CPRIT and the Physician Entrepreneur

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CPRIT and the Physician Entrepreneur September 10, 2014 Presented to The Society of Physician Entrepreneurs

CPRIT Overview 1. Cancer s Impact in Texas 2. Mission and Perspective 3. CPRIT Organization and Methods Research Product Development Prevention 4. CPRIT s Activities Moving Forward 5. What makes for the Perfect Application 2

2014: Expect 119,000 Texans newly diagnosed; 44,150 die. 3

Cancer s enormous human & economic costs to Texas $150.9 billion in reduced annual spending $74.4 billion in output losses annually 747,850 lost jobs from cancer treatment, morbidity and mortality and the associated spillover effects 4

CPRIT s Unique Role in the Fight Against Cancer Created by the Texas Legislature and citizens in 2007 Our Mission: Create and expedite innovation in the area of cancer research and in enhancing the potential for a medical or scientific breakthrough in the prevention of cancer and cures for cancer. Attract, create, or expand research capabilities at institutions of higher education and other public or private entities that will promote a substantial increase in cancer research and creation of high-quality new jobs in Texas. Develop and implement the Texas Cancer Plan. 5

Oversight Committee Members William Rice, M.D. Chair Austin Appointed by Governor Perry Term: 9/26/13 1/31/17 Pete Geren Vice-Chair Fort Worth Appointed by Speaker Straus Term: 10/22/13 1/31/19 Amy Mitchell Secretary Austin Appointed by Lt. Gov. Dewhurst Term: 9/26/13 1/31/15 Gerald Geistweidt Mason Appointed by Governor Perry Term: 9/26/13 1/31/15 Cynthia D. Mulrow, M.D., MSc., MACP San Antonio Appointed by Speaker Straus Term: 10/22/13 1/31/15 Craig Rosenfeld, M.D. Dallas Appointed by Lt. Gov. Dewhurst Term: 9/26/13 1/31/17 Angelos Angelou Austin Appointed by Governor Perry Term: 9/26/13 1/31/19 Will Montgomery Dallas Appointed by Speaker Straus Term: 11/20/13 1/31/17 Ned Holmes Houston Appointed by Lt. Gov. Dewhurst Term: 9/26/13 1/31/19 6

CPRIT Funding in Perspective Billions $10.0 $9.0 $8.0 $7.0 $9.2 Industry NCI $6.0 $5.0 $5.0 Other Federal $4.0 $3.0 $2.0 $3.0 Foundations/Non Profits CPRIT $1.0 $- $0.7 $0.3 *Does not include private philanthropy Source: Report of the National Cancer Advisory Board AD Hoc Working Group, Dec. 2010 7

CPRIT s Unique Role in the Fight Against Cancer Mission Action Create and expedite innovation in cancer research into prevention and cures Attract, create, or expand research capabilities Create high-quality new jobs in Texas Develop and implement the Texas Cancer Plan Award merit-based, peer reviewed grants to Texas-based entities and institutions for cancer-related research, product development and the delivery of cancer prevention programs and services. Research Prevention Product Development 8

CPRIT s Peer Review Oversight Committee Program Integration Committee Chief Scientific Officer Chief Prevention Officer Chief Product Development Officer Scientific Review Council Chair Prevention Review Council Chair Product Development Review Council Chair Peer Review Committee Chairs Peer Review Committee Chairs Peer Review Committee Chairs 1 2 3 4 5 6 7 1 2 1 2 9

Research Portfolio Scientific Research Program Goals Discover new information about cancer that can lead to prevention, early detection and cures Translate new and existing discoveries into practical advances in cancer diagnosis and treatment Grants Research Grants 315 awarded $481,000,000 granted Researcher Recruitment 56 recruited Increase the prominence and stature of Texas in the fight against cancer $169,000,000 granted 10

Research Mechanisms Scientific Research Program Goals Grants Discover new information about cancer that can lead to prevention, early detection and cures Translate new and existing discoveries into practical advances in cancer diagnosis and treatment Increase the prominence and stature of Texas in the fight against cancer Individual Investigator Research Awards (IIRA) High Impact-High Risk Research Awards (HIHR) Multi-Investigator Research Awards (MIRA) Core Facilities Support Awards (CFSA) Shared Instrumentation Awards (SIA) Research Training Awards (RTA) Recruitment of Established Investigators Recruitment of First-Time, Tenure-Track Faculty Recruitment of Rising Stars 11

Scientific Research Program Distribution of Funded Grants by Research Area 4% Cancer biology and genetics 33% 47% Cancer epidemiology and outcomes research Cancer imaging and diagnostics Cancer immunology, including vaccines 4% 8% 4% Cancer treatment and drug discovery >1 Category 12

Scientific Research Program CPRIT Scholar Recruitment Awards Award Mechanism Recruitment of Established Investigators Recruitment of First-Time, Tenure- Track Faculty # of Recruits Total Award Amounts 14 $ 78,715,750 33 $ 64,792,505 Recruitment of Missing Links 3 $ 5,881,402 Recruitment of Rising Stars 6 $ 19,731,000 56 $169,120,657 13

