Inside Yosemite: How Reed Jobs’s VC Is Deploying $350 Million to Fight Cancer | Term Sheet

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AI GeneratedReed Jobs, founder of Yosemite, discusses his mission to make cancer non-lethal through a hybrid venture capital and philanthropic model. By funding early academic research via grants before transitioning successful projects into companies, Yosemite accelerates drug discovery. The discussion also covers the impact of GLP-1s on obesity-related cancer, mRNA vaccines, and the necessity of basic research.
I started working in cancer when my dad got sick.
After his father, Steve Jobs, passed from cancer,
Reed Jobs embarked on a radical mission.
Make cancer non-lethal, leading to the launch of VC fund Yosemite.
The victory over death. That is what I want for cancer patients.
This year, cancer is expected to kill about 1,700 Americans every day.
But cancer drugs are one of the hardest bets in biotech.
With only 1 in 50 drugs making it to market.
Yosemite has a unique operating model.
Alongside traditional venture capital,
it gives philanthropic grants to early-stage scientific research.
We can test new ideas really quickly and cheaply.
Today, I'm sitting down with Reed Jobs to find out,
can a venture firm really help discover the next cancer breakthrough?
I'm Allie Garfinkel, and this is Term Sheet.
Reed, thank you so much for being here.
Allie, it's my pleasure. Thank you for having me.
For our audience, what does Yosemite do?
Yosemite is a venture capital group,
and our mission is to make cancer non-lethal in our lifetimes.
And we actually have a completely unique structure, and I kind
of invented this, where we have a donor-advised fund underneath
the main fund that creates companies with philanthropy.
So what Yosemite does in a nutshell is we find the best science
in the world in universities all over the world.
I mean, mostly here in the U.S., but, you know,
in Europe and in Australia and Japan and stuff.
And we will then partner with researchers on their best ideas.
We can give them a grant or we can just
start coming with them right away.
And we love to make companies
and get them to people as quickly as possible.
That's what we do.
Reed, so tell us about your second fund.
Well, Allie, thanks so much for asking.
I'm really proud to say that we actually have
an oversubscribed second fund.
We're over our target of $350 million.
And our first fund was, I was really proud
that we were able to get anchored by a lot
of institutions, MIT, MSK, Rockefeller from right here.
All of those folks have continued on with us.
And we've also added on some pension funds
and really importantly, AbbVie and Amgen.
Us, we're really deeply working with the partners
who are going to be really important for us
moving forward.
Why is it so important that your LP base
includes companies like AbbVie and Amgen?
The pharmaceutical companies are usually places that we sell into.
Now, those are going to be our partners
as we get things into clinical trials or if we
exit really to get things to market as quickly as possible.
So working with a few pharmaceutical
companies is really important for me.
Certainly not one.
you have to work with a couple,
but they're really good people. And they actually have
incredible strengths in many of the areas
that we're moving into. Why is it so important to
work with a couple? Diversity matters.
What are the stakes here, Reid? Unfortunately,
cancer rates in the United States and the world are going up.
And mostly this is because we're
getting older. We're living longer.
We're not dying as young as we used to, which is great.
But cancer is a disease of cells usually as they age.
And it's pretty linearly related. So if we're
going to be successful living longer as a society and as a world,
we need to deal with this.
You know, you launched an oncology fund in 2023,
a very different environment. Biotech was,
to say the least, out. What's changed in the last three years?
Huge amounts changed in the last three years, Allie.
First of all, goodness, you're right.
It's gotten a lot better than it was in 2023.
High interest rates, really tough market environment.
I mean, biotech was in a really low place.
And what happened since then was, of course,
you know, the macro environment has gotten better,
though now it's changing probably back again.
But what actually changed much more fundamentally than
that was what happened scientifically in the
last three years. You know, you couldn't have told me four years ago
that we'd be sitting here today
and we would have the advancements in GLP-1s,
in immunotherapy, in vaccines now, and against
pancreatic cancer that we've achieved
and those things have happened and have been titanic for
the industry the biggest one i think has actually
been the GLP-1 revolution by far because it's
created just frankly the most profitable
and best some of the best-selling and most impactful drugs
that we've ever made and it's particularly important
for right here in the United States
and it's really important for cancer too
so on a population level i think these are going to be
some of the most important drugs we've ever actually seen come
to market and they're finally
addressing obesity,
which had never really been properly looked at before as a market.
