Since Japan introduced its "Sakigake" pioneering therapy review and approval scheme on a pilot basis in 2015, a total of 27 products have been admitted, with 11 moving through to their first approval globally, including several innovative new treatments for oncology and rare diseases.
However, the system has seen a decreasing number of candidates over its five rounds ending in 2020 before it officially became a permanent system under the country’s Ministry of Health, Labour and Welfare (MHLW),
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