Latest / The BioHub - by Avetix / Episode 146 - Jeremy Skillington - CEO of Poolbeg Pharma
Transcript
- 0:05To welcome back to another episode of the Bio Hub and
- 0:08Abetics Podcast, I'm here with Jeremy Skillington, the CEO of
- 0:12Pullback Pharma. It's a pleasure to have you.
- 0:14How are you? Great to be here very well, very
- 0:16well today. Yeah, it's a pleasure to do it
- 0:18in person as well. We don't always get that.
- 0:20That's good, Yeah. And all this is where we're,
- 0:22you're over in London, all of the tax.
- 0:23It's always nice to make opportunities.
- 0:25We've got an investor presentation tonight.
- 0:26So as they say, we're, you know, good to sit down and say make
- 0:28the time. Amazing.
- 0:30Yeah. I want to start with you as you
- 0:32started at Genentech doing BD, you then went into founding,
- 0:37building and exits in different companies, now a public company
- 0:42CEO. Yes, just tell us about the
- 0:44journey. How much time do we have?
- 0:46But yeah, it's, it's, I would say it's an unusual one, but I
- 0:49was quite fortunate. You know, you always thought
- 0:50about the sliding doors monitor. See, I was doing my PhD work in
- 0:54Ireland. So now I applied and received
- 0:57funding to go to UC San Francisco on a student exchange
- 1:00scholarship and fantastic place to do science, really top class,
- 1:05you know, levels of research. I really enjoyed my my time in
- 1:08the lab. You know, I was cheeky enough to
- 1:10ask my boss at the time if I could stay on and do more
- 1:12research, say on do a postdoc after my PhD had finished.
- 1:16And he was happy to take me on a productive several few years.
- 1:20But I think my head got turned where I see my my postdoc
- 1:24colleagues, you know, B ring away writing grants, you know,
- 1:27like a lot of work in the research.
- 1:28I think my personality was more and needs to be elder and more
- 1:30rather than kind of stuff in the lab.
- 1:32Really enjoy the science and talk to a lot of people And you
- 1:35Bay Area, you know, San Francisco Bay Area is where the
- 1:38biotech industry started. And ironically, the first
- 1:41company that was stark. It is genetic, you know, spun
- 1:43out of UCSF because mentally and Stanford and is based on genetic
- 1:48engineering technology where the words Genentech comes from.
- 1:51And you know, talk to a lot of people, you know, understanding
- 1:54where the work that I was doing is with basic science.
- 1:56And then how does that translate into making drugs that
- 2:00ultimately have been for patients?
- 2:01So it's kind of if you understand the science, you
- 2:04understand diseases, you can understand how's the remedy.
- 2:06So I was kind of interested in that aspect, but not really on
- 2:10the research side. So again, talking to a lot of
- 2:12people's, I felt my personality fish with the side of the
- 2:16business, which is business development, where essentially
- 2:19you're out there in the world. So you're talking to academics,
- 2:22you're talking to other biotech companies, pharma companies
- 2:25looking to establish collaborations.
- 2:27You know, we could bring expertise.
- 2:29I'll give the example of Genentech is an antibody
- 2:31engineering and you might have an academic.
- 2:33And we actually did a, a deal here in London with Cancer
- 2:36Research technology, as was at the time on a, on a, a target
- 2:40around an oncology target, you know, where they had a target
- 2:43that was of interest and we could bring antibodies, you
- 2:45know, So we did a lot of those kind of deals, but it got me out
- 2:48there like, so I'm still using science, but it got me talking
- 2:50to a lot more people. So I was fortunate enough, as I
- 2:52say, kind of applied for the job.
- 2:54There's an opening, this is, I say, way back when was it back
- 2:57in 2002. And Genentech were pretty, they
- 3:00were a busy company, a growing company.
- 3:02There were five and a half thousand people at the time.
- 3:05They rapidly grew to 11,000 in the 6 1/2 or so years that I was
- 3:08there. But it gave me a great
- 3:10opportunity to understand the industry, you know, not just the
- 3:13business side that, but what it takes to get it a drug kind of
- 3:17discovered. Yeah.
- 3:18And then true preclinical, true, you know, toxic ecology into
- 3:22clinical research, the whole complexity of people you know,
- 3:26maybe don't fully understands. It's a regular free aspect.
- 3:28You know, how to ultimately get dialogues and discussions with
- 3:31the regulators, you know, the FDA, the rests or the of HRA,
- 3:34the UK and how to get drugs approved and ultimately get to
- 3:37the patients. And of course, you need a market
- 3:38as well. So you've got genetic is
- 3:40fantastic company to see that full spectrum of what it takes
- 3:43to get as I say, original idea disco in academic discovery.
- 3:47You'll get at the patients and it's a long, arduous process.
- 3:50It's a very expensive process. But the business development
- 3:53team that I, you know, ended up in, you know, again come my
- 3:58lucky stars, you know, but a fantastic team of somewhere
- 4:01other scientists. Some of them are when lawyers,
- 4:04you know some of them are more on the commercial side.
