Latest / The BioHub - by Avetix / Episode 214 - David Crean - CBO at MediciNova
Transcript
- 0:06Welcome back to another episode of the Biohub podcast by Avetix.
- 0:10Today I'm joined by Doctor David Crean, Chief Business Officer at
- 0:15Medicinova. Now.
- 0:16David has spent more than 30 years across the life sciences
- 0:19industry with a career spanning biotech, pharma, M and a
- 0:23partnering venture capital, private equity and investment
- 0:26banking. He brings a rare combination of
- 0:29scientific depth and transaction experience from a background
- 0:33perspective. He has a PhD in Biophysics, a
- 0:36Masters in Oncology, and an MBA in Finance and has evaluated
- 0:39biotech assets from almost every angle as an operator, advisor,
- 0:44investor, and deal maker with a particular depth across
- 0:47neurology and CNS. At Medicinova, David is helping
- 0:51guide the company through an important period as they advance
- 0:54MN166IN, ALS and other neurodegenerative conditions.
- 0:59Today's conversation will discuss David's career across
- 1:02science and deal making, the story behind Medissa Nova, the
- 1:06opportunity within ALS, and how he thinks about business
- 1:09development in the neuroscience market that appears to be
- 1:12attracting renewed attention from Big Pharma.
- 1:14David, it's a pleasure to have you with me today.
- 1:18Thank you, Benjamin. I appreciate you inviting me
- 1:20onto your podcast. Yeah.
- 1:22Thanks so much. It's a, it's a pleasure.
- 1:24But look, yeah, you spent more than 30 years across pharma,
- 1:27biotech, M and a venture, private equity, investment
- 1:31banking. What essentially originally
- 1:34pulled you towards the business side of life sciences and how
- 1:37the experiences that you've had over the past 30 years shaped
- 1:41how you evaluate opportunities today?
- 1:44Yeah. Thanks, Benjamin.
- 1:45I appreciate the question. I get asked of me quite often
- 1:50just because I do a lot of advising in the space with, with
- 1:54entrepreneurs and trying to translate everything I've
- 1:58learned. You know, I came to this
- 2:00initially from the science side first as you mentioned about my
- 2:04background was planning to go on to the, you know that to the
- 2:08research and development side 1st.
- 2:11And what told me towards the business side of medicine where
- 2:17I went into business development, corporate
- 2:19development, ultimately into you know, partnering and mergers and
- 2:24acquisitions is what drew me into that because I didn't
- 2:29really see myself as a lab rat, right, Being stuck in the R&D
- 2:32labs. I saw it, my mindset was more
- 2:35commercially driven and what sort of the, the, what
- 2:41magnetized me towards the business side of pharma medicine
- 2:45was the hard truth that I saw early on in my career that a
- 2:53brilliant science or a brilliant molecule can be just what it is
- 2:59brilliant. But it, it sometimes never gets
- 3:02finance or does, doesn't find a partnership or commercialization
- 3:08that actually helps a patient out.
- 3:10So it's, it's almost that's where the science dies.
- 3:14And so the science is necessary, yes, but it's sometimes it dies
- 3:19and it's not sufficient. You have to be able to, you
- 3:24know, translate that science, those great programs into, you
- 3:31know, seeking out capital. And that's where I saw this
- 3:35translation die. And so I wanted to make sure
- 3:39that I had an an opportunity in my career to certainly make
- 3:45greater impact on that. So great programs die because of
- 3:49a lack of capital. They're not able to attract, you
- 3:52know, capital investment from investors.
- 3:54And, you know, that's, that's how I got to really look at a
- 3:59number of opportunities to evaluate.
- 4:02So I, I try not to lead with the story.
- 4:05I lead with the biology, the strength of the data, the
- 4:08quality of the team and whether there's really truly a realistic
- 4:12path to value. And that and value means, you
- 4:15know, a liquidity, it could mean an approval, it could be a
- 4:18partnership or it could be an exit.
- 4:20And so one of the things I've truly learned as 30, more than
- 4:2530 years teaches you humility, if you will, about risk, about
- 4:30risk and discipline, and then about where value actually gets
- 4:35created in pharma. Yeah.
