Drug Discovery

HeartBeat.bio has built a next-generation TechBio platform that integrates proprietary human cardiac organoids, AI-driven analytics, and advanced automation to transform heart failure drug discovery.
Unlike traditional approaches, our platform generates clinically relevant human data at scale, creating a proprietary data moat and delivering predictive insights that reduce failure rates and accelerate development. The power lies in the synergy of biology, AI, and automation—enabling richer insights, continuous learning, and scalable, cost-efficient discovery.

We’re initially focused on cardiomyopathies and myocardial fibrosis, aiming to build the most advanced drug discovery engine for tackling this critical unmet need.

Cardiomyopathies

Cardiomyopathies are a group of diseases that affect the structure and function of the heart muscle, often leading to progressive heart failure, arrhythmias, and sudden cardiac death. These disorders can arise from genetic mutations, systemic diseases, or environmental stressors, and they are typically classified into several subtypes — including dilated, hypertrophic, restrictive, and arrhythmogenic cardiomyopathy.

What unites all cardiomyopathies is a fundamental disruption of the heart’s ability to contract and relax effectively. Over time, this leads to maladaptive remodeling of the myocardium, impaired cardiac output, and increasing clinical burden. Many patients develop symptoms such as breathlessness, fatigue, and fluid retention — and in severe cases, may require implantable devices or heart transplantation.

Despite advances in diagnosis and patient management, cardiomyopathies remain an area of significant unmet medical need. Treatments today are largely supportive — aimed at alleviating symptoms or slowing disease progression — but they do not target the underlying molecular or cellular drivers of disease.

1 in 500
people
are diagnosed with HCM.
~60% have a genetic basis.
1 in 250
individuals
develop DCM.
~40% are thought to have a genetic cause.
1:1000-5000
prevalence of ACM; while less common, it has a higher risk for sudden cardiac death.
References:
  1. Marian, Ali J., and Braunwald, Eugene. “Hypertrophic Cardiomyopathy: Genetics, Pathogenesis, Clinical Manifestations, Diagnosis, and Therapy” Circulation Research, (2017). 21(7):749-770.
  2. McNally, Elizabeth M., and Mestroni, Luisa. “ Dilated Cardiomyopathy: Genetic Determinants and Mechanisms” Circulation Reseach. (2017). 121(7):731-748.
  3. Corrado, Domenico et al. “Arrhythmogenic Cardiomyopathy”. Circulation Research. (2017). 121(7):784-802

Myocardial Fibrosis

Myocardial fibrosis is a pathological process characterized by the excessive accumulation of fibrotic tissue in the heart muscle. It occurs when the normal balance between collagen production and degradation is disrupted, typically following injury, inflammation, or sustained cardiac stress. Over time, this fibrotic remodeling leads to stiffening of the myocardium, impaired electrical conduction, and reduced contractile function — ultimately contributing to the progression of heart failure.

Fibrosis is particularly common after myocardial infarction (MI), where damaged heart tissue is replaced by non-functional scar tissue. While some degree of scar formation is necessary for structural stability, excessive or unresolved fibrosis compromises the heart's ability to pump effectively. In chronic conditions, such as hypertensive heart disease or cardiomyopathies, diffuse interstitial fibrosis can develop gradually, often undetected, leading to diastolic dysfunction and arrhythmias.

Acute replacement fibrosis

Chronic interstitial fibrosis

Despite being a central driver of heart failure progression, myocardial fibrosis remains largely untargeted by existing therapies. Current treatments focus primarily on managing symptoms or underlying risk factors, such as hypertension or ischemia, but do not directly reverse or halt the fibrotic process.

~64 million
people
worldwide live with heart failure.
1 in 4
individuals
in the US develop heart failure in their lifetime.
Up to ~90%
of HFpEF patients
show evidence of myocardial fibrosis.
>70%
of HCM patients
show evidence of fibrosis.
References:
  1. Savarese, Gianluigi, et al. "Global burden of heart failure: a comprehensive and updated review of epidemiology." Cardiovascular research 118.17 (2022): 3272-3287.
  2. Bozkurt, Biykem et al., “HF STATS 2024: Heart Failure Epidemiology and Outcomes Statistics An Updated 2024 Report from the Heart Failure Society of America.” Journal of Cardiac Failure. (2025). 31(1):66-116.
  3. Mewton et al., “Assessment of Myocardial Fibrosis With Cardiovascular Magnetic Resonance”, JACC, (2011). 57 (8): 891-903.
  4. Habib et al, “Progression of Myocardial Fibrosis in  Hypertrophic Cardiomyopathy” JACC: Cardiovascular Imaging (2021). 14 (5): 947-58.
  5. Hahn et al., “Endomyocardial Biopsy Characterization of Heart Failure With Preserved Ejection Fraction and Prevalence of Cardiac Amyloidosis”, JACC: Heart Failure (2020). 8 (9):712-24.