- 4:05But it is a great, you know, mix and match of of people with with
- 4:09various experiences. And we just had a wonderful sign
- 4:11as the company was growing when we were adding products, you
- 4:14know potential products to the genetic pipeline.
- 4:17A lot of Leah was going terrifically well and genetic at
- 4:20the time where majority owned by Rosh.
- 4:22Yeah, you know, Basin Basil, you know, big Pharma company and
- 4:25Rosh thought it was a good use of their funds to buy
- 4:30essentially the remaining, you know, portion that the 44%
- 4:35people was of of Genentech. So they came with a tender
- 4:37offer. It was initially rejected enough
- 4:39for time ever that was, you know, accepted.
- 4:41And so essentially they became wholly owned, you know, company
- 4:46of of June Jilantech. And that was a nice jumping off
- 4:49point a for us. You know, I had a young family
- 4:51in California. My wife is Irish as well.
- 4:53There was some, you know, aspects of the bite against
- 4:56growing in Ireland. So it was a nice jumping off
- 4:59points to kind of come back in 2009 and that's when I came back
- 5:02to Ireland. I worked for a biotech company
- 5:05in our Opsona Therapeutics and you know, they were doing some
- 5:08really innovative work on targeting delete graph function
- 5:12as was more, you know, you're trying to stop inflammation and
- 5:16working with an academic scientist or Luke O'Neill who
- 5:19we've become really good friends since then.
- 5:21And I spun a company out of trial of Opsonic called Trauma
- 5:25Therapeutics. Now you're getting back to the
- 5:26time where you know, they they talk now about biotech funding
- 5:29is challenging. It was extremely challenging
- 5:31back then where we did manage to raise a kind of AC Browns and
- 5:35did some really interesting work, some really good data you
- 5:38but but 2 1/2 years they may realize there's no funding.
- 5:41You know, it's just a tough, tough time.
- 5:43So you know, we you said I was a company started but ultimately
- 5:46didn't, you know, didn't work out.
- 5:48But it's interesting in one of the in the real potential
- 5:51investors in that company, you know, they decided not to invest
- 5:54in the end. But I kind of mentioned that,
- 5:56OK, you know, I think we have to wind down the company.
- 5:58But they had a couple of portfolio companies that needed
- 6:00some business development help, you know, say can you join us
- 6:03and help with these companies? It was a nice segue.
- 6:06I must say, in a fantastic group of people.
- 6:08They were based in Dusseldorf with the companies, one was
- 6:11which outside Munich and one was in there in Zurich.
- 6:14So I started working for those two companies trying to
- 6:16establish, you know, industry collaborations, industry
- 6:18partnerships, what the company's activists who were one of the
- 6:22early movers in MRA technology. We managed to get a deal with
- 6:26Astrazeneca's time. Just they were inexparted.
- 6:28It was, you know, quite significant for the company.
- 6:30But you know, I was working a way through that.
- 6:33But then I was contacted again. It's all about networking.
- 6:36It's all about, you know, people who know you are maybe like
- 6:38working with you. But Duke or Neil, the Kobe one
- 6:40day he's an esteemed academic, a fantastic world's, you know,
- 6:44renowned immunologist, uh, called new 2016.
- 6:47So we're starting a company called Inflazon and, uh, we're
- 6:50focused on a target called NLRP 3 and, uh, we've, we're lining
- 6:54up investments, but I think this would be an interesting, you
- 6:57know, starting, you know, a company has just been started to
- 7:00take all the way through and uh, again, ultimately either pharma
- 7:05partnerships or acquisitions now, yeah, sounds fantastic.
- 7:08Began the science behind it was tremendous and lobby tree just
- 7:12for very briefly is a is a an inflammatory modulator.
- 7:15So as we hear the old good example things like gauge
- 7:18crystals as one example, so that the inflammation in your toes we
- 7:21got is driven by then Robbie tree just drives that
- 7:24inflammatory response. But it also has applications to
- 7:26Parkinson's disease and Alzheimer's disease.
- 7:28These you know, protein aggregates trigger and the lumpy
- 7:31tree. So a wide range of diseases.
- 7:33So we had a fantastic team Lymphasol.
- 7:35We got a really small team of about 15 people led by a
- 7:38fantastic CEO, Nat Cooper, who has his own, you know, startup
- 7:42in the Cambridge area and, uh, did some tremendous work there,
- 7:46took drugs into the clinic. Uh, we got some really
- 7:48impressive data, you know, in early, you know, technical
- 7:51trials. And my job at the time was to
- 7:54court all of these pharma companies.
- 7:55Here's what we're doing here is the day, here's the science,
- 7:58here's the update. Yeah, we're in the clinic.
- 8:00Here's the thing that did and keep them all moving.
- 8:02It was a maybe a, a good juggling going on, keeping them
- 8:06all, uh, you interested, but a competitive tension.
- 8:09And we had a few companies that were significantly interested.
- 8:12But ultimately, and as the world turns, the companies are
- 8:15acquired by our friends in Rosh. OK, back in 20.
