a16z Podcast: The Science and Business of Innovative Medicines
a16z Podcast14 Jan 2019

a16z Podcast: The Science and Business of Innovative Medicines

with Vas Narasimhan (@vasnarasimhan), Jorge Conde (@jorgecondebio), Vijay Pande (@vijaypande), and Sonal Chokshi (@smc90)

On average, only 1 out of 20 medicines works when we actually bring them into the human body, and these rates of success haven't moved much in the pharma industry overall in the past 15 years, despite much scientific progress. Because if you really think about it, it's incredible that we find any human medicine that works at all, given that human beings are the product of billions of years of evolution, and represent an incredibly complex system we do not fully understand. Yet the business of the pharma industry -- and Novartis in particular, which covers everything from generics to innovative medicines -- is not that different from other large enterprises when it comes to managing R&D and pipelines of ideas, talent, and sales.

So in this conversation, a16z bio general partners Jorge Conde and Vijay Pande with Sonal Chokshi interview Vas Narasimhan, CEO of Novartis. How does the world's largest producer of medicines in terms of volume -- 70. billion. doses. a. year. -- balance the science and the business of innovation? How does an enterprise at such vast scale make decisions about what to build vs. buy, especially given the fast pace of science today? How does it balance attitudes between "not invented here" and "not invented yet"?

Narasimhan also takes us through the latest trends in therapeutics, such as cell and gene therapies (like CAR-T for cancer and more); RNA-based modalities; and others -- a sweeping tour from small molecules to large molecules to proteins and other modalities for making medicines. But where does tech come into all this, and where are we, really, on science becoming engineering? Why do both big companies and bio startups now need to get market value signals (not just approvals!) from payers earlier in the process of making therapeutics? And beyond all that, how could clinical trials be reinvented? Finally, what should all scientific (and all technical) leaders know when it comes to leadership? All this and more in this episode of the a16z Podcast, recorded recently on the road while at the J.P.M. health conference in San Francisco.

image: Global Panorama/ Flickr

Avsnitt(913)

a16z Podcast: Making a (Really) Wild Geo-Engineering Idea Real

a16z Podcast: Making a (Really) Wild Geo-Engineering Idea Real

Here’s what we know: There’s a pair (father and son) of Russian scientists trying to resurrect (or rather, "rewild") an Ice Age (aka Pleistocene era) biome (grassland) complete with (gene edited, lab-grown) woolly mammoths (derived from elephants). In Arctic Siberia (though, not at the one station there that Amazon Prime delivers to!). Here's what we don't know: How many genes will it take? (with science doing the "sculpting" and nature doing the "polishing")? How many doctors will it take to make? (that is, grow these 200-pound babies in an artificial womb)? What happens if these animals break? (given how social elephants are)? And so on... In this episode of the a16z Podcast -- recorded as part of our podcast on the road in Washington, D.C. -- we (Sonal Chokshi and Hanne Tidnam) discuss all this and more with Ross Andersen, senior editor at The Atlantic who wrote "Welcome to Pleistocene Park", a story that seems so improbably wild yet is so improbably true. And while we focus on the particulars of what it takes to make this seemingly Jurassic Park-like story true, this episode is more generally about what motivates seemingly crazy ideas -- moving them from the lab to the field (quite literally in this case!) -- often with the help of a little marketing, a big vision, and some narrative. And: time. Sometimes, a really, really, really long time... image: National Park Service

18 Juli 201730min

a16z Podcast: Addiction vs Popularity in the Age of Virality

a16z Podcast: Addiction vs Popularity in the Age of Virality

In the age of virality, what does it actually mean to be popular? When does popularity -- or good product design, for that matter -- cross over from desire and engagement... to addiction? Journalist and editor Derek Thompson, author of Hit Makers: The Science of Popularity in an Age of Distraction -- and NYU professor Adam Alter, author of Irresistible: The Rise of Addictive Technology and the Business of Keeping Us Hooked -- share their thoughts on these topics with Hanne Tidnam in this episode of the a16z Podcast. The discussion covers everything from the relationship between novelty and familiarity (we like what we know we like! and want more of it!) to what makes a hit. And what's going on when we suddenly fall in love with something "new" and can't get enough of it -- like playing a new video game or binge-watching a TV show.

