Latest / The BioHub - by Avetix / Episode 123 - Adam Mendelsohn - CEO Vivani Medical
Transcript
- 0:06Welcome back to another episode of The Bio Hub, a podcast
- 0:09brought to you by Avetics Talent Solutions.
- 0:12Today I'm joined by Doctor Adam Mendelson, cofounder and CEO of
- 0:16Vivani Medical. Adam's journey is a fascinating
- 0:19one, from earning his PhD in bioengineering at UCSF and UC
- 0:24Berkeley to Co founding Nano Precision Medical and now
- 0:27leading Vivani following its merger in 2022.
- 0:30At Vivani, Adam and his team are pioneering long term subdermal
- 0:34drug implants designed to transform treatment for chronic
- 0:37diseases like obesity and diabetes.
- 0:40We talk about Vivani science, their mission, what's happening
- 0:43right now and what it takes to build a biotech company through
- 0:47today's market. Pleasure to have you, Adam.
- 0:49How are you? I'm doing great, Max, and it's
- 0:51really wonderful to be with you. Amazing.
- 0:53Yeah, we obviously met at Bio. So this is Adam's second time on
- 0:57the Bio hub, this time virtually.
- 1:00Honored to be back. Yeah, it's great.
- 1:02We can get a little bit more into the weeds as well about
- 1:04your journey and what you've been doing.
- 1:05So let's just start with that. Like what's your story and what
- 1:09led you to Vivani and this mission?
- 1:12It's a great question. And I think that from a very
- 1:16young age, I had the opportunity to to become exposed to the
- 1:21concept of developing new medical products and I think I
- 1:25caught the bug. I knew that that's something
- 1:27that I wanted to continue to do in some way, shape or form.
- 1:31I did certainly didn't foresee me doing it in exactly the way
- 1:36that that I am at the moment. But it's goes back to when I was
- 1:40in high school and I had the opportunity to intern at a
- 1:44medical device company called Mini Med, which at the time was,
- 1:51I think it may still have been a private company.
- 1:53I think it may have gone public at around that time and and
- 1:56subsequently got got acquired for a few billion dollars by
- 2:00Medtronic and is now actually being spun back out as
- 2:02Medtronic's diabetes company, also to be called Mini Med.
- 2:06So it's kind of full circle. But the company was working on
- 2:09insulin pumps and glucose sensing technologies, and I had
- 2:13the opportunity to see what a team of people that were focused
- 2:18on innovating and developing a product that would solve an
- 2:22unmet need of how that operated, how motivated the people were to
- 2:28be doing their job, how their mind was in the right place.
- 2:31You know, these these developments are difficult and
- 2:34challenging. And I think that as a result, it
- 2:37attracts people that are in it for the right reasons there.
- 2:41There's not going to be a quick, you know, in six months, you're
- 2:43going to develop something that's going to gain user
- 2:46traction and you can have an exit in nine months.
- 2:48That doesn't really happen in this industry.
- 2:50So the people that choose to do this are are really their hearts
- 2:54are in the right places. I then went on in part as a
- 2:57result to study sciences, physics and and I I actually did
- 3:03a piano performance major also, but that ended up not being my
- 3:06career. Oh.
- 3:07Amazing. Physics was the the the path,
- 3:11the path that I thought would would best arm me with the
- 3:16knowledge and the and the capabilities at addressing any
- 3:19sort of development challenge. You know, physics is kind of the
- 3:22foundation foundational science of a lot of the other sciences.
- 3:26And you can. You can.
- 3:28Pivot to many other specific areas with that sort of a broad
- 3:31foundation. And I was at UCLA where I did my
- 3:34undergrad. And during that time I, you
- 3:37know, explored multiple different possible ways of
- 3:41spending my life. I I did, I did.
- 3:43I spent some time. Doing plasma physics research.
- 3:45I spent a summer. At at.
- 3:47Jet Propulsion Laboratory, JPL. And then I also spent some
- 3:51summers with the same group that I had interned with at Mini Med.
- 3:53They were at a different company now.
- 3:55Developing implatable drug delivery technologies and that's
- 4:00where I ended up landing after by my undergrad, spending a
- 4:04couple of years working as an engineer developing, you know.
- 4:08Components within these long term.
- 4:11Implatable drug delivery pumps and but while.
- 4:15While I was. There I realized that.
