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392: Epstein's pal attempts a biotech comeback, and Prasad exits the FDA

30 min episode · 2 min read
·
Fred Applebaum,Damian Garde

Episode

30 min

Read time

2 min

Topics

Health & Wellness, Relationships, Investing

AI-Generated Summary

Key Takeaways

  • FDA Leadership Instability: Vinay Prasad's exit from the FDA's CBER division — his second departure since May — signals a regulatory reset for rare disease drugs. Rare disease biotech stocks rose immediately on the news, reflecting investor belief that CBER will now align with Commissioner Makary's stated goal of accelerating drug approvals rather than increasing trial scrutiny.
  • Seizure Drug Breakthrough: Xenon Pharmaceuticals' azetukalner, a second-generation KV7 potassium channel modulator, reduced focal onset seizure frequency by 53% versus 10% in placebo in a phase three trial. With no currently approved drug using this mechanism, and roughly half of epilepsy patients still experiencing seizures on existing therapies, Xenon plans to file for approval later this year.
  • GLP-1 Market Consolidation: Novo Nordisk settled its patent lawsuit against Hims & Hers, requiring the telehealth company to stop marketing compounded semaglutide and instead offer brand-name Wegovy at direct cash prices. Novo's CEO explicitly stated the goal is increased prescription volume for authentic products, raising questions about telehealth-pharma partnership incentives and patient access to lower-cost alternatives.
  • Reputational Risk in VC Due Diligence: Boris Nikolic raised over $100 million for BioNTell Ventures in 2024–2025 despite public Epstein ties dating to 2019. DOJ files released in January 2026 show Nikolic mentioned over 14,000 times in Epstein documents, with emails showing he sent photos of young women to Epstein for years — information unavailable to investors who committed capital before the release.
  • Startup Founder Leverage in Funding Rounds: When a lead investor introduces a startup to a co-investor, founders may feel unable to reject that capital even when reputational concerns exist. The Curie Bio portfolio company that accepted a Nikolic investment illustrates how funding dependency can override due diligence instincts, underscoring the value of founders understanding their right to decline specific investors.

What It Covers

This episode covers three biotech stories: Vinay Prasad's second departure from the FDA and its impact on rare disease drug approvals, Xenon Pharmaceuticals' phase three seizure trial results, the Novo Nordisk and Hims & Hers compounded GLP-1 settlement, and biotech investor Boris Nikolic's return to venture capital despite deep ties to Jeffrey Epstein.

Key Questions Answered

  • FDA Leadership Instability: Vinay Prasad's exit from the FDA's CBER division — his second departure since May — signals a regulatory reset for rare disease drugs. Rare disease biotech stocks rose immediately on the news, reflecting investor belief that CBER will now align with Commissioner Makary's stated goal of accelerating drug approvals rather than increasing trial scrutiny.
  • Seizure Drug Breakthrough: Xenon Pharmaceuticals' azetukalner, a second-generation KV7 potassium channel modulator, reduced focal onset seizure frequency by 53% versus 10% in placebo in a phase three trial. With no currently approved drug using this mechanism, and roughly half of epilepsy patients still experiencing seizures on existing therapies, Xenon plans to file for approval later this year.
  • GLP-1 Market Consolidation: Novo Nordisk settled its patent lawsuit against Hims & Hers, requiring the telehealth company to stop marketing compounded semaglutide and instead offer brand-name Wegovy at direct cash prices. Novo's CEO explicitly stated the goal is increased prescription volume for authentic products, raising questions about telehealth-pharma partnership incentives and patient access to lower-cost alternatives.
  • Reputational Risk in VC Due Diligence: Boris Nikolic raised over $100 million for BioNTell Ventures in 2024–2025 despite public Epstein ties dating to 2019. DOJ files released in January 2026 show Nikolic mentioned over 14,000 times in Epstein documents, with emails showing he sent photos of young women to Epstein for years — information unavailable to investors who committed capital before the release.
  • Startup Founder Leverage in Funding Rounds: When a lead investor introduces a startup to a co-investor, founders may feel unable to reject that capital even when reputational concerns exist. The Curie Bio portfolio company that accepted a Nikolic investment illustrates how funding dependency can override due diligence instincts, underscoring the value of founders understanding their right to decline specific investors.

Notable Moment

DOJ files revealed Nikolic appears over 14,000 times in Epstein documents — more than any other known associate — and exchanged emails with Epstein spanning 2009 to 2019, including correspondence where photos of young women were sent to Epstein for his selection, far exceeding what even his critics had previously suspected.

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Episode Transcript

Welcome to this week's episode of The Read Out Loud, a weekly biotech podcast from STAT. I'm Alison Deangelis. I'm Adam Forrester. And I'm Elaine Chen. It's Thursday, March 12. On this week's episode, stat reporter, Damian Garde, joins us to talk about Boris Nikolic, a well connected biotech investor with deep ties to Jeffrey Epstein, and how one prominent biotech venture capitalist helped Boris raise money years after the Epstein scandal broke. But first, a word from our sponsor and a roundup of this week's biotech news. I'm staff and studio editor, Jesse McQuarters, and I'm talking with doctor Fred Applebaum, executive vice president at Fred Hutch Cancer Center. Doctor Applebaum, how has the work done over the past fifty years of Fred Hutch impacted how we treat cancer today? About fifty years ago, Don Thomas and our team showed that marrow transplantation was possible, which enabled us to cure almost every marrow based disease. Today, over one hundred thousand people worldwide undergo a marrow transplant every year. Going forward, we're developing even better immune therapies, antibody based therapies, cell based therapies that harness the power of the human immune system to eradicate cancer. For more information on Fred Hutch Cancer Center, visit fredhutch.org slash look beyond. So, of course, all of this, Vinay Prasad news happened last Friday right after our our last recording. But we need to note here that, obviously, Prasad, a top official at the FDA, who had been at the center of recurring public controversies, left the FDA for a second time. That announcement, like I said, came last Friday evening. Prasad is going to leave the FDA at the April. His replacement has not yet been identified. Yeah. And if you recall, there were a series of controversial decisions on rare disease drugs under Prasad's tenure. Most recently, we had news around UniCure and their drug for Huntington's disease. The FDA, was not satisfied with the trial that Unicure, ran, which used a, external control arm based on natural history study. And the FDA wanted the company to conduct a sham surgery controlled trial. Now let's just remind you about the chronology here. Prasad was hired last May. He was fired in July. He returned a few weeks later. And once again, he is on his way out from the agency. It's worth noting commissioner Makari said in a social media post, that he was thankful for Prasad's work at the agency, highlighted Prasad's role in reducing the number of clinical trials required to approve a drug, limiting COVID vaccine approvals to those 65 with risk factors and, you know, developing a new pathway for individualized medicines. The industry reacted strongly to this news. I think that several rare disease drug maker stocks jumped on that news. Right? Yeah. They did, Allison. And, you know, under Prasad's leadership, you know, we should note that, you know, at the FDA and CBER, which is the division of the FDA that Prasad ran, you know, …

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