Anna Titkova — Running Clinical Trials Through War, COVID & Restarting in Ukraine

Adam Walker:I am Adam Walker, a biometrics consultant, and this is the Pharma Prescribed Podcast where leaders, innovators, and hidden voices in healthcare open up. No sound bites, no spin. Just raw insight. One prescription at a time. In an industry driven by data protocols and pressure, we rarely pause to ask the human questions.

Adam Walker:What drives us, what breaks us, and what truths live behind the titles we wear. .

Speaker:Anna Tipco is the International Operations Director and Country head of Pratia Ukraine, one of Europe's largest site networks, where she oversees operations across multiple countries with a focus on accessibility, innovation, and quality.

Adam Walker:Anna's journey is marked not only by professional excellence, but by personal courage. Leading a pan-European organization. While her homeland faces the ongoing realities of war, she brings a unique perspective on what it means to build systems that endure and to center compassion in every decision.

Adam Walker:Under Dr. Anna's leadership, Prya continues to expand its reach, integrating digital tools and local expertise to make clinical trials more inclusive and responsive to real world needs. Anna, welcome to Pharma Prescribed.

Anna Titkova:Good afternoon, Adam. Good afternoon everyone. I'm very glad to be here, uh, honestly saying you were the first one person in 2023 with whom I had my first interview regarding our operations, about our company, our life, uh, starting from 20, uh, 22.

Anna Titkova:And I'm very happy to come back to you and to continue our communication. Thank you very much.

Adam Walker:It's a delight to have you here today, Anna.

Adam Walker:And I think just to, just to remind our audience of, of the time that you've been through, uh, the invasion of Ukraine was on February 24th, 2022. And by my reckoning, that's nearly 1500 days since, since has passed.

Adam Walker:Presumably, life is very different for you now.

Anna Titkova:Yeah, but we used to it. Now we adopt ourselves. We understand how we can live, how we can continue our work, how we can continue our businesses. And actually I believe that, um, great, um, example for someone else to maybe reconsider their businesses to look from another angle on their lives and, uh, to prevent such a horror things in the future.

Adam Walker:Yeah. Um.

Adam Walker:For our audience's purposes and understanding, I think historically you were living in Ukraine. Am I correct in thinking that you're now located in Poland?

Anna Titkova:Yeah. Yeah. So I, um, I was born in Ukraine, in Haku. This is the city, a million year city, the second largest city in Ukraine, but on the eastern part of Ukraine.

Anna Titkova:Now, it's important to know from where you are, and unfortunately, from February 22, uh, we, we are forced to flee the country and to move to Poland.

Adam Walker:So, how is life for you in Poland these days? I, I've been to Poland several times myself, and I've always found it to be incredibly welcoming and the people are absolutely wonderful.

Adam Walker:What's your experience been and and how do you find living there?

Anna Titkova:Yeah, we're very familiar, uh, with, uh, polish, uh, people here. So it's our now second form. We couldn't imagine that it might have happened even in February and or in March, for example, in 2022 with we thought that probably to. Will be for few days, for few weeks, but not for three year and a half till today.

Anna Titkova:Uh, but here we're good. Uh, um, we have a good environment. We're welcomed nicely by people here. And our company PR has a headquarter in Poland. That's why it was the decision and, uh, and the help from my, um, management of management of the company to be relocated to Poland with their support and, uh, at the beginning.

Anna Titkova:We establish this life. No,

Adam Walker:that's great to hear.

Adam Walker:So tell, tell me more about Prya. Tell me more about the company and what it does and, and your role within the organization.

Anna Titkova:Yeah, prate is an international site management organization, so that means that we have a network of clinical research sites in different countries, in different cities, and we're managing them on sev uh, several models of, uh, cooperation with the sites.

Anna Titkova:It might be our own clinical research site where we have fully owned place. People, staff, facilities, or it might be a dedicated clinical research site. So based on some medical institution, we are arranging the clinical research units where we support the sites Exactly. With clinical trial activities. Uh, the name of Bright as everyone is asking about it usually is actually.

Anna Titkova:A small genus of flowering plants in the, um, Bellflower family known for its, uh, uh, modest and delicate beauty. And it's symbolizing such a growth connection and organic, uh, development of our company.

Anna Titkova:Uh, my role in, in Prya started in 2019 when Prate, uh, decided to make this expansion globally because previously it was only the.

