Civilization VC

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Civilization VC

Civilization VC

@CivilizationVC

We accelerate (AI) breakthroughs that will define human health + civilization for the next century. Founded by @ShahramSN. RTs/likes ≠ endorsements. 🩺 🧬 AI

San Francisco, CA Присоединился Haziran 2017
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Civilization VC ретвитнул
Shahram Seyedin-Noor
Shahram Seyedin-Noor@ShahramSN·
#AI per Marc Andreessen @pmarca is just getting started. This has ramifications for #venture in #biotech and #pharma as well (and techbio, as some call it). Stay tuned as we @CivilizationVC have big plans... :)
Anish Moonka@AnishA_Moonka

Marc Andreessen just dropped ~105 mins on Lenny's Podcast covering AI, jobs, careers, and why everyone is panicking about the wrong thing. Just the clearest macro framework I've heard on where AI actually lands. My notes: 𝟭. 𝗔𝗜 𝗶𝘀 𝗮𝗿𝗿𝗶𝘃𝗶𝗻𝗴 𝗮𝘁 𝘁𝗵𝗲 𝗲𝘅𝗮𝗰𝘁 𝗺𝗼𝗺𝗲𝗻𝘁 𝗵𝘂𝗺𝗮𝗻𝗶𝘁𝘆 𝗻𝗲𝗲𝗱𝘀 𝗶𝘁. US productivity growth has been running at half the rate of the 1940-1970 era and a third the rate of 1870-1940. The global population is declining below replacement in dozens of countries, including China. Without AI, we would be panicking about economies shrinking from depopulation, not job loss. The timing is almost miraculous. This is what Andreessen means when he says the real boom has not started yet. We have been in a 50-year productivity drought, and most people do not even realize it. 𝟮. 𝗔𝗜 𝗶𝘀 𝘁𝗵𝗲 𝗽𝗵𝗶𝗹𝗼𝘀𝗼𝗽𝗵𝗲𝗿'𝘀 𝘀𝘁𝗼𝗻𝗲. Isaac Newton spent decades trying to transmute lead into gold and never succeeded. AI does something more powerful: it converts sand (silicon) into thought. The most common material in the world is the rarest output. This one metaphor reframes the entire AI conversation. You do not have a job loss problem. You have a philosopher's stone sitting on your desk that you are not using enough. 𝟯. 𝗔𝗜 𝗺𝗮𝗸𝗲𝘀 𝗴𝗼𝗼𝗱 𝗽𝗲𝗼𝗽𝗹𝗲 𝘃𝗲𝗿𝘆 𝗴𝗼𝗼𝗱, 𝗮𝗻𝗱 𝘃𝗲𝗿𝘆 𝗴𝗼𝗼𝗱 𝗽𝗲𝗼𝗽𝗹𝗲 𝘀𝗽𝗲𝗰𝘁𝗮𝗰𝘂𝗹𝗮𝗿𝗹𝘆 𝗴𝗿𝗲𝗮𝘁. The best coders right now are not reporting 2x productivity. They are reporting 10x. The gap between "pretty good with AI" and "elite with AI" is widening, not narrowing. This is the most important signal for career planning right now. If you are just using AI to do the same job slightly faster, you are leaving the real leverage on the table. 𝟰. 𝗧𝗵𝗲𝗿𝗲'𝘀 𝗮 𝗠𝗲𝘅𝗶𝗰𝗮𝗻 𝘀𝘁𝗮𝗻𝗱𝗼𝗳𝗳 𝗯𝗲𝘁𝘄𝗲𝗲𝗻 𝗣𝗠𝘀, 𝗲𝗻𝗴𝗶𝗻𝗲𝗲𝗿𝘀, 𝗮𝗻𝗱 𝗱𝗲𝘀𝗶𝗴𝗻𝗲𝗿𝘀. Every engineer now thinks they can be a PM and designer. Every PM thinks they can code and design. Every designer knows they can do both. And they are all correct, because AI enables each role to absorb the tasks of the other two. I have seen this firsthand in the investing world. The analyst who can build models and write narratives is 5x more valuable than someone who can do only one. The same convergence is happening in the product. 𝟱. 𝗙𝗼𝗿𝗴𝗲𝘁 𝗧-𝘀𝗵𝗮𝗽𝗲𝗱. 𝗕𝘂𝗶𝗹𝗱 𝗮𝗻 𝗘-𝘀𝗵𝗮𝗽𝗲𝗱 𝗰𝗮𝗿𝗲𝗲𝗿. Scott Adams could not have created Dilbert by being the world's best cartoonist or the world's best business mind. He needed both. The additive effect of two skills is more than double. Three skills are more than triple. Larry Summers puts it differently: don't be fungible. The person who can code, design, and ship a product is no longer a unicorn. They are the new baseline for "extremely valuable." If you are only one of those three things, you are increasingly replaceable. 𝟲. 𝗝𝗼𝗯𝘀 𝗮𝗿𝗲 𝗯𝘂𝗻𝗱𝗹𝗲𝘀 𝗼𝗳 𝘁𝗮𝘀𝗸𝘀. 𝗧𝗮𝘀𝗸𝘀 𝗰𝗵𝗮𝗻𝗴𝗲. 