Transforming healthcare

Five key oversight considerations for emerging biotechnology company board members

  • Blog
  • 6 minute read
  • December 19, 2024

Holly Reeves

Health Industries - Emerging Company Solutions Market Leader, PwC US

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Carin Robinson

Director, Governance Insights Center, Washington DC, PwC US

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Emerging biotechnology companies are at the forefront of scientific innovation, poised to revolutionize healthcare. As a board member, you can play a critical role in navigating the complexities of this dynamic and highly regulated industry. Effective oversight is critical; it can be the difference between groundbreaking success and missed opportunities. Without it, there is a risk of regulatory non-compliance, financial instability, or failure to bring innovations to market.

Here are five key considerations to help guide your strategic oversight as a board member:

1. Oversee research and development (R&D) viability

Understanding the company's scientific innovations is important. Regular interactions with the Chief Scientific Officer (CSO) and participation in scientific briefings can help you stay updated on technological advancements and industry trends. This knowledge enables directors to make strategic decisions that align with the company's long-term vision, particularly in prioritizing drug development programs and disease targets. In today's macroeconomic environment, where funds are often limited, this understanding helps to guide wise investments in viable R&D initiatives.

To stay informed, consider scheduling periodic briefings with the CSO to discuss ongoing drug development, clinical progress, and emerging technologies. Participating in industry conferences and workshops can also keep you abreast of new scientific developments and innovative technology.

2. Support regulatory compliance and oversee risk

The biotechnology industry operates under stringent regulations. Familiarize yourself with regulatory requirements from agencies such as the U.S. Food and Drug Administration (FDA) and the European Medicines Agency (EMA). Understanding the phases of clinical trials and necessary documentation for regulatory submissions is crucial. Staying informed about changes in regulatory policies allows you to adjust strategies proactively. This approach can prevent costly delays, penalties, and reputational damage, enabling smooth progression through clinical trials and market entry.

3. Expect the unexpected

The biotechnology landscape is constantly evolving, with new scientific discoveries, regulatory changes, and market dynamics. A diverse product pipeline and steady development milestones can mitigate challenges, providing a continuous stream of potential news that may serve as funding inflection points. Understanding target markets and assessing competitive landscapes is also important. By anticipating and preparing for unexpected changes, the board can help the company remain resilient and capitalize on new opportunities.

Management should develop contingency plans for potential disruptions, such as unfavorable trial results or regulatory shifts. Foster a culture of agility and adaptability within the company, starting at the board level, to prioritize efforts based on unmet needs and market potential.

4. Consider the potential risks and rewards of artificial intelligence

Artificial intelligence (AI) and generative AI can offer new strategic opportunities — and risks that are both operational and reputational. AI has the potential to revolutionize biotechnology by accelerating drug discovery, optimizing clinical trials, and personalizing medicine. Board members should consider supporting investments in AI technologies that can enhance the R&D process.

Key questions include how, when, and where to use AI, how it may alter business operations, and how to establish trust in its use. Boards should understand AI's potential and limitations to provide appropriate guidance. Implement a governance structure to help oversee AI risks and controls and stay informed about emerging regulations.

Take a deeper dive on the power of AI and generative AI and what boards should know.

5. Provide financial oversight

Biotechnology ventures can be capital-intensive, often requiring meticulous financial management. Key areas of financial oversight include budgeting, cash flow forecasting, funding strategies, resource allocation, and exit strategies. Effective financial oversight helps the company remain financially healthy and capable of sustaining its innovative efforts.

Focus on understanding management’s financial plans and models that account for the long development cycles in biotech. Regularly review financial forecasts against key milestones and prioritize projects and resources. Watch for diversity in funding sources, such as private equity, venture capital, and non-dilutive funding, and engage closely with investors who offer both capital and strategic value.

Consider management’s exit strategy plans from the outset, whether through mergers and acquisitions or initial public offerings (IPOs). Align the exit strategy with the company's long-term vision and market conditions to help improve shareholder value.

Your important role

Serving as a board member of an emerging biotechnology company can be both challenging and rewarding. Confirming the viability of R&D initiatives is crucial, laying the foundation for innovation and long-term success. Supporting regulatory compliance and overseeing associated risks are important for helping to maintain credibility and avoid legal pitfalls. Holistic financial oversight is helpful for securing funding, managing expenditures, and driving sustainable growth. The rapidly evolving nature of the biotechnology sector demands continual adaptability, incorporation of AI initiatives, and preparedness for change. By focusing on these key areas, board members can help steer the company toward a prosperous future while fostering a culture of innovation and compliance.

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