{"id":688,"date":"2018-03-15T17:46:24","date_gmt":"2018-03-15T09:46:24","guid":{"rendered":"https:\/\/credevo.com\/articles\/\/?p=688"},"modified":"2025-06-13T08:09:17","modified_gmt":"2025-06-13T00:09:17","slug":"malaysia-why-and-how-to-start-your-clinical-trials","status":"publish","type":"post","link":"https:\/\/credevo.com\/articles\/2018\/03\/15\/malaysia-why-and-how-to-start-your-clinical-trials\/","title":{"rendered":"Malaysia &#8211; Why and How to Start Your Clinical Trials?"},"content":{"rendered":"\n<p>Malaysia&nbsp;is one of the world&#8217;s most popular countries for coastal tourism, known for its culinary sensations, beautiful beaches, idyllic islands, and national parks. Conducting clinical trials in Malaysia offers a diverse patient population, well-established healthcare infrastructure, favorable regulatory environment, and cost-effective research opportunities.<\/p>\n\n\n\n<p class=\"has-small-font-size\"><strong><em>Note: This article was updated in May, 202<\/em><\/strong>3<\/p>\n\n\n\n\n\n<p>Malaysia owns a large and diverse multi-ethnic population along with a strong two-tier health care system. Interestingly, life expectancy\/infant mortality rates are comparable in the United States and European countries.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Top reasons to choose Malaysia for your clinical trials<\/h2>\n\n\n\n<p>There are many compelling reasons to consider Malaysia for your clinical trials, here are a few of them<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Competitive costs and an established healthcare system compared with other regions.<\/li>\n\n\n\n<li>Great infrastructure in specialties like\n<ul class=\"wp-block-list\">\n<li>Cardiology, <\/li>\n\n\n\n<li>Gastroenterology, <\/li>\n\n\n\n<li>Respiratory, <\/li>\n\n\n\n<li>Oncology, and<\/li>\n\n\n\n<li>Endocrinology.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>With improving standards of living, Malaysia is seeing a higher incidence of lifestyle diseases, along with communicable diseases in rural areas.<\/li>\n\n\n\n<li>Government-supportive regulations to make Malaysia a preferred clinical research destination<\/li>\n\n\n\n<li>A streamlined and agile regulatory system<\/li>\n\n\n\n<li>Regulatory and ethics submission language can be made in English <\/li>\n\n\n\n<li>Parallel and fast approval timelines<\/li>\n\n\n\n<li>Quick start-up timelines<\/li>\n\n\n\n<li>Lower per-patient costs and Institutional Review Board (IRB) fees compared to most countries<\/li>\n\n\n\n<li>Medical device and non-interventional studies require only Institutional Ethics Committee (IEC) approval <\/li>\n\n\n\n<li>Most investigators are trained in Good Clinical Practice (GCP) and have the experience to conduct clinical trials<\/li>\n\n\n\n<li>The launch of Phase 1 clinical trial guidelines, has enabled Malaysia to conduct early phase trials in drug discovery and development<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">The landscape of the Malaysian population<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>32 million people, of which Malays and Indigenous (60%), Chinese (28%), Indian (8%), and others<\/li>\n\n\n\n<li>72.8% reside in urban centers<\/li>\n\n\n\n<li>95.4% literacy rate<\/li>\n<\/ul>\n\n\n\n<p>Malaysia has a wide ethnic population as above, which helps in testing the drug in multiple ethnic groups.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Malaysian government initiatives<\/h2>\n\n\n\n<p>The government of Malaysia, with an aim to promote and increase the number of clinical studies in the country, established&nbsp;<strong>Clinical Research Malaysia (CRM)<\/strong>&nbsp;in 2012. <\/p>\n\n\n\n<p>The objectives were to effectively increase the speed, reliability, and delivery of outcomes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Clinical trial status in Malaysia<\/h2>\n\n\n\n<p>A total of 1,881 clinical trials are conducted in Malaysia with 434 ongoing studies according to <a href=\"https:\/\/clinicaltrials.gov\/\" target=\"_blank\" rel=\"noreferrer noopener\">clinicatrials.gov<\/a>. (Data as of Sep, 22), and this shows the interest of researchers to perform their clinical trials in Malaysia.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Therapeutic areas for clinical trials in Malaysia<\/h2>\n\n\n\n<p>Currently, the major therapeutic areas to perform clinical trials in Malaysia are<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Heart disease and Stroke<\/li>\n\n\n\n<li>Influenza and Pneumonia<\/li>\n\n\n\n<li>HIV\/AIDS<\/li>\n\n\n\n<li>Tuberculosis<\/li>\n\n\n\n<li>Diabetes<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Recent achievements of the clinical trials in Malaysia<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Clinical trials of new Hepatitis C combination treatment held in the country have shown not only a high 97% cure rate but also better efficacy in treating the most severe form of Hepatitis.