No Priors: Artificial Intelligence | Technology | Startups - Building the Platform for Scientific Breakthrough, with Noubar Afeyan of Moderna and Flagship Pioneering
Episode Date: February 27, 2025This week on No Priors, Sarah sits down with Noubar Afeyan, Co-founder and CEO of Flagship Pioneering, the biotech firm behind groundbreaking companies like Moderna. They explore how Flagship creates... the conditions for scientific breakthroughs, tackles regulatory uncertainty, and pushes the boundaries of discovery. Noubar shares insights on AI’s role in healthcare, the challenges of bringing new therapies to market, and lessons learned from past pandemics. He also discusses Flagship’s platform approach to biotech innovation and introduces the idea of polyintelligence. Sign up for new podcasts every week. Email feedback to show@no-priors.com Follow us on Twitter: @NoPriorsPod | @Saranormous | @EladGil | @NoubarAfeyan Show Notes: 0:00 Introduction 0:48 Founding Flagship 5:51 Fostering environments for emergence 11:17 Expanding into new frontiers 14:26 Developing technology amid regulatory uncertainty and risk 19:12 How Flagship has evolved 22:47 AI applications in healthcare 27:30 Bottlenecks in bringing new therapies to market 32:20 Lessons for the next pandemic 34:11 Building a platform 38:10 Polyintelligence
Transcript
Discussion (0)
Hi, listeners, and welcome to No Pryors.
Today, we're joined by Nubar Afayan, founder and CEO of flagship pioneering, the firm behind
Moderna and over 100 other biotech companies.
We'll talk about his approach to building biotech startups, how AI is reshaping drug development,
and his theory of polyintelligence.
Welcome, Newbar.
Thanks again for doing this, and I look forward to the discussion.
Newbar, let's start with the roots.
You've had this incredible journey personally.
You arrived as a teenager after your family fled war-torn Beirut.
You earned MIT's first Ph.D. in biochemical engineering.
And, you know, over the past three decades, you've created a force with flagship
that's changed the trajectory of global health with many important biotech companies
and more than $100 billion of value.
Can you just talk a little bit about your motivation to start flagship originally
and what you thought it might become?
I will work hard to fit the description you just gave of what I've done or what I'm
trying to do. The motivation for flagship stems from what I was doing before, which was that
I started a company in 1987 when 24-year-old immigrants didn't start companies in this country,
but instead it was kind of like former Merck senior executives or IBM senior executives were the
only ones who were entrusted with the massive amounts of venture capital, namely two, three
million dollars per round, used to go into venture capital. So this was very early days. And I had the
the kind of chance, opportunity to start a company right out of my graduate school
and ended up raising quite a bit of venture money and eventually kind of went down a path
of entrepreneurship. Along the way, one of the things that interested me was why it is that
kind of the entrepreneurial process was supposed to be random, improvisational, kind of
idiosyncratic, almost emotional, gamey, all of those things I kind of thought was
a bit of a put-off when it comes to actually doing things in a serious professional way.
And I kind of used to go around in the very early 90s saying, why isn't entrepreneurship a
profession? And if it was going to be a profession, how could it be a profession?
And at the time, you know, there were a lot, largely one or two competitions, you know,
giving prizes, which of course reinforces the gaming nature of it. And so I started thinking about
that. I then started thinking, well, one way to know you're doing it as a professional is
if you can do many of them in parallel.
And my motivation for that was investing
because, of course, venture capital
is a parallel investing activity.
If it was the case that you could only do
one of these at a time, you would have serial
venture capitalists, not parallel entrepreneurship capitalists.
And yet, people think entrepreneurs
are supposed to be serial,
but investors or lawyers
or everybody else can operate in parallel.
The learning cycles of doing things at the same time
is completely different
than if you actually force yourself to think
about the essence of what you're doing
and what's reproducible,
what has to be different in each case.
And so I got interested in that,
and parallel entrepreneurship led me to say,
well, how do you do that even?
So I spent the late 90s
alongside running my first company
getting involved in the co-founding
of several other companies
where I kind of tried this out individually.
And then I realized that it's pretty hard
to do as a solo player.
And so then I created the first company
creation company.
It used to be called Nucogen
when it started.
