Evidence map›Paper›PMID 42231040›Full record

ReviewClinical pharmacology and therapeutics2026

Digital Transformation of Medicines Regulation in Africa-Perspectives from a Stakeholder Convening.

Christelna Reyneke, Boitumelo Semete-Makokotlela, Varnika Singh, Khanyisile Nkuku, Madelein Terblanche, Ezekiel T Mukanga, Nancy Ngum, Kudakwashe Dandajena, McNeil Chimus Mhango, Paulyne Wairimu and 3 more

Abstract readReview
In one paragraph

Review in Clinical pharmacology and therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

13 authors.

Christelna ReynekeSouth African Health Products Regulatory Authority, Pretoria, South Africa.
Boitumelo Semete-MakokotlelaSouth African Health Products Regulatory Authority, Pretoria, South Africa.ORCID https://orcid.org/0000-0002-0491-4374
Varnika SinghPharmacometrics Africa NPC, Cape Town, South Africa.ORCID https://orcid.org/0009-0008-9995-6104
Khanyisile NkukuSouth African Health Products Regulatory Authority, Pretoria, South Africa.ORCID https://orcid.org/0009-0002-7325-6595
Madelein TerblancheVECTOR Life Sciences (Pty) Ltd, Pretoria, South Africa.
Ezekiel T MukangaMedicines Control Authority of Zimbabwe, Harare, Zimbabwe.
Nancy NgumAfrican Union Development Agency (AUDA-NEPAD), Midrand, South Africa.
Kudakwashe DandajenaAfrican Union Development Agency (AUDA-NEPAD), Midrand, South Africa.
McNeil Chimus MhangoAfrican Union Development Agency (AUDA-NEPAD), Midrand, South Africa.
Paulyne WairimuPharmacy and Poisons Board (PPB), Nairobi, Kenya.ORCID https://orcid.org/0000-0003-0449-0783
John MwangiInternational Federation of Pharmaceutical Manufacturers and Associations (IFPMA), Midrand, South Africa.
Dominique LagraveAccumulus Technologies, San Francisco, California, USA.
Goonaseelan Colin PillaiPharmacometrics Africa NPC, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-5658-3837

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Regulatory authorities worldwide are developing strategies to integrate artificial intelligence (AI) into the lifecycle of health products, technologies, and medicines. While regulators share goals of improving efficiency, strengthening decision-making, and protecting public health, their approaches differ according to institutional structures, capacity, maturity, and regional priorities. In the United States, the FDA adopts a model-focused approach, treating AI primarily as a regulatory science tool to strengthen analytical components of decisions such as patient selection, biomarker substitution, and predictive modeling. The agency emphasizes credibility and validation through a risk-based framework that evaluates AI models according to their influence on regulatory decisions and potential consequences of error. In Europe, the EMA pursues system-level digital transformation, embedding AI within a broader data and analytics strategy emphasizing interoperability, data structuring, automation, and governance supported by legislation. African national regulatory authorities are advancing AI through pragmatic pilot initiatives. The South African Health Products Regulatory Authority (SAHPRA) is implementing AI within a structured digitization strategy, including AI-assisted dossier screening and automated GMP review to address backlogs and workflow inefficiencies. The Medicines Control Authority of Zimbabwe (MCAZ) deploys AI-driven dossier screening through its in-house digital systems, while Kenya's Pharmacy and Poisons Board has proposed a risk-based framework for regulating AI-enabled medical devices. At the continental level, the African Medicines Agency and AUDA-NEPAD aim to harmonize digital transformation and responsible AI adoption through reliance and cross-border data sharing. This paper summarizes discussions from a convening to identify priorities for digitization and digital transformation of African medicines regulation.

Identifiers

PMID42231040
PMCPMC13338960

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.