15 Juli 201726min

a16z Podcast: The Golden Era of Productivity, Retail, and Supply Chains

a16z Podcast: The Golden Era of Productivity, Retail, and Supply Chains

This episode of the a16z Podcast takes us on a quick tour through the themes of economics/historian/journalist Marc Levinson's books -- from An Extraordinary Time, on the end of the postwar boom and the return of the ordinary economy; to The Great A&P, on retail and the struggle for small business in America; all the way through to The Box, on how the shipping container made the world smaller and the world economy bigger. In this hallway-style conversation, Levinson and we (with Sonal Chokshi and Hanne Tidnam) touch on everything from productivity growth & GDP to the "death of retail" -- to finally connecting all the dots through logistics, transportation, infrastructure, and more. How are supply chains changing? How does all this, taken together, affect the way we work? And what can -- or can't -- policymakers do about it? Perhaps, Levinson argues, a lot of the improvement to our living standards really comes out of "microeconomic improvements at the private sector level rather than as a matter of great policy". But that's a bitter pill to swallow for those seeking solace in easy answers from governments, whether at a national or city level. Maybe it's just a matter of managing our expectations -- or resetting our clock for when the new normal begins... and ends.

11 Juli 201733min

a16z Podcast: The Cloud Atlas to Real Quantum Computing

a16z Podcast: The Cloud Atlas to Real Quantum Computing

A funny thing happened on the way to quantum computing: Unlike other major shifts in classic computing before it, it begins -- not ends -- with The Cloud. That's because quantum computers today are more like "physics experiments in a can" that most companies can't use yet -- unless you use software, not just as cloud infrastructure for accessing this computing power commercially but for also building the killer app on top of it. What will that killer app be? With quantum virtual machines and special languages for connecting and trading off classic and quantum computing, companies and developers may be able to help figure that out, not to mention get ahead of this next computing platform (before it surprises them). Ok, sounds great. Only the old rules don't all apply: You have to fundamentally rethink algorithms for quantum computing, just as with previous waves of high-performance computing before it -- from CPU to GPU to TPU and now to QPU. Because as chips evolve, so do algorithms, and vice versa, in an iterative way. But the chicken-egg question of which came first (the algorithm or the specialized hardware for running it?) doesn't matter as much because the answer itself involves herding chickens: "You're trying to get all of these independent processes to run and cooperate with each other to produce an answer and do so in a way that was faster" than the other way before it, observes Jeff Cordova, interim head of software engineering at quantum computing startup Rigetti Computing. "In hindsight, we really care about the statistical model, not watching the entire movie", shares general partner Vijay Pande, based on his own experiences in the world of high-performance computing. In this episode of the a16z Podcast (in conversation with Sonal Chokshi), Cordova and Pande talk all about the realities of engineering -- and using -- the next computing platform beyond scientific research and hardening it into practical, commercial, industrial-scale reality. Luckily, the cloud provides a map to get us there, today.

30 Juni 201725min

a16z Podcast: Companies, Networks, Crowds

a16z Podcast: Companies, Networks, Crowds

Is a network -- whether a crowd or blockchain-based entity -- going to replace the firm anytime soon? Not yet, argue Andrew McAfee and Erik Brynjolfsson in the new book Machine, Platform, Crowd. But that title is a bit misleading, because the real questions most companies and people wrestle with are more "machine vs. mind", "platform vs. product", and "crowd vs. core". They're really a set of dichotomies. Yet the most successful systems are rarely all one or all the other. So how then do companies make choices, tradeoffs in designing products between humans and machines, whether it's sales people vs. chatbots, or doctors vs. AIs? How can companies combine the fundamental building blocks of businesses -- such as network effects, platforms, crowds, and more -- in a way that lets them get ahead on the chessboard against the Red Queen? And then finally, at a macro level, how do we plan for the future without falling for the "fatal conceit" (which has now, arguably flipped from radical centralization to radical decentralization) ... and just run a ton of experiments to get there? We (Frank Chen and Sonal Chokshi) discuss all this and more with Brynjolfsson and McAfee, who also founded MIT's Initiative on the Global Economy -- and previously wrote the popular The Second Machine Age and Race Against the Machine. Maybe there's a better way to stay ahead without having to run faster and faster just to stay in place like Alice in a tech Wonderland.