It stood for new company generation.
And that's the name we operated on there for three years until people told me
it sounds like a disease.
And then I kind of changed it to flagship.
By the way, that's exactly what happened.
But from then, we've been on a journey to figure out not only how to do professional
entrepreneurial activity, but institutional, which means act just like investing became
institutional, act as teams with company kind of objectives, et cetera.
So that's a complicated way to describe the motivation.
But maybe I'll simplify it to say, I thought that the activity, the most value-creating activity that I know of in the current human endeavor is starting companies.
I used to teach entrepreneurship at MIT for 16 years and then at Harvard Business School taught for three years on innovation.
And I always ask people, what's the single most value-creating activity?
What's the biggest invention that humans have made in that regard?
And they start telling me internet and satellites and this, that, and the other.
And I'll tell them, it's just a startup.
The human invention and the value created from the startup includes Google and Tesla and
Facebook and Genentech and every single one of those companies.
And I thought, why are we outsourcing that to some random, you know, gamey activity?
And that's what motivated me to start flagship.
What do you mean by gaming?
Because it's like supposed to fail most of the time.
And once in a while you win and then you celebrate.
to win. And what I mean is like it's random. But not only random, but there's like winners and losers
and keeping score. I don't know. It's maybe the wrong word, but I just mean like people even
call gamification in the software space. There is a version of this. Like I don't mind being
playful because if you're overly serious, sometimes you miss things. But it can't just all be
play. We take hard earned money. We deploy it to do things that are damn near impossible. Once in a while,
we reduce them to practice so they become not only possible but valuable.
And yet, people treat it like, oh, well, you know, it didn't work.
There's 20 different things we tried.
One of them worked.
That, I don't know, as an engineer by background, as a scientist, I just thought that what we
do, especially listen, in health care, especially in climate, especially in kind of like
agriculture, food security.
You can't think of this as, you know, like shots on goal and this night.
You've got to kind of say, hey, we can get better at this.
One of the things that Flagship has sort of famously espoused is this idea of allowing breakthroughs to emerge rather than being made by people.
How do you square that?
Like, how do you create an environment where breakthroughs like emerge naturally and are also sort of predictable and controllable?
First of all, if anybody listening to the podcast wants to go read more about it in Harvard Business Review,
I finally, after 23 years of doing it, kind of like we published a paper a couple three years ago, together with Gary Pissano.
that laid out the idea of emergent innovation.
And what we mean by that is the following.
If you think about human design, it's goal-based, right?
So what is the goal of creating a new company?
Well, you could say selling it.
But if you said what was the goal of creating, I don't know,
Nvidia, and I don't think you can define a goal, right?
Because they just kind of thought they could create valuable products
that would impact people initially in the gaming specs
and then all of a sudden the AI opportunity.
What happened to the opportunity? It emerged. It was not a predictable kind of like in the business plan, except it was in the five-year plan, not the thing. Not at all. The opportunity emerged. So where else do we see activities where novelty happens in this unpredictable way? Answer nature. So how does it happen in nature? In nature, the forces of variation, selection, and iteration create unbelievable novelty. And
really esoteric complexity of all sorts of kinds. Life. I mean, that's a pretty,
we still haven't made living things that I know. I don't think there's not many living
silicon things. And so that is emergent. So I would say that if you do variation,
selection, iteration, in anything, you get emergence. You do it in human thought. You get, you know,
kind of like revolutions. You get memes. You get political thought. You get religions. You
get lots of things. You do it in running shoes. You get, you know, Air Jordans. You get, I mean,
that's what you do. All of this is emergent. It's just that people who participate in it
describe it as though they came up with it. And they kind of describe everything in this unbelievably,
sorry to say, conceitful, characteristically human way. And so the fact that we have our own
language and therefore like now large language models that is really good at taking reality
and converting it into how it is that the human agent presided over it. That's like saying,
you know, whoever wins the word gets the right history. I'm saying this, having practiced this
for 38 years, I don't believe anything that I've been involved in innovating and creating
actually is the product of my work. It's been emergent. What I try to do and what our whole
organization does do is to create an environment within which emergence
can happen and then have the humility not to describe it like some act of genius. You will not hear
me giving interviews ever describing these things as some like superintelligence that we wielded
versus it's an emergent thing. And by the way, generative AI is one hell of a technology for
emergence, which we're using for that in pretty cool ways these days, whether it's emerging new
proteins or emerging new consumer products. So I couldn't be more excited, but it's emergence. That's
what we harness and have used for 25 years, you know, ever so gradually more systematically,
but we got a lot to learn. I think that's an incredibly intellectually honest point of view.
