{"id":181,"date":"2017-03-02T22:55:16","date_gmt":"2017-03-02T14:55:16","guid":{"rendered":"https:\/\/credevo.com\/articles\/\/?p=181"},"modified":"2024-10-31T12:25:11","modified_gmt":"2024-10-31T04:25:11","slug":"clinical-trials-in-taiwan-part-2-regulatory","status":"publish","type":"post","link":"https:\/\/credevo.com\/articles\/2017\/03\/02\/clinical-trials-in-taiwan-part-2-regulatory\/","title":{"rendered":"Understanding Taiwan&#8217;s Clinical Trial Regulatory Process: A Comprehensive Guide &#8211; Part 2"},"content":{"rendered":"\n<p>Taiwan offers a supportive and efficient regulatory landscape for clinical trials, primarily managed by the Taiwan Food and Drug Administration (TFDA). The TFDA simplifies the approval process and provides expedited reviews for innovative therapies, allowing studies to start more quickly. With its advanced healthcare facilities and diverse patient population, Taiwan has become an attractive destination for clinical research.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/credevo.com\/articles\/wp-content\/uploads\/2017\/03\/Taiwan_clinical_trial_regulatory_process_credevo_2-1024x576.png\" alt=\"Clinical trial regulatory in Taiwan\" class=\"wp-image-2869\" srcset=\"https:\/\/credevo.com\/articles\/wp-content\/uploads\/2017\/03\/Taiwan_clinical_trial_regulatory_process_credevo_2-1024x576.png 1024w, https:\/\/credevo.com\/articles\/wp-content\/uploads\/2017\/03\/Taiwan_clinical_trial_regulatory_process_credevo_2-300x169.png 300w, https:\/\/credevo.com\/articles\/wp-content\/uploads\/2017\/03\/Taiwan_clinical_trial_regulatory_process_credevo_2-768x432.png 768w, https:\/\/credevo.com\/articles\/wp-content\/uploads\/2017\/03\/Taiwan_clinical_trial_regulatory_process_credevo_2-732x412.png 732w, https:\/\/credevo.com\/articles\/wp-content\/uploads\/2017\/03\/Taiwan_clinical_trial_regulatory_process_credevo_2-1140x641.png 1140w, https:\/\/credevo.com\/articles\/wp-content\/uploads\/2017\/03\/Taiwan_clinical_trial_regulatory_process_credevo_2.png 1920w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Regulatory and approval process for conducting clinical trials in Taiwan<\/figcaption><\/figure>\n\n\n\n<p><strong>Taiwan<\/strong>&nbsp;is emerging as a big player in the Asian clinical trial market. Taiwan has many advantages for conducting clinical trials. Refer&nbsp;<a target=\"_blank\" href=\"https:\/\/credevo.com\/articles\/\/2017\/01\/27\/clinical-trials-in-taiwan-opportunities-and-regulatory-requirements-part-1\/\" rel=\"noreferrer noopener\">to Part 1 of this blog<\/a>&nbsp;for more details.<\/p>\n\n\n\n<p>In this part, let\u2019s talk a bit about the clinical trial regulatory scenario in Taiwan, including the approvals required and how to be prepared for it.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Clinical trial approval<\/h2>\n\n\n\n<p>The&nbsp;<strong>Taiwan Food and Drug Administration (TFDA)<\/strong>&nbsp;with assistance from the Center for Drug Evaluation (CDE), handles applications of new drugs, medical devices, and clinical trials to fulfill regulatory requirements in line with international norms.<\/p>\n\n\n\n<p>Most of the essential documents, including the Chemistry, Manufacturing, and Controls (CMC) section of investigational new drugs (INDs) and new drug applications (NDAs), for clinical trial approval, can be in English.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Steps involved in obtaining clinical trial approval in Taiwan<\/h2>\n\n\n\n<p>The clinical trial approval process in Taiwan involves several key steps, primarily governed by the Taiwan Food and Drug Administration (TFDA). Here\u2019s a brief overview:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Pre-Submission Consultation<\/strong>: Sponsors can request a pre-submission meeting with the TFDA to discuss study design, regulatory requirements, and any potential issues before formally submitting their application.