Latest / Vanguards of Healthcare by Bloomberg Intelligence / Inside Insilico Medicine’s AI Strategy and Lilly Breakthrough
Transcript
- 0:27Speaker 1: Welcome to another episode of Bloomberg Intelligence's Vanguards of Healthcare podcast,
- 0:31Speaker 1: where we speak with the leaders at the forefront of
- 0:34Speaker 1: change in the healthcare industry. My name is San Fazelli
- 0:37Speaker 1: and I'm a pharmaceutical anainist of Bloomberg Intelligence, the in
- 0:40Speaker 1: house research arm of Bloomberg. I am thrilled to welcome
- 0:46Speaker 1: Alex Javoronkov, founder and CEO of In Silico Medicine. Alex,
- 0:51Speaker 1: Welcome to the program.
- 0:53Speaker 2: Happy to be with you, Sam.
- 0:54Speaker 1: Today, as usual, I'm going to start asking Alex a
- 0:59Speaker 1: little bit about himself. I had the privilege of spending
- 1:02Speaker 1: some quality time together with Alex a couple of weeks
- 1:05Speaker 1: back in Shanghai, and we had a good event there
- 1:09Speaker 1: where you were a key contributor, which I'm really appreciative of.
- 1:13Speaker 1: So Alex, tell us a little bit about yourself for
- 1:15Speaker 1: our listeners, and you know how you started into the
- 1:19Speaker 1: world of computing, computition, coding, whatever you like, and how
- 1:23Speaker 1: it brought you to where you are today.
- 1:25Speaker 2: Thank you. Sam. First of all, great to be on
- 1:28Speaker 2: your podcast, and it was a truly enjoyable experience to
- 1:32Speaker 2: be part of your event in Shanghai and deeply enjoy
- 1:36Speaker 2: your research and also I can see how deep you
- 1:39Speaker 2: guys go, right, So actually scheduling one on ones and
- 1:44Speaker 2: group meetings with Kio wells in our respective industries in
- 1:48Speaker 2: bio as well, and I actually learned a lot and
- 1:51Speaker 2: met many new good people where I didn't know in
- 1:54Speaker 2: China myself. So my name is Alex Chavran Kaff. I'm
- 1:58Speaker 2: the founder and cosey CEO of in Silico Medicine, but
- 2:02Speaker 2: for the past nine months I also were the head
- 2:05Speaker 2: of a chief business officer off in Silico. So you've
- 2:09Speaker 2: seen that we now have many more deals coming. So
- 2:12Speaker 2: I really want to focus on ensuring financial sustainability for
- 2:17Speaker 2: the company for many years to come. I am a
- 2:19Speaker 2: computer scientist by training, so first two degrees from Queen's
- 2:23Speaker 2: Unversity in Canada and computer science and commerce. Then worked
- 2:27Speaker 2: for a number of years in semiconductor industry, actually in
- 2:30Speaker 2: GPU computing, working for a company which used to compete
- 2:34Speaker 2: with a Nvidia called ATI Technologies, and later it was
- 2:37Speaker 2: acquired by AMD. I became more or less independently wealthy
- 2:41Speaker 2: in my early twenties. I was one of the youngest
- 2:43Speaker 2: directors at ATI and I was lucky enough to actually
- 2:47Speaker 2: buy a bunch of fares in the right time and
- 2:50Speaker 2: decided to commit the rest of my life to aging research.
- 2:54Speaker 2: So I actually very much focused most of my activities
- 2:58Speaker 2: kind of on target an extracurricular on the study of
- 3:02Speaker 2: biological processes and time, which is basically studying aging, and
- 3:07Speaker 2: did my grad work at just Hopkins, worked for a
- 3:10Speaker 2: number of biotechs. I was a professor here and there,
- 3:13Speaker 2: had a stint as an international adjunct faculty at the
- 3:17Speaker 2: Moscow Institute Physics and Technology, among all places, and went
- 3:23Speaker 2: back to Baltimore in twenty fourteen, established in Silico medicine
- 3:28Speaker 2: and at the campus of the Emerging Technology Centers. At
- 3:32Speaker 2: Hopkins ended around the time of Nvidio GtC, so I
- 3:36Speaker 2: was deeply inspired by the image net competition and the
- 3:40Speaker 2: early Atari Games paper by deep Mind and decided that, okay,
- 3:45Speaker 2: we need to go and apply this technology deep learning
- 3:48Speaker 2: that I was very familiar with at the time. I
- 3:50Speaker 2: was very familiar with GPU computing because of my time
- 3:54Speaker 2: at ATI, where I kind of cut the teeth in
- 3:57Speaker 2: many areas, including GPGPU nowadays not a very used term,
- 4:02Speaker 2: but at the time that's general graphics processing units, and
- 4:05Speaker 2: I started working on scaling very early, and in two
- 4:09Speaker 2: thousand and fifteen we published our first papers on utilizing
- 4:14Speaker 2: deep learning for aging research for age prediction, and two
- 4:18Speaker 2: thousand and sixteen published our first papers on the use
- 4:22Speaker 2: of generative adversarial networks for small molecule drug design. Our
- 4:27Speaker 2: first five years of the company existence, we were servicing pharma,
- 4:31Speaker 2: trying to understand where in which kind of pockets deep
- 4:35Speaker 2: learning can be effective and generative technologies could be effective.
- 4:39Speaker 2: Twenty seventeen we synthesized our first small molecule generated by
- 4:46Speaker 2: AI and synthesized and tested. Twenty eighteen, we went all
- 4:50Speaker 2: the way into mice, resulting in a publication in Nature
- 4:53Speaker 2: by Technology that made us pretty famous. Took almost a
- 4:57Speaker 2: year in review, so we published in two thousand on
- 5:00Speaker 2: nineteen and September the Technological Generative Tensorial Reinforcement Learning for
- 5:04Speaker 2: Small Molecule drug Design. We're in twenty one days we
- 5:08Speaker 2: generated six molecular structures for a given protein target, and
- 5:12Speaker 2: in forty six days that includes that twenty one days
- 5:16Speaker 2: we managed to get into mice with mouspikada completing binding assays,
- 5:21Speaker 2: microsomal stability or metabolic stability assays. And went all the
- 5:25Speaker 2: way into mice and that made us pretty famous. We also,
- 5:30Speaker 2: for the first time at that time, encountered China. So
- 5:33Speaker 2: I realized that, okay, well, where do we synthesize the
- 5:36Speaker 2: chemistry for this experiment? And at that time there were
- 5:40Speaker 2: several places to synthesize, but most of the two places
- 5:44Speaker 2: where we could go were India and China where it
- 5:47Speaker 2: could scale and do it cheaply with high quality, including
- 5:52Speaker 2: binding assays, including anymore experiments, and we started collaborating with
- 5:55Speaker 2: a company called Wushi Apptech. I was at that time
- 5:58Speaker 2: very cash poor. I had always about six months of
- 6:01Speaker 2: cash in a bank and most of the money came
- 6:04Speaker 2: from me at some point in time because we kind
- 6:06Speaker 2: of failed to attract capital externally and in the early days,
- 6:11Speaker 2: and I had two rounds of synthesis left in the bank,
- 6:15Speaker 2: so we had to go cheap, quick and fully integrated.
- 6:18Speaker 2: So I went to China, met Wushi, saw how they
- 6:21Speaker 2: do things. We agreed to do a pilot and kind
- 6:24Speaker 2: of time the effort, and we realized that wow, we
- 6:27Speaker 2: can actually produce reasonably good molecules and synthesize and tests.
- 6:32Speaker 2: And that publication led to the thirty seven million dollars round,
- 6:36Speaker 2: and we decided to actually pull a trigger on our
- 6:40Speaker 2: own pipeline, so trying to go with our own drugs
- 6:44Speaker 2: all the way to pre clinical experiments and also launch
- 6:48Speaker 2: our software. So nowadays I referred to AI as a
- 6:53Speaker 2: software for drug discovery, and we started selling our biology software,
- 6:58Speaker 2: chemistry software and software for the prediction of clinical trial
- 7:02Speaker 2: outcomes in clinical trial design in twenty twenty and also
- 7:05Speaker 2: pulled the trigger on our own programs. So since then,
- 7:09Speaker 2: Oh and another thing that happened in my life that
- 7:11Speaker 2: changed it completely. I met doctor rerem my co CEO.
- 7:16Speaker 2: Now at that time she joined as a CSO who
- 7:18Speaker 2: had after Harvard eleven years at GSK and medicinal Chemistry
- 7:23Speaker 2: in leadership roles, and then co piloted a CRO country
- 7:28Speaker 2: research organization called Medicillin, which competed with WUSHI, and at
- 7:32Speaker 2: that time it was high flying, a multi billion dollar company.