I think maybe one of the things you're alluding to is the very best entrepreneurs tend also
to be guilty of this, the narrative changes to have the story and a sort of a clearer narrative
light from the beginning where people had much better predictive power than, you know,
anybody who's been around real companies that have success, like really, really understand.
I used to tell people that most successful entrepreneurs who've done, you know, kind of like unexpected things, also secretly worship at the altar of chance.
Because they also realize that at the end of the day, their explanations of what happened do not suffice for actually what happened.
And while they'll never describe it saying, we did this, then we did that, then we did this, and then we did that.
And then something happened that out of the blue, I have no idea why it happened.
And that's what led us to success. Nobody writes books about that. And yet, if you interview, as I know you have, lots and lots of people, they'll kind of say, look, a lot of things that happened, we got fortunate. But we were ready for it because we did everything else as best we could. That's what I believe.
Yes. And I think, you know, we'll get to talking about AI, but at least for us at conviction, the view is it is very hard as an environment to predict even, you know, what happens to the technology, what applications are relevant. But,
You can say, like, there was alpha in the interest to begin with, and we can be prepared for
the opportunity, and we'd be fast to adapt and identify and sort of cultivate that opportunity
or select down from the what ifs in flagship terminology.
And you use the word adapt very correctly because, you know, a lot of times people
say what comes first, the variation or the selection, and the answer is just the selection
pressure in nature comes from the sum total of everything that exists in nature.
It's the same here.
You know, consumer preference often reacts to what's put in front.
of it, which then forms consumer preference.
And so it's really hard to separate these things.
You have to create an environment in which these two interact and then you get new products
and new services.
Flagship, just in terms of ambition and scope, doesn't just do therapeutics.
You've done ventures in nutrition and agriculture and climate in these different areas.
How do you think about opportunities to extend into beyond medical biotech?
We're very careful in that regard.
But where we have a core advantage, whether it's intellectual property we've created or maybe a daring that comes from not knowing enough about the space, we will kind of venture into it.
And it's for us, the first thing we do in a space informs the next five things we do.
And then if all five things don't succeed, we'll kind of say, you know what?
Maybe we can't get paid for the innovation in this space.
Our methodology is all about trying to bring to life today what might otherwise exist five years from now.
Not everything that will exist five years from now will be valuable.
So on top of that, we've got to come up with something today that's also going to be valuable.
And that is not for every sector.
So, for example, we worked for many, many years in renewable energy.
Turns out that, you know, one of the most advanced ways we could make carbon-neutral liquid fuels
was to engineer photosynthetic bacteria
that usually grows in the depths of oceans,
really cool bacterium that sees a little bit of photons.
We engineered these things to make diesel.
It could literally consume CO2
and make diesel fuel and secrete it.
And people thought it's impossible and we did it.
But, and then we created a reactor system dirt cheap to do this in.
Next thing you know, we go out,
and this was in the 2008 to 2012 time frame.
It's a company called Jewel.
Well, guess what?
You know, it's a commodity business.
The price of diesel, whether it's renewable or not, is the price of diesel.
The price of carbon, when we started was 50 bucks a tonne.
When we ended, it was five.
And when we started, the U.S. was energy dependent.
And when we were done, the U.S. was gushing with energy, you know, liquid fuels and oil and gas.
So in the end, you realize that no matter what you do in that space as an innovator,
you're not going to actually be able to get a premium.
So we learned a lesson that says that sector, at least,
back then didn't deserve the kind of cutting, leaping innovation that we could make.
Since then, people have said to us, why don't you go back and do that?
And the answer is, I still don't know if it's going to pay for it, because just when you
thought green and carbon was going to be priced, here we go again.
So to your question, you might be surprised.
We started companies in supercomputing back in the 2000s.
We started companies in networking.
Oh, I didn't know that.