- 4:17The approach and and there is one connection.
- 4:20Between Mini Med and the company that I worked with and one of
- 4:24the people that I've looked. To for inspiration throughout my
- 4:28life. And that's an individual named
- 4:30Al Man or Alfred E Man. This was a legendary medical
- 4:35device entrepreneur who had founded these companies.
- 4:38That I mentioned with. Who?
- 4:39Who? I had the.
- 4:40Opportunity. To get to know personally
- 4:42because my father had been involved with organizing
- 4:45financings for his companies. And he became a very successful
- 4:52medical device entrepreneur working on products such as
- 4:56insulin delivery for diabetes, cochlear implants for providing
- 5:01hearing to deaf people, second sight medical products to
- 5:05provide vision to people with profound blindness.
- 5:09And he was very prolific in what he was able to accomplish, and
- 5:14that definitely was. One of the guiding.
- 5:16Guiding stars for me as I, as I developed at this company that
- 5:21he had founded, I realized that we were working on and kind of,
- 5:26it was definitely solving an unmet need, but it was in an
- 5:28incremental way over what had been done before that.
- 5:31And I worked with another individual who had had a
- 5:35biomedical engineering PhD, which inspired me to go back and
- 5:40do a PhD program, primarily in order to become aware of all of
- 5:46the new technologies that were being developed, because I knew
- 5:52I didn't want to become a professor or do research long
- 5:54term. I wanted to come.
- 5:56Back into the startup, you know, world developing new products,
- 6:01but that would give me the time to really contribute to some
- 6:05avenue of research, to understand how that research is
- 6:08done at a deep level. And then also become aware of
- 6:11everything that is being developed to try to make a more,
- 6:14a less incremental and more transformational contribution
- 6:18to, to the field. And while I was at the PhD
- 6:22program, which I did at UCSF and and UC Berkeley, I involved
- 6:26myself in all of the entrepreneurial organizations
- 6:29across both campuses, participated in business plan
- 6:33competitions. That's where my 2 Co founders of
- 6:36Nano Precision Medical who were PhD lab mates of mine, you know,
- 6:41we worked together, we ended up winning the UC Berkeley business
- 6:45plan competition, international competition in Hong Kong.
- 6:48And, and that's what gave us the confidence to start the company
- 6:51once we finished the the PhD and the rest is history.
- 6:56It's been, you know, a long journey to go from working in
- 7:00really what was called the basement or the garage.
- 7:04The QB 3 is the organization that facilitated our initial
- 7:07start. And 1, you know, we had a couple
- 7:11of desks and one bench, you know, in the shared room at the
- 7:14basement of the bioengineering building on UC Berkeley campus.
- 7:18And slowly but surely tinkering with and developing this novel
- 7:21drug delivery technology. And now many years later, having
- 7:25successfully tested it in humans earlier this year and, you know,
- 7:29excited about what we're doing with it going forward.
- 7:32Yeah, I love the old story, in Vivani story.
- 7:34I think it's really cool. From basement to where you are
- 7:36now. Just the context for people who
- 7:39don't know Bhavani, like who are you guys?
- 7:42What are you doing? Yes, so, so we're working on
- 7:45miniature subdermal implants that go under the skin that can
- 7:51provide many months of therapy after a single administration.
- 7:59These implants are being initially focused on the GLP,
- 8:03one class of drugs which people have all probably heard of
- 8:07Ozempic and Wegovi and Anjaro and Zepbound.
- 8:10These are really big, very successful brands that have
- 8:15their primary indications are in obesity or for chronic weight
- 8:18management or type 2 diabetes. There are also other indications
- 8:23that they have been receiving and are being evaluated for, but
- 8:27the, the this class of drug is really transformational as far
- 8:33as the ability to to provide compelling amounts of weight
- 8:37loss in, in an acceptably, although still suboptimal
- 8:41tolerable manner. And that's what has enabled this
- 8:45transformation in obesity, you know, therapeutics.
- 8:51I again, this is all become very mainstream now.
- 8:54I think, you know, when I, when we were earlier in our
- 8:57development and only thinking about the diabetes application,
- 9:00I would have to tell people what a GLP one was.
- 9:03I don't really have to do that anymore.