Anna Titkova:Polish company with clinical research sites in Poland, and they came to me with this idea and proposal to arrange the Prate entity on the territory of Ukraine. So from 2019, from the end of 2019, I started this investigation and Iraq with Together. And when COVID Pandemic started exactly at the end of March, I registered.

Anna Titkova:Two companies on the territory of Ukraine. Uh, that is, uh, Prya Clinic, Ukraine. So this was the first, uh, dedicated to clinical research, uh, medical institution, private medical institution on the territory of Ukraine. And the second company is called Prya Ukraine. That was. Responsible just for making these connections and collaboration with embedded hospitals, with sites, uh, performing clinical trials, uh, in different regions, in different countries.

Anna Titkova:And during this period of time till. 2022, I managed to establish the network of, uh, eight, uh, embedded clinical research units in four Ukrainian cities, in three Ukrainian regions and our own clinical research site that received all the necessary documentation, accreditation, license, very difficult staff in Ukraine.

Anna Titkova:After this post-Soviet heritage that we have, you need to follow many, many. Procedures and inspections and papers, uh, gathered together to receive this possibility to perform clinical researches. But we managed to do this. We started first clinical trials during COVID. Of course, during this COVID Pandemic, we were the world best recruitment COVID treatment study.

Anna Titkova:We, uh, randomized almost 500 patients in COVID vaccination trial. We started clinical studies in our own clinical research side. The life was beautiful. We had a lot of ideas, crazy, um, vision of the expansion, what we can do because we saw that it really works in a short period of time. This was my life.

Anna Titkova:Put o on the development, on the creation of this business and, um, everything was. So nicely that unfortunately it was interrupted early morning at 4:45 AM of 24th of February, 2022, as you mentioned before.

Adam Walker:Yeah.

Adam Walker:I mean, you, you mentioned and, and bring up the, the topic of, of the pandemic to most people, that would seem to be a fairly impactful experience on any organization and not least, uh, a clinical.

Adam Walker:A clinical site organization as well, like, like Prya. But, um, what did you learn from that experience before you then found yourself in, in the, uh, in the eye of the storm with, with the Russian invasion?

Anna Titkova:You know, it was a very good test probably for me, and as I started the business in such conditions. For me, the next step from 22, from February 22, it was like the continuation of the, of the situation in which I used to work and in, in which I used.

Anna Titkova:To create the business and to maintain it. Uh, it was really difficult. Uh, even, um, the simple example of registration of the company when you are not able to go to the notary because you need to have only several people on se, on the exact distance between each other, uh, to, to arrange, uh, proper people to make it legally.

Anna Titkova:Possible, so such funny things. But they were from the beginning, from the first, first step of the creation of the company. And actually we, I don't know how it was, perhaps it was the conditions in which I started the development of this business. And for me, this was my normality for that period of time.

Anna Titkova:So I was focused how I can manage, so how I will arrange my schedule, how I will. Find these people. So to make this possibility even to travel, because you remember at the beginning of this COVID pandemic, uh, you were not, uh, capable to travel by your own car in the city, not even to use the public transport.

Anna Titkova:That was not operational at that period of time, but it was, it was the, the task. Okay, so this is your situation. This is your atmosphere. Okay, let, let's adopt it according to what you can do. And it was very good because we were ready to study first clinical trials in, in, uh, COVID, uh, treatment and vaccination.

Anna Titkova:We were ready because I was speaking exactly with hospitals specialized in infectious diseases. Having these patients, um, in intensive care units for that period of time.

Adam Walker:It, it sounds very much like it was a learning curve with regards to effectively having a disaster recovery and plan already in place that you were working and, uh,

Anna Titkova:yeah.

Anna Titkova:Unconscious was already implemented, unconsciously created according to the, to the business that was started.

Adam Walker:It's absolutely amazing. Um. I often reflect back on that time of the pandemic and, and the unknowns that we had then. And the world feels very different today in many aspects. Uh, from a clinical perspective, as much as from a political and economic perspective.

Adam Walker:Those last five or six years have been. Transformative for, for many nations and many countries.

Adam Walker:And I wonder what the personal impact has been to yourself and to your family. I believe you're a parent as well, is that right?

Anna Titkova:Yeah. Yes.

Adam Walker:So how, how has that been as a parent as well? Because of course, you've got children to look after and concern yourself with, as well as doing a very high powered job that involves an awful lot of travel and engagement with all, all aspects of your work.

Anna Titkova:Yeah, it, it's difficult for women. Probably it's the most difficult task to combine, uh, OC a high, um, uh, level work here with your family life. Um, but, you know, I had such a passion to do this. Ve for me, it was my goal, and I don't know, it was, I never thought that I will be a person in the business. I will be a person in the management of.

