Leadership & perspective

Chief Executive Officer · Japan

2026-09-23 edition

Renji Oritsune

A medicine supply plan is credible only when its quality decisions can withstand the pressure to ship.

Leading article

Renji Oritsune

A production supervisor once asked me whether an unexpected result was important enough to delay the schedule. I was a young process engineer and did not yet have the experience to answer well. I could explain the observation, but I had not learnt to distinguish what we knew from what we wanted the result to mean. The discussion stayed with me because the schedule was real, the uncertainty was real, and a vague instruction to exercise judgement did little to help either person.

I joined Kisarame Laboratories in April 1992, immediately after graduating in chemical engineering from Tsukerano Institute. My first work concerned process documentation and equipment changes in established medicines manufacturing. I collected operating data, helped investigate departures from expected conditions and prepared technical material for more experienced colleagues to review. I did not make batch-release decisions. Learning the boundary of my authority was as important as learning the process, because a persuasive engineering explanation was not the same thing as an authorised quality conclusion.

In April 1998 I moved into a quality-operations management role at Kisarame. The change brought me closer to the records on which manufacturing decisions depended. I found that a long investigation was sometimes waiting for a specialist, sometimes waiting for a well-framed question and sometimes waiting for someone to admit that the first explanation was insufficient. Treating every delay as poor administration obscured those differences. I began reviewing the work remaining and the capability needed, alongside how long the file had remained open.

I joined Nerukawa Biologics as site head in January 2004. Despite its name, the site I led concentrated on established sterile hospital products, with a small development-support unit elsewhere in the company. My remit included production, engineering and site operations, while quality release authority remained with the designated quality organisation. I had to learn that respecting this separation meant more than avoiding direct interference. It also meant ensuring that the operating plan did not repeatedly leave quality colleagues to absorb a capacity problem at the final step.

The site role was my first experience of carrying a substantial operating budget. We had 310 employees and annual site expenditure of approximately ¥8.4 billion. An early improvement programme increased equipment availability, but the additional output created pressure in testing and documentation. I revised the plan rather than celebrate the production result in isolation. The experience changed how I evaluate investment: a machine's capacity is useful only within a complete path from materials through review and authorised dispatch.

In October 2009 I became chief supply officer at Nerukawa. I coordinated planning, procurement and distribution across two domestic sites. The role exposed commercial assumptions that manufacturing teams had previously received as fixed requirements. Product variants, minimum order quantities and launch timing could each consume capacity without appearing in the headline demand forecast. I introduced a review of these commitments with commercial and quality colleagues, including the circumstances in which the business would decline an attractive order rather than compress the work required to support it.

Aoritsune Therapeutics recruited me as chief operating officer in April 2014. It was a listed mid-cap business with a continuing minority holding by the founding family. I was not a member of that family, and my appointment was an operating mandate rather than a succession entitlement. I worked across three sites and helped the executive team connect capital planning with product economics and quality-system capacity. The board wanted more dependable supply, but it also expected a credible explanation of the expenditure and inventory needed to achieve it.

I took the chief executive role in July 2019. The company then needed to address an ageing investigation register and several supply dependencies that had been accepted for too long. I protected specialist time for the former and approved a selective alternative-source programme for the latter. Neither became a simple success story. Some investigations remained open because the evidence did not justify closure. Two alternative sources did not complete qualification, and the six that did increased annual cost. I wanted those qualifications visible to directors, not removed from the headline.

The question of expansion has required similar restraint. A proposed ¥7.2 billion project promised additional output, but its original model treated laboratory and release work as if they would scale automatically. We separated the enabling work from the later capacity decision. That changed the investment timetable and disappointed colleagues who had prepared a complete construction programme. It also gave us a more useful account of the constraint. I would rather explain a revised sequence to investors than ask a site to meet a promise whose supporting work has not been funded.

I now spend much of my time making room for difficult operational evidence in executive discussions. This is not an argument for permanent caution or a belief that uncertainty can be eliminated. A medicines company must make decisions with incomplete information. I want the uncertainty described by people close enough to understand it, the relevant authority respected and the commercial consequence accepted by those who own the plan. That is the habit I would bring to an external board as well as the organisation I lead.