- 7:36Speaker 2: CROs were on their peak, at their peak, and I
- 7:40Speaker 2: managed to convince him to join in Silico to kind
- 7:43Speaker 2: of turn AI into the Druggist discovery engine, because he
- 7:47Speaker 2: really wanted to discover novel molecules and take them all
- 7:51Speaker 2: the way to clinic. And when he was at GSK
- 7:53Speaker 2: in eleven years. He nominated several pccs but couldn't take
- 7:57Speaker 2: a single drug into phase one for many reasons, including
- 8:01Speaker 2: strategic and here after joining in silicos Is twenty twenty one,
- 8:05Speaker 2: when he joined officially, we nominated twenty eight developmental candidates
- 8:10Speaker 2: and twelve of them reached clinical stage clearedynd and three
- 8:15Speaker 2: Phase twos one phase to a complete and we published
- 8:19Speaker 2: a bunch of papers together and one on them drug
- 8:22Speaker 2: discovery and licensing partnerships. So that's what that's kind of
- 8:26Speaker 2: my story in a nutshell. At some point in time
- 8:29Speaker 2: in our history, we also spun off a company called
- 8:32Speaker 2: Deep Longevity that focused and focuses on the development, design
- 8:37Speaker 2: and development of aging clocks biomarkers of aging, and we
- 8:41Speaker 2: sold this company to another listed company called Regent Pacific,
- 8:45Speaker 2: which is now the owner of that company. They are
- 8:48Speaker 2: still servicing a very large number of clinics around the
- 8:51Speaker 2: world providing agent clock aging biomarker services. And we also
- 8:57Speaker 2: iPod and Silico last year in the set so on
- 9:00Speaker 2: the thirtieth of December were listed and kind of the
- 9:04Speaker 2: last day of the year and managed to pull the
- 9:08Speaker 2: largest fire tech IPO in Hong Kong in twenty twenty five,
- 9:12Speaker 2: so then we've celebrated the new year, and since then
- 9:16Speaker 2: the performance of the company has been very respectable, so
- 9:20Speaker 2: we won on doubled. However, I still think that we're
- 9:23Speaker 2: significantly undervalued.
- 9:25Speaker 1: I haven't met a thinking. I don't know any other
- 9:28Speaker 1: CEO of a biotech company who thinks they're overvalued.
- 9:32Speaker 2: I know a few.
- 9:35Speaker 1: Oh, I'd love to meet them. No, but of course
- 9:37Speaker 1: you believe in your own effort. And I have to
- 9:40Speaker 1: say this sounds I'm going to the next time I
- 9:42Speaker 1: see you, I'm going to bring you a book, the
- 9:44Speaker 1: biography of Michael Bloomberg, who's obviously the founder of the company.
- 9:47Speaker 1: You'll find some parallels in there in that he financed
- 9:50Speaker 1: the early days of Bloomberg completely with his own money.
- 9:53Speaker 1: And I think there was a six month angle there too,
- 9:55Speaker 1: at some point where if there was no deals coming,
- 9:59Speaker 1: he would have run out to cash. So I think
- 10:01Speaker 1: it's that it was six months a year. I don't remember,
- 10:04Speaker 1: but it's in the book. I'll bring it to you
- 10:06Speaker 1: as a present, please do so. There are some good
- 10:08Speaker 1: parallels there. The interesting thing, of course, here, Alex, is
- 10:12Speaker 1: that you have done quite a lot of work in
- 10:15Speaker 1: I think, can I call it the call face of
- 10:17Speaker 1: actually using AI to discover drugs and doing it fully right,
- 10:21Speaker 1: So I'm sure there's an element of human You know,
- 10:23Speaker 1: you've got a medicinal chemist as your co CEO, and
- 10:26Speaker 1: we'll come back to that. What I'm what I'm interested
- 10:28Speaker 1: in is if you could just tell me a little
- 10:30Speaker 1: bit about position in Silicon for us in terms of
- 10:32Speaker 1: how many people you are where you're based. I do
- 10:36Speaker 1: know that you have some Middle East presence in terms
- 10:38Speaker 1: of engineers and data center. If I'm not wrong, just
- 10:42Speaker 1: tell us. Just just paint that picture of in Silicon
- 10:44Speaker 1: for us right now.
- 10:45Speaker 2: Sure, So in Silico is a trull, truly global entity.
- 10:48Speaker 2: We now have multiple regional sites performing very specific tasks.
- 10:54Speaker 2: I'm Canadian by citizenship and also Latvian, so I could
- 10:58Speaker 2: have chosen many places to be here, but I really
- 11:01Speaker 2: love Canada. That's why we also have in Silicon Montreal,
- 11:05Speaker 2: where we developed models for AI drug discovery and work
- 11:10Speaker 2: on a frontier foundational modeling. We have a site in
- 11:13Speaker 2: Cambridge in Boston, which is predominantly focused on clinical development
- 11:17Speaker 2: and business development IR and we have a site in
- 11:22Speaker 2: Abu Dhabi where we scale AI and we have more
- 11:25Speaker 2: than sixty people there, also focused on material science and sustainability.
- 11:30Speaker 2: And we have a site in Hong Kong where we're
- 11:32Speaker 2: listed where the Hong Kong Science Park, and that's where
- 11:35Speaker 2: we discover targets. As you know, Hong Kong is kind
- 11:37Speaker 2: of like the Switzerland of China, and some of the
- 11:40Speaker 2: people working at Silico Hong Kong they work there for
- 11:44Speaker 2: more than five years. So we are very focused on
- 11:47Speaker 2: novel target discovery there. And we have sites in Shanghai Pudn.
- 11:51Speaker 2: We have two sites, one on John Jong another one
- 11:54Speaker 2: is right next door in Dutch and Park where we
- 11:56Speaker 2: have a fully automated facility that allows us to run
- 12:00Speaker 2: experiments at scale, mostly in target discovery, but also an
- 12:05Speaker 2: indication expansion safety. We'll also have a dry lab and
- 12:09Speaker 2: we are currently developing a protein therapeutic so biologics lab
- 12:14Speaker 2: in yieshing So City, right next to Sujio. It's about
- 12:17Speaker 2: maybe two and a half three hours drive from Shanghai,
- 12:21Speaker 2: so that's our global footprint. Basically, we develop AI in
- 12:26Speaker 2: Montreal and Abu Dabi where we scale and then we
- 12:28Speaker 2: utilize AI to validate and test in China and other countries.
- 12:35Speaker 1: Well, so we're very fortuitous today that it is very
- 12:39Speaker 1: fortunate that is the day after you see announced you
- 12:42Speaker 1: deal with Eli Lilly, And we'll come back to that
- 12:44Speaker 1: in terms of interactions with large forma, et cetera. But
- 12:47Speaker 1: let's go from top down here. If you wanted to
- 12:51Speaker 1: characterize where AI is today in drug discovery, drug development,
- 12:58Speaker 1: what can it do? What coun't it do? It is
- 13:02Speaker 1: obviously since GPT came out into the world, world's consciousness
- 13:06Speaker 1: in twenty twenty two, early twenty twenty two, everyone a
- 13:10Speaker 1: lot of people think that that was when AI was invented,
- 13:12Speaker 1: which of course is not the case. But perhaps just
- 13:16Speaker 1: tell us where you think AI sits today in the
- 13:19Speaker 1: world of discovering to the spectrum, what can it do?
- 13:24Speaker 1: What can't it do?
- 13:26Speaker 2: So that is a very good question. AI can do
- 13:28Speaker 2: a lot. I think it already can perform most of
- 13:32Speaker 2: the tasks that are required to discover a drug. And
- 13:36Speaker 2: when I'm talking about Ai'm talking about multiple different models,
- 13:40Speaker 2: multiple different algorithms that can perform specific functions and also
- 13:45Speaker 2: orchestration algorithms foundation models that kind of are called as
- 13:50Speaker 2: agents in order to orchestrate and reason within the entire
- 13:56Speaker 2: therapeutic drug discovery and development program, where AI help you
- 14:00Speaker 2: the most in drug discovery is help you go from
- 14:04Speaker 2: zero to the point, which we call preclinical candidate, develop
- 14:09Speaker 2: or development candidate. There are multiple terminologies, but let's refer
- 14:14Speaker 2: to this one step before clinical trials as PCC. And
- 14:19Speaker 2: different companies have different standards for pccs. Our standard is
- 14:25Speaker 2: for a given protein target, in order to nominate the PCC,
- 14:29Speaker 2: you need to have multiple in vitro well. First of all,
- 14:32Speaker 2: binding studies showing that your moleculative designed binds to the
- 14:37Speaker 2: protein of interest. Then you demonstrate cellular potency, so you
- 14:42Speaker 2: test it in different cell types cell models. Then very
- 14:46Speaker 2: often we go organoid and tested on organoids. Then you
- 14:49Speaker 2: go different types of animals for efficacy studies. So whatever
- 14:54Speaker 2: animal models you've got you need to test it. Usually
- 14:56Speaker 2: you use it use two or more animal models of disease.
