Update: China CROs' Performance in 2022
China's CRO Market Size
In 2020, China's CRO market grew to 522 billion yuan1 (circa 77.22 billion USD), increasing by 9.43% year on year. By estimation, the Chinese CRO market size will leap to 1,500 billion yuan (circa 221.91 billion USD) by 2025.
China's Regulatory Reforms Spur CRO Growth
China's Good Clinical Practices (GCP), effective since 2003, permits clinical trial sponsors to entrust trial-related tasks to CROs.
In 2012, China started requiring generic drugs to pass the Quality and Therapeutic Equivalence Evaluation with originator drugs / reference listed drugs. Thus, many generic manufacturers turn to CRO for bioequivalence (BE) studies to provide essential evidence for therapeutic equivalence.
The revised Drug Administration Law revised in 2019 allows the separation between marketing authorization holder (MAH) and manufacturer. Thus, R&D institutions, including CROs, get incentives to develop new drugs because they can be MAHs of their self-developed drugs rather than selling R&D results to manufacturers.
The Administrative Measures for Drug Registration, effective in 2020, sets up four programs for expediting marketing approval, which favor the R&D of innovative drugs with high clinical value.
China's drug regulatory reforms generally encourage innovation. During the process, CROs thrive as innovative drug R&D service providers.
Leading Chinese CROs
The following is a list of leading Chinese CROs, which all realized revenue growth in 2021.
Revenue (RMB mm)
Notes: 1,2, and 3 refer to service scopes: 1. Compound discovery; 2. Pre-clinical study; 3. Clinical study.
Biology; small molecule (CRDMO); drug R&D and medical device testing; clinical research; oligonucleotide (CRDMO); peptide (CRDMO); cell therapy and gene therapy, etc.
Laboratory chemistry; biosciences; chemistry, manufacturing & control (CMC); safety assessment; radiolabeled sciences; clinical development; biologics, cell & gene therapy, etc.
Regulatory affairs; clinical operations; biometrics; integrated technology services; medical devices/IVD; post-marketing/real world evidence/vaccine, etc.
R&D and cGMP production of advanced intermediates, APIs, chemical drug products, and biologics; regulatory affairs, etc.
Small molecule API and intermediate CDMO services; drug product CDMO services; biologics CDMO services; client-oriented program management; global licensing & partnering, etc.
Discovery chemistry; biology & pharmacology; DMPK/Tox studies; discovery biologics; small molecule CMC; biologics CMC, etc.
Research animals & models; discovery services; R&D and production; safety assessment; clinical trials; laboratory services; pharmacovigilance, etc.
Drug discovery; CMC research; preclinical research, etc.
Clinical research; CMC study; drug evaluation; technology transfer; data management; MAH and CDMO; NMPA & FDA application, etc.
CDMO services across plasmid, adeno-associated virus, lentivirus, adenovirus, oncolytic viruses, and cell therapy products, etc.