Most sponsors enter APAC planning with a set of mental shortcuts. Singapore is the gateway. Japan is too slow. India’s 90-day rule means India is fast. Ethics approval runs in parallel and takes care of itself. These assumptions are reasonable on the surface. However, each one creates timeline risk that compounds across markets. The gap […]

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If you run post-marketing safety studies on real-world data, you have worked without a single harmonised planning standard. Each region asked for something slightly different. For example, a protocol written for one regulator often needed rebuilding for the next. As a result, a sponsor with commitments in three markets could end up running three studies […]

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You are planning a BA/BE study in India. Your regulatory timeline budgets 90 working days for CDSCO to review your test licence application. In January 2026, India’s Ministry of Health and Family Welfare changed that. They notified the New Drugs and Clinical Trials (Amendment) Rules, 2026 via Gazette Notification G.S.R. 46(E). The new rules cut […]

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Your study ran. The product may well have worked. However, the primary endpoint was not met. The sample may have been too small. Or the measurement was inconsistent across sites. Or the effect size assumed in the power calculation was borrowed from a pharmaceutical dose with no relation to your formulation. The study is now […]

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Your Phase II rheumatoid arthritis study is built on a protocol that worked in Europe. The comparator arm reflects European standard of care. The baseline disease activity thresholds come from US trial precedent. The site list was built from academic centres with strong track records in Western trials. You are now taking this protocol to […]

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You are planning a Phase II oncology study across three APAC markets. The protocol is close to final. Now comes the part most sponsors underestimate: selecting a CRO model that gives you execution control without building infrastructure you do not have. A full service CRO APAC engagement hands you one accountable partner across every function, […]

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Vietnam has been on the periphery of APAC clinical trial planning for most of the last decade, considered after Thailand, Malaysia, and India if considered at all. That positioning is no longer accurate. Since 2022, the Drug Administration of Vietnam (DAV) has shortened approval timelines, the ethics committee landscape has become more predictable, and investigator […]

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The Functional Service Provider (FSP) model gives sponsors something that full-service CROs and pure in-house execution don’t: operational depth in specific markets or functions, without surrendering governance of the study. When sponsors use it well, they get experienced on-ground staff, maintain data and IP control, and run leaner than a full-service model allows. When they […]

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Key takeaways Asia-Pacific (APAC) has become one of the most attractive regions for clinical trials due to patient diversity, strong investigator networks, and lower operational costs. However, clinical trial start-up timelines remain highly fragmented across countries. Singapore remains the fastest and most predictable market for clinical trial activation due to centralized systems, parallel submissions, and […]

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Triple-Negative Breast Cancer (TNBC) remains one of the most aggressive and complex forms of metastatic breast cancer, presenting major challenges for sponsors, investigators, and CROs in oncology drug development. As biomarker-driven therapies, immuno-oncology approaches, and precision medicine strategies rapidly evolve, early investigator engagement has become essential for successful clinical trial execution. Strategic collaboration during protocol […]

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