- 15:00Speaker 2: Then we perform what we call non GLP toxicity studies.
- 15:06Speaker 2: Those are twenty eight day non GLP toxicity experiments in
- 15:11Speaker 2: at least two species. For in competitive target space where
- 15:15Speaker 2: we don't focus on target novelty but focus on molecular novelty.
- 15:19Speaker 2: We have to do sometimes four species, and we also
- 15:23Speaker 2: synthesize every single competitor that we can get hands on
- 15:27Speaker 2: the structure. Very often we have to guess those molecules
- 15:30Speaker 2: from patterns, and once the package is complete, we nominate
- 15:34Speaker 2: the PCC. It is kind of like five PhD defenses
- 15:38Speaker 2: can compressed into one because of course you've got opposing
- 15:42Speaker 2: parties that want to ensure that the molecule complies with
- 15:46Speaker 2: the highest standards because they need to license those molecules out.
- 15:50Speaker 2: Like for example, I'm also on the BD side, so
- 15:54Speaker 2: I am always criticizing the molecule from the business development perspective,
- 15:59Speaker 2: and after you reach PCC, that's it. So that's where
- 16:03Speaker 2: acceleration that you can get from AI stops. After that
- 16:07Speaker 2: you move with speed of traffic because when you start
- 16:10Speaker 2: doing your I and D enabling studies, those are usually
- 16:14Speaker 2: twenty eight day GLP texicity studies in two species, so
- 16:19Speaker 2: you go mouse and dog, or mouse and monkey, or
- 16:23Speaker 2: rat and dog, rat and monkey, depending on what is
- 16:27Speaker 2: common for the target you are prosecuting and the molecular
- 16:32Speaker 2: class you are using for your program. So those are
- 16:36Speaker 2: highly regulated experiments. That's why it's called GLP good laboratory practices.
- 16:41Speaker 2: In order to conduct those GLP experiments. The lab must
- 16:46Speaker 2: be certified in the US and Europe and other geographies
- 16:50Speaker 2: to comply with many different protocols and procedures and regulations.
- 16:55Speaker 2: So it actually costs you a lot of money and
- 16:58Speaker 2: usually it takes about nine to two twelve months to
- 17:01Speaker 2: just repeat what you did in non GLP tox fashion
- 17:04Speaker 2: in four months or less because those are twenty day studies.
- 17:09Speaker 2: But you are doing that in a regulated manner. And
- 17:12Speaker 2: after that phase one, phase two, phase three human clinical trials,
- 17:16Speaker 2: that's where you really move with a speed of traffic.
- 17:19Speaker 2: There is no way to accelerate, and you can only
- 17:21Speaker 2: use AI for regulator submissions, for reviews, et cetera, et cetera.
- 17:26Speaker 2: So currently I can perform many, many, many, many different tasks. However,
- 17:31Speaker 2: you still need to perform experiments in order to see
- 17:34Speaker 2: if AI worked or not and create those high quality
- 17:37Speaker 2: data rooms that pharmaceutical companies would require in order to
- 17:42Speaker 2: inlicense your AI generated drug, because for them, it doesn't
- 17:46Speaker 2: matter how you discover the drug. You could have used magic,
- 17:50Speaker 2: you could have used a genie, you could create you know, well,
- 17:56Speaker 2: sheare serendipity or just brute force. Right now, most of
- 18:00Speaker 2: my competitors are in China, and many of them are
- 18:03Speaker 2: using brute force, and they don't care. As long as
- 18:06Speaker 2: the molecule has a great data room and you're out
- 18:09Speaker 2: performing the standard of care and other competitors, the molecule
- 18:13Speaker 2: may be transactable. So we need to ensure that the
- 18:16Speaker 2: data rooms contain all information and have all the checkmarks
- 18:20Speaker 2: that big Pharma needs in order to buy.
- 18:22Speaker 1: So let me let me see if I've understood you correctly.
- 18:25Speaker 1: Let me summarize here to go from concept to lead nomination,
- 18:31Speaker 1: which I guess is post GLP ts right, how much.
- 18:36Speaker 2: Phenomenal candid candidate domination? Okay, So we first do lead optimization,
- 18:43Speaker 2: after that candidate domination, and after that we do GLP tals.
- 18:47Speaker 1: Okay. So to the point of starting GILP talks, what
- 18:50Speaker 1: is how would you classify the difference that an AI
- 18:54Speaker 1: generated process or AI supported process gives you versus the
- 18:59Speaker 1: brute force process if you have access to broot force.
- 19:02Speaker 2: So in small molecule space where we compete, and that's
- 19:07Speaker 2: by the way, much more hardcore than on biologics because
- 19:11Speaker 2: you need to worry about toxicity much more. But then
- 19:14Speaker 2: small molecules give you superpowers because it's a much more
- 19:18Speaker 2: scalable therapeutic modality, and also you can ship it around
- 19:23Speaker 2: the world, store it for a long time, make it cheaply,
- 19:25Speaker 2: and give it to emerging geographies. So in small molecules,
- 19:29Speaker 2: usually a big pharmaceutical company using traditional approaches would synthesize
- 19:35Speaker 2: thousand or more molecules. In the past, when we just started,
- 19:38Speaker 2: like two thousand and eighteen ish, they were synthesizing two
- 19:42Speaker 2: and a half thousand per program. Just to give you
- 19:45Speaker 2: a or put you in perspective your first date with
- 19:48Speaker 2: a molecule. So synthesize, synthesis and tests would cost you
- 19:52Speaker 2: around five thousand bucks, well two and a half to
- 19:54Speaker 2: five thousand, depending on how good your fts A the
- 19:57Speaker 2: cro are, And that's just the b assays. If you
- 20:01Speaker 2: want to synthesize more and test and more exotic assays,
- 20:05Speaker 2: you are going to pay much more than that. So
- 20:09Speaker 2: multiply that by two and a half thousand, and then
- 20:13Speaker 2: you're left with a few hundred. You optimize, you test again.
- 20:18Speaker 2: The costs compound With AI. At Insilico, we usually synthesize
- 20:24Speaker 2: sixty to two hundred molecules, so that's basically an order
- 20:28Speaker 2: of magnitude delta between our traditional approaches. Plus, since why
- 20:33Speaker 2: using generative metal methods instead of searching for a needle
- 20:37Speaker 2: in a haystack, we can very rapidly generate a bunch
- 20:40Speaker 2: of needles. So those sixty to two hundred molecules already
- 20:44Speaker 2: have significant diversity of scaffold in order for us to
- 20:48Speaker 2: explore the chemical space and try many combinations permutations, and
- 20:52Speaker 2: then we just nuddel down to one scaffold, optimize just
- 20:57Speaker 2: a little, and you get a drug, right.
- 21:00Speaker 1: Either to quantify the so there's two things you've understood
- 21:02Speaker 1: here is the number of potential leads that you generate
- 21:05Speaker 1: can be magnitudes or does the magnitudes higher? But also
- 21:09Speaker 1: the speed with which you generate them, if you wanted
- 21:11Speaker 1: to put to quantify the speed, how much faster are
- 21:15Speaker 1: you getting to your potential lead versus standard methods.
- 21:19Speaker 2: So traditional approach with then big pharmaceutical company outside China,
- 21:25Speaker 2: usually the time to develop mutal candidate or with a
- 21:29Speaker 2: moderately novel target would be around four and a half years,
- 21:32Speaker 2: sometimes four years, because they will still rely on China.
- 21:35Speaker 2: Within the MNC multinational company in China, they have a
- 21:39Speaker 2: local R and D center and go after law to
- 21:43Speaker 2: moderate novelty targets. They can get away with about two
- 21:48Speaker 2: and a half years, still longer because many processes are bureaucratic.
