⚡️Founder mode for my wife fighting Fibrolamellar (FLC), a rare liver cancer. Pushing AI, drug developers and government to fast track cancer cures

Denver, CO
Pinned Tweet
If AI drug discovery wants a real first win in cancer, I think fibrolamellar is it. My wife is in her 30s and has fibrolamellar (FLC), a rare liver cancer that hits young people. Nearly every tumor runs on the same fusion, DNAJB1-PRKACA. It isn't in healthy cells, and there's still no approved drug made for it. FLC is rare, but a lot of good work is already happening. If you're building, here's what's ready for you. • A clear target in a cancer with one main driver • FLC labs already working on new drugs and looking for partners • A tissue bank, sequencing data and research grants backed by the FLC community • Patients and families ready to help, including mine • A push to get FDA to expressly include ultra-rare cancers like FLC in its new Rare Disease Framework If we combine forces, I believe we can cure this thing. If FLC could fit your model, molecule or lab, DM me. I'll try to help connect you with any resources you need. And if you're working on anything that could help Michelle right now, a trial, a new drug, or a way to get access to one, please reach out. It would mean the world to us.
4
2
24
866
Mason retweeted
The best way to identify and work through the bottlenecks of drug development is to get deeply involved in real drug programs, across many different therapeutic areas and stages of development. Over the past several months, our scientists have engaged in deep research partnerships with six organizations developing new medicines: The Column Group, Generate Biomedicines, BigHat Biosciences, Divergence Labs, Enveda, and Bristol Myers Squibb. We’ve also begun our own drug discovery efforts through the acquisition of Mithril Medicine, a single-person biotech company co-founded by @atlasventure. Today we’re sharing early progress in accelerating drug discovery from these research collaborations. With Claude, we are streamlining operations and working to derisk novel targets with TCG, redesigning lab protocols with BigHat, designing CAR-T cell therapies with Generate, and multi-specific therapeutic antibodies with Divergence, drafting regulatory filings with Enveda, and supporting portfolio-level decision making with BMS. Our early collaborations span pre-clinical and clinical work on potential treatments for cancer, allergies, rare genetic diseases including forms of childhood muscular dystrophy, and more. My team has been working with @Prof_Oak_ , founder of Mithril Medicine, for the past year. Jason Rhodes, General Partner @atlasventure and Chairman of the Mithril Board said this about Mithril: “We prioritized LAMA2-Related Congenital Muscular Dystrophy (LAMA2-RD) as the lead indication, in part, because of the enormous unmet need. These patients present with the disease at birth, spend their lives in wheelchairs and on ventilators, and rarely live past their mid-twenties; yet no therapy is available, and few are in active development. We believed Mithril would be the company to change that.” Anthropic acquired Mithril and we are pushing the frontier of how a single skilled operator, with Claude, can run an entire pipeline of drugs. We’re working with these teams to show how AI can assist drug developers at many stages of the process already, and to prioritize improvements to our models based on the benchmarks we’re building with collaborators. Our blog includes links to technical reports written with our partners: anthropic.com/research/early…
11
35
253
64,137
This is what the future of drug discovery looks like. Cody ran 11 outside labs with Claude and took a brand new drug idea to mouse results in under 18 months. A tiny team, a rare disease, real data. Proud to see a Trinity alum doing great things. Huge congrats @Prof_Oak_
Surprise 1: Anthropic acquired a one-person biotech . . . Surprise 2: that person is me Surprise 3: I’m here to tell you all about it Yes, this is what you think it is; after 6 yrs of increasingly loose anonymity: the Professor Oak reveal post …and yes, it has gotten so boring around here that I’m literally doxxing myself to spice up the timeline ------- Ok, allow me to introduce myself. My name is Cody Tranbarger. I mostly tweet, but occasionally find time to dabble in drug dev & starting/building biotechs. My past lives span the VC, crossover, startup continuum; Prof Oak has been my way of keeping a digital foot in those worlds, despite having my physical feet planted elsewhere. The past 18 mo, ‘elsewhere’ was Mithril Medicine, a co. I founded to develop bsAbs for LAMA2-CMD & other ECM-related genetic diseases. Mithril was born out of hands-on building with @MikeNGladstone, @JasonPaulRhodes, @LifeSciVC, & team @atlasventure. Somehow, I made enough half-decent calls along the way (even a broken clock is right twice a day, eh?) to convince them Mithril/I warranted a small seed. While I can hardly rationalize such an outrageously cavalier bet, I’m grateful for it, & I'd partner with Atlas again in a heartbeat. In typical AV fashion, Mithril’s primordial