- 4:38And let's let's sort of take a jump to where you are now.
- 4:40I mean, you know, Medicinova is a fairly unusual company, if I
- 4:45say so myself. You know, you're dual listed in
- 4:47both Tokyo and the US, You are founded by a Japanese CEO and
- 4:52you currently operate with a very lean model that's split
- 4:55between San Diego and Tokyo. How would you give a brief
- 4:58introduction to the people who you know don't yet know the
- 5:01story? Yeah, it's great.
- 5:04Great question and one that I deal with quite often in dealing
- 5:07with investors, whether institutional investors, high
- 5:11net worth, family offices, hedge funds, what have you.
- 5:15You know, Medicinova is a clinical stage biopharma company
- 5:18that looks small on paper from its valuation.
- 5:22If you know where our valuation is published every day in, in in
- 5:26NASDAQ and in Tokyo in terms of what what the value is worth our
- 5:31market cap, but it certainly punches well above its weight.
- 5:34I think it's an underappreciated and undervalued story.
- 5:38We're dual listed on NASDAQ in in the United States under the
- 5:43symbol MNOV. We're also listed on the Tokyo
- 5:47Stock Exchange under the code 4875.
- 5:51And you know, as you mentioned, we're, we're founded by Doctor
- 5:55Yuichi Iwaki, Japanese physician and we have this deliberately
- 6:02lean operation for the for the company.
- 6:05We're spending about 12 to $13 million annually.
- 6:09I didn't say quarterly or monthly, I said annually.
- 6:12So you know, that's it, that's a little over about $1,000,000 a
- 6:16month that we're we're spending. So very lean and the model is
- 6:21really built for this capital, capital efficiency.
- 6:24You have a small internal team, we outsource development and and
- 6:29our infrastructure externally and we have a portfolio focused
- 6:34on advancing clinically validated molecules with well
- 6:39understood safety. We have two molecules MN 166
- 6:43which you mentioned and MN001. But for the sake of today, our
- 6:48lead asset really MN 166, which we call ibudalast is a drug that
- 6:55has decades of human safety data outside of the United States in,
- 6:59in Japan, in fact, that's spending more than 3,000,000
- 7:02patients for other indications. And we're using that we're
- 7:08exploring that that compound to advance it into treating serious
- 7:15neurodegenerative and inflammatory diseases.
- 7:18For example, in ALS we have a fully enrolled Phase 2B3
- 7:24registrational trial in in ALS where you know, this is a rare,
- 7:30rare disorder. We have fast track set, we'll
- 7:33have orphan drug designation and you know, it's it's a condition
- 7:39that's not treated very well. Yes, there's some approving
- 7:43approved molecules, but they're modest in efficacy at best.
- 7:47So there's really still a large clinical unmet medical need in
- 7:51ALS. So you know overall Medicinova,
- 7:55we're bi national, we have a shareholder focused company
- 8:01trying to translate well characterized biology into a
- 8:05late stage CNS program of ALS without the burn rate of a
- 8:11typical biotech as I mentioned, you know 1212 or $13 million a
- 8:16quarter, so very, very capital efficient, very exciting.
- 8:21Yeah. And you mentioned that, you
- 8:22know, N166 is being developed across both neurodegenerative
- 8:25and inflammatory conditions. Can can you just sort of
- 8:28simplify down the biology and why essentially targeting
- 8:32neuroinflammation, glial activation and neuroprotection
- 8:36makes sense within ALS? Yeah, so I Buddha last for MN
- 8:41166 is a anti-inflammatory. It's a oral small molecule that
- 8:46works inside the brain and also at the spinal cord level.
- 8:53And it really does mainly 2 things.
- 8:55One, it inhibits phosphodiesterate 341011 so it
- 8:59inhibits that and it suppresses A cytokine called MIF, which is
- 9:06macrophage migratory inhibitory factor.
- 9:10And practically what what that does.
- 9:13So it's got this multi mechanism of of of of mechanism of action.