You know, there are people, you know,
dealt with diabetes, scammers, or a lot of scammers,
but there wasn't any, you know,
real therapeutic for obesity before, you know, there were some
bariatric surgeries, of course, that are very invasive.
And there's dietary regimens that are
difficult to follow. But before that,
there really wasn't anything smoking is a classic example of
this where obviously it really increases your risk of lung cancer.
But you know, it also about four
your risk of bladder cancer if you're a smoker.
And that's just because you're constantly getting
these carcinogens in and it affects your whole body,
not just your lungs. Luckily, and a great
story, is in the last 40 years,
American smoking rates have gone precipitously down, pretty linearly
actually. It's something we should all be really proud of.
This country has done a fantastic job
in smoke mitigation, and it's really demonstrable.
Unfortunately, at the same time, obesity has
really risen and like smoking it's a pan uh you know disease risk uh
because it's really this
pro-inflammatory state that exists for you for a long period of time
and in the same measure you
know it really increases your risk of colon cancer
but also being obese really increases your risk of
brain cancer and even though these things
are not really related it's about it being a pan risk so these
drugs now finally being able to address that like massively
for the first time is not only going to
help people who are obese and struggling with that,
but with cancer, with cardiovascular disease,
with a lot of things. Well,
and it's interesting that you jumped to GLP-1s because I was actually
expecting you to be like, a lot's gone on in the last few weeks.
The last two weeks have been
incredible, Allie. It's been a great time to be an oncologist.
You seem really excited. Tell our
audience what you're so excited about.
There's two big breakthroughs and both of them are really,
really monumental. One is a phase three approval
and data from a company called Revolution
medicines on pancreatic cancer, which deeply matters to me.
And one is from Merck and Moderna.
And both of these are huge transformative advancements.
So let's take them one at a
time. Let's do the Merck-Moderna one first,
actually, because that's kind of somehow the
more surprising one.
So I assume Moderna is a company you're pretty familiar with.
Of course.
mRNA vaccine pioneer, COVID hero, I would say.
I took an mRNA vaccine at one point,
probably most of us here in this country did
and since then though they haven't really you know if
you look at their stock if you look at their strategy
that covid was a huge triumph for them
and they did a great job for the whole world
but since then they've been actually working a lot on
cancer vaccines very quietly and at the same time BioNTech
which is the other you know main vaccine
company for covid has also been working on cancer vaccines
and quietly Moderna and BioNTech have
been in a bit of a race and to a few weeks ago,
we found out some of the earlier results
and it looks like in minimal residual disease for melanoma,
applying a vaccine actually gives you
a long-term effect to prevent that cancer.
Now let's just start with how your immune system
works and why, why is this a good idea?
Why has this not been done before? And why,
why does this matter? Right, Allie?
Uh, so the idea of a cancer vaccine is certainly not new
because you're immune. It sounds like a dream.
It sounds like a dream, but people have had this
dream since the 1960s.
And there's a reason why people have never, you know, people have still
been asleep and haven't woken up yet to that reality.
And the reason is that cancer is very,
very similar to you. You know, if you get infected with a virus,
it's making viral protein that is
super different from you.
It's really easy to find for your immune system from a signal
perspective, right? Like it's not like anything else
in your body. And those cells look
profoundly different. And obviously,
if you could get inoculated with those antigens before even
getting infected, you know, that's what a vaccine does.
Your immune system is going to be way
smarter and you're probably not going
to die from that infection, which is great.
Which is why you're so excited about it, in part.
That's the dream for cancer, is for it to be a prophylactic vaccine.
But that's not what we're
dealing with now. And I still think that's going
to be a decent way away. And the reason for that
is cancer, despite having a lot of mutations,
is still very, very similar to you. It will have
some driver mutations, and we'll talk about
pancreatic cancer. It's a good place to start.
Pancreatic cancer is like a perfect storm.
It only has maybe a dozen mutations. In billions of genes,
having a dozen things different is really, really small.
