Building a Bicycle: Obvious Ventures’ Nan Li on Investing and Platform Biology
49m 17s
The podcast episode delves into how AI is revolutionizing healthcare and drug discovery, focusing on the case of Humira's discovery through phage display technology. Nan Lee's expertise in investing in computational biology and AI-driven platforms sheds light on accelerating drug discovery processes. The discussion contrasts target-based discovery and phenotype screening approaches, highlighting phage display's significance in finding drug candidates. The emergence of platform bio companies signifies a shift towards industrializing the discovery process in biotechnology, aiming for more systematic and efficient drug development. The conversation underscores the synergy between tech and life science investments, shaping a new era of interdisciplinary approaches in healthcare innovation.
Transcription
8210 Words, 47731 Characters
This is the AI Health podcast, where we explore the ways in which AI will transform healthcare,
biotech, and medicine through conversations with entrepreneurs, investors, and scientists.
Hey, I'm your co-host, Pranav Rajpurkar. And I'm Adriel Seporta.
And you're listening to the AI Health podcast. Today, we'll be interviewing Nan Lee.
Nan is a managing director at Obvious Ventures, where he leads investments in computational
biology, AI-driven platforms, and intelligent robotics. Specifically in the computational
biology space, he's led investments in companies like Recursion and LabGenius.
All these companies are building platforms that aim to use biological data in more
sophisticated ways in order to accelerate new discovery. And the use case that we're really
going to focus on today is the discovery of new drugs.
I thought before we begin our conversation talking about how these tech platforms could
help accelerate drug discovery, we could talk about how drug discovery has traditionally
happened. And maybe we can focus on a specific drug and walk through the science behind it a
little bit. That's a great thought. And so in honor of the Super Bowl, and in being the only
country alongside New Zealand, in which drug makers are allowed to advertise prescription
drugs directly to consumers, why don't we hone in on the story of a drug that maybe our listeners
have seen commercials for, which is Humira. Let's do it. What is Humira? It's an injection
under the skin. And originally, it was designed to treat rheumatoid arthritis. It's now been
approved to treat a number of different conditions due to inflammation, including Crohn's disease
and ulcerative colitis. Cool. And how big is the drug? Humira is the best-selling drug in the world.
It brought in $20.7 billion in sales in 2021 alone. Wow. No wonder all the ads. So how was
it discovered? So the story starts in 1984-85 when tuber necrosis factor alpha, or TNF alpha,
was identified as a key protein that leads to inflammation. And with that discovery,
it became clear that inhibiting this protein's action could prevent inflammation.
So would TNF alpha then be considered the therapeutic target? Exactly. A drug target
is a molecule in the body that is associated with a particular disease process. The drug aims to
change the behavior of this target, which is usually a protein. And then in this case, it's
trying to inhibit this protein, TNF alpha, by binding to it. Okay. So we now have the target. Great.
But now we need some kind of experimental setup in which we can identify molecules that
bind to this TNF alpha. Exactly. So we have a few questions here. One, how do we find these
candidate molecules, which in our case will also be proteins? And two, once we found these
candidate proteins, how can we create a drug with it? To achieve one, the solution in this case is
screening. So researchers will screen through millions or even billions of proteins to find
good candidates. And in our case for two, the key is to have the gene that encodes for this protein.
Once we have that, we can use it to produce and isolate these proteins and then
make medicines out of them. Okay. So in the case of Humira, what was the specific process that
allowed researchers to do this? So in the case of Humira, the key discovery was phage display in
1985. This is a method that allows researchers to find proteins that bind to this target in a
really efficient way and then link it with this associated genotype. Okay. So let's try to understand
how phage display works by maybe starting with what a phage is. Phage is short for bacteriophage.
It's a virus that infects bacteria. In phage display, the phage expresses some gene as a protein on
its coat. So basically, we're making the phage do the work of showing us what proteins different
genes make. And once we have that protein displayed on the outside of the phage, we can see how it
behaves. Got it. So now we have a lot of phages that are displaying different proteins. Now what do
we do? So first, you take your target protein. And again, in our case, that's TNF alpha. And then we
put it in a microplate. So basically a plate with a lot of wells. Then you get these phages to display
different proteins, which could be in the millions or billions. Put the phages in the microplate and
wait for the phages to bind to TNF alpha. And any that don't will be washed away.
So I think I get the basic idea. You create a bunch of viruses that display millions if not
billions of different proteins. And after this microplate process, you're left with proteins
that bind to the TNF alpha and could be potential drug candidates. And through the phages, we also
have the genes for these proteins so we can produce more of them. Exactly. And this is how
Humira was discovered. In 2002, it received FDA clearance to treat moderate to severe rheumatoid
arthritis. And then since then, it's received clearance for a number of other diseases as well.
