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Alex Telford

@Atelfo

Tweets about the biotech industry, science, progress, and innovation | founder @Convokebio
San Francisco, USA atelfo.github.io Joined August 2016
410 Following 5.6K Followers 1.4K Posts

Latest posts 5

Alex Telford @Atelfo
Since people are talking about target crowding, here's a chart from an upcoming post: <5% of new drugs entering the clinic are going after targets that haven't been tested clinically before, ~60% are going after targets with an approved drug. New ideas are hard to find!
Bruce Booth Verified account @LifeSciVC Oct 30
The Fruits of AI Drug Abundance: Indigestion In The Near Term

While the long term impact of AI is likely transformational, in the near term more drugs against known targets will likely exacerbate the crowding challenge dragging down industry R&D productivity

lifescivc.com/2026/10/the-fr…
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Alex Telford @Atelfo
Congrats! I pontificated on the topic of operational efficiency w/ AI a couple years ago, but now the models are at a sufficient level of capability we're starting to see real efficiency gains in labour hrs / drug program. Still early, but real

atelfo.github.io/2024/09/17/a-n…
Professor Oak Verified account @Prof_Oak_ Oct 27
Surprise 1: Anthropic acquired a one-person biotech
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Surprise 2: that person is me
Surprise 3: I’m here to tell you all about it

Yes, this is what you think it is; after 6 yrs of increasingly loose anonymity: the Professor Oak reveal post

…and yes, it has gotten so boring around here that I’m literally doxxing myself to spice up the timeline

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Ok, allow me to introduce myself. My name is Cody Tranbarger. I mostly tweet, but occasionally find time to dabble in drug dev & starting/building biotechs. My past lives span the VC, crossover, startup continuum; Prof Oak has been my way of keeping a digital foot in those worlds, despite having my physical feet planted elsewhere.

The past 18 mo, ‘elsewhere’ was Mithril Medicine, a co. I founded to develop bsAbs for LAMA2-CMD & other ECM-related genetic diseases.

Mithril was born out of hands-on building with @MikeNGladstone, @JasonPaulRhodes, @LifeSciVC, & team @atlasventure. Somehow, I made enough half-decent calls along the way (even a broken clock is right twice a day, eh?) to convince them Mithril/I warranted a small seed. While I can hardly rationalize such an outrageously cavalier bet, I’m grateful for it, & I'd partner with Atlas again in a heartbeat.

In typical AV fashion, Mithril’s primordial form was virtual, decentralized, & ultra-lean. This stage tends to be short-lived, but for Mithril, it worked surprisingly well, for surprisingly long, thanks in part to the rapid maturation of the AI tools I used liberally.

Eventually, Mithril became a bit of an experiment itself - to find the upper bound of how far it could scale as a single operator + a bunch of Claude (+ a stellar bench of part-time consultants).

In parallel, I started spending time with @nc_frey, @an1lam, & @CoefficientBio team; and promptly experienced, for the 1st time, AI at the frontier. Soon thereafter, Mithril stopped looking like an experiment, & started looking like a preview of an entirely new operating model.

From that spark came “Pipeline-in-a-Person.” The idea immediately resonated when we shared it here back in April; and it was central to the shared vision that led to Anthropic’s acquisition of Mithril, & my joining the team.

Why join Anthropic? Three reasons.
(1) For Mithril, the programs continue, with more resources & infrastructure behind them, and as much Claude as I can put to work.

(2) For me, the chance to start several more programs, & find out how many one person can actually run in parallel - an almost unprecedented luxury for a curious drug hunter.

(3) For our mission, a path to institutionalize & scale this new way of working, then put it in the hands of all of biopharma, all over the world - which, candidly, I find the most energizing.

Will AI x Bio cure diseases? Unequivocally yes, imo… but not by the route that gets the most airtime. Rather than timeline acceleration & compression, I see orchestration & parallelization as today's low-hanging fruit.

Most drug hunters see a handful of go/no-go calls in a career, & spend entirely too much of the rest trading emails (my inbox can attest).

Give them the bandwidth to run several programs at once, and the time to focus on scientific judgment, and I’m willing to bet they’ll make better calls. And at scale, better calls translate to more drugs, higher hit rates, broader patient impact, & likely, a disease or 10 or 100 cured. I couldn't be more excited to build toward that future @AnthropicAI.

Finally, a heartfelt thank you to BioTwitter/X. The end of anonymity is bittersweet, but if anyone’s earned a proper introduction, you all have.

It’s difficult to overstate how much this app has done for me: a decade of education, plenty of friends, many job opportunities, several mentors, a few investors, even a co-founder (fmr). It was the generosity of this community that inspired me to start posting 6 years ago, after just as many years lurking. I hope I’ve been able to pay it forward, in my own small way.

But, to be clear, Prof Oak isn’t going anywhere. Same beat, same themes, and now, a front-row seat to drug development at the frontier. Stay tuned for dispatches from the trenches; and remember...

Gotta Cure 'Em All
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Alex Telford @Atelfo
We've significantly improved the preclinical and China coverage of our free drug pipeline tracker in the past week or so. If you're in biopharma corp dev or investing check it out and let us know what you think! (link in quoted post)
Convoke @Convokebio Jul 23
We weren’t happy with the existing drug pipeline and catalyst databases, so we built a new one designed to be easy for both humans and LLMs to use.

We’re making it freely available today as a community resource. The sign-up link and blog post are in the thread below.
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Alex Telford @Atelfo
We ran an experiment to see if LLMs could help map, identify, and prioritize unmet medical needs across thousands of diseases. I've found it pretty educational to browse through; I've worked in biopharma for a while now and there are still so many big problems I've never heard of
Convoke @Convokebio May 12
Today we're publishing our index of unmet needs in human disease: 2443 indications scored and ranked on burden of disease, prevalence, pipeline activity, and treatment burden. We hope this will help drug developers identify overlooked medical problems

convoke.bio/blog/introduci…
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Alex Telford @Atelfo
There's no guarantee that Kendall square is going to remain a biotech hub. Every 20-30 years or so a new industry has replaced the previously dominant one; before biotech it was AI, before that it was minicomputers, hard candy, and soap
The Wall Street Journal Verified account @WSJ Dec 29, 2025
A life-sciences job in Boston used to be a sure path to a high-paying career, but empty labs and unemployed grads now herald tougher times in the city on.wsj.com/44PnfEl
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