And it's very difficult for your body to
actually see that. And think about where Merck
and Moderna started. They started melanoma.
melanoma is by far the most mutated of all cancers
because it's constantly getting bombarded right by
uv radiation so instead of a few dozen mutations it might have millions
and it's going to look
really different from the rest of you
which makes it a great place for this to start and them seeing
a signal here is a big deal
because it means that finally we can make your immune system see cancer
specifically and now we need to make sure
that translates into other cancers as well that are
that will be harder so we're talking
at an especially optimistic moment but you know when
you started this it was it was a different time right
in certain ways um you've been at emerson
for years working on health why start your own thing at all
and why focus on this well i'd always
been focused on this i actually you did i did read
that you uh got a master's degree in nuclear
weapons policy so so so you have definitely you have mostly
been focused on this but i am curious
about that detour I'm not gonna lie
I imagine there's a through line the
honest answer is I you know I'm a little ashamed
of that to be honest with you I
started working in cancer when my dad got sick and a lot of people are
motivated by a family reason I worked
in cancer labs for a long time in high
school and when I was at Stanford
and when my dad died I was a sophomore and I
actually needed a little time away
from cancer I I wish that that wasn't the
case but it ended up being the case uh
and international security was a fun uh little
distraction for a couple years
and that's what i needed at the time but no then i i never stopped
seeing this as what i always was meant
to do so did you always know this was your life's work
yeah of course it was since i was a kid
do you remember a moment i know i wish it was that
poignant. But it's a lot simpler than that.
I was just a kid. And when you're a kid, you kind of see
things really clearly. So was Venture always what you thought would
be the right vehicle? Did you
ever think about being a doctor?
I always thought about being a doctor. I was pre-med at Stanford.
My plan was to be a doctor. But then I had to take a little time away.
And I thought about it a lot.
And, you know, doctors I have the most respect for,
but you get, you only, you really work one patient at a time.
And I am a little more ambitious than that.
But I also just, I don't need it to be about me.
I need to solve this problem.
And a doctor alone is probably not going to do that.
I don't think a company alone is going to make cancer non-lethal.
I think it's going to be a consortium of things.
I think it's going to be a really long push,
probably cancer by cancer more likely than not.
And there's going to be a lot of companies
that could work pan-cancer, whether they're
vaccine companies or things going after big risk factors.
But there's not, in my view, going to be one company that cures cancer.
I don't think that that's realistic.
I think it's going to be a lot over a long period of time.
And if that's the case,
then I think the career of being a company creator is a smart one.
And when you think about the role venture can play in that process,
where does venture
unequivocally belong in the process of making cancer non-lethal.
Strangely, it's really important actually,
which I never would have thought. But the funding
to get things from idea into people is so crucial
because the failure rates are so high.
The risk of science is so great
that very few people actually have the financial wherewithal
and the scientific acumen to really do this well.
And luckily in America right now, there's
you know, two dozen great biotech venture capital groups
who I am fortunate enough to work with a lot
and who've taught me so much about this field.
And we have a great robust ecosystem here.
And that is something that really no other country
in the world has.
And it actually makes this not only, you know,
a tool that we can really replicate,
but it has created an ecosystem that allows me
to just plug in and fund things really early
and have partners down the road
who are willing to then meet me when things are successful.
How early are you going? And how are, how do you actually,
what does it mean to source a deal for
you? Because I actually don't intuitively know what that would be.
We go the earliest, Allie.
The earliest, how early?
We go to labs in universities before the companies are even
created. We help researchers actually fund
their research philanthropically. We give them grants,
no strings attached, no royalty, no IP, no nothing.
We will fund a scientific project
because we think it is meritorious.
And if it's successful,
we will then work with that researcher
to make a new co,
to create a syndicate,
to recruit the management that's necessary,
and to then get into clinical trials.
And we can repeatedly do this
all over the world now.
And that foundational model
of starting from a grant,
building the team,
and then creating the venture around it
is really what Yosemite is all about.
Walk us through what the model of Yosemite is
because it's unique.
I've never seen anything quite like it.
The model is that we actually,
have a donor advised fund, uh, which is a,
it's just a philanthropic pile that is funded pretty
uniquely by some of the funds AUM every year.