Anna Titkova:Some operations of the business operations. I had a dream childhood dream to become a doctor, so I passed a lot of steps, levels to, uh, achieve my scientific degrees, uh, medical certifications. But, and for me, that was something that I should achieve at the end. But business, uh, I haven't got any businessman in my family, so my family is quite.

Anna Titkova:Simple people. Uh, we haven't got any, anyone who can advise me something or, or can give me any, any support during this stuff. And for my family, actually, this was like my crazy idea. They didn't believe in it. Honestly saying they didn't believe what I started to do for them, it was, where are you going? So that's, that's not the work.

Anna Titkova:So you can imagine people, my parents, they're from post-Soviet. This, uh, education mindset for them, you need to be adopted. That's the profession. Uh, I am a professor, uh, in medical academy. That's the. But not the director of a medical center or some site management organization, some clinical trials, so that that was not for them, something valuable.

Anna Titkova:So something meaningful. And actually, yeah, I started to do this on such enthusiasm, probably. To prove to myself that I can do something more. I can achieve something more. I can give people with whom I work like a doctor to my colleagues, to patients whom I treated as a doctor. More options and more possibilities to become.

Anna Titkova:A part of something else, of international community, of, uh, of new innovative treatments of communication with colleagues of outside of Ukraine, because actually we haven't got too much connections, uh, due to being outside of European Union with some restrictions to go somewhere, for example. So that was the chance that I haven't got.

Anna Titkova:Being a student, being a young doctor there. And so that, that might be a chance that I can give to someone something more that they can imagine to have. And this was in such a way, uh, a, a way of, uh, of logical, probably for me, continuation of. Of the efforts that I did before in my life, and your purpose in life is not something you find by the accident.

Anna Titkova:It's the rock you cannot imagine not doing. And honestly saying, I cannot imagine not doing what I'm doing now. For me, that's the essence of my life and my family accept this.

Adam Walker:Yeah, that's, that's extraordinary the way you describe that. Um, I'm sure. Your family are extremely proud of what you've achieved, but perhaps they couldn't see what you were on the, on the path to achieve.

Adam Walker:Maybe that's what it was, because by the sounds of it, they didn't have the same perspective nor the same education that you've clearly had and, uh, acquired throughout your educational journey, nevermind your working life.

Adam Walker:Um, the, the juxtaposition between business and medicine. I mean, do you think the two go hand in hand?

Adam Walker:Has that been an easy transition or has it been something that you've acquired along the way? How has that been for you?

Anna Titkova:Uh, honestly, then I combine and still till today I combine my scientific work being a professor associate in medical academy, in medical universities in Ukraine. So yeah, I stopped my clinical work as a doctor from 20, um, 20 20 20, 20 21 when I had this big rock load of activities change the business.

Anna Titkova:But I always was a part-time employee and still I am a part-time employee. Oh my. Uh, for, for my university in Ukraine where I combine and I can share my experience, expertise with young doctors, with young students in, uh, met medicine and clinical research. So it was not very, it was difficult at the beginning.

Anna Titkova:You know, the cultural differences, the understanding of the big corporation in which you need. To adopt the business with the reality on the territory of Ukraine. In Ukraine, we had, um, uh, sometimes very different, uh, um, legislation with European Union, and it was not understandable for people from, for example, finance legal departments, how it can be combined altogether because we're two different, according to many aspects.

Anna Titkova:And that was the most difficult part for me. To adopt the requirements of the big corporation into the reality of a small country.

Adam Walker:Yeah, I I I get that. I understand that.

Adam Walker:Um, there sounds like there were many different conflicting priorities for your time. On a general day-to-day, how on earth do you prioritize?

Adam Walker:What's, what's the most important? Are you a list maker? Are you very organized? You must be.

Anna Titkova:Yeah, I am. I'm, so, I'm still have the list where I am, uh, writing my plan for, for the day, for the week, because it's important for me. I haven't too many things, uh, in my head, ideas and tasks to perform and people around me.

Anna Titkova:Yeah, I still use it. So maybe I am old fashioned in this, but I'm still use using a simple paper and I have the satisfaction and delighted then that I can, uh, cut it and throw away after the list is done.

Adam Walker:I'm exactly the same. I've got my list here. I've always got one by the side of me. Uh, I'm, I think it may be a generational thing, but uh, for me there's nothing quite as satisfying as ticking things off a list is there?

