Advancing Pharmacoequity in Low- and Middle-Income Countries via Model Informed Drug Development



Enzama, Henry, Ojara, Francis Williams, Haworth, Ian S, Cvijic, Sandra, Waitt, Catriona ORCID: 0000-0003-0134-5855 and Grasela, Thaddeus H
(2026) Advancing Pharmacoequity in Low- and Middle-Income Countries via Model Informed Drug Development CTS-CLINICAL AND TRANSLATIONAL SCIENCE, 19 (5). e70571-. ISSN 1752-8054, 1752-8062

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Abstract

Across low- and middle-income countries (LMICs) inequities in access to safe, effective medicines persist due to limited regulatory capacity, inadequate financing, and insufficient local data. Regulatory authorities are engaging with model-informed drug development (MIDD), but uneven technical readiness and resource gaps limit uptake. Physiologically based and population pharmacokinetic modeling can strengthen regulatory review and optimize dosing. When aligned with global harmonization initiatives, these tools can support evidence-based decisions and advance pharmacoequity by ensuring context-appropriate therapies reach patients.

Item Type: Article
Uncontrolled Keywords: Humans, Developing Countries, Economics, Pharmaceutical, Drug Development
Divisions: Faculty of Health & Life Sciences
Faculty of Health & Life Sciences > Inst. Life Courses & Medical Sciences
Faculty of Health & Life Sciences > Inst. Life Courses & Medical Sciences > Inst. Life Courses & Medical Sciences (T&R staff)
Faculty of Health & Life Sciences > Inst. Life Courses & Medical Sciences > Women's & Children's Health
Depositing User: Symplectic Admin
Date Deposited: 01 May 2026 08:13
Last Modified: 04 Jul 2026 02:42
DOI: 10.1111/cts.70571
Open Access URL: https://pmc.ncbi.nlm.nih.gov/articles/PMC13112073/
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URI: https://livrepository.liverpool.ac.uk/id/eprint/3198258
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