by Ravindra Warang
6 minutes
Leadership in Pharma Startups: Creating a High-Performance Culture
Explore key leadership strategies and challenges faced by pharma startups to foster high performance and growth in a competitive market.

The pharmaceutical sector is among the most challenging in opening a new business. Pharma startups need to solve many significant challenges before entering the market, like high research and development requirements, high initial infrastructure investments, and complex manufacturing processes. Despite overcoming these fundamental challenges, they face patent issues, stringent regulatory requirements, and intense competition.
Opening a successful pharma startup requires more than money, connections, and talent; it requires good leadership. A good leader can make or break a pharma company—not just startups, but a pharma company of any size. However, good leadership is critical in pharma startups because, in the initial days, the company’s stakeholders invest just as much in the leader as the company or idea. However, leadership in pharma startups faces several challenges.
In this blog, we discuss some of the common challenges and opportunities to guide the leaders of Pharma Startups.
Challenges and Opportunities: Common Leadership Challenges in Pharma Startups
Here are some of the common challenges faced by pharma startup leadership:
Funding and financial sustainability
The complete drug development pipeline—R&D, clinical trials, approval, and manufacturing—can take 12-15 years. Unfortunately, until the drug enters the market and is purchased by patients, it does not generate any revenue, making these 12-15 years financially challenging for startups. Pharma startup leadership needs to craft compelling pitches to ensure they get funding, but still, many investors require proof of concept before releasing funds. Hence, in the initial years, attaining financial sustainability is challenging for all pharma startups.
Talent pool
Pharmaceutical companies require good talent in diverse fields—R&D, clinical trials, marketing, and regulatory affairs. Unfortunately, attracting and retaining strong talent is incredibly challenging for pharma startups because they have to compete with large multinational companies. Leadership must work hard to attract and retain talent by fostering an environment that supports innovation.
Risk management
Establishing a startup in the pharmaceutical sector requires some level of risk. However, pharma startup leaders must strike the perfect balance between innovative projects and risks. The high-risk, high-reward mindset may not work for all projects, and leaders have to prioritize short-term operability over long-term success, which may compromise other business plans.
Market presence
In reality, the pharmaceutical sector is dominated by several decades-old companies that have already established their strong brand in healthcare professionals' (HCP) and patients’ minds. Hence, pharma startup leaders must develop their unique brand and gain credibility among investors and regulators before approaching patients and HCPs. To this end, leaders may have to create strategic partnerships and collaborate with other competitors to gain a foothold in the industry.
Regulatory compliance
Compared with Big Pharma, pharma startups are under higher regulatory scrutiny because regulatory bodies must evaluate every aspect of the company’s operations—something other companies have already gone through. Hence, pharma startup leaders must meet complex regulatory requirements to secure approvals. If you’re unfamiliar with this landscape, it is challenging and can lead to delays.
Intellectual property (IP)
Pharma startups need to protect their innovations and technologies by filing patents. However, patent filing is also time-consuming and costly, requiring legal guidance. The process may take several years, and the company may face relevancy challenges. Furthermore, even after getting the IP, many startups face litigation over IP rights or for manufacturing generics/biosimilars. Hence, pharma startup leaders must develop an IP strategy aligning with their vision.
These are some of the common challenges that pharma startups have to tackle as they try to secure their position in the industry. However, culture is one of the most critical challenges for pharma startup leaders. Creating a high-performance culture at early stages is crucial because the same culture will be transferred to new teams as the company grows. Leaders must focus on fostering high performance in startups without creating a toxic work culture.
Creating a High-Performance Culture: Strategies for Fostering High Performance in Startups
Here are some ways pharma startup leaders can foster a high-performance and positive culture:
Build a strong vision.
In the early days of pharma startups, investors and new joiners will ask the same first question, “What sets this startup apart from the thousands of other pharma companies?” Hence, pharma startup leaders must define a clear mission and a long-term vision. Developing these will encourage decision-making in the right direction for the company’s growth.
Streamline innovation.