- 9:19And practically by doing that it calms over any or over activated
- 9:25glial cells, for example microglia and astrocytes that
- 9:29are meant to protect neurons. But in ALS the biology is that
- 9:35these turn chronically inflamed and start doing a lot of the
- 9:38harm. And so you start getting a build
- 9:41up of toxic proteins. So really why does that matter
- 9:45here? Because what we've learned in
- 9:48ALS it's, it isn't just purely a motor neuron autonomous disease,
- 9:55very heterogeneic. There's a lot of things going on
- 9:58with the biology. So what what what I would say is
- 10:02neuro inflammation and glial activation are drivers of how
- 10:06fast motor neurons die. ALS is a motor neuron disease.
- 10:12And so you know, neuro inflammation, glial activation,
- 10:16big drivers. So if you can, if you will calm
- 10:19or dial down that toxic inflammatory environment, you
- 10:24give neurons a more protective place to live.
- 10:26And that's, that's really the thesis.
- 10:28It's about neural protection. And by changing the, the
- 10:32neighborhood that the neurons operate on, not just the neuron
- 10:38itself, but it's, you know, the sort of the whole ecosystem
- 10:41where it lives. And so that's why we're excited
- 10:44and why we believe it's very, very differentiated when you
- 10:48start looking at the ALS, you know, competitive landscape.
- 10:52Yeah. And the phase, the Phase 2B3
- 10:54trial that you mentioned is now fully enrolled.
- 10:57Your top line data is expected sort of towards the end of this
- 10:59year, start of next year. What essentially makes this such
- 11:03an important readout? But both.
- 11:04Both for you as a company, but the broader ALS field.
- 11:09Yeah, thank you for mentioning those.
- 11:11This is the probably the company's most important
- 11:13catalyst in its history and it's been around for 26 years and it
- 11:19lands at a time when the ALS community really badly needs a
- 11:24win or at least, you know, some positive sort of data to come
- 11:29out. ALS itself as a as an indication
- 11:33has had very fuse disease modifying sex sexes.
- 11:38They've had one high profile approval of about 2 1/2 three
- 11:43years ago called Relvio. But unfortunately when that was
- 11:47from a company Amelix, when they had to go back and do a
- 11:50confirmatory phase three trial, it was it failed and it was
- 11:54pulled from the market in 2024 because of that failure in the
- 11:58confirmatory trial. And what that did was it raised
- 12:02the bar for everyone who is developing drugs in this area of
- 12:06of ALS where you have a lot of the regulatory agencies, whether
- 12:11it's on in the European side, Canadian side or US side.
- 12:15And this has put a lot of tailwinds behind companies,
- 12:20development programs raise the bar.
- 12:23Combat, as you mentioned that our Combat Phase 2B3 trial is
- 12:28fully enrolled. We fully enrolled that in
- 12:30September of 2025 data comes. So our last patient out from
- 12:35that trial will be in in September and by the time we
- 12:39clean, clean up the database, lock it, it's going to be around
- 12:43December of this year as you mentioned.
- 12:45So for Medicine Nova, a positive result is potentially
- 12:51transformational. It's it's, it's really a
- 12:54difference between an early value, you know, clinical
- 12:59company and one holding a late stage partnerable CNS asset.
- 13:05So and then for the field and for the ALS community and
- 13:09patients and advocates, Ibutalas or MN 166 really represents A
- 13:14distinct mechanism of action neuroinformation, neural
- 13:19protection in a disease in which where where most patients have
- 13:25limited treatment options. So if we get a clean positive
- 13:30data readout, even on a sub analysis of patient population
- 13:35that have been enrolled, it would it it would validate the
- 13:39the glial activation inflammatory thesis broadly, not
- 13:44just our molecule. And it would give patients, you
- 13:48know, at least some, some hope that we can help them from a
- 13:53therapeutic standpoint. And and the combat trial is
- 13:57using the combined assessment of both function and survival as
- 14:01the primary endpoint with secondary measures including
- 14:04ALSFRSR, muscle strength and quality of life.
- 14:09What does a pressing ALS data set need to show today to
- 14:14matter, You know, clinically, regulatory and also
- 14:17commercially? Great question.