<\/li>\n\n\n\n<li><strong>Submission of Application<\/strong>: The sponsor submits a Clinical Trial Application (CTA) that includes the study protocol, informed consent forms, and necessary documents such as investigator brochures and ethics committee approvals.<\/li>\n\n\n\n<li><strong>Review by TFDA<\/strong>: The TFDA reviews the application for scientific validity, ethical considerations, and compliance with regulations. This process typically takes around 30 days.<\/li>\n\n\n\n<li><strong>Approval from Ethics Committees:<\/strong> In parallel, a registered Institutional Review Board (IRB) must approve the application to ensure the protection of participants&#8217; rights and welfare.<\/li>\n\n\n\n<li><strong>Commencement of Trials:<\/strong> Once the TFDA and IRB grant their approvals, the trial can begin. The sponsor must adhere to Good Clinical Practice (GCP) guidelines throughout the study.<\/li>\n\n\n\n<li><strong>Monitoring and Reporting: <\/strong>The trial requires ongoing monitoring, and sponsors must report any adverse events or significant findings to the TFDA and IRB.<\/li>\n\n\n\n<li><strong>Final Reporting: After the trial concludes,<\/strong> sponsors must submit a final report to the TFDA that summarizes the results and any adverse events.<\/li>\n<\/ol>\n\n\n\n<p>This streamlined process, along with the TFDA\u2019s commitment to facilitating research, makes Taiwan an attractive location for conducting clinical trials.<\/p>\n\n\n\n<p>The current process to apply and secure approval process is as follows<\/p>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"564\" height=\"407\" src=\"https:\/\/credevo.com\/articles\/wp-content\/uploads\/2020\/07\/credevo_taiwan_clinical_trial_approval_process_regulatory.jpg\" alt=\"\" class=\"wp-image-3154\" srcset=\"https:\/\/credevo.com\/articles\/wp-content\/uploads\/2020\/07\/credevo_taiwan_clinical_trial_approval_process_regulatory.jpg 564w, https:\/\/credevo.com\/articles\/wp-content\/uploads\/2020\/07\/credevo_taiwan_clinical_trial_approval_process_regulatory-300x216.jpg 300w\" sizes=\"(max-width: 564px) 100vw, 564px\" \/><\/figure><\/div>\n\n\n<h6 class=\"wp-block-heading has-text-align-center\">The approval process of a clinical trial in Taiwan<\/h6>\n\n\n\n<p>Figure 1. The clinical trial approval process&nbsp;in Taiwan (<em>Adapted from&nbsp;<a href=\"http:\/\/www.taiwanclinicaltrials.tw\/why1.php\">http:\/\/www.taiwanclinicaltrials.tw\/why1.php<\/a>)<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity is-style-wide\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><em>Need support for your clinical trials in Taiwan? <\/em><\/h3>\n\n\n\n<p><em>Credevo provides a wide range of innovative development strategies, clinical trial monitoring services, country-level, and site-level feasibility studies, and global regulatory support worldwide for all your products, ranging from simple to complex ones. Complete the form below to connect with us and explore our services.<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity is-style-wide\"\/>\n\n\n\n<p>Many applicants report that, for a general (not US-FDA submitted) clinical trial, it takes about 3 months for the Taiwan FDA to give their approval. For clinical trials, approved by USFDA, approvals are quite faster (about 15 days), as discussed later in this article.<\/p>\n\n\n\n<p>The TFDA issues an import permit for the import of drugs used in clinical trials. Customs will allow investigational product import into Taiwan as per the quantity on the import permit.