- 8:18So cynical full circle is one thing, but, but I will say like
- 8:21this industry is fantastic. We said the the online goal of
- 8:25helping patients is what drives us.
- 8:27But I think the network, the you know, as I say, for a lot of
- 8:30the, the, the deals that I've done passed has always been that
- 8:33connection, that contact. Yeah.
- 8:35And obviously, you know, Ross is what is that a pharma companies
- 8:37were part of the discussion, but I had really good relationships
- 8:40with people on the other side, particular Ross.
- 8:42So they knew my style, I guess my character, you know, I'm not,
- 8:47I'm not one of these, you know, bluffers.
- 8:49You know, it's kind of like what I say, you know, is, is
- 8:51accurate. So we had some really good
- 8:52discussions and dialogues. We had, you know, Ross, you're
- 8:55very interested at the time the, the pandemic ish, you know, so
- 8:59we were actually, you know, at the time, I remember thinking,
- 9:02it's how we have to download an app called Zoom.
- 9:04And then I never heard of it before.
- 9:05And obviously it's every day right now.
- 9:07But back then it was, it was, it was a fantastic tool to get 50
- 9:11people on a call talking about your programming products and
- 9:14diligence. So it was great like Ross as
- 9:17they kind of acquired the company in the 2020 and we
- 9:21worked through the, you know, the data transfer, tech transfer
- 9:24and knowledge transfer a second. And then I was contacted by Kaho
- 9:29field starting a new company Kubek Pharma.
- 9:31Yeah, there was spinning out of HV walk who run Kun viral charge
- 9:35that is here in London. And Carlos they were we're
- 9:37taking the biotech arm of this company and forming food bank
- 9:40would initially focus on infectious diseases.
- 9:42So in a pandemic infectious diseases I'm in yeah.
- 9:46And again, it was my, my first taste, I guess of the public
- 9:49markets. And I think that's been an
- 9:52interesting journey. I think there's been a lot of
- 9:53discussion around how to make the UK public market stronger or
- 9:57better or greater liquidity. Yeah, we've had our challenges
- 10:00in that regard. Bush, we've remained focused as
- 10:02a company, you know, pushing our programs forward.
- 10:04We've took, we took an interesting detour maybe 2 or so
- 10:07years ago, you're deflecting against some infectious diseases
- 10:11where the appetite was decreasing.
- 10:12But now we've got a really exciting lead crowded to program
- 10:16that targets cytokine release syndrome or cytokine storm yeah
- 10:19associated with cancer neurotics.
- 10:21So we're you know fantastically excited about that program.
- 10:25We have done a lot of work in the last seven years.
- 10:28We're about to start technical trials to your trial and that to
- 10:31test it in patients, most of my level patients.
- 10:34So again, you don't work kind of full circles.
- 10:35I mean it's sometimes it's linear, sometimes their vectors
- 10:38take different detours, but at the end of the line is always
- 10:41patients. Yeah, I think we're very excited
- 10:43to see the data and I said that's moving well.
- 10:46We should have the interim data by the summer and we're all just
- 10:49as they're working hard to get there as quickly as possible.
- 10:52Again, very excited. You know, should it work?
- 10:55I think it'll be game changing not just for patients, but I
- 10:57think for the industry because these cancer immunotherapies,
- 11:00their T cell engagers, they're fantastic efficacy with the side
- 11:03effect outside of that storm is a is a significant issue.
- 11:06So if we can eradicate, eliminate that, I think we're in
- 11:09really good shape. So I'm not going to say wash
- 11:12will come around again, but we are able to.
- 11:16But I wouldn't say like using my business development background,
- 11:18we're always talking to farmer walls updating and what we're
- 11:20doing, you know, unfortunately for this technical trial, we're
- 11:23partnered with Johnson, Blue Johnson, who have provided us
- 11:27with their drug. You know that they is it's a
- 11:30marketed drug to the fist amount that's given the mostly minor
- 11:35patients knowing that the efficacy is terrific, but the
- 11:38side effects, you know, are coming.
- 11:40Yeah. So we have a drum that we
- 11:42believe would prevent the side effects from happening.
- 11:45So that kind of change, a set up in the chair, you know, that's
- 11:48if if that works, you know, this is a game changer for for their
- 11:52portfolio of cancer neural verbiase, because then they can
- 11:55go directly to community hospitals instead of having to
- 11:57go to these dedicated yeah, cancer kidneys or academic
- 11:59centered. So they can see that they can
- 12:01get, you know, more of their drug, some more patients.
- 12:05And, you know, as I say, that's the new win for everybody.
- 12:07I liked. So we're very excited.
- 12:08So as I say, we're we're, you know, been pushing pretty hard
- 12:11to get this, you know, intubation as quickly as
- 12:13possible. But or everything was lining up
- 12:15right now for, as I say, to help them trend data by the summer.
- 12:17Yeah, sounds super exciting. I think, you know, when you talk
- 12:20through your journey, the one thing keeps popping up is, you
- 12:25know, there's so and so introduced me and and just the
- 12:27broad network you have so 20 of the younger generation looking
- 12:32to make their way in biotech. That's that's pretty big lesson
- 12:36in its own right. It really is.
