Abstract:
Clinical pharmacology studies are critical for determining the efficacy and safety of drugs. Due to the resource-intensive nature of these studies,
most have been conducted in high-income countries, leading to a significant gap in clinical pharmacology data for patients in low- and middle-income
countries. This paper provides an overview of the minimal requirements for performing a clinical pharmacology investigator-initiated trial (IIT), including
pharmacokinetic sampling. We identify common challenges in resource-limited settings and propose strategies to overcome them. This guideline covers
regulatory approval,participant recruitment,drug storage,sample collection and handling,transport,bioanalytical analysis,and data management tailored
to the constraints of resource-limited settings. Strategies are proposed to minimize resource demands, including simplified study designs, the use of
technologies like whole blood microsampling, and opportunities for collaboration. The goal is to provide practical guidance for those seeking to
perform a clinical pharmacology IIT in resource-limited settings to improve safe and effective drug treatment for patients worldwide. Beyond the
scope of this guideline is a detailed step-by-step guide on how to perform clinical pharmacology studies.