- 21:52Speaker 2: At in Silico, our typical timeline are between nine to
- 21:56Speaker 2: eighteen months, so that's a pretty substantial reduction. But can
- 22:02Speaker 2: we also compete most of the time nowadays on timelines
- 22:06Speaker 2: on molecules, on the program quality, program level quality with
- 22:11Speaker 2: the local Chinese companies, and those are not just like
- 22:16Speaker 2: AI drug discovery companies or smaller biotechts. Those are usually
- 22:20Speaker 2: large companies like you know Hungary, like Fosso and Chilus, CSPC,
- 22:26Speaker 2: his Son and many many others. So they learned how
- 22:30Speaker 2: to scale and some of them have over one hundred
- 22:32Speaker 2: programs in different stages of discovery and development. Some of
- 22:36Speaker 2: them managed to go to PCC in like twelve months
- 22:40Speaker 2: with biologics, sometimes even shorter timelines, so very very short timelines,
- 22:45Speaker 2: and then they actually know how to progress in the
- 22:46Speaker 2: clinic and there it's extremely difficult to compete, but we
- 22:51Speaker 2: still compete on those timelines, And where we compete in
- 22:56Speaker 2: most of the time is actually not only the time,
- 22:58Speaker 2: speed and cost, even though they are, we still can
- 23:02Speaker 2: outperform traditional Chinese pharma companies, but we mostly compete on novelty.
- 23:08Speaker 2: So traditional Chinese companies they usually do not go after
- 23:12Speaker 2: either novel targets or dramatically novel scaffolds. And actually they
- 23:18Speaker 2: don't need to because big pharmaceutical companies that are nowadays
- 23:22Speaker 2: are quite eager to replenish their pipelines. They do not
- 23:26Speaker 2: care as much about novelty. They hear about confidence so
- 23:31Speaker 2: that the program will reach the clinic that it will be,
- 23:35Speaker 2: it will be successful, and once it succeeds, it must
- 23:38Speaker 2: outperform the standard of care. So very often if this
- 23:41Speaker 2: is your objective function and also potentially blockbuster, if that's
- 23:46Speaker 2: your objective function, you are much better off going after
- 23:50Speaker 2: something that is a low novelty target, or you're targeting
- 23:54Speaker 2: two or more very well known known targets with a
- 23:59Speaker 2: biologic like an ADC or like you know, do all targeting,
- 24:03Speaker 2: try targeting antibodies and get significant patent life on the
- 24:07Speaker 2: competitive advantage in the US and European markets and make
- 24:12Speaker 2: a lot of money. So they are not exactly interested novelty,
- 24:15Speaker 2: and that's where Chinese companies thrive. So moderate novelty or
- 24:19Speaker 2: low novelty target moderate novelty to low novelty molecule at
- 24:24Speaker 2: low price with high confidence. That's what China wants. Sorry,
- 24:28Speaker 2: I was what pharma wants from China. So at in Silico,
- 24:32Speaker 2: we can compete on novelty, so we can go after
- 24:36Speaker 2: higher novelty targets, like some of my targets have never
- 24:38Speaker 2: been in the clinic before. That's very rare to go
- 24:41Speaker 2: after those kind of targets at scale because you can
- 24:45Speaker 2: only make a few bets on. Pharma doesn't want to
- 24:48Speaker 2: buy them at before phace to complete, and sometimes even
- 24:52Speaker 2: that is not enough. They would like to get an
- 24:55Speaker 2: improved molecule, or they want to see you progress even further.
- 25:00Speaker 2: That's risky, and AI gives us confidence to go after
- 25:03Speaker 2: those targets because we know that if we establish the
- 25:06Speaker 2: president and we also have very kind of we're not
- 25:11Speaker 2: a monopoly, but we are a super expert and a
- 25:13Speaker 2: specific target class category with multiple backups with a highly
- 25:18Speaker 2: protected chemistry chemistry pattern space. They would like to partner
- 25:22Speaker 2: with us and give us a lot of money. But again, unfortunately,
- 25:27Speaker 2: even on the kind of the current deals that we
- 25:30Speaker 2: have and we have made many of this year. Most
- 25:33Speaker 2: of the companies want to have low novelty on a target,
- 25:36Speaker 2: high novelty on a molecule, and that's sorry. I can
- 25:40Speaker 2: help a lot.
- 25:40Speaker 1: That's interesting because if you recall, I did this thing
- 25:43Speaker 1: trying to get a feel for innovation in China, looking
- 25:46Speaker 1: at the number of possible first in class molecules that
- 25:49Speaker 1: could come to market by twenty thirty with some obvious assumptions.
- 25:54Speaker 1: What I hadn't looked into is to try and classify
- 25:58Speaker 1: these molecules or any fun pipeline a novelty because that's
- 26:03Speaker 1: that's difficult. It depends a lot on your definitions. But
- 26:08Speaker 1: let's let's talk about this subject. So the the target's
- 26:11Speaker 1: biology identifies genes are thrown up in the biology or
- 26:16Speaker 1: in the system or somehow. The chemistry is also an
- 26:19Speaker 1: extra angle here. Now you fish in the known chemical space.
- 26:24Speaker 1: I understand, I suppose how or correct me there.
- 26:28Speaker 2: How we actually fish. So we have two ponds, both
- 26:35Speaker 2: with high novelty high novelty entities. So in one pond
- 26:41Speaker 2: we fish for targets. So we have biological AI biology
- 26:46Speaker 2: for you two that allows us to prioritize targets. Very
- 26:51Speaker 2: often when we're doing it for sale. To ensure that
- 26:56Speaker 2: we keep the lights on. We go after a lot
- 27:00Speaker 2: novelty targets or modern novelty targets because we know that
- 27:03Speaker 2: that's what pharma will want to buy first.
- 27:06Speaker 1: You mean, can you tell me what that would be?
- 27:08Speaker 1: Is that's something a molecule that wasn't known or characterized
- 27:12Speaker 1: before in a pathway.
- 27:13Speaker 2: Or well, think about like keiras. Okay, if we all
- 27:17Speaker 2: know the ke ras protein because it has been drugged,
- 27:22Speaker 2: it's uh, there are proof drugs or keiras, and it's
- 27:26Speaker 2: kind of a Kardashian of ancology targets. Everybody knows it.
- 27:31Speaker 2: If you don't know that, well, you're from different culture.
- 27:35Speaker 2: And or like GLP one Okay, like everybody knows GLP
- 27:39Speaker 2: one because South Park made an episode on that.
- 27:43Speaker 1: So that's low novelty. But you can come up with
- 27:46Speaker 1: a better drug with better chemistry.
- 27:49Speaker 2: Yeah, so you basically compete on the chemistry side. So
- 27:52Speaker 2: usually for most of those high value targets, somebody already
- 27:57Speaker 2: developed a molecule or a billo, so they've already tested
- 28:01Speaker 2: the target on the clinic and it's very well known,
- 28:03Speaker 2: very well known to work. However, there's always room for
- 28:07Speaker 2: improvement on the molecular side. So the way you drug it,
- 28:09Speaker 2: you can either make drugs safer so reduce some liabilities,
- 28:14Speaker 2: and that might open some new indications, like for example,
- 28:17Speaker 2: a drug that you would normally take for cancer can
- 28:20Speaker 2: all be used for a CNS disorder beautiful or like
- 28:24Speaker 2: autoimmune so something that you actually need to take for
- 28:27Speaker 2: your entire life to modulate your immune system specific dose.
- 28:31Speaker 2: If it's super safe, but it was used for cancer before,
- 28:34Speaker 2: you may be able to repurposent additional indications and you
- 28:38Speaker 2: just redesign the molecule or design something absolutely from scratch
- 28:42Speaker 2: for that target that we know where biology works. And
- 28:45Speaker 2: there you still risk a lot because like small modifications
- 28:50Speaker 2: on the molecular scaffold of the molecular targets that hits
- 28:55Speaker 2: the target can also result on pretty dramatic effects and
- 28:59Speaker 2: also site effects that you would not be able to predict.
- 29:02Speaker 2: So your AI has to be very good at molecular
- 29:05Speaker 2: design and then program level reasoning. So however, the main
- 29:10Speaker 2: pond that where we fish at in Silico will actually
- 29:13Speaker 2: go and discover new targets, new mechanisms, So something that
- 29:17Speaker 2: Big Farma never saw working in the clinic. So imagine
- 29:21Speaker 2: that the next GLP one and they are all searching
- 29:23Speaker 2: for the next GLP one. So how do we find
- 29:26Speaker 2: next GLP one? Well, we have to we have AI
- 29:30Speaker 2: for that, and we have many forms of AI for that.
- 29:32Speaker 2: And when many of those AIS agree on the target
- 29:36Speaker 2: for a specific disease. And also I often go for
- 29:39Speaker 2: targets that are dual purpose implicated on aging and disease
- 29:43Speaker 2: at the same time. Kind of my favorite target category.