form was virtual, decentralized, & ultra-lean. This stage tends to be short-lived, but for Mithril, it worked surprisingly well, for surprisingly long, thanks in part to the rapid maturation of the AI tools I used liberally. Eventually, Mithril became a bit of an experiment itself - to find the upper bound of how far it could scale as a single operator + a bunch of Claude (+ a stellar bench of part-time consultants). In parallel, I started spending time with @nc_frey, @an1lam, & @CoefficientBio team; and promptly experienced, for the 1st time, AI at the frontier. Soon thereafter, Mithril stopped looking like an experiment, & started looking like a preview of an entirely new operating model. From that spark came “Pipeline-in-a-Person.” The idea immediately resonated when we shared it here back in April; and it was central to the shared vision that led to Anthropic’s acquisition of Mithril, & my joining the team. Why join Anthropic? Three reasons. (1) For Mithril, the programs continue, with more resources & infrastructure behind them, and as much Claude as I can put to work. (2) For me, the chance to start several more programs, & find out how many one person can actually run in parallel - an almost unprecedented luxury for a curious drug hunter. (3) For our mission, a path to institutionalize & scale this new way of working, then put it in the hands of all of biopharma, all over the world - which, candidly, I find the most energizing. Will AI x Bio cure diseases? Unequivocally yes, imo… but not by the route that gets the most airtime. Rather than timeline acceleration & compression, I see orchestration & parallelization as today's low-hanging fruit. Most drug hunters see a handful of go/no-go calls in a career, & spend entirely too much of the rest trading emails (my inbox can attest). Give them the bandwidth to run several programs at once, and the time to focus on scientific judgment, and I’m willing to bet they’ll make better calls. And at scale, better calls translate to more drugs, higher hit rates, broader patient impact, & likely, a disease or 10 or 100 cured. I couldn't be more excited to build toward that future @AnthropicAI. Finally, a heartfelt thank you to BioTwitter/X. The end of anonymity is bittersweet, but if anyone’s earned a proper introduction, you all have. It’s difficult to overstate how much this app has done for me: a decade of education, plenty of friends, many job opportunities, several mentors, a few investors, even a co-founder (fmr). It was the generosity of this community that inspired me to start posting 6 years ago, after just as many years lurking. I hope I’ve been able to pay it forward, in my own small way. But, to be clear, Prof Oak isn’t going anywhere. Same beat, same themes, and now, a front-row seat to drug development at the frontier. Stay tuned for dispatches from the trenches; and remember... Gotta Cure 'Em All
1
4
426
This is the playbook rare cancer families have been waiting for. Fibrolamellar has a known target, a small and very organized patient community, and very few drug programs. Feels like exactly the kind of thing a tiny team plus Claude could take on. @Prof_Oak_ @nc_frey @amirshanehsaz @claudeai would you take a look at FLC?
Over the past few months, Anthropic scientists have engaged in deep research partnerships with six organizations developing new medicines. We've also begun drug discovery efforts of our own. In doing so, we’ve learned much more about how Claude can support the many stages of drug development. In this blog post, we share some early results from these efforts, and describe how this work fits in with our wider ambitions in the life sciences. anthropic.com/research/early…
1
1
12
900
Hoping a future challenge takes on cancer fusion proteins. In fibrolamellar carcinoma, a rare liver cancer that hits teens and young adults, almost every tumor is driven by one fusion protein that healthy cells don't have. That's a target worth designing for.
Our last challenge in the Anthropic x Adaptyv Protein Design Competition is about immunotherapy, one of the most important ways of treating cancer. Immunotherapy helps the immune system attack cancer cells, but distinguishing them from healthy cells isn't always easy. In some cancers, the difference can be as subtle as a single amino acid in a small protein fragment. That's the case with KRAS, a protein that works like a growth switch in our cells. In many cancers, a mutation leaves the switch stuck on, and the cell keeps multiplying itself and grows into a tumor. In Challenge 5, you need to design a binder that sticks to the mutated piece of KRAS, but not to the healthy version, so that the immune system can find and attack the cancer cells. The deadline to submit protein designs for this challenge is November 8. Then, we'll pick the best designs and test them in our lab.
7
393
Patient voices shaping the framework is exactly right. Rare cancers belong in it too. Fibrolamellar carcinoma mostly hits teens and young adults, and families like ours face the same small trial problem every rare disease does. The FLC community will be listening Wednesday.
