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I am Chrissy O'Brien.
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I'm a senior partner at BCG,
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and I have the distinct honor
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of being our moderator this morning.
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Joined on stage with an all-star group
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of healthcare executives
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to discuss a very exciting topic around innovation.
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What are you most excited about?
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What do you think the opportunities
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will be from an innovation perspective?
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We've heard terminology, "the golden era
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of innovation in healthcare."
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I really think that that's the case.
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On the biopharma side,
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precision medicine remains top of the list.
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RNA technologies, both in terms of generating proteins,
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also silencing proteins.
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On the services side, AI and ML,
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alternate-site care, digital care, very exciting.
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And then on the devices side,
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sort of AI/ML-driven product ecosystem, the product suites.
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The innovation cycle is going to hit healthcare
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like a truck, and it's going to make a huge impact
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on patients' lives.
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The pace of change of innovation,
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I think has gone through a sort of step function
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over the course of the last five years.
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And this convergence with technology
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is having a profound impact upon medicine
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in every single aspect of the spectrum that we look at.
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Healthcare companies spent 2023
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understanding the potential of AI.
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In 2024, they'll focus on implementation.
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What AI and ML is going to help us do,
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it's going to help us with efficiency, and it's
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going to help us bring high-quality medicines faster.
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We talk about target identification.
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Also within making chemical matter,
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having the tools to more quickly get to the composition of
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matter that you want to get to is going to be so critical.
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80% of the challenge of bringing AI
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to a new therapy is wrestling with the data
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and getting it labeled and organized and curated,
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and dealing with the appropriate care of who has permissions
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to use the data, and being careful about protecting
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and ensuring the privacy of patients.
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GLP-1 medicines have shown potential
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that goes far beyond weight loss.
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As we think about the GLP market, the weight,
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we've been thinking about the market will carved up.
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It's a comorbidity with weight loss.
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We have a product that we're bringing in for
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NASH with obesity.
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And so I think you'll see this theme
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just kind of carved up into different diseases.
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And then I do think the reimbursement will catch up
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as you have the hard clinical outcomes
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and the long-term data to go along with it.
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The Inflation Reduction Act
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has created a new set of challenges for biopharma companies.
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You have such a high fail rate in this business,
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the capital in terms of large trials that you're spending.
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Now you have to ask yourself,
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How many of these trials you have to bring forward
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from day one?
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It impacts the way you fund,
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it has a knock on effect on maybe other trials
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that you're thinking about for other molecules.
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As the IRA becomes real,
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you'll see a market correction on
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especially those with small molecules
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because the biotechs don't have the luxury
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to prosecute like a big pharma.
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It's strategically very important for biotech companies
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to think about this, because again,
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it may change their strategies on partnering clinical
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trialing and capital allocation.
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2024 Will be a busy one
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for mergers and acquisitions.
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Financial conditions are easing.
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The big companies want and need growth.
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This allows for more transactions.
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Innovation happens not just inside our own walls,
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but it happens a lot in other startup companies,
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other technology companies.
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So we're being very disciplined about evaluating those
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for potential tuck-in acquisitions.
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The patent cliffs for many of our peers,
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they're still in a window
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where they're going to have significant patent cliffs,
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so there's going to be a desire and need
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to bring in high-quality late-stage compounds.
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The market this year is going to continue
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to be quite challenging from a private equity standpoint.
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It's partly because you've still got
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relatively high interest rates.
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I think you are going to see
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some more bespoke solutions arising
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where people have got specific targets or assets in mind
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where they want to bring in a partner
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to create a win-win situation.