From Scientist to Entrepreneur: Transforming the Business of Skin Cancer Diagnostics with Mirianas Chachisvilis of Veriskin, Inc. 5-6-26
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In this episode of the Becker Private Equity & Business Podcast, host Scott Becker interviews Marianas Chachisvilles, CEO and founder of Veriskin, Inc., a medical device company revolutionizing skin cancer diagnostics. Chachisvilles shares his journey from a physicist in Lithuania to a postdoctoral researcher at Caltech under Nobel laureate Ahmed Zewel, and eventually to founding Veriskin in 2016. The company leverages dynamic blood flow response analysis—measuring how skin vasculature reacts to minor perturbations—as a biomarker to detect early-stage skin cancer with greater accuracy. With over 1,500 lesions studied in clinical trials and a breakthrough device designation from the FDA, Veriskin is now in the midst of its pivotal FDA trial. The company plans to commercialize its device to primary care providers, offering it free of charge with a per-use fee model aimed at reducing unnecessary biopsies, saving lives, and cutting healthcare costs by billions annually. Chachisvilles reflects on the challenges of transitioning from pure science to entrepreneurship, emphasizing persistence, belief in the mission, and the importance of seeking but not blindly following advice. Key takeaways include: (1) Skin cancer remains the most common cancer in the U.S., with over 5 million cases annually and 27,000 deaths due to delayed diagnosis; (2) Veriskin’s technology detects cancer through dynamic vascular response, not static imaging, offering a more sensitive early warning system; (3) The company’s business model—free device, per-use fee—aims to drive adoption and reduce healthcare waste; (4) Regulatory support, including FDA breakthrough designation, has accelerated development; (5) Founders transitioning from science to entrepreneurship must cultivate resilience and adaptability. The episode concludes with Chachisvilles expressing deep gratitude for the journey and the impact he hopes to make in global health.
Skin cancer is the most common cancer in the U.S., with over 5 million cases annually and 27,000 deaths due to late detection.
Veriskin uses dynamic blood flow response as a biomarker to detect early-stage skin cancer, significantly improving diagnostic accuracy.
The company’s business model offers the device for free and charges per use, aiming to reduce unnecessary biopsies and healthcare costs.
FDA breakthrough device designation has accelerated Veriskin’s regulatory path and clinical development.
Scientific entrepreneurs must balance persistence, belief in their mission, and openness to feedback while navigating the isolation of early-stage startups.
Introduction to Veriskin and Marianas Chachisvilles
“Great companies aren't built on average talent. In private equity-backed, high-growth businesses, the right operator changes everything.”
Scientific Background and Founding of Veriskin
Chachisvilles recounts his academic journey from Lithuania to Sweden and Caltech, working under Nobel laureate Ahmed Zewel, and his transition from academia to founding Veriskin in 2016 after a 2013 idea sparked by his expertise in chemical dynamics.
The Problem with Skin Cancer Diagnosis
“It takes somewhere between 20 to 50 biopsies to detect one cancer, meaning majority of them, 99%, come back as benign.”
Veriskin’s Technology and Clinical Progress
“This is what VeriSkin is focusing on—detecting a biomarker that allows you to identify clinically significant skin cancers.”
Commercialization Strategy and Future Outlook
Veriskin plans to market its device to primary care providers with a free device and per-use fee model. The company is in the middle of its FDA pivotal trial, with clearance expected by late 2026 or early 2027.
“It takes somewhere between 20 to 50 biopsies to detect one cancer, meaning majority of them, 99%, come back as benign.”
“You have to be persistent and you have to really believe in what you're doing to preserve it.”
“Being an entrepreneur, especially at that early stage, it's somewhat of a lonely business because you're basically on your own.”
Host
Guest
Marianas Chachisvilles
person
Veriskin
organization
Caltech
organization
FDA
organization
Shopify
organization
Ahmed Zewail
person
National Cancer Institute
organization
NIH
organization
Pathological Angiogenesis
other
Genoptics
organization
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