- 29:46Speaker 2: Those are really targets with potential for pipeline a product
- 29:50Speaker 2: where you can approve for one indication and go into
- 29:52Speaker 2: many indications. And we have many of those. But if
- 29:56Speaker 2: you bat on one of those targets and selected for
- 29:59Speaker 2: your own pipeline, you need to be prepared to go
- 30:02Speaker 2: phase two or at least phase one too complete with
- 30:05Speaker 2: limited number of patients. Because for novel targets, pharmaceutical companies
- 30:10Speaker 2: either public partner very early and do it kind of
- 30:13Speaker 2: enough form of collaboration, so they give you some money
- 30:16Speaker 2: and then phase some targets, they look at them and
- 30:18Speaker 2: almost never progress. I have not seen a single successful
- 30:22Speaker 2: target discovery partnership in my life, and that includes us,
- 30:25Speaker 2: by the way, because very often pharma finds great targets,
- 30:29Speaker 2: we deliver those targets, but then they have strategic reprioritization
- 30:34Speaker 2: and they still decide to bat on more more proven
- 30:38Speaker 2: stuff internally, or they're chased chasing the next big trend
- 30:41Speaker 2: and switching from oncology to obesity. So target discovery is
- 30:48Speaker 2: a dead end from the commercial perspective. You can make
- 30:51Speaker 2: one or two partnerships on target discovery, but that's it.
- 30:55Speaker 1: So for novel targets, you need to take it through
- 30:57Speaker 1: to proof of concept decision in the phase two exactly, okay.
- 31:01Speaker 1: And then in the chemistry space in this small molecule world,
- 31:05Speaker 1: what took us through that? You know, the chemical space
- 31:09Speaker 1: is very large, the combinate combinatorial world is very large.
- 31:13Speaker 1: How does how much new chemistry do you feely identify that?
- 31:19Speaker 1: Just quantify that for us space.
- 31:21Speaker 2: Sure. So there are two ways to prosecute the target
- 31:25Speaker 2: you selected with generative AI and small molecule chemistry. So
- 31:30Speaker 2: one way is there might be already a starting point
- 31:34Speaker 2: that is very well known, either an own molecule that
- 31:38Speaker 2: is that target. Sometimes it might be actually a drug,
- 31:41Speaker 2: and you can take that scaffold kind of that molecule
- 31:45Speaker 2: as a starting point and try to redesign it. So
- 31:47Speaker 2: imagine that you want like a perfect well I don't
- 31:52Speaker 2: want to use human Imagine that you want to have
- 31:55Speaker 2: a perfect path and your friend has a dog that
- 31:59Speaker 2: you like, but that dog is barking too loud at night.
- 32:03Speaker 2: So now you've figured you just need to figure out
- 32:05Speaker 2: how to get a similar dog that doesn't bark and
- 32:08Speaker 2: as patentable when it comes to molecule molecules, but it's
- 32:12Speaker 2: going to be very similar. That's something that you like
- 32:14Speaker 2: very much. But another approach is you know the target
- 32:18Speaker 2: that you want to go after, and there is a
- 32:20Speaker 2: crystal structure, or you make a crystal structure, or in
- 32:23Speaker 2: a case of alpha Wold, you can actually predict the
- 32:26Speaker 2: crystal structure and unfl that crystal structure. You give your
- 32:29Speaker 2: generative AI software the pocket where small molecule might bind.
- 32:34Speaker 2: So imagine there is no chemistry available. You have to
- 32:37Speaker 2: start from scratch, and you can give it a pocket,
- 32:40Speaker 2: or you can ask AI to automatically identify pockets, and
- 32:44Speaker 2: then you generate molecules that potentially bind this pocket or
- 32:48Speaker 2: several pockets, and at the same time have multiple beneficial
- 32:52Speaker 2: drug like properties. So not just the molecule it binds,
- 32:56Speaker 2: but also the molecular binds, and it's likely to make
- 32:59Speaker 2: a very good So those two approaches both are tractable
- 33:04Speaker 2: and can be performed by I, and we have done both.
- 33:08Speaker 2: So one is similar to something existing and patentable. And
- 33:13Speaker 2: by the way, pharma loves that too. They actually don't
- 33:16Speaker 2: really need to have absolute molecular novelty. Sometimes they think
- 33:20Speaker 2: that it's a liability because with something that is similar
- 33:24Speaker 2: but pattern three with improved properties, you are more likely
- 33:28Speaker 2: to not see some unexpected effects because somebody else already
- 33:33Speaker 2: has proceeded into the clinic or through the clinic with
- 33:36Speaker 2: something similar. And to answer your question in terms of
- 33:39Speaker 2: capabilities in terms of exploring the chemical space. So in
- 33:43Speaker 2: both cases, in the first one it cannot go too
- 33:46Speaker 2: far from the original scaffold because otherwise it will defit
- 33:50Speaker 2: the purpose. But with a second approach, where doing crystal
- 33:53Speaker 2: based design pocket or pocket based design, you can actually
- 33:56Speaker 2: be very creative and ask your AI system to generate
- 34:00Speaker 2: molecules that are you know, less than zo point one
- 34:04Speaker 2: motive similarity to the original, or they might not be
- 34:08Speaker 2: original at all.
- 34:09Speaker 1: So Alex, in the broader AI software world, there's been
- 34:14Speaker 1: this recent question arising as to how which of the
- 34:19Speaker 1: software models out there that the legacy type software models,
- 34:24Speaker 1: software as a service, or even some of the more
- 34:26Speaker 1: advanced point of sales software companies, a whole variety, which
- 34:31Speaker 1: one can survive the onslaught of open source models and
- 34:37Speaker 1: even just a whole lot of these very large LLM
- 34:41Speaker 1: companies that we all know open AI anthropic that they
- 34:46Speaker 1: could come and just eventually displaced you, partly by providing
- 34:51Speaker 1: replicating what you do, or partly by people using their
- 34:54Speaker 1: their capabilities developing their own What is the what is
- 34:57Speaker 1: the risk to I don't want to say in city specifically,
- 35:01Speaker 1: but companies that use AI for developing and discovering drugs,
- 35:05Speaker 1: when do you expect it to become a commodity in
- 35:07Speaker 1: five years, ten years or whatever time for you?
- 35:10Speaker 2: A very good question. So, first of all, actually think
- 35:14Speaker 2: that if you were to do just pure AI drug
- 35:16Speaker 2: discovery software and AI for science and then with intend
- 35:21Speaker 2: to sell it to bigger players, I think you would
- 35:24Speaker 2: not survive anyway. So that is not a very survivable
- 35:28Speaker 2: place because you need to invest a lot in order
- 35:31Speaker 2: to stay irrelevant. But the market is very small, so
- 35:34Speaker 2: people analysts always overestimate the size of the aipower AI
- 35:40Speaker 2: drug discovery software market, so where you can actually sell
- 35:44Speaker 2: software a platform and I think it's billions, but I
- 35:46Speaker 2: actually think it's not even a billion. I think it's
- 35:49Speaker 2: maybe a few hundred million. And you can tell the
- 35:52Speaker 2: technology investors all kinds of stories. Usually those are the
- 35:56Speaker 2: ones that like platform companies, but they lack experience and
- 36:00Speaker 2: drug discovery, so they don't understand how the industry works.
- 36:03Speaker 2: They will ask those companies or what kind of proprietary
- 36:06Speaker 2: data you have, what kind of talent you have, what
- 36:09Speaker 2: compute you have, But in reality, none of those investments
- 36:13Speaker 2: work for many reasons. Well one of them just the
- 36:16Speaker 2: market is too small. And if you are doing your
- 36:19Speaker 2: own drug discovery, you're actually very well protected, especially if
- 36:23Speaker 2: you are going after a more or less novel target
- 36:26Speaker 2: or target space, because people will value you just on
- 36:29Speaker 2: the pipeline. They will not give you a huge credit
- 36:32Speaker 2: for being in an AI company. Sometimes they do not with us,
- 36:35Speaker 2: or not with any companies that I am friends with.
- 36:38Speaker 2: And once you have a clinical well, once you have
- 36:41Speaker 2: a preclinical click and a clinical ass portfolio that provides
- 36:44Speaker 2: you with tangible well first of all evidence that you
- 36:47Speaker 2: Arai works, but also with a portfolio of drugs that
- 36:51Speaker 2: you can go and license out, so it gives you
- 36:54Speaker 2: some confidence and also can generate some internal revenue. So
- 36:58Speaker 2: that's why I'm saying, usually two investors who want to
- 37:01Speaker 2: go late stage with a company that doesn't have many
- 37:04Speaker 2: pccs or has like log Qualley, I'm recommending just you know,
- 37:08Speaker 2: don't invest in the kind of venture rounds because it's
- 37:12Speaker 2: not sustainable and at some point in time they will
- 37:14Speaker 2: have to do their own drugs and if the caverns
- 37:17Speaker 2: started yet, it might be already too late.
- 37:20Speaker 3: Right.