Continued on the profile page →

I lead a medicines business by keeping release authority separate from the commercial urgency that surrounds it.

I am chief executive of Aoritsune Therapeutics, a Japanese manufacturer of established prescription medicines and hospital products. Our three domestic sites employ 1,320 people, and revenue for the year ended March 2026 was ¥96 billion. We supply Japan through authorised distribution partners. My work concerns the conditions under which this operating network can remain dependable: the capacity available for investigation, the evidence behind changes and the promises our commercial plan asks manufacturing colleagues to fulfil.

My career began in process engineering in April 1992. I subsequently managed quality operations, led a manufacturing site and took responsibility for supply across a pharmaceutical business. Those appointments taught me how a decision can change as it travels between a laboratory, a production meeting and an executive forecast. An unresolved observation should not become a reassuring sentence merely because the audience is further from the equipment. I try to keep its meaning intact while helping the organisation decide what must happen next.

Since becoming CEO in July 2019, I have concentrated on investigation capacity, the practical independence of quality decisions and the resilience of selected hospital-product supply. We have postponed shipments, revised a capital proposal and retained more expensive supply arrangements where the evidence supported those choices. These are not gestures against commercial performance. They are decisions about which revenue and cost assumptions the company can responsibly put into its plan, and what it must fund before asking people to meet them.

Investigation ageing reduced without a closure quota

A defined register of open manufacturing investigations older than ninety days fell from 47 to 13 over eighteen months. We added specialist capacity and reviewed the basis of closure, retaining unresolved items even when they complicated the monthly result.

A second source that had to become operational

For eight selected hospital-product materials, we completed six alternative-source qualifications and held two open after comparability questions. Annual supply cost rose by ¥180 million; the programme did not count an unsigned or untested alternative as resilience.

Capacity approved in two decisions

We split a proposed ¥7.2 billion site expansion into a ¥1.1 billion enabling phase and a later capacity decision. The pause exposed a testing constraint that additional production equipment alone would not have resolved.

Current focus

I am reviewing whether our product portfolio gives each manufacturing and quality team enough room to investigate change properly. The question includes batch frequency, testing complexity and commercial value, rather than the number of products alone.

Conversations I welcome

I welcome selected board and speaking enquiries concerning manufacturing oversight and medicine supply. One external appointment may be feasible after employer and conflict review, within eighteen days a year. I am continuing my executive mandate and do not offer clinical advice, product promotion or access to purchasing decisions through this website.

From the desk of Renji

I want the person who holds a batch to know that the company will examine the evidence before it examines the missed dispatch. My responsibility is to provide the capacity, commercial discipline and management attention that make this possible. A policy on a wall cannot compensate for a plan that requires every uncertainty to resolve in time for month-end.

— Renji Oritsune

In this edition

Pharmaceutical management

Quality independence has an operating budget, not only a reporting line

A pharmaceutical CEO cannot protect a quality decision merely by promising not to interfere. Capacity, executive attention and the treatment of commercial consequences determine whether that promise works in practice.

Pharmaceutical management · 2026-09-23 · 5 min read

Supply continuity

An alternative medicine supplier is an option that must be kept usable

Resilience programmes often count sources at the point of approval. The harder executive question is whether those options remain technically, commercially and operationally available when the original supply route is interrupted.

Supply continuity · 2026-08-19 · 5 min read

Portfolio stewardship

The medicine portfolio consumes attention before it consumes capacity

A low-volume presentation can impose work that ordinary product-margin reports barely show. Portfolio decisions need a record of that work and of the customer obligations that make some apparently inefficient products worth retaining.

