languages were quite different. Medical doctors have to see a
- 7:19person come in and figure out what's relevant to the current
- 7:22problem. How do we deal with all of the
- 7:24problems together? And this is thankfully, this is
- 7:27increasing because people are living longer and with more
- 7:30stuff. And so you have to, you have to
- 7:32worry about everything now. And that's, that's a great,
- 7:36that's great progress in medicine physician, sorry,
- 7:39scientists generally try to reduce problems to a single
- 7:42variable and study those. It's a, it's a reductionist
- 7:45approach. So on one hand you have the
- 7:47holistic approach, the other one you have a reductionist
- 7:49approach. And the more I thought about it,
- 7:51I was, as I was going through my training, you know, I started to
- 7:54get even after only a couple of years in actually seeing
- 7:58patients and, and, and helping them was that I was start.
- 8:02I was having the same conversation about side effects
- 8:05and the same conversations about the limits of the activity of
- 8:08the current drugs. And this is kind of the string
- 8:11that Biogen pulled when they recruited me out of Mass General
- 8:15was to say, hey, listen, why would you want to keep doing
- 8:18that when you with, especially with your scientific training
- 8:21could help move medicine forward?
- 8:24And, and then I got into industry.
- 8:26And and to your second point, Tom, what's the difference
- 8:30between a scientist, a doctor and a drug developer?
- 8:32Well, the drug developer stands somewhere in the middle.
- 8:36Scientists are there to solve problems, they make hypotheses
- 8:39and they solve problems. Saying my problem is to make a
- 8:42drug to fix X is obviously simplistic and easy, but the,
- 8:48but really what you're trying to do is how do I create a new
- 8:51molecule, either a small molecule, which means something
- 8:55that weighs less than 500 to 1000 Daltons, or a large
- 8:59molecule like an antibody or a peptide or polypeptide or
- 9:02something like that. And, and the answer is, is it's
- 9:06somewhere in the middle because you got to worry about the
- 9:08specific problem you're trying to solve, but you got to do it
- 9:11in the context of a whole human being.
- 9:13And you also have to remember that there's only one relevant
- 9:16species. We're so wrapped up in our
- 9:18animal models and our animal toxicology studies.
- 9:21And one of my favorite comments to remind people is there's only
- 9:25one relevant species and it only has two legs, because people
- 9:30really do forget that. And it's very easy to forget
- 9:32that when you're, when you're wrapped in.
- 9:34So a drug developer is someone that has a picture of the final
- 9:37product, the drug that the patient's either going to take a
- 9:40pill or an injection or something, you know, into their
- 9:43veins or in under the skin or inhaled or whatever.
- 9:47And they're, and they're, that's going to help a whole human
- 9:50being. And the other thing is, is that
- 9:53it's a little bit like the, the saying about, about military
- 9:57actions is that military plans survive until the 1st bullet is
- 10:01fired. And that's the same thing.
- 10:03You know, medicines are all great in theory and they go
- 10:06through our animal models and our animal testing.
- 10:09And they should, because I would never, ever want to put a new
- 10:13entity into a human being as the first living thing that I ever
- 10:18put the entity in. And then stuff happens and stuff
- 10:22happens because humans are heterogeneous.
- 10:24They have different genetics. They they obviously are on all
- 10:28different kinds of medicines. They have different comorbid
- 10:32conditions, meaning other medical problems.
- 10:34And frankly, they're taking a lot of stuff nowadays that they
- 10:37don't even tell you about. There's the old general Egyptian
- 10:40store or the old organics that they take or natural products
- 10:43and stuff. And they don't.
- 10:44Half of them don't think about it as a drug and the other half
- 10:48are embarrassed by it. So you don't really know what
- 10:50you're doing and you got it. You got to be nimble.
- 10:54And, and one of the things that I say a lot to our scientists
- 10:58and physicians when we're, we're developing new drugs is to, is
- 11:01to keep your eye on the ball. The ball is how do we get to
- 11:04that product that's going to go into a human or on topical on a
- 11:08human. And that's the key.