<\/li>\n\n\n\n<li>Hospital Miri, Sarawak has been the 2nd top recruiter globally for a respiratory study recently. <\/li>\n\n\n\n<li>Hospital Kuala Lumpur was among the top 2 recruiters for a Cancer Registry study in Asia.<\/li>\n\n\n\n<li>The government signed MoUs with CROs to attract more global trials into the country.<\/li>\n<\/ul>\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 to conduct your clinical trial in Malaysia?<\/em><\/h3>\n\n\n\n<p><em>Credevo offers expertise in clinical trial regulations, <a href=\"https:\/\/credevo.com\/articles\/2021\/04\/15\/generic-drug-registration-process-in-malaysia\/\" target=\"_blank\" rel=\"noreferrer noopener\">drug products &amp; nutraceutical\/health foods registration<\/a>, and many more services in Malaysia. Provide your details in the below form 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<h2 class=\"wp-block-heading\">Regulatory for clinical trials in Malaysia<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>There are mainly two agencies regulating clinical trials in Malaysia.\n<ul class=\"wp-block-list\">\n<li><strong><a href=\"https:\/\/npra.gov.my\/index.php\/en\/\" target=\"_blank\" rel=\"noreferrer noopener\">National Pharmaceutical Control Bureau (NPCB)<\/a><\/strong>\u00a0or\u00a0<\/li>\n\n\n\n<li><strong><a href=\"https:\/\/www.mda.gov.my\/\" target=\"_blank\" rel=\"noreferrer noopener\">Medical Device Authority (MDA)<\/a><\/strong>.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Apart from this, agencies reviewing the clinical trials are\n<ul class=\"wp-block-list\">\n<li>Institutional Review Board (IRB), including the\u00a0<strong>Medical Research &amp; Ethics Committee (MREC)<\/strong>\u00a0for trials using\u00a0the <strong><a href=\"https:\/\/www.moh.gov.my\/\" target=\"_blank\" rel=\"noreferrer noopener\">Ministry of Health (MOH)<\/a><\/strong>\u00a0Malaysia facilities or <\/li>\n\n\n\n<li>Local IRBs for non-MOH facilities.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p>The&nbsp;<strong><a href=\"https:\/\/npra.gov.my\/index.php\/en\/\" target=\"_blank\" rel=\"noreferrer noopener\">National Pharmaceutical Regulatory Agency (NPRA)<\/a><\/strong> ensures the quality, efficacy, and safety of pharmaceuticals. Additionally, it also acts as a secretariat to the&nbsp;<strong>Drug Control Authority (DCA)<\/strong>, which<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>reviews the matters related to product registration, and <\/li>\n\n\n\n<li>approves or rejects the application for\u00a0a <strong>clinical trial import license (CTIL)<\/strong>\u00a0or\u00a0<strong>clinical trial exemption (CTX)<\/strong>.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Clinical Trial Import Licence (CTIL)<\/h4>\n\n\n\n<p>A clinical trial import license is necessary to import any product for clinical trials.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Clinical Trial Exemption (CTX)<\/h4>\n\n\n\n<p>Clinical Trial Exemption (CTX) is the authorization to manufacture any product\/s solely to produce samples for clinical trials.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Locations and clinical trial sites in Malaysia<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sponsors and CROs can conduct clinical trials in Malaysia at ministry establishments, private hospitals, and medical teaching hospitals.<\/li>\n\n\n\n<li>There are well-established medical centers and sites in Malaysia, which are ranked top in conducting and recruiting clinical trials.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Ethics Committee<\/h2>\n\n\n\n<p>The&nbsp;<strong>Institutional Review Board (IRB)<\/strong>&nbsp;structure in Malaysia depends on the location or type of facility conducting the research.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Most university hospitals have their own local IRB\/IEC, while research conducted at the Ministry of Health Hospital falls under the purview of the central IRB.<\/li>\n\n\n\n<li>There are 13 NPCB-registered IRBs\/IECs in Malaysia. <\/li>\n\n\n\n<li>These IRBs\/IECs include the Ministry of Health Medical Research and Ethics Committee (MOH MREC), the Penang Ethics Committee, and ethics committees from universities and private hospitals.<\/li>\n\n\n\n<li>The IRB\/IEC of the respective sites approves the conduct of clinical trials.<\/li>\n\n\n\n<li>The MOH hospital sites have only one central IRB which is the <strong>MOH-MREC<\/strong>.<\/li>\n\n\n\n<li>Applicants can submit the applications for IRB approval online via the <strong>National Medical Research Register<\/strong>.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Fee for the Ethics Committee (EC) review<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>At present there is no fee required for Ethics Committee (EC) review.<\/li>\n\n\n\n<li>The processing fee per product is RM500.