- 9:05It's it's, it's pretty commonplace, but one of the big
- 9:09problems is, you know, and this is not just the case for GLP one
- 9:13drugs, but for really any chronic disease treatment is a
- 9:17lot of people don't end up taking the medicine as
- 9:20prescribed. So these incredible benefits and
- 9:24advantages that these drugs are capable of that they've
- 9:26demonstrated in clinical studies don't end up translating.
- 9:30So in the real world, the general population doesn't
- 9:33receive the benefits. And there are many reasons for
- 9:35this, but one of the main reasons is medication non
- 9:38adherence, you know, which is at even for really easy to take,
- 9:43you know, pills, you know, that that can be taken with without
- 9:47food. Certainly for injectables, it's
- 9:50less than 50%, you know, generally Speaking of people
- 9:53that actually take the medicine as prescribed on a regular
- 9:56basis. So there's a lot of efficacy
- 9:58that's left on the table In the case of GLP ones, not taking
- 10:03medicine regularly also can result in more fluctuations in
- 10:08the blood levels because when you miss a dose, the blood
- 10:10levels go down and then it comes back up when you take a dose.
- 10:13And it's it. These fluctuations are are what
- 10:15are believed to be responsible for the gastrointestinal side
- 10:18effects, which is the biggest complaint associated with this
- 10:22drug class nausea, vomiting, you know, you know, diarrhea and
- 10:26things like that. So, So what we're hoping is to
- 10:29be able to one, provide a, a much more convenient solution
- 10:33for people that can essentially set it and forget it for the
- 10:36duration of, of, of the of the implant treatment.
- 10:41And then also at the same time addressing providing people with
- 10:45more effective treatment than they would if they had been
- 10:48missing doses and potentially more tolerable treatment as
- 10:51well. So really excited about this in
- 10:54the GLP one class, also recognizing that it is a
- 10:57platform technology that while we're, you know, initially
- 11:00testing it out for this drug class, we think could be could
- 11:03be applied more broadly. And we look forward to doing
- 11:06that, you know, in the years to come.
- 11:07Yeah, that's interesting. And that's kind of around my
- 11:10next question, which is we're talking obesity and diabetes.
- 11:16Why? Why did he originally choose
- 11:18these areas? Yeah, so the originally we
- 11:21chose. It was diabetes.
- 11:22GLP ones were first approved for type 2.
- 11:25Diabetes. This was long before the.
- 11:28Realization that at higher doses they can provide compelling.
- 11:32Weight loss and even. Just thinking about type 2
- 11:35diabetes, the you know, it's, it's actually even a little bit
- 11:40more. Clear what the consequences are
- 11:42of non adherence in type 2 diabetes the uncontrolled blood.
- 11:46Sugar for extended periods of time has very clear
- 11:48consequences. Both in terms of health outcomes
- 11:50and and. Cost effectiveness for payers
- 11:54and that was really all we were focused on initially and and the
- 11:58reason was your type 2 diabetes is, is a disease which
- 12:02progresses without symptoms, right.
- 12:04So people don't realize that their disease is getting worse
- 12:08unless they. Go in and they get a blood test
- 12:10and they check their. Glycosylated hemoglobin and and
- 12:14see the numbers rising. So the motivation to adhere to
- 12:18treatment that your doctor recommends is is even lower than
- 12:21it is in the. Case of symptomatic.
- 12:23Diseases. So the kind of how we saw the
- 12:27stakeholders, you know, being interested and and supporting
- 12:32the future adoption of an implant in this disease area
- 12:35was. Compelling to us, the drugs were
- 12:39also. Sufficiently potent that we
- 12:41could fit a. Meaningful duration of treatment
- 12:45into an implant small enough that.
- 12:47We expected patients to. Accept and be willing to
- 12:51receive. And all of those kind of went
- 12:53into the decision to look at GLP one which was not.
- 12:58Our first application, our first application back in the business
- 13:01plan competition days was. In a disease it was in
- 13:04hepatitis. C but with a molecule that
- 13:07called interferon alpha. And this is maybe a a story of
- 13:12of kind of company for, you know, evolution because
- 13:17companies pivot and another drug came on the market that that.
- 13:21Gilead had acquired from a company called Pharmacet that
- 13:24cured hepatitis C was an easy to take pill and made interferon
- 13:27Alpha no longer something that would be interesting to use in
- 13:32the case of hepatitis C. So we it was no longer.
- 13:35So we pivoted from hepatitis C to type 2 diabetes.