Discovery Strategy

HeartBeat.bio’s drug discovery approach is built on three strategic pillars designed to maximize the chances of identifying and advancing effective therapies for heart failure.
Target Discovery & Target-Based Screening

We use our proprietary human disease models to uncover novel, disease-relevant biological targets. Once identified, we conduct target-based screens to find small molecules or nucleotide-based modulators that can specifically influence these targets. This enables us to start from a mechanistic understanding of disease biology and build a rational path toward therapeutic intervention.

Phenotypic Screening in Human Disease Models

We run unbiased phenotypic screens in our human cardiac disease models to identify compounds that produce meaningful, disease-modifying effects, without necessarily relying on prior knowledge of the target. This approach allows us to capture complex biology and discover first-in-class compounds that might be missed in traditional target-driven approaches.

In-Licensing of Lead Compounds


We actively in-license promising lead compounds from external sources. We focus on assets with a strong mechanistic rationale, preliminary in vitro proof-of-concept data, and a validated target hypothesis. These assets are then further validated and optimized using our platform to accelerate their path toward clinical development.

Partnering Strategy

To fully leverage HeartBeat.bio’s TechBio platform and accelerate the development of transformative therapies, we are actively pursuing partnerships across three domains:
Pharma & Biotech

We seek strategic partnerships with pharma and biotech companies focused on developing novel small molecule or nucleotide therapies for heart failure. By integrating our human-centric drug discovery platform with industry leaders’ therapeutic expertise, complementary technologies, and development capabilities, we aim to accelerate breakthrough treatments and deliver them more efficiently.

Academic Collaborations

We engage with leading academic innovators working on next-generation therapeutics for heart failure. Through co-development or in-licensing opportunities, we seek to translate pioneering research into clinically viable drug candidates—leveraging our platform to de-risk early-stage assets and streamline their progression toward the clinic.

Technology Partners

We partner with technology providers that enhance our platform across key areas such as assay development, high-throughput compound screening, data analytics, and AI-driven drug discovery. Specifically, we’re looking for collaborators offering capabilities in target prediction, chemo-informatics, and molecular design to strengthen our ability to generate and optimize novel small molecule therapies.

Cooperation Partners

boehringer-ingelheim
hubrechtinstitute
imba
moleculardevices

Our Drug Discovery Program

Heart failure (HF) poses a significant global health challenge, affecting morbidity, mortality, and healthcare costs.
64
million
people are affected by heart failure (HF) worldwide, that’s 1-3% of the general adult population.
6.7
million
American adults are currently living with heart failure, and that number continues to increase.
50–75%
of people with heart failure die within five years of diagnosis.
€25K
is spent per heart failure patient, with costs expected to rise due to an aging population.
References:
  1. Savarese et al., Cardiovascular Research (2022). 
  2. Groenewegen et al., European Journal of Heart Failure (2020).
  3. Bozkurt, Biykem et al., Journal of Cardiac Failure, HF STATS 2024: Heart Failure Epidemiology and Outcomes Statistics An Updated 2024 Report from the Heart Failure Society of America.
References:
  1. Marian & Braunwald, Circulation, 2017.
  2.  McNally & Mestroni, Circulation, 2017. 
  3. Corrado et al., Circulation, 2017.
The absence of effective curative treatment options exacerbates the situation, creating a substantial medical need for novel treatments. Crucially, existing in vitro and in vivo models have proven inadequate to generate transformative new treatment approaches.
In contrast, HeartBeat.bio has developed a novel 3D model of a human heart chamber that promises to better represent healthy and diseased conditions of the heart. Our commitment lies in leveraging our advanced models, automation, and AI-driven analysis to identify innovative targets and therapeutics.
Thus we aim to accelerate new treatments, improve patient outcomes, and transform cardiovascular medicine. In order to do that, we:
Thus we aim to accelerate new treatments, improve patient outcomes, and transform cardiovascular medicine. In order to do that, we:
  • Perform phenotypic screens
  • Look for in-licensing opportunities to validate assets in our platform

Partner with us

If you are looking to develop drugs in this area or if you have an interesting technology, we look forward to discussing more.