- 14:22This is a sort of a standard regulatory, you know, endpoint
- 14:27clinically, you need to have a real effect on function and
- 14:32that's why our primary endpoint is the combined assessment of
- 14:36functionality and survival, which and it's a it's a it's a
- 14:41Co primary, which jointly ranks how patients do on a function
- 14:46and whether they're alive. At the end of the day, it's a
- 14:50tougher, more honest endpoint and and very high regulatory
- 14:56standard than just functionality alone.
- 14:59So function and survival and you know, at the end of the day, you
- 15:03want to keep, you know, monitor this ALSFRS progression.
- 15:10You also need to, as you mentioned, measure muscle
- 15:13strength by denometry and also quality of life.
- 15:17And you have to make sure that all those the primaries in the
- 15:20secondary are all moving in the same direction.
- 15:22So, you know, at the end of the day, for a regulator, internal
- 15:26consistency is what's going to convince skeptics and, and the
- 15:29regulators, the FDA and the EMEA on in the European side, they
- 15:34want clear statistically significant robust effects on
- 15:40something that's going to really matter to patients.
- 15:43And ideally also, you know, reinforced by biomarkers like
- 15:48neurofilment, lighter NFL commercially.
- 15:52So that's regulatory commercially you, you need an
- 15:54effect size or that's really going to make a difference for,
- 15:59for patients and for advocates and, and for clinicians.
- 16:03You know, safety is obviously a very important part A and then
- 16:08having a dosing profile or a target product profile that
- 16:12physicians and payers are actually going to accept and
- 16:16adopt and cover. And so any type of marginal
- 16:21signal in this area won't really clear the regular the
- 16:25reimbursement bar cleanly. There might be some negotiations
- 16:29around it, but you know, you definitely want to make sure
- 16:31that you have, you know, clear signal in a patient population
- 16:35or even a sub type of analysis where there it's going to the
- 16:40signal is going to clear the reimbursement bar.
- 16:43And you know, so right now the gold standard is when function
- 16:48survival and biomarkers Alltel 1 coherent story and very in a
- 16:53very consistent manner. Yeah.
- 16:55And you've also got an NIH and NINDS supported expanded access
- 16:59study in later stage ALS patients and that includes, as
- 17:03you mentioned, you know neurofilament light and clinical
- 17:06measures. How do you think about the role
- 17:09of real world expanded access and biomarker data alongside A
- 17:14controlled pivotal trial? Great, great question.
- 17:20And I'm asked by investors quite quite often like how does our
- 17:24combat ALS phase 2B registration slash 3 registrational trial,
- 17:29How does that wrap into this other trial that we have going
- 17:32on? And it's it's called an A
- 17:34Synovie expanded access trial. It's in later stage ALS patients
- 17:39and it's not a part of the registration, but collecting
- 17:44real world evidence and biomarker data is super
- 17:46important. So what I would say is they play
- 17:49very complementary, very different but complementary
- 17:52roles. And 1, I don't think you should
- 17:55confuse that one's registration. The other one is collecting real
- 17:59world evidence. And you know, the combat phase
- 18:042B3 is controlled pivotal trial, it's randomized, double-blind,
- 18:09placebo-controlled and that is what proves causation or you
- 18:15know what, what the regulators are going to be looking at.
- 18:19That's evidence that the regulators are proven
- 18:21absolutely, full stop. What the expanded access
- 18:26biomarker work does is add texture, if you will around
- 18:31that. It's it's adding complementary
- 18:34information to that. And so we're in that particular
- 18:38study, we're capturing NFL or neurofilm at light plus some
- 18:42clinical measures and later stage real world patients.
- 18:47Those are later stage our registrational trials actually
- 18:50in early stage patients. So this is in later stage and
- 18:55these are, you know, patients frankly, who generally wouldn't
- 18:58qualify for a tighter pivotal trial just given their their
- 19:03advanced disease. So what that does is 3 things.
- 19:07It gives access to patients who need it super important.
- 19:11It builds a real world safety and biomarker database and it
- 19:16can also reinforce the regulatory and commercial story
- 19:20on breath and and durability. So super important, you know, at
- 19:26the end of the day, I would say and how what I message to
- 19:29investors is the expanded access data that we're collecting in
- 19:34later stage patients supports the pivotal trial, but it
- 19:38doesn't substitute for it because that's in a very
- 19:40different patient population. Yeah.
