Scientific considerations for global drug development.

Wilson, Jennifer L; Cheung, Kit Wun Kathy; Lin, Lawrence; Green, Elizabeth A E; Porrás, Analia I; Zou, Ling; Mukanga, David; Akpa, Paul A et al. · Sci Transl Med · 2020

review · Level V

Where this comes from

Abstract

Requiring regional or in-country confirmatory clinical trials before approval of drugs already approved elsewhere delays access to medicines in low- and middle-income countries and raises drug costs. Here, we discuss the scientific and technological advances that may reduce the need for in-country or in-region clinical trials for drugs approved in other countries and limitations of these advances that could necessitate in-region clinical studies.

Medical subject headings