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-left\">Innovative IRB Collaboration System (cIRB) for Multi-center Clinical Trial<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><text x=\"-9999\" y=\"-9999\"><\/text><path d=\"M37.5324 16.8707C37.9808 15.5241 38.1363 14.0974 37.9886 12.6859C37.8409 11.2744 37.3934 9.91076 36.676 8.68622C35.6126 6.83404 33.9882 5.3676 32.0373 4.4985C30.0864 3.62941 27.9098 3.40259 25.8215 3.85078C24.8796 2.7893 23.7219 1.94125 22.4257 1.36341C21.1295 0.785575 19.7249 0.491269 18.3058 0.500197C16.1708 0.495044 14.0893 1.16803 12.3614 2.42214C10.6335 3.67624 9.34853 5.44666 8.6917 7.47815C7.30085 7.76286 5.98686 8.3414 4.8377 9.17505C3.68854 10.0087 2.73073 11.0782 2.02839 12.312C0.956464 14.1591 0.498905 16.2988 0.721698 18.4228C0.944492 20.5467 1.83612 22.5449 3.268 24.1293C2.81966 25.4759 2.66413 26.9026 2.81182 28.3141C2.95951 29.7256 3.40701 31.0892 4.12437 32.3138C5.18791 34.1659 6.8123 35.6322 8.76321 36.5013C10.7141 37.3704 12.8907 37.5973 14.9789 37.1492C15.9208 38.2107 17.0786 39.0587 18.3747 39.6366C19.6709 40.2144 21.0755 40.5087 22.4946 40.4998C24.6307 40.5054 26.7133 39.8321 28.4418 38.5772C30.1704 37.3223 31.4556 35.5506 32.1119 33.5179C33.5027 33.2332 34.8167 32.6547 35.9659 31.821C37.115 30.9874 38.0728 29.9178 38.7752 28.684C39.8458 26.8371 40.3023 24.6979 40.0789 22.5748C39.8556 20.4517 38.9639 18.4544 37.5324 16.8707ZM22.4978 37.8849C20.7443 37.8874 19.0459 37.2733 17.6994 36.1501C17.7601 36.117 17.8666 36.0586 17.936 36.0161L25.9004 31.4156C26.1003 31.3019 26.2663 31.137 26.3813 30.9378C26.4964 30.7386 26.5563 30.5124 26.5549 30.2825V19.0542L29.9213 20.998C29.9389 21.0068 29.9541 21.0198 29.9656 21.0359C29.977 21.052 29.9842 21.0707 29.9867 21.0902V30.3889C29.9842 32.375 29.1946 34.2791 27.7909 35.6841C26.3872 37.0892 24.4838 37.8806 22.4978 37.8849ZM6.39227 31.0064C5.51397 29.4888 5.19742 27.7107 5.49804 25.9832C5.55718 26.0187 5.66048 26.0818 5.73461 26.1244L13.699 30.7248C13.8975 30.8408 14.1233 30.902 14.3532 30.902C14.583 30.902 14.8088 30.8408 15.0073 30.7248L24.731 25.1103V28.9979C24.7321 29.0177 24.7283 29.0376 24.7199 29.0556C24.7115 29.0736 24.6988 29.0893 24.6829 29.1012L16.6317 33.7497C14.9096 34.7416 12.8643 35.0097 10.9447 34.4954C9.02506 33.9811 7.38785 32.7263 6.39227 31.0064ZM4.29707 13.6194C5.17156 12.0998 6.55279 10.9364 8.19885 10.3327C8.19885 10.4013 8.19491 10.5228 8.19491 10.6071V19.808C8.19351 20.0378 8.25334 20.2638 8.36823 20.4629C8.48312 20.6619 8.64893 20.8267 8.84863 20.9404L18.5723 26.5542L15.206 28.4979C15.1894 28.5089 15.1703 28.5155 15.1505 28.5173C15.1307 28.5191 15.1107 28.516 15.0924 28.5082L7.04046 23.8557C5.32135 22.8601 4.06716 21.2235 3.55289 19.3046C3.03862 17.3858 3.30624 15.3413 4.29707 13.6194ZM31.955 20.0556L22.2312 14.4411L25.5976 12.4981C25.6142 12.4872 25.6333 12.4805 25.6531 12.4787C25.6729 12.4769 25.6928 12.4801 25.7111 12.4879L33.7631 17.1364C34.9967 17.849 36.0017 18.8982 36.6606 20.1613C37.3194 21.4244 37.6047 22.849 37.4832 24.2684C37.3617 25.6878 36.8382 27.0432 35.9743 28.1759C35.1103 29.3086 33.9415 30.1717 32.6047 30.6641C32.6047 30.5947 32.6047 30.4733 32.6047 30.3889V21.188C32.6066 20.9586 32.5474 20.7328 32.4332 20.5338C32.319 20.3348 32.154 20.1698 31.955 20.0556ZM35.3055 15.0128C35.2464 14.9765 35.1431 14.9142 35.069 14.8717L27.1045 10.2712C26.906 10.1554 26.6803 10.0943 26.4504 10.0943C26.2206 10.0943 25.9948 10.1554 25.7963 10.2712L16.0726 15.8858V11.9982C16.0715 11.9783 16.0753 11.9585 16.0837 11.9405C16.0921 11.9225 16.1048 11.9068 16.1207 11.8949L24.1719 7.25025C25.4053 6.53903 26.8158 6.19376 28.2383 6.25482C29.6608 6.31589 31.0364 6.78077 32.2044 7.59508C33.3723 8.40939 34.2842 9.53945 34.8334 10.8531C35.3826 12.1667 35.5464 13.6095 35.3055 15.0128ZM14.2424 21.9419L10.8752 19.9981C10.8576 19.9893 10.8423 19.9763 10.8309 19.9602C10.8195 19.9441 10.8122 19.9254 10.8098 19.9058V10.6071C10.8107 9.18295 11.2173 7.78848 11.9819 6.58696C12.7466 5.38544 13.8377 4.42659 15.1275 3.82264C16.4173 3.21869 17.8524 2.99464 19.2649 3.1767C20.6775 3.35876 22.0089 3.93941 23.1034 4.85067C23.0427 4.88379 22.937 4.94215 22.8668 4.98473L14.9024 9.58517C14.7025 9.69878 14.5366 9.86356 14.4215 10.0626C14.3065 10.2616 14.2466 10.4877 14.2479 10.7175L14.2424 21.9419ZM16.071 17.9991L20.4018 15.4978L24.7325 17.9975V22.9985L20.4018 25.4983L16.071 22.9985V17.9991Z\" fill=\"currentColor\"><\/path>In 2013, the CDE established a centralized institutional review board system (cIRB) under the authorization of MOHW to improve the efficiency of case review processes.