Systems Thinking for Launch Excellence
- Joseph Tcherkezian

- Sep 27, 2025
- 6 min read
Updated: Oct 20, 2025
Launching a new product is a complex endeavor that requires a deep understanding of various interconnected elements. Systems thinking provides a framework to analyze these relationships, ensuring that all elements work harmoniously towards a successful launch. This insight piece explores the key stakeholders involved in a pharmaceutical new product launch and how their interconnections can be optimized for launch excellence.
The Stakeholders in Pharmaceutical Launches
The pharmaceutical industry is characterized by a diverse array of stakeholders, each playing a crucial role in the new product launch process. These stakeholders include:
Patients: The ultimate beneficiaries of pharmaceutical products, their needs and preferences drive the development and marketing strategies.
Patient Advocacy Groups: These associations play a pivotal role in pharmaceutical product launch success by shaping clinical trial design, amplifying patient voices, fostering trust with the community, and supporting broader awareness and adoption at launch.
Patient Support Program (PSP): A strong PSP builds trust with Health Care Providers, eases the patient journey, and lays the foundation for launch success.
Physicians: As prescribers, physicians influence patient access to new therapies and are critical in educating patients about new products.
Payers: Insurance companies and government agencies determine reimbursement policies, impacting the financial viability of new products.
Medical Affairs: This team bridges the gap between clinical development and commercial strategies, ensuring that scientific data is effectively communicated, making them essential for launch success
Market Access: Specialists in this area work to secure favorable reimbursement and access for new products, navigating complex healthcare systems.
Regulatory Affairs: This team ensures compliance with government regulations, facilitating the approval process for new drugs.
Supply Chain and Quality: These stakeholders manage the logistics of production and distribution, ensuring that products meet quality standards.
Pharmacovigilance: Responsible for monitoring the safety of products post-launch, this team plays a vital role in maintaining public trust.
Compliance/Legal: Ensuring adherence to legal and ethical standards, compliance teams protecting the company from reputational damage.
Sales and Marketing: These teams are responsible for promoting the product and driving sales.
Business Development: This team is at the forefront of identifying novel therapies that can benefit patients, while working hand-in-hand with all the other departments.
Each of these stakeholders has a unique perspective and set of objectives, which can sometimes lead to misalignment. Understanding their interconnections is crucial for a successful launch.
The Interconnections Between Stakeholders
The relationships between stakeholders in a pharmaceutical launch are intricate and multifaceted. For instance, the needs of patients directly influence the strategies employed by physicians and payers. If a new product addresses a significant unmet medical need, physicians are more likely to prescribe it, and payers may be more inclined to provide coverage.

The market access team must also work closely with payers to understand their requirements for reimbursement. This collaboration is essential for ensuring that the product is accessible to patients once it hits the market. If the market access strategy is not aligned with the needs of payers, the product may face significant barriers to entry.
Supply chain and quality teams are equally important, as they ensure that the product is manufactured and distributed efficiently. Any delays or quality issues can jeopardize the launch timeline and affect the product's reputation. Therefore, these teams must maintain open lines of communication with all stakeholders to anticipate and mitigate potential challenges.
The Role of Medical Affairs & Pharmacovigilance
The role of medical affairs is pivotal in this ecosystem. As the bridge between science and clinical practice, Medical Affairs teams provide physicians with timely, accurate, and balanced information on a product’s efficacy, safety, and real-world relevance—critical factors that directly influence clinical practice and build early confidence among healthcare providers. Their work goes beyond education; by engaging in scientific exchange with Key Opinion Leaders (KOLs), capturing insights from the field, and facilitating advisory boards, they help shape strategies that resonate with both clinicians and patients. Equally important, Medical Affairs ensures that all communications and data shared externally are fully aligned with the information provided to Regulatory Affairs, thereby safeguarding compliance and supporting regulatory approval.
In addition, they play a crucial role in facilitating clinical trials, identifying gaps that may require additional studies, real-world data, or publications to strengthen the product’s value proposition. By integrating scientific credibility with cross-functional collaboration, Medical Affairs lays the foundation for trust, advocacy, and long-term success in the marketplace. They provide physicians with the necessary information about the product's efficacy and safety, which can influence clinical practice. This information must be aligned with the data presented to regulatory affairs to ensure compliance and successful approval.
Pharmacovigilance plays a critical role in the post-launch phase, monitoring the safety and efficacy of the product in real-world settings. This team must collaborate with medical affairs to ensure that any adverse events are reported and addressed promptly. Their findings can also influence future marketing strategies and product development.
The Role of Regulatory Affairs and Market Access
Regulatory Affairs and Market Access play a central role in determining the success of any product launch, and their impact is amplified when they work in close alignment with each other and with other functions such as Medical Affairs. Regulatory Affairs ensures that clinical data are translated into a clear, compliant label that defines the product’s value, while Market Access leverages that value story to secure reimbursement and formulary inclusion. Without regulatory approval, there is no product to launch; without access, there is a limited path for patients to receive it.
Strategic thinking requires viewing these functions not as separate silos but as interconnected partners—collaborating with Medical Affairs to address data gaps, align evidence generation with payer requirements, and anticipate hurdles well before launch. When integrated effectively, this triad of Regulatory Affairs, Market Access, and Medical Affairs ensures that scientific innovation is not only approved but also accessible, affordable, and impactful in the real world.

Sales and Marketing
Once the product is launched, the sales and marketing teams take center stage. Their strategies must be informed by the insights gathered from all other stakeholders. For example, understanding patient needs can help shape marketing messages, while feedback from physicians can refine sales tactics, particularly by highlighting and addressing barriers that hinder patient care.
Sales representatives must be well-versed in the product's benefits and the data supporting its use. They should also be equipped to address any concerns raised by physicians or payers. This requires ongoing training and collaboration with medical affairs to ensure that the sales team is informed about the latest research and developments.
Effective communication between sales, marketing, medical affairs, and other stakeholders is essential for maximizing the product's impact in the market. By leveraging insights from various teams, the sales and marketing departments can create targeted campaigns that resonate with both healthcare professionals and patients.
Legal and Compliance
Compliance teams are essential in maintaining the integrity of the launch process. They ensure that all promotional materials, scientific communications, and field activities adhere to strict regulatory standards, thereby protecting the company from reputational damage, regulatory penalties, or legal repercussions.
Closely connected to Compliance, the Legal department provides the guardrails that help teams navigate complex regulations, contracts, partnerships, and industry codes of conduct, ensuring that every decision aligns with both the letter and spirit of the law. Together, Compliance and Legal form the foundation of a strong governance framework that allows other teams—such as Medical Affairs, Commercial, and Market Access—to operate with confidence and clarity. Beyond risk mitigation, this framework builds credibility with healthcare professionals, payers, and patients by demonstrating the company’s commitment to ethics and transparency.
Ultimately, embedding Compliance and Legal expertise into launch planning fosters trust among stakeholders, safeguards long-term business sustainability, and reinforces the organization’s license to operate in a highly scrutinized environment.
Conclusion
In conclusion, systems thinking in pharmaceutical new product launches emphasizes the importance of understanding the interconnections between various stakeholders. Each group plays a vital role in the success of a product, and their collaboration is essential for navigating the complexities of the healthcare landscape. By fostering open communication and aligning objectives, pharmaceutical companies can enhance their launch strategies and ultimately improve patient outcomes.
As the industry continues to evolve, embracing systems thinking will be crucial for achieving launch excellence. By recognizing the interconnected nature of stakeholders, pharmaceutical companies can better position themselves for success in an increasingly competitive market.




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