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Paul Matteis

Biotech analyst, Stifel

aka Paul Matisse

Quotes

So if you used to assume that Replimune or Agios had a 10 or 20% probability of success, I don't know, I'd probably put that well above 50% for both of those two drugs right now.

2026-07-10-podcast-biotech-hangout-episode-188-july-10-2026· 2026-07-10#fda-rare-disease-regulatory-right-shift

It's just the patients on tafamidis at baseline that there's like no benefit means no benefit. And here's the strangest one, like no benefit on CV biomarkers. So like there's not even a biological effect.

2026-07-10-podcast-biotech-hangout-episode-188-july-10-2026· 2026-07-10#eplontersen-failure-to-alnylam-silencer-consolidation

Alnylam stock yesterday opened up about 17% based on the idea that, okay, now they're going to own this silencer market.

2026-07-10-podcast-biotech-hangout-episode-188-july-10-2026· 2026-07-10#eplontersen-failure-to-alnylam-silencer-consolidation

This sort of specialty, rare endo space has kind of quietly become pretty hot and it feels like it's sort of the next little niche space to get hot and become its own little sub vertical.

2026-07-10-podcast-biotech-hangout-episode-188-july-10-2026· 2026-07-10#rare-endo-vertical-to-neurocrine-vertex

The more interesting play are the brain shuttle approaches like Denali and Arrowhead, which can be given IV, and maybe a much lower efficacy bar given ease of use.

2026-07-10-podcast-biotech-hangout-episode-188-july-10-2026· 2026-07-10#biogen-tau-failure-to-brain-shuttle-rerate
Notes

Paul Matteis

One-line summary: Stifel biotech analyst; covers Vertex, Neurocrine, Ionis, Alnylam, Biogen; densest causal contributor on Biotech Hangout.

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