Conditions: PTSD; Post Traumatic Stress Disorder PTSD; Post Traumatic Stress Disorder
Interventions: Drug: TREATMENT ARM: Full dose; Drug: CONTROL ARM: Active-controlled
Sponsors: U.S. Army Medical Research and Development Command; Resilient Pharmaceuticals; Walter Reed National Military Medical Center; Congressionally Directed Medical Research Programs
AstraZeneca has acquired exclusive global rights to develop and commercialize Dizal Pharmaceutical’s marketed lung cancer drug Zegfrovy® (sunvozertinib), through an agreement that could generate up to $1.5 billion for the spinout of the pharma giant’s onetime Chinese R&D operation.
Wuxi City, China-based Dizal has inked an exclusive license agreement with AstraZeneca to expand the development of Zegfrovy into new indications beyond the one for which it has approvals in the United States and China—namely the treatment of adult patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with EGFR exon 20 insertion mutations, whose disease has progressed on or after platinum-based chemotherapy.
Dizal has been pursuing approvals from the FDA and China’s Center for Drug Evaluation (CDE) for a new indication for Zegfrovy, as a first-line treatment for NSCLC with exon 20 insertion EGFR mutations. In May, Dizal presented at the 2026 American Society of Clinical Oncology (ASCO) Annual Meeting and simultaneously published in The New England Journal of Medicine (NEJM), positive results in the indication from its Phase III WU-KONG28 trial (NCT05668988).
In the study, Zegfrovy showed a median progression-free survival (PFS) of 10.3 months compared with 7.5 months PFS for platinum-doublet chemotherapy in untreated NSCLC patients with EGFR exon 20 insertion mutations (exon20ins).
“The efficacy of sunvozertinib was superior to that of chemotherapy as first-line treatment for advanced NSCLC with EGFR exon 20 insertions,” the researchers concluded in their study, “First-Line Sunvozertinib in NSCLC with EGFR Exon 20 Insertion Mutations,” which was published May 29 in NEJM.
Dizal also showed Zegfrovy delivering a BICR-assessed best objective response rate (BoR) of 68.1% vs. 35.4% with chemotherapy, and a median duration of response (DoR) of 11.2 months vs. 7.1 months for chemo.
Based on those results, Dizal has filed supplemental New Drug Applications (NDAs) for Zegfrovy in the first line to the FDA and China’s Center for Drug Evaluation (CDE). Both regulators have granted their Breakthrough Therapy designations to Zegfrovy in that setting.
“AstraZeneca is a leader in treating EGFR-mutated lung cancer, and we are eager to add Zegfrovy to our world-class portfolio of innovative medicines for patients whose tumors carry exon 20 insertion mutations,” Dave Fredrickson, executive vice president of AstraZeneca’s Oncology Hematology Business Unit, said in a statement. “With this agreement, we will bring a differentiated, oral targeted treatment to these patients with limited options across the globe.”
20% jump
Dizal shareholders reacted to the agreement with AstraZeneca warmly enough to send shares traded on the Shanghai Stock Exchange jumping 20%, from RMB 46.94 ($6.93) to RMB 56.33 ($8.31). But the news did not appear to wow AstraZeneca investors, as shares of the pharma giant traded on the London Stock Exchange dipped 1.95% today, from 12,610 pence to 12,364 pence. Shares traded on the New York Stock Exchange also fell 1.95% as of 2:17 pm ET, from $169.47 to $166.16.
Dizal was established in 2017 as a joint venture between AstraZeneca and China’s State Development & Investment Corp. (SDIC), with AstraZeneca spinning out the R&D operations of its China Commercial Innovation Center to Dizal as well as three preclinical candidates, one each in cardiometabolic disease, respiratory disease, and oncology, the drug that was eventually developed into Zegfrovy. Xiaolin Zhang, PhD, who headed the innovation center, was appointed Dizal’s CEO, a position he still holds.
AstraZeneca has agreed to pay Dizal $600 million upfront; up to $900 million tied to achieving development, regulatory, and sales-related milestones; plus tiered double-digit royalties on global sales of Zegfrovy. The milestone payments consist of up to $400 million in clinical development-related payments and up to $500 million in sales-related payments, Dizal disclosed in a regulatory filing to the Shanghai Stock Exchange.
In March, Dizal reported that Zegfrovy generated about RMB 576 million (about $85.057 million) in revenue last year, up 85% from 2024. Zegfrovy accounted for nearly three-fourths (72%) of Dizal’s total 2025 sales of RMB 801 million ($118.282 million).
Zegfrovy is a once-daily oral irreversible epidermal growth factor receptor (EGFR) inhibitor approved by the FDA in July 2025 based on evidence from the Phase I/II WU-KONG1B trial (NCT03974022) in patients with locally advanced or metastatic NSCLC with EGFR exon 20 insertion mutations whose disease has progressed on platinum-based chemotherapy and received Zegfrovy 200 mg once daily with food.
WU-KONG1B enrolled 202 patients with locally advanced or metastatic NSCLC with EGFR exon 20 insertion mutations who had received previous platinum-based chemotherapy. The trial was conducted at 89 sites in the United States, Argentina, Australia, Canada, China, Chile, France, Italy, Malaysia, South Korea, Spain, and Taiwan.
AstraZeneca’s licensing deal with Dizal is expected to close in the second half of this year, subject to customary closing conditions and regulatory clearances. AstraZeneca said the transaction does not impact its 2026 financial guidance to investors, which it reaffirmed on April 29 as calling for a mid-to-high single-digit percentage increase in total revenue, and a low double-digit increase in “core” earnings per share from primary ongoing business activities.
“As a leading global company with a strong lung cancer franchise, AstraZeneca will help ensure patients around the world can benefit from this innovation discovered by Dizal scientists in China,” stated Zhang.