- 11:10It's easy to say, but you, you, you'd be amazed how many times
- 11:14scientists will want to go off and deviate to study a problem
- 11:18because in our pH DS, what happened was, you know, we would
- 11:21get a result. It would be a little bit
- 11:22unusual. We say, oh, I'm going to study
- 11:24that for a few weeks or a few months.
- 11:27And that's not the goal in drug development.
- 11:29The goal in drug development is how do I get to that new thing
- 11:32that I'm going to put into people?
- 11:34I think that's why it sits right between scientists and doctors.
- 11:38And the last thing I'll say is that physicians tend to want to
- 11:41get more and more data because humans are so heterogeneous.
- 11:45We don't have time for that at the beginning of drug
- 11:47development. You know, there's always the
- 11:48first patient and then there's always the first response or, or
- 11:53good effect. And then there's the second one
- 11:55and the third one. And a lot of times you'll,
- 11:57you'll hear a doctor say, well, I need more data.
- 11:59Well, the only way to get more data is to treat more patients.
- 12:03And it becomes a little bit of a chicken and egg problem.
- 12:05So you got to get doctors that are willing to be very risk
- 12:09tolerant. You got to have your eye on the
- 12:12ball. You of course you want to
- 12:13protect the patients, you know, from a side effect point of
- 12:17view. But but at least in oncology,
- 12:19remember many of our early patients that come into our
- 12:21study frankly have one other alternative and that's dying of
- 12:25their cancer. That's why people enter early
- 12:27stage cancer drugs. You got to remember risk reward
- 12:30is in the context of of what what disease is going on and
- 12:35what disease you're trying to treat.
- 12:38Good. Yeah.
- 12:38I think that's a really good breakdown that you you made
- 12:42there. And this is now your 4th CEO
- 12:45role. So obviously, Niriyad, you've
- 12:49also been CEO at KYA Pharm, Epics Pharmaceuticals, Predix
- 12:53Pharmaceuticals, what have you Or what would you typically look
- 12:56for in C level leaders from a hiring standpoint?
- 13:00Yeah. So one of the things I say to C
- 13:03level leaders and I'm, I tend to be a very, I mean, I do, I do
- 13:08speak a reasonable amount, but that's usually to set the
- 13:11strategy and try to keep people's eye on the goal line.
- 13:14What I want for my C level people, especially as the, as
- 13:17the companies get bigger, is that they don't need me to
- 13:19manage them. I do have a saying that if you
- 13:22need management when you're at the C level, you're not AC level
- 13:25person. You, you can have a, you need a
- 13:27leader. I mean, that's why we have a
- 13:28chief executive officer. But in terms of day-to-day
- 13:32management and style and so on, you, you better be able to
- 13:36handle things. And the other thing you have to
- 13:37do as AC level person is you have got to manage up.
- 13:41It is not my job as the CEO to worry about every detail.
- 13:45In fact, I should worry about as few details as possible because
- 13:49I have trust in my C level people to bring those the
- 13:52important details to me, especially the ones that are
- 13:54going to derail the program. And let's address it and let's
- 13:58get on top of it as soon as possible.
- 14:00So you really need C level people whose who've got their
- 14:04eye down on their team on the ball and they've got their eye
- 14:07up to the CEO on when do I need to bring them in and and help.
- 14:12The other other thing you've got to have is you got to have
- 14:14people, regardless of your CEO style, you've got to be
- 14:18philosophically aligned. And there are lots of different
- 14:22kinds of philosophy in in a CEOI tend to be someone who's much
- 14:27less concerned about employees who are not performing at A at a
- 14:34high level. I mean, I even, I even say that
- 14:37if an employee's at AB level or AB minus level, I don't want
- 14:39them in the company. And I don't think investors,
- 14:42especially early stage companies, really want those
- 14:45employees in the company. We want A and a minus.
