Evidence map›Paper›PMID 40711492›Full record

ArticleTherapeutic innovation & regulatory science2025

Assessing the Malaysian Regulatory Process for Medicinal Product Approval: An OpERA Methodology and Standardized Reporting Approach.

Noraisyah Mohd Sani, Siti Hidayah Kasbon, Kian Yee Yap, Muhamad Firdaus Abdullah, Rosliza Lajis, Azuana Ramli, Neil McAuslane, Magda Bujar, Adem Kermad

Abstract read
In one paragraph

Article in Therapeutic innovation & regulatory science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Noraisyah Mohd SaniNational Pharmaceutical Regulatory Agency, Lot 36, Jalan Universiti (Jalan Prof Diraja Ungku Aziz), 46200, Petaling Jaya, Selangor, Malaysia.
Siti Hidayah KasbonNational Pharmaceutical Regulatory Agency, Lot 36, Jalan Universiti (Jalan Prof Diraja Ungku Aziz), 46200, Petaling Jaya, Selangor, Malaysia.
Kian Yee YapNational Pharmaceutical Regulatory Agency, Lot 36, Jalan Universiti (Jalan Prof Diraja Ungku Aziz), 46200, Petaling Jaya, Selangor, Malaysia.
Muhamad Firdaus AbdullahNational Pharmaceutical Regulatory Agency, Lot 36, Jalan Universiti (Jalan Prof Diraja Ungku Aziz), 46200, Petaling Jaya, Selangor, Malaysia.
Rosliza LajisNational Pharmaceutical Regulatory Agency, Lot 36, Jalan Universiti (Jalan Prof Diraja Ungku Aziz), 46200, Petaling Jaya, Selangor, Malaysia.
Azuana RamliNational Pharmaceutical Regulatory Agency, Lot 36, Jalan Universiti (Jalan Prof Diraja Ungku Aziz), 46200, Petaling Jaya, Selangor, Malaysia.
Neil McAuslaneCentre for Innovation in Regulatory Science (CIRS), 70 St Mary Axe, London, EC3A 8BE, UK.
Magda BujarCentre for Innovation in Regulatory Science (CIRS), 70 St Mary Axe, London, EC3A 8BE, UK.
Adem KermadCentre for Innovation in Regulatory Science (CIRS), 70 St Mary Axe, London, EC3A 8BE, UK. akermad@cirsci.org.

Funding

Bill and Melinda Gates Foundation INV-054066
6 · The paper itself

Abstract

backgroundThe Malaysian National Pharmaceutical Regulatory Agency (NPRA) has partnered with the Centre for Innovation in Regulatory Science (CIRS) since 2018 to analyze the approval processes for new active substances (NASs) and biosimilars. Findings from the study on approvals in the year 2017 led to the introduction of several improvement strategies. This study provides an overview of the current review process, including registration pathways, and compares approval times for NASs approved in 2019 vs 2017 to evaluate the impact of the improvement strategies.

methodsNPRA representatives completed the Country Report using CIRS' Optimizing Efficiencies in Regulatory Agencies (OpERA) questionnaire, identifying key milestones, target timelines, good review and quality decision-making practices, and provided metrics on 24 NASs approved in 2019.

resultsMost indicators for good review practices were implemented by NPRA, with guidelines, standard operating procedures, review templates, and several identifiable quality decision-making practices being in place. NPRA has also introduced several registration pathways with the aim of accelerating approval timelines. Median total approval time decreased from 515 calendar days in 2017 to 399 calendar days in 2019. Reductions were also noted in the median time between dossier receipt and initiation of NPRA scientific assessment.

conclusionsThe study indicates that improvement strategies implemented in 2018 favorably reduced approval times, based on a comparison of products approved in the year 2017 and 2019. Ongoing evaluation of regulatory processes and performance is crucial to identify areas for improvement, eliminating unnecessary steps, and enabling a streamlined and efficient approach.

Indexed as

Biosimilar PharmaceuticalsDrug ApprovalHumansMalaysiaSurveys and QuestionnairesBiosimilar PharmaceuticalsBenchmarkingNational Pharmaceutical Regulatory Agency (NPRA)Optimising Efficiencies in Regulatory Agencies (OpERA)Regulatory strengthening

Identifiers

PMID40711492
PMCPMC12579699

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.