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The clinical trial landscape has changed dramatically over the past decade. Whereas at the turn of the century, almost all clinical trial research was carried out in the US and western Europe, US-based drug sponsors indicate that up to 50 per cent of studies are now conducted outside of the US and expect that figure to increase to 65 per cent within three years (1). In 1990, clinical trials were conducted in about 28 countries worldwide. In September 2009, the FDA was regulating 78,276 trials in 172 countries, and the European Medicines Agency (EMEA) expects the trend to conduct more clinical trials in developing nations to increase in years to come.

There are a number of reasons for this shift. Lower costs, access to large numbers of treatment-na´ve patients, the potential for fast patient recruitment and the opportunity to expand their presence in emerging markets are among the top reasons pharmaceutical companies are now conducting trials in developing nations. South-east Asia is an increasingly popular destination because it offers all of these benefits.


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Gary Muddyman is the Managing Director and CEO of Conversis, a leading provider of globalisation, internationalisation, localisation and translation services, specialising in the life sciences sector. Gary started Conversis back in 2003 with the intention of advancing the understanding and use of localisation and translation as a strategic business tool. Before that, he spent 16 years at HSBC.
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Garry Muddyman
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