- 14:47We all of course want a plus employees all the time, but
- 14:51there aren't enough. And, and at that level, a lot of
- 14:54it comes down to sort of really detailed stuff that's frankly
- 14:58not important. What I want are employees and C
- 15:01level people that are aligned philosophically, because at the
- 15:05end of the day, if they're going to be complaining about you, you
- 15:07know, they, they should leave. There's just no C level as well
- 15:12as employees. If, if you're not
- 15:14philosophically aligned, if you don't share the vision of the
- 15:17company, especially in a small company, you don't belong there.
- 15:20Go find somebody that you agree with.
- 15:22And I think that's increasingly important nowadays because this
- 15:26notion that we all can sort of sit around and have a, a meshed
- 15:30or, you know, a compromise on philosophy is absurd.
- 15:35It really you can't run a company if you're not,
- 15:38especially a small one if you're not aligned.
- 15:41Yeah, good. And I think just like the
- 15:44general biotech market at the moment is interesting.
- 15:46Maybe companies a few years ago that could go out and raise
- 15:49rounds are now struggling to to go out and raise funds.
- 15:53You've also had experience on the venture capital side.
- 15:57What do you think investors are really looking for in companies,
- 16:00particularly at the moment when the market is the way it is?
- 16:04Yeah. I think look, the first thing
- 16:06you have to to recognize now is that when the market goes S, the
- 16:10first thing investors have to do to protect their early
- 16:13investments is to make sure that their early investments are
- 16:15funded. So one of the problems with the
- 16:17market and it is crashing. I mean it's, it's another
- 16:21nuclear winter. We go through, we go through
- 16:23sort of manic summers in in biotech and we go through
- 16:27nuclear winters. And every time we have a nuclear
- 16:28winter, it seems like worse than the last one and we're in a
- 16:33tough one. And and the reason we're in a
- 16:35tough one is because we we had too many companies four or five
- 16:38years ago and too many C level teams put together and too many
- 16:43good ideas that weren't great ideas.
- 16:46And now we've got to try to figure out which ones or the
- 16:49investors have to figure out which ones are going to go
- 16:51bankrupt and which or or return money to their shareholders and
- 16:56close and which ones that they are going to have to fund.
- 17:00And the fundamental problem right now is that you've got
- 17:04very difficult decisions going on by the investors saying how
- 17:07we going to bridge this company to an eventual funding round or
- 17:10to a value creating milestone. And so they don't have a lot of
- 17:14mindspace nor cash, free cash frankly that they want to invest
- 17:18in new companies. So that's that's the problem.
- 17:21You had a number of venture funds that have closed, you got
- 17:24a lot of turnover and so on. So it's the, it's a trickle.
- 17:28You know, it really is trickle down in our industry until big
- 17:31pharma starts buying more biotech or there are more drug
- 17:35approvals leading to revenue generating companies and and
- 17:39frankly, so sustainable, most of those would of course be public
- 17:42companies. It's going to be a tough road
- 17:44and and like all of these kind of downturns, it will come back
- 17:48up. I mean, it's, it's standard
- 17:50economics. It just seems more acute and
- 17:53more vertical if you will down and then then it'll be a slower
- 17:56climb up in in this round. So that is the major problem
- 18:00with investors. I think investors are also
- 18:03looking for products now that are north that that have the
- 18:06potential at least to sell north of half a billion to a billion
- 18:10dollars. And I've had a couple of my
- 18:13companies that have had very good interactions with investors
- 18:17that that eventually pulled out because they said this is
- 18:20probably only, only a $600 million opportunity and I need a
- 18:24billion. I've had other investors say,
- 18:27hey, it's a $600 million opportunity we're in for sure.
- 18:31But but that is increasingly, it's interesting because I don't
- 18:36think pharma in general is so wedded anymore to the so-called
- 18:40blockbuster only drugs. I mean, the, the low hanging
- 18:44fruit and this is great for patients, great for medicine.
- 18:47The low hanging fruit in medicine is, is really gone.