- 12:38And I, I was told to be about the recent stage.
- 12:42And there was one very, very good college.
- 12:44She's a professor in Ireland. And I was saying, you know, I
- 12:47got the sense that the younger generation these days are not as
- 12:50open. Yeah.
- 12:51To networking, you know. Even that's part of COVID to.
- 12:55What you don't have as well, but it was she had a very valid
- 12:57point where she goes like like when we were trying to, you were
- 13:01exactly the same, you know, So maybe when you when you look
- 13:04bad, do you think like there's a little bit I I do think it is
- 13:06natural. There's a little bit of that,
- 13:08you know, kind of it's, it's kind of modest courage or
- 13:10somebody just back in the day used to pick up the phone, but I
- 13:13was dropping an e-mail. But most people are, are open or
- 13:16accepted or yeah, if you have it's not you don't even have to
- 13:18do ourselves. Like, you know, you know, I'd
- 13:21like some guidance or some help people, even though people are
- 13:23extremely busy. Yeah, they're always willing to
- 13:25say, oh, you know, like I was new once you're always and it is
- 13:28you talk about full circle that maybe a theme of this
- 13:30discussion. But you know, full circle is
- 13:32like, I was there once and he'd like to help.
- 13:33Yeah, yeah. Coming through, you know, we
- 13:35kind of, you know, not quite standing or shortage of giants,
- 13:37but it's kind of help you give a gum True, But it's it's an
- 13:40interesting aspect of you know, I think, you know, obviously
- 13:42people talk about kind of COVID even, you know, a year and my
- 13:45son had a year and a half, you know, in school, you know,
- 13:48basically half it was at home, half it was in school.
- 13:51You know, I was a little disrupted.
- 13:53I do know the year before my son, their first year of
- 13:56college, because essentially on the computer, which is tough.
- 13:59You know, you see, you go to college as you mix and you know,
- 14:02you develop a personality, you find friends for life, etcetera.
- 14:04So there's that bit of a gap, but I think it's bit maybe a bit
- 14:07like a you know, a little little heel over.
- 14:11I think you haven't seen anything on towards.
- 14:13Yeah, yeah, sure. And then you also talked about
- 14:17different market conditions for your career and then the pivot
- 14:20from infectious disease to oncology.
- 14:23How? How has pullback dealt with the
- 14:25more recent market changes? Yeah, it's, you know, we have a
- 14:29fantastic team. As I said, we we've got, it's a
- 14:32small team, but as I say, we've got kind of research scientists,
- 14:35we've got their clinical operations, we've got your
- 14:37clinic market ready for. Yeah, everybody weighs in and
- 14:41everybody has your opinion. I think it kind of helps us all
- 14:43understand the different components maybe we're we're not
- 14:46experts in yeah, but we we did as say the pivot is interesting
- 14:49is that starting as a spin out in infectious diseases.
- 14:53We were pursuing severe influenza and this is again
- 14:57where patients are going to, you know, it's reminisces of COVID
- 15:00where the sickest patient have a cytokine storm.
- 15:02And if your immune system is overactive, you could say it's
- 15:06kind of overreacting for the presence of of the viral trigger
- 15:10a lot of the time, you know, when the cytokine storm is
- 15:12ongoing, the virus is already gone, but the immune system has
- 15:14like a runaway train and it's kind of hard to stop.
- 15:17Yeah. So we looked at that.
- 15:19We did an initial clinical trial in the Netherlands where we
- 15:22trigger patients and foundry responses using a bacteria
- 15:26fragmented PS. And it was a terrifically
- 15:28informative clinical trial. And that the day we got from
- 15:30MASH convinced us that our drug, you know, POD 001, it gets a
- 15:36target PTO liat not kinance, again, an inflammatory target.
- 15:39And if you block it, we don't have this inflammatory response,
- 15:42which is terrific. And you know, so many kind of
- 15:46commented, you know, a few of a few of our kind of part in this
- 15:48questions that for severe influenza, the patients are
- 15:52already in the intensive care. So if you give your drug kind of
- 15:55after the fact, can you we'll bring it back to based on that's
- 15:59a really good question. But I'll tell you if I wasn't
- 16:01designed to answer that question, but it would have
- 16:03been, you know, if we went into severe larynx, we could have
- 16:07answered that question. But around that time, you know,
- 16:09we did some marker analysis in spiritual Renza significant
- 16:12domain Nikki tool. But we're looking at a kind of a
- 16:13modest market size deal about 180 million or something.
- 16:16You're not in substantial, but you know, it's still a
- 16:20significant underneath. But I think we're, you know, the
- 16:23stars aligned in one sense is that as these cancer
- 16:26immunotherapies were coming through and these are CAR T cell
- 16:29therapies, bispecific antibodies, more recently
- 16:32fantasy drugs, insofar as what they do is one arm locks onto
- 16:39your cancer cell, you know, I must say multiple myeloma cell,
- 16:42we say, we say in this regard. And the other arm of an antibody
- 16:45or a CAR T locks onto a T cell. And essentially what it's doing
- 16:48is kind of bringing the T cell close to the cancer cell with T
- 16:51cells like, huh, you shouldn't be here.