𝗝𝗼𝗯𝘀 𝗽𝗲𝗿𝘀𝗶𝘀𝘁. Executives never typed their own emails in the 1970s. Secretaries printed incoming emails and hand-delivered them. Both roles survived the transition, just with different task sets. The same will happen with AI and coding, PM work, and design. Everyone obsessing over "will my job disappear" is asking the wrong question. The right question is: which tasks in my job are about to rotate, and am I ready to pick up the new ones? 𝟳. 𝗔𝗜 𝗰𝗼𝗱𝗶𝗻𝗴 𝗶𝘀 𝗷𝘂𝘀𝘁 𝘁𝗵𝗲 𝗻𝗲𝘅𝘁 𝗮𝗯𝘀𝘁𝗿𝗮𝗰𝘁𝗶𝗼𝗻 𝗹𝗮𝘆𝗲𝗿. We went from human calculators to machine code to assembly to C to scripting languages. Each layer was dismissed by the previous generation. Each time, the new layer won, and total coding employment grew. AI coding is the same pattern, not a rupture. The Perl programmers of 2005, laughing at JavaScript, are the C programmers of 1995, laughing at scripting. History rhymes, and it always rewards the people who adopt the next abstraction first. 𝟴. 𝗔𝗜 𝘁𝘂𝘁𝗼𝗿𝗶𝗻𝗴 𝗱𝗲𝗺𝗼𝗰𝗿𝗮𝘁𝗶𝘇𝗲𝘀 𝗲𝗹𝗶𝘁𝗲 𝗲𝗱𝘂𝗰𝗮𝘁𝗶𝗼𝗻. One-on-one tutoring is the only method proven to move a student from the 50th to the 99th percentile (Bloom's two sigma effect). It used to require being born into royalty. Alexander the Great was tutored by Aristotle. Now, any kid with a phone can access the same quality of personalized instruction. This is the most under-discussed consequence of AI. Every parent reading this should be supplementing their kid's education with structured AI tutoring right now. Not next year. Now. 𝟵. 𝗣𝗲𝘁𝗲𝗿 𝗧𝗵𝗶𝗲𝗹 𝘄𝗮𝘀 𝗺𝗼𝗿𝗲 𝗿𝗶𝗴𝗵𝘁 𝘁𝗵𝗮𝗻 𝗔𝗻𝗱𝗿𝗲𝗲𝘀𝘀𝗲𝗻 𝗼𝗿𝗶𝗴𝗶𝗻𝗮𝗹𝗹𝘆 𝗮𝗱𝗺𝗶𝘁𝘁𝗲𝗱. Progress in bits masked stagnation in atoms. The built world is barely different from 50 years ago. Same bridges from the 1930s, same dams from the 1910s. Cartels, monopolies, unions, and regulations prevent the rate of change that people had 100 years ago. This is also why AI will not transform everything overnight. Institutional sclerosis is real. Healthcare alone could take a generation. If you are building in atoms, budget for a war of attrition, not a blitzkrieg. 𝟭𝟬. 𝗠𝗼𝗮𝘁𝘀 𝗶𝗻 𝗔𝗜 𝗮𝗿𝗲 𝗴𝗲𝗻𝘂𝗶𝗻𝗲𝗹𝘆 𝘂𝗻𝗸𝗻𝗼𝘄𝗻. Within a year of ChatGPT's launch, five American companies, five Chinese companies, and open-source all had roughly equivalent models. DeepSeek emerged from a hedge fund in China and basically replicated the American labs' work. The smartest AI insiders privately admit there aren't many real secrets among the big labs. This is the most honest take I have heard from a top-tier VC. No one knows if the value accrues to models, apps, or infrastructure. Anyone who tells you otherwise is selling you certainty they do not have. 𝟭𝟭. 𝗔𝗜 𝗜𝗤 𝘄𝗶𝗹𝗹 𝗯𝗹𝗼𝘄 𝗽𝗮𝘀𝘁 𝗵𝘂𝗺𝗮𝗻 𝗹𝗶𝗺𝗶𝘁𝘀. Human IQ caps around 160 because of biology. Current AI models test around 130-140. There is no theoretical ceiling stopping AI from reaching 200, 250, or 300. The concept of AGI as a "human equivalent" will be a footnote because AI will race past that threshold. This is the frame that makes the "will AI take my job" debate feel small. We are not building a replacement for human thought. We are building something that will be better than the best human thought has ever been. 𝟭𝟮. 𝗧𝗵𝗲 𝗯𝗲𝘀𝘁 𝗳𝗼𝘂𝗻𝗱𝗲𝗿𝘀 𝗮𝗿𝗲 𝗿𝗲𝘁𝗵𝗶𝗻𝗸𝗶𝗻𝗴 𝘄𝗵𝗮𝘁 𝗮 𝗰𝗼𝗺𝗽𝗮𝗻𝘆 𝗲𝘃𝗲𝗻 𝗶𝘀. Layer one: AI redefines products. Layer two: AI redefines jobs within companies. Layer three, which has not dropped yet: AI redefines the very concept of having a company. The holy grail is the one-person, billion-dollar outcome, and the best founders are chasing it. Satoshi did it with Bitcoin. Instagram and WhatsApp came close with tiny teams. The question is no longer if this is possible with software. The question is how many of these we will see in the next five years. AI is the philosopher's stone. The question is whether you pick it up. The full podcast is worth your time. Link in replies.