Summer is peak tick season, and with it comes familiar threats like Lyme disease and Rocky Mountain spotted fever. But scientists say another group of tick‑borne pathogens is quietly gaining ground: nairoviruses, a diverse family of negative‑sense RNA viruses carried by ticks across Asia, Europe, Africa—and now the western United States. Several nairoviruses can infect humans, causing high fevers, severe headaches, and, in some cases, organ dysfunction. One member of the family, Crimean‑Congo hemorrhagic fever virus (CCHFV), is often fatal and considered a global‑level threat.
Nairoviruses are found in ticks that feed on wildlife, livestock, and people. Recent human infections have been documented in China and Japan, including Songling virus (SGLV), Tacheng tick virus 1 (TTV1), and Yezo virus (YEZV). A related virus, Beiji virus (BJNV), caused an outbreak involving more than 100 patients in northeastern China. And on the U.S. West Coast, researchers recently identified Pacific Coast Tick nairovirus (PCTNV) in Dermacentor occidentalis, a tick already known to transmit Rocky Mountain spotted fever. As the paper noted, “Pacific Coast Tick nairovirus… was recently identified in Mendocino, California, from tick species known to harbor human pathogens and having a large presence across the state.”
The new study, titled “Insights into the Structure and Function of the OTU Protease Virulence Factors from Emerging Human Nairoviruses,” was published in ACS Infectious Diseases and reveals how these emerging viruses may slip past human immune defenses. All orthonairoviruses encode a specialized enzyme called ovarian tumor protease (OTU), which can remove small protein tags—ubiquitin and ISG15—from human proteins. Those tags normally act as alarm signals that activate immune responses, and removing them effectively evades the immune system. As the paper explained, “OTUs exhibit varying levels of deubiquitinating (DUB) and deISGylating activities that facilitate viral immune evasion, establishing them as key virulence factors.”
In the work, researchers isolated OTU proteases from four emerging nairoviruses—SGLV, TTV1, YEZV, and PCTNV—and compared their ability to strip immune‑signaling proteins. The standout was PCTNV, whose enzyme showed the strongest ability to remove both ubiquitin and ISG15. That suggests PCTNV may be unusually adept at evading human immunity, raising concerns because the virus is carried by a human‑biting tick common along the Pacific Coast.
The team also resolved high‑resolution crystal structures of several OTU proteases. These structural insights allowed the researchers to train computational models that begin to predict which nairoviruses may pose the greatest threat. “The biochemical and structural insights provide a path forward for predicting OTU activity among current and emerging nairoviruses,” the authors wrote.
Such predictive tools could help public‑health agencies monitor new tick‑borne viruses before they spread widely. As corresponding author Scott D. Pegan, PhD, of the University of California, Riverside, noted, “This study reinforces the need to be vigilant about not just tick bites but the type of ticks that an individual has been bitten by, as they may carry diseases beyond what we have been used to looking for.”
The Federal Trade Commission settled a lawsuit against CVS Caremark, one of the largest pharmacy benefit managers in the U.S., over allegations that the company artificially inflated the price of insulin and impeded access to the lifesaving diabetes treatment.
As part of the deal, which the agency maintained will save Americans up to $8.5 billion in out-of-pocket costs over 10 years, CVS Caremark, which is owned by CVS Health, must make several changes to its dealings with employers, health plans, and pharmacies. The FTC also estimated the deal will unlock up to $4.5 billion in further savings for patients through pharmacy counter rebates.
In its complaint, the FTC alleged that CVS Caremark — as well as Cigna’s Express Scripts and UnitedHealth’s Optum Rx — created a “perverse” system of rebates that favored insulin, which was then sold at higher list prices in order to “line their pockets” at the expense of patients who were forced to pay more for the medication.
Prescription medicines purchased in the U.S. under a controversial government discount program amounted to $100 billion in 2025, a 22.8% increase from the previous year, according to the Health Resources and Services Administration, which oversees the program.
Expensive medicines represented an increasing proportion of spending in the 340B Drug Discount Program, accounting for $61.9 billion, or nearly 62% of all prescription drugs purchased through the program. Nearly $8.9 billion was spent on Merck’s Keytruda immunotherapy treatment, followed by more than $4.47 billion on Biktarvy, an HIV medicine sold by Gilead Sciences.
The data mark a steady rise in sales under the 340B program, which requires drugmakers to offer discounts that are typically estimated to be 25% to 50% — but could be higher — off all outpatient drugs to hospitals and clinics that primarily serve lower-income patients.
NEW YORK — Infections from the diarrhea-causing parasite cyclospora are surging, with state-level data suggesting that 2026 is already the nation’s worst year for reported cases.
More than 30 states have reported infections this year, and current data from them shows the number of infections surpassing the record U.S. mark of about 4,700 set in 2019. The illness is not usually life-threatening and is typically treated with antibiotics.
“I have this idea of a communal brain.” David Baker, PhD, told me as I sat in his office at the University of Washington (UW) surrounded by colorful and complex figurines of protein structures. It was the one-year anniversary of his Nobel Prize in Chemistry win.
Just outside his doors, a lab of more than 100 researchers was united by the shared ambition to design proteins from scratch (or de novo) for powerful applications across pharmaceuticals, vaccines, biosensors, and more. This “communal brain” housed at the UW Institute for Protein Design (IPD), where Baker led as director, was hard at work developing deep learning methods that could achieve atomic precision.
A small protein composed of 100 amino acids had an astronomical 20¹⁰⁰ possible sequences. Yet, only a vanishingly tiny fraction could fold into stable, functional structures.Misplacing a residue by an angstromcould mean the difference between a drug binding tightly to its target or complete failure.
For the antibody drug market worth hundreds of billions of dollars, Nathaniel Bennett, PhD, former postdoctoral researcher in the Baker lab, says AI-guided antibody design that bypasses the need for time-consuming experimental screens has long been a “holy grail” for a breadth of indications, including cancer and autoimmune disease.
Last November, Bennett and colleagues published a Nature paper demonstrating that full length de novo antibodies could bind user-specified epitopes. AI models could now construct antibody loops, the key region involved in binding that has been historically challenging to design due to its flexible nature.
Despite this technological leap, AI-designed proteins that were manufacturable, remained stable in the body, and avoided unwanted side effects, were still a step away. The gap fueled an industry debate over whethergenerating de novo medicines was even possible.
