This might sound obvious, but if we’re going to make 60% of the inputs to our physical economy using biology, we are faced with the profound challenge of actually making a massive amount of physical product.
Today, there are 61m liters of operating bioreactor capacity globally, only 10m of which are unreserved and only 2m of which are unreserved and food grade. According to BCG, microbes are expected to produce 15 megatonnes of alternative protein by 2030, which would require 10B liters of fermentation capacity. The promise of cultured meat or producing other physical inputs for the economy (e.g. plastics) requires not only adding capacity but also realizing even greater cost breakthroughs, and this may not be feasible with current production methods.
As is often the case, challenges in the world of therapeutic development are distinct but related. Cetus and Genentech — who have legacies in the industrial world — burst onto the scene in the 1970s with the revolution in recombinant DNA technologies, and since then, drug modalities have become increasingly varied and complex with each passing year. Today, over 50% of new drugs are being produced biologically. We now not only have small molecules, recombinant proteins, and monoclonal antibodies but also myriad therapeutic modalities: drugs with compositions that range from nucleic acids to whole cells, with various chemical or polymeric formulations. Adding to the complexity, the dynamic range of production volume now spans n-of-1 therapies to rare populations to global vaccines, requiring more flexible production scales.
As therapies become ever more complex, we’ll need meaningful manufacturing innovation to produce them. Moreover, Covid-19 highlighted the fragility of our existing biomanufacturing infrastructure. All this to say, we have significant challenges to overcome, and we need manufacturing paradigms that are robust, flexible, and scalable.
Today, we want to share some of what we’ve learned about what it takes to actually make all of that stuff and, ultimately, to design products with manufacturing in mind. We’ll first share some additional context around the challenges. Then, we’ll share some innovative approaches we’ve seen folks taking to tackle these challenges and what we hope to see from an investing standpoint.
One last caveat: While we speak generally here about “fermentation” and “biomanufacturing,” it’s worth noting that this can mean a lot of very different things (see this quick laundry list for orientation).
Context — synthetic biology generally
It has been an exciting decade for the world of synthetic biology, and more is coming with rising institutional and governmental support. For example, just last month, the White House announced the launch of new biotechnology and biomanufacturing initiatives backed by $2 billion+ in funding (implementing many of the recommendations put forward by our friends at Schmidt Futures). $1 billion will come from the Department of Defense to “catalyze the establishment of the domestic bioindustrial manufacturing base that is accessible to U.S. innovators.”
Unsurprisingly, venture investment has grown as well, with synthetic biology startups raising nearly $18 billion in 2021, nearly as much as in all prior years since 2009 combined. Nearly 80% of these dollars have gone towards companies developing specific products, often in food and nutrition or health and medicine. Another 15% of these dollars went towards organism engineering platforms. Almost none went to biomanufacturing infrastructure or bioprocess development innovations.
As a result, application-focused companies are needing to hire teams of process engineers and fermentation specialists not only to manage scale-up risk but often also to put large amounts of steel in the ground themselves. This operational approach requires considerable specialized expertise, the ability to manage long lead times, and large amounts of capital — all of which are hard to come by for startups. Organism development companies rely on application-focused companies to shoulder the capital expense and manage technical scale-up risk, both putting their fate in the hands of others and making it hard to capture value.
Paired with evolving market conditions and unforgiving economic targets, these scaling challenges create a tough landscape for growth-stage companies and a fundamental bottleneck for the field as a whole. As a result, we think that some of the most interesting opportunities come from making a dent in these challenges.
Context – pharma
The last two decades have been remarkable. The fidelity with which we can intervene in disease has greatly expanded. Clinicians now have access to once-unimaginable interventions that significantly modify and treat disease progression versus simply ameliorating symptoms.
Antisense oligonucleotides were one of the first next-generation modalities to enter the clinic, though the field has had fits and starts after the first therapy (Fomivirsen) was approved in 1998 — only to be pulled from the market a few years later. Over the succeeding 20 years, we learned a lot about stability and delivery and now see significant potential in this programmable therapy.
The first autologous adoptive cell therapies were approved (Kymriah and Yescarta in quick succession) in 2017. These therapies take patients’ own immune cells and supercharge them to attack cancer cells. These treatments cured deadly cancers in a significant subset of patients and show durable responses more than 10 years after treatment.
Spark Therapeutics received the first approval in the US for a gene therapy for its treatment targeting a rare form of inherited retinal disease in 2018. This treatment stops the progress of a debilitating disease that ultimately leads to blindness.