- 37:20Speaker 1: So the proof of value in in Silico and other
- 37:24Speaker 1: companies potentially, like you said, I don't know if there
- 37:26Speaker 1: are others, but I'm sure you will tell me, is
- 37:28Speaker 1: that the of the value proposition is number one. We
- 37:33Speaker 1: go after in silic, who goes after novel targets themselves
- 37:38Speaker 1: that folks haven't targeted before, at least publicly announced, and
- 37:43Speaker 1: we have the ability to test the chemical space very
- 37:47Speaker 1: broadly and cleverly and get it. So in the end,
- 37:51Speaker 1: that's that's what biotechs do. A lot of them start
- 37:53Speaker 1: with some science and technology or chemistry or or drug
- 37:59Speaker 1: design that they had worked on or discovered within a
- 38:01Speaker 1: lab and then they brought it out and here you're
- 38:05Speaker 1: recreating that lab too. So I've got that right, Have
- 38:09Speaker 1: I summarized that? Right?
- 38:10Speaker 2: Oh? Correct? Okay, Yeah, there are kind of several ways
- 38:13Speaker 2: to do that. And on silica we try to go
- 38:15Speaker 2: after higher novelty stuff on both target and small molecule side. However,
- 38:21Speaker 2: often we have to be opportunistic and go after lower
- 38:24Speaker 2: novelty targets, like moderate novelity targets, just because pharma wants it.
- 38:28Speaker 1: Yeah, we all have to live with the reality of
- 38:30Speaker 1: what's out there, but at the same time try and
- 38:32Speaker 1: innovate to a point where, you know, with your bigger
- 38:34Speaker 1: picture view.
- 38:34Speaker 2: Right.
- 38:35Speaker 1: So let me bring this to the point that I
- 38:37Speaker 1: think maybe you and I discussed a little bit when
- 38:39Speaker 1: we saw each other, is you don't know what you
- 38:41Speaker 1: don't know? Is it possible that some of the novel
- 38:44Speaker 1: targets that you look at, we're actually tested in some
- 38:47Speaker 1: lab in a GSK or Advisor or Lily or one
- 38:51Speaker 1: of these big, big places which has a ton of
- 38:53Speaker 1: work going on pre clinical that never sees the light
- 38:56Speaker 1: of day. And of course if they've failed or because
- 38:59Speaker 1: they shot down those projects that never come out. Does
- 39:02Speaker 1: that matter even if that's the case. And then added
- 39:05Speaker 1: to that, do you feel that you have a disadvantage
- 39:09Speaker 1: not having access to those massive data sets that are
- 39:13Speaker 1: in house within large pharma. Just talk about that subject
- 39:17Speaker 1: a little bit, please, sure.
- 39:18Speaker 2: So, very good question, by the way, And if you
- 39:22Speaker 2: are to post this podcast on some pharma related medium, well,
- 39:27Speaker 2: it's actually a good idea to highlight it. Highlight this
- 39:30Speaker 2: section because what we realized over time is that many
- 39:33Speaker 2: targets that we are focusing on that are absolutely novel.
- 39:37Speaker 2: Pharma has tried them before, not all, but some and
- 39:42Speaker 2: they've tried to go after that target, spend several years
- 39:46Speaker 2: on it, and then the prioritize and very often you
- 39:49Speaker 2: come to a scientist to sell the molecule and you
- 39:54Speaker 2: show the program and they're saying, oh, when I was
- 39:57Speaker 2: at this and this company, I was actually working on
- 40:00Speaker 2: the target. We worked on this for two years later
- 40:02Speaker 2: abandoned the project and yeah, actually think it's too difficult,
- 40:06Speaker 2: et cetera, et cetera. That's why they make such valuable
- 40:09Speaker 2: business development people, right so, because they know what doesn't
- 40:14Speaker 2: didn't work and what people worked on in general in
- 40:16Speaker 2: addition to other things, and very often we see that
- 40:21Speaker 2: they actually got to a point where it was very promising,
- 40:24Speaker 2: but due to strategic reasons they decided to deprioritize, or
- 40:28Speaker 2: because some famous scientists loved the company or decided to
- 40:33Speaker 2: focus on something else. So that's very common, right however,
- 40:37Speaker 2: and we can only know whether they worked on this
- 40:40Speaker 2: target or not by looking at the patents. So if
- 40:44Speaker 2: they have worked on a target seriously, usually they would
- 40:48Speaker 2: have generated a bunch of molecules that they also decided
- 40:54Speaker 2: to patent for PCC, usually at PCC or just before that,
- 40:59Speaker 2: and you would you would normally worked on that, but
- 41:02Speaker 2: very often you won't. So that the punchline here is
- 41:05Speaker 2: that very often, most often they don't know that either
- 41:10Speaker 2: because because the scientist has left or the target got
- 41:13Speaker 2: the prioritized, et cetera. And you know, just a few
- 41:17Speaker 2: years passes and they don't even remember if they worked
- 41:19Speaker 2: on a target or not, and if they did. Usually
- 41:23Speaker 2: the data rooms that are created for exploratory research, these
- 41:28Speaker 2: are not production grade data rooms. Uh, these are very
- 41:32Speaker 2: limited data rooms because they are doing exploratory research for
- 41:36Speaker 2: the purpose of trying to identify some certain depitous biological
- 41:39Speaker 2: process process, and very often it doesn't really or result
- 41:45Speaker 2: in really good data. And they just described the pro
- 41:48Speaker 2: the program and the entire data set.
- 41:51Speaker 1: Right, So Alex a huge So if we don't have
- 41:54Speaker 1: a huge amount of time left and I've got a
- 41:56Speaker 1: huge number of questions, still, let's let's talk about think
- 42:00Speaker 1: we've really explored well the idea of and the use
- 42:04Speaker 1: of AI up to the pre clinical candidate stage. So
- 42:09Speaker 1: I was listening to Patrick Schwab who's at gsk AI,
- 42:13Speaker 1: and he was talking about the value or the impact
- 42:16Speaker 1: of AI on the clinical development part. So there's two
- 42:19Speaker 1: questions I'm going to load in here. One is the
- 42:22Speaker 1: FDA wants to get rid of animal testing in pre
- 42:24Speaker 1: clinical so and it wants to replace it by AI.
- 42:28Speaker 1: Your view on that, because you obviously said that's something
- 42:31Speaker 1: that I don't think we can replace it. We have
- 42:33Speaker 1: to go through it, et cetera. And then the Patrick
- 42:36Speaker 1: Schwab white space. Going from phase one to phase two
- 42:38Speaker 1: to phase three, we've talked about the time saving and
- 42:41Speaker 1: the value of AI in discovery and to the PCC point,
- 42:45Speaker 1: talk to us about these two things, first, replacing the
- 42:48Speaker 1: preclinical models with AI, and two and how much would
- 42:51Speaker 1: that happen and how what's your view and how much
- 42:53Speaker 1: time will it save? And secondly, the clinical development path
- 42:56Speaker 1: which you are into, now can you not cut? Of course,
- 42:59Speaker 1: if you need to do a twelve month human study,
- 43:01Speaker 1: I suspect you have to do it to a month
- 43:03Speaker 1: human study, but more rapidly finding patients, better drug targeting
- 43:08Speaker 1: in terms of identifying the patient. I should go in
- 43:10Speaker 1: there cutting the white space between finishing phase one going
- 43:13Speaker 1: to phase two. Talk to us about that, please and
- 43:16Speaker 1: see if at the end we can quantify how much
- 43:18Speaker 1: time you could or couldn't save from the clinical development
- 43:21Speaker 1: side and pre clinical side.
- 43:23Speaker 2: Right well, on the pre clinical side, as I've already explained,
- 43:27Speaker 2: you can cut considerably in terms of time. So we
- 43:31Speaker 2: cut to nine to eighteen months from zero to PCC's
- 43:35Speaker 2: compared to traditional methods, and not by the way, includes
- 43:40Speaker 2: already twenty eight day non GLP texasity studies and animals.
- 43:43Speaker 2: So on. GLP talks were just repeating the same thing,
- 43:46Speaker 2: and my first answer, can we replace animal testing? No, Okay,
- 43:52Speaker 2: we'll be able to do it in five years. Cut
- 43:55Speaker 2: animal testing now? Okay, great, ten years maybe, but I
- 44:01Speaker 2: don't think so. Okay, it's just in order for you
- 44:04Speaker 2: to sell those drugs later to pharma companies. You actually
- 44:07Speaker 2: need to get this data anyway, and you actually are
- 44:12Speaker 2: very optimistic about your molecule and about your EI until
- 44:15Speaker 2: you see some dogs die because of unexpected lever or
- 44:19Speaker 2: kidney talks, usually liver because they get like very weak livers.