- 16:53And that the T cell kills the cancer cell.
- 16:55It's kind of like a it's kind of a wonderfully simple, you know,
- 16:58image, but it works terrific well.
- 17:00And when we looked at that, I mean, if you're diagnosed,
- 17:04unfortunately here it did to be diagnosed and muscle myeloma,
- 17:07you go through various treatments, but you do know what
- 17:10the DOS is. OK, I'm going to give you, you
- 17:12know, a car T cell on Monday. Yeah.
- 17:15So you know, you know, when you guess when you're going to
- 17:18guess, you know, this, you know, as AT7 get you treatment.
- 17:21So, you know, the penny dropped to us is like, hang on, like
- 17:24we've got data where we're preventing an adventurous boss,
- 17:27you know, so if we give our drug before the Monday that they're
- 17:30going to get this drug, you know, keeping the immune system
- 17:33calm and then they get their drug, it should not affect the
- 17:36efficacy of the drug. But maybe we blocked that.
- 17:38Cyclins don't let's say I'm releasing them.
- 17:41And we, you know, took our data. We talked to again in business
- 17:45value. We talked to about a pharma
- 17:46companies, biotech companies, what we're doing.
- 17:48And as I said, J&J were kind of one of the earliest doctors of
- 17:51like I see you to do, you know, because if we can prevent, you
- 17:55know, Cos from happening you, as I mentioned earlier on, their
- 17:59market grows because it gets to more patients more rapidly.
- 18:02Because the challenge with car T is that patients, you know, come
- 18:05into hospital, they get the car T cell treatment and they all
- 18:09sit around for two or three weeks in case the see the site,
- 18:11the CRS or the site events store on the box.
- 18:14So now if you give me a profile activity, he can send them home
- 18:16and then the beds are free. The big command.
- 18:19So there's a nice, I was like conveyor because obviously, you
- 18:21know, you don't want you convertible to patients, but I
- 18:24mean, if you're unfortunate to be diagnosed, you know that
- 18:27they're Scenicians are. And I would say where we also
- 18:30got really rapid ear traction was talking to clinicians.
- 18:35You know, they're the people who see the patients day-to-day.
- 18:38I mean, what is worthy about the pharma companies to sell their
- 18:40drawings now that they're very well connected with all these
- 18:43clinicians? But they see, huh?
- 18:45You like a lot of my time, you know.
- 18:47Wait, that's hands in time is is cost this?
- 18:49Yeah, it says that the patients aren't burdened as much.
- 18:52You know, the docs, the nurses aren't.
- 18:54But the health care system is important because the patients
- 18:57kind of come in, they get their cancer immune or 30 treatment
- 19:00and they don't. Yeah.
- 19:01So they they see the logic. So they're.
- 19:04Also better for the patient as well.
- 19:06Absolutely. It's kind of when you talk to
- 19:08people, we've talked to people who have sat down stolen to say
- 19:10it's just off it. You know, you hear things about
- 19:12like, oh, it's kind of flu like symptoms that sometimes if it
- 19:15progresses, yeah, you know, it's you're flying back, you know,
- 19:18there's you know, and again, this kind of worry is that keeps
- 19:21going. Let's talk about the runaway
- 19:22train that, you know, we're trying to kind of stop it in, in
- 19:25its tracks, you know, so to speak.
- 19:26So there's multiple advantages of that.
- 19:28That's why we're so excited now, which can get the try, get the
- 19:31go get our drug in patients and say we, we change A to given us
- 19:35their drug to kiss them out free of charge, uh, to do that.
- 19:38And again, back to business developments, you know where
- 19:41we've told all the farm covers. This is what we're doing.
- 19:43Yeah, we should have interim date in the summer and the, you
- 19:47know, it's kind of that lining up.
- 19:49You know, it's kind of great. You can't wait to see the data
- 19:51because that triggers a lot of internal discussions.
- 19:54You know, again, I'm kind of experienced enough to narrow
- 19:56hide these deals get done on industry and allows unbeliever
- 20:00champion internally who goes to another champion.
- 20:02He always to a community either and then the community kind of
- 20:04real approves scientifically, you know, the clinical
- 20:07attributes, the commercial benefits, etcetera and then
- 20:11release a budget, you know to do these kind of DA.
- 20:13So this takes profit. Bush, what's essential, you
- 20:17know, to get that scale of dobro effects moving is data and
- 20:20clinical data creation data. And that's where we're being so
- 20:23much. So we're building up to that
- 20:24kind of exciting period of your lots of talks and lots of
- 20:27discussions that you know, say when the data comes out.
- 20:30So yeah, we kind of say this, I mean we lined everything up, you
- 20:33know, the patients kind of selection, the clinical trials
- 20:35sites and the conditions that, you know, we're we're quite
- 20:38optimistic the data were positive.
- 20:40Yeah. And if it is that we, you know,
- 20:42as I say, get the comparative attention we're only get
- 20:44everybody. Let me approve it.
