Japan Pharma Regulatory Brief

PMDA review time · approval batches · NHI listing

How long does PMDA approval take? Japan's new-drug timeline from filing to NHI price

PMDA's official review-time targets and what it actually achieved, the standard review stages, and the days we measure between the MHLW committee, the approval letter and the NHI price listing, from every approval since April 2024.

Updated 2026-10-30 · 369 approvals in 25 batches · official figures to FY2025 (Sep)

Short answer. PMDA’s target is 12 months from filing to approval for a standard new-drug application and 9 months for priority review, each measured at the 80th percentile, and it is meeting them: in FY2024 the 80th-percentile total review time was 12.0 months for standard products (95 approvals) and 8.9 months for priority products (40 approvals); the one SAKIGAKE product took 4.8 months (PMDA FY2024 results, Dec 2025 update). The median for new active ingredients approved in calendar 2024 was 10.0 months (n=63), against 9.9 in the US and 14.0 in the EU (JPMA OPIR). After the review, our own data show a median 22 days from the MHLW committee meeting to the approval letter and 55 days from approval to the NHI price listing.

12 motarget total review time, standard new drug (80th percentile); FY2024 achieved 12.0
9 motarget for priority review (80th percentile); FY2024 achieved 8.9
22 daysmedian MHLW committee → approval, our data (n=272, 10th–90th pct 19–28)
55 daysmedian approval → NHI price listing (n=73; 66% within 60 days, 89% within 90)

The Japanese new-drug timeline, step by step

  1. Pre-filing consultations with PMDA (optional, paid)Clinical-trial and pre-NDA consultations are booked on a monthly intake, about 2–3 months from request to meeting. Fees, intake rules and waiting times are on the PMDA consultation fees & timelines page.
  2. Filing (承認申請) → PMDA reviewTotal review time counts from filing to approval and includes the applicant’s own response time. Target: 12 months standard, 9 months priority, 6 months SAKIGAKE, at the 80th percentile (5th Mid-term Plan, FY2024–FY2028). The standard review stages below come from MHLW’s published standard timeline.
  3. MHLW committee (薬事審議会 医薬品第一部会 / 第二部会)PMDA’s review report goes to the committee, which deliberates (審議) new active ingredients or notes (報告) smaller changes. From the committee meeting to the approval letter: median 22 days in our data (57 meetings since 2024-04).
  4. Approval (承認) — in batchesMHLW signs approvals in batches, 25 of them from 2024-05-17 to 2026-09-16 in our data; the large ones (20 batches of five or more products) fell in Feb, Mar, May, Jun, Aug, Sep, Nov, Dec. Every batch is on the drug approvals page.
  5. NHI price listing (薬価収載)Within 60 days as a rule, at the latest 90 days: Chuikyo approves the price and the drug enters the NHI list the following week. Median 55 days in our data; committee meeting to listing 83 days. Prices and premiums of each round: NHI price listings.
  6. Launch, then re-examinationRe-examination periods of 8 years (new active ingredient; 10 for orphans) define the earliest generic entry; see the generic entry calendar. Products with a peak forecast of ¥10bn or more go to cost-effectiveness evaluation (HTA tracker).

Official targets and achieved review times (5th Mid-term Plan, FY2024–FY2028)

CategoryTarget (total review time)FY2024 achievedFY2024 approvalsFY2025 to end-SepFY2025 approvals (to Sep)
New drugs, priority review (優先品目)9 months at the 80th percentile8.9 months40 (38 met)8.9 months24
New drugs, standard review (通常品目)12 months at the 80th percentile12.0 months95 (84 met)11.6 months51
New drugs, SAKIGAKE / pioneering designation6 months4.8 months (one product)1 (1 met)——

Total review time = filing to approval, including the time the applicant takes to answer inquiries. Applications filed on or after the 16th of a busy month are counted from the 1st of the next month, and administrative delay between the committee month and approval beyond two months is capped at two months (plan wording). Sources: PMDA, 令和6事業年度業務実績【概要】 p.7 and 令和7年度のこれまでの事業実績及び今後の取組について (Dec 2025) p.3; plan overview MHLW. Translated by us.

Medical devices

CategoryTargetFY2024 achievedFY2025 to end-Sep
New medical devices, priority10 months (median)8.5 months8.9 months
New medical devices, standard14 months at the 80th percentile11.7 months12.0 months
Improved devices with clinical data10 months at the 60th percentile9.0 months9.0 months
Improved devices without clinical data6 months at the 60th percentile6.0 months5.8 months
Generic (me-too) devices4 months at the 60th percentile3.8 months3.6 months

Device targets exclude applications where the applicant needed longer than the target to complete its dossier. Source: PMDA Dec 2025 update, pp.27–28 (same PDF). New device approvals themselves: device approvals page.

