Angelos Georgakis Profile picture
Feb 17, 2023 21 tweets 6 min read Read on X
Everyone in biotech should read this book.

8 insights for those who want to succeed and have an impact in this beautifully unique business: Image
1. Ambition + Purpose > Skill.

Bob Duggan, the man who took over Pharmacyclics from its founder and Stanford professor Richard Miller, was neither a scientist nor a doctor.

He was a college dropout! Image
Yet, he had a strong why.

After the tragic death of his son at age 26 from cancer, Duggan had an unwavering determination to save lives: Image
Maky Zanganeh, the Head of Business Development who later became Pharmacyclics' COO and the second most powerful person in the company, had no pharma or oncology experience either.

She was a ... dentist! Image
2. An outsider challenges beliefs and pushes for innovation.

If you're not an outsider, surround yourself with people who're going to challenge your assumptions. Image
3. God, save the billionaires.

Duggan loaned Pharmacyclics $6.4 million in 2009 when investors were running for the hills.

Without his loan, the company would have gone bankrupt and never developed the drug that's saving hundreds of thousands of blood cancer patients today. Image
Wayne Rothbaum, the man who started the rivalry company that developed the other blockbuster drug, was a billionaire New York stock trader.

He invested one-third of his net worth into the company and convinced his billionaire friends to shoulder the rest of the investment. Image
You can't start a biotech company in your garage.

It costs more than $1 billion to bring a drug to market.

I agree with the author that we need venture capitalists, hedge fund managers and Wall Street to be involved in drug research.
These guys are not just "backers".

They have insight, they're extremely knowledgeable, they've seen patterns and they're active players in the fight against cancer. Image
4. The regulators are people.

You're not dealing with the FDA; you're dealing with people.

Believing that regulators exist to make your life harder won't get you far.

Richard Miller, the founder and ex-CEO of Pharmacyclics had declared war against the FDA. It didn't help: Image
Rich Pazdur was known in the FDA as Doctor No.

It was very hard to get drugs approved by him.

But after his wife lost the battle against cancer, Pazdur changed and set out on what he described as "a jihad to streamline the review process and get things out the door faster". Image
Regulators are walking on a very thin line.

Being a little too loose or being a little too tight both risk the lives of thousands of patients: Image
5. Capital will always be available to those who want to redefine human health.

The current economic environment may look gloomy for biotech and all industries, but I've always held a firm belief that capital will always be available to the crazy ones, the misfits, the rebels... Image
6. Biotech is a people's game.

Vardi said in an interview: "In my book, I wanted to answer one question: how amazing drugs are created today."

To me, Vardi's book is about people: human emotions, egos, motivation, ambition and the transcendence of human existence.
To bring a breakthrough to the patient, extraordinary effort is required from scientists, biopharma, investors, and regulators.

All these players have their own legitimate and honourable agenda.
There's no way you can succeed in this business unless you've understood each player's motivations.

And you may do all this and still fail because...
7. You also have to be lucky.

Oh yes, this book is about luck too.

It's extremely humbling. Image
8. Every motivation is beautiful.

Although the book is called For Blood and Money, I don't think that biotech is the easiest path to riches.

Every character in this book, including the hedge fund managers, is motivated by something beyond money.
In my case, seeing founders who were willing to go against the odds to get their technology to the patient was seductive!

I thought, if I can support these guys and increase their odds of success, I'm having my own impact on human health.

But that's just my motivation.
To me, every motivation is beautiful and necessary in this business as long as one is not being unethical.

For blood... or money.

Loving you, Angelos.

ps: Thank you @nathanvardi for writing this book for all of us.

pps: if you liked it, pls retweet to help this fly higher.

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More from @angelosgeo

Sep 23, 2023
He made Eli Lilly the most valuable drug company by market cap.

His company was acquired by Lilly and within 8 years he became Lilly's CSO.

He took brave bets in areas no one was willing to go for patients—and he won.

8 principles from Dan Skovronsky's leadership playbook: Image
1. Work on something really hard for a long time.

Dan Skovronsky was at home when he got a call from Lilly's statisticians informing him that their drug was effective.

Donanemab could slow the progression of Alzheimer’s by 35%.
"Any words I use to describe my emotions at seeing the data will fall short.

I’ve been pursuing the same enemy for 25 years. I was a kid when I started at this!

Working on something hard for a long time and seeing it come to some meaningful fruition is hugely rewarding". Image
Read 45 tweets
Sep 2, 2023
He 5X'ed AstraZeneca's productivity from pre-clinical to phase III completion and transformed the company's R&D strategy, culture and approach to innovation.

I spent hours researching Mene Pangalos.

10 key principles from his leadership playbook: Image
1. We Don't Do Backups Anymore!

"When I joined in 2010 I tried to get everyone bought into reasons why we needed to change and learn from what we had done before.

So, we looked at all of the projects that were run from 2005-2010. We were spending about $5B a year on R&D.
When we did the analysis, we found that if you measured us by the number of things that we were doing, i.e. the number of candidates that we were putting into the clinic or the number of IND's that we were filing, we were the 2nd most productive company in the industry.
Read 40 tweets
Aug 19, 2023
"Drug discovery is an insanely complicated activity; what makes a great leader in our industry is the ability to hold a team together for a very long time."—Joshua Boger, Founder of Vertex

11 Strategies for Motivating and Holding a Biotech Team Together for a Long Time: 🧵 Image
1. Don't Tell a Star What to Do.

A biotech team is a bunch of brilliant PhDs, postdocs, and scientists.

These folks are hustlers by nature, but you have to press the right buttons.
Smart people don't respond well to being told what to do.

What you do is, hopefully, you inspire them to want to take action.

And this is the difference between leaders and managers:

Managers tell people what to do whereas leaders inspire them to do it.
Read 29 tweets
Aug 4, 2023
299 biotech companies went public between 1979 and 1996 in the US.

Of the top executives of those companies, 81 came from Baxter International.

Henri Termeer was one of them.

How did Baxter's culture breed exceptional biotech leaders? 🧵
1. Sink or swim.

Imagine that you’re a bright 28-year-old MBA graduate working for a top medical supply firm.

Suddenly, on a Friday morning, you're told you’ll be running a division in another country on Monday—with a flight booked for this evening.
Sounds outrageous, right? But at Baxter, this was the norm!

Young and inexperienced employees were thrust into positions of immense responsibility without warning.
Read 18 tweets
Jun 6, 2023
10 Fundraising Tips for Biotech Founders/CEOs. 🧬 💰

(a mega 🧵) Image
1. Be an FBI Interrogator.

I often hear, "I've spoken to x investors. They said they want to see more data/proof".

And I go, "What data/proof do they want to see specifically? Did you ask them? Did they tell you?"
You have to really push for answers here.

"I need to see more data/proof" means absolutely nothing!

When they say something like that, interrogate them like hell!

And I don't mean confront them; I mean genuinely ask questions to understand what they mean.
Read 43 tweets
Apr 14, 2023
7 Must-Read Books for the Bench Scientist Turning Biotech Leader/CEO: 📚 🧬

1. From Breakthrough to Blockbuster Image
This is a fantastic book on the business of biotech: the players, the interactions, the agendas, the numbers, the challenges.

• backed with data
• beautifully written
• published less than a year ago

Here are 10 key insights from the book:

2. Letting Go

Being a first-time CEO comes with a full range of uncomfortable emotions!

This book will teach you emotional resilience.

I've worked with hundreds of leaders; all end up becoming masters of the techniques explained in this book. Image
Read 15 tweets

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