Yeah, it's crazy.
But we have.
And there were like one-offs where we said, you know what?
let's see what we can do in a space, not out of lack of discipline, but since we were doing
it in-house, we could kind of take our time figuring it out. And as we speak now, we have
started things recently in the material space, so kind of semiconductor materials, carbon
capturing materials. So we'll experiment. We do have this kind of almost emergent mindset as well
about where we will apply ourselves, but we know that not everything needs scientific leaps,
not everything lends itself to this kind of activity. So we experiment.
Many flagship companies are pioneering new categories that regulators don't know what to do with.
And, you know, we face some parallels here with some of our companies now.
But if I think about microbiome therapies or gene editors or these categories, this seems like another like somewhat brutal market dynamic along with like the cyclicality that you're describing.
How do you think about the risk of this?
These new markets that you have to shape policy and public opinion and pulling the future, you know, five years.
in is not just a technology problem, right?
It's a very good question, and that is one of the things that we think carefully about
and obviously, in hindsight, inadequately about because we can't control all the variables.
I think that risk is a concept that is best applied to adjacencies of what already exists.
I usually tell people, imagine a circle, everything inside the circle exists today and is known
today. Everything just outside that circle, the adjacent circle around it, is what's going to be
known over the next interval. And I don't know which way the innovations will happen, but that's
where most innovations happen in this circle of adjacency. In that circle, there's an advantage
in that people sitting today can make estimates of risk and reward. And that's what due diligence
is all about. That's why you ask multiple key opinion leaders and they tell you what they think
and then you aggregate and you just make an investment decision, you judge the management, etc. But
then take that distance from the current further and further and further out. At some point,
people can no longer estimate the likelihood of success and the rewards of success. So now what do you
call that? I would not call that risk anymore. I would call that uncertainty. And uncertainty is
things you cannot attribute probability of success to. What we do as humans is that we consider those
things nevertheless risk because there's been this economic kind of like drive largely by Wall Street and
others, that everything can be put on a risk matrix. I don't believe that. And therefore,
we kind of just view that as super high risk. So, for example, fusion today, even though there's
a few people who are claiming they can do fusion in a shorter time frame than 35 years, is what is it?
Is it risk or is it uncertainty? I would say it's not risk because you can't tell me what
the probability of success is. I'm going to come to your question about market success,
regulatory success policy, because this just adds more layers of this uncertainty. But what we
do is we kind of say, you know what, why would you think that in adjacencies, there are
extraordinary value pools? Because one thing you can be sure of is that everybody is working
on adjacencies. Every startup is, every academic lab is, every large company is, everybody
is in the adjacencies. So I worry in the scientific fields. I'm not talking about business model
innovations and service models. I don't, frankly, fortunately, I don't understand any of that,
but so I have to stay out of it. But in the science-driven technology,
driven space, I think adjacencies have their own problem, which is the risk of commoditization,
which is a risk they usually don't take into account. But in our world, there's an uncertainty.
So what do you do when you face uncertainty? A subset of things that are uncertain that are not
yet known whether they're valuable or not, or they can be done or not, you just go do the
experiment. And if you can come up with the right experiments that can first bring it to life
and see if it can be made real, you still haven't done anything about some of the uncertainties
and risks you mentioned, but at least you kind of can control what you control. So the way we look
at it is, yes, if I had a choice between a really hard technical feat, but that once done had a
ready market versus one that also then had to be totally MRNA, which was our 18th company
that became Moderna, is a good example of this. There was no MRNA drug or vaccine before. There
was nobody working on it. When we started, there were academic labs that had worked on it and given up.
And so, like, what is that?
You need regulatory change or at least acceptance.
You need market pricing.
You need manufacturing that we had no idea how to do.
But it turns out that if the reward that you could try to foresee with or without a pandemic,
frankly, we had plenty of value we had created without the pandemic, kind of distorted
the path.
But nevertheless, I think that that's how we think about it.
So we carefully embrace uncertainty and try to resolve it on the way to understanding what
the risks are, and then we try to mitigate the risk. And if you're not willing to do that,
you're going to work on Me Too value pools. And I just, we one thing we know, and everybody who works
the flagship knows, is that we're no smarter, no harder working, no better connected than
anybody. What we can do is to underwrite uncertainty. It's a really interesting orientation.
One more question on flagship. What has changed over the last 25 years? Like, how is the flagship
approach different today than in 1999, as somebody who started a fund two years ago and,
you know, an incubator and a bunch of things.
In 1999, 2000, you have to realize that the world was being overtaken by the internet,
in particular e-commerce.
Ironically, at the same time, the human genome sequence was being done, and I was involved
in the company that did that, the private effort, Salara, that did that.
You know, it was a weird time because all the money was kind of being siphoned into, you know,
sunglasses.com and diapers.com and all these.
things. That was the fat of that day. And it was really hard to get money to do anything with
life science and medicine, et cetera. And that's important because we kind of realized that nevertheless
there was a big need for medicines, et cetera. So we kind of started focusing a lot on this
intersection between biology and technology 25 years ago. From day one, we had this notion that you
can conceive and create companies systematically. And we wanted to learn how to do that and get
better and better. What we didn't do is to initially bet on being able to systematically make
breakthrough innovations, the way we've learned how to do, we believe, since that time. So today,
flagship is 550 people, about 200 plus our scientists, engineers, MDs. We file six, 700 patents a
year centrally. And every one of the things we work on has essentially no connection to what's been
done before. That second innovation, which really came about in the late 2000s, is what's changed.
The other thing that's changed is that we were a small organization.
We were about 50 people as recently as seven years ago.
Wow.
It's only in the recent past that we've brought in-house the capabilities to scale companies internally,
not just to conceive them.
And so that has led us to have an internal engine through which we now have many,
many people who know how to build companies in parallel and many of them.
And so the learning cycles have accelerated.
And then I'd say what's changing much more is that we have a technology tool through
generative AI.
By the way, we've worked with AI-based companies for 25 years.
This is not like the revisionism you're here these days.
Everybody wants.
We literally started a company in 2001 called Afinova that if you go back and look at what
it did, it basically used machine learning evolutionary algorithms to evolve
consumer products online, starting in 2001.
And we worked for six years developing the machine learning tools, which were basically
dynamic evolutionary algorithms.
And then this is nothing to do it, by the way, DNA or RNA, except it's metaphorically
doing what nature does.
And we've gone back to doing that.
Our 100th company, F.O. 100 now, is basically developing that with now modern generative
AI.
But what you could do with generative AI in this kind of like leaping, conception, hypothesis
generation, it's really remarkable. So there isn't a day that goes about that doesn't change.
You know, we've also changed how we think about our space in the innovation kind of value chain.
So we more and more think that we can generate breakthroughs that then the incumbents in a space
can benefit from. So we've set up large partnerships with the likes of Pfizer and Novo and GSK and
pharma, the likes of thermo analog devices, Samsung, in the tech space, all aimed at
kind of expanding the reach of our innovations so that we can have more impact.
So lots of learnings along the way.
Let's talk about the AI piece.
What do you believe are the most exciting applications of AI in healthcare?
If you think about AI largely as data, large data-driven models that can do
kind of things that begin to look like human cognition and things that we were able to do
with just correlation kind of statistical kind of things
and optimization and some of the things
that machine learning used to be developed for,
you start getting more and more ambitious
in how to use it.
So among the very first things we did,
beyond Moderna's use of kind of really early deep neural nets
followed by the other techniques
to take data in the whole mRNA space
and inform the design of the next and the next generations
of what we did as well as how we manufactured.
But moderna was doing that on the one hand.
But we started looking at that as a way to design proteins.
So back about six, almost seven years ago now,
we created a project that said,
what if you could computationally design a protein of any desired function.
And you might say,
of course, now we have alpha fold this
and we have quantum models of folding.
We didn't want to use any of that.
We literally said,
can you show enough instances of the desired function
with the underlying DNA sequence
for a learning algorithm
to generate new ones. And people said, no, no, no, but you need to know the DNA sequenced and
the protein sequenced and the folding structure, then the this and the that. And we said,
yeah, but last we checked, every generation that DNA gets handed to the next generation,
there's no manual that describes all these things. The DNA has no idea what a protein is.
There's no idea what folding is. And yet, boom, the function follows. So we said there must be
an encoding of that knowledge in the DNA.
There's enough data in there somewhere, yeah.
100%. There's patterns that are basically encoded, which we don't understand. So on that whim,
otherwise known as hypothesis, we literally just started and tried it, because that's what's changed
now, is that the incremental cost of actually asking this question has come down, not just with
AI, but also with experimental setups. And in fact, within a couple years, we could show that at least
for antibodies and how they bind to their targets, we could begin to show some pretty interesting
leaps that you could make computationally that you couldn't make experimentally, at least not in the same
time. And that has led now to a company called Generate Biomedicines, which, by the way, is one of the
very first large partnerships that Envidia did in the biology space. So that's how we know them
quite well. And this was several years ago, three, four years ago. And now, you know, Generate has
more than 15 different, you know, computationally designed antibody programs, some in the clinic,
some advancing to the clinic.
And a lot of people kind of go,
well, show me a drug that's been competition design.
The answer is showing a drug is a lot more
than the design and early testing,
but we have done that in space.
We've then applied that to cell models.
We've then applied that to DNA, RNA,
all sorts of molecules,
to lipid nanoparticle design.
And now we've expanded some of the very cool
advanced things we're doing
is literally to create novel platforms
that can essentially create autonomous
ways to doing scientific discovery. That is, generate hypotheses, specify experiments, run them,
collect data, interpret the data, iterate hypotheses, and just do science, the way Waymo drives
cars. And while we're nowhere near having Waymo on the streets with these things, we definitely
can show the elements and we can tie them together. And in narrow spaces, we could show what the
future of that could look like, what it looks like if people did in chess and go train such that, you
know, a million people for a thousand years might play enough games to get to that level,
we're beginning to see hints of that. So that's very, very cool. And then like I said,
to finish, the area that it really interests us is these multi-agent kind of systems that can
do emergence. We're doing that in the product space, just flat out kind of new brands, new
products. We're doing that obviously learning carefully about those business models. We're doing
that in the mental health space. So kind of early intervention so that you,
You can use agent-based interventions.
But again, I don't mean by that training, you know, what a doctor would do.
I mean, let the system interplay and kind of learn from the dynamic between different types of agent-based models.
Very little we're not excited about.
You'll notice I didn't talk about all the productivity gains, you know, automated document writing, summarization.
I mean, we're doing all of that like everybody else is, but that doesn't require our extra effort.
These things feel like pioneering to us.
You were just describing hypothesis generation and other advancements of this type.
They're leading to a quickly increasing number of candidates, but that's, as you said,
like not show me a drug.
That's just kind of top of funnel.
Maybe it's higher quality top of funnel as well as volume.
What are the biggest bottlenecks in translating these innovations into like market-ready therapies
and how do we address these challenges more effectively if the goal is to get more therapies
to market now that we have more potential therapies?
Let's work backwards. The last thing you have to do is to file with the FDA, some BLA or NDA to get your approval. The step before that is you have to conduct a phase three trial to show at the right dose level across a large enough population statistically significant superiority without toxicity, and then we can work backwards. Those last steps are regulated and unless there's a rethink that with data-driven,
kind of approaches, we don't need quite as much of the kind of analog testing that we do
because we can actually create models of what the data is telling us. That day will come.
That day, until that day comes, we're going to be waiting, you know, for the large-scale trials
and the hundreds of millions of dollars that it costs to do that.
Don't you believe that should? That should come sooner.
Of course it should, especially if it could have improved the disease I'm going to get to die from.
So it's totally nuts. And by the way, the way, the way,
way to do that, to me, is pretty straightforward. It's called Operation Warp Speed. What we saw
during COVID. It's clearly possible, yeah. Completely is the way of thinking that would result if you are
under an avalanche of disease threat and you're very kind of like you get organized such that
the private, the public, the regulator, everybody doesn't take cut corners, but essentially
realizes the objective is a solution, not slowing down the process just to be on the safe side,
case, people are dying. So when the consequence of not doing anything goes up, people act.
The sad part is the consequence of not doing anything in cancer and neurological diseases is
playing out every day. Yeah, it's very large. It's just slower. We could do better,
but it doesn't feel like an urgent threat. I wish it did. So look, I don't have a magic one,
but if I did, I would at least run some experiments in how we think about data-informed ways
to interpret the results of trials that can either adaptive trials or et cetera.
So that's one category.
The area we are working on, just so you know, is that we can do better at understanding
the state of a particular patient.
Like right now, people say stage one cancer, stage two cancer, as though they're such a thing.
The medical profession has created stages every once in a while they change them.
It's a joke.
That's got nothing to do with underlying science and biology.
No offense to the colleagues who work in that area.
It's just kind of a super macro approximation.
But I think we now have the tools to be able to, in a very kind of molecular way,
micro stage, what I call her biostage disease, on a trajectory that isn't four stages,
but it's 75,000 stages, if you want.
The key for that is that you can then look at what mechanisms are turned on and off
in any one disease during that trajectory, and what's the subset of people
that you should choose to homogeneously test your hypothesis of a drug, such that the other people
you tested it on doesn't defeat your trial so that you might do a smaller trial, get a smaller
indication approved, and then expand. That with AI tools and with measurements can be done.
We're working hard to do them. That could substantially increase the productivity and lower the time
to get a drug out. Unfortunately, it doesn't suit the interests of a large company who wants to give
the drug to everybody, but for biotech companies who otherwise would be dead on the way
kind of to waiting, this might be interesting innovation. So we got to get the regulators to be open
to that. There's a lot of information in patient data that could inform us in ways to try to find
the right mechanisms to go after. Accessing that patient data, given HIPAA rules and everything
else, using it to train models to say, wow, now we know that is this particular mechanism,
in a subset of Parkinson's diseases that you've got to go after,
that stuff's happening slowly,
but that can also increase not just the top of the funnel in molecules,
but the selecting down the things worth working on
because you already have human data that says that if you can do this,
we already know the consequence because we have human data showing it
in the kind of genetic testing that we can do.
So lots of exciting things, but it's slow.
So you mentioned Operation Warp Speed,
like we have to talk a little bit about Moderna.
What do we do if we have another pandemic
in terms of a different response?
Before the pandemic,
everybody thought it takes years and years
to develop a vaccine.
So after the pandemic,
there was no hurry developing a vaccine
because everybody thought
it takes four years to develop a vaccine.
So what's the rush?
Of course, there were technology advances
that made it possible to develop vaccine
in like three, four months.
But until people got their head around,
why not try?
And then, unfortunately,
enough people had to die
and enough calamity
an economic shutdown had to happen for people to say, you know what, we have the money,
let's just try it. And if it doesn't work, then we're nowhere soft. That, I'd hope we don't
have to go through the same gestation period of debating. You know, there were a lot of people
who said that you can't do any of this stuff. Unfortunately, there's people to this day who
kind of think that vaccines can't work, don't work, et cetera. That's a problem. But in any case,
I really hope that if it happens, there will be the coordinated response of multiple approaches
that are thrown at it.
I feel very confident that there isn't a life form disease
that we can't find an appropriate antidote to,
or an appropriate vaccine to,
if we can deploy the best technology
in the most coordinated way with the right incentives.
And by the way, a key thing that Operation Warpsweet did
was to set a value outcome for people who tried.
Basically, the government said we will buy
X many doses at this price.
And so we could go to investors and say,
listen, if we can,
we don't know what the probability success is,
but if we win, there's a clear market signal.
That also would go a very long way outside of pandemics.
But in a pandemic,
that mechanism is tried and true now.
There's a reason to accept the uncertainty.
Exactly.
To your earlier question.
Moderna made many non-obvious bets along the way.
One of them was, you know,
every AI and biotech company I talk to, you know,
they want to be a platform versus a, you know, single or two or three clinical asset type
company. How do you think about this tradeoff between early investment in platform versus
clinical assets? Because, you know, in a different field, as you and I were talking about
before, investor climate and the macro changes around you, too. Not every biotech survives.
And so, you know, how do you think about that, having been through several cycles of that investor
climate? Let me answer it how we think about it at flagship. And then let me answer it about
how one should think about it, because, you know, we, of course, only represent one subset.
How we think about it is that because we go to far out places looking for undiscovered value,
the notion that you do that to come back with one asset is the definition of insanity.
Because if you're going to do that, you might as well bet on well-known, proven technologies,
just a slightly different version, and you could then bet on an asset and hope that your lottery ticket gets pulled.
Sorry for being a bit rash, but that's how I view it.
But if you're going to go and do RNA for the first time,
DNA for the first time, gene writing, gene editing, computational proteins,
you need to diversify because you don't know which ones that these are going to get knocked out
for reasons that have nothing to do with the underlying technology.
Hence, every single of the 110 companies we've been involved with for 25 years are a platform,
every single one.
There's no exception to that.
So we embraced from day one, but for a different reason,
namely we wanted to go beyond
adjacencies, beyond kind of
the reasonable zone into unreasonable
things. So that's why we do it that way.
Now, if you said, well, why does
everybody not do it, or most
people not do that way, even though they want to, as you said?
And then the answer is what you said,
which is the capital it takes
to do one thing is already high.
To do two, three things is even higher.
And oh, by the way, to do a platform
that could potentially do 15 things,
even if you don't use it for that, is very high.
Second, investors don't properly value platforms
because they don't give assigned value
to the correlated option value of one program
that becomes de-risk based on three other programs.
And so you don't get the credit
and you get the deduction
because it's now of a sudden overly expensive
and overly this and that.
The last thing that I'd say
the reason investors don't like it often
is because they figure it's a strain on man
management's capabilities. You know, it's one thing to execute one program, but if you're going to
execute two, three, four, I fear that that's creating a lot of companies that are essentially
going to be knowably dead because that's just a numbers game. And in an environment like this,
there's almost like a mass extinction event going on, unfortunately, as we speak, for a lot of
these single-lastic companies accentuated by the recent bets that China has made, both centrally,
governmentally, and in the form of resultant startups, because they've gone after that same
space at a much lower cost, much different barrier to entry in terms of clinical data.
And I don't know how you compete in a single asset biotech company against kind of a Chinese
invasion of assets that we're seeing in the business development front.
Good for the pharma companies to access those.
Those are great assets.
But remember what I said earlier about commoditization, I don't know how you don't get commoditized
at a higher structure of cost that we have here.
So that logic brings me back to doing platforms
because at least it gives you a chance to do partnerships
and to try to kind of come up with ways to stay alive.
It's not that our companies aren't dying.
Our companies are, some of them are meeting an unfortunate end as well,
but at least some of them are not.
Maybe that represents an opportunity for, you know,
the entrepreneurs who truly have a platform
and the investors who are able to invest through that.
Exactly.
Last question for you then,
because it's an interesting concept.
In your annual letter for 2025,
you described this concept of polyintelligence,
integration of human, nature-derived intelligence
and machine intelligence.
Where do you think human intuition will remain most relevant?
You switched from intelligence to intuition.
Intuition is just basically a model.
So all of us generate our own models,
and then we use them in short form.
So it's actually the closest thing to a computer,
large-language model that humans have.
We don't call it a large-language model,
but it's exactly to me what it is.
And so, yeah, anywhere you want to use with LLB,
you could use human intuition.
And the problem is the LLMs have a lot more data
and they've been trained across, you know,
millions of people's worth of data
and yours is trained on yours.
Okay, so intuition was the wrong thing, actually.
No, no, no, no, I wasn't criticizing you.
I was just picking off from your concept and saying,
like, so where does human, let's just say,
or human, is that what you mean?
Yes.
I mean, look, I think it remains to be seen.
I describe in this letter the notion
that thinking that the real frontier is between human and machine
misses out on the fact that most of science is between human and nature
and now we have a machine that actually can intellectually support
our inquiries of nature.
So it really is a triangle.
It's not a line between human and computer,
but it really is a triangle where human intelligence and machine intelligence,
coupled with nature's intelligence, will inform each other.
And these three actors will adapt to each other.
The role of the human in that, I think, is very important.
Humans compute completely differently.
And they have a way to act that's also quite different than the way computers act today
and the way other forces of nature act.
So I kind of choose to think of it as a three-way thing.
That's like a beautiful new axis of emergence.
And, you know, what's going to come out of it is the future of life.
I love it.
What a wonderful note to end on.
Thanks so much for talking to us, Nubar.
Happy to chat.
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