Adam Walker:Yeah. Or crossing them through it. Don't get the same satisfaction when you do it on a, I don't know, a PowerPoint or on your phone. Phone. Exactly. It, it's old school. It's analog versus digital. 'cause everything's digital these days. You know, we've got. Reminders in the palm of our hand on a phone, on a tablet.

Adam Walker:But actually it's nothing more simple than actually having just a piece of paper. Is there? It's quite, it's quite straightforward

Anna Titkova:ion,

Adam Walker:that's good to know. So, however high you climb up the tree, uh, both academically and scientifically, uh, we always need to remember, uh, the basic things, which is to take a notebook with us. Keep one by the side of the bed perhaps. Um, and always use a pen. I love a pen. Very simple.

Adam Walker:So, um, with regards to current state of affairs with Prya, so you are located in Poland, and are you still running clinical trials in Ukraine?

Adam Walker:I know it's a conversation I've had recently with a friend and colleague of yours, Yuri Leid, and he informed me that. Business. Business as usual in Ukraine. Is that your experience? Is that how it work is for Prya as well?

Anna Titkova:Probably not as usual with the amount of clinical trials, because let's be fair, we haven't got such big number of clinical trials as we had before the war started.

Anna Titkova:But this, uh, and, and, but, uh, we have some studies. We are more complicated because you know what's. Sponsors are searching for the rescue country, for country, uh, for the studies that were not effective in randomization somewhere all around the world. And they are starting to remember about Ukraine and knowing the potential of our country and the PO native population that we still have.

Anna Titkova:And honestly, we have this, uh, requirement to have. Treatment that, uh, our patient needs, uh, to, to, to have it. Uh, so, but, um, if to compare 20 23, 20 24 in 2025, we've got much more clinical trials, new clinical trials. The last statistics that we are. Uh, published by the Minister of Health of Ukraine. It's, uh, 70, around 70 new clinical trials approved for six months, and the previous year we, we've got 69, if I am not mistaken.

Anna Titkova:So for this half a year, we got almost the, the previous year, whole number of clinical new trials coming to Ukraine. So if such a trend continues to be, I believe that in a year, probably till the end of 26, we may even reach the. Previous numbers before 2022.

Adam Walker:It's good. It's good to know that business is continuing and, and definitely improving.

Adam Walker:And on the up, um, one of the things that occurred to me, particularly, I, I follow you on LinkedIn of course, and I see that you are various different engagements. Are you now being invited as, as a keynote speaker to, to conferences? Is that something that you're doing much of? Are you getting the opportunity to speak and tell your story now?

Anna Titkova:Yeah, yeah. I'm, I'm searching for this opportunities and, uh, I did it from 2020 and end of 2022. That was like my internal duty to, to, to speak about, to highlight the problem of Ukraine, to say that we're still alive and we need the support and we're capable to perform our responsibilities and obligations.

Anna Titkova:And now, um, I'm recognized a little bit in this, our clinical research world and sometimes asked to. Be somewhere. And as I'm combining now my role with international operations director role in global, so I'm working with our countries in operations, in operational excellence, in finding the ways how we can improve our recruitment.

Anna Titkova:What does it mean to be a site network overall? So I am now combining this. Speaking and sharing expertise, experience with the audience about operations as well. So not only the Ukrainian case that is. Still important and, uh, some of these cases about patients, about our possibility to transfer this patient, to give them access to, to treatment outside of Ukraine as well, but also to speak about our in operational excellence.

Anna Titkova:What does it mean to be efficient? How we need to understand ourselves becoming a part of International Psych Network. As I told you, that problems that I. Experience and I, and I had started the business in Ukraine five years ago. So it's, it's a new chapter for everyone to become a part of the site network of the big corporation, of the big international company.

Anna Titkova:So I'm also trying to, um, to share my knowledge, how it can be done, what's the difference, what, uh, what, what we can do to improve ourselves and to, to become better.

Adam Walker:That's great to hear it. It goes without saying. And the observation that I have, which I'm sure plenty of people have told you, is that your experiences and, and the resilience with which you've addressed that is, is in itself remarkable.

Adam Walker:But also I think there are, you know, there are many, many bigger lessons to learn, aren't there? You know, we, we all put patients at the heart of what we do, but ultimately. You know, safety, personal safety is something that, that most people take for granted. When you don't have that personal safety or at least, uh, you are concerned for your family's welfare and, and extended friends network, that must put some real challenges in the way of having positive outlooks to, to the future.

Adam Walker:Does it?

