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CMC has been an ongoing challenge,
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particularly around the consistency
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and scaling of these processes.
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I'd be interested to hear, in addition
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to any general observations you have
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about how companies address these issues,
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is there anything that you'd like to see them do differently
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about how they engage with FDA in this area?
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Yeah, I'm not sure whether it's how they engage.
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It's how we as a field might engage,
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which is that if we could leverage
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a given vector and reuse it
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so that we weren't reinventing the manufacturing process
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every time a new therapy came along,
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we might be a lot better off.
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Because right now,
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I can say
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from the cheap seats,
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it looks like there's a lot of time spent
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and a lot of effort on the secret sauce of manufacturing.
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Whereas to me, it seems like
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the real brainpower, the innovation here, should be
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in the actual constructs of what we're actually doing
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to address the disease on the business end:
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so what's addressing the disease,
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rather than how you're going to make it.
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Something is more valuable if the probability
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of success is higher.
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And if you stay within these four walls
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of how you do your development program
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for your academic gene therapy,
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you will allow us to know that we have a higher probability
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of success in transferring your process into ours.
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And therefore, the asset inherently has more value.
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So I think if industry came together and thought about that,
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it could really help this move forward.
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Because
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I think then a lot of the academic investigators
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would have the incentive that they need to come
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into using a certain set of processes.
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Whereas right now, it's kind of like "Hey, I'm going
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to do it the way I want to, and tough luck, industry.
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You want a gene therapy for this enzyme deficiency.
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You're just going to have to adapt the way I've come to it."
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No, maybe the way to come at this is,
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"Look, if you want to have an asset
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as an academic investigator that's really valuable to us,
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you do it in a certain way so that when we pick it up,
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we can actually run with it."
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And we'll compensate you for that,
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the tech transfer piece of it, which I'm not the expert in.
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There's got to be some way to incentivize it on that end.
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That comes, by the way,
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from experience. When I was in cross-academic medicine,
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and when I was in industry,
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as much as we would get really excited
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about clinical results,
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the things that usually were
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some of the biggest speed bumps were not clinical results.
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They were that you couldn't make the thing.
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If you had it, you couldn't make it.
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And that's a big problem.