<\/li>\n\n\n\n<li>The cIRB comprises 9 main IRBs and 21 collaborative IRBs.<\/li>\n\n\n\n<li>Currently, SIDCER\/FERCAP (Strategic Initiative for Developing Capacity in Ethical Review\/Forum for Ethical Review Committees in the Asian and Western Pacific Region) has certified 23 IRBs, and AAHRPP (Association for the Accreditation of Human Research Protection Programs Inc) has accredited 6 sites.<\/li>\n\n\n\n<li>The main IRBs complete the review process within 20 days whereas the collaborative IRBs complete it within 10 days, but practically, it takes about 1 month or more in the former cases. <\/li>\n\n\n\n<li>However, USFDA-approved trials take less time to approve.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">The proven efficiency of cIRB<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The collaboration reduced duplication of the full-review board by 71.3%  <\/li>\n\n\n\n<li>This also reduces the use of IRB resources and shortens the time investigators spend obtaining approval from IRBs at all participating sites<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Innovative IRB Collaboration System (cIRB) for Multi-center Clinical Trial (from 2013)<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>462 multicentre trials using the system<\/li>\n\n\n\n<li>Out of which, 377 trials underwent the main review process<\/li>\n\n\n\n<li>An average of 9.9 days for the main review process<\/li>\n\n\n\n<li>1195 subsequent expedited reviews<\/li>\n\n\n\n<li>An average of 8 days for the expedited review process<\/li>\n\n\n\n<li>96.6% of cIRB got review results within 20 working days<\/li>\n<\/ul>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 class=\"wp-block-heading has-text-align-center\">cIRB Approval Process for Multi-Center Clinical Trials<\/h4>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"570\" height=\"393\" src=\"https:\/\/credevo.com\/articles\/wp-content\/uploads\/2020\/07\/cIRB_approval_process_taiwan_clinical_trial_regulatory_credevo.jpg\" alt=\"\" class=\"wp-image-3152\" srcset=\"https:\/\/credevo.com\/articles\/wp-content\/uploads\/2020\/07\/cIRB_approval_process_taiwan_clinical_trial_regulatory_credevo.jpg 570w, https:\/\/credevo.com\/articles\/wp-content\/uploads\/2020\/07\/cIRB_approval_process_taiwan_clinical_trial_regulatory_credevo-300x207.jpg 300w\" sizes=\"(max-width: 570px) 100vw, 570px\" \/><\/figure><\/div>\n\n\n<ul class=\"wp-block-list\">\n<li>A multi-site study needs to register with the cIRB system<\/li>\n\n\n\n<li>The main IRB conducts a full board review and completes it in 20 days.<\/li>\n\n\n\n<li>The review records and results are then sent to other IRBs in all participating sites<\/li>\n\n\n\n<li>These IRBs conduct an expedited review which is completed in 10 days <\/li>\n<\/ul>\n\n\n\n<p>Figure 2. Innovative cIRB system for multi-centered clinical trials in Taiwan (<em>Adapted from&nbsp;<a href=\"http:\/\/www.taiwanclinicaltrials.tw\/why1.php\">http:\/\/www.taiwanclinicaltrials.tw\/why1.php<\/a>)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>TFDA has developed a fast-track system for clinical trials in Taiwan as part of a global multiregional clinical trial (MRCT), to expedite patient access to new drugs. This is referred to as a Multinational CT notification (CTN) Scheme.