Acting @FDA Commissioner Kyle Diamantas, @FDA_KyleD, sat down for a fireside chat with #NORD President and CEO Pam Gavin to kick off the 2026 #NORDSummit, where he shared that the #FDA is committed to modernizing its review process and is relying on #RareDisease patient voices to help shape its fit-for-purpose regulatory framework. We appreciated the opportunity to break down what that will entail, and we're excited to be a partner in this crucial, timely mission.
5
142
On Wednesday there's a public meeting on FDA's new Rare Disease Framework. Rare cancers like fibrolamellar aren't clearly in it yet. Estimates range from under 100 to several hundred new US cases a year, and almost every tumor runs on the same driver. Cancers like this need a clear path too. @FDA @reaganudall
1
14
612
This is what gets me excited about degraders. Pick the exact driver from the tumor's genetics and go remove it. Fibrolamellar is a rare liver cancer that mostly hits young people, and almost every tumor runs on one fusion, DNAJB1-PRKACA. That's exactly the kind of target degraders could go after. @CraigMCrews I'd love to see more teams take a swing at it.
New research led by @DanielPetrylak shows that #Bavdegalutamide, a novel #PROTAC cancer drug developed from research led by @CraigMCrews, may benefit patients with #mCRPC whose tumors harbor AR T878/H875 mutations, underscoring the importance of genomic testing to guide targeted treatment. medicine.yale.edu/cancer/pub… @SmilowCancer @Yale_Urology @JCO_ASCO
83
Fibrolamellar is an interesting contrast. Nearly every tumor carries the same fusion, DNAJB1-PRKACA, so the target is shared instead of one of a kind. That means one vaccine could target nearly every FLC patient
With our partners at @Merck, we announced detailed results from the Phase 3 INTerpath-001 trial evaluating intismeran autogene (mRNA-4157 or V940), an investigational individualized neoantigen therapy, in combination with pembrolizumab, in patients with completely resected stage IIB-IV melanoma. Presented during a Presidential Symposium at the European Society for Medical Oncology (ESMO) Congress 2026, these findings offer important insights into the potential of individualized cancer treatment. Read more: modernatx.com/recapping-the-…
1
109
Fibrolamellar is an interesting contrast. Nearly every tumor carries the same fusion, DNAJB1-PRKACA, so the target is shared instead of one of a kind. That means one vaccine could target nearly every FLC patient
With our partners at @Merck, we announced detailed results from the Phase 3 INTerpath-001 trial evaluating intismeran autogene (mRNA-4157 or V940), an investigational individualized neoantigen therapy, in combination with pembrolizumab, in patients with completely resected stage IIB-IV melanoma. Presented during a Presidential Symposium at the European Society for Medical Oncology (ESMO) Congress 2026, these findings offer important insights into the potential of individualized cancer treatment. Read more: modernatx.com/recapping-the-…
95
FDA's new Rare Disease Framework should include ultra-rare cancers. Cancers with one known driver need a clear path too. I'm filing a comment asking for disease-specific guidance for these cancers, fibrolamellar included. If FDA spells out what it takes to get a drug approved, more companies will be willing to invest in these cancers. My five asks are below. Comments are open through Dec 11. @FDADrugs @RareDiseases @CancerResrch @FibroFoundation @reaganudall @KIDSvCANCER @FDA @FDA_KyleD
The FDA is launching the Rare Disease Framework Initiative, giving patients a greater voice and providing drug developers with more regulatory clarity. "They're going to actually change policies that reviewers follow," says @ScottGottliebMD. cnb.cx/3VW0YTE
4
9
348
Mason retweeted
Replying to @masonbgrant
This is wild Mason! Envisioning your wife’s degrader in space and on its way to you soon. 🌌🌌🌌 let’s make it happen @VardaSpace Looking SO promising for HPV driven cancers too.
1
1
65
Thanks for including us Jeff. My wife has fibrolamellar, a rare liver cancer where almost every tumor runs on the same fusion driver. It feels so close to a cure! It just takes the right people looking at it and AI to help solve it. Honored to be among great company!
People who cured / are curing their own cancer on X: 1/ @sytses - bone cancer, billionaire founder of Gitlab, developed 10+ personalized therapies for himself. 2/ @paul_conyngham - shrank his dog Rosie's mast cell cancer tumors after chemo and surgery weren't enough. Now backed by YC and Founders Fund 3/ @miriamgonp - stage 4 breast cancer, tumor sequenced, searching for vaccine manufacturer now 4/ @kevinace - stage 4 lung cancer, angel investor in 300+ companies, first drug stopped working after 18 months. Vaccine designed, now paying $300k out of pocket for the vaccine 5/ @masonbgrant: going founder mode on his his 32-year-old wife's rare liver cancer, sequencing her tumor with AI agents 6/ @ArunRLverma: former product leader at Atoms and Shopify, brain tumor, built a vaccine from his tumor. Now building an AI health agent startup based on what he went through We're going to make it
1
3
30
3,672
These are the most interesting cases that would teach us how to build therapies faster… All because these people decided not to let their Cancer win!
