China Promotes the Development of 39 Generics to Meet Domestic Clinical Needs

by Grace Wang Dec 27, 2023

On December 25, 2023, China’s National Health Commission (NHC) and four other authorities jointly issued the third list of encouraged generic drugs. The list comprises 39 drugs based on their active ingredients, encompassing a total of 75 different strengths.

The foremost purpose for releasing this list is to address the clinical needs within the country. Many of the drugs included in the list have not yet received approval in China but have been approved overseas. Examples of such drugs include:

  • Patisiran, a small interfering RNA (siRNA) medication, indicated for the treatment of genetic transthyretin-mediated amyloidosis in adults, and

  • Voclosporin, an oral medication, indicated in combination with immunosuppressants for the treatment of active lupus nephritis in adults.

While some of the drugs in the list have already been approved in China, there is still a risk of short supply due to the high demand of clinical settings. To address this issue, the authorities are encouraging the industry to develop these drugs, including facilitating clinical trials, prioritizing their review and approval process, as well as supporting research on critical generic technologies.

Prior to this third list, China had previously released two lists of encouraged generics, which included a total of 51 drugs based on their active ingredients. Since the two lists were issued, 33 out of the 51 listed drugs have been approved in China, with 14 of them approved via priority review. Furthermore, 12 out of the approved generics have entered the National Reimbursement Drug List (NRDL), which promotes their availability and coverage under the national basic healthcare insurance. 

For the complete third list of encouraged generic drugs, please refer to the table below. To access information on the previous two lists, you can visit the BaiPharm Database.

Table: The third list of encouraged generic drugs in China

No.

API

Dosage form

Strength

3-1

Binimetinib

Tablet

15 mg

3-2

Voclosporin

Capsule

7.9 mg

3-3

Idelalisib

Tablet

0.1 g

3-3

Idelalisib

Tablet

0.15 g

3-4

Eltrombopag

Tablet

25 mg

3-4

Eltrombopag

Tablet

50 mg

3-5

Raltegