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Alex Telford

Alex Telford

@alex-telford · 12 positions · On ppll ↗

Writer on biotechnology and the economics of drug development, with a background working in and around the pharmaceutical industry. He writes long, sourced essays at atelfo.github.io on why drugs are hard to discover, what regulation does to that, and where the industry is going.

Alex Telford did not write this page.

We collected these quotes from things they published elsewhere, and every quote links to where it was said. They have no account here and have not endorsed this site. Quotes are word for word; the short line under each one is our own restatement, not their wording. Their own site. Is this you? Claim it or ask us to remove it. Or tell us what is wrong here.

3 of Alex Telford's claims fit 2 mental models. Most often: Bottlenecks, Incentives.

Models they name

Their own words name the idea.

Bottlenecks

A system moves only as fast as its narrowest point; speed up anything else and nothing changes.

Used by 89 others

A computational discovery platform does not make a biotech fast, because the thousand other steps of drug development are still the bottleneck.

  1. Alex Telford Writer on biotechnology and the economics of drug development Another challenge for Class II biotechs is that even if you have a nifty computational drug discovery platform, you are still often bottlenecked by the rest of the drug development process. It takes 1,000 (or more!) small steps to advance a drug through discovery, development, and past the regulators. A new breed of biotechatelfo.github.io · 17 Sept 2024All korrents from this piece
    Another challenge for Class II biotechs is that even if you have a nifty computational drug discovery platform, you are still often bottlenecked by the rest of the drug development process. It takes 1,000 (or more!) small steps to advance a drug through discovery, development, and past the regulators.

The hard part of drug discovery is knowing what to make - which target is worth drugging - not designing the molecule.

  1. Alex Telford Writer on biotechnology and the economics of drug development The most significant factor preventing us from taking better molecules into clinical trials is not our ability to design arbitrary molecules, but our (lack of) understanding of underlying disease biology. In other words, we often know how to make something, but not what to make. The pharma industry from Paul Janssen to today: why drugs got harder to develop and what we can do about itatelfo.github.io · 23 Dec 2023All korrents from this piece
    The most significant factor preventing us from taking better molecules into clinical trials is not our ability to design arbitrary molecules, but our (lack of) understanding of underlying disease biology. In other words, we often know how to make something, but not what to make.

Models we see in what they say

Our reading: their claim applies the idea without naming it. The claim is theirs; filing it here is ours.

Incentives

Look at what people are rewarded for; it explains more behaviour than what they say, your own included.

Used by 86 others

How long a trial takes decides which diseases get drugs at all, because capital flows to the indications whose endpoints can be measured quickly.

  1. Alex Telford Writer on biotechnology and the economics of drug development Because patents have fixed term lengths, with small extensions to compensate for the year or so when the drug is under regulatory review, drug developers are incentivized to go after conditions where clinical trials can be completed quickly, all else being equal. The pharma industry from Paul Janssen to today: why drugs got harder to develop and what we can do about itatelfo.github.io · 23 Dec 2023All korrents from this piece
    Because patents have fixed term lengths, with small extensions to compensate for the year or so when the drug is under regulatory review, drug developers are incentivized to go after conditions where clinical trials can be completed quickly, all else being equal.