- 19:42I mean, if we combine sort of the look of how medicine over
- 19:46structured alongside this pivotal started.
- 19:49I mean, you know, your your model is very capital efficient.
- 19:52You've got a small internal team, you outsource development,
- 19:57a lot of you know, sort of clear intention also to partner rather
- 20:00than to build a full commercial organization.
- 20:03Essentially, what are the advantages and the limitations
- 20:06of this model when you are sitting on a real potential late
- 20:10stage CNS asset? Yeah, I did.
- 20:14I, I, I always try to come up with disadvantages, but to me
- 20:18the advantages are it's look at, at the end of the day, it's
- 20:21about discipline. You know, we need, we need to be
- 20:24good stewards of capital. So we have a small internal team
- 20:28with outsource research and development, which means lower
- 20:32fixed costs, real flexibility and, and at the end of the day
- 20:35for importantly for investors, it's minimal dilution per
- 20:39program. You're, I'm not carrying a 300
- 20:42person organization. We have 9 full time equivalents.
- 20:46So right there, you know, for shareholder that's an efficient
- 20:50way of using money. As I mentioned, we're you know
- 20:52good stewards of capital and it's about efficiency and the
- 20:57risks adjusted exposure to a late stage clinical asset is
- 21:01certainly something that's very, very important.
- 21:05Perhaps the limitation or you mentioned disadvantage is, you
- 21:09know, let's say it's equally honest.
- 21:11When you're sitting on a potentially late stage CN asset,
- 21:14you don't have the internal commercial engine, if you will,
- 21:19the sale, the sales force, the medical affairs footprint, the
- 21:22payer infrastructure to launch it yourself.
- 21:25And we've made the deliberate decision not to be a commercial
- 21:29organization. It's, it's very, very expensive
- 21:32to build a sales force, a commercial infrastructure.
- 21:36So you know, we're going to be, our intention is to partner, not
- 21:42to build a commercial organization.
- 21:45So that's super important. But it, you know, it also means
- 21:48that we still need to capture the value of this moment of the
- 21:52data coming out at the end of the at the end of the year,
- 21:55depending on that data and then executing a, a deal, a
- 22:00partnering deal with a commercial organization in this
- 22:05space on very good terms. So the model itself, we talked
- 22:10about discipline and then its limitation.
- 22:12The model optimizes for getting to the data efficiently and the
- 22:17discipline then has the has to, you know, you have to shift to
- 22:22running a competitive, well timed partnering process once
- 22:26the data is in hand. And that frankly is falling on
- 22:28me to do that as Chief Business Officer.
- 22:32Let's let's take a step back then.
- 22:33I mean, I know I mentioned in the introduction that a lot of
- 22:36your expertise and focus has been on from the broader
- 22:38neuroscience market and big pharma interest seems to be
- 22:42back, you know, especially where the assets are slightly more de
- 22:46risked From a business development perspective, what
- 22:49are pharma companies looking for now in CNS that they may not
- 22:54have been willing to underwrite, you know, let's say 5 or even 10
- 22:57years ago? Yeah, I think the mood is
- 23:00generally genuinely changed. You saw a number of big pharmas
- 23:06exit and then now they're they're coming back in.
- 23:10They retreated from neuroscience because of, you know, because of
- 23:13the failure rates, the expensive failure rates and points that
- 23:17they didn't trust or understand biology that they couldn't yet
- 23:24sort of drug and and hit the targets.
- 23:28So I think what's different now it's about de risking pharma is
- 23:31willing to underwrite CNS again. And neuro, neuro is actually one
- 23:36of the if you look at some of the partnering and M and A data
- 23:40outside of oncology. Yeah, exactly.
- 23:43And you know, and obese, you know, and cardio metabolic
- 23:46disease, obesity GOP ones all that's it.
- 23:49You know, CNS is is back in in favor.
- 23:53You know, you have human proof of concept, a mechanism that
- 23:56they finally understand or at least understand better,
- 23:58especially in areas like Alzheimer's, ALS and
- 24:02Parkinson's, some others Huntington's disease.