When I asked Baker to separate the hype from reality, he didn’t hesitate.
“The reality is that we can now design proteins on a computer,” Baker explained in our video interview.“The hype is that for therapeutics, there’s a lot more than the basic activity of a protein binding or catalyzing a reaction. Whether de novo proteins will revolutionize medicine will require improving our understanding of the biology.”
Nobel guests
Bennett is continuing molecular design research as a co-founder at Xaira Therapeutics. The AI-focused biotech launched in 2024 with over $1 billion in total funding and a star-studded leadership team, including Baker, as a scientific advisor, and Marc Tessier-Lavigne, PhD, former president of Stanford and CSO of Genentech, as CEO. Carolyn Bertozzi, PhD, Nobel laureate in chemistry, Scott Gottlieb, MD, former FDA head, and Alex Gorsky, former CEO of Johnson & Johnson,are among the board of directors.
“Science all becomes obsolete quickly because the field’s moving!” Baker told me. “The people that you mentor are more important than any science you do. They all go on and do great things.”
2024 Nobel Week was a testament to Baker’s scientific reach. Nearly 200 current and former members of his lab gathered in the Grand Hôtel in Stockholm to celebrate the newly named laureate, who was among a cohort of renowned AI experts who swept the awards ceremony.
Baker shared the Nobel Prize in Chemistry with Google DeepMind duo, CEO Demis Hassabis, PhD, and then-senior research scientist, John Jumper, PhD, whose AI model, AlphaFold, solved the protein structure prediction problem and has become one of the most widely adopted computational tools for drug discovery.
Meanwhile, the Nobel Prize in Physics was jointly awarded to Geoffrey Hinton, PhD, professor emeritus at University of Toronto, and John Hopfield, PhD, professor emeritus at Princeton University, for foundational discoveries that enabled machine learning with neural networks.
Together, the prizes represented a pivotal moment. AI was no longer confined to computer science but had become a transformative force across disciplines, earning recognition as a breakthrough deemed to confer the “greatest benefit to humankind.”
Back at the IPD, Baker’s research group spanned multiple floors. Yet, he knew everyone’s name, where they sat, and moved easily between conversations, bringing together researchers whose expertise might unlock a new direction. In the weeks after receiving the historic Nobel call, Baker chose to remain fully present for his team, implementing a strict “no travel rule,” despite the avalanche of invitations and media attention that accompanied the prize.
“David’s really good at forcing you to break the ice with people,” said Seth Woodbury, a graduate student who is designing metallohydrolases, enzymes that cleave some of the strongest bonds in biology for sustainability applications, including degrading pollutants. “Once you talk to your colleagues at happy hour, it’s not so scary to go ask them a question.”
Woody Ahern, graduate student and co-author of the metallohydrolase Nature paper, adds that Baker has a “very reasonable disdain for hierarchy.”
“Anyone can speak up in meetings. Anyone can question the work. It breeds this culture of staying focused on what matters in an interdisciplinary way,” said Ahern.
When Ria Sonigra was applying to graduate schools in the U.S., every option felt equally far from her home in India. She recalled sending Baker a cold email with questions about the lab. He quickly replied and offered to connect her with another international student who could help her navigate the application process. Today, Sonigra is an IPD graduate student, designing programmable nanopores for molecular sensing and sequencing.
“People outside the lab may think that David can’t pay attention to everyone, which is not true,” Sonigra said. “He knows your project and what he expects of you before the next meeting, even if he has a hundred trainees.”
At one point, Baker waved me over with a smile. “You’re missing chocolate hour!” he said, inviting me to one of many small weekly rituals that embodied the collaborative culture he had built.
“My group was not the first to do protein design,” he said humbly.
The field’s early innings trace back to 1988, when William DeGrado, PhD, demonstrated that sequences not found in nature could achieve stable 3D folds.The work challenged the long-held belief that functional proteins could only arise through evolution.
Steps toward computational design came a decade later, when for the first time, an in silico predicted protein was experimentally validated to adopt a target structure. The work was published in a Science study led by Steve Mayo, PhD.
Baker, alongside then-postdoctoral researcher, Brian Kuhlman, PhD, went a step further in 2003, expanding the design scope to include flexible backbones that represented entirely new folds, making it possible to not only modify natural proteins, but to create new ones from scratch.
“The prize was given because protein design has so much promise now, and that reflects the work of the whole community,” Baker continued.
Today, Degrado, Mayo, and Kuhlman are continuing to advance structural biology as prominent faculty members across University of California, San Francisco (UCSF), California Institute for Technology, and University of North Carolina (UNC) Chapel Hill, respectively.
Top7 was the first protein created on a computer with a custom amino acid sequence that folds into a never-before-seen structure. When viewed at an angle, the transparent partition allows the two forms to become superimposed, illustrating the beauty of uniting sequence and structure. [UW Institute for Protein Design]
Decades before OpenAI co-founder, Andrej Karpathy, coined the term “vibe coding,” Baker’s team was writing a program in FORTRAN. NamedRosetta, the molecular modeling suite simulated proteins atom-by-atom based on biophysical properties, from hydrogen bonds to backbone torsion angles.By calculating free energy, Rosetta could estimate which sequences were most likely to achieve a desired structure: the lower the energy, the more stable the predicted fold.
Yet, a protein’s energy landscape is rugged, with countless local minima among an astronomical number of conformations. Success was rare. Researchers were searching for a single grain of sand across the desert.
Still, “Rosetta was impressive,” said Sierin Lim, PhD, an associate professor at Nanyang Technological University, who is among a group of researchers engineering self-assembling nanoscale containers, known as protein cages, for applications across drug discovery, imaging, and materials science. She recalled watching molecules move on her screen in Singapore in the early 2000s. At the time, Rosetta was the only program that could model proteins.
Over the next twenty years, Baker adamantly pushed Rosetta to be openly available, inviting collaborators to not only use the software, but to improve it.
