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Article History

Received: 29 September 2025

Accepted: 17 December 2025

First Online: 14 January 2026

Declarations

:

: While the International Working Group was funded by Pharmaceutical Companies, the authors declare that the research was conducted in the absence of any commercial or financial influence. HD is an employee of Gilead Sciences and owns stock in this company. MH is an employee of Merck KgaA. SL, DC, TA, AB, DM, AY and MY have no conflicts of interest to declare. FH, EP and SS are Editorial Board members of Drug Safety . These authors were not involved in the selection of peer reviewers for the manuscript nor any of the subsequent editorial decisions. The views expressed in this paper are those of the authors and do not necessarily reflect those of the authors’ institutions or their stakeholders.

: Based on UK regulation, ethics approval was not required for this study owing to the nature of this work.

: Participants in the study were informed in writing of the study purposes, including publication of the results, and provided a statement of informed consent prior to participating in the study.

: All participants were provided with the finalised version of the results. Feedback of the participants on the results was incorporated.

: The dataset for this study consists of the focus group recordings, in verbatim transcripts and Atlas codes. Owing to privacy regulations, the full recordings and transcripts cannot be shared.

: Atlas codes can be made available on reasonable request to the corresponding author.

: All authors were involved in the conception of the focus group or in the survey preceding this focus group. Setting up the focus group and analysis was performed by FH, SL and DC. Drafting the work was done by FH, SL and DC. All others were involved in revising it critically. All authors provided approval for publication of the content and agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. All authors read and approved the final version.