For many years, approvals of new drugs in Japan have lagged behind those in the United States and Europe. As a result of simultaneous global development strategies, more widespread inclusion of Japan in multiregional clinical trials, and significant reforms and investment in Japan's Pharmaceuticals and Medical Devices Agency reviewer capacity and capability, the drug lag appears to be diminishing. This is allowing new medicines to be approved sooner in Japan, improving the efficiency of drug development and benefiting patients.
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P K Honig (2014) studied this question.
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