<\/li>\n\n\n\n<li>Through this process, the fast-track review can reduce the overall review time to 14 days if the sponsor submits the protocol simultaneously to the US FDA and\/or the European Medicines Agency.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Risk management of clinical trials in Taiwan<\/h3>\n\n\n\n<p>For better risk management, TFDA classifies the risks as below <\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Risk-based IND review tracks<\/strong><\/h4>\n\n\n\n<h5 class=\"wp-block-heading\">Lowest risk IND<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fast track (U.S, FDA-approved IND)<\/li>\n\n\n\n<li>Clinical Trial Notification (CTN)<\/li>\n<\/ul>\n\n\n\n<h5 class=\"wp-block-heading\">Intermediate risk IND<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li>TFDA\/CDE review team only with or without consulting AC members<\/li>\n<\/ul>\n\n\n\n<h5 class=\"wp-block-heading\">Hight risk IND<\/h5>\n\n\n\n<p>After review of the TFDA\/CDE review team &#8211; call an advisory committee for final decision\u00a0<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Multinational CT Notification (CTN) scheme<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>MRCT protocol was approved by one of the 10 referenced countries: the USA, UK, France, Japan, Switzerland, Canada, Australia, and Sweden.<\/li>\n\n\n\n<li>At least one of Taiwan\u2019s medical centers joins the trial together with sites of referenced countries.<\/li>\n\n\n\n<li>Only administration review by TFDA, no technical evaluation from CDE unless regarded as high risk.<\/li>\n\n\n\n<li>TFDA reserves the right to mend the trial during trial conduction.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">The proven efficiency of CTN<\/h4>\n\n\n\n<p>Approvals of CTN are growing as well and account for 30% of IND trials<\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p>Figure 3. CTN Scheme for multinational clinical trials in Taiwan (<em>Adapted from&nbsp;<a href=\"http:\/\/www.taiwanclinicaltrials.tw\/why1.php\">http:\/\/www.taiwanclinicaltrials.tw\/why1.php<\/a>)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>In 2009, a bridging study system was developed to provide clinical data on pharmacokinetic\/pharmacodynamic (PK\/PD) or clinical data on safety, efficacy, dosage, and dose regimen, which will allow extrapolation of the foreign clinical data to different populations.\u00a0This can greatly help to bring foreign conducted study results to Taiwan. See the details\u00a0<a href=\"http:\/\/www2.cde.org.tw\/English\/Regulations\/Pages\/Bridging%20Study.aspx?credevoTaiwanPart2\">here<\/a>!<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Taiwan: Gate to China Clinical Trial Market<\/h2>\n\n\n\n<p>In 2010, the Cross-strait Medicine and Health Cooperation Framework Agreement was signed between Taiwan and China to facilitate the exchange of information in areas of healthcare and clinical research.<\/p>\n\n\n\n<p>The signing of this agreement has resulted in the acceleration of the drug approval process allowing more drugs developed in Taiwan to enter the Chinese market.<\/p>\n\n\n\n<p>Under this agreement, four Taiwanese hospitals are<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Taiwan Taipei Veterans General Hospital,<\/li>\n\n\n\n<li>Tri-Service General Hospital,<\/li>\n\n\n\n<li>Taiwan University Medical College Affiliated Hospital, and<\/li>\n\n\n\n<li>Linkou Chang Gung Memorial Hospital<\/li>\n<\/ul>\n\n\n\n<p>and are now recognized as clinical trial canters by China. Similarly, clinical data from<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Peking Union Medical College Hospital,<\/li>\n\n\n\n<li>Peking University First Hospital,<\/li>\n\n\n\n<li>Shanghai Zhongshan Hospital, and<\/li>\n\n\n\n<li>Shanghai Ruijin Hospital, in China,<\/li>\n<\/ul>\n\n\n\n<p>can be used to apply for an NDA in Taiwan.