Cool. And so how common is this phage display approach for other drugs?
So this process has created eight of the currently top 20 pharmaceutical products
worldwide by sales. So it's huge. And definitely it's an important technology for understanding
modern drugs. What other methods for developing drugs are out there? So this is an example of
target-based discovery. We have a specific target that we've identified and then we want to find
candidates that affect that target. The other main approach is phenotype screening. So in
phenotype screening, you don't need to have a specific biological mechanism that you're targeting.
Instead, you can just look directly at the cells to see if they're responding well to the candidate
drug or not. And what are the pros and cons of either approach? Well, one of the main drawbacks
of target-based screening is that disease and the human body are pretty complex. So even though
a protein can inhibit a target in phage display, for example, there are a lot of factors that can
prevent it from behaving as helpfully in the human body. And you need to have hypothesized a target
in the first place, which certainly isn't easy. And so the main advantage of phenotypic screening
is that you just don't need to start with a specific hypothesis about disease mechanism.
But this also has its challenges. So you often have to work backwards to figure out how certain
candidates are working. And is one newer than the other here? Phenotypic screening was the norm
before some of these technologies like phage display really tipped a lot of R&D agendas towards
target-based screening the last few decades. But there's definitely a lot of excitement now for
future avenues for phenotypic screening. New biological technologies as well as data sources,
tech infrastructure, and machine learning methods have really ramped up the scale and
sophistication of phenotypic screening. And these approaches can be used to find new targets too.
So there's definitely synergy rather than a clear cut distinction. These are the types of companies
that Non specializes in. So I think it's a great segue to turn the questions over to him.
Non, thank you so much for being on the show. We really appreciate your joining us.
Of course. This is many months in the making, so we're really glad we found the time.
So I want to start very high level and talk about tech and life science investing in general.
Because you do both, but often investors will sort of focus on one area or the other. And so
maybe you can talk a little bit about how they're different, how they're similar,
how you think about investing in the space jointly.
Yeah, the intersection between those two worlds is an emerging category. It's one that started
as, I think, not so much of an overlap. And increasingly, there's this really great greenfield
space that's being carved out at the intersection of tech and bio or life science. There are
predecessors on both sides. So there's a really mature and thriving life science industry of
founders and investors and pharma companies and incumbents. And then on the tech side,
there's also a really healthy ecosystem of sources of tech IP and software and processor
business models, and also a pretty healthy investment landscape. That's where I come from.
So just a quick personal note, dual background in computer science and math for me. And I've been
a tech investor for over a decade at this point, primarily focused on frontier tech.
And how I came across this new intersection is really from the tech side. Back in 2012,
I was looking into the exploding field of genomics and bioinformatics with the success
of Illumina. It was very clear cut, at least on the genomic side, that we were about to be
drowning in cheaper and higher throughput genomic information. And this might be
an interesting treasure trove to apply data science principles. So that's where I got started
of just investigating genomics and investigating the increasing trail of bioinformatics information
that would be out there and what researcher scientists would do with it. I think that was
directionally correct and maybe the founding intersection between these two fields. But
fast forward eight, nine years, the intersection is much greater. It's much bigger than genomics alone.
To put it simply, there's a combination of the biospace and the tech space where a lot of the
modern toolkits to investigate biology and assay biology, sort of run experiments, are getting
more robust, higher throughput, cheaper, the sort of following the footsteps of genomics,
generating higher resolution and multifactorial data sets from biology. And then that pairs really
well to tools that are coming out of the tech sector that interrogate data and make sense of
data. Can you talk a little bit more about going from experimentation to data generation? Are there
parallels in typical technology companies that have a similar type of business model or a similar
focus? I think an analogy that you could make is really the way that internet services companies
are run when they are first stood up, which is there is an exercise around data instrumentation,
which is if you're building a consumer app, you have to think about the user journey and
getting into product management mode. You think about what are the interesting data points that
I would want to collect that would tell me about how these users behave and what they want. And
there is a real academic science around how to retool internet companies so that they give off
a stream of information from all of the users engaging with any platform. You talk to anyone
that works at Google or Twitter or Facebook, and they're very familiar with that discipline.
The analogy holds when you look at biology, which is to say when we're interrogating biological
systems, we have to do that design thinking from the early days to think about how do we instrument
biology? What experiments would we want to run? Not only that, but when you lock into the type of
experiments or the lens through which you want to interrogate biology, you then want to start
thinking about, well, what kind of data does that generate? What are the characteristics of that data?
What is the throughput? What are the interrogation cycles? So experimentation cycles? What are the
costs? Thinking about biological experimentation from that lens of what's the data trail that it
creates is a new discipline. It's a different way of thinking about how to run an asset, for example.