PyRosetta, a user-friendly Python-based implementation developed by Johns Hopkins University researchers led by Jeffrey Gray, PhD, broadened Rosetta’s access for structural biologists without a strong computational background. Meanwhile, progress in generating high affinity and selective ligand binders and epitope scaffolds for vaccine development were bringing computational proteins closer to real-world medicines.
What started as a single lab project grew into the Rosetta Commons, an international collaboration spanning more than 100 laboratories.
“It was a great move making Rosetta open, seeing what it can do now,” Lim said.
Researchers from Google introduced the transformer, a neural network architecture that enabled machines to analyze entire sequences at once. By using a “self-attention” mechanism, AI models could now uncover patterns across massive datasets at unprecedented scale. Soon, large language models (LLMs) trained on internet-scale text could not only understand, but converse in eloquent dialogue with humans.
The generative AI era had begun.
While the rest of the world was captivated by chatbots, structural biologists were sitting on a treasure trove of biological data pristine for machine learning.
For over fifty years, researchers had painstakingly deposited hundreds of thousands of experimentally determined structures in the Protein Data Bank (PDB) for public use. This molecular atlas now offered AI a window into the rules of biology.
In 2020, Baker received a phone call from one of the organizers of the Critical Assessment of protein Structure Prediction (CASP) competition, the biannual experiment that assesses the field’s latest state-of-the-art models.
“The first thing he said was, ’David somebody has done amazingly well this year, and it isn’t you!’” Baker recalled during his Nobel banquet speech. “That was how I first learned about the work of Demis and John.”
Instead of relying on human-defined biophysical rules, AlphaFold quickly learned decades of biochemistry from the PDB, uncovering the hidden instructions governing an amino acid sequence to fold into its 3D shape. At CASP14, the model remarkably predicted structures that were indistinguishable from real-world proteins. Months of laboratory work turned into a computational task completed in minutes.
Hassabis was quick to translate the breakthrough into medicine, taking the helm of DeepMind’s drug discovery spinout, Isomorphic Labs, as CEO a year later.
Today, the company’s IsoDD (Isomorphic Labs Drug Design Engine) platform, expands the druggable landscape by probing previously inaccessible biology, including predicting induced-fit interactions, where proteins change shape upon ligand binding, and identifying hidden binding pockets for drug targeting.
Isomorphic was betting, not on single therapeutic assets, but on a general discovery engine applicable across any disease area. That vision has since secured major pharma partnerships with Novartis, Eli Lilly, and Johnson & Johnson.
“I’ve always believed the No.1 application of AI should be to improve human health,” wrote Hassabis on LinkedIn when announcing Isomorphic’s whopping $2.1 billion funding raise in May.
Diffusion evolution
Concurrently, Baker’s team began applying deep learning to de novo design, drawing inspiration from AI’s emerging ability to generate realistic images. These diffusion models could operate on atomic coordinates and create entirely new protein backbones. Designs were conditioned for desired structural and functional constraints, opening the door to programmable biology.
When Baker’s team presented de novo design model, RFdiffusion (RoseTTAFold diffusion), in Nature in 2023, Mohammed AlQuraishi, PhD, assistant professor of systems biology at Columbia University, described the advanceas “a really big deal.”
‘‘Prior to the ‘diffusion evolution’, the success rates were probably on the order of 1 to 10,000, if you’re lucky,’’ AlQuraishi told me shortly after RFdiffusion’s publication. ‘‘With diffusion models, the success rates are closer to the single percentages when you get into the laboratory. It’s a huge magnitude improvement of what it used to be.”
Donald Hilvert, PhD, professor emeritus at ETH Zurich, met Baker twenty years ago while working on enzyme design with Defense Advanced Research Projects Agency (DARPA). Traditional Rosetta methods would carve out binding pockets in existing proteins and install a new catalytic apparatus.
“But the activities were not very good,” Hilvert recalled. Designing catalysis, where success depended on precisely positioning chemical groups to stabilize fleeting transition states, proved far more difficult than engineering a stable protein fold.Rosetta struggled to achieve that level of accuracy, prompting much of the field, including Baker, to turn attention elsewhere.
“Two years ago, David called me and said, ‘Why don’t you come and visit? All these new AI-driven techniques are really changing the game!’” Hilvert told me.
Hilvert has spent the past two summers at the IPD, collaborating with Woodbury, Ahern, and IPD postdoctoral researcher, Donghyo Kim, PhD, to design metallohydrolases using RFdiffusion. He “hardly knew how to turn on a computer,” yet was reading Python scripts and generating his first computational designs within weeks. To his amazement, experiments quickly yielded five or six promising hits.
“There is this common purpose of people helping one another,” Hilvert said. “David sets the tone from the top.”
Application generalist
As I walked through the halls of the IPD, I saw the extraordinary reach of protein design applications firsthand. Desks were intermingled across fields. The proximity was deliberate for ideas to travel as far as possible.
Florence Hardy, PhD, is a postdoctoral researcher tackling a new enzyme design project for global health applications, including streamlining the manufacturing process for therapeutics.
“I always say that I can only think in a ten angstrom sphere at a time,” she chuckled. “That’s just as big as the active site.”
“Most medicines focus on inhibitors,” Xinru Wang, PhD, explained when describing her postdoctoral research developing insulin agonists, or binders that lead to activation, to address metabolic disease. In contrast to blocking activity, “turning on” a signaling complex required precise structural tuning that was a natural fit for the IPD’s expertise.
Last November, Wang and colleagues published a study in Molecular Cell, demonstrating that de novo designed insulin receptor (IR) agonists could extend glucose-lowering effects. The findings offered a therapeutic alternative to escalating insulin doses, which is a known contributor to resistance. Notably, these engineered agonists avoided triggering cancer proliferation that is often associated with excessive insulin activation. Wang is currently an assistant professor at Northeastern University.
Tabitha Tcheau designs DNA binding proteins inducible with small molecules that can recognize novel pathogens and trigger the plant immune system. The highlight of her project, she says, is the ability to span interdisciplinary subgroups, from conformational dynamics, small molecules, and nucleic acids.
