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Good morning. What happens to an organization after it achieves a moonshot?

That’s Albert Bourla’s reality, post-COVID.

As CEO of Pfizer, a company he first joined in 1993, Bourla — a veterinarian by training — led the company through the pandemic. His team is working around the clock to deliver products to combat the crisis—Pfizer has partnered to start BioNTech to bring the first FDA-approved COVID-19 vaccine to market; it also introduced Paxlovid, the first antiviral drug adapted to fight COVID. Business increased to record profits.

Fast forward to today, and Pfizer has a new set of challenges. It faces a patent cliff for some of its most profitable drugs, and the COVID bump that boosted its revenues has ended. By 2022, Bourla said, COVID-related revenue will rise to more than $56 billion. Today, that revenue sits at nearly $5 billion.

“At the top of the hill, you’re the best company,” Bourla told me on a recent episode of my vodcast, Fortune 500: Titans and Disruptors. “You were named the best CEO. People at Pfizer are the proudest employees in the world. All of a sudden, with a financial decline, it hurts a lot, and that creates emotional reactions for everyone in the company, including me.”

So Bourla set the company up to make new moonshots: Pfizer aims to capitalize on other revolutionary drugs like GLP-1, and make cancer a disease that can, if not always be eradicated, then survivable. Bourla, who was raised by a mother who survived the Holocaust and is an eternal optimist, remains determined:

“I believe that winners in life are no different than losers in life because winners never fall,” he said. “They differ because the winners always rise again.”

Here are some of the leadership lessons I took away from our conversation (read the full transcript here):

  • Bourla’s relationship with President Trump, and how he reached an agreement with the administration in 10 days to reduce drug costs for Americans:
    • “It’s very clear to me that what he had in mind in the first administration has now become a serious itch that needs to be scratched: He is very adamant that he cannot allow that other rich countries pay less than Americans pay.”
  • How he won $10 billion Game of Thrones-like claims battle for GLP-1 maker Metsera, best rival Novo Nordisk:
    • “I told everyone: ‘That’s it. We’ll get it. Don’t worry.’ My people were devastated … when they saw Novo coming and complicating the things we thought we had in our pockets.
  • Why the world is so ill-prepared for the next pandemic, and when authorities have made mistakes while fighting COVID:
    • “I still remember big trucks with refrigerators that instead of having chickens and meat inside, they had human bodies because we didn’t have anywhere to put them. People tend to forget because it’s not the case now, but it’s not the case because of vaccines and treatments.”
  • How AI is accelerating drug development to make solutions to diseases like cancer possible in our lifetime:
    • “I think we need to cure (some cancers). The ones left untreated will become chronic diseases: You can live with your cancer like you live with your diabetes.”

Graphic read: Fortune Titans and Disruptors of Industry with Albert Bourla, CEO of Pfizer, Moderated by Alyson Shontell (both pictured).

Listen to the full episode at Fortune 500: Titans and Industry Disruptors with Bourla the YouTube, Spotifyor Apple Podcasts.—Alyson Shontell

Contact CEO Daily by Diane Brady at [email protected]

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CEO Daily is compiled and edited by Joey Abrams, Claire Zillman and Lee Clifford.



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