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Civilization VC
Civilization VC@CivilizationVC·
This is BIG. 🚀
Shahram Seyedin-Noor@ShahramSN

Honored that @CivilizationVC — the fund I founded barely 8 years ago as a solo GP in the heavily conservative #lifesciences space — has now cracked the Top Quartile as a force in #biotech! No other firm of our size + vintage came even close. Thanks @JohnCendpts and @endpts for the analysis. OrbiMed jumps to number one on the top 100 list of biotech venture investors - endpoints.news/orbimed-jumps-…

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Shahram Seyedin-Noor
Shahram Seyedin-Noor@ShahramSN·
Top 3 reasons why #founders fail in #biotech / #Health tech/ #HealthcareAI : 1. They lack FOCUS Our successful founders are maniacal about focusing only on the things that matter. When it comes to PRODUCT, that's even more important. A smart founder may have an idea a minute, but s/he only pursues one goal at a time until it's achieved before moving on to the next. They state their goals and lead a team only in the direction of that goal. 2. They don't work HARD enough Early stage founders that succeed don't spend time on yachts, in #Davos, traveling to exotic destinations "where the money is". If you're in Silicon Valley, there's money on every corner, a new fund pops up daily. Successful founders don't consider a financing round or good PR "the milestone", but rather a step on the path. They don't take 3 week vacations after raising money, or disappear to Europe for the holidays leaving their team in the lab. They lead by example and are the hardest workers on their teams. 3. They are not HONEST with themselves/others Integrity is underrated. You can't "fake it till you make it" in bio, especially since the real moment of truth in therapeutics is human data that's a decade away. So you have to be ruthless in assessing the viability of your product and path at every turn, reading your own data in the most skeptical light possible. Spinning data, covering up mistakes, overlooking inconvenient signs that your Dx or Rx isn't working... you're just fooling yourself. In software, it's a bit easier since product market fit (PMF) is often staring you right in the face (or not), but even here I've seen teams delude themselves by pretending that 1 big account paying big dollars is evidence of PMF, where it in fact may only show that you've become the outsourced dev team for the client. Bonus: if you're spinning data in healthcare/bio, not only will your company fail, but you may end up in prison on top of that. What are your Top 3?
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Shahram Seyedin-Noor
Shahram Seyedin-Noor@ShahramSN·
The thing about being contrarian is that by definition you will be “proven wrong” over the short term.
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Shahram Seyedin-Noor
Shahram Seyedin-Noor@ShahramSN·
💯 True in every job, every profession, every time.
Ricardo@Ric_RTP