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Clinical trial registration<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>All the clinical trials that require CTIL\/CTX, need to register with the National Medical Research Register (NMRR).<\/li>\n\n\n\n<li>The applicant needs to obtain a unique full NMRR registration number from the NMRR website before submitting the CTIL\/CTX application to NPCB,<\/li>\n\n\n\n<li>The applicant must use the NMRR registration number in all communications made with the National Pharmaceutical Control Bureau (NPCB).<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Who can apply for CTIL\/CTX?<\/h2>\n\n\n\n<p>The following people are eligible to apply for the CTIL\/CTX<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>An investigator,<\/li>\n\n\n\n<li>An authorized person from a locally registered pharmaceutical company\/ sponsor\/CRO with a permanent address in Malaysia, or<\/li>\n\n\n\n<li>A sponsor or CRO without an office in Malaysia can outsource service to any of the local\/international CROs or SMOs<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Type of approval<\/h2>\n\n\n\n<p>CTIL\/CTX and MREC applications can be processed in parallel.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Clinical trial approval process<\/h2>\n\n\n\n<p>Before initiating any clinical trial in Malaysia, the sponsor needs to submit two applications for approval, namely<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Application to the relevant IRB\/IEC, and<\/li>\n\n\n\n<li>An application to the DCA, the executive body under the NPRA for the Import License or Exemption.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">IRB\/IEC approval process<\/h3>\n\n\n\n<p>The committees to whom the application should be submitted would depend on the clinical trial site.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Government health facilities under the MOH<\/strong>\n<ul class=\"wp-block-list\">\n<li>According to the NIH Guidelines, all clinical trials involving MOH facilities must register with the NMRR and obtain prior approval from the MOH.<\/li>\n\n\n\n<li>After submission NMRR will review the documents and, if satisfied will forward them to the Medical Research and Ethics Committee (MREC) for their review and approval.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Universities or private institutions<\/strong>\n<ul class=\"wp-block-list\">\n<li>Applications are to be submitted to the respective IRB\/IEC of the university or institution, which will review and approve the trial proposal as per the functions of the MREC.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p>The application for IRB\/IEC approval can be made by the principle investigator responsible for the conduct of the trial.<\/p>\n\n\n\n<p>The list of documents for IRB\/IEC include <\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Trial protocol<\/li>\n\n\n\n<li>Informed consent form<\/li>\n\n\n\n<li>Consent form updates<\/li>\n\n\n\n<li>Subject recruitment procedures and other written information to be provided to subjects<\/li>\n\n\n\n<li>Investigator\u2019s Brochure.<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\">Import License or Exemption<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The applicant needs to submit the applications following the guidelines for CTIL\/CTX to the NPRA.<\/li>\n\n\n\n<li>The NPRA screens the application dossier for completeness before handing it over to the DCA.<\/li>\n\n\n\n<li>PI\/CRO\/sponsor, who intends to submit to MREC, shall register on the National Medical Research Register (NMRR) website and get a user account. Then onwards, applicants can use this account for all submissions.<\/li>\n\n\n\n<li>CTIL\/CTX application is processed in 30 working days, while the MREC approval process takes 50 working days (if no amendments to the submitted documents are required).<\/li>\n\n\n\n<li>The sponsors can submit both CTIL\/CTX and MREC applications in parallel.<\/li>\n\n\n\n<li>If the DCA and MREC grant approval (or other accepted IRB\/IEC), then the NPRA issues the CTIL\/CTX and regulatory approval letters to begin the clinical trial.<\/li>\n<\/ul>\n\n\n\n<h6 class=\"wp-block-heading\"><figure><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-698 aligncenter\" src=\"https:\/\/credevo.com\/articles\/\/wp-content\/uploads\/2018\/06\/Testing-300x225.jpg\" alt=\"\" width=\"720\" height=\"540\" srcset=\"https:\/\/credevo.com\/articles\/wp-content\/uploads\/2018\/06\/Testing-300x225.jpg 300w, https:\/\/credevo.com\/articles\/wp-content\/uploads\/2018\/06\/Testing.jpg 720w\" sizes=\"(max-width: 720px) 100vw, 720px\" \/><\/figure><\/h6>\n\n\n\n<h6 class=\"wp-block-heading\"><strong>NPCB<\/strong>: National Pharmaceutical Control Bureau,&nbsp;<strong>CTIL<\/strong>: Clinical trial import license,&nbsp;<strong>CTX<\/strong>: clinical trial exemption,&nbsp;<strong>DCA<\/strong>: Drug Control Authority,&nbsp;<strong>CINP<\/strong>: Centre for Investigational New Product<\/h6>\n\n\n\n<h2 class=\"wp-block-heading\">Timeline for clinical trial approval<\/h2>\n\n\n\n<p>The average timeline for regulatory and IRB approval is about 3-4 months.