Biology is booming, so why isn’t medicine keeping up?

We sit down with Ruxandra Tesloianu to unpack the real constraints slowing drug development. From clinical trial inefficiencies and regulatory opacity to risk-averse biotech culture, we explore why breakthrough discoveries so often stall before reaching patients, and why increasing the availability of clinical trials might be the answer.

We dig into:

•⁠  ⁠Why pharma R&D productivity keeps falling (Eroom’s Law)
•⁠  ⁠The clinical trial bottleneck and late human feedback loops
•⁠  ⁠How regulatory uncertainty quietly inflates costs
•⁠  ⁠Why investors avoid high-risk areas like aging
•⁠  ⁠The overlooked role of surrogate endpoints and biomarkers
•⁠  ⁠What China and Australia reveal about regulatory arbitrage
•⁠  ⁠Whether AI can actually fix the pipeline
•⁠  ⁠The expanding role of IRBs and procedural friction

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