- 13:39And that's just what happens in these companies.
- 13:42We have to stay nimble, we have to stay flexible.
- 13:45But it's been GLP one ever since.
- 13:47And we were thinking about this, you know, long before GLP One's,
- 13:52you know, broke out the way that they did and that the way that
- 13:56they are now. So it's really exciting to see
- 13:59kind of as the story evolves, the opportunity looks even more
- 14:04attractive than it than it had before.
- 14:08And that that that's why we were, we've been focused on this
- 14:12area. Yeah, that's a funny story from
- 14:14the Hep C But you're right. Like you have to be nimble.
- 14:17Like you just don't know. These things take such a long
- 14:20time and what's happening right now at Vivani and what you most
- 14:24excited about? Yeah.
- 14:25So we are we just. Finished our first clinical
- 14:29study with the technology. Earlier this year.
- 14:32We had been working our lead program until very recently was
- 14:36with the GLP one. Drug called Xenotide, but we had
- 14:39already had in our pipeline for the last year or so semaglutide.
- 14:46I think Xenotide was the first GLP one to ever receive an
- 14:50approved indication. The the product names were
- 14:52Bydurian and Byetta and that's what we had started to to to
- 14:58work on with our technology. The clinical study was
- 15:01successful. It was demonstrated safety,
- 15:04tolerability, encouraging performance that was indicative
- 15:07of the potential for long term durable, you know, encouraging
- 15:11release in humans, which was which was terrific to see.
- 15:14But at the same time as we announced the results of that
- 15:17study, we also demonstrated feasibility of the technology
- 15:21with semi glutide and the the difference is although they're
- 15:24both GLP one agonists, Semaglutide has already been
- 15:29established to demonstrate compelling weight loss in
- 15:32humans. The xenotide products had only
- 15:35received an indication for type 2 diabetes.
- 15:38We believe that at higher doses it would produce compelling
- 15:41weight loss as well. But but there's no question
- 15:43about Semaglutide's ability to do that and AstraZeneca, which
- 15:49owns the two xenotide products in the market because those
- 15:51products weren't selling commercially discontinued
- 15:56manufacturing and marketing of those products, which means that
- 15:59they wouldn't be available for us to use as a comparator in a
- 16:02future clinical study. So with all of those kind of
- 16:06factors combined, we decided now's the time to prioritize our
- 16:10semi glutide implant, which we had.
- 16:12We've now shown seven months of about 20% weight loss after a
- 16:15single implant in animal studies and we're rapidly advancing that
- 16:20semi glutide implant program into clinical development.
- 16:23We expect in the first half of next year to initiate the first
- 16:27clinical study, but because of the success in the first in
- 16:32human study with our nanoportal that's what we call it
- 16:35technology with xenotide. We are in parallel preparing for
- 16:39a second phase two study with the semaglutide implant so that
- 16:43it could be ready to initiate shortly after results of the
- 16:47first phase one study that you know in the first part of next
- 16:50year we expect to be able to initiate.
- 16:52It's also a short study, so we think it should be completed
- 16:56relatively quickly before we get to the bigger efficacy oriented
- 17:00dose ranging phase two study that we're marching kind of as
- 17:04fast as we can towards as we speak.
- 17:07So that's really what we're mostly excited about is.
- 17:12Advancing the the semiglutide implant.
- 17:14And you know, thinking, you know about the phase.
- 17:17One study as a DE risking opportunity for the phase two
- 17:20just to confirm. That as we change the API from
- 17:23Xenotide to Semiglutide, we still get the expected
- 17:27performance. But really it's that phase two
- 17:30study that we think could be could be transformational,
- 17:33really demonstrating the efficacy of our product in
- 17:36humans for a multi month period of time with a drug that is is
- 17:40very well established and accepted and associated with
- 17:43products that sell 10s of billions of dollars.
- 17:46Addressing what we see are, you know, some of the biggest unmet
- 17:49needs associated with these products, namely medication
- 17:53adherence, you know, possibly tolerability and you know, also
- 17:58providing a, a more convenient option for for those people that
- 18:01would simply prefer to not have to remember to take something on
- 18:06a on a very frequent basis. Yeah, it's super exciting what
- 18:10you guys are doing this. I know you've, you've got to
- 18:13where you are now, but like, do you feel like this is a point
- 18:16where you've got the most traction during your, your
- 18:18growth? I, I think, I think that yes, I,
- 18:21I think that each step along the way we've.
