VP Clinical Development/CMO

San Francisco, California

Salary Details: $300k -$350k 1 week

Autonomy Bio
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We are an early-stage biotech company developing drugs with the goal of reducing multi-morbidity and earning an indication for aging, as opposed to the treatment of specific diseases. Our ultimate mission is to establish aging as a therapeutic area and empower humans with more time with loved ones and autonomy over their health. This is a new paradigm focused on keeping healthy people healthy as opposed to treating individual diseases after they occur.

Key Responsibilities

  • Design & Own the Clinical Roadmap Develop and own the integrated clinical plan for our lead program and broader pipeline.
  • Regulatory Coordination Work closely with our regulatory lead to strategize and execute a regulatory strategy for aging therapies. Lead all major regulatory interactions - briefing packages, meeting prep, post-meeting strategies.
  • Program Management Track milestones and dependencies to keep trials on schedule and under budget.
  • Develop and Validate Novel Aging Endpoints Collaborate with scientific and regulatory stakeholders to define, validate, and advocate for new clinical endpoints that capture aging-related healthspan improvements.
  • Innovate in Trial Design Incorporate decentralized trials, adaptive protocols, AI-driven endpoints, and real-world data to cut costs, accelerate timelines, and maximize impact.
  • Build the Team Hire, mentor, and inspire a world-class clinical and regulatory team, with no ego and a high bar for performance, creativity, and mission alignment.
  • Drive Quality and Compliance Develop and institutionalize a biotech-focused QMS.

Measures of Success

Within the First 3-6 Months, You Will Have:

  • Delivered a Briefing Package for our second FDA Type C Meeting, integrating inputs from clinical ops, regulatory, CMC, and external experts.
  • Finalized Phase 1 Study Synopses (focusing on fixed-dose combination PK/safety), incorporating FDA feedback and bridging strategies for a 505(b)(2) or similar pathway.
  • Mapped a Multi-Country Clinical Development Plan that accounts for differing regulatory views on aging endpoints, accelerating potential global acceptance.
  • Built Core Clinical Team & Processes: Hired 2-3 specialized staff (trial ops, regulatory managers), instituted a biotech-specific QMS, and established training protocols.
  • Established Integration with AI/Data Leads to ensure Phase 1 readouts can be tracked in real-time, especially for unique combination PK/PD data.

Within the First Year, You Will Have:

  • Navigated Key FDA Milestones such that the IND for AUTO-1 is approved on schedule; shaped a feasible Phase 3 design aligned with FDA insights on aging endpoints.
  • Executed a Timely Phase 1 Readout that validates combination safety data, enabling immediate pivot or progression to Phase 3.
  • Formed External Alliances & Collaborations with academic sites and KOLs in geriatric cardiology/metabolism, possibly advancing major pharma partnership opportunities.
  • Expanded the Clinical Organization to manage parallel pipeline programs, hiring additional senior managers in clinical development, trial ops, and regulatory.
  • Implemented Continuous Innovation in Trial Design (digital endpoints, remote data capture, adaptive protocols) to reduce cost per patient and overall trial duration.
  • Strong Ownership & Leadership: Proven ability to "run the show" for clinical development, orchestrating cross-functional teams with autonomy and accountability.
  • Hiring & Talent Magnet: Deep network in clinical development; adept at building and scaling teams from scratch, especially in early-stage biotech.
  • Creative Problem-Solving & Cost Reduction: Track record of innovating clinical trial designs (eg, decentralized, AI-driven) to reduce timeline and budget by 20-30%.
  • Regulatory & Geriatric Endpoint Expertise: Skilled at navigating FDA processes for combination products and demonstrating synergy; familiarity with unique geriatric endpoints such as intrinsic capacity or multi-factor biomarkers.
  • Rigor & Detail Orientation: Highly meticulous with briefing materials, risk assessments, and scenario planning; understands how to proactively manage FDA queries.
  • Resilience & Toughness: Comfortable in fast-paced, high-stakes environments. Willing to stand firm under pressure from executives, investors, and regulators alike.

Preferred Qualifications

  • 3+ Years of Senior Clinical Development Experience in biotech, pharma, or a related field, ideally with at least 2 years in a startup environment.
  • Experience with Long-Duration Studies: Experience handling 5-7-year follow-up trials or outcomes-based studies with novel endpoints.
  • Global Regulatory Acumen Experience aligning clinical endpoints across multiple regulatory bodies and geographies.
  • Advanced Degree (MD or Equivalent) in a related Life Sciences field preferred.
  • Experience in Therapeutic Areas Without Established Endpoints Comfortable designing and validating new clinical endpoints where regulatory precedents are limited or evolving.
  • Experience in the therapeutic areas: neurodegeneration, cardiometabolism, rare diseases or vaccines.

Seniority level

  • Seniority levelExecutive

Employment type

  • Employment typeFull-time

Job function

  • Job functionResearch, Analyst, and Information Technology

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Date Posted: 21 May 2025
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