Matthew Kirshner
@MattyKirsh
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Biotech builder @Ferment; Ex-@Ginkgo. Off-the-cuff takes on biotech, venture, & splitboarding . Bridging NY / MA / MT. not investment advice 🧬🏔️🦠
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Joined September 2012
For my industrial biotech historians: Pfizer made the first recombinant rennin (the key enzyme used in cheese-making) in 1990 and this was the first GMO food sold in the US. Before Pfizer developed that, the bonkers genius described by @JamesMelville had to extract rennin from
Once upon a time, a brilliantly bonkers genius decided to milk a cow, heat the milk, ferment with bacteria, add compounds, curdle it, drain it, scald it, ripen it and flavour it. The result of this was the glorious invention of cheese. 🐄 ➡️🥛 ➡️ 🧀
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$ELDN Trying to decipher if there is a redeemable TPP here despite the lack of stat sig in the Ph2 based on equivalent (or maybe slightly better) efficacy to tacro and improved side effects. TL;DR - Short-term efficacy (composite failure) is slightly worse than SoC tacro,
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Today, BillionToOne went public, becoming YC's 4th biotech IPO. As a company that quietly provides societally important infrastructure, BillionToOne is less well known than they deserve to be. Here is their story, from grad students to IPO. BillionToOne is the rare company
When Oguzhan and David applied to YC, their idea was just a concept. Today, their company @BillionToOneInc (S17) is going public—their genetic test now helps screen 1 in 11 US babies, and their tech unlocks earlier detection from prenatal care to cancer. https://t.co/suerXlUVzv
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Biohaven putting this regulatory timeline graphic in their press release last night was communication done well.
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Happy to see $CRVO announce their FDA alignment for their Ph3 in DLB. It largely looks like what they had anticipated, the main change being an extension from a 24wk trial to a 32wk trial. IMO - that is only a good thing to give more time to show slowing of disease progression.
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Assuming the drug works, the decision to structure the $QURE AMT-130 trial as a 12mo core trial with a crossover of the placebo group after those first 12mo is in retrospect a super damaging decision. I imagine the reason for this design was that they didn't imagine using this
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@SolariumEarth @West0_Cap the bigger issue is a broader one. For as long as I remember, if the FDA gave guidance, that was trustworthy. Companies and investors followed it because the FDA had proven they would follow their own guidance. That is no longer the case
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The uncertainty in biotech is supposed to come from clinical data risk -- NOT regulatory whiplash at the FDA. This will scare away much of the generalist capital that was finally looking at biotech again ( $QURE top holders include non-biotech specialists like Jefferies,
Is there any precedent for the FDA reversing BLA regulatory guidance/commitments that they agreed to literally just four months ago? This FDA reversal feels like the type of thing that would make it impossible to plan or invest in biopharma. Uniqure $QURE FDA Alignment in June
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Is there any precedent for the FDA reversing BLA regulatory guidance/commitments that they agreed to literally just four months ago? This FDA reversal feels like the type of thing that would make it impossible to plan or invest in biopharma. Uniqure $QURE FDA Alignment in June
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Who are the best freelance PR gurus for something new + exciting in the advanced materials space? 👀
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Biopharma historical anecdote of the day: Home Depot founder @realkenlangone has been a shareholder in Eli Lilly $LLY since Lilly bought a small med tech company Ivac that he owned in 1977. He took control of IVAC when it was $1.5M -> Lilly bought it for $57M in equity in 1977
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I'm reposting this because it is crazy to think that if Mounjaro keeps growing at its current growth rate, it will have over double the sales of Keytruda (the prior best-selling drug of all time) by this time next year!
@owl_posting And Keytruda is growing at 10% YoY vs Mounjaro growing at 109% YoY (lol). If you just hold those growth rates constant, Mounjaro will be DOUBLE Keytruda sales next year.
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If there's one tweet that symbolizes the shift in pharma from specialist prescribed + formulary-gated --> consumer facing + transparent pricing: cc: @tjparker's tweet yesterday
$LLY Q3 tirzepatide (Mounjaro/Zepbound) sales: $10.1 billion. $MRK Q3 Keytruda sales $8.1 billion. The passing of the torch...
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This video got me so pumped. I’m gonna go finish the Introduction to Python Harvard Edx course I began in 2017
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2 approved + 2 NDAs in just over 10 years Has any company ever performed the hat trick (3 drugs approved) in its first decade? My LLM friends can't name one
The BridgeBio story is incredible. From founding in 2015 to two approved products in ten years (Attruby and Nulibry) and several more programs coming up with positive Phase 3 readouts. Extremely hard to do. Hats off!
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A reminder of stacked the deck is against you as a biotech investor: There are ~60 FDA new drug approvals each year. There are 600 publicly traded biotech companies (and many more private). Only about ~10% of companies will get a new drug approved each year. Another way of
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It’s insane that if you have an approved branded pharma product you have to strictly adhere to fair and balanced advertising. But if, instead, you steal the IP, make up a dose, and compound the product you can put a full page ad like this in the @nytimes. Make it make sense.
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