- 44:23Speaker 2: By the way, if dogs respond poorly to a drug,
- 44:26Speaker 2: it doesn't necessarily mean that humans will. It's a bad
- 44:29Speaker 2: sign and it's not going to let you kind of
- 44:31Speaker 2: sell a drug easily. But usually humans tolerate drugs much
- 44:37Speaker 2: better than dogs. But it's important to have this data. Second,
- 44:41Speaker 2: so white space, I think that right now pharma companies,
- 44:45Speaker 2: all of them want you FACE to complete assays, sorry assets,
- 44:49Speaker 2: and for many drugs where we wherever we are going
- 44:54Speaker 2: after like novel targets, they would all want to have
- 44:57Speaker 2: FACE two and they don't want to partner early. For
- 44:59Speaker 2: NOVELI and all novelty targets, they would be able to
- 45:03Speaker 2: partner very early.
- 45:05Speaker 1: But in terms of cutting the time that one year
- 45:07Speaker 1: that it takes from going from the end of phase
- 45:09Speaker 1: two to the start of phase three, do you feel
- 45:11Speaker 1: there is some space for AI to help you speed
- 45:14Speaker 1: that up? Document production.
- 45:15Speaker 2: I think it's going to be very minor. So the fact,
- 45:20Speaker 2: once you reached PCC, it's kind of like you already
- 45:24Speaker 2: have a gun. So you build a gun and you
- 45:26Speaker 2: build a bullet, and at PCC stage you fire a bullet.
- 45:31Speaker 2: So after that the bullet is traveling, you can adjust
- 45:34Speaker 2: the aim a little bit, you can blow wind on
- 45:38Speaker 2: it if you can, you can do many other things,
- 45:41Speaker 2: but you can choose the you know what to shoot at,
- 45:46Speaker 2: like the patient selection. But in reality, there is not
- 45:51Speaker 2: that much you can do to the bullet. And in
- 45:53Speaker 2: terms of the speed you can help with regulatory submission,
- 45:57Speaker 2: with the regular submission, regular submission, review response. That's why
- 46:01Speaker 2: I actually sometimes helps you correct human errors and I've
- 46:04Speaker 2: seen that before or well it can hallucinate too, but
- 46:09Speaker 2: it actually does a pretty good job at generating those
- 46:13Speaker 2: bureaucratic documents. However, the cost of submission, meaning in terms
- 46:17Speaker 2: of the decision cost, right, So imagine if you submit
- 46:20Speaker 2: something and you're running the risk of THEDA not giving
- 46:24Speaker 2: you the go ahead. So the cost of that for
- 46:28Speaker 2: a biotic is so huge that you would not only
- 46:30Speaker 2: not use AI at scale, of course, you would do
- 46:34Speaker 2: it at the very beginning for templating, but later you
- 46:36Speaker 2: would also invite a bunch of high profile experts to
- 46:41Speaker 2: help you review the regulatory documents.
- 46:45Speaker 1: Right, okay, so let me summarize again. The time and
- 46:47Speaker 1: cost saving comes in the very early parts of drug discovery.
- 46:51Speaker 1: The rest of it's some minor in terms of the
- 46:53Speaker 1: development timelines. Probability of success. Where do we stand on that?
- 46:57Speaker 1: Do you feel that you should would be able to
- 47:00Speaker 1: increase the probablative success to get to successful phase three
- 47:05Speaker 1: having generated you molecus with AI and the a help
- 47:09Speaker 1: of AI. Think?
- 47:10Speaker 2: So?
- 47:11Speaker 1: Okay? I think so if you were to give me
- 47:13Speaker 1: a number, give me a number, I mean just for conversation,
- 47:18Speaker 1: right that that if if if a phase three has
- 47:22Speaker 1: a say, a sixty percent probabative success when it starts,
- 47:25Speaker 1: where would where would you hope to be with the
- 47:29Speaker 1: application of good AI once you've got.
- 47:31Speaker 2: The Well, here you go, so we have at a
- 47:34Speaker 2: silico so far we've never failed. Think about that? So
- 47:39Speaker 2: in the like past, non.
- 47:42Speaker 1: GI mean, once you've got into the clinic so.
- 47:44Speaker 2: Far even an I D enabling Right, So that's why
- 47:47Speaker 2: I'm actually I think that from the theoretical perspective, you
- 47:51Speaker 2: couldn't theory drop I D enabling and go directly into humans. Right,
- 47:55Speaker 2: So you actually don't need to drug those wonderful naive
- 47:58Speaker 2: animals because out of the twelve twelve times we push
- 48:01Speaker 2: the drug into the clinic, which means that we have
- 48:04Speaker 2: passed at least twelve I in the enabling stages, non
- 48:08Speaker 2: failed and I in the enabling non failed on phase
- 48:11Speaker 2: one so far, non failed in phase two. And when
- 48:16Speaker 2: I'm saying that, I'm actually extremely worried, right because at
- 48:20Speaker 2: some point in time you need to fail. Just statistics
- 48:23Speaker 2: tell you that you have like zero points zero zero
- 48:27Speaker 2: zero zero zero one percent chance of being where we
- 48:29Speaker 2: are right now.
- 48:30Speaker 1: Yeah, but that's just those statistics are derived from the
- 48:35Speaker 1: history of drug development to date. I mean, I'm not
- 48:38Speaker 1: defending it. I'm not saying that you won't have a failure.
- 48:40Speaker 1: I have no idea. But at the end of the day,
- 48:42Speaker 1: that's based on what we've been doing so far going forward.
- 48:45Speaker 2: Yeah, So I'm not trying to promote the company here,
- 48:48Speaker 2: I'm just saying that, I'm just saying that in our case,
- 48:52Speaker 2: I just have only one source of evidence, my company,
- 48:58Speaker 2: that I can use to reason and make educated gases
- 49:03Speaker 2: because nobody studied this properly. Actually, I think BCG and
- 49:08Speaker 2: also some academics tried.
- 49:11Speaker 1: Yes, but do you know how much human intervention there
- 49:14Speaker 1: was in that?
- 49:15Speaker 2: Yeah, I discuss because so if you look at some
- 49:18Speaker 2: of those reports that like BCG put out and Nature
- 49:22Speaker 2: Use Drug Discovery I think, or some other big journal
- 49:26Speaker 2: I think it was an RDD, they have like one
- 49:29Speaker 2: hundred plus molecules in different stages. And if you look
- 49:33Speaker 2: at the companies that produce those molecules, some of them
- 49:37Speaker 2: started in like two thousand and two or something like this,
- 49:41Speaker 2: and most of them I don't know as AI players.
- 49:45Speaker 2: They just kind of rebranded. So some of those molecules
- 49:49Speaker 2: are very old, and still they managed to demonstrate that
- 49:52Speaker 2: even with that you know, kind of ancient wave of
- 49:57Speaker 2: quote unquote AI drug Discovery company, there is some improvement
- 50:01Speaker 2: in probability of success. But so far, I think they
- 50:05Speaker 2: showed like one or two of phase three completes of
- 50:09Speaker 2: some kind of unknown dinosaurs that completed the studies and
- 50:13Speaker 2: some of them repurposed. Right, Okay, last question, actually yeah, yeah.
- 50:18Speaker 1: Last question. Even though it's paining me that you have
- 50:21Speaker 1: to stop here, I wish I was like, there are
- 50:23Speaker 1: podcasts that go on for two or three hours. But
- 50:25Speaker 1: I think Alex is going to just turn the camera
- 50:28Speaker 1: and the phone off and disappear. Let's let's talk about
- 50:32Speaker 1: the latest Deerio did, which.
- 50:33Speaker 2: Was a great time my case. I'm sorry actually, like
- 50:36Speaker 2: you know, the entire weekend on the week prior, I
- 50:40Speaker 2: was sleeping two three hours. So even right now I'm
- 50:45Speaker 2: a little kind of dizzy.
- 50:47Speaker 1: Well you're doing really well for someone who's dizzy, not
- 50:50Speaker 1: at all. It's perfect. We you know, this is not
- 50:52Speaker 1: our normal conversation about AI in drug discovery. So I'm
- 50:56Speaker 1: glad you took it slow with us. But tell us
- 50:58Speaker 1: about this latest deer of which of course is with
- 51:01Speaker 1: the largest farmer company in the world, one of the
- 51:03Speaker 1: largest R and D budgets. So how long did it take?
- 51:07Speaker 1: And of course it seems to me that you were
- 51:11Speaker 1: pushed or rushed a little bit to get the press
- 51:13Speaker 1: face out because of market regulations and rules. Just talk
- 51:17Speaker 1: to us whatever you can tell us in the openly
- 51:21Speaker 1: about this deal.