- 24:05You know, they're they're looking for their understanding
- 24:08the safety profile a little bit better and then bio ideally
- 24:11biomarkers that are starting to track outcomes and real really
- 24:15leading to personalized medicine.
- 24:18You see a number of recent large CNS acquisitions, which tells
- 24:22you the appetite for large pharma, which have big balance
- 24:26sheets and they need to, you know, frankly spend money to
- 24:30deal with loss of exclusivity and just portfolio gaps.
- 24:35Look at I think it's real. They're paying for optionality
- 24:38on validated mechanisms without owning the early failure risk,
- 24:43if you will. So for a company like
- 24:45Medicinova, that's the whole thesis, if you will.
- 24:49Let's get to a partnering table with a readout or a, you know
- 24:53that on our fully enrolled registration of trial with a
- 24:57compound that has decades of safety data and a very
- 25:00differentiated mechanism. And that's a very different
- 25:03asset then let's say if we were in early stage phase one story
- 25:08and that's very, very, it's priced very, very differently.
- 25:12So I'm excited about it as we start to approach the end of
- 25:15the. Year, yeah, yeah, me too, that's
- 25:17for sure. There, there seems to be a few
- 25:20real big industry themes around neuroscience right now.
- 25:22I mean, blood brain barrier, delivery payer pressure, patient
- 25:27heterogeneity and AI driven child design.
- 25:31Which of these do you really think will most change how CNF
- 25:36drugs are developed and partnered over the next decade?
- 25:42Yeah. I think all of our all four of
- 25:45those areas that you mentioned are super important.
- 25:48The one that I'm particularly interested in watching and the
- 25:55sick, it's showing a great deal of excitement is on this blood
- 25:58brain barrier delivery and using some of this brain shuttle
- 26:02technology where you know a number of big pharma's in
- 26:06particular Roche is looking in the Alzheimer's space for
- 26:09example, is it's an exciting area.
- 26:13So drugs that are typically have not been able to get through the
- 26:18barrier of the blood brain barrier are now being shuttled
- 26:22across with some technologies. I know that Denali also has a
- 26:25technology that it it it, that they're pursuing as well.
- 26:29So that's the one that I really like to spend a lot of time on
- 26:34because I think it's going to fundamentally change how
- 26:37getting, you know, large molecules, biologics, for
- 26:40example, or maybe even small molecules that have the
- 26:43difficulty getting across the barrier getting in inside the
- 26:47neuron. And whether that's going after
- 26:49amyloid beta or Tau as relates to Alzheimer's.
- 26:54And then ALS same, same situation dealing dealing with
- 26:58like toxic proteins of TDP 43 things like that.
- 27:02I'm excited about that. But that doesn't mean that I
- 27:05dismiss or not interested in watching like payer pressure and
- 27:09Petter patient heterogeneity as real constraints or AI driven
- 27:15trial design, because they're going to make, make essentially
- 27:19make studies faster, smarter. You're going to have better,
- 27:23more, you know, homogeneous patient populations, if you
- 27:28will. So let's not let's not undersell
- 27:31that. But definitely I think from my
- 27:35perspective, getting the drug, these drugs to to the area of
- 27:42CNS where the biology is sort of misframed.
- 27:47I think that's super important. Get the get the drug to the
- 27:50right area of the brain. So that to me is, you know,
- 27:53certainly where I where I will and have been spending a lot of
- 27:57time. Yeah.
- 27:57And. From, from what you know, from
- 27:59your research, how I know this is an open-ended question, but
- 28:03how far really do you think we are away from a genuine
- 28:07breakthrough within that field that's going to ultimately
- 28:11change the way that we deliver, you know, drugs to the brain?
- 28:16Well, by, by the terminology use a breakthrough.
- 28:20I, I have to rely upon, you know, it being approved by
- 28:24Regulatory agency. So that's my a priori assumption
- 28:29on, you know, breakthrough. And if you use that, I think
- 28:33it's within, you know, a few years.