But if you have that intention and architecture from day one, the way that a lot of these modern
hybrid tech bio, platform bio companies do, then of course, when you have that in mind,
they tend to run their experiments in a totally different way than a traditional
life science company that doesn't have that broader macro goal or view in mind when they
start to run their experiments. Am I right that you focus a lot on platform bio in general and
your investments? Definitely. Okay, for platform bio, who are the users for the most part? Do you
categorize them in your mind as their researchers, their big pharma? I think the constituents in
platform bio or this next wave of biotech companies are very similar. Some things stay the same and
there's quite a bit of innovation that we can dive into. But the things that stay the same are the
goals, which is to advance medicines and get treatment to patients. And then related to those
goals, the constituents that are around the table in terms of scientists, researchers,
large pharma partners that could be useful in bringing assets forward in development,
clinical partnerships to run clinical trials, regulators. So the ecosystem of players that
are involved are very similar. I think what's different is the way that these companies build,
which is that implicit in platform bio is an intentionality of what that platform is and
architecting the platform. And I think that's altogether a very different way of building
a company versus a traditional single asset life science where it's really around commercializing
a biological discovery that happened to have occurred. So a lot of traditional life science
is really around corralling around these chance events that happen in academic labs
or even in research labs of pharma companies where once in a while a really interesting biological
discovery occurs or a really interesting molecular discovery on the asset side occurs.
And then there's this race of how do we commercialize this? How do we surround this with the right
team to go do something with it? Traditional biological discovery is a series of chance
lightning in a bottle moments of the Eureka of science is hard to predict. And I think the way
that the industry is set up and the way that companies are built mirror that when you shift
into a lot of the modern tools that are available and what platform bio companies do is they're
trying to industrialize discovery. They're trying to build these platforms that are architected from
day one to increase their chance of discovery. They're building the engine first before they get
to the discovery with the goal and association that that engine will yield many discoveries,
ideally over a pretty broad swath of biology. And that looks a lot more like the tech platform
playbook where there's a J curve. There is an initial phase of platform architecture, engineering,
and investment. And then the fruits of that labor are back loaded and extracted for a really long
time. That looks like the story of Airbnb or Pinterest or Twitter, right? No, that's great
that you brought up like Airbnb and Twitter because I was thinking to myself, okay, is this
basically SaaS? But no, you're actually really thinking of true platform players in the tech
space or like Airbnb and Twitter. Exactly. Yeah, you see the seismic shift where there's still a
really healthy ecosystem of chance discovery and biology that's going on and we can expect that to
continue and even become more productive with a lot of these tools. But the new opportunity here is for
an interdisciplinary team to piece together the right elements of the in-house biological
wet lab side and then the in-house data science and compute side and build these highly focused
discovery machines that are interrogating biology, building patterns out of really complex
data sets that they are generating. And hopefully that translates into more discovery at a more
even cadence than what the industry typically sees. We've been talking about platform bio,
abuse-to-term assets to our listeners who may not be familiar with these terms. It'd be useful for
us to dive into maybe one of the platform bio companies that you've invested in, sort of how
you think about what the platform is and what the assets they have are. Sure. I've been really
fortunate to be part of this ecosystem from the really early days back in 2012. And I work with a
bunch of companies that take this philosophy and approach into different therapeutic areas and
different drug types. So everything from small molecule to gene therapy to antibody therapy,
there's a whole ecosystem of companies being built up and I am a part of quite a few of them.
I was fortunate to be an early investor in Recursion Pharma, now traded publicly as RxRx.
I was involved in that company and on the board from Series A onwards to the IPO. And that's a
really interesting platform bio story. You know, a company was founded in 2015 with the high level
viewpoint that accelerating cell phenotyping with computer vision would yield step function
results. So what they do is combine two fairly well-established ideas into a new company and the
intersection is altogether a different product, so to speak. So investigating cells in terms of what
they look like is a really widely accepted practice in pharma. It's called phenotyping. So the idea
here is that a cell is like a tiny person. They have the same genetics that the rest of the organism
has and they go through their own life and metabolism. They live and they have biological
function, they eat things, they divide. So they're sort of tiny versions of you and you're made up
of billions of these cells. So the idea here is that cells, when you look at them under a microscope,
they can look healthy or they can look sick, just like you can look sick when you have the flu and
then when you get better, your aura changes and your friends will say, oh, you look like you're
getting better. The same thing happens to a cell. You know, sick cells look sick and healthy cells do
not look sick. So this general idea is to investigate cells that are sick and see if they're changing
through the introduction of different drugs. And this is called phenotyping and it's widely
established in the industry. What recursion brings to the table is phenotyping happens in the industry
with actual scientists looking through a microscope and annotating tags around what the cell looks
like, describing its level of sickness, measuring things and sort of subjectively just coming up
with what they think about the cell. And they're swapping that out, that manual process out with
deep learning driven computer vision. And that's a concept borrowed from peer industries like
autonomous vehicles and robotics. And computer vision driven phenotyping is much faster
than a person looking through a microscope annotating one cell at a time. So we're talking
multiple orders of magnitude faster, maybe a thousand X or 10,000 X more productive.
