Where Are Tomorrow’s Blockbuster Biotech Drugs Coming From? You Might be Surprised

enthusiasm that attracts bright young scientists and businesspeople who want to be part of something historic and to help build on that legacy.

Before I went too far in concluding that the Bay Area’s regional biotech supremacy is in jeopardy, I thought I’d get another point of view from someone in the trenches—Tony Coles, the CEO of Emeryville, CA-based Onyx Pharmaceuticals (NASDAQ: [[ticker:ONXX]]). His company has gone through a similar internal exercise, mapping out which drugs in the works stand to make the biggest long-term impact.

Coles added two drugs to my list that he thinks have similar potential—Genentech’s pertuzumab for cancer, and Xoma’s XOMA-052 for diabetes. With a little nudging from his spokeswoman, he also nominated Onyx’s carfilzomib for multiple myeloma, although he agreed that it doesn’t fit my criteria since it’s a second-in-class molecule attempting to one-up the pioneer in its space—Millennium: Takeda’s bortezomib (Velcade).

In my mind, the drugs he added require more proof from clinical trials. But the more important question I wanted to ask Coles was whether he thinks the San Francisco Bay Area is still poised to lead biotech drug innovation 20 years out.

The short answer is yes. Coles has lived “all over the place” in his biotech career, including about 10 years in Boston, before moving to the Bay Area, where he has served the past three years as the CEO of Onyx.

“While there is very exciting stuff in Boston, there’s nothing like the spirit of possibility and invention that absolutely permeates the Bay Area,” Coles says. “It’s very energizing.”

All of the key ingredients are still in the Bay Area to create those next Avastins and Herceptins, Coles says: the basic research at UCSF, Stanford University, and UC Berkeley; the venture capital; the experienced managerial talent pool; and the entrepreneurial spirit that convinces people they can succeed in a business where 90 percent of drugs fail in clinical trials.

I see all the ingredients Coles is talking about. I’ve lived and worked in San Francisco, Boston, and Seattle in recent years, and I’d say all the key ingredients for real breakthroughs are in all three places, to varying degrees. To my mind, that means one or two places won’t dominate the future of biotech, and that we are really headed toward a more geographically distributed industry.

I’d love to hear your thoughts on where you think the blockbusters of tomorrow are likely to come from, and why, and especially if you can point to other centers of biotech I haven’t mentioned. As always, I’d love to hear your thoughts posted in the comment section below. Or even better, let me know what you think at UCSF’s Mission Bay campus on Wednesday night. See you there.

Author: Luke Timmerman

Luke is an award-winning journalist specializing in life sciences. He has served as national biotechnology editor for Xconomy and national biotechnology reporter for Bloomberg News. Luke got started covering life sciences at The Seattle Times, where he was the lead reporter on an investigation of doctors who leaked confidential information about clinical trials to investors. The story won the Scripps Howard National Journalism Award and several other national prizes. Luke holds a bachelor’s degree in journalism from the University of Wisconsin-Madison, and during the 2005-2006 academic year, he was a Knight Science Journalism Fellow at MIT.