- 28:35Roche's, you know, Roche is checking their, their compound
- 28:40with the brother brain shuttle technology going after
- 28:43Alzheimer's, early stage of Alzheimer's in a anti amyloid
- 28:48beta approach. I think you're going to and
- 28:52they're in, you know, later stage trials are in phase three
- 28:55trials. So that's probably at least two
- 28:57to three years away. And I think there's also some
- 29:00people who are applying it towards, you know, going after
- 29:05Tau tangles and Alzheimer's. So I, I'm giving it two to three
- 29:10years. So a lot of a lot more people
- 29:12are pursuing the technology to get drugs to the right place in
- 29:18the brain. So yeah, that's that's kind of
- 29:22my timelines right now. Yes, it's certainly going to be
- 29:24an exciting space to watch, that's for sure.
- 29:27But look, just to sort of wrap things up, David, if you could
- 29:31have dinner with any scientist or innovator, past or present,
- 29:34who would it be and why? You know, I when I, you asked me
- 29:41this question, I think the first time we met, you asked me, hey,
- 29:45give it some thought. I really tried to give it some,
- 29:49you know, very well, deep consideration and there's three
- 29:53people that I love to follow, I respect, and I like what they're
- 30:00doing in the ecosystem. 1 is Newbar Afian from Flagship
- 30:07Pioneering immigrant, super smart.
- 30:10He was the founder of Flagship Pioneering, which is a great
- 30:13venture capital firm, and I think he thinks about biotech in
- 30:17a way that almost no one else does.
- 30:20He starts from the sort of the premise or the a priori
- 30:25assumption that, you know, what would have to be true for a
- 30:31company to be successful. And then he builds companies
- 30:34around that bold, unreasonable sort of thesis rather than
- 30:40incremental bets. So it's very transformative.
- 30:43And I think he's probably the closest thing in our industry to
- 30:48a a systemic inventor of of new companies of Newcos.
- 30:54So that's pretty cool. Secondly, also in the Boston,
- 30:57he's located in Boston. Secondly, also in the Boston
- 31:01area comes out of MIT would be Bob Langer.
- 31:06He's at MIT, as I mentioned, great.
- 31:09I mean engineer by training. He's one of the most prolific
- 31:12inventors in medicine. He started so many, so many
- 31:16Newcos have came, come out of his lab and it frankly many of
- 31:21those Newcos have gone on to be acquired by Big Pharma or by
- 31:27medical device companies. And he does a lot of work in the
- 31:29drug delivery space. And so he is basically seated an
- 31:33entire generation of therapeutics and Newcos and
- 31:36founders. And then lastly, and this is
- 31:39kind of my San Diego connection is Doctor Eric Topol, physician
- 31:45by by training. He's at Scripps Research
- 31:47Institute in San Diego and he's and he's one who I like to
- 31:52always see him as keeping, keeping us honest and about
- 31:55where medicine is actually meeting the patient, you know,
- 32:00whether it's on data or it's on AI or, you know, certainly going
- 32:04through evidence versus hype. So I think putting those three
- 32:09together, you know, Newbar, Bob Langer, Eric Topol, you get 3
- 32:14forces that really create value in the business of, of life
- 32:17science. And they have, they have the,
- 32:20you know, sort of the audacity to ask the right questions, the
- 32:24engineering rigor to make it real, especially with Bob
- 32:29Langer, and then the discipline to prove it in the, in the real
- 32:31world. So, you know, if I was at the
- 32:35dinner table, then I, I'd be listening a lot.
- 32:37I'm just asking a lot of questions.
- 32:39Yeah, and if you, if you ever managed to get that, that dinner
- 32:42party arranged, I'd like to hope there'd be a fifth seat that I
- 32:46could come and join as. Well, there you go.
- 32:49There you go. We'll get a table for five.
- 32:51Sounds perfect. Well, it's been a been an
- 32:53absolute pleasure to to have you join me today, David.
- 32:56I've really enjoyed our conversation.
- 32:57Thank you very much. I appreciate your time and thank
- 33:00you for allowing me to come on and share with your readership.
- 33:03Absolutely and thanks to everyone for listening or
- 33:06watching along and make sure you stay tuned for future episode.
- 33:09But that's that's it for now. Thanks and goodbye.
- 33:13Alright, bye, bye.