The New Alchemist

Deeya Kotecha

The New Alchemist explores the ideas, people, and stories that have shaped the past, present, and future of biotech & pharma.

Episodes

  1. Nov 5

    What Standard Cancer Tests Miss | Edward Larkin, Valius Sciences

    What can a tumor’s DNA test leave out? Edward Larkin, founder and CEO of Valius Sciences, joins Deeya Kotecha to explain his “maximalist” approach to cancer diagnostics: looking beyond DNA alone to understand what a tumor is expressing and what that could mean for treatment options. We discuss the story behind Valius Sciences, the needs of patients with rare and aggressive cancers, and the promise and limits of precision oncology. Edward explains why scientific honesty matters as much as ambition, why patients deserve a better experience, and what makes him optimistic about the future of medicine. Explore Valius Sciences In this episode:• What DNA-only testing can miss and how RNA and protein measurements add context• The founding story of Valius Sciences and Sid Sijbrandij’s influence• Clinical trials, expanded access, and the work of finding potential treatment options• AI, single-cell analysis, and the future of cancer diagnostics• Lessons from Palantir, life sciences investing, and building a company around patients Subscribe to The New Alchemist for conversations with the people building the future of science, medicine, and technology. Hosted by Deeya Kotecha. Recorded November 3, 2026. CHAPTERS00:00 In this episode00:51 Opening and introduction01:17 The founding story of Valius04:09 Sid’s story and maximalist diagnostics09:02 What DNA-only testing can miss13:58 Who comes to Valius—and planning ahead19:27 Playing to win20:57 Patient experience and honest expectations25:06 The promise and limits of personalized therapies33:38 Clinical trials and expanded access40:12 Shared targets across rare cancers44:55 Paperwork, access and risk47:41 How AI changes diagnostics51:01 Lessons from medicine, Palantir and investing55:48 Building a company and serving patients honestly59:39 10x Genomics and the investment thesis01:02:48 Spatial transcriptomics and what comes next01:10:08 The future of precision oncology01:14:42 Life advice: expertise, purpose and hard work01:17:15 Closing thoughts

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About

The New Alchemist explores the ideas, people, and stories that have shaped the past, present, and future of biotech & pharma.