- 51:23Speaker 2: So sure, this deal is a combination of an asset
- 51:27Speaker 2: licensing and collaboration. We've collaborated with Lily in the past
- 51:31Speaker 2: and they are actually one of the most active and
- 51:34Speaker 2: expert users of our software, so they deployed the entire
- 51:37Speaker 2: pharmaire suite. That's why I usually referred to Lily as
- 51:41Speaker 2: being better than us at AI because they actually have
- 51:44Speaker 2: all the lowries and they also know how to use it.
- 51:48Speaker 2: So a phenomenal company with absolute experts on the biologics
- 51:55Speaker 2: and the small molecule side. And what I really love
- 51:58Speaker 2: about Lily is the that they actually don't have not
- 52:01Speaker 2: invented me, not invented here attitude. They actually kind of
- 52:06Speaker 2: try to fight it. Like once I talk to Andrew Adams,
- 52:10Speaker 2: the head of neuroscience and also head of genetic medicine,
- 52:14Speaker 2: truly phenomenal scientist and a very young pharmaceutical executive who
- 52:19Speaker 2: truly has vision and experience, and I said, well, you know,
- 52:22Speaker 2: one of your molecules have not been designed by you,
- 52:26Speaker 2: and that's why very successful. So do you really here?
- 52:30Speaker 2: He's like, I don't care. As long as the molecule
- 52:33Speaker 2: works on the clinic. The source of the molecule doesn't
- 52:36Speaker 2: really matter. What matters is that we get it approved,
- 52:40Speaker 2: get it to the patient, and issure to deliver benefit
- 52:44Speaker 2: and outperform everything else. I'm like, wow, that's an interesting attitude,
- 52:49Speaker 2: so I usually deeply care that you know, it's my drug,
- 52:53Speaker 2: and that actually gives made me thinking that maybe I
- 52:56Speaker 2: should go and then license some drugs because nowadays I
- 53:02Speaker 2: know the entire market and I know the competition, synthesize everything.
- 53:06Speaker 2: So Lily, when we started partnering, they already knew us,
- 53:12Speaker 2: but they realized that we have some assets they want.
- 53:15Speaker 2: And once that happened, we actually some of those assets
- 53:20Speaker 2: are in a huge demand in the pharmaceutical industry, so
- 53:24Speaker 2: highly competitive. So several companies looked at, like identified those assets,
- 53:30Speaker 2: started looking at them, and some of them started placing bids,
- 53:35Speaker 2: and all of them were substantial, like very large. So
- 53:40Speaker 2: once once Lily placed the bid, I just started racing.
- 53:44Speaker 2: I decided that, you know, that is the company I
- 53:49Speaker 2: love for this type of deal is just like an
- 53:54Speaker 2: idea of pharma. And I mean, there's well, yeah, but
- 54:00Speaker 2: they trade plus minus Fizer every month, right, So if
- 54:08Speaker 2: I don't want to offend anyone, no numbers numbers such
- 54:12Speaker 2: a giant and also for a good reason. It's not
- 54:15Speaker 2: just the good lucky with one drug, it's it's consistency.
- 54:19Speaker 2: And we thought that you know, if we partner with
- 54:23Speaker 2: Lily on those ultra high value, high demand programs. Well,
- 54:28Speaker 2: we managed to pull a feet of molecular engineering that
- 54:33Speaker 2: is absolutely incredible. It's like selling you know, ground complication
- 54:39Speaker 2: watch to Rusher on Constantine, So it needs to be
- 54:44Speaker 2: absolutely amazing. So we have something like that, I mean
- 54:48Speaker 2: we had, and the deal took. They managed to pull
- 54:52Speaker 2: it very quickly. It's basically four months.
- 54:55Speaker 1: Probably I think that's a record. Now. I mean, I'm
- 54:58Speaker 1: sure there'd be deal right faster than that, but four
- 55:00Speaker 1: months is not credible.
- 55:02Speaker 2: I must say, like, I don't want to disclose anything
- 55:05Speaker 2: like that so that we don't set the precedent for others.
- 55:10Speaker 2: Because I also must say that I've seen that in China,
- 55:14Speaker 2: but I have never seen something like that on the
- 55:17Speaker 2: US and on the global level, where people worked, people
- 55:20Speaker 2: worked extraordinary hours and also you know, really focused on
- 55:26Speaker 2: the deal. And the business development team and the transaction
- 55:31Speaker 2: team at Lily is second to none. I've never seen
- 55:36Speaker 2: anything like that. Is just absolute focus, dedication, professionalism, and
- 55:42Speaker 2: maybe we got lucky, most likely we did, but just
- 55:46Speaker 2: the level of gear, level of professionalism, level of diligence,
- 55:52Speaker 2: so they managed to check mark all the boxes and
- 55:54Speaker 2: the way go Way Beyond because they are experts in
- 55:58Speaker 2: some of the spaces where we partnered all of them,
- 56:01Speaker 2: all of those spaces, it's basically like a gun like
- 56:05Speaker 2: rusher on Constantine evaluating your ground complication to beyond system.
- 56:11Speaker 2: If you know watches and I don't know watches, I
- 56:14Speaker 2: just looked at I'll bring out there and they managed
- 56:22Speaker 2: to check mark all the boxes very quickly and also
- 56:26Speaker 2: add additional levels of collaboration where we pass additional expertise
- 56:30Speaker 2: to them and partner become a partner of the ecosystem
- 56:34Speaker 2: called Lily Gateway Labs, and they've just recently constructed, so
- 56:38Speaker 2: it's kind of a more advanced version of Johnson and
- 56:42Speaker 2: Johnson's g Labs where you create a community the ecosystem.
- 56:48Speaker 2: So we're happy to be part of that. And if
- 56:51Speaker 2: anyone is expanding into China and wants to get a
- 56:55Speaker 2: great platform to start with, Lilly Gateway Labs is an
- 56:59Speaker 2: amazing place is to do that and also for the
- 57:03Speaker 2: Chinese companies to become more global. So those Gateway Labs
- 57:08Speaker 2: just an incredible advance and you know, I don't think
- 57:13Speaker 2: it's humanly possible to do something like that. Again, it's
- 57:16Speaker 2: just I think you cannot do it faster than four months.
- 57:19Speaker 1: No, probably not, given the.
- 57:22Speaker 2: Usually those deals take like nine months.
- 57:24Speaker 1: This also includes the Chinese New Year and the Christmas
- 57:27Speaker 1: if I calculate correctly.
- 57:28Speaker 2: So, yeah, that's why I don't want to say a
- 57:31Speaker 2: thing about kind of you know, somebody can point the
- 57:34Speaker 2: finger and say or unfair labor practices or whatever, but
- 57:38Speaker 2: as you know, you know, cancer and aging do not
- 57:42Speaker 2: take holidays holidays. Yeah.
- 57:44Speaker 1: Yeah. But also Alex, you have a business that's spread
- 57:47Speaker 1: across you know, into the you know, a w aw
- 57:50Speaker 1: you don't have Christmas there, you don't have the Chinese
- 57:52Speaker 1: New Year there. But anyway, so I'm just generally.
- 57:54Speaker 2: So and I try to escape holidays whenever I look
- 57:59Speaker 2: at myself because as my job is to deliver drugs
- 58:02Speaker 2: to patients that die otherwise.
- 58:04Speaker 1: Well, we really appreciate the time that you've spent trying
- 58:07Speaker 1: to help us and our audience to think through your
- 58:10Speaker 1: perspective of in AI and Silicon's perspective in AI. So
- 58:13Speaker 1: thank you very much, Alex. So that's Alex Javoronkov, the
- 58:17Speaker 1: founder and CEO co CEO of Ellen Silico Medicines. Thank
- 58:21Speaker 1: you so much for joining us for our latest episode.
- 58:24Speaker 1: I have a whole lot more questions. I'm going to
- 58:26Speaker 1: keep them from when I see you. Maybe we have
- 58:28Speaker 1: another dinner. Thank you, Sam, Thank you. Please don't forget
- 58:31Speaker 1: to give us a review and make sure to click
- 58:33Speaker 1: the follow button on your favorite podcast app or site
- 58:37Speaker 1: so you never missed a discussion with the leaders in
- 58:40Speaker 1: healthcare innovation such as the one we just had.
- 58:42Speaker 2: Absolutely will do.
- 58:44Speaker 1: Thank you, Sam Fazeli, You've been the listening to Vanguards
- 58:47Speaker 1: of healthcare podcast by Bloomberg Intelligence. Until next time, take.
- 58:51Speaker 3: Care USUS and as pass US uses some of the
- 59:39Speaker 3: jases