Anna Titkova:Yeah, you're absolutely right. And you know, when I compare myself when, uh, I started this business, so I believe that success was a straight path, controlling my hands, certainty in every step. So I, uh, I thought that if I, uh, worked harder, pushed faster, I can, um, bend the world to my will and everything will be achieved and I will.

Anna Titkova:Find this and come to my final destination. The life has its own plans on you and has the way how, how to humble you. And it teaches that this resilience, as you said, it's not, not never a fallen, but raising each time with greater ideas, with sharp vision. With more, uh, resilience at the end. And, uh, probably when I compare myself five years ago and now I change this perception not to open probably each door because it's here near me.

Anna Titkova:Uh, you need to build the bridges that matters. You need to. Understand how important to make these relations with people, how to, to, to survive and adopt yourself when the earth, uh, shift beneath you and, uh, because the left told that you will never come to your final destination. You just keeping evolving and that's, that's the end.

Anna Titkova:I'm different. I was different. Also, this is like one of the cases, my personal example to someone else, to probably, to estimate the, the perception how they, they consider themselves, how they consider their themself as a part of the business, as a part of the big process.

Adam Walker:Yeah. Um, I, I had a podcast guest on recently that was talking about.

Adam Walker:One of his core values being remaining humble, it sounds like that's exactly what you are describing, to remain humble. Because sometimes there are just things that are bigger than us. There are decisions that happen outside of our hands that we can't control. And as professionals, as scientists, as as people, all we can do is control the things within our control.

Adam Walker:Um, and life has a habit of just surprising you when you least expect it, doesn't it? And I think. You know, you're describing, you're describing your experiences, a, around change, adapting to change, and adapting to what what we thought was certain, and which we know, you know, life isn't. Life can be very uncertain, can't it?

Anna Titkova:And we need to, to hear such stories from people, uh, passing different conditions, different situations in their life. So where as examples for someone else, you know, in 2024, our Ukrainian filmmaker and no receiving the Oscar of. For the, his film, uh, documentary film, 20 Days in Mario, staying on this stage and receiver, and the Oscar started his speech with the words.

Anna Titkova:I Wish I've never made this film. And I would also like for example, to say, yeah, I wish I've never told you this stories, but as we passing this away as we have already, and this. Stood some of the things that were far away from us. We never thought that they may come to us, so we do not know , what might be somewhere else in another way.

Anna Titkova:But let's show us as an example for others not to repeat our mistakes, , not to lose the hope. Uh, in some situations that might be terrible and awful for the person, but at the same time. That's, that's one more level of your personal, um, development of your understanding yourself and making some this adaptation according to the life that has its own plans on you.

Adam Walker:I couldn't agree with you more so, so what does that mean for the future of Prya and, and your role and your, your future plans? How do you see that playing out and how much of that is within your control? Dare I say.

Anna Titkova:Um, I have my personal plans, so in internal ones that I put to myself that, uh, actually the, my internal mission, yeah, my colon is to continue my work in clinical research.

Anna Titkova:So in any case, whether it'll be possible in Ukraine, but I still believe that. It is possible, and it'll be possible in regardless any of the political, uh, situations and decisions that might be made during next years months, so that we can continue this hour. Uh, activity that I will be able to share my knowledge and my expertise with people in international operations, in working with, uh, different groups of people and, uh, uh, from site levels, from sponsors, from CROs as a person passing some way.

Anna Titkova:Um. A specific way of maintaining the business and finding the way how to survive and to find the sense to continue this work. And then to this our, uh, and knowledge and understanding that we need to treat patients that I got from medical university, from the first courses of medical university. I still continue, uh, develop.

Anna Titkova:The, these, these directions. So we need to give access to our patients, to innovative treatments. It doesn't matter where this patient is, in which country, in which con, on which continent, in which cities. So we need to think about this integrity, equity, uh, centralization even. So they need to come together.

Anna Titkova:And, uh, showing that we really understand the patient's needs. We can really hear the patient's voice. We can really feel the patient's pain because they're alone, they are frightened everywhere, regardless their nationality of financial status. So that's actually the work that we had that we're trying to show through the example of Ukraine through the, um, operations inside the site network.

Anna Titkova:Patient. This is about this patient centricity and probably this should be not ev uh, known, but a patient centered so that we're working not only talking, but doing some things to improve for many aspects that we still have in clinical research industry, but the main given access to innovative treatments to our patients.

Anna Titkova:Who needs this most?

Adam Walker:I love that.