The CEO of Uber just revealed his controversial way of running his company. His principle: Hard work is a learned skill. And if you haven't developed it by now, you probably never will. Dara Khosrowshahi went on Diary of a CEO and dropped something most executives would NEVER admit publicly... He was asked a simple question: "Have you ever seen someone who wasn't a hard worker become a really hard worker?" His answer: "No. No one occurs to me." Not one person. In decades of building billion dollar companies. Then he explained why: "The most important skill in life is the skill of working hard. It's not something you can turn on and off. It's a LEARNED skill. That's not something you're born with." Read that again. He's not saying hard workers are special or gifted. He's saying they LEARNED it. Developed it. Trained it like a muscle. And the people who never learned it? They stay that way forever. This is the guy who turned Uber from bleeding $3 billion a year into printing $10 billion in free cash flow. The guy who took Expedia from $2B to $9B in revenue. And his entire thesis on success comes down to one skill most people never bother developing. Here's how he runs Uber: "You come to Uber, you're going to work your ass off. If you're not performing, we're going to let you know. And if you don't fix it, we're going to push you out." He sends emails on Saturdays. If no response by Sunday, he follows up with just "?" When HR told him he was "scaring people" early in his tenure, he said: "Then they can leave." And here's what separates this from toxic hustle culture nonsense: Dara has dinner with his family every night. 6 to 8pm is protected. But he's back on email at 9:30pm. And again at 5:30am. It's not about grinding yourself to death. It's about the refusal to be outworked. "I'm not going to let anyone outwork me. They may be smarter, more talented. But I'm not going to let anyone outwork me." He studied the elites. Ronaldo. Jordan. The pattern is always the same... Talent gets you in the room. But the thing that separates the best from everyone else? "They work their asses off. They're disciplined. They're structured. They're relentless." That's learned behavior. Not genetics. The uncomfortable truth here is that most people had their chance to develop this skill. And they didn't. Now they spend their energy debating whether hard work is "toxic" instead of building something. The question isn't whether this is "fair" or "healthy" or whatever cope people want to throw at it. The question is which SIDE you're going to be on. The people who learned to work? Or the people who learned to make excuses?

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Shahram Seyedin-Noor
Shahram Seyedin-Noor@ShahramSN·
I remain very bullish on early cancer detection — and we will continue to invest in this category at @CivilizationVC to build upon our successful exits in 2025 with @BillionToOneInc's IPO and the sale of our company @ForesightDx to @NateraGenetics. In under 20 years, I believe we will all be getting early detection #cancer tests routinely — at least 2x/year. But today's @GrailBio test is not there. It clearly failed its primary endpoint. Tomorrow's tests by Grail, @ExactSciences, @GuardantHealth and others may prove more successful I hope. "The study enrolled 142,000 healthy adults ages 50 to 77 in Britain and followed them for three years. ... recipients of the Galleri test did not show a significant reduction in the total number of cancers diagnosed at Stage 3, when the disease would have grown or spread near its original site, or Stage 4, when the cancer would have spread to other parts of the body, according to the company." Grail’s Cancer Detection Test Fails in Major Study nytimes.com/2026/02/20/hea…
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Shahram Seyedin-Noor
Shahram Seyedin-Noor@ShahramSN·
#Longevity has long been a buzzword, but it is now an "actionable" field for human #health/#biotech, and I think we'll see major advancements in the coming decade. Whether @davidasinclair's approach of using 3 of the 4 Yamanaka factors (Oct4, SOX2 and KLF4 — "OSK" for short) works in restoring "youth" in humans without causing toxicity is TBD. But no doubt it's a big step. In science, every step forward involves failures and successes that build upon each other, iteratively. FDA greenlights Life Biosciences' gene therapy study to rewind the age of cells - endpoints.news/exclusive-fda-…
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Shahram Seyedin-Noor
Shahram Seyedin-Noor@ShahramSN·
Thanks @jonnyVChealth for another great #healthcare market report prominently featuring @CivilizationVC! 🧬🙌💊🩺🏆🙏 Civilization noted as — ✅Top in AI x Bio ✅Top in #Diagnostics + Tools ✅Top in #biopharma seed Our exits in 2025 (all startups we seeded) — ✨IPO of @BillionToOneInc $5 Billion ✨IPO of @omadahealth $1 Billion ✨Acq. of @ForesightDx by @NateraGenetics $450M The report: lnkd.in/g_qNTtzN #JPM26 here we come!
Shahram Seyedin-Noor tweet mediaShahram Seyedin-Noor tweet mediaShahram Seyedin-Noor tweet media
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Shahram Seyedin-Noor
Shahram Seyedin-Noor@ShahramSN·
“This category includes wearables such as smartwatches, smart rings, patches, and other sensor-based technologies that are used to promote general wellness. They often track things like heart rate during workouts or sleep, or allow users to count caloric intake.” FDA paves way for more consumer wearables to hit the market, eases regulation of AI-enabled devices fiercehealthcare.com/digital-health…
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Hani Goodarzi
Hani Goodarzi@genophoria·
One of the key messages at NeurIPS this year was that era of easy LLM scaling is over. We have achieved "peak data" for LLMs. But I believe in biology, we're just getting on the ramp. My prediction is that the next few years are where scaling laws will kick in.
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Shahram Seyedin-Noor
Shahram Seyedin-Noor@ShahramSN·
Great way to tell the story of Silicon Valley — compounding human talent —> capital —> companies created a massive first-mover advantage... and the virtuous cycle continues. ♻️ All this has happened in under 70 years! 🤯 Hard to believe I've been fortunate to be a part of it now for more than a third of that history, starting my career at @wilsonsonsini —> then @GoldmanSachs and my first #bio/ #software startup out of @Stanford which we sold to @illumina. 🦾 Today I run @CivilizationVC were we accelerate breakthroughs that will define human health for the next century. Founded, built and grown right here in #SiliconValley — headquarters of #AI.
Aakash Gupta@aakashgupta