What happens inside the 12 months: MHLW’s standard review timeline

MHLW published the standard stage lengths that add up to the 12-month target (ranges are the total time allowed for PMDA and the applicant at each stage, based on past performance; applicable when no particular concern arises).

StageTime
Filing → initial meeting (incl. GLP/GCP and data-integrity assessment)1.9–2.5 months
Initial meeting → inquiries on important issues0.2–0.7 months
Inquiries → expert discussion4.7–8.3 months
Expert discussion → review report completed1.2–1.9 months
Review report → MHLW committee → approval0.7–1.9 months

Source: MHLW Evaluation and Licensing Division, Administrative Notice of 30 March 2012, “On the Standard Review Timeline for New Drug Applications” (PMDA provisional English translation, PDF). GMP inspection runs in parallel with the review.

Approval batches, 2024-05 to 2026-09

MHLW approves new drugs in batches a few times per quarter. The table lists every batch in our data (369 approvals; FY2024 10 batches, FY2025 10 batches, FY2026 5 batches), with how many were new active ingredients and how many carried priority, orphan, SAKIGAKE or conditional flags on PMDA’s list.

Approval dateApprovalsNew active ingredientsPriorityOrphanSAKIGAKEConditional
2026-09-1632121211—2
2026-08-2423511112—
2026-06-192981212——
2026-05-189222——
2026-05-111100——
2026-03-2320455—1
2026-03-061111——
2026-02-1915333——
2025-12-22221299——
2025-11-207033——
2025-09-19331288—1
2025-08-2512344——
2025-08-081100——
2025-06-2419699——
2025-05-1910233——
2025-03-2722777——
2025-02-207100——
2024-12-27251566——
2024-11-228011——
2024-09-2432141512——
2024-09-131000——
2024-09-051000——
2024-08-288011——
2024-06-242511431—
2024-05-176000——

Across all 369 approvals: standard review 253, priority 116, orphan 111, public-knowledge-based 22, SAKIGAKE 3, conditional 4. Flags as printed on PMDA’s approval lists.

Review time is not the bottleneck: the drug lag

Japan’s review clock is among the fastest, but a drug reaches Japan late when its Japanese filing comes late. PMDA estimates the median drug lag for new active ingredients filed in Japan in FY2024 at 2.0 years, of which the review lag is 0 years and the development lag (gap between the US filing and the Japanese filing) is 2.0 years (PMDA, Dec 2025, p.12). On this site, the median wait between first FDA approval and Japanese approval for new active ingredients approved in FY2024–FY2026 is 876 days (n=97); versus EMA 647 days (n=82). Drugs that have not been filed in Japan at all are on the drug-loss list.

Questions people ask

How long does PMDA take to approve a new drug?

The target is 12 months from filing for a standard application and 9 months for priority review, at the 80th percentile. FY2024 results were 12.0 and 8.9 months. The 2024 median for new active ingredients was 10.0 months (JPMA OPIR).

What is priority review in Japan?

Orphan drugs and drugs for serious diseases with high medical need are designated for priority review (優先審査); the review target drops from 12 to 9 months. In our data 116 of 369 approvals since April 2024 carried the priority flag, most of them orphan drugs.

How long after approval is the NHI price listed?

Within 60 days as a rule and 90 days at the latest. Our observed median is 55 days; 66% of listings were within 60 days and 89% within 90.

Does a foreign company need a Japanese phase 1 study before joining a global trial?

Not as a rule. MHLW’s notice of 25 December 2023 states that a phase 1 study in Japanese subjects before a multi-regional trial is in principle not required when the available data can explain the safety and tolerability of the planned dose in Japanese participants, and that for drugs with high unmet need (rare, serious or pediatric diseases) Japan may join the global trial without a Japanese phase 1 study given appropriate informed consent (医薬薬審発1225第2号, PDF). Whether it applies is product-specific; the consultation route is the way to settle it with PMDA (PMDA consultations).

Sources & attribution

Content under the Public Data License 1.0 (PDL1.0) is used under PDL1.0 (compatible with CC BY 4.0). Figures quoted from PMDA documents are our unofficial translation; the Japanese originals prevail. “Our data” figures are computed from public MHLW / PMDA documents and can be wrong where names failed to match. This site is independent and not affiliated with PMDA, MHLW or JPMA. Not regulatory advice.

Last checked against official sources: .