<\/p>\n\n\n\n<p>The new policy has encouraged multinational companies to carry out clinical trials in Taiwan as the cross-strait agreement and this not only reduces the number of overlapping trials in Taiwan and China but considerably shortens the timeline for getting new drugs into the market.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Summary<\/h2>\n\n\n\n<p>Taiwan is emerging as a big player in the Asian clinical trial market.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Strong medical infrastructure<\/strong> including the center of excellence with ICH-GCP compliance<\/li>\n\n\n\n<li><strong>Government support<\/strong> for 6 Phase I centers<\/li>\n\n\n\n<li>Renown international medical technology\n<ul class=\"wp-block-list\">\n<li><strong>Global top 200 hospitals in Taiwan accounted for 14<\/strong> after the United States, and Germany <strong>ranked 3rd in the world, and first in Asia<\/strong><\/li>\n\n\n\n<li><strong>Infant mortality rate is <\/strong>4.4\/1000 persons (USA infant mortality rate<em> is 5.96\/1000 persons<\/em>)<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Accredited and adequately operated IRB\n<ul class=\"wp-block-list\">\n<li><strong>6 AAHRPP accredited<\/strong><\/li>\n\n\n\n<li>Innovative cIRB (IRB collaboration system) for multicenter clinical trials since 2013.<\/li>\n\n\n\n<li>96.6% of cIRB submissions<strong> get review results within 20 working days<\/strong>.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Well-organized<strong> TCTC (Taiwan Clinical Trial Consortium)<\/strong> in 13 specific therapeutic areas.<\/li>\n\n\n\n<li>Proven track record in producing <strong>reliable and high-quality data<\/strong>.<\/li>\n\n\n\n<li><strong>Experienced<\/strong> <strong>clinical research investigators and nurses<\/strong>.<\/li>\n\n\n\n<li><strong>Efficient and transparent<\/strong> regulatory review system (standard and CTN) for IND.<\/li>\n\n\n\n<li>Conducting a clinical trial in Taiwan may gain a <strong>higher reimbursement price<\/strong>.<\/li>\n\n\n\n<li><strong>Bridge to China<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p>Summary: Taiwan Clinical Research Facts (<em>Adapted from&nbsp;<a href=\"http:\/\/www.taiwanclinicaltrials.tw\/why1.php\">http:\/\/www.taiwanclinicaltrials.tw\/why1.php<\/a>)<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<blockquote><h2>Need more info or Support?<\/h2><p>Feel free to contact us with your questions or if you need any support in Taiwan.<\/p><\/blockquote>\n\n\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-4693\"><form id=\"wpforms-form-4693\" class=\"wpforms-validate wpforms-form\" data-formid=\"4693\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/articles\/wp-json\/wp\/v2\/posts\/181\" data-token=\"c9d45f30a2009f5456f456ae6397727a\" data-token-time=\"1775603280\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-4693-field_3-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"3\"><label class=\"wpforms-field-label\">What is your most urgent need in Taiwan? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4693-field_3\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4693-field_3_1\" name=\"wpforms[fields][3][]\" value=\"Investigators \/ sites\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4693-field_3_1\">Investigators \/ sites<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-4693-field_3_4\" name=\"wpforms[fields][3][]\" value=\"Regulatory support\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4693-field_3_4\">Regulatory support<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-4693-field_3_5\" name=\"wpforms[fields][3][]\" value=\"IMP and Clinical Supplies\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4693-field_3_5\">IMP and Clinical Supplies<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-4693-field_3_6\" name=\"wpforms[fields][3][]\" value=\"Other support\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4693-field_3_6\">Other support<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Select your immediate need for the clinical trial in Taiwan<\/div><\/div><div id=\"wpforms-4693-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-4693-field_1\">What is your work email? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-4693-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><div class=\"wpforms-field-description\">Provide your work email, where we can contact you<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-4693-field-hp\" class=\"wpforms-field-label\">Website<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-4693-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v2\" ><div class=\"g-recaptcha\" data-sitekey=\"6LeaQRYTAAAAAPo7U8jnZJBUndxcS3f0E3Vijb2k\"><\/div><input type=\"text\" name=\"g-recaptcha-hidden\" class=\"wpforms-recaptcha-hidden\" style=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\" data-rule-recaptcha=\"1\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"4693\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/credevo.com\/articles\/wp-json\/wp\/v2\/posts\/181\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-4693\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">References<\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><a href=\"http:\/\/www.fda.gov.tw\/upload\/133\/Content\/2014033109035995639.pdf?credevoTaiwanPart2\">http:\/\/www.fda.gov.tw\/upload\/133\/Content\/2014033109035995639.pdf<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/tc2.ntu.edu.tw\/en\/?credevoTaiwanPart2\">http:\/\/tc2.ntu.edu.tw\/en\/<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/clinicaltrials.gov\/ct2\/results\/map?term=multinational+trials&amp;map=ES&amp;credevoTaiwanPart2\">https:\/\/clinicaltrials.gov\/ct2\/results\/map?term=multinational+trials&amp;map=ES<\/a><\/li>\n\n\n\n<li>SIDCER Recognition Programme.\u00a0<a href=\"http:\/\/www.sidcer.org\/new_web\/index.php?group=main&amp;open=recognition.php&amp;credevoTaiwanPart2\">http:\/\/www.sidcer.org\/new_web\/index.php?group=main&amp;open=recognition.php<\/a><\/li>\n\n\n\n<li>AAHRPP Accredited Organizations.\u00a0<a href=\"http:\/\/www.aahrpp.org\/learn\/find-an-accredited-organization?credevoTaiwanPart2\">http:\/\/www.aahrpp.org\/learn\/find-an-accredited-organization<\/a><\/li>\n\n\n\n<li>Yang Y-T, Huang H-W, Chen Y-T, et al. Regulation of new drug approval in Taiwan.\u00a0<em>Ther Innovation Regulatory Sci\u00a0<\/em>2016; 50:602-608.<\/li>\n<\/ol>\n\n\n\n<p><em>Disclaimer: Information provided in this blog is not being claimed as official. Applicant is strongly advised to check the recent requirements with relevant authorities.<\/em><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Taiwan offers a supportive and efficient regulatory landscape for clinical trials, primarily managed by the Taiwan Food and Drug Administration (TFDA). The TFDA simplifies the approval process and provides expedited reviews for innovative therapies, allowing studies to start more quickly. With its advanced healthcare facilities and diverse patient population, Taiwan has become an attractive destination [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":2869,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"cybocfi_hide_featured_image":"","footnotes":""},"categories":[566,4],"tags":[267,37,558],"class_list":["post-181","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clinical-development","category-regulatory","tag-clinical-trial","tag-taiwan","tag-tfda"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Regulatory scenario &amp; approval process for clinical trials in Taiwan<\/title>\n<meta name=\"description\" content=\"Taiwan is emerging as a big player in the Asian clinical trial market. 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