Portfolio stewardship · 2026-07-08 · 5 min read

Dispatches from practice

Case 01

Reducing investigation ageing without rewarding premature closure

In 2020, Aoritsune had 47 open manufacturing investigations older than ninety days in a defined register. The executive dashboard showed the count, but it did not distinguish missing evidence from a shortage of specialist time or an investigation whose question had been poorly framed. Production leaders wanted faster resolution. Quality colleagues were concerned that a closure objective would turn a capacity problem into pressure on the conclusion.

I asked the quality head to classify the work remaining and identify the decisions management could legitimately make. We found repeated dependence on a small group of technical specialists whose time was also committed to expansion projects. I approved ¥240 million of additional annual resource and deferred part of a non-essential process-improvement programme. The finance director challenged the recurring cost; I accepted that challenge and required a review of the workload rather than an assumption that the additional posts would remain necessary indefinitely.

We introduced monthly discussions about evidence, dependencies and investigation effectiveness. The quality organisation retained authority over conclusions. Executive reporting showed items reopened after an inadequate first explanation as well as items closed. Managers could therefore see why a lower count was not, by itself, a sufficient measure of improvement. We also recorded production and financial consequences separately so they did not become an implicit instruction about the technical answer.

After eighteen months, the older-than-ninety-day register had fallen from 47 to 13. Four closures had been reopened during the period and were shown explicitly in the review. The remaining cases had named evidence requirements and owners. I would begin with specialist demand across the whole company earlier next time. Our initial assessment focused too narrowly on the investigation team and missed the competing work that kept drawing essential expertise away.

Case 02

Keeping a supply alternative open until its evidence was sufficient

Our review of selected hospital products identified eight materials whose supply depended on one qualified source. Purchasing colleagues had already located possible alternatives, and the first proposal described diversification as a procurement exercise with a short timetable. Technical and quality leaders explained that the work differed materially between materials. A common completion date would obscure those differences and could encourage the business to count an option before it was usable.

I approved a programme with separate decisions for each material and a budget that included qualification work, ongoing supplier oversight and the cost of maintaining supply from more than one source. The commercial team questioned paying a higher price while the existing source was still delivering. I asked them to compare the cost with the specific dependency we were trying to reduce, without presenting the alternative as protection against every possible interruption.

Six alternatives completed the required internal qualification process over twenty-four months. Two remained open because comparability questions had not been resolved to the quality team's satisfaction. We removed those two from the count of available options and revised the supply assessment accordingly. The programme increased annual material and oversight cost by approximately ¥180 million. We also introduced a periodic check that an approved alternative remained operationally available rather than becoming an unused file.

The enterprise gained six defined options and a clearer understanding of two unresolved dependencies. It did not gain immunity from shortages. My contribution was to keep the commercial case, technical evidence and reporting language aligned through the programme. I would now involve production planning earlier in the selection stage. A source that satisfies material requirements can still introduce scheduling or handling implications that change how useful the option will be in an actual disruption.

Case 03

Separating the capacity decision from the construction proposal

A site team brought the board a ¥7.2 billion expansion proposal intended to increase output across a group of established products. The engineering case was well developed, and several executives favoured approving the complete programme while contractor availability was favourable. The underlying model assumed that testing and review capacity would grow in proportion to production. Our operating data suggested that some of those activities had a different workload pattern and could become the limiting step.

I supported the need for additional capacity but did not support the proposed sequence. We divided the investment into a ¥1.1 billion enabling phase and a later decision on the main equipment and building work. The first phase funded a more detailed workload study, selected laboratory improvements and changes needed to observe the process accurately. This delayed the proposed construction start by nine months and required us to revise the commercial volume forecast.

The subsequent work showed that two product families consumed substantially more specialist review time than the initial model allowed. The revised proposal included that capability and a different equipment sequence. Its total planned expenditure became ¥7.6 billion, higher than the original request, while the expected ramp-up was less abrupt. I presented both changes to directors rather than describing the enabling phase only as a saving or a risk reduction.

The board gained a capital decision connected to the full operating path. Colleagues also learnt that a complete construction design does not establish a complete business case. I would improve the earliest discussion with the site team: asking them to reconsider after extensive engineering work made the change feel like a rejection of their effort. A shared constraint model before design commissioning would have made the later disagreement more productive and less costly.

