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The Antidote: Inside the World of New Pharma

by Barry Werth

A pharmaceutical company’s long road to medicines

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AlbakiReads Editorial

A pharmaceutical company’s long road to medicines

Barry Werth traces Vertex from its founding in 1989 through a quarter-century of development in the pharmaceutical industry. The company’s history provides a lens on a business shaped by biological uncertainty, costly research and development, high failure rates, and extensive regulation. The account also revisits the AIDS crisis and Vertex’s early years, connecting the company’s growth to the broader challenges of bringing new medicines forward. This is business and science journalism centered on one company’s endurance and eventual success, set within an industry where innovation involves substantial risk as well as the possibility of major advances in treatment.

Good fit for readers who enjoy

  • Readers interested in pharmaceutical and biotechnology businesses
  • Those exploring drug development, medical innovation, and the commercial risks of research
  • Readers interested in company histories and science journalism

Themes

Pharmaceutical industryDrug development and riskMedical innovationCompany historyRegulation and research costs

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Book overview

In this timely and much praised book, Barry Werth draws upon inside reporting that spans more than two decades. He provides a groundbreaking close-up of the upstart pharmaceutical company Vertex and the ferocious but indispensable world of Big Pharma that it inhabits.

In 1989, the charismatic Joshua Boger left Merck, then America's most admired business, to found a drug company that would challenge industry giants and transform health care. Werth described the company's tumultuous early days during the AIDS crisis in The Billion-Dollar Molecule, a celebrated classic of science and business journalism. Now he returns to tell a riveting story of Vertex's bold endurance and eventual success.

The $325 billion-a-year pharmaceutical business is America's toughest and one of its most profitable. It's riskier and more rigorous at just about every stage than any other business, from the towering biological uncertainties inherent in its mission to treat disease; to the 30-to-1 failure rate in bringing out a successful medicine even after a molecule clears all the hurdles to get to human testing; to the multibillion-dollar cost of ramping up a successful product; to operating in the world's most regulated industry, matched only by nuclear power.

Werth captures the full scope of Vertex's twenty-five-year drive to deliver breakthrough medicines. At a time when America struggles to maintain its innovative edge, The Antidote is a powerful inside look at one of the most intriguing and important business stories of recent decades.
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