The business faced ambitious timelines, with two IND submissions planned within a 12-month window. This created a pressing need for a leader who could combine scientific and clinical expertise with operational pragmatism. The ideal candidate needed credibility with leading investigators to support trial recruitment, as well as the presence to engage investors during fundraising discussions. Equally, the CMO would be expected to provide hands-on oversight of protocol design and trial execution in a resource-constrained environment, while building a scalable clinical operations function capable of supporting long-term growth. Finding an executive who could span scientific depth, regulatory know-how, and entrepreneurial agility narrowed the available pool considerably.