Exclusive: Vertex CSO David Altshuler talks non-opioid pain pills, AI and the myth of breakthroughs

Short­ly af­ter jump­ing from acad­e­mia to in­dus­try in 2015, David Alt­shuler helped an­swer an ex­is­ten­tial ques­tion for Ver­tex Phar­ma­ceu­ti­cals. The Boston biotech was rid­ing high off a se­ries of block­buster treat­ments for cys­tic fi­bro­sis, and Alt­shuler joined as the chief sci­en­tif­ic of­fi­cer charged with plac­ing its next big bets.

The re­sult was a unique R&D strat­e­gy. It tar­get­ed a small set of dis­eases — in­clud­ing sick­le cell and type 1 di­a­betes — and then used what­ev­er tool or plat­form was need­ed to go af­ter them, such as CRISPR-Cas9 for sick­le cell, cell ther­a­py for di­a­betes, or small mol­e­cules for pain. The CRISPR ther­a­py will get an ap­proval de­ci­sion in De­cem­ber in what could be the first such treat­ment on the mar­ket.

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