- 20:45Yeah. And the the other interesting
- 20:47part of this is it's, it's AUK only trial as well, right?
- 20:50Yeah. That was that was, you know, we
- 20:51again, you can we always kind of give the example that, you know,
- 20:55when you're when you're on just about a dose a patient.
- 20:59Yeah, there's about 8 or 990% of the workers before that, you
- 21:02know, there's a lot of kind of lighting up.
- 21:03And we were fortunate in our early discussions to talk to
- 21:07Doctor Emma Searle. She left the Christie in
- 21:09Manchester. And, you know, there are people
- 21:12that I mentioned are Amazon or farmers who just they get it,
- 21:15you know, from from the first conversation like, yeah, you
- 21:18already get it. And Emma's been a terrific
- 21:20supporter of what we're doing again for them.
- 21:24There's been a big of a bit of building, I guess that the the
- 21:29pathway to get us to where we are right now.
- 21:31Yeah, but it's a very tight myeloma Muslim Iloma network in
- 21:35the UK. So Emma reaches out to her
- 21:37friends or collaborators in the industry or, sorry, in the
- 21:41academic surplus and, you know, one of which is collaboration
- 21:44Rakesh Papat, who's here in the, like, Imperial College Hospitals
- 21:48in London. And that's going to Rakash over
- 21:51to any Rakash is I'm on board. And then you you talk to once at
- 21:55least they're all like, I see what you're doing.
- 21:57You know, they see patients regularly.
- 21:58And yeah. So from a company like prove a,
- 22:02you know, a public company, we're very conscious of, you
- 22:05know, costs and expenses. Yeah.
- 22:07And it just made perfect sense to keep the UK.
- 22:09You're dealing with one Regulatory agency, you know, the
- 22:12MHRA you're you're dealing, you know, to say you have a nice
- 22:15tight network as a mentor to or your CRO, the clinical research
- 22:19organization expedient a prior is is act who are nonprofits who
- 22:23are hematology specialists and they've got a terrific UK
- 22:27network of these conditions. Yeah.
- 22:28So there are a lot of pieces that it's not quite like a
- 22:31jigsaw and it's not like we're we're we're hammering the jigsaw
- 22:33piece and drinks. A lot of them is like, you know,
- 22:36true. Again, hardworking organization
- 22:38are fiddy into place quite nicely.
- 22:40So it made sense and as they were only for this you know
- 22:43you're about to be you know a phase two trial and we will have
- 22:48prohibitions and then you know we're looking at the clever
- 22:51trial sites. We've got 4 confirmed 5 almost
- 22:54maybe 6 and it's just to get the patients in, get them dosed.
- 22:57I think importantly from our can your trial, we are not looking
- 23:01at the long term, you know, cancer immunotherapy effects.
- 23:05Where does that be that early Indian response?
- 23:08Do these patients develop CRS or not?
- 23:11And if they do develop CRS, you know, wash is there the grade
- 23:15the CRS. So we're kind of measuring and
- 23:17that's all in the first week to through you know, so where does
- 23:20that early phase the patients will remain on the Castle mini
- 23:23therapy? Yeah, they're only on our drug
- 23:25for it maybe two weeks or so, just that period of time to get
- 23:28the new system calm. So we would have data very
- 23:30rocket lease and open labor trial.
- 23:32So as they patients come in, you know, we're sending them, you
- 23:35know, every day we're doing the analysis living at their immune
- 23:38system to via their site, their response.
- 23:40So for each individual patients, we'd have dated quite rapid.
- 23:42So the more sites the merrier so to speak, you know is in that
- 23:46we'll have a lot of data. Yeah, very quickly.
- 23:49And as I say, we we've teamed it up quite well where again, the
- 23:53the conversations we've had with their various pharma companies,
- 23:56like they knew what's coming and they know that this is the
- 23:58trigger of ASH. If it's positive, you know, that
- 24:01that could impacts their pipeline, that could impact, you
- 24:04know, their bottom line in, in when it comes to kind of drug
- 24:07rate ease. So then we're looking to find a
- 24:09partner, you know, with them as well.
- 24:11Yeah, All right. We'll say there's a second
- 24:12stream that we're looking at in that we compare directly with
- 24:16the pharma company who have the drugs on the market.
- 24:18But we're also talking to a host of it's called supportive care
- 24:22companies. These are cancer supportive care
- 24:23companies who are they're not marketing the direct anti tumor
- 24:28drugs, but it's more on your drugs that are supporting you.
- 24:31Hansa patients some weeks, like the cast patients say getting
- 24:34chemotherapy, get anemia. So you know he's going to feel
- 24:36anti immediate drugs. So they're you know, and then
- 24:38you've companies that say in patients, you know, as I say,
- 24:42get various different kinds of treatments.
- 24:44You know, they need to you know, things like, you know, somebody
- 24:47who have modal source, for example.
- 24:49So you need, you know, supportive care.
- 24:50So you're talking to them as well.
- 24:51So we're kind of as a not quite hedging, we're just kind of
- 24:54keeping all of our options off. Yeah.