- 18:51I mean, if you think about the, some of the multi billion dollar
- 18:54products that are, are mainstays now in therapy, the statins, the
- 18:59add on drugs to statins, the anti hypertensive drugs, you
- 19:03know, really good drugs like the ACE inhibitors and the receptor
- 19:06blockers and so on. Angiotensin receptor blockers
- 19:09and, and you know, on the other side of, of things now we have
- 19:13the GLP 1 analogs and, and all this kind of stuff, really much
- 19:18better drugs than we used to have.
- 19:21So that the bar is higher. And there's a lot of these big
- 19:24markets that are gone. I mean, I don't think any of us
- 19:27believe we need a drug. We really need a drug to help
- 19:30people with reflux disease anymore because frankly, the,
- 19:34the proton pump inhibitors have revolutionized that to the point
- 19:38where those drugs are over the counter and that that multi
- 19:42billion dollar market is gone, which is great.
- 19:45So there's an increasing number of medical conditions that are
- 19:48well served that there's really no way to get to.
- 19:51And I would say on the hematologic cancer side, it's a,
- 19:54it's a similar problem in the sense that of course people are
- 19:57still dying of various hematologic cancers,
- 20:00particularly Amla little bit ALL but mostly acute myeloid
- 20:04leukemia and and much less common in the US Perkins
- 20:07lymphoma, but most of the other. Hematologic cancers are well
- 20:12served, myeloma being a poster child for that, but chronic
- 20:16lymphocytic leukemia and and follicular lymphoma and so on.
- 20:20So those markets are gone essentially.
- 20:22And if you want to be an add on, you're talking probably about a
- 20:25several $100 million product. And and lastly, I would say that
- 20:29in oncology at least, investors therefore would be looking
- 20:32primarily at the big solid tumors, the big 5 or 6 solid
- 20:36tumors, the colons, prostates, breast, lung, ovarian and and
- 20:41pancreatic and so on to some extent bladder now because it's,
- 20:45it's treated. So they're more patients.
- 20:47So I think that's what's driving a lot of this, Tom.
- 20:51OK, interesting. And in in terms of your
- 20:55background again, so you currently sit on six boards.
- 20:59What advice would you give to people that are wanting to to
- 21:02start taking on board roles that maybe don't currently sit on
- 21:06any? Sure.
- 21:07It, I think that the main thing it's look, the first board is
- 21:12always the most difficult. I, I like to say sometimes it's
- 21:15like when you're dating and you have your first girlfriend or or
- 21:18boyfriend or whatever, it's always the toughest 1.
- 21:22And once you break into it, it's much easier because the way many
- 21:27people look for board members is they look at other companies
- 21:29that have board members and contact those board members.
- 21:33So you have to get in the game and first thing you have to do
- 21:36is not take it seriously is the wrong word.
- 21:39But you can't take it personally.
- 21:41You you got a plan and it's going to take one to two years
- 21:44in general, I think to get onto a board.
- 21:48My first board role was a long, long time ago.
- 21:51I think it was 2000 and two or three.
- 21:55I was on a board called Bio Envision and people heard that I
- 21:58was a good drug developer. I had I had helped Usher Velcade
- 22:04led the Velcade team ushering into the first accelerated
- 22:07approval and I was, you know, good background and so on.
- 22:11So this little company bio envision said, I we want this
- 22:15guy to help us figure out if, if this drug is real, if there's
- 22:18really a market here. And and if the team is really
- 22:21focused as much as they, they can be on driving towards
- 22:24approval as a port as opposed to some nice to haves.
- 22:28And it was a very good board. We eventually sold the company
- 22:32to Genzyme did nicely and, and that was my first role and that
- 22:36helped me get other roles to break in.
- 22:41What you really should try to do is to meet as many headhunters
- 22:45like like like Tom on the phone and and other folks that that
- 22:49look for board, high level board headhunters, the sea level and
- 22:54board. They tend to go together and you
- 22:56got to talk to three or four of them and get on their radar and
- 23:00you've got to be proactive about it and you figure out a way to
- 23:03get introduced to them through friends, through LinkedIn,
- 23:07through whatever. But don't, don't stop and don't
- 23:10get discouraged because everything takes time,
- 23:13especially these days. And they also come in in globs.
