Biopharma Board Governance

All Articles

Governance insights and analysis for biopharma board members.

Governance Fundamentals8 min read

Handling an Underperforming Board Member

|Lawrence Fine
Governance Fundamentals10 min read

Evaluating Licensing Deals from the Board's Perspective

|Lawrence Fine
Governance Fundamentals8 min read

CEO Evaluation in a Clinical-Stage Company

|Lawrence Fine
Capital & Strategic Transactions10 min read

Managing Runway Pressure Without Panic

When the company has 12 to 18 months of cash remaining, the board's behavior determines whether the outcome is a disciplined raise or a desperate one. A governance framework for capital pressure.

|Lawrence Fine
Clinical-Stage Decision Making10 min read

How Boards Should Evaluate Ambiguous Clinical Data

When the clinical results are not clearly positive or clearly negative, the board faces its hardest test. A practical framework for navigating the gray zone.

|Lawrence Fine
Governance Fundamentals12 min read

The Unwritten Rules of Effective Biopharma Boards

Everything you need to know about how high-functioning biopharma boards actually operate — the norms, habits, and expectations that governance manuals never teach you.

|Lawrence Fine
Clinical-Stage Decision Making8 min read

The Board's Role in Trial Go/No-Go Decisions

The most consequential decision a clinical-stage biopharma board makes is whether to advance a program to the next trial phase. Most boards get the process wrong.

|Lawrence Fine
Governance Fundamentals7 min read

Why Biopharma Board Governance Is Fundamentally Different

Generic corporate governance training does not prepare you for the realities of a clinical-stage biopharma board. Here is what actually differs and why it matters.

|Lawrence Fine
Clinical-Stage Decision Making9 min read

Governance vs. Management in Clinical Development

Where the board's oversight role ends and the management team's execution authority begins — and why getting this boundary wrong is the most common governance failure in biopharma.

|Lawrence Fine
Governance Fundamentals8 min read

Board Composition Strategy When You Only Have Five Seats

A large-cap board can spread expertise across twelve directors. A clinical-stage biopharma board has five, maybe seven. Every seat is a strategic decision with governance consequences.

|Lawrence Fine
Capital & Strategic Transactions9 min read

Board Governance During Fundraising Rounds

Fundraising transforms board dynamics. Directors who understand the governance implications navigate it effectively. Those who don't create risk for the company and for themselves.

|Lawrence Fine
Governance Fundamentals9 min read

Fiduciary Duties in a Clinical-Stage Context

What duty of care and duty of loyalty actually mean when the company has no revenue, survival depends on trial outcomes, and every major decision carries existential risk.

|Lawrence Fine
Board Dynamics & Effectiveness9 min read

Managing the Tension Between Investor and Independent Directors

The structural conflict between investor directors and independent directors is the defining governance challenge of venture-backed biopharma boards. Here is how it manifests and how to manage it.

|Lawrence Fine
Governance Fundamentals9 min read

The First 90 Days on a Biopharma Board

A practical orientation guide for new board members joining a clinical-stage biopharma company for the first time. What to learn, who to meet, and what to focus on before your first major vote.

|Lawrence Fine