Real Alpha

All-In · 3 min instead of 25 min · Oct 12, 2026

How he bought neglected drugs cheap and repositioned them

MS

Martin Shkreli

  • Chamath PalihapitiyaHost · Founder & CEO, Social Capital

    Led Facebook's growth team; his firm backed Slack and AI chipmaker Groq.

  • Jason CalacanisHost · Founder & CEO, LAUNCH

    Early Uber angel; sold Weblogs Inc. to AOL; hosts This Week in Startups.

  • David SacksHost · Co-founder & partner, Craft Ventures

    PayPal's first COO, founded Yammer; White House AI & crypto czar 2025–26.

  • David FriedbergHost · CEO, Ohalo

    Founded The Climate Corporation, sold to Monsanto for about $1.1B in 2013.

About this segment

Shkreli explains why the market for drug molecules was inefficient, with big pharma selling assets for almost nothing. He walks through repurposing Sparsentan from hypertension to the rare kidney disease FSGS.

From “Martin Shkreli: Big Pharma's Blind Spot, Betting Against Quantum & What Prison Taught Him”, Oct 12, 2026. Watch the full episode

“Pfizer would sell you a drug for a million bucks that was worth a billion dollars. They didn't care.”
MSMartin Shkreliat 9:06 · All-In9:06

Takeaways

  1. Big pharma sold drug rights worth far more for around a million dollars
  2. The bottleneck was vetting assets, so he built NLP to read papers and patents
  3. Sparsentan moved from a sleepy hypertension market to FSGS, which had no approved drug

In this episode

Full episode
  1. 1:45Quantum computing has one real trick and no business case2:41
  2. 8:30How he bought neglected drugs cheap and repositioned them2:32

  3. 22:22Why gifted people self-destruct trying to live up to an image1:39Up next