And we actually took a lot of inspiration from
Deerfield, which is a wonderful firm that's here in New York.
That's a life science firm. I'm sure
you're familiar with that. Yeah.
And they take a percentage of their carry and they put it into a
nonprofit. Uh, and a few other people do that and they fund
a lot of research that then feeds their
companies, which is awesome. It's a great structure.
Um, but the thing with that is obviously,
the money for the science funding will only come
in at the end of the fund after it returns,
of course. And I sort of wanted to do the opposite.
I want to fund science at the beginning
and then make companies in that same fund.
And it wouldn't really work to wait to the end to endow
that. You kind of need to do that proactively.
So I decided to create a new structure that
enabled us to do that. And that's where a donor advised fund came in.
I took inspiration there
from Emerson, from Chan Zuckerberg.
A lot of big family offices use this. And it's just real ease
of use across the academic space.
But the other big reason is that, Ali, I work in one of the
more complicated industries in biotech.
So I have to keep the rest of my life pretty simple. And
I needed to keep the structure of Yosemite really simple.
So every investment we do,
we obviously underwrite to return the whole fund, right?
Like we're a venture capital group. We do
rigorous financial analyses.
We do incredibly deep scientific analyses. And when we make an
investment, we're underwriting it with that level of rigor.
However, we would never invest in
something that's not yet a company.
Conversely, when we do a grant, it must be to an academic lab.
It has to be no strings attached.
It has to be a pure gift, but we could never give a grant to
a company, right? That would be a violation of that.
It has to be really even. It has to be
really pure so we disaggregate them
and we keep them uh really in their own minds how do you know
when the science is ready to be a company that's one
of the easier parts of my job because we can
just set up uh really easy scientific milestones
is this hitting you know a drug candidate is this
hitting are you getting ready for it
and you know an IND study these are things that are really easy
to elucidate out in a grant uh the more difficult thing
is like can the scientists make it work can
you get a drug compound? Can you get something to bind?
Can you get a hit? That's a much more
difficult thing. But with philanthropy, we can fail really cheaply.
And that's sort of the real
wisdom behind this is one of the difficult and in my view, you know
suboptimal things about my industry is
how slow it is. And look, that's really important
from a regulatory standpoint, but it also means
that you can waste a lot of money in things that aren't going to work,
which is obviously really
bad and what we've learned
is that we can just test new ideas really quickly and cheaply in
universities with grants
and before we you know waste a lot of money time and resources we can
kind of flip over that first card
and that has enabled us to be a lot more intelligent in our
design can you tell a story about
a time where you flipped over the first card and you knew
immediately it wasn't working honestly ali it's
a lot more binary than that like usually you'll
fund let's say you're what you're saying is it's actually
at a certain point it's just science the
science works or it doesn't exactly yes well
you're fine you're doing a lab let's say you know
you're a you're a lung cancer researcher
and you're looking at a new type of immunotherapy
that's going to go inside your body
and we're going to try to have it go after this particular
lung cancer target and you know you think that if we
do this it'll be better than the standard of
care right now and you know we have a thesis around
that we review that we think okay gosh
you know ali's got a really good idea here
and i could you know we we know what the standard of
we could see how this could also hit that there could
be a therapeutic index if successful
so let's fund her and let's see if she can first
of all do this in a cell model uh and then you
know if successful we'll make a company we'll see
if this could work in animals and it's a pretty
linear path actually unfortunately it's riddled
with failure you know the odds that you're going
to make something that work are pretty low actually
um the odds that then we make a company that works
in monkeys that's pretty low
so we know in every step if the odds of success get lower and lower
and lower. Every time a drug enters
the market, it actually is a miracle.
It's incredibly difficult to do, and everyone is different.
you know aspects of it will be de-risked
in different stages, but the path is pretty clear.
And we just need to be really obviously
sensible about when we're making those investments.
And we also just need to be honest about, look,
if this is not going to work, we can't graduate to a company,
we can't graduate to the next step,
and we have to just be very honest.
Earlier this year, I wrote our cover story
about Demis Hassabis and Isomorphic.
So I spent a lot of time thinking about AI drug discovery.
The stat I learned in that process
was that there are more biological compounds
in the universe than stars in the sky.
