THE CENEMY And " everything " covers a lot of ground at Otsuka. OMPLACENCY IS The US CIO of a Japanese pharmaceutical giant offers insights on the challenges of executing a global digital transformation - including the risk of overlooking cross-cultural differences. I moved to Otsuka two years ago because the IT function faced an interesting challenge. It was going through a major transformation at the same time that the business units inside were going through a transformation and the holding company was going through a transformation. The situation was like a matryoshka, a Russian nested doll. Otsuka didn't just ask me to come and help change IT. They asked, " Can you come and help us change IT while we're changing everything else at the same time? " 43