“One thing that blew me away here is that people are extremely supportive,” Tcheau told me. “Everyone you ask is super eager to help.”
Enisha Sehgal is among a team of researchers designing sequence specific DNA binding proteins that can power programmable transcription factors, targeted gene regulation, and new genome engineering tools.
“Being in this lab allows you to be a specialist in protein design, but a generalist in all the applications,” Sehgal said. “You get answers faster. You can iterate faster. Science moves faster.”
Visiting researcher and machine learning scientist, Kieran Didi, reiterates how the IPD’s interdisciplinary team enables rapid experimental validation of models. “I’m not going to spend two months in this fantasy world of computational benchmarks,” he said. “In the next week, I know if the model is actually working. Someone will quickly put it to the reality test.”
Postdoctoral researcher and chemist, Declan Evans, PhD, concurs and sees himself as the Alpha tester.
“I can go straight to the developer and say, ‘this is not how computational chemists would use this software,’” Evans said. “You can see changes being made in real time.”
Back in Baker’s office, he told me about his regular weekend escape to the mountains, one of the benefits of living in Seattle. Skiing and hiking were activities he valued highly. When asked to contribute an item to the Nobel Prize Museum, Baker chose a broken ski pole as a symbol that progress often comes through overcoming setbacks.
“But I don’t think people get ideas on top of mountains,” Baker tempered. “If you’re going to be a [principal investigator], you have to really like mentoring. For me, it’s super fun!”
Baker’s most enduring creation may not be any single protein, but rather the network he built—the diverse, inviting, and interconnected communal brain.
Nebius, an AI cloud company, sponsored its second “AI Discovery Awards” event and dinner earlier this month in London, where the winning companies were announced. The event highlighted leading startups in biopharma, genomics, medical devices, and digital health that are using AI to deliver advances in healthcare and life sciences.
During the evening awards ceremony, artificial intelligence demonstrated that it is rapidly reshaping biomedical research. However, practitioners agree that AI’s success depends on more than advanced algorithms. [Nebius]
At a Nebius-hosted morning discussion before the awards dinner, several researchers highlighted the importance of powerful computing infrastructure, high-quality biological data, and laboratory validation.
Examples included AI models that predict osteoarthritis years before symptoms and an Alzheimer’s platform, which achieved 97% diagnostic accuracy when paired with protein biomarkers. A Stanford Medicine scientist described CRISPR-GPT, an AI assistant that helps design and troubleshoot gene editing.
The investigators also spotlighted AI-powered lab automation, multimodal datasets, and AlphaFold’s dramatic acceleration of protein structure prediction. Across every application, participants emphasized that collaboration among academia, healthcare, industry, and governments will be essential to advance preventive, personalized medicine and to translate AI discoveries into clinical practice.
Ilya Burkov, PhD, who has a background in clinical medicine, is now global head of healthcare and life science at Nebius. Burkov began his research career focusing on osteoarthritis, osteoporosis, hip and knee replacements, and trying to figure out how such diseases develop and progress.
“My goal was to work backward from the end stage of disease and determine whether we could predict who was at risk years before serious joint damage occurred,” he explained. “If we could identify those patients early enough, perhaps we could delay disease progression.”
Machine learning
Speaking with colleagues in a hospital, he was asked: “Have you looked at it from any machine learning perspective?” Burkov had no formal background in artificial intelligence, but he was intrigued by the idea of using emerging AI models and advanced algorithms to analyze long-term medical imaging data.
Ilya Burkov, PhD [Nebius]
The concept was simple but powerful: if AI could identify patterns shared by patients who later developed osteoarthritis or osteoporosis, it might be able to detect subtle biomarkers long before the disease became clinically apparent.
“That idea became the focus of my PhD research. AI models were not a thing ten years ago when I was in the hospital. There were transformer models and algorithmic-based approaches.
“I developed techniques capable of predicting the early onset of osteoarthritis and osteoporosis with an accuracy of roughly 80% to 90%,” he pointed out. “The models identified imaging features that consistently appeared years before patients required joint replacement surgery.
“This made it possible to examine scans from otherwise healthy individuals and estimate their future risk. In some cases, we could tell patients that, without changes to certain lifestyle factors, they had a high probability of requiring a hip replacement within the next 10 to 15 years.”
For Burkov, that was transformative. AI made it possible to move beyond treating individual patients and instead create tools that could benefit entire healthcare systems. Rather than applying clinical expertise one patient at a time, scalable technologies could be created capable of helping clinicians identify high-risk patients earlier and intervening before irreversible damage occurred.
That realization ultimately convinced him to transition from clinical medicine into industry, where he saw the opportunity to build technologies that could have a much broader impact. Whether it’s a small academic lab with only a handful of researchers or a global pharmaceutical company operating at massive scale, every organization faces different computational challenges.
“At Nebius, our role is to provide the computing infrastructure and technology that enables researchers to train increasingly sophisticated AI models and accelerate scientific discovery to advance biomedical research and improve patient care,” he said.
Alzheimer’s disease
Artificial intelligence is rapidly reshaping drug discovery, but many researchers believe the greatest challenge is not designing drugs—it’s knowing what biological targets to pursue.
Prima Mente, a previous AI Discovery Award winner, is tackling that problem by building foundation AI models designed to uncover the molecular mechanisms behind Alzheimer’s disease and other neurodegenerative disorders. By combining blood-based biomarkers, multimodal biological data, and transformer-based AI, the London startup hopes to identify the molecular drivers of neurodegenerative disease—and ultimately accelerate the development of new therapies.
“If we can diagnose disease earlier, better stratify patients, and understand what’s actually driving Alzheimer’s, we can help create better treatments,” said co-founder Hannah Madan, PhD.
Based in London’s King’s Cross innovation district, Prima Mente has grown to approximately 35 employees across London, San Francisco, and the United Arab Emirates. Madan, whose academic background includes a master’s degree in pharmacology and a PhD investigating the relationship between bowel cancer and diabetes, has spent most of her career building biotechnology startups. Prima Mente is the fifth company she has helped launch.