And the sort of enormity of that I was floored by,
but also kind of in awe
that anyone had ever found a drug to begin with, right?
The incredible physical act of over and over again,
trying and trying.
When you think about the possibilities of drug discovery,
I know you're an investor in Chai, for example.
Where can AI help the drug discovery process
and facilitate some of this being faster?
And where do you think it just isn't going to make a difference?
AI is still such an emergent technology.
People don't talk about it like that anymore.
Actually, do they?
It's debatable.
We were both in early days, and it feels
like we talk about it a lot, I guess.
I think we talk about it a lot, but I live in San Francisco.
So, you know, the conversations I hear
are still mostly tinged with possibility.
And for drug development, drug discovery,
I think there's two branches that you need
to look at, drug development and then drug discovery.
For drug development, Chai is one
of the best companies in the world doing this.
And there's a few others, you know, that are probably in the mix.
And these companies
are doing phenomenal jobs modeling chemistry, modeling to
unbelievable specificity and really replacing a lot of the time
and grunt work that is done
by chemists at pharmaceutical companies,
at biotechnology companies, finding drugs and
finding targets. And this isn't work that was new,
like this would be work that would be being done,
but it is now something that you can automate
and have done at a fraction of the cost and
critically in maybe a 10th of the time.
And for pharmaceutical companies or biotech companies,
the savings and just the acceleration there is so useful
and it's widely, widely applicable
from all types of antibodies to really new types
of chemistry that we're kind of discovering right
now. AI companies are right alongside us building models
to do that and to actually help us be
faster chemists. That is immediate and that is an incredible use of AI.
And frankly, you know,
it's alongside us as we're creating new bits of medicine.
What is more emergent, I'd say,
and less obvious to me from a timeline is discovery of drugs.
Can it come up with new ideas?
Could it give me a new experiment to run
that no one has ever conceived of? That hasn't happened
yet. And that's a new level of AI that is creative
in biotech that just, we are really interested in
trying to help develop, but we don't see yet on the horizon.
You know, one of the things that's striking,
Yosemite's mission is not curing cancer. It is
making cancer non-lethal. Yeah. Why draw that distinction?
Well, there's two reasons, Ali. The
first reason is just intellectual.
I don't think that you will cure cancer because, you know,
we're human. Any human cell could become cancerous, right?
And we're not going to stop having human
cells. So the idea that none of them could ever become cancerous
is preposterous. That risk is
never going away. So I don't think that that's
the right way to look at it. I also don't think that
in the history of medicine that that's actually that instructive
because most diseases don't go
away. You know, the cancer vaccine is a tantalizing idea
because you want to, you know, it worked for
a lot of infectious disease and I want it to work for cancer.
Well, that's really satisfying, but
that may not be the reality.
It might be closer to cardiovascular disease or AIDS, I think is a
really good example too. Serious disease
and AIDS is an infectious disease as well. And there's no
vaccine for it, unfortunately. I'd love for there to be.
But in the absence of that, it is actually
a far less scary disease now in the United States
because it's not lethal. Because with a cocktail
of drugs, you can actually prevent mortality.
And in many ways, I think that is a massive,
massive victory. And in some ways,
the most essential victory, because it's the victory
over death. And that is what I want for cancer patients.
And I think that that's more achievable
and more realistic. When you think about exits from the venture side,
I actually was reading
about how oncology M&A, for example, is ripping right now.
What does an exit mean? How do you
think about returns? What does that mean for you?
Because it sounds like you think about it from a
financial perspective too. Of course.
We only would want to exit things if we're really confident
that the partner who we're going to be doing
this with is going to see it through in the way that
we want to see it through. But look, Ali, we'll be honest with you.
I am a venture capitalist. I
am very clear about how much capital we have to return.
And the way that we structure things at
Yosemite is when we incubate companies in the way that I described,
we take a large percentage of
ownership. And we have big funds now,
so we can keep following it up, and we want to retain that.
And when things exit, we want to have a high percentage
of ownership. That is our entire model.
and that's been very successful for us.
Now tell me, I know you have some news that
you'd like to share.
It sounds, speaking of having capital to return, it sounds like you
have more capital. Well, thank you for teeing me up, Allie.