Look at this satellite image. You’re looking at the most valuable real estate on Earth. But why? Why did this random bay on the California coast become the center of global technology? The answer starts with a gap. The Pacific Coast of California is a wall of mountains. Only one place breaks through. The Golden Gate. That single gap created the largest natural harbor on the entire Pacific coast of the Americas. Whoever controlled that gap controlled California’s wealth. San Francisco won that prize. But San Francisco had a problem. Mountains. The city sits on a cramped, foggy, hilly peninsula. Great for defense. Terrible for factories. Look at the satellite image. You can see the flat South Bay stretching toward San Jose, and San Francisco perched on its little thumb of land. Flat land wins. Always has. Then a railroad tycoon lost his son. In 1891, Leland Stanford turned 8,000 acres of South Bay farmland into a university. Stanford wasn’t building a typical school. He wanted practical knowledge that could be applied immediately in the real world. That philosophy would matter. Fast forward to 1956. William Shockley just won the Nobel Prize for inventing the transistor. He wanted to start a company. He could have gone anywhere. He picked Mountain View. Why? He grew up in Palo Alto. Stanford was pumping out engineering talent. The weather was good. Land was cheap and flat. The decision seemed random. It wasn’t. Then everything went wrong. Shockley was brilliant but impossible to work for. Within two years, eight of his best engineers quit and started their own company across the street. Fairchild Semiconductor. Those eight engineers invented the integrated circuit. Then they started spinning off companies. Intel. AMD. National Semiconductor. The math is staggering. 400 companies trace their lineage back to Fairchild. Eugene Kleiner, one of the original eight, started a venture capital firm. He put his office at a highway exit between San Jose and San Francisco. Today, Sand Hill Road has the highest density of venture capital in the world. The flywheel started spinning. Stanford produced engineers. Engineers started companies. Companies made money. Money funded more companies. More companies attracted more engineers. San Francisco had culture and finance. The South Bay had flat land and factories. Together, they created something no other region could replicate. Geography determined the harbor. The harbor determined the city. A grieving father’s university planted a seed. One physicist’s decision to move home watered it. Everything else was compounding.

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Shahram Seyedin-Noor
Shahram Seyedin-Noor@ShahramSN·
A #startup that postpones profitability for growth too long will ultimately end up with neither. #Founder teaching for 2026. Happy New Year!
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Max Diehn, MD/PhD
Max Diehn, MD/PhD@max_diehn·
Excited to share that @ForesightDx has joined @NateraGenetics to help bring ultra-sensitive ctDNA MRD testing to more patients, faster. This reflects the work of an incredible group—thank you @JakeChabon (CEO), David Kurtz (CMO), Sandra Close (COO), John Truesdell (CBO), and the rest of the amazing ForesightDx team, along with our lead investors @ShahramSN (@CivilizationVC), Jeff Bird (@BluebirdVC), and @JTananbaum (@ForesiteCapital). I'm hopeful this partnership will help us realize the full promise of ctDNA MRD for cancer patients
Foresight Diagnostics Inc.@ForesightDx