But much more important than throughput is that the resolution of the annotation and how
accurate and descriptive the annotations are. When you look through things from the lens of
deep learning, aka math versus having a person try to describe what a healthy cell looks like
and what features there are, it's incomparable. Computer vision is way more accurate and nuanced
in describing an image than a person would be. And this applies to landscapes, it applies to cats,
it applies to cells. So what recursion does is they built a platform for auto annotation of
hundreds of thousands and millions of cell models that have been exposed to different
combinations of diseases and potential solutions, different drugs, to have the computer vision
system annotate levels of disease rescue. So there's sort of a disease score and then a disease
rescue score. And that serves as the foundation for discovering drug disease hits that may not
be apparent through the study of disease or through the knowledge of that particular molecule.
But the proof is in the pudding. They can see the evidence through the cell and the cells behavior.
And at this point, recursion is a publicly traded company. They went public last year
and they have four clinical programs that are all assets they discovered this way through computer
vision. And those are now being dosed in patients in live clinical trials. The most advanced one
is in phase two. So that's an example of a platform, which is the productization of this idea.
And then the assets that the platform can generate and the asset pipeline of recursion is well over
50 at this point. So they found 50 drugs that rescue diseases based on the platform's output.
And they are meticulously pushing those drugs through preclinical and human clinical trials
to get them to market to get them to patients. So generally, when I think about platform companies
outside of the bio space, I think of companies that benefit from having some sort of a
first mover advantage. So, you know, because they were sort of first to market, they can get
enough adoption and they can sort of take off from there. Is there a similar situation here
with recursion though? Is there that same inflection point that you would look for and say like an
Uber or I don't know an Airbnb? Yeah, I think that essentially here you're replacing network effects
in terms of that sort of sustained competitive advantage or a head start. You're essentially
taking out network effects because there's not really a marketplace dynamic going on in these
platforms on the bio side, but then you're swapping in data network effects or data modes. So what
happens with these platforms is that once you anchor on experimental data that you deem to be
important and predictive of treatment development and biological discovery, there is essentially
an underlying hypothesis in any of these biological platform companies, right? They believe that some
type of experiment is important or they have to generate that data, their data sets in a certain
way, that becomes the foundation for their platform. And then as they run the platform,
they build this running head start in terms of amassing that data in the right way. And in
biological data and this intersection of biology and technology or compute,
you know, intentionality of data generation is really important. So this is probably a truism
across all of machine learning, but more data is not better, especially biological data because it's
complex and sometimes not interoperable. Just measuring data by gigabytes or petabytes is not
the right measurement. So I think a lot of these platform bio companies start with a novel contrarian
hypothesis of what data is important, what experiments they should stand up to generate
this data. If they make investments in lab automation and throughput, they're doing it with
a particular intention in mind. So when they run that platform for a year, two years, three years,
recursion's case, eight years, running at eight years now, that's a huge head start. It's not even
a head start measured by number of patients sampled or gigabytes of information or, you know,
a genomic archive, but it's even more nuanced and tailored than that, which is, you know,
recursion believes that images from cells should be stained a certain way, collected a certain way.
They've run these experiments at high scale. It's a tremendous advantage that they have over
either an upstart, trying to compete in their space, or even a pharma company that wants to throw
hundreds of millions of dollars in this direction. It's really an insurmountable lead that a platform
company has. And I want to ask just on that note, how do you quantify competitive advantage? Just,
you know, if you have to think about how much more of an advantage recursion has in 2022,
as opposed to in 2019, do you think of a particular sort of metric along which to assess that?
I think it would be number of compound screened and the number of diseases that are modeled.
So that's a simple way of looking at footprint. So what's the sort of industrial footprint that
recursion has that overlays in the pharma space? So, you know, how many drugs have they sampled
and collected data on, and how many different disease models have they built? So I think that
gives you a sense of their coverage area. You know, recursion started in rare disease,
and they have moved since then to inflammation, oncology. They have a fibrosis program that's
publicly shared with buyer. So there's an expansion of their biological mode. And then on the dataset
side, it's really around, you know, how many experiments have they run in this sort of intentional
way. And the focus and intentionality of the data generation is itself a huge head start.
