When Big Pharma Abandoned the Heart | $750m Carduion CSO Dr. Howard Surks episode artwork

EPISODE · Jul 20, 2026 · 48 MIN

When Big Pharma Abandoned the Heart | $750m Carduion CSO Dr. Howard Surks

from The Healthcare Theory Podcast · host Nikhil Reddy

Cardiovascular disease remains the world's leading killer, yet cardiovascular drug development has declined dramatically when compared to other therapeutic areas.Today, we sit down with Dr. Howard Surks, a cardiologist turned bench scientist turned big pharma leader who left Merck and Sanofi to help build Cardurion Pharmaceuticals from the ground up around a first-in-class heart failure drug. In the episode, Howard's discusses journey from studying blood vessel biology at Tufts to running translational medicine programs at two of the world's largest pharma companies: the real tradeoffs between big pharma and biotech, why cardiovascular trials have become so expensive that most companies walked away. We dig into what it actually takes to move a molecule from the lab into patients, and how decades of basic science research became the foundation for Cardurion's PDE9 inhibitor program. 

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When Big Pharma Abandoned the Heart | $750m Carduion CSO Dr. Howard Surks

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