Adam Walker:I think that's a fantastic, uh, segue into, into our, um, quickfire round. So I love to, uh, always come to a close, uh, of these conversations around. Some quick fire questions, which enable me to just understand the person in front of me a little bit better. So, um, Anna, what is, what is the one piece of advice you would give to your younger self?

Adam Walker:Bearing in mind all the things that you've remarkably shared with us today?

Anna Titkova:Oh, well, if I could speak to my younger self, I would say probably always believe in yourself, no matter how impossible your goals may seem. Follow your goals with Unw Weaver and courage, and never forget to cherish people who walk alongside with you, your family, your loved ones.

Anna Titkova:Don't let doubt. Drone them out. Hold this, your vision, even if the world is telling you that it can be done, because every grade breakthrough one sounded impossible until someone believed quite enough to make it real.

Adam Walker:Amazing. I love that. Um, the three top qualities that you value most when building a team, what would they be?

Anna Titkova:I don't think that I am bit too original. Maybe I will repeat the famous words of Warren Buffet. He said that when you're hiring people just, uh, look for three main qualities, honesty, intelligence, and energy.

Anna Titkova:If the first one is not presented, the two last will not make any sense.

Adam Walker:That's brilliant. Uh, good old Warren Buffet. And, uh, what is your favorite thing outside of work? I think you may have hinted at it, but, uh.

Anna Titkova:Yeah, actually that I enjoy traveling. I visit almost 70 countries, enormous number of cities.

Anna Titkova:And for me, this is like the thing, how I can understand how different our lives can be, how miserable and small my worries could be, and at the same time how deeply similar we all are.

Adam Walker:So I've got to ask you, what's your favorite place that you've ever visited? Then

Anna Titkova:I can't tell you. I so much enjoy traveling and for me, each country, it's something new.

Anna Titkova:So I haven't got, honestly, since I may say maybe few of the countries that are on the top of my list, but because they're different from our European, for example, culture like Asia or uh, somewhere in Latin America. But I cannot tell you that I prefer one content. I will go only there five times. I will go the end.

Anna Titkova:No, I like all.

Adam Walker:Okay. Um, and finally, what is your number one golden rule for life and for business?

Anna Titkova:Hmm. Interesting, interesting question. Overall, I think that, um, I changed this, my idea, uh, recently after this three years and a half. And I think that you cannot take from the world more than you give. To it.

Anna Titkova:That's why you need to set up such a meaningful goals that, um, uh, will bring some value to the world that can make it a little bit better, it seems. Some maybe to, um, simplify or abstracted the end, but I believe that that's actually, if everyone will do some things that will bring small, small, small drop of this.

Anna Titkova:Mm. Good of, uh, of light in our world. We'll never face such problems, for example, and such, uh, events that now we have in Ukraine. And by the way, as a doctor, I may tell you that if, uh, when you have this right goal, it works like, um, a dopamine driven engine. Uh, sparkling the release of dopamine and car tsol.

Anna Titkova:So these are hormones that, uh, boost our immune and wellbeing. So you would, uh, combine all of this having a right goals, uh, working the, uh, do, doing the work that you love. At the end, you can stay active and well for a long period of time with your families, with your loved ones. And even that what actually the real happiness is all about.

Adam Walker:I think so.

Adam Walker:I think that's a lovely, that's a lovely way to, to conclude our conversation. Uh, I really want to thank you, Anna, for taking the time today to share your story of resilience and managing your way through from a personal and professional level. You know, some of the, some of the real challenges that you've experienced over the last five or six years.

Adam Walker:And we haven't even touched on your earlier life, but I think it's very clear to all of our audience, not just in the way that you describe your passion and your drive and your energy, which comes across very, very clearly. But really the the intention behind which you do the work that you do, putting patients at the heart, and also just leaving things a little bit better to your point.

Adam Walker:So I really wanna just. Thank you so much for coming on Pharma prescribed today. It's been an absolute delight to welcome you and I hope to continue the conversation at a later point. Thank you so much.

Anna Titkova:Thank you very much. It was a great pleasure. I, I started my conversation with you today. I would like to finish it with the same words.

Anna Titkova:You are a great person, uh, with a great energy and for me, it's such a delight. Personal delight to, to share with you my vision, my, um. Example, my experience, and I believe that the audience, which you have, it's so SU so bright, so light, and so kind. So thank you very much.

Adam Walker:I, I can't, I can't say anything after that.

Adam Walker:You've taken my breath away. Thank you so much, Anna. It's been an absolute delight.