I think that's something that doesn't get enough attention, which is that when there is
conversation around AI for drug discovery or platform bio, this new space, a lot of the
conversation tends to hone in on how do you deploy machine learning into biology. So it's all about
how to retrofit computer vision or data science or ML approaches or tactics onto the field of
biology. I think a lot of the companies that I work with that have been building these platforms
from scratch, they weigh equally the challenge of adopting biology to fit compute. So it's really
asking the other question, which is, if you are trying to generate experimental data as the end
all be all goal of running biological experiments, how would you design those experiments differently?
You know, what falls to lower priority and what becomes higher priority? If the goal isn't
to appease a single scientist that has a hypothesis to test out, but how do you industrialize
biology so that there's this ever growing data archive generated by experiments? How would those
experiments be run? And that allows companies to rethink everything from the design of the assay
itself or the systems design of building robotics or lab automation systems to try to get high
throughput. It's really effective when you start from scratch and design both sides. So it's not
just computational biology, but it's also, you know, new biology, new wet lab design for the sake
of compute. It's equally important. Is there anything different in the business model of
platform bio companies or it sort of sounds like recursion is just smarter pharma, like they're
doing what big pharma wishes they can do. Is that an oversimplification of it? I think that if you
look at companies like recursion, they do have multiple assets. They have a partnership model
live with two very large pharma companies. They have an internal pipeline. So they do look like a
full stack pharma company. Right. They're not a services company and they're not neither are they
trying to sell their asset through M&A. So they do look like a next gen pharma company and that's
definitely the ambition for Chris and the team. I think in terms of the business models, there are
so many business models that companies have now that are available to them in terms of building
on your own assets, co-developing it with an external sponsor that might have more resources,
signing up for upfront payment driven partnerships that are more R&D and research oriented. So there
are a lot of different models that are available, but the most important difference between business
models of new bio companies and call it legacy bio companies is really this multi asset point of view.
I think once you shift your mentality away from this idea that biological discovery is a chance
of that it cannot be predicted and it definitely cannot be repeated, then everything that you do,
your behavior is driven by that core belief. If you believe that biological discovery is hard,
you wouldn't try to have two of them. It's too hard to space out or to predict. So then you end
up with, once there's a discovery, you want to push it to clinic, get some clinical proof points
and sell that thing because that's your golden goose. There's not going to be a second one
and that explains a lot of the capitalization, company building, fundraising approach that
a lot of single asset companies have, which is to raise large rounds, give up a huge amount of
ownership in their companies. So typically companies are raising $30 million, giving up 50 to 70%
of the company to try to get the asset to phase two. That's the goal. And then hopefully you can
sell that to a pharma company because they would know what to do afterwards. The key difference
with platform companies is that they invest a tremendous amount of resources in building the
platform. And they don't come out with a particular asset in mind. Some companies I work with don't
even have a therapeutic area in mind yet. They're just building this platform. And there's a little
bit of a steeper J curve. And the belief here is that if you build this right, then many biological
discoveries will come afterwards. And there will be many monetization options for that long tail,
for that pipeline. The race is the same, right? The destination is the same. You want to advance
assets into clinic and then eventually into patients. That's unchanging. That's a goal for
anyone in the biotech field is to help patients. But I think the difference is that at the starting
line, a single asset company focused on development is just going to run towards developmental
milestones. So they get going and they're called it, you know, running in the race.
And that a platform biocompany is sitting at the starting line, building the platform and
engineering, call it a bicycle, a system for propulsion that takes some time to build.
So when you look at that at different snapshots, you have to have the right mindset to understand
these companies. Because if you look at it slightly after the starting gun, you'll be left
wondering why are platform biocompany sitting at the starting line? What are they doing with
all that capital and resources? What the hell is going on? And then it's not until they build the
platform and start running it towards different disease areas and start generating their biological
insights and outputs that you start to see this takeoff event. And that's exactly, I think,
what all biocompany are aspiring to is to have that type of machine that can propel them quickly
after it's built up. But the business model difference is that machine takes time and effort
and capital to build. So you have to have the right leaders and the right investors who think
about things the same way. Because if you're an inpatient investor, you might say, you got to get
going. Where's the asset? Where's the clinical milestones? Why are we not engaged with the CRO?
And I think with a lot of platform biocompany, they delay that further than a normal company would.
It's just a different way of building a company informed by slightly different
underlying primitives. That's the key is the baseline assumption of how biological discovery
works is different for these new companies. Have you seen any response by Big Pharma itself in
terms of investment into this next gen way of discovering these drugs either through building
out their own teams or investing in some of these startups? Yeah, this is a very timely topic
circa the beginning of 2022, because we're seeing an explosion of interest and activity
from the broader pharma industry that, as it always does, is sort of delayed from the activity
from the startup ecosystem. So if you look at companies like a Recursion or a Ginkgo or an
Accentia, these companies have been around for a few years, putting these models into practice and
building out these platforms. But I think recently, there are plenty of pharma companies that are
investing efforts into building up in-house data science teams and machine learning teams.
