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. 2023 Jul 11;8(7):e012039. doi: 10.1136/bmjgh-2023-012039

Table 1.

Failure rate per country in quality surveys, bioequivalence studies, accelerated biostability studies, laboratory assembled collections and case reports/MRA seizures

Countries Accelerated biostability studies Bioequivalence studies Quality surveys Laboratory assembled collections MRA seizure Total
N n Failure rate % N n Failure rate % N n Failure rate % N n Failure rate % N n Failure rate % No of data points N n failed Failure rate %
Africa 627 65 10.4 122 33 27 45 749 98 13.1
Botswana 13 4 30.8 3 13 4 30.8
Kenya 42 5 11.9 20 42 5 11.9
Nigeria 9 5 55.6 50 22 44.0 6 59 27 45.8
South Africa 618 60 9.7 13 618 60 9.7
Zambia 17 2 11.8 3 17 2 11.8
Americas 18 0 0.0 18 18 100.0 18 0 0.0 5 54 18 33.3
Mexico 18 18 100.0 18 0 0.0 2 36 18 50.0
USA 18 0 0.0 3 18 0 0.0
Asia 218 87 39.9 436 53 12.2 5082 732 14 20 1 5.0 2 2 100.0 145 5758 875 15.2
Armenia 42 4 9.5 5 42 4 9.5
Azerbaijan 31 3 9.7 5 31 3 9.7
Cambodia 117 31 26.5 2 117 31 26.5
India 206 87 42.2 362 6 1.7 3484 377 10.8 12 0 0.0 2 2 100.0 92 4066 472 11.6
Indonesia 74 47 63.5 71 4 5.6 4 145 51 35.2
Kazakhstan 842 176 20.9 16 842 176 20.9
 Myanmar/Burma 13 1 7.7 1 13 1 7.7
Pakistan 8 1 12.5 2 8 1 12.5
Thailand 12 0 0.0 198 50 25.3 5 210 50 23.8
Uzbekistan 45 6 13.3 5 45 6 13.3
Vietnam 239 80 33.5 8 239 80 33.5
Europe 5 0 0.0 113 6 5.3 18 0 0 16 136 6 4.41
Republic of Belarus 60 4 6.7 5 60 4 6.7
Switzerland 4 0 0.0 1 4 0 0.0
Ukraine 53 2 3.8 4 53 2 3.8
 UK 5 0 0.0 14 0 0.0 6 19 0 0.0
Unstated 920 108 11.7 65 65 100.0 11 985 173 17.6
Total 236 87 36.9 1086 136 12.5 6255 879 14.1 38 1 2.6 67 67 100.0 222 7682 1170 15.2

MRA, Medicines Regulatory Agency.