- 24:56I think it's interesting when you look at like partnering,
- 24:58versing versus building internally, Yeah, like how do
- 25:03you weigh that up? Yeah.
- 25:04I mean, and again, it's kind of funny from a genetic standpoint
- 25:07or a big company where we have the resources.
- 25:10Yeah, we have, yeah. What was called the FIBCO,
- 25:12you're a fully integrated biotech company where you did
- 25:14discovery, you know, a drug discovery, target discovery all
- 25:18the way through to commercialization, you know,
- 25:20manufacturing and regulatory chemical use ahead everything.
- 25:23Or as a small company, you know, we partner with a lot of you
- 25:28know, say contract research groups who do that work for, you
- 25:30know, that kind of again, we don't we we find out more cost
- 25:33effective, but we do know that go E was bigger K to the trials,
- 25:38you know, these kind of larger phase twos or face trees
- 25:40ultimately getting on the market.
- 25:42This is over may a multiple 10th the size right trial size of a
- 25:45multiple countries. You know, the budgets increase
- 25:48exponential. Yeah.
- 25:49And that's where pharma can make #1 they have the deeper pockets,
- 25:53but then number 2, they have that expertise.
- 25:55So we're we some cast ourselves. You approved like we're the
- 25:57innovators, you know, we're kind of carrying the way or carrying
- 26:00the brush, you know, and then, you know, again, with the data,
- 26:04you know, in hands, they'll be expecting the summer.
- 26:06It's essentially serving it up. We've de risked this problem of
- 26:10view and now it's up to you to take a forward.
- 26:12That's where the kind of deal work comes in doing a
- 26:14transaction. You know, we get asked a lot
- 26:16what you know, is there a license or is there an
- 26:18acquisition or is it just a product acquisition?
- 26:20Again, all auctions are open and on the table.
- 26:23So it depends. Some companies, you know, larger
- 26:25companies, they may want to take the the job in wrong with
- 26:28themselves, Maybe some of the meat size or like can we
- 26:30collaborate together and get this book it forward and it's
- 26:33all for resources. You know, I was going to find or
- 26:35kind of explain that resources is not just cash, it's not just
- 26:39money. It's if you look at any farmer
- 26:42buy to everybody, everyone was incredibly busy.
- 26:44So it's like, you know, how are you going to get somebody down
- 26:47to us to pick up another project?
- 26:48You know, there's there's a way off.
- 26:50You know that that it always happens, but so we have the
- 26:53capabilities to kind of move forward ourselves.
- 26:55Yeah, again, once it's kind of funded by final company and
- 26:58we've had those discussions see how they kind of they're Molly
- 27:01over what's best suit at the end of star.
- 27:02Yeah, you know, some of them are more the territorial insofar as,
- 27:08you know, they'd like to run the trial their way.
- 27:11Yeah, so they'd like to do it and bring it in high.
- 27:12So that's perfectly fine, but I say some others, maybe you'll be
- 27:16like, we don't have the time to space.
- 27:17Can you help us, you know, but then then direct us and that's
- 27:20fine too, you know, So it's a, it's a, it's a great option.
- 27:22But as I said, we were we're, you know, as a, you're a small
- 27:25kind of public company. We feel that's a great way to
- 27:28use our, you know, our use of funds, give them the money that
- 27:31we've raised in another market. I think we drive value true
- 27:34dash, significant collaboration, you know, significant license
- 27:39agreement or or deed acquisition, you know of the
- 27:41program, you know, when we had that data and act and I think
- 27:44we're very excited to see that. Sure.
- 27:46I will say that the drug that we're using and and toss it to
- 27:50glisten up. There is a 72% of patients
- 27:52develop CRS and you know that there's been works to try and
- 27:56figure out who will and who wants and it's it's quite an in
- 27:58the in the exact size. But yeah, so you're essentially
- 28:02living at 2 pairs of patients like you over we developed CRS
- 28:06yeah, from the historic controls.
- 28:08So it'll be interesting to see like you know, I was going to
- 28:10say our first three patients or 6 or 9 or 12 patients.
- 28:13Yeah. Is it still 2/3 as a 1/3?
- 28:15Is it 0 either? Is it a point you know, so we'd
- 28:17have an early sense, you know, non statistical of what
- 28:20directions taken and that ultimately would do it 30 be on
- 28:23board. We'd have a good sense of what
- 28:25that CRS rate is. We are drove on boards say
- 28:29preventing CRS having in first place and if or if this try
- 28:32works and this is me again very exciting works with you know
- 28:36taclistamab, then we believe it'll work with other cancer.
- 28:41The authorities, although T saying gave us like the car T's
- 28:43because they say we're we're not stopping a runaway train.
- 28:47We're stopping a train for starting the first.
- 28:49But yeah, you know, so it's kind of a nice kind of like keeping
- 28:51that it's kind of immune kind of inflammatory path Rd. on the
- 28:54patrol before triggers out of patrol.
- 28:56So yeah, we're we're kind of excited to see that.
- 28:58So super excited it is. We've worked really hard.
