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This episode explores the founding and evolution of Insilico Medicine, tracing the journey of its founder, Alex Zhavoronkov, from a mortality-obsessed computer scientist in Latvia to a pioneer in the AI drug discovery revolution. It details the company’s 2014 inception at Johns Hopkins, its pivotal 2016 adoption of Generative Adversarial Networks (GANs) for de novo molecular design, and its industry-defining “AlphaGo moment” in 2019 when it designed a novel drug candidate in just 21 days. The article chronicles Insilico’s survival through the “biotech winter,” its landmark $1.2 billion collaboration with Sanofi, and the successful Phase 2a clinical validation of Rentosertib for idiopathic pulmonary fibrosis—the first AI-discovered and AI-designed drug to achieve such a milestone. Concluding with the company’s massive 2025 Hong Kong IPO, the piece examines the unresolved tension between the democratization of drug discovery for smaller investigators and the consolidation of AI capabilities within big pharma, positioning time as the ultimate arbiter of this technological paradigm shift. Produced by Dr. Jake Chen.