There are clear forces behind this shift, and they’re changing the way companies think about leadership. With over €185 billion in global drug sales at risk due to looming patent expirations, and a sharp increase in M&A activity across Europe, both pharma and biotech players are adjusting course. Larger firms are acquiring innovation; smaller firms are scaling fast. The result? A growing need for leaders who can navigate complexity, adapt across environments, and manage through ambiguity.
For executives exploring new roles, and for boards seeking cross-sector leadership - this is a moment that demands clarity, flexibility, and above all, self-awareness.
Over the next five years, patents for many blockbuster medicines will expire. Fierce Pharma forecasts a loss of over €185 billion in global revenue by 2030 due to this "patent cliff". Unlike past cycles, the scale this time is much larger.
To mitigate the impact, larger pharmaceutical companies are doubling down on partnerships and acquisitions – particularly of biotech firms with promising pipelines. Pharma leaders in Europe and globally expect to increase M&A activity through 2025 and 2026, according to McKinsey and EY.
This is already triggering a new wave of executive transitions between sectors. Roles are opening up, priorities are shifting, and cultural dynamics are changing – especially in organisations navigating the aftermath of 2023’s venture capital slowdown.
One Ecosystem, Two Cultures: Why the Move Isn’t Always Easy
Though pharma and biotech operate within the same industry, the experience of working in each can be radically different.
In pharma, leadership is often about scale and systems:
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Managing global, matrixed organisations
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Aligning complex, cross-functional teams
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Navigating long regulatory cycles
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Operating within highly defined processes and timelines
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Building trust with shareholders through consistency and risk management
In biotech, leadership is about pace and resilience:
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Leading lean teams with fewer resources
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Making decisions quickly — sometimes without complete data
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Navigating ambiguity and constant pivots
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Embracing flatter hierarchies and high personal accountability
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Building momentum from the ground up
The gap between these worlds isn’t one of capability - it’s one of culture.
What Often Gets Overlooked: Cultural Fit
We regularly speak with leaders who underestimate the importance of cultural fit in making successful transitions. We’ve seen pharma executives struggle in biotech because of the limited structure, and biotech leaders feel constrained in pharma by process-heavy cultures.
Executives who thrive during transitions usually do three things:
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Reflect honestly on their own leadership preferences and working style
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Ask the right questions early in the process
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Take time to understand what drives success in the new environment