R&D and innovation are two non-compromisable but cost-intensive processes. Hence, leadership in pharma startups must identify and invest in ways to streamline them. For example, artificial intelligence, machine learning, and automation can be integrated to accelerate processes. Furthermore, strategic partnerships with academics and lean strategies can cut costs while boosting efficiency.
Create a performance-driven environment.
To foster high performance among employees, leadership in pharma startups must create a performance-driven culture. Leaders must clearly define key performance indicators for individuals and teams. This can be further improved by creating a feedback-rich environment. Regular coaching and learning sessions, as well as performance reviews, can encourage employees to maintain their performance and avoid burnout.
Integrate regulatory compliance.
Pharma startup leaders must integrate compliance requirements early into their daily operations to ensure they don’t have to change working procedures in the future. By training employees on regulatory requirements early on, leaders can make compliance a part of the process rather than a bottleneck that hinders innovation.
Recognize and reward.
Recognition and rewards are among the most common strategies used by leaders. By recognizing high-performing employees, leaders can create a supportive work environment where employees feel valued. The company can offer career growth opportunities, incentives or bonuses as rewards for good performance.
Case Studies in Pharma Startups: Examples of Successful Leaders in Pharma Startups
Here are some examples of successful pharma startup leaders:
Dilip Shanghvi, Sun Pharmaceuticals
Dilip Shanghvi is among the most recent and successful pharma startup leaders. Through a series of successful takeovers, he built Sun Pharmaceuticals, one of the biggest Indian pharma companies. In 2014, he acquired Ranbaxy Pharmaceuticals for $4 billion, making Sun Pharmaceuticals the largest pharma company in the Indian market and the 5th largest in the international market.
Vasant Narasimhan, Novartis
While Vasant Narasimhan is not a founder of Novartis, he has been credited with extending the company's scope to new therapeutic areas. Under his leadership, Novartis has had multiple breakthroughs in cutting-edge cancer and gene therapies.
Dr. Katherine High, Spark Therapeutics
Dr. Katherine High co-founded Spark Therapeutics with Jeffery Marrazzo and Fraser Write in 2013. Spark Therapeutics is a pioneering gene therapy startup focused on treatments for rare genetic diseases. Her bench-to-bedside studies on gene therapy have led to the first FDA-approved gene therapy for an inherited disease (Luxturna – inherited blindness).
Robert Langer, Moderna
As a co-founder of Moderna, Robert Lander is a serial entrepreneur. His research on drug delivery and mRNA technology formed the basis for Moderna’s revolutionary approach to vaccines and therapies. He holds more than 1000 patents that have been licensed or sublicensed to 250+ companies worldwide.
Dr. Krishna Ella, Bharat Biotech
Dr. Krishna Ella, the founder of Bharat Biotech, has extensive research experience in molecular biology. Under his leadership, Bharat Biotech has achieved several global accolades, including India’s first indigenous COVID-19 vaccine (COVAXIN), India’s first indigenous vaccine for Rotavirus, and India’s first indigenous vaccine for typhoid. Bharat Biotech also holds the first global patent for a Zika vaccine.
Conclusion
Leadership is often an unrecognized part of pharma companies, and it only comes into the picture when a company fails. Still, exemplary leadership in pharma startups can pave the way for success. As the examples of Dr. Krishna Ella, Dilip Shanghvi, and Robert Langer have shown, a visionary and resilient leader is all a pharma startup needs to get to the top.
FAQs
1. What are some key traits that successful pharma startup leaders have?
Successful pharma startup leaders have scientific expertise, a strategic vision, regulatory knowledge, resilience, and risk management skills.
2. How can leadership in pharma startups secure funding?
Pharma leaders can secure funding by developing a transparent business model, exhibiting a strong regulatory roadmap, and showing milestone-focused progress to potential investors.
3. Do pharma startups face significant litigation challenges?
Each pharma startup may not face litigation challenges—ultimately, it depends on the submarket they wish to enter, its saturation, and its product/offering.