If you just look around the executive roster, a lot of pharma companies are adding ahead of
machine learning or ahead of data science. A lot of those roles are less than three,
four years old overall, but you're starting to see these new sort of hybrid CIO roles
coming into the fold. So there's in-house activity to go and get up to speed on this discipline and
start baking that into the internal R&D process. So that's happening on the pharma side. And then
recently, what's been happening only as of the last few years, really, is a healthy amount of
upfront partnership that looks very different than traditional pharma partnerships. Pharma
typically acquires assets. When they do engage with startups, it's about buying molecular IP
from startups so that they can bring drugs in-house and develop them downstream.
With these new platform companies that are building out in different areas, pharma is starting
to engage with these companies in R&D partnerships, where they say, if I could have a say in your R&D
direction, if you could do some work in an area that I'm interested in, I'm willing to give you a
bunch of money up front to help fund the expansion of your platform. And I'm willing to give you
really interesting downstream milestones and even co-share royalties on programs that we
mutually build. So I think you're going to start to see more of these partnerships that
offload discovery to platform companies upfront and then pharma companies get to hone in on where
they're best, which is the running of clinical trials and downstream development and all the way
to sales and marketing and the entire commercialization engine that it takes to actually get a drug
to your pharmacy. That's something that biotechs can't touch. Pharma companies are so far ahead
in their ability to go do that. So there's a really nice symbiosis. And you start seeing that
Incetro has a deal, Recursion has two deals, one with buyer in fibrosis and one with Genentech Roche.
Accentia just announced a deal last week with Sanofi. It goes on and on. So I feel like the
really interesting inflection point right now is this idea of the bicycle of biological discovery
was laughed at five years ago. There was almost no industry engagement from anyone that knew what
they were talking about. Plenty of engagement from naive and wide-eyed VCs. But now you're starting
to see almost a deal a week. There are so many interesting partnerships being forged. So I'm
definitely seeing a lot more pharma buy-in and a lot more industry transition following in the path
of these trailblazing pioneering companies. And it's very rewarding and very cool to see that
play out. And just sort of looking into the future, do you imagine the way this will play out as you
have all these different biotech companies coming with their own platforms that strike up exclusive
deals with these pharmas? Or do you think there is a world in which they're able to say we're doing
this disease area with this pharma company, this disease area with this pharma company in order
to diversify their risk there? Yeah, that's what you typically see is that the carbots are disease
specific. When you look across the top pharma companies, they do all cover most of the disease
areas, but they all have a slightly different order of operations in terms of where they think that
they're the least covered and where they want external help. So I think so far, if you see all
the terms of all the deals, they're typically centered around certain indications or even
subindications. And it's also for a limited amount of time in a limited number of assets. So it's
typically X economics for up to 10 assets in fibrosis over the next three years. And then
there is opportunity for the platform biotech to find a different deal after that time period
to re-up and double down with the same partner. So there's a lot of flexibility there. And I
think very few companies are open to signing multi-category exclusives. It's not good business
practice to do that. And I think the pharma side, they've been understanding of that. And I see
mostly indication focus partnerships, if not even more granular than that.
I want to go back to talking about sort of the long timeline for these new bio companies, because
you mentioned that it requires patients both on the side of the operators, but also on the
side of the investors. And I'm sort of curious, like, who has a stomach for this kind of investing?
Is it a different character than you would normally see in life science investing? And also,
how do you manage fund life cycles based on this? Because I imagine sort of the typical fund cycle
is usually shorter than maybe what, you know, you would see a success in.
Yeah, you know, I think that I think these companies are going to be around a really
long time. They're going to continue adding to their pipelines. I think this is just the beginning
for both this industry overall, but even the leading companies are just getting started. I
really feel that to your point, this will go on for a really long period of time. As an investor,
I think that, you know, we're typically investing on the venture side with 10, 12 year fund life
cycles where we're able to, you know, hold equities and nurture a company, even hold on after an IPO.
That's typically the timeframe. And in that window of time, it's about enough time to actually get
an asset through end to end. If you look at the timeline of drug development, you're typically
looking at 10 year end to end between the biological discovery and you see it on a Super Bowl ad.
That's typically the timeframe. It happens to align. But more importantly than that,
I think these companies inflect value and prove out their hypotheses much sooner.