- 18:23Overcome obstacles and each each time we've done that the path.
- 18:29Forward has been clearer. Than it had been before and and
- 18:33now is no different from before, right So.
- 18:37We. Yeah, I think that.
- 18:38The the momentum, I think the the.
- 18:41Cadence of these. Announcements since our first
- 18:44clinical study completed just in August to now has been has been
- 18:50frequent and the the. Pace of our progress has has,
- 18:56you know, felt like it's really accelerating.
- 18:58We're we're now really. In some cases, this, this next,
- 19:03this phase one study, we're going to do a semaglutide.
- 19:05Well, we've done a phase one study.
- 19:06With xenotide, so we're not doing it for.
- 19:09The first time anymore, but the manufacturing, which is a big
- 19:12part of what we're doing. A lot of our internal work is
- 19:17really on manufacturing process development because it's a, it's
- 19:22a new material, you know, no one's made this at scale in a
- 19:25way that conforms to GMP before, you know, so we've had to, to
- 19:28pioneer that and, and, but, but we've done that already, right.
- 19:32So, so there's more to do. There's, there's, there's
- 19:35certainly improvements to make as we proceed, but it, it
- 19:39definitely feels a little bit different than it has before.
- 19:44And you know, I think as we get into 2026, we get through these
- 19:48clinical studies, it'll hopefully just continue to be
- 19:51more and more of that. It's awesome.
- 19:53And we talked about this a little bit the last time we
- 19:56spoke, but how tough financing in this market is and we just
- 20:00talk about like from way and growth strategy and how it works
- 20:05in this environment. Yeah.
- 20:06So it it's it's. Been a difficult overall.
- 20:10You know, funding. Environment and biotech
- 20:11certainly in early stage, you know, pre revenue companies such
- 20:14as ourselves, if you look at kind of a macro level from 2021,
- 20:20you know. All the way to, to now, you
- 20:23know, certainly when interest rates started to to increase,
- 20:27when we had zero interest rates, there was this big boom and then
- 20:30when interest rates started to increase, you know.
- 20:34Definitely across the sector. It's been, it's been very
- 20:36challenging. We, we've been fortunate.
- 20:41You know, the, the merger that we went through, I think it was
- 20:45about 3 years ago now, you know? Had some capital associated.
- 20:50With it, which enabled us to sustain our development for a
- 20:52period. Of time we were able to do a a
- 20:5515. $1,000,000 Round with. An external investor a year, a
- 20:59year and a half ago and then we. Have been able to organize with
- 21:03some, some insiders that are very committed, you know the
- 21:06financing that we need to to proceed.
- 21:09So we've been able to weather the storm.
- 21:10That a lot of our peers have have suffered from, and I know
- 21:15many. Very worthy companies that.
- 21:16Haven't been able. To make it, you know, and not
- 21:19because their technology or products aren't worthy, it's
- 21:22just been challenging. To access the capital, you know
- 21:26I the the the hope. Right now, of course, this is
- 21:29what people have talked about. Over the last couple.
- 21:30Of years and has. Not yet come to pass, so we'll
- 21:32see if it comes to pass this time.
- 21:34The hope right now is that, you know, interest rates are
- 21:37starting to come down. There's a very, very gigantic
- 21:40wall of cash that's sitting on the sidelines.
- 21:42It has been earning, you know, attractive interest in a, you
- 21:46know, as safe a a manner as is possible.
- 21:49And as that calculus shifts, then the that that cash will be
- 21:52looking. For a new home.
- 21:53And you know, hopefully. You know companies in our.
- 21:57Kind of peer group will be the beneficiary of that, at least to
- 21:59some extent. At a macro level, I think that
- 22:02for us, because we've been in one of the sectors that has
- 22:07still received attention, you know, the the GOP 1 space, it's
- 22:13helped US, you know, convinced as an example, even our inside
- 22:16investors to, to continue supporting, you know, but you
- 22:21know, a lot of the oxygen has been sucked up with AI and
- 22:24crypto. And so that's something that we
- 22:27have to deal with. Do some of the investment banks
- 22:29that we deal with that traditionally serve companies
- 22:32like ourselves have have done a lot of deals in the crypto space
- 22:36because you know, you know, public companies that have
- 22:40otherwise not performed as well as they hoped to become
- 22:43opportunities to have these crypto treasury strategies.