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity is-style-wide\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Do you require support for conducting clinical trials in Malaysia, or do you have any questions?<\/h2>\n\n\n\n<p>We&#8217;d love to help you conduct clinical trials in Malaysia. Connect with experienced and resourceful sites, service providers, and experts in Malaysia. Provide your details below.<\/p>\n\n\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-765\"><form id=\"wpforms-form-765\" class=\"wpforms-validate wpforms-form\" data-formid=\"765\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/articles\/wp-json\/wp\/v2\/posts\/688\" data-token=\"f04d66e153cb7189b9940c1398d23d78\" data-token-time=\"1776847788\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-765-field_4-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-765-field_4\">Provide your requirements details below <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-765-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/textarea><\/div><div id=\"wpforms-765-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-765-field_6\">What is your company\/organization name? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-765-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-765-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-765-field_1\">What is your work email? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-765-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-765-field-hp\" class=\"wpforms-field-label\">Name<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-765-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=\"765\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/credevo.com\/articles\/wp-json\/wp\/v2\/posts\/688\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-765\" 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 is-style-wide\"\/>\n\n\n\n<h4 class=\"wp-block-heading\">Looking for more Southeast Asian regions for your Clinical Trials, follow the links below<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/credevo.com\/articles\/2019\/02\/15\/clinical-trials-in-indonesia\/\">Clinical Trials in Indonesia<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/credevo.com\/articles\/2018\/02\/14\/conducting-clinical-trials-in-vietnam-why-and-how-to-start\/\">Conducting clinical trials in Vietnam \u2013 why and how to start?<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/credevo.com\/articles\/2018\/04\/30\/philippines-clinical-trial-regulatory-process\/\">Philippines \u2013 Clinical Trial Regulatory Process<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/credevo.com\/articles\/2018\/09\/15\/singapore-clinical-trial-regulatory-process\/\">Singapore Clinical Trial Regulatory Process<\/a><\/li>\n\n\n\n<li>Thailand\u2019s Clinical Trial Regulatory Scenario \u2013 Simplified (<strong><a href=\"https:\/\/credevo.com\/articles\/\/2016\/09\/12\/thailands-clinical-trial-regulatory-scenario-simplified-12\/\">Part \u2013 1<\/a><\/strong>, <strong><a href=\"https:\/\/credevo.com\/articles\/\/2016\/09\/26\/thailands-clinical-trial-regulatory-scenario-simplified-22\/\">Part \u2013 2<\/a><\/strong>).<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Malaysia&nbsp;is one of the world&#8217;s most popular countries for coastal tourism, known for its culinary sensations, beautiful beaches, idyllic islands, and national parks. Conducting clinical trials in Malaysia offers a diverse patient population, well-established healthcare infrastructure, favorable regulatory environment, and cost-effective research opportunities. Note: This article was updated in May, 2023 Malaysia owns a large [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"cybocfi_hide_featured_image":"","footnotes":""},"categories":[566,4],"tags":[267,106,501],"class_list":["post-688","post","type-post","status-publish","format-standard","hentry","category-clinical-development","category-regulatory","tag-clinical-trial","tag-malaysia","tag-npcb"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Clinical trials in Malaysia - Why and How to start? | Credevo Articles<\/title>\n<meta name=\"description\" content=\"Conducting clinical trials in Malaysia is becoming a choice for many researchers because of its strong health care system\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/credevo.com\/articles\/2018\/03\/15\/malaysia-why-and-how-to-start-your-clinical-trials\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Clinical trials in Malaysia - Why and How to start? 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