You know, thank goodness. You know, we're not sitting in a black box for 10 years waiting
for the drug to come out, but really along the way, there are so many proof points, if you
know what to look for. And if you, you know, are a student of these disease areas, you know,
whether it's positive controls where there's a rediscovery of a commercial drug, which happens
all the time. And we like to use this proof, which is these discovery engines, if they can build
a capability of finding a drug that was discovered the gold fashion way, but through happenstance
and almost at a monthly cadence. Oh, interesting. That's a very powerful proof point and investors
anchor to that. There's a lot more industry engagement now than there was five years ago.
So I think partnership revenue, co-discovery deals, there's a lot of commercial progress that
can happen. And even if you look at recursion, this is a company that's been around for six years
and they have four clinical programs that are being pushed into patients and a backlog of
50 plus preclinical programs that are headed towards IND. That's a proof point within itself,
just in terms of the efficiency of that discovery. If you look at how much capital they've had to
run with and how many programs they've been able to produce, it's an early indication and sign that
this platform is more efficient. The sort of dollars to discovery ratio is way off compared
to standard, what you would see in the industry. So there are these clues along the way that
investors are anchoring to. And it's a way for us to, I think, validate or invalidate
different investment ideas over time. But it's also a way for early investors to exit companies
and later growth oriented investors to come in, you know, Accenture went public in the last year,
Recursion went public in the last year, Incetro raised a big crossover around, you know. So these
are all opportunities for investors with different timelines and internal horizons to
self-adjust and say, well, I'm on board for the long-term ride. So I'm going to buy in now and
other investors are selling. So there's a lot more liquidity there. And I think the ecosystem is
developing quite well where investors can get involved either very early stage and get rewarded
for that at the IPO or they can even be a fidelity management or a BlackRock and they buy in at the
IPO. And they're thinking about, boy, this platform is going to be amazing 10 years down the road.
And that's my mandate. So you see this lineage come together that spans well over 10 years. And
that's what these companies need is an ecosystem of investors at different stages that are all
vision aligned. And I think that's just starting to happen led by early stage investors buying into
this idea, you know, five, 10 years ago. But now there's plenty of companies that are spearheading
this in public markets and being held by mutual funds. And that's a good thing. I think it's a
good thing for the whole category. And it's a good thing for founders and new upstarts that are
encouraged to dive into the space and feel like they're not taking a tremendous amount of capital
risk. I want to ask about what are areas or technologies that you have strong conviction
will be important over the next decade? That's a meaty question. The first thing I'd say about that
is the amount of really interesting development coming out of platform bio is really exciting.
And it's sometimes reduced to look what AlphaFold is doing or look what DeepMind is doing on the
compute side or, you know, look at a certain type of sequencing. But it's actually a whole
family of technologies that happen to be maturing at the same time. So split between biology and
technology. So on the bio side, you know, shifting from genomics, which is one way to interrogate
biology into multiomics or looking at biology at different levels of abstraction, you know,
what's encoded in the genome, how much of that encoding is actually translated into RNA
that might turn into protein at the transcriptome level? How much of that actually gets made into
protein and and how is that protein interacting with proteomics and protein motion? There's a
company that just raised a mega around 500 million called ICON that looks at in vivo protein motion
in a cell, which is amazing. You can see proteins interacting with each other. So there's an ever
deepening toolkit on the biology side to look at biology through different lenses instead of
only honing in on genomics or only honing in on some sort of functional readout. There's a much
richer set of instruments to look at biology as a system and to look and revalidate ideas
at different layers in that system. That's very powerful and didn't exist 10 years ago.
And then on the compute side and the tech side, I think you have just the increasing maturity of
enterprise grade AI computer vision, these systems being more turnkey, less custom, easier for a new
lab or a new company to deploy. That's just happening overall. You have the improvement of
distributed compute and cloud infrastructure supporting that so that the incremental, you know,
comp cycle to investigate something is getting cheaper. That's just happening. That's a freebie.
That's just a tailwind overall on the internet. So biocomponies get to use that. And then you have
lab automation and robotics moving even more of the wet lab work away from manual scientist-driven
work that might be bottlenecked in throughput or quality. You're getting a lot more standardization
of data generation. We're at this perfect storm where there's a bunch of technology on the wet lab
side maturing in parallel, each of them going through Moore's law like exponential improvements
in capability and cost. And then the same thing happening on the compute side. So we just sit
at the intersection of those ever improving tools. And the magic is downstream of that.
I really like that decomposition into the developments in bio and the developments
in tech and the infrastructure movement that's supporting that. I want to ask you one final
question. And that is if you could share a story with us about a deep tech company that you believe
was particularly promising on day one or in its very early days. I'll touch on a rather new company
just because it's easy to talk about the companies that are older and have successes. But I think
this one gets to your previous question as well, which is, you know, what's an area that might be
growing in prominence over the next 10 years? I'm a big believer in the next phase of biology
being a return to structural biology. So if you think about the way that we look at biology and
disease, there's the sort of raw inputs, which is the biological state of a person before the
disease sets in. So that's, you know, genetic predisposition or all the multiomic work. So it's
kind of like the inputs into the biological system. What proteins are present? How are they
interacting? You can measure some of those things and try to correlate that to actually what happens.