We do. I'm really excited to say that
our second fund, which we targeted at 350 million,
is now fully oversubscribed, which has been a
really great achievement for us at Yosemite.
And I think more importantly, it's a validation of
our model it's a real buy-in to funding science super early
and you know i and the thing i'm the
most proud of is actually the team that i've built uh
and the incredible people who we brought from
academia uh from industry from you know
from consulting from even out of undergrad and we
have an incredible group of people at yosemite
and it is on their strength that this really
happened why is it called yosemite
my parents got married there oh uh it's very californian
and it's enduring.
And I thought that that was a good fit.
Also, I have to add, miraculously, it was available.
You sound shocked even now.
Yeah.
Yeah, I mean, if I'm honest, I was also surprised
because it seems like the natural thing to follow after, say,
given the love of trees.
Yeah, look, sometimes life works out that way.
If you think about sort of the GLP-1 revolution,
what do you think the ultimate biggest change is
bringing about when it comes to cancer?
The biggest change by far is limiting the area under the disease curve,
which is the whole game, Allie.
What does that mean?
Smoking is the other good example here.
Smoking and obesity, if you think about the risk,
it's an area under the curve risk,
which means that the more time you spend being obese,
the greater your odds of getting an obesity-related disease are.
It's really that simple.
The longer you smoke, the more damage that's going to do, right?
The earlier you quit, the more you can recover,
and actually the better your long-term outcomes are, right?
Same thing with obesity.
And what GLP-1s are going to do is they're a fantastic way for
obese people to basically stop being obese very quickly.
And they're not perfect drugs at all,
by the way. This is the first generation of this class.
There are muscle wasting issues that need
to be optimized. It's not perfect.
But again, it's the first drug of its whole class. And what
it's really going to be able to do is to prevent people
from being extremely obese very quickly,
more so than anything at scale that we've ever developed yet.
And that is going to save
them and the medical system
and their families huge amounts of misery and worry because it will
absolutely statistically decrease the amount
of long-term illnesses we have 20 30 years down the
road it seems like you're thinking about
the future of improving cancer treatment improving
outcomes as being one that's fundamentally
not only just about treatments but it's about sort
of sociological changes and drugs that can help that process.
Of course. What are some other sort
of big sweeping societal changes that you think need
to happen for cancer to be non-lethal?
Another big area that I've worked on my whole life,
and it is a part of Yosemite, it's about
10% of what we do, it's a little more variable, is diagnostics.
And for every cancer that exists
with a diagnostic, there's a better outcome.
So the earlier you can catch something, very simply,
the less advanced it is, right?
And the easier it is to treat. So you want to be able to get
things early. So where that exists, colonoscopies,
PSA tests, mammograms, we have much better
mortality statistics.
We want to make better diagnostics for the whole world. It's really
difficult to do. We've looked at liquid biopsies in the blood.
It's really tough to get a good
signal there because again, cancer is so similar to you
and you don't want to get a lot of false
positives, that doing this really at a population scale
is very difficult. And we have not yet
cracked that. But diagnostics on a population level will be,
it must be a huge part of this.
If your father was looking at your life now,
what advice do you think he'd give you?
I think he'd say stay on the path.
Because something we have in common is we're really
good long-term builders, I think.
And Yosemite is not going to be as, you know,
it reach its zenith of success in the next year or two.
This is a long-term play that is going to
take my whole life. The science investments that we're making in labs
and companies take years to
come to patients. I'm working to make it real fast,
Ali, but that's the truth. It will take
years to come to people.
And that is the reality of doing this well and doing this safely. And
I'm an impatient guy. I was going to say,
are you naturally a patient person or not?
No, it's difficult for me.
But the discipline is knowing that that is what this really takes,
and you need to keep this path.
So let's imagine the world 15 years in the future, maybe.
What do you think will be definitively true
about what cancer treatment looks like then?
Much like, we didn't get to talk about it as much,
but Revolution Medicines, for instance, a few weeks ago,
drug KRAS and pancreatic tumors for the first time.
That's never been done before.
We've known about KRAS for a long time,
but we only invented the chemistry to do this a couple of years ago.
And we're now working as
hard as we can to bring that kind of technology
to as many oncogenes as we can, a lot of people.