The company’s mission addresses one of healthcare’s most pressing challenges. Dementia is the leading cause of death in the U.K. and the sixth highest in the U.S. Alzheimer’s disease remains the most common form of dementia worldwide.
Looking beyond traditional biomarkers
Prima Mente’s scientific strategy draws inspiration from advances in cancer diagnostics, particularly liquid biopsy technologies that detect circulating tumor DNA in blood samples. The company wondered whether a similar approach could work for neurodegenerative disease.
“When we started three years ago, many people thought we were a little crazy,” noted Madan. “The prevailing view was that very little DNA from dying brain cells entered the bloodstream.”
Hannah Madan, PhD [Nebius]
The team has since demonstrated that cell-free DNA originating from neurons, microglia, and astrocytes can be detected in blood. More importantly, those DNA fragments retain epigenetic information that may reveal the biological state of brain cells before they died.
Rather than focusing solely on DNA sequences, Prima Mente analyzes methylation patterns carried on cell-free DNA. Because methylation reflects how genes are regulated within specific cell types, these signals can provide insight into disease progression and cellular dysfunction.
“When cells die, they release fragmented DNA into the bloodstream,” Madan explained. “Those fragments preserve methylation signatures that tell us what state those brain cells were in.”
The biological strategy is paired with an equally ambitious computational one. Prima Mente believes that transformer architectures—the same AI technology underlying large language models such as ChatGPT—can learn the language of biology.
“If ChatGPT can understand human language, our hypothesis is that similar models can understand biological languages,” noted Madan.
Instead of converting sequencing data into simplified numerical counts, the company trains models directly on raw biological sequences, including DNA, methylation signals, RNA transcripts, and proteomic data. By preserving more of the underlying biological information, Prima Mente believes its models could uncover relationships that conventional bioinformatics pipelines often overlook.
The company’s first foundation model, known as Pleiades 1, demonstrated the potential of that approach. Initially trained to identify Alzheimer’s disease from blood-derived molecular data, the model successfully diagnosed a subset of patients. After protein biomarkers were incorporated, diagnostic accuracy increased to approximately 97% within the study dataset—exceeding the performance of current clinical standards, according to Madan.
AI tokens are the fundamental units of data processed by AI models during training and inference. They represent smaller components of text, audio, images, or other modalities, enabling models to understand, predict, and generate outputs effectively. Pleiades 1 was trained on 1.9 trillion tokens. Its successor, Pleiades 2, is being trained on 80 trillion tokens spanning five biological data modalities, with the long-term goal of building a 100-billion-parameter foundation model.
Prima Mente partnered with AI infrastructure provider Nebius, which supplied a dedicated 32-node computing cluster powered by NVIDIA GPUs. The additional computing capacity enabled the company to scale from a 1-billion-parameter model to a 10-billion-parameter model within weeks while increasing training throughput from roughly 8,000 tokens per second per device to more than 1.1 million tokens per second across a 16-node cluster.
Beyond model development, Prima Mente is collaborating with the U.K.’s National Health Service (NHS) through the Sandbox Study, which collects blood samples from patients with suspected neurological disease. The real-world data help researchers develop AI models aimed at detecting Alzheimer’s earlier, potentially enabling treatment before irreversible brain damage occurs.
Dementia is the leading cause of death in the U.K. and the sixth highest in the U.S. Alzheimer’s disease remains the most common form of dementia worldwide. [Cecille Arcurs/Getty Images]
Unlike AI companies that rely primarily on public datasets, Madan said Prima Mente is generating much of its own training data. The company collaborates with 20 NHS memory clinics throughout the U.K., collecting blood samples, speech recordings, clinical notes, and imaging data from patients at the earliest stages of cognitive decline. It also participates in the U.K.’s Sovereign AI initiative.
Lab validation is integrated into the company’s development process. Candidate discoveries generated by AI models are tested using stem cell systems, brain tissue, and additional blood-based experiments, creating a continuous feedback loop between computational prediction and experimental validation.
That combination of proprietary data generation, lab experimentation, and AI model development represents what the company views as a significant competitive advantage.
While AI has attracted enormous attention for accelerating drug discovery, Madan argues that identifying the right biological target remains the industry’s greatest bottleneck. She compares today’s AI revolution to the impact AlphaFold had on protein structure prediction. As computational tools become increasingly capable, designing drug candidates may become faster, cheaper, and more routine.
“But if you don’t know what biology actually matters,” she said, “there’s little value in having better tools to build drugs.”
For Prima Mente, Madan says the opportunity lies upstream of drug development—discovering the cellular pathways, biomarkers, and molecular mechanisms that should become tomorrow’s therapeutic targets.
That strategy recently received external validation when the company won the AI Insights Prize for Alzheimer’s from the Gates Foundation, receiving $1 million to expand research into microglial biology. The funding will support AI models designed to identify gene perturbations in specific brain cell types that could serve as the basis for future Alzheimer’s therapies.
As foundation models continue to expand beyond language into biology, Madan is betting that the next major AI breakthrough in medicine will not simply generate better drugs—it will reveal entirely new biology that makes those drugs possible.
CRISPR-GPT
CRISPR-GPT is a large language model developed by Stanford Medicine to automate key steps in CRISPR gene-editing research. Acting as an AI agent, it interprets scientific literature, designs guide RNAs, suggests experimental parameters, and integrates with lab automation systems to execute and refine experiments. By reducing manual planning and accelerating iterative testing, the system enables researchers to complete complex gene-editing workflows more efficiently and consistently, noted Stanford researchers.
CRISPR-GPT is also credited with lowering the barrier for scientists with limited CRISPR expertise, improving accessibility. The platform represents an emerging class of AI tools that can “reason” through complex scientific tasks, recommend next steps, and accelerate discovery. Potential applications include developing gene therapies, improving cancer research, engineering cell therapies, and expanding access to genome-editing technologies.
The goal, according to Le Cong, PhD, assistant professor of pathology and genetics is to help scientists produce life-saving drugs faster. “The hope is that CRISPR-GPT will help us develop new drugs in months instead of years,” he said.
