
A self-funded biotech startup led by a woman of color achieves a groundbreaking victory, challenging industry norms and offering new hope for those suffering from ‘butterfly skin disease’.
Story Highlights
- Krystal Biotech developed the first FDA-approved topical gene therapy for DEB.
- The company was founded by Suma Krishnan and her husband without venture capital.
- Krystal Biotech’s revenues surged to $291 million in 2024.
- Their innovative approach is reshaping how rare diseases are treated.
Krystal Biotech’s Innovative Breakthrough
In a crowded biotech landscape dominated by venture-backed companies, Krystal Biotech stands apart as a self-funded pioneer. Founded in 2016 by Suma Krishnan and her husband Krish, this Pittsburgh-based company has defied conventional wisdom by focusing on dystrophic epidermolysis bullosa (DEB), a severe skin disorder with no previous treatments. Their breakthrough product, Vyjuvek, became the first FDA-approved topical gene therapy for DEB in 2023, signifying a monumental achievement in biotechnology.
The Krishnans’ decision to self-fund Krystal Biotech and avoid traditional venture capital allowed them to maintain significant control over their company’s direction. They leveraged their extensive biotech background and networks to navigate the uncharted regulatory pathway for home-use gene therapies. This approach not only expedited Vyjuvek’s development but also set a precedent for future gene therapies that could be administered at home, offering a more accessible treatment option for patients with rare diseases.
"I was not afraid to hire young scientists with no experience, but mentoring them."
Suma Krishnan, chairman and CEO of Krystal Biotech, joined ForbesWomen editor Maggie McGrath to discuss the growth of her company from $50 million to $4.4 billion. https://t.co/5T16spXnt6 pic.twitter.com/vatZns4GZ4
— ForbesWomen (@ForbesWomen) August 2, 2025
Economic and Social Impacts
The success of Vyjuvek has propelled Krystal Biotech into the spotlight, leading to a substantial increase in revenue and net income. The company’s performance underscores the potential financial viability of self-funded biotech startups. Krystal’s model, focusing on rare diseases with high unmet needs, highlights the growing importance of personalized medicine and the biotech sector’s shift towards home-based treatments. These developments are particularly significant for patients suffering from rare conditions, who previously had limited treatment options.
Watch: Krystal Biotech (KRYS|$4.4B) – 2024 Q4 & Full Year Earnings Analysis
While Vyjuvek’s launch has been a significant victory for DEB patients, the cost of treatment, approximately $631,000 annually, raises important discussions around access and reimbursement. The high price tag reflects the challenges of developing treatments for rare diseases, where smaller patient populations make cost recovery difficult. However, the value offered to patients in terms of improved quality of life and reduced healthcare burdens often justifies these expenses, prompting more flexible reimbursement policies from insurers.
Future Prospects and Industry Influence
Krystal Biotech’s success story is expected to inspire other startups to consider self-funding and to focus on rare, high-need medical conditions. The company is already working on expanding its pipeline to include therapies for other conditions such as cystic fibrosis and lung cancer, using its proprietary viral vector platform. This strategy not only promises to enhance Krystal’s market presence but also paves the way for more innovative solutions in the biotech industry.
As Krystal Biotech continues to grow, the broader biotech sector is likely to see increased investment in rare disease research and development. The company’s achievements not only demonstrate the potential of unconventional business models but also challenge industry norms, particularly in leadership diversity, with Suma Krishnan’s recognition as a pioneering woman of color in a predominantly male-dominated field.
Sources:
Indian American Biotech Founder Suma Krishnan Named to Forbes 50 Over 50 List
Krystal Biotech’s Official Leadership Information
Profile on Suma Krishnan – Krystal Biotech Inc
A Family Affair – Life Science Leader