Pande, a former Stanford chemistry professor best known for creating the distributed-computing project Folding@home, was recruited by Marc Andreessen and Ben Horowitz a dozen years ago to lead their newly formed healthcare investing practice — a category the firm had deliberately avoided for its first five years. Over the next decade-plus, he grew that practice to manage close to $4 billion.
His departure last June was unexpected. The new firm, VZVC, co-founded with longtime investor Zach Werner, is built around a handful of concentrated bets annually rather than dozens. It operates without associates and relies heavily on AI for its day-to-day operations.
In a conversation, Pande characterised biology as shifting from a "science of discovery" to something that can be engineered. He said AI and machine learning enable computers to understand complex biological systems, identify drug targets, design drugs, and even assist in clinical trials — the most expensive part of the process.
On clinical trial costs, Pande pushed back on the idea that synthetic data is already making them significantly cheaper, calling that "very much an aspiration." He noted that while the cost and time to reach clinical trials has shrunk, especially with AI, running a trial can still cost hundreds of millions of dollars. The probability of a drug progressing from first to third trial successfully is just 20 percent, he said. The main reason for failure, he argued, is that drugs are designed on animal models that are not very predictive of humans. "The AI model is not going to be perfect, but it's going to be way better than any animal model would be," Pande said.
He also discussed precision medicine, arguing that patients would benefit if doctors could prescribe the right drug on the first try rather than cycling through ineffective treatments. However, he noted a key challenge unique to biology: unlike text, biological data cannot be scraped off the internet, so nearly every company builds its own walled-off dataset. This raises questions about who gets access to the advances AI promises in medicine.