And then there's the output, which is you can measure different disease biomarkers or different
expression of a disease, but that's after it already happened. The pieces in the middle, you'll
realize there are very few tools to actually see what's happening in biology. It's either what happened
before or post facto measuring what happens afterwards. That's mostly what people do. And I
think that there are a bunch of tools that are being built right now that actually give us a
lens to seeing biology happening live as if it were a movie and you could watch it on television.
And I think that's very, very special. And one technology and a company that I recently got
involved with is called Gandiva Therapeutics. It's up in Vancouver. And this company advances
a technology called cryo-electron microscopy. It's a mouthful cryo-EM for short.
That is a mouthful. Yeah, it took me many board meetings to get the pronunciation.
But cryo-EM is a way of deep freezing a biological sample while it's alive. So the sample is
suspended in solution and the activity is frozen mid-movie. And then you put it under an electron
microscope to blast it with electrons. And what you can rebuild from that is a single atom resolution
image of proteins binding to other proteins, a drug compound hitting a drug target. So these
are things that are happening in real time, suspended in solution. So that's really different than
crystallography or other types of imaging techniques. Cryo-EM won the Nobel Prize a few years back.
And this company is productizing it, making a more turnkey, becoming the Illumina of cryo.
And that's one of those things. When you look into it, I know that it will be successful.
I know that the ability to actually see what happens, forget about, I think that this drug
cures this disease or I think that this target expresses on the surface of a cell,
what about looking at it and seeing how the binding happens? And I think that capability
and that company is science fiction. It's just mind blowing. And I think the implications of that,
to be able to validate and ground truth the predictions of AlphaFold, to be able to add
to the toolbox of how we think about diseases and what they mean and what drugs are actually doing,
a lot of those questions are answered by structure and structural interaction.
And I think companies like Andiva or ICON, which I mentioned earlier, represent the
future of this space. And it's one that I'm very optimistic about. We're optimistic too.
We can't wait to follow it with you and follow your success over the years.
Non, thank you so much for being on the show. Thank you for having me.
Well, a big thank you to Non Lee for joining us today. And thank you for listening.
We're your host, Prana Van Adriel. And until next time, stay safe and stay healthy.
The AI Health podcast is produced and edited by Oishi Banerjee and Mark Robbins. Music by
Ethan Aichi. If you like what you just heard, let a friend know. Subscribe to the show and
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Podcast Summary
Key Points:
Nan Lee is a managing director at Obvious Ventures, specializing in investments in computational biology and AI-driven platforms.
The focus is on accelerating drug discovery using biological data, with an emphasis on the discovery of new drugs like Humira.
The discovery of Humira involved phage display technology to find proteins that bind to TNF alpha, a key protein causing inflammation.
Phage display has been instrumental in discovering eight of the top 20 pharmaceutical products worldwide by sales.
Different approaches to drug development include target-based discovery and phenotype screening, each with its pros and cons.
The emergence of platform bio companies aims to industrialize the discovery process in biotechnology.
Summary:
The podcast episode delves into how AI is revolutionizing healthcare and drug discovery, focusing on the case of Humira's discovery through phage display technology. Nan Lee's expertise in investing in computational biology and AI-driven platforms sheds light on accelerating drug discovery processes. The discussion contrasts target-based discovery and phenotype screening approaches, highlighting phage display's significance in finding drug candidates.
The emergence of platform bio companies signifies a shift towards industrializing the discovery process in biotechnology, aiming for more systematic and efficient drug development. The conversation underscores the synergy between tech and life science investments, shaping a new era of interdisciplinary approaches in healthcare innovation.
FAQs
Humira is an injection used to treat rheumatoid arthritis, Crohn's disease, ulcerative colitis, and other conditions caused by inflammation.
Humira was discovered by identifying TNF alpha as a key protein leading to inflammation and developing a method called phage display to find proteins that bind to TNF alpha.
Phage display is a method that uses viruses to display proteins that bind to specific targets. By screening phages with different proteins, researchers can identify potential drug candidates.
The main approaches are target-based discovery, where specific targets are identified and candidates affecting those targets are found, and phenotype screening, where drugs are tested directly on cells to see their response.
Platform bio companies focus on building discovery engines to increase chances of finding new treatments systematically, while traditional life science companies often rely on chance discoveries and commercializing them.
Recursion Pharma uses deep learning-driven computer vision to automate cell phenotyping, which is faster and more accurate than manual annotation by scientists. This technology helps in discovering potential drug candidates.
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