Now, what do all these have in common other than being incredible treatments? They are some of the most expensive therapies on the market due to their lengthy and complex manufacturing processes. Yescarta and Kymriah have a list price of $375k and $475k, respectively. Luxturna has a list price of $425k per eye. Spinraza has a list price of $750k in the first year, followed by $375k per year thereafter.
Significant investments are being made in approaches that enable better manufacturing to deliver on the promise of these therapies. If we want these treatments to be available more broadly, we need methods and tools that not only decrease the cost of research and development, but fundamentally of manufacturing.
As usual, brilliant people are getting creative
Over the last year or so, we have seen a whole suite of folks come up with creative ways to tackle these problems:
Some observations
Fundamentally, the success of any given biological product (and product company) depends on finding an economical way to manufacture that product. Today, because many product companies lack access to economical manufacturing tools, services, and infrastructure, teams are forced to in-house this work, often hiring process engineering teams and using precious venture dollars to put steel in the ground. If every startup needs expertise in initial product development, strain engineering, and manufacturing at various scales, time and cost to market will become unmanageable for many startups. This is especially true for startups in spaces like food with narrow margins.
As a result, for product companies to be successful, we will need to radically increase access to manufacturing capacity, especially at intermediate scales. In the world of industrial biology, there are simply too few CDMOs available to produce non-pharma products at viable economics regardless of scale. Most CMOs were built 20-50 years ago for pharma, making them over-engineered for folks’ requirements (and, generally, not viable for products with price points lower than about $100/kg). Early on, companies often produce initial product demonstrations in-house and/or work with academic institutions to secure available capacity. Thus, many aspiring companies hit their first real capacity wall at the pilot scale when they find that few facilities are available to begin with, even fewer are food grade, even fewer manufacture domestically, and the very few that are available require years of advance planning to secure.
In the pharma world, companies face similar challenges. While it may be easier to secure capacity in a production environment, the gap between lab and production environments has been characterized as the “valley of death.”
In short: Whether food, industrial, or pharma, time and cost to market are every young bio company’s biggest enemies — and today’s CDMO options do not equip startups nearly well enough against these formidable foes.
Downstream, downstream, downstream
While easily forgotten, downstream processing is mission-critical and intimately coupled with both strain development and manufacturing processes. Downstream processing accounts for roughly 60% of the cost of producing a biological drug and has not improved or scaled at the same rate as upstream processing. Additionally, while upstream processing is specific for each product, the component parts are mostly the same (e.g., cells, media, bioreactor); in downstream processing, there is significantly more variability depending on the product being produced. Accordingly, it is critical to factor DSP costs into a TEA early and make sure that chosen products and manufacturing methods are designed to work with necessary downstream processes.
A young company’s job? To drive the way the road is, not the way it should be
To be successful, companies need to get a lot of things to converge: the early biology, strain or cell line development, process development, manufacturing at scale, and downstream processing — as well as, of course, making sure all of the above are tailored to the specific commercial and regulatory environments for their products of interest.
This is incredibly complex and requires startups to convene a long laundry list of tools and partners around the table, which are expensive and/or require long lead times to secure. Furthermore, suppose the whole purpose of R&D is developing something that can scale. In that case, you better have ways of testing the implications of decisions in the development process on performance at scale.
This is really hard. Robust TEAs are essential and should be upgraded as folks learn more about their processes over time. Companies need to plan for manufacturing and downstream processing significantly in advance and ensure they have the expertise to do so readily available in whichever way makes economic sense (might be an in-house team or a great set of advisors). As a potential starting point, here is a great framework and tool developed by Michael Lynch.
Venture investing — what we’re excited to see
These integrated technical and operational challenges are existential for young companies. Therefore, we are convinced that there are meaningful companies to be built that expand the menu of manufacturing options and accelerate feedback loops between early R&D and scaled-up production. We see opportunities in a few areas:
→ Differentiated technical manufacturing approaches for big classes of products
→ Product-focused companies that are leveraging existing infrastructure in a thoughtful way
→ Improved sensing technologies to enable more precise process engineering
→ Generally making it easier to get stuff out of the lab and into the world, even with today’s methods
Special thanks to:
Special thank you to Shannon Hall and Ouwei Wang (Pow.bio), Darren Platt (Demetrix), Alex Patist (Geltor), Billy Hagstrom, Jared Wegner & Tyler Autera (Bluestem Bio), Dan Beacom and Chris Guske for the conversations that have contributed to this newsletter. And, as always, thank you to all the folks whose work we cite for the work you do to push the field forward.