I think what it really will look like is we're going
to be able to stop a lot of the bad actors
we've known about for a long time.
KRAS, MYC, beta-catenin, these oncogenes we've been
unsuccessful for many years are now looking much more tractable.
And I think we're actually going
be able to successfully treat a lot of the biggest cancers,
lung, breast, colon, and there will be
outliers. You know, brain cancer is going
to remain really difficult for a lot of physiological and
genetic reasons. But for common cancers,
I think the picture is going to look a lot different.
Most people watching this, I myself have, you know,
family that's had cancer, died of cancer.
What do you think everyone,
including like my parents in Florida, are the most beloved
watchers of the show, perhaps.
What do you think my parents need to understand? What do you think
sort of the average viewer needs to understand?
What do you think everyone needs to understand
about what the future could look like in terms of cancer treatment?
Because it seems like a lot
is possible. I think they need to trust the path.
You know, it has taken us a long time to truly
understand just the basic truths about our bodies.
You know, we did not know until merely 30 years
ago how your immune system worked at all,
how it looked at things, how it reacted to things.
We didn't know that. Think about how foundational that is.
We've only sequenced the human genome
25 years ago in my lifetime. It's not that long ago.
It's really not. We only made mRNA vaccines
six, seven years ago. It's really not that long.
The path that we're on might seem long,
but if you look in just our lifetimes alone,
Allie, it has been transformative. So I'd say
look at this path that we're on and look at where we're going,
because I think we've got to trust
that. When you think about the role government can play here,
what should be funded by the
government and what should be private capital?
It's a great question, Allie. And I really love
funding cancer companies,
but none of that can exist if we don't have basic research. And if
you look at the most profitable drugs
in the world right now uh number one is uh the GLP-1s and
number two is uh Keytruda right
and uh Keytruda came from a checkpoint inhibitor it's the best
selling cancer drug in the world
and GLP-1s came actually from zoology that Americans did
studying the Gila monster in the 1980s what
is the Gila monster oh really yeah no i don't know
oh it's uh it's this poisonous lizard in Arizona
and northern Mexico never seen it's kind of it's
kind of beady looking oh cool it sounds kind of alarming
and kind of like a mini dinosaur yeah
totally mini dinosaur okay that has these enzymes
in its i think it's salivary glands that are these
GLP-1 analogs and you have the same thing
or humans have the same thing uh and in humans they degrade
in like a short amount of time
and that's what gives you the feeling of satiety right a feeling
full. But in the Gila monster, it degrades far slower.
And that is the compound that was basically
the IP that this is all built on.
And obviously, no one had any idea when they were studying these
random lizards that this would turn
into the most profitable drug in the world. Of course,
this was basic research funding. This is why that matters.
CRISPR, which I'm sure you've heard of,
which is one of the most revolutionary technologies ever created,
you know where that came from?
pond scum i'm not kidding truly uh it
was the uh immune system of archaeobacteria and it was like
why in this really efficient tiny bacteria
which has this tiny genome and all has to be really
important right why does it have these repeating areas like
that doesn't make sense and so we
studied that and it turned out that it
was this flexible way of gene editing it was kind of like
this accordion in their genome that could act
as sort of like a vaccine actually where if they got
infected and somehow survive.
They could keep the viral genome in this kind of genetic accordion
that they had. And the way that they did
this was by editing their own genes. And it turns out that
that works in you too. And that's how CRISPR came about.
So none of these giant advancements ever
had any hope of commercialization.
They had to be funded by, frankly, someone like the federal
government, which has a long-term focus
and which can fund basic science. And that is how we've
yielded some of the best breakthroughs in my generation.
So what I would say is we should
have incredibly more robust scientific funding at the federal level.
Right now, the NIH budget is
about $48 billion. I think it should be $100 billion, if not more.
We should absolutely be
investing in cutting-edge science to not only keep America's edge,
but so that we can continue
to, frankly, create new wondrous things
because that is always where discoveries happen.
AI is going to continue to be a big part of this
and will probably accelerate it,
but we should absolutely be investing in this
because look at the yields.
Great jobs. Thank you so much.
Thanks, Allie. I appreciate it. Thanks for having me.