Le Cong, PhD [Stanford Medicine]
Cong and team developed CRISPR-GPT using Nebius AI Cloud as its core infrastructure. The group leveraged Nebius’ GPU clusters to train their specialized CRISPR-Llama3 model, rapidly iterate on architectures, and scale from prototyping to full model training.
CHAT-GPT could also expand the pool of scientists who can effectively use gene editing technology—no experience required, pointed out Cong. “Trial and error is often the central theme of training in science, but what if it could just be trial and done?” he added. Cong is the senior author of a study “CRISPR-GPT for agentic automation of gene-editing experiments,” published July 2025, in Nature Biomedical Engineering.
AI Discovery Awards
At the AI Discovery Awards dinner in the evening, the sponsors announced that the 2026 program added medical devices and medical imaging to the existing biopharma, genomics, and digital health tracks to reflect the growing role of AI in connected medical equipment and diagnostic imaging.
“Our winners—and indeed all of the 647 submissions we reviewed—reflect how rapidly AI is changing the pace of healthcare research,” said Ilya Burkov during a short presentation. “Across all categories, startups are compressing timelines that once took years into months or even weeks, and bringing capabilities to clinical and laboratory settings that simply did not exist before.
Margaret Hua, founding chief of staff at Phylo, accepts $100,000 in GPU cloud credits for first prize in the biopharma category. The company is building AI research assistants that can independently help biomedical scientists think through problems, design experiments, analyze data, and suggest what to do next, with the aim of speeding up scientific and biomedical discovery. [Nebius]
“The AI Discovery Awards exist to accelerate that momentum, and to connect the most promising teams with the compute resources, investor networks, and mentorship they need to move from promising research to bringing products to market.”
Alongside the awards program, Nebius previewed its Nebius Scientific AI and Healthcare Platform, which is an AI infrastructure built to meet the specialist needs of healthcare and life sciences organizations, explained a Nebius official.
The 2026 AI Discovery Awards were open to companies from pre-seed through to Series D that put AI and machine learning at the core of their product. Category winners were selected from 647 applications from around the world by an independent panel of 28 judges representing leading pharmaceutical companies, academic institutions, and venture capital firms. Submissions were evaluated based on the use of AI within the product, use of compute, technical innovation, functionality and advantages, performance and efficiency, global impact, market potential, and business sustainability.
A full list of shortlisted companies, as well as qualification criteria and a jury list, can be found on Nebius’s website.
The results of a preclinical study by researchers at the University of Texas MD Anderson Cancer Center have found that an investigational epigenetic therapy called NTX-301 remained effective in treatment-resistant acute myeloid leukemia (AML) by activating the Hippo pathway, a tumor-suppressing pathway linked to cancer growth and drug resistance.
In preclinical models, the hypomethylating agent (HMA) NTX-301 was more effective than standard hypomethylating agent therapy and retained anti-leukemia activity in treatment-resistant and TP53-mutant AML. The team also found that the therapy activated the Hippo pathway through targeted epigenetic changes, revealing a previously unrecognized mechanism that may contribute to its anti-leukemia effects.
“Leukemia cells are remarkably adaptable and often find new pathways to survive after treatment,” said Michael Andreeff, MD, PhD, professor of medicine at the University of Texas MD Anderson Cancer Center and research co-lead. “These findings suggest NTX-301 may disrupt several of those survival mechanisms simultaneously while reactivating pathways that normally restrain cell growth. That dual effect could help explain why NTX-301 remained active in some of the most therapy-resistant forms of AML.”
First-generation hypomethylating agents, including 5-azacytidine (5-AZA) and decitabine (DAC), are used as standard clinical care for patients with AML and myeloid dysplastic syndromes (MDS), the authors wrote. Combining HMAs with the BCL-2 inhibitor venetoclax has further improved outcomes for patients.
“Hypomethylating agent (HMA) and the BCL-2 inhibitor venetoclax (VEN) combinations have evolved into frontline therapies for patients with acute myeloid leukemia (AML), yielding high response rates,” they stated. However, while such combination therapy works well initially, resistance and relapse remain common.
The challenge is particularly significant in AML with mutations in the TP53 gene, which normally helps cells respond to damage and prevent uncontrolled growth. When that gene is mutated, leukemia cells can become resistant to therapy and more difficult to eliminate. “… most patients ultimately relapse, particularly those with TP53 mutations,” the researchers continued.
Efforts have been made to develop improved and more effective HMAs, they noted, and NTX-301 is such a next-generation HMA. But as they pointed out, “… previous reports of NTX-301 preclinical studies in leukemia were conducted primarily in cell lines and xenograft models … its activities in therapy-resistant settings have not been investigated.” And while a Phase I study (NCT04167917) of the oral agent NTX-301in patients with AML and MDS has been completed, the team noted in their paper that the study has not yet been reported.
For their newly reported preclinical study, the researchers evaluated NTX-301 across multiple preclinical models of treatment-resistant AML, including patient-derived xenograft (PDX) models of AML with acquired resistance. Their results showed that NTX-301 therapy consistently reduced leukemia cell survival more effectively than azacitidine (AZA), a commonly used hypomethylating agent.
Importantly, NTX-301 remained active in leukemia cells that had already developed resistance to both hypomethylating therapy and venetoclax, and demonstrated anti-leukemia activity in TP53-mutant AML models. When combined with venetoclax in resistant leukemia samples, NTX-301 produced stronger anti-leukemia effects than either treatment alone. The combination was effective not only against leukemia blasts but also against leukemia stem and progenitor cells, which are believed to contribute to disease persistence and relapse.
In summary, they wrote, “Therapeutically, NTX-301 is more potent than 5-AZA in AML cells with various genetic backgrounds, is active in AML cells with acquired resistance to HMA or VEN, overexpressing VEN-resistant factors MCL-1 or BCL-2A1, and in isogenic AML cells with TP53 deletions/mutations in vitro and in vivo in xenograft models, exhibits activities against AML blasts and stem/progenitor cells from patients resistant to/relapsed from VEN-based therapies and with TP53 mutations in vitro and in vivo VEN/DAC-resistant PDX models, and enhances VEN activity.”
