The MDMI Steering Group has developed a Strategic Roadmap as a living document that frames and guides the Initiative’s efforts to transform the medicines development ecosystem over the coming years. The Strategic Roadmap provides a comprehensive strategy to integrate MDTs and stakeholders in the medicines development ecosystem to ensure continued access to important medicines for all patients. The long-term goal of the Initiative and the roadmap is to create a modern approach that brings together stakeholders and creates a more integrated, streamline ecosystem that will facilitate the use and integration of MDTs.