29 Juni 201735min

a16z Podcast: Lobbying Tech

a16z Podcast: Lobbying Tech

What is lobbying, really? Is it “white", "heavy-set" men "playing golf" and making arrangements in "smoke-filled back rooms”? It's not like that anymore, according to two lobbyists who join this episode of the a16z Podcast to pull back the curtain on this practice… and share what’s changed: Heather Podesta, founder of Invariant (and a lawyer by training), and Michael Beckerman, President and CEO of the Internet Association (an industry trade association that also has lobbyists on staff). Given the tech industry’s increasing engagement with policy, how does lobbying play out for tech companies in particular? What are the challenges when going up against deeply entrenched incumbents, as all startups inevitably do? And finally, how has tech itself changed the act of lobbying? Thanks in part to the internet, we're now in a new era of transparency and public engagement, where "lobbying" has shifted more to more open citizen engagement vs. only inside closed rooms. We cover all this and more -- including practical tips for influencing government -- on this episode (in conversation with Hanne Tidnam), recorded as part of our annual D.C. podcast roadshow.

24 Juni 201722min

a16z Podcast: Cybersecurity in the Boardroom vs. the Situation Room

a16z Podcast: Cybersecurity in the Boardroom vs. the Situation Room

"We're always fighting the last war" -- that's a phrase historians like to use because policymakers and others tend to be so focused on the threats they already know, and our mindsets and organizational structures are oriented to respond that way as well. And in the "situation room" of nation states (including the intelligence briefing war rooms in the White House), much of the security conversation is necessarily focused on the worst possible scenarios, broader context, and attribution as well. Companies, however, unlike nation states, do not have to worry so much about attribution (who did this? why) or even as much about the sexy, headline-grabbing threats. In fact, they may be better off focusing on security hygiene and basic metrics for assessing risk in the boardroom -- much like they review financials regularly -- argue the guests in this hallway-style conversation episode of the a16z Podcast. Herb Lin, who is Senior Research Scholar for Cyber Policy and Security at the Center for International Security and Cooperation and is also at the Hoover Institution, both at Stanford University; David Damato, Chief Security Officer at Tanium; and a16z policy team partner Matt Spence (who among other things previously spent time at the White House working with the National Security Council) begin by sharing their views on the term "cybersecurity" ...and end up with practical advice for a security boardroom 101. No matter what, security should have a seat at the table.

18 Juni 201723min

a16z Podcast: Taking the ‘Cyber’ Out of Cybersecurity

a16z Podcast: Taking the ‘Cyber’ Out of Cybersecurity

Nearly every cybersecurity discussion/presentation follows this formula: We don’t know what we’re doing; the bad guys are getting smarter; our defenses are getting worse; everything's more connected than ever; we’re heading towards a digital . But even though security itself has obviously changed in many ways and not in others, we — as an industry — have actually gotten pretty good at doing our jobs, argues a16z general partner Martin Casado in this segment excerpted from a talk he gave at our recent Tech Policy Summit in Washington, D.C. That’s not to minimize the seriousness or cost of cyber attacks! It’s just that changing the conversation here will let us pay attention to the fact that “cybersecurity” these days is really… “security”. Because we shouldn’t isolate the “cyber”; we need to always think of digital assets, physical assets, and human assets together. Especially as cyber — or rather, just security — has become more physical than ever (and not in the obvious Internet of Things sense).

16 Juni 20178min

Populärt inom Business & ekonomi

framgangspodden
varvet
badfluence
rss-borsens-finest
uppgang-och-fall
svd-ledarredaktionen
avanzapodden
lastbilspodden
rikatillsammans-om-privatekonomi-rikedom-i-livet
fill-or-kill
rss-dagen-med-di
rss-kort-lang-analyspodden-fran-di
affarsvarlden
borsmorgon
kapitalet-en-podd-om-ekonomi
dynastin
tabberaset
montrosepodden
borslunch-2
rss-inga-dumma-fragor-om-pengar