To understand why NTX-301 appeared more effective than existing drugs, researchers analyzed changes in DNA methylation, a process that can switch genes on or off without altering the underlying genetic code. Unlike current hypomethylating therapies, which broadly affect DNA methylation, NTX-301 focused on a more selective set of genes and pathways, including the Hippo pathway, which functions as a natural cell growth regulator.
NTX-301 increased activity of key Hippo pathway genes while reducing activity of YAP, a protein frequently linked to cancer cell survival, treatment resistance, and stemness. These findings suggest Hippo pathway reactivation may be an important reason the therapy remained effective in resistant leukemia models and could represent a new strategy for overcoming treatment resistance in AML. “Collectively, our data suggest that NTX-301 exhibits more potent anti-leukemia activities compared to current HMAs and synergizes with VEN in VEN-resistant and TP53-mutant AML and AML stem/progenitor cells,” the team concluded.
Additional studies are needed to determine whether these results translate to patients and to identify which populations may benefit most. The findings suggest that patients with relapsed AML, venetoclax-resistant disease, and TP53 mutations may be important groups for future clinical evaluation. “Taken together, the numerous NTX-301 targets identified here, its novel mechanism of action, and its superior activity against VEN-resistant and TP53-mutant AML compared to 5-AZA, warrant the future clinical development,” the investigators noted. “Given the strong preclinical data in TP53-mutant AML and the unmet clinical need, this should be a primary target group in the next clinical trial.”
Carter said, “An encouraging aspect of this study is that it identified both a potential therapeutic opportunity and a biological explanation for why it may be effective. The results provide a rationale for continued clinical development and suggest that targeting Hippo signaling may help address treatment resistance in AML.”
This is today’s edition of The Download, our weekday newsletter that provides a daily dose of what’s going on in the world of technology.
What Anthropic’s latest AI discovery does—and doesn’t—show
—James O’Donnell
When Anthropic announced last week that it had found a new window into its models’ “internal thoughts” as they reason through answers, there was one colleague I had to talk to: senior editor Will Douglas Heaven.
Aside from having a PhD in computer science, Will has spent a lot of time digging into what we can say about how AI models work. I spoke with him about what we should take from Anthropic’s new (and typically quirky) research. Here’s what he had to say.
This article is from The Algorithm, our weekly AI newsletter. Sign up to receive it in your inbox every Monday.
How will AI understand the real world?
Today’s AI systems can generate text, images, and code with impressive skill, but they still struggle with the complexities of the physical world. To bridge this gap, many researchers believe you need something called a world model.
At a LinkedIn Live event today, MIT Technology Review will investigate how this technology could transform robotics and help unlock a new generation of intelligent machines. Join Will Douglas Heaven, our senior editor for AI, and Sam Sinha, founding AI researcher and head of world models at 1X Technologies, for the discussion.
I’ve combed the internet to find you today’s most fun/important/scary/fascinating stories about technology.
1 New York has become the first state to enact a data center moratorium Its governor banned large data-center construction for up to a year. (WSJ $) + A bill passed by state lawmakers could go even further. (Verge) + Everyone hates data centers. (MIT Technology Review)
2 Smartphone shipments have hit a 13-year low due to the memory crunch They fell 11% in the second quarter of 2026. (Reuters $) + The memory chip shortage has increased prices. (Gizmodo) + And threatens the promise of Moore’s Law. (MIT Technology Review)
3 Sugar molecules have been found in interstellar space for the first time It hints that life on Earth may have been seeded from space. (Nature) + And boosts the odds of living organisms existing elsewhere. (New Scientist $) + Researchers used radio telescopes and data to spot the molecules. (NYT $)
4 Nvidia has halved its Asia buyer list to stop AI chips reaching China It introduced a “white list” of companies that passed tougher checks. (FT $) + It moved amid tighter chip controls from the Trump administration. (Reuters $)
5 Russian state hackers are targeting routers to spy and steal, the US warns The government has warned users to secure their devices. (Ars Technica) + Now is a good time for doing crime. (MIT Technology Review)
6 Trump moved his crypto gains into stocks while urging people to buy more His crypto projects earned him a fortune—but steep losses for retail buyers. (Reuters $) + He’s called for Congress to pass a new crypto bill to honor Lindsey Graham. (CNBC)
7 A new cell therapy has saved four children with terminal brain cancer They were treated with an experimental immunotherapy. (New Scientist $) + Access for older children will also be limited. (Bloomberg $)
8 The LAPD has halted use of Flock surveillance cameras due to privacy issues Flock’s automated license plate readers have caused concerns. (LA Times $) + It’s also been criticized for sharing data with state and federal officials. (Engadget)
9 The US has approved launching a space mirror that reflects sunlight onto Earth As part of a controversial plan to power solar panels round the clock. (Wired $) + But geoengineering faces many practical challenges. (MIT Technology Review)
10 Anthropic says Claude’s values vary depending on your language It’s most cautious in English and most deferential in Arabic. (Gizmodo)
Quote of the day
“The age when humans are the highest life form on earth will end. For better or for worse, it will happen and it can’t be stopped.”
—SoftBank CEO Masayoshi Son predicts that AI will overtake human intelligence by 2040 in a speech at his company’s annual corporate conference in Tokyo, Reuters reports.
One More Thing
Inside the strange limbo facing millions of IVF embryos
Millions of embryos created through IVF sit frozen in time, stored in cryopreservation tanks around the world. Many are left in a peculiar limbo, with no clear path forward.
UK residents can discard them, make them available to other prospective parents, or donate them for research. People in the US can also opt for “adoption,” “placing” their embryos with families they get to choose. In Germany, people aren’t typically allowed to freeze embryos at all. And in Italy, unused embryos must remain frozen, ostensibly forever.
While these embryos remain in suspended animation, patients, clinicians, embryologists, and legislators must grapple with the essential question of what to do with them. What do these embryos mean to us? Who should be responsible for them?