You know Kite was 700 employee company pre FDA approval before it was bought by Gilead for somewhere in between $10-15B. And this was all before they had any approvals and they were not generating any commercial revenue.
There are many business functions a company needs to thrive even for a single product biotech company where manufacturing may be outsourced. For example, simple things like: who gets dinged if FDA comes knocking after the quality control one day? How is CAPA handled on the NWBO side? Who manages the CRM and accounting for 100s of doses going out every month? How is training and awareness built outside the trial sites? Who works with hospital and reimbursement/private insurance administrators to handle contract and payment discussions? The list goes on!
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