- 29:00You got to line this up. And as I say, we can see the
- 29:02vision, you know, we can see the, you know, as I say, the
- 29:06trial execution and we'll be waiting with basic breath, you
- 29:09know, like at each and as I said, the beauty of this with
- 29:11each individual patient. Yeah, we we have early access to
- 29:15data, so we get a good sense of the read.
- 29:16So exciting time to the company, but I was.
- 29:18Sure. I mean, I've, I was just
- 29:20thinking about this. Then I've done, I counted this
- 29:22morning, actually, I've done 147 podcasts with different CEOs and
- 29:27VCs and it's and it's you can I can tell like the passion from
- 29:33someone and the excitement when when something's going really
- 29:35well. Yeah.
- 29:36So I can't wait to see it. I'm going really well.
- 29:38Again, it's not by asset. So they say.
- 29:40I always give prayer back to the team.
- 29:42We're working incredibly hard, you know, every day.
- 29:44I mean, as as a CEO, it's interesting because you know,
- 29:46there's this, there's decisions to make.
- 29:48You know what you, you take the data, you take the information.
- 29:51You know, there are people who are way more knowledge alike
- 29:54than I in different areas of the business.
- 29:56So like lots of kind, good discussions, but you know, it's
- 29:59just a terrific team that yeah, we, we, we, we agreement or
- 30:04consensus, you know, on what to do.
- 30:06And I think we use back our data as backed by kind of experience
- 30:10and we can read the forward. Sorry, I was just as with
- 30:12everything, you know, there's nothing linear here as I was
- 30:15speed bumps and twists and turns.
- 30:16But you know that that's the way of a business.
- 30:19I mean, that's the way it's this industry.
- 30:20You know, if it were, if it was a straight line, everyone would
- 30:23do it. But everyone, yeah, it's not,
- 30:26it's not easy as complicated, but ultimately the, you know,
- 30:29the benefits are kind of what what's exciting.
- 30:31No, it's amazing, really is. And that brings us to our final
- 30:34question, which is a question as every guest that comes on the
- 30:37podcast who got dinner when he scientists or innovates, past or
- 30:42present, who? Who would it be and why?
- 30:44That is such a tough question because, you know, one of my, I
- 30:49won't say hobbies, but I did as a guy.
- 30:51Yeah. Growing up, I read a lot of your
- 30:53biographies, your science biographies.
- 30:55I just kind of find fascinating that the, you know, how they
- 30:58kind of came about their their discoveries.
- 31:00And yeah. And again, there's a lot of
- 31:02visitors and turns and ups and downs and.
- 31:03Yeah. And you know the what?
- 31:05He kind of struck me again. It kind of came up again
- 31:08recently, you know, was the discovery of DNA.
- 31:11And I've been to Cambridge. I've been to the Edith poem.
- 31:12But there's a clock into all, you know, Watson and Crick.
- 31:15And, you know, you've read the, you know, the various books, you
- 31:18know, The Dark Helix and, you know, Francis Crick.
- 31:21You know, you had a fantastic career even after discovering
- 31:23Nash. It's fantastic.
- 31:25For one of the barbs that read was Rosalind Franklin, the Dark
- 31:28Lady of DNA. And it's a bit of controversy
- 31:31that, you know, the the famous image of the with the extra
- 31:34crystal ography image of the the the double Helix that Watson
- 31:40Crick interpreted. It was Rosalind Franklin had
- 31:42actually, you know, that was her work and bit of confidence in
- 31:45time that it was, you know, stolen, you know, her, her her
- 31:48boss at the time walk. He's going to handle the handle
- 31:51her over. And it was one of those things
- 31:53where she didn't get the dread now, unfortunately, probably
- 31:55true, the nature of her work. She died of, you know, cancer
- 31:58quite young and you know, so didn't get that got a Nobel
- 32:02Prize because you don't get a posthumously, you know, you're
- 32:05going to need to be like. So I'd love to know that story,
- 32:09you know, because there's a lot of kind of controversy.
- 32:10But again, I'm kind of an old kind of women scientists and how
- 32:14they pioneer, you know, some has this again, recognizing pushing
- 32:18kind of rocks off, though, you know, I think some of the men
- 32:20kind of had a far too easy, far too easy.
- 32:23But that's the one. I'd love to sit down and just
- 32:25kind of get the back story to how it all does because she
- 32:28seems like a formidable woman, but you know, sadly taken too
- 32:31early. But again, I think that's last
- 32:33piece and positive puzzle for, you know, the the kind of double
- 32:36Helix in here and on robbing that.
- 32:37And again, as it was a long time ago, different times.
- 32:40As I say, it's just and I've been to the the pub, you know,
- 32:43more than one of gays and that clock is kind of there as I it
- 32:45just seems like it not solely, but I mean the you know, the
- 32:48controversy about maybe there should be 1/3 name there.
- 32:50Yeah, yeah, I know. It's a easy.
- 32:52Request that's a great answer and look, thank you so much for
- 32:54quit on Jeremy. So we just like, yeah.
- 32:56Appreciate it and. Please everyone like and
- 32:58subscribe to the Biohub.