People who cured / are curing their own cancer on X: 1/ @sytses - bone cancer, billionaire founder of Gitlab, developed 10+ personalized therapies for himself. 2/ @paul_conyngham - shrank his dog Rosie's mast cell cancer tumors after chemo and surgery weren't enough. Now backed by YC and Founders Fund 3/ @miriamgonp - stage 4 breast cancer, tumor sequenced, searching for vaccine manufacturer now 4/ @kevinace - stage 4 lung cancer, angel investor in 300+ companies, first drug stopped working after 18 months. Vaccine designed, now paying $300k out of pocket for the vaccine 5/ @masonbgrant: going founder mode on his his 32-year-old wife's rare liver cancer, sequencing her tumor with AI agents 6/ @ArunRLverma: former product leader at Atoms and Shopify, brain tumor, built a vaccine from his tumor. Now building an AI health agent startup based on what he went through We're going to make it
1
2
4
504
Mason retweeted
People who cured / are curing their own cancer on X: 1/ @sytses - bone cancer, billionaire founder of Gitlab, developed 10+ personalized therapies for himself. 2/ @paul_conyngham - shrank his dog Rosie's mast cell cancer tumors after chemo and surgery weren't enough. Now backed by YC and Founders Fund 3/ @miriamgonp - stage 4 breast cancer, tumor sequenced, searching for vaccine manufacturer now 4/ @kevinace - stage 4 lung cancer, angel investor in 300+ companies, first drug stopped working after 18 months. Vaccine designed, now paying $300k out of pocket for the vaccine 5/ @masonbgrant: going founder mode on his his 32-year-old wife's rare liver cancer, sequencing her tumor with AI agents 6/ @ArunRLverma: former product leader at Atoms and Shopify, brain tumor, built a vaccine from his tumor. Now building an AI health agent startup based on what he went through We're going to make it
107
629
4,872
454,422
Mason retweeted
A huge congratulations to @iScienceLuvr and @humanscotti of @SophontAI on the release of their new model, Holon-S1 This is a huge step in using AI to do targeted and personalized cancer treatment for each patient using tissue slides that are already collected in the process! Let's walk through this new AI model - Start with a tissue slide from a biopsy or surgery, already collected as part of cancer diagnosis. - Give Holon-S1 a digital image of that slide. It predicts which genes are active and where they’re active in the tissue. - Researchers compare those predictions with how patients responded to treatment. - Look for biological clues that could help predict treatment response or point to potential drug targets. - Test the promising leads in the lab and through clinical studies. - The longer term goal is to use validated findings to help doctors choose treatments that better match each patient’s tumor. Take a few minutes and watch their video, its extremely compelling If there's a way for you to work with the Sophont team, please reach out. The end goal of using AI to cure cancer is one of the highest order things we can do as a society Delphi Ventures is an investor in @SophontAI
Cancer patients with the same diagnosis often have very different tumor biology. Molecular testing can reveal underlying differences, but that's slow and expensive. Introducing Holon-S1, our platform to predict genes and biomarkers from routine pathology slides. • beats two other models at predicting spatial gene activity in a controlled comparison • has identified potentially novel biomarkers in breast cancer and colon cancer • evaluated across 16 organ types and more than 15 scanners, using slides from both formalin-fixed, paraffin-embedded and fresh-frozen tissue. We believe Holon-S1 has the potential to help researchers find new biomarkers in slides they already have, discover treatment targets, and bring more personalized cancer care within reach!
9
6
54
4,534
FDA's new Rare Disease Framework could change how drugs for tiny patient groups get reviewed. But FDA's Rare Disease Hub told me it "primarily focuses on rare diseases outside of oncology." Rare cancers have the same problems and belong in it. @FDA @reaganudall
1
1
6
989
That's exactly the kind of disease this Framework is for. A tiny population, a known target, and a big randomized trial that just isn't realistic. Please name rare single-driver cancers in scope and bring OCE in as a full partner, not just a consult. @FDA_KyleD
1
56
The public meeting is Oct 28, and the written docket opens that day and runs through Dec 11. If your family lives with a rare cancer, please add your voice. regulations.gov/docket/FDA-2…
43