Case 04

Absorbing the commercial cost of a held batch

During my COO tenure, a series of batches at one site was held while an unexpected analytical pattern was investigated. The products had committed dispatch dates, and the commercial team estimated that postponement would shift approximately ¥620 million of invoicing into a later period. Site colleagues were already working extended hours. The immediate management temptation was to ask for a date when the matter would be resolved, even though the investigation had not yet established a dependable basis for that answer.

I asked the responsible quality leader to explain the evidence needed for the next decision, without requiring a release date. The executive team then revised the dispatch forecast and authorised customer communication through the established channels. We funded additional specialist support and adjusted other site priorities. I made clear that these were management actions to support the investigation, not conditions attached to a preferred conclusion. The authorised quality process continued to determine disposition.

The hold lasted nineteen days. Some batches were subsequently released and others required further work; the public example does not disclose product or technical details. Invoicing shifted by ¥590 million, close to the earlier estimate, and the company incurred ¥46 million of additional investigation and scheduling cost. The financial effect remained in the operating review even after later dispatch recovered part of the timing difference. We did not present the eventual revenue as proof that the original concern had been excessive.

This episode changed how I ask for forecasts around unresolved quality matters. A management plan can contain ranges and decision points without turning uncertainty into a deadline for the evidence. If repeating the response, I would establish a single commercial communication owner earlier. Several teams initially requested separate updates, consuming specialist attention without improving the decision or what customers were told.

Case 05

Reducing low-volume variants while preserving the transition obligation

As chief supply officer at Nerukawa, I reviewed a portfolio whose lower-volume presentations accounted for 9% of revenue but 28% of scheduled changeovers in the studied product group. Operations proposed a rapid reduction in the number of variants. Commercial colleagues objected that several presentations served longstanding hospital purchasing arrangements and could not be treated as interchangeable simply because their sales were small. The first discussion therefore placed two incomplete measures against each other: changeover burden and current revenue.

I commissioned a product-by-product review with commercial, technical and quality teams. We considered the operating burden, customer dependence, feasible transitions and the specialist requirements attached to any proposed change. I did not authorise a blanket withdrawal. Of twenty-three variants examined, seven entered a managed discontinuation process, five were retained with revised planning arrangements and eleven remained unchanged pending better evidence or because their continuing role justified the burden.

The transitions took twenty months, longer than the initial operating proposal. We maintained additional inventory and incurred ¥95 million of transition cost. In the reviewed group, annual changeovers fell by 17%, while revenue associated with discontinued presentations had been approximately ¥310 million. The business tracked customer communication and unresolved supply obligations through the transition rather than closing the programme when the product codes were marked for removal.

The result was a smaller, better-understood source of complexity, not a claim that all low-volume products were uneconomic. It also gave the board a more credible explanation of why some apparently inefficient variants should remain. I would establish the customer-dependence assessment before ranking the products next time. Starting with an efficiency list made colleagues defend or attack individual items before we had agreed the evidence needed for a responsible portfolio decision.

The full record of leadership work →

Appointments

Aoritsune TherapeuticsChief executive and representative director · July 2019–present

Letters to the editor

“Renji brought the revised investment back with a higher total estimate and the original assumptions still visible. That gave the board a real decision. He did not ask us to call the first phase successful simply because it had been completed.”
Misane Kuretsu, Non-executive chair, Aoritsune Therapeutics
“He asked which specialist work remained and which priorities management could change. The investigation conclusion stayed with the quality organisation. That separation was useful precisely because the commercial consequence was significant and everyone in the room understood it.”
Daigo Sumerane, Quality director, Aoritsune Therapeutics

An invitation

Contact

I welcome selected board and speaking enquiries concerning manufacturing oversight and medicine supply. One external appointment may be feasible after employer and conflict review, within eighteen days a year. I am continuing my executive mandate and do not offer clinical advice, product promotion or access to purchasing decisions through this website.

Open to
  • Board appointments
  • Speaking invitations

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