Alzheimer's positions













I was an FRM at Biogen. Believe me, please think very carefully before entertaining any job in the Alzheimer's space for many reasons, but here are a few:
1. The Beta Amyloid Hypothesis has not been proven. There were several drugs prior to Biogen's ADU. Outside of initiating therapy earlier versus later in the disease progression, there isn't much difference.
2. Most neurologists with good reason believe the Beta Amyloid MOA is barking up the wrong tree
3. Neurologists won't fight for you. If you have worked with them in the past, such as multiple sclerosis, you'll realize they are very weak and unlike other areas of medicine, won't fight for a drug.
4. Coverage will be a nightmare
5. The hospitals, independent infusion centers, neurologists, c-suite executives all feel their time and money was completely wasted in several meetings over 2 years. They won't make that mistake again when people try to go out and "pre-condition" the market and set up a drug pathway. You will get tons of no's as many have been burned. Even as a new company, you will be laughed at and many doors will be slammed in your face as a key account manager, frm, and sales person.
I say this very respectfully. Please rally think about what you are doing. As much as an Alzheimer's drug is desperately needed, it is sill way too early. I believe the turn will be a new drug with an entirely different MOA.


You were right. Good call!