01/26/2026
"Trust is like collecting raindrops in a bucket. It's collected one drip at a time and a single tip can break everything. You just can never let that happen, that one single tip and the whole bucket's gone."
In Part 3 of The Biotech Startups Podcast conversation with AltruBio President & CEO, Judy Chou, building trust—and earning it under extraordinary circumstances—is a central theme that shaped her remarkable career.
In this episode, Judy shares:
– Walking into an empty 50,000 square foot facility as employee number one at Tanvex, calling the billionaire founder to ask what to do, and getting told "Why are you calling me? That's your job."
– Facing 32 FDA agents alone in a pre-IND meeting (answering questions on CMC, regulatory, clinical—everything) and convincing them to skip all preclinical animal studies—a first in biosimilar development
– How her medical school friend's death from metastatic lung cancer opened her eyes to drug accessibility, transforming her understanding that helping patients isn't just about innovation, but making therapies available
– Following passion over money when leaving Tanvex before maximizing IPO gains—and how that decision paradoxically led to greater financial success and career fulfillment
– Joining Bayer Pharmaceuticals to lead over 2,000 employees across six sites as the first Asian woman in leadership at a 153-year-old German organization, and the delicate balance of earning trust while driving change
This episode offers profound lessons on leadership, breaking barriers, and building trust in environments where everything is stacked against you.
Head over to Apple Podcasts or Spotify for this episode and more stories only a biotech exec can tell!