Overview

  • Focuses on the biotech industry, billionaires, and the pursuit of blockbuster drugs.
  • Explores the story of Acerta Pharma, Imbruvica, Calquence, and their role in revolutionizing blood cancer treatment.

Acerta Pharma’s Co-Founding and Rivalry

  • In 2011, Ahmed Hamdy, was fired as chief medical officer from Pharmacyclics.
  • Ahmed Hamdy co-founds Acerta Pharma after leaving Pharmacyclics.
  • Race between two startups to develop rival drugs: Imbruvica and Calquence.
  • Both drugs inhibit Bruton’s tyrosine kinase, transforming lymphoma and leukemia treatment.

Biotech Industry Boom and Wall Street Trades

  • Biotech boom’s peak represented by acquisitions: AbbVie buys Pharmacyclics, AstraZeneca acquires Acerta Pharma.
    • Nathan Vardi considers these deals some of Wall Street’s greatest trades.
  • Industry’s success tied to BTK inhibitors and tyrosine kinase inhibitors.

Origin Story of Imbruvica and Calquence

  • Imbruvica’s precursor initially considered worthless, sold in a larger deal.
  • Robert Duggan, motivated by son’s cancer, invests in Pharmacyclics.
  • Conflict and drama unfold, leading to Hamdy’s departure from Pharmacyclics

Business vs. Science: Conflict and Collaboration

  • Conflict between profit (business) and improving lives (science) underlies the story.
  • Vardi explores interpersonal conflicts and investors’ impact on biotech startups.
  • Wayne Rothbaum funds Acerta Pharma, enforces stealth mode and scientific involvement.
  • Vardi raises questions about the role of startups in the pharmaceutical industry and examines if small-scale startups genuinely contribute to medical progress.

Impact on Medical Professionals

  • Vardi discusses physician-scientists’ roles in drug development and administration and their feelings of being shortchanged by corporate megadeals.
  • Financial gains often favor capital over labor, even in drug development.