Foresight Diagnostics is now part of @NateraGenetics, uniting Natera’s best-in-class precision diagnostics portfolio and commercial and operational infrastructure with our innovative phased-variant ctDNA-MRD technology and lymphoma leadership. Read more: foresight-dx.com/press_releases…

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Hani Goodarzi
Hani Goodarzi@genophoria·
The new travel ban is far more expansive than the one in 2017, yet the political response this time around has been muted to the point of silence. A Republican congresswoman seems to be the loudest voice raising concerns. The cynic in me can't help wondering whether this is payback for immigrant communities not delivering the turnout some Dem politicians expected in 2020. My speculations aside, the impact is very real. The U.S. visa process was already a grueling, dehumanizing maze even in the best of times. International scholars and students now face even more uncertainty about something as basic as freedom to move or change jobs. What’s heartbreaking is how normalized this has become. A century ago, simply landing at Ellis Island meant a chance to start a life by signing your name in a book. Today, the path to "legal entry" is a labyrinth of paperwork, shifting rules, and a political climate where people's lives can be upended overnight depending on who's in office. We should not accept this volatility as the price of wanting to study, work, or build a life in this country. miamiherald.com/news/local/imm…
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Ash Alizadeh, MD/PhD 🇺🇸
What a momentous partnership toward building on both companies’ momentum and resources to make meaningful progress for our patients with cancers, and to continue the impactful shifts for our field.
Foresight Diagnostics Inc.@ForesightDx

Foresight Diagnostics is now part of @NateraGenetics, uniting Natera’s best-in-class precision diagnostics portfolio and commercial and operational infrastructure with our innovative phased-variant ctDNA-MRD technology and lymphoma leadership. Read more: foresight-dx.com/press_releases…

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Shahram Seyedin-Noor
Shahram Seyedin-Noor@ShahramSN·
I rarely listen to #WallStreet #analysts, but on the M&A of our #cancer diagnostics company @ForesightDx with @NateraGenetics — they nailed it: ⚒️ #Patients will benefit most from the combination! 💪🏼 🌟 Foresight’s "phase variant MRD technology enables ultra sensitive MRD detection. The bigger opportunity is Foresight's tech is complimentary to Signatera and will be applied broadly to NTRA's WGS solid tumor offerings in '26, with a LoD of 1 part per 10M.” (Cowen) ✨“This deal catapults NTRA into the ultra-sensitive MRD test ranks... recent clinical utility studies in lymphoma have shown strong survival prediction for #patients, highlighting ~200 days lead time to PET/CT imaging.” (@Jefferies) 💫 “NTRA sees lymphoma as a greenfield area… Foresight has generated meaningful evidence and advances NTRA's strategy to dominate across indications via weight of clinical evidence.” (@LeerinkPartners ) Largest investment by @CivilizationVC, ever Lets throw #cancer into the dustbins of history! Maybe not today, but soon. Visit our booth @ASH_hematology #ASH25
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Shahram Seyedin-Noor
Shahram Seyedin-Noor@ShahramSN·
Today we announce the acquisition of @CivilizationVC company @ForesightDx by #diagnostics leader @NateraGenetics for $450M! 🎉🥳🍾 This is a story of perseverance by a team of @StanfordMed professors and scientists who are at the forefront of #cancer detection, working tirelessly to help patients survive this terrible disease. It's also a remarkable story of hustle, grit, ups and downs, and finally spectacular victory! ⚔️ Here's our story! 👇🧵
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Civilization VC ретвитнул
Shahram Seyedin-Noor
Shahram Seyedin-Noor@ShahramSN·
In #biotech, many investors and founders convince themselves they can reliably predict which drugs will succeed and which will fail. I used to believe that too — even for my own startup. (Spoiler: our drugs failed despite $150M raised.) Over time, I’ve learned that betting the house on predicting the unknowable — whether something that works in mice will work in humans — is a losing strategy. The better path is to focus relentlessly on what is within your control. In my experience, that means: * Building the strongest, deepest team you can * Enforcing rigorous data integrity and reproducibility * Practicing humility — letting the data speak rather than forcing a narrative * Refusing to defer to hierarchy when your scientific instincts say otherwise * Hedging risk through partnerships rather than holding every Phase 3 (or even 2) coin flip yourself * Staying opportunistic with deals, exits, and market cycles * Consistently compounding your unfair advantages — talent, capital, IP, insights, and learning cycles If you’re not compounding, you’re falling behind. In an industry where most drugs fail, discipline and fundamentals beat clairvoyance every time.
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