5 Comments

Elliot, great piece! Would love to hear to your thoughts on the clinical trial bottleneck and potential solutions/companies that are tackling this massive problem. I really think solving the clinical trial problem will allow for a complete realignment of the pharmaceutical/biotech industry around transformational therapies, preventative medicine, and a focus on the health afflictions of the many not just the rare diseases of the few (still important).

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Thanks, Nikhil. I couldn't have asked for better timing for this question! I hope you enjoy my new essay on Vial:

https://centuryofbio.com/p/vial

This is an incredibly important area, and likely won't be the last post I write about it.

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During the last biotech boom in the 2000s I read where a consortium (or was it just Germany?) we're essentially building a human body with software that could simulate how novel drugs would interact and thereby sidestep some of the "clinical bottleneck". I haven't really heard much about it since--Im sure it was way to complex to tackle 20 years ago, probably even today, but is anyone working along these lines?

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Unlearn.ai is tackling a part of of this problem by creating digital twins for use as the control arm of studies.

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And it looks like they can bypass a generalized physiology and go straight to twins for individuals, wow!

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