- 23:17I mean, it's, it's funny, when I look back, I would have two or
- 23:20three years where nobody would contact me and then I would get
- 23:233 board offers in a row or three companies that came to me and
- 23:26said, do you have room for another board?
- 23:29When I retired from Carrier Farm several years ago and my plan
- 23:33was to add a couple of boards and I, you know, I would have
- 23:35liked to snap my fingers and have that happen.
- 23:37But you know, I had to go reach out to the people that knew me
- 23:42and let them know I was available for two or three more
- 23:45boards. And it took 9 or 10 months
- 23:47before that process went. And I was a guy that was already
- 23:50on three boards. So, so people knew me and had a
- 23:53good track record. So that's what I would say to
- 23:55people that the best way to do this is LinkedIn to meet the
- 23:58headhunters, get your name out there, explain why you could
- 24:03bring something unique to a board.
- 24:05And, and by the way, don't be shy about being your first time
- 24:08board member, right? I'm chairman of several of the
- 24:11boards that I'm that I'm on and I smile a lot when the new board
- 24:16members come on and say, hey, do you mind having a quick
- 24:18discussion with me about what you expect from me on the board?
- 24:22And frankly, what I expect from people on the board is know your
- 24:25stuff and speak up when you have something important to say.
- 24:29Your job is not to run the company.
- 24:31And this is the toughest part. Your job is not to run the
- 24:33company. Your job is to give advice and
- 24:36to make sure that when the company is going off the rails,
- 24:39that you bring it up at the board and let us discuss it so
- 24:42we can help put the company back on the goal.
- 24:45But don't don't worry about all the pomp and circumstance.
- 24:48Some of them are particularly worried about the legal issues
- 24:50around being a board member. I said, we've got a lawyer in
- 24:52the room all the time. Nonetheless, they're going to
- 24:55let you go off the rails. You're not being, you're not
- 24:58being brought in to know the legal aspects of being a board
- 25:01member. You're being brought in for your
- 25:02subject matter expertise and your gestalt, your gut feel to
- 25:07drive value creation in the company.
- 25:10Yeah, also, and this is a question that we always finish
- 25:14with on the Bio Hub, if you were to have dinner with three
- 25:18people, past or present, who would they be and why?
- 25:21They don't necessarily need to be innovators, unless you'd like
- 25:25them to be. But yeah, three people for
- 25:28dinner. Who would they be and why?
- 25:30Well, I strongly believe that philosophy understand,
- 25:34underscores everything we do, even if you don't know what your
- 25:38philosophy is, when we're especially in our industry, but
- 25:42increasingly in modern life where we encounter novel
- 25:45circumstances all the time. And it's impossible to go and
- 25:50and look and look at your past experience in that situation
- 25:54because that situation didn't exist before and figured out.
- 25:58So you need some kind of fundamental philosophy.
- 26:00From a young age, I was wedded to Objectivism by Ayn Rand, a
- 26:06bit of a iconoclastic Russian woman who emigrated to Hollywood
- 26:11of all places and immigrated to Hollywood and wrote script
- 26:15screenplays and then became one of the pre eminent 20th century
- 26:19and and now relevant especially to the 21st century philosopher
- 26:23that really supported America as an ideal that the the notions of
- 26:28Western thought, life, liberty, property rights and the pursuit
- 26:32of happiness And Objectivism, as the name would indicate, is
- 26:36really relevant to science and medicine.
- 26:38Because if we're not objective, we're going to lose meaning.
- 26:41Patients are going to die or they're going to suffer.
- 26:43And that's not acceptable. So that when I, when I first
- 26:48picked up The Fountainhead, I was, I was pretty much wedded to
- 26:52it. And that was multiple decades
- 26:55ago. So I would definitely want to
- 26:56have dinner with Miss Rand. She smoked a lot.
