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Pharmacovigilance in Emerging Markets: Interpreting Global Regulatory Expectations

Global Regulatory Expectation of Pharmacovigilance in Emerging Markets 2026

Pharmacovigilance in emerging markets has moved well beyond procedural compliance. Regulatory authorities now assess safety systems as indicators of organisational accountability, public health commitment, and regulatory maturity. This shift reflects the growing clinical, commercial, and societal importance of these regions in the global pharmaceutical ecosystem. 

Emerging markets account for large patient populations, accelerated product introductions, and increasing exposure to complex therapies. Regulatory frameworks have evolved accordingly. Authorities now expect pharmacovigilance systems that function with the same discipline, governance, and medical oversight applied in highly regulated markets. 

From Reporting Activity to Safety Governance

The earlier regulatory focus on case submission volumes has given way to a broader evaluation of safety decision-making. Regulators now examine how safety information is interpreted, escalated, and translated into risk management actions. 

Pharmacovigilance systems are expected to demonstrate: 

  • Defined governance structures 
  • Clear accountability across global and local teams 
  • Medical oversight that supports benefit–risk evaluation 
  • Continuous system effectiveness rather than episodic compliance 

This evolution signals a regulatory expectation that pharmacovigilance operates as an integrated regulatory function rather than an operational support activity. 

Core Global Pharmacovigilance Expectations Across Emerging Markets

Despite regional regulatory diversity, a set of expectations has become broadly consistent across emerging jurisdictions.

 

Local Pharmacovigilance Oversight 

Authorities increasingly require a designated local pharmacovigilance responsible person with defined authority and regulatory accountability. This role ensures that safety activities reflect national regulatory obligations, local medical practice, and population-specific risk factors. 

Reliance on centralised global systems does not replace the requirement for local oversight. Regulators expect evidence of effective coordination between global safety functions and in-country responsibilities. 

 

Case Management Beyond Timelines 

Timely Individual Case Safety Report submission remains essential, yet regulators now focus on case quality, follow-up robustness, and medical evaluation consistency. 

Common inspection focus areas include: 

  • Seriousness and expectedness assessment accuracy 
  • Narrative completeness and medical clarity 
  • Follow-up efforts aligned with regulatory expectations 
  • Reconciliation between local and global submissions 

Inconsistent or delayed reporting often indicates broader system control gaps. 

 

Periodic Reporting as a Regulatory Signal 

Periodic Safety Update Reports and PBRERs represent cumulative safety understanding rather than routine submissions. Emerging market regulators expect these reports to reflect local data, national utilisation patterns, and region-specific safety considerations. 

Submissions that lack local interpretation increasingly prompt regulatory queries or corrective actions. 

 

Signal Management and Risk Evaluation 

Signal detection and evaluation expectations have matured significantly. Regulators now expect structured methodologies, documented assessments, and timely escalation of emerging risks. 

Signal management is viewed as a core indicator of pharmacovigilance system effectiveness. Authorities increasingly request evidence that local safety data contributes meaningfully to global risk evaluations. 

Regional Regulatory Expectations in Practice

Asia-Pacific 

Regulatory agencies across Asia have strengthened pharmacovigilance legislation with a focus on marketing authorisation holder accountability. Authorities assess local safety governance, personnel competency, and integration with global systems. 

Post-marketing surveillance and inspection activities continue to expand across the region. 

 

Latin America 

Latin American regulators maintain well-defined pharmacovigilance frameworks supported by national databases and structured reporting obligations. Authorities place strong emphasis on local documentation quality, regulatory responsiveness, and safety communication effectiveness. 

 

Middle East and Africa 

Regulatory agencies across the Middle East and Africa have aligned pharmacovigilance expectations with international standards while retaining jurisdiction-specific requirements. Local safety oversight, electronic reporting, and risk communication continue to receive increased regulatory attention. 

Pharmacovigilance Inspections as a Routine Expectation

Pharmacovigilance inspections now form part of standard regulatory oversight in many emerging markets. Inspections commonly review: 

  • SOP implementation and localisation
  • Training programmes linked to regulatory roles 
  • Vendor oversight and contractual controls 
  • Signal evaluation documentation 
  • Data access and integrity controls 

Inspection outcomes increasingly include formal corrective action plans and follow-up reviews. 

Strategic Considerations for Sustainable Compliance

Effective pharmacovigilance in emerging markets requires proactive regulatory intelligence, adaptable system design, and consistent governance. Organisations that integrate pharmacovigilance into regulatory strategy achieve greater inspection readiness and regulatory confidence. 

Key considerations include: 

  • Country-specific compliance mapping 
  • Harmonised global SOPs with local annexes 
  • Defined safety governance and escalation pathways 
  • Ongoing regulatory monitoring and system review 

Conclusion

Global pharmacovigilance requirements in emerging markets now reflect the same expectations of accountability, quality, and medical oversight applied in established regulatory regions. Authorities assess not only what is reported, but how safety information informs regulatory decisions and public health protection. 

Organisations that approach pharmacovigilance as a strategic regulatory function rather than a procedural obligation are better positioned to meet evolving expectations and sustain market access. 

DDReg’s Role in Global Pharmacovigilance Compliance

DDReg’s pharmacovigilance services span end-to-end case management, signal detection support, periodic safety reporting, local safety officer provisions, inspection readiness, and regulatory intelligence across multiple jurisdictions. With a strong focus on compliance, data quality, and regulatory credibility, DDReg enables organisations to navigate evolving pharmacovigilance requirements with confidence.