Product Development Portfolio Product Development Program Goals To improve patient care through expedited innovation and product development To foster economic development in Texas emerging life sciences industry and the creation of high-quality new jobs in this state To provide a direct return, through intellectual property and revenue sharing, on the investments made by Texans Grants Product Development Grants to date 21 awarded Over $200 million granted Over $350 million invested in R&D with matching funds ~170 direct jobs created by CPRITfunded projects 14

Prevention Portfolio Prevention Program Goals Prevent or reduce the risk of cancer, detect it early, mitigate cancer effects thru delivery of evidence-based interventions Fund programs and services aimed to help those in most need Build capacity to deliver programs by promoting innovations and best practices across Texas Focus Deliver a program or service to Texans Reach underserved populations Reach as many people as possible in every region of the state Evidence-Based Primary, secondary, tertiary prevention Not prevention research Results oriented Measurable public health impact in ways that exceed current performance in a given service area 15

Prevention Portfolio Prevention Program Goals Prevent and reduce cancer risk, mitigate effects Grants Prevention Grants 115 awarded Serve populations in greatest need Build capacity by promoting innovations and best practices across Texas $96,000,000 granted 1,365,000 Texans served 16

Prevention Program Geographic Coverage Current Portfolio 47 Projects 17

CPRIT s Mission Moving Forward... Scientific Research Increased emphasis on - Prevention and early detection research - Rare cancers and cancers with poor prognosis Recruit the best cancer research talent to Texas Product Development Emphasis on Texas talent and opportunities Importance on the early stages where there is a funding gap A new RFP for company assistance Prevention Facilitate dissemination across state - Networks or model programs Collective impact - Partnerships with other funding agencies 18

The Perfect Application.... The Novelty and Importance of the Potential Product Novelty Importance It helps to have a large market and be hot Product Strong, fresh IP is essential The Quality and Depth of the Team If possible, partner with people who ve done it before Balance Medicine with Science with Business and Marketing Add a Regulatory Person - consultant Show that you are working together and are coachable Some Preliminary Data, a Well Thought Out Plan, and a Great Presentation The data should be encouraging and presented critically A BP is a Science, Development, Regulatory, Marketing and Finance Plan Make it look great and have your pitch down cold Show rational enthusiasm and openness to ideas 19

Introduction to the Rules Technology startups are diverse and there is no single right way to do one. Start-ups succeed for thousands of different and unique reasons. Most fail, however, for a small set of knowable and predictable reasons. There are rules (or lessons) for not failing.

Lesson #1: The founding team must sustain its vision and passion for the company over the long term. o Lots of companies fail because the founders run out of gas. (lose interest or enthusiasm)

Lesson #2: Management needs to have actual management skills and experience appropriate to the company. o Focus should be on the creation of a balanced team that combines technical and non-technical skills.

Lesson #3: Management and the organization (all employees) must be strategically aligned. o o o This is so simple... and so hard. Work at this and be a champion of it. Get rid of people who don t get it.

Lesson #4: The company s culture needs to embrace speed to market, and this has to be supported by management at every step. o Companies run out of money quickly and can exhaust the patience of their investors. o Markets too, move on....

Lesson #5: Revenue models must be clear and adaptable. o Focus on the 4C s Company Customers Competitors Collaborators o The country is littered with dead start-ups that did not pay attention to these four points.

Lesson #6: Lack of focus can ruin everything. o Pay attention to your source of competitive advantage. o Don t chase neat opportunities unless they are core to your business. o One company, one vision.

Lesson #7: Being first is good... o if there is a market for your product or service, o if you can capitalize on that market or o if you can continually keep recreating that first mover advantage.

Lesson #8: Zombies should be put to rest! o When there s nowhere that a company is going, then it may be time to be gone yourself. o Don t be the last one out.

Lesson #9: Smart money is better than stupid money. o Smart money not only pays the bills, but it brings in: Strategic partners Top-notch talent Experience Other smart money

Lesson #10: Fulfillment and customer service are critical. o An idea is a great thing, but the customer who is paying the bill must be satisfied, and even thrilled. o Under promising and over delivering are always a good plan!

For visionaries: We have focused externally here, with the foregoing rules, on the start-up company and its activities. There s another focus we could have taken, and that is on the person who engages in the start-up. That s you! o The elements of vision are many, but they are knowable and learnable. o How do you figure them out?

Some important attributes of visionaries: Awakening Vision Intuition Courage and conviction Scaling up the vision Luck Perseverance

Conclusions Start-ups succeed for thousands of different and unique reasons. Most fail, however, for a small set of knowable and predictable reasons. To succeed, you have to not fail. You have resources (books I ve referenced here, and many others) to help you understand start-ups... and yourself. Use them.

Thank you for listening. Good luck in your lives and your work!