- 27:00So I'd have to probably be outside for that because I don't
- 27:03think I could tell her not to smoke.
- 27:04She probably slapped me. Tough woman.
- 27:07If you've ever seen her interviews, if she didn't hold
- 27:10back any punches. I mean, she's she's a a tough
- 27:13but very brilliant. I think frankly one of the
- 27:16geniuses of philosophy. So she would be #1 and the next
- 27:20two are pretty obvious. The the second one and and is a
- 27:26guy that struggled and struggled and I was an early Macintosh
- 27:29adopter way before, you know, it overtook Microsoft and everybody
- 27:34understood that your goal was not to learn how to use a
- 27:37computer. Your goal should be to just use
- 27:39the computer. And Steve Jobs had that vision
- 27:43from the get go, which was I want to make something that
- 27:46people love to use, not people that have to learn how to go C
- 27:49dot back slash for those of you who remember all that, all that
- 27:54kind of programming language, semi programming language stuff.
- 27:57So Steve Jobs definitely also remember Steve had a a brutal
- 28:02time. You know, he was he grew Apple,
- 28:05it almost went bankrupt. He had, you know, he got fired
- 28:08from it. He had to take a loan from
- 28:09Microsoft. He got brought back.
- 28:12It went through terrible times. He did Pixar, you know, the man
- 28:17was absolutely relentless and it's it's such a great thing to
- 28:22read his Walter Isaacson has a wonderful biography of him and
- 28:26and young people should all read that because the notion that he
- 28:29suddenly thought of Apple and it just went from A-Z, you know,
- 28:34amazingly wow. I mean, he got knocked down so
- 28:37many times and he got up and and and did better and always rose
- 28:41to the challenge now with the pre eminent platform, I think
- 28:44for personal computing and to a larger and larger extent, even
- 28:47in business. And then the last person is an
- 28:50obvious, another obvious person because I love innovators.
- 28:54The, the way you move humanity forward is you, you innovate.
- 29:01Well, I sort of have two. So the, the obvious one is Elon
- 29:04Musk. And I won't go into that because
- 29:05I think Elon has created some of the most important companies and
- 29:09he's going to continue, he's continuing to and so on.
- 29:12And the rescue of the two astronauts with this remarkable
- 29:15rocket ship that came back to Earth and landed on its own.
- 29:18By the way, if you if you saw that without any kind of
- 29:21catchment either, it just got itself vertical and landed on
- 29:25its base on its own was terrific.
- 29:28But I think I think I would probably pick a MDPHD, the the
- 29:32pioneer of immunology and cancer.
- 29:35That is the first guy to really realize in a big, big, big way
- 29:39that the only way we were going to cure people with metastatic
- 29:42cancer, we only had a shot was to get the immune system
- 29:45involved. And the guy from from Brooklyn,
- 29:49I think Brooklyn, NY, but definitely New York City, Steven
- 29:53Rosenberg, who's who's still at the in his 80s, I believe,
- 29:57running his lab at the NIH, seeing patients and, and this
- 30:01guy is a powerhouse. And he was so far ahead of his
- 30:03time. We've only begun to scratch the
- 30:06surface. Now we are curing a small
- 30:08percentage, but we're curing people with metastatic cancer
- 30:12and that is something I would love to see more of in my
- 30:15lifetime. With the fact that we're seeing
- 30:16any of it is I think was the was started by Steve Rosenberg who
- 30:21just who just really did an amazing pioneering job there.
- 30:24So definitely talking to him. Good.
- 30:28Well, look, I think there's three terrific answers there.
- 30:31And I think your contribution experience in the oncology field
- 30:36has just been remarkable and inspiring to to listen to.
- 30:39So it's been an absolute pleasure to have you on,
- 30:41Michael. And yeah, I look forward to
- 30:43keeping. In touch so much.
- 30:45Enjoyed it, thanks so much. Cheers.