- 22:46And it's totally outside of the biotech landscape.
- 22:48But these companies have done really well and the markets have
- 22:50reacted really well to that. And so a lot of the oxygen has
- 22:55been consumed there. Again, I think specialist
- 22:58investors who are are, are, are going to be focused in biotech.
- 23:04It's the generalists that we need to come back in order to
- 23:07really buoy the sector and, and help help all boats.
- 23:12So it's been tough. We've been able to weather the
- 23:14storm. I, I think we have a good chance
- 23:17of being able to continue to weather that storm.
- 23:19And hopefully as things improve in the kind of macro environment
- 23:23to support companies with our characteristics, it'll only be
- 23:26helpful in the year to come. But, you know, I, I, I, I don't
- 23:30pretend to be able to predict, you know what that's going to
- 23:34look like. You know, everyone that's made
- 23:37that prediction over the last couple of years has been wrong
- 23:39thus far. So hopefully one day they'll
- 23:41turn out to be right and and we'll be in a better place.
- 23:44Yeah, maybe that's. I think you, you raised some
- 23:46interesting points there, You know, like investors have been
- 23:49conservative and therefore the money's been sought getting
- 23:52interest. And yeah, it only takes one or
- 23:56two to then you know the IT all to fall and you don't know
- 24:01what's going to what's going to 'cause that like you see
- 24:05companies like LB Pharma coming out and doing an IPO after, was
- 24:09it 7-8 months of no one doing 1? Maybe Matt White will follow by
- 24:14some release that maybe they have.
- 24:17But yeah, you see the IPO market open, there's some positivity
- 24:22there. And therefore then private
- 24:23fundraising goes up. And yeah, there's some
- 24:26interesting points there for sure.
- 24:30Just generally like you, you guys have got to a really good
- 24:33place and you continuing to to look to the future and and do
- 24:37really well. What What advice do you give to
- 24:40founders and leaders trying to build through through these
- 24:43tough considered conditions? It's a great question.
- 24:48I think that there is an instinct for certainly a first
- 24:52time founder to think about development from the perspective
- 24:57of how can I most efficiently realize the potential value of
- 25:02what we're working on. And if the resources were
- 25:06infinitely available, then that would be the way to go, right?
- 25:10If you could have a billion dollars today, then you could
- 25:14efficiently get to your result. And in many cases like that's
- 25:19what the venture capital like a model looks like, right?
- 25:22If you just throw resources at it and you, you go quickly and
- 25:25if you fail, well then you're not in a good situation often
- 25:29based on the terms of these deals, but you have the
- 25:33opportunity to kind of realize the value quickly.
- 25:35But in, in tough times, what I would encourage people to think,
- 25:39think about is to try to be a little bit more patient and to
- 25:43realize that that surviving, you know, maybe more critical than,
- 25:49you know, having the chance at getting rich really fast, you
- 25:53know, and, and well, what that I think inevitably, inevitably
- 25:58means is that you're going to, you might develop less
- 26:00efficiently than you would have liked to develop.
- 26:04But sometimes if, if the resources aren't there or you or
- 26:08you think that's a gamble that's not worth taking because it does
- 26:11come along with a lot of baggage if you if you go that route
- 26:14then. You, you, you.
- 26:16You think about getting to the next milestone and and and even
- 26:19if it. Takes you longer than you'd
- 26:21like. And that enabling you to get to
- 26:25the milestone after that. And continually de risking, you
- 26:27know, at the. End you might end up spending
- 26:29more money and taking. More time than you would have.
- 26:31If you were able to do it all at once upfront.
- 26:33But that's just not realistic or feasible.
- 26:37So to think about, OK, how do I think about survival and, and
- 26:43organizing the development plan, focusing on the areas that are
- 26:46actually really most important right now.
- 26:48And maybe only and then getting the team to recognize that
- 26:52although we might not be advancing as rapidly as we would
- 26:56have liked that this is maybe optimizing our long term success
- 27:02equation. And I think that's the mindset
- 27:06that you know, you know, it would make sense for founders to
- 27:09think about in the context of a resource constrained
- 27:13environment, I think. That's a really good point.
- 27:15I mean, I know it's very different from what I do to you
- 27:18do, but we we always talk about if we can thrive in this
- 27:22environment, then imagine what we're going to do in when the
- 27:25market does turn. And if you guys it's it's if we
- 27:28can survive through this, then we can survive through anything.
- 27:31Yeah. And I, I remember it's quite
- 27:33ironic now, but people all the way through 20 through end of 23
- 27:37to 24, people used to say to me like it's just survive till 25
- 27:42and then we'll. We'll be there and.
- 27:44Obviously now it's September of 25 and it's it's still
- 27:47surviving, but the premise is still the same, right?
- 27:51Like you, you, you survive through this.
- 27:53You survive anything. And then you can even thrive
- 27:55When, when, when the market does turn.
- 27:58So I think that's really good advice.
- 27:59Yeah. And then I just want to finish
- 28:01on our final question as well, which is the same that we ask in
- 28:04every podcast. If you could have dinner with
- 28:06any scientist or innovator, past or present, who would it be and
- 28:10why? Well.
- 28:11I'm going to try to quickly. Give you 2 answers.
- 28:13Because. Because one would be I mentioned
- 28:16earlier in this conversation. The name Al Man, who was a
- 28:20legendary medical device entrepreneur and I did have the
- 28:24honor to get to know him when I was very young.
- 28:27He passed away many, many years ago and before I had the
- 28:31experiences that I have had since.
- 28:34So I, I would, I would love to have, have the opportunity to,
- 28:39to have dinner with him today so that I could discuss everything
- 28:44I've learned since and obtain any advice that he has.
- 28:48He, he was, so I think I mentioned the word prolific, but
- 28:54he, but he had this combination of, of an innovative creative
- 28:57mind and the ability to organize and execute on a plan and get
- 29:01other members of the team to be able to align to that vision and
- 29:06cooperate towards its execution and realization.
- 29:10And it's that sort of combination that I, I see in
- 29:14innovators generally that I admire and that I aspire to, to,
- 29:18to, to, to be like myself. And then the other part of the
- 29:21other answer to that question, because I, I did, I never had
- 29:24the opportunity to meet Steve Jobs, But, but he's someone that
- 29:29I have read about and, and, and you know, you know, not
- 29:34necessarily admire all the personal, personal
- 29:36characteristics. But again, it's a similar
- 29:39ability to be creative and innovative and be able to
- 29:43articulate that vision in a way that gets other people to want
- 29:46to come on board and carry out a vision.
- 29:49And to, and I think in, in both cases, in AL's case and in in
- 29:53Steve Jobs's case, and I think Apple once had the look, the
- 29:57slogan think different. It really was not following the.
- 30:01Crowd it was having ideas that were different.
- 30:05Than what the world had. Embraced at the time and it's
- 30:11the combination with having that idea, having the conviction to
- 30:15see it through and then ultimately being proven correct.
- 30:18Lots of people have the conviction around ideas that.
- 30:21Turn out not to be. Correct as far as when they get
- 30:23tested in the market, but but that combination is, is, is so?
- 30:28Powerful and is it is just. Challenging to do, particularly
- 30:34when you're in in both their cases and in my.
- 30:36Case we we can't really find out whether.
- 30:40The user and the customer is going to.
- 30:43Is going to adopt it until you've already spent a lot of
- 30:46time and money developing the product.
- 30:48You know, we can't release a prototype app and see if we're
- 30:52getting traction before we can raise the funding to, you know,
- 30:55make a mature product out of it. You have to just, you have to
- 30:59get, you have to be in the mind of the customer and convince
- 31:03investors to support your vision and then ultimately be proven
- 31:08correct that you your. Vision was right, even though it
- 31:11was different from what most other people were were working
- 31:14on. And I guess.
- 31:15How they were able to. Do that successfully or why they
- 31:19think they were able to do that successfully, that those are the
- 31:21questions that I, I would ask him if there's anything I could
- 31:24learn that could help. Me, you know, ultimately.
- 31:27Be successful with that too. That's what I'd be seeking to
- 31:30get. Yeah, yeah.
- 31:31Love those answers. Yeah, amazing.
- 31:34Thank you so much for coming on, Adam.
- 31:35It's been an absolute pleasure. Thank you, Max.
- 31:37Thank you for having me. Please everyone like and
- 31:39subscribe to the Bio Hub. It's been brought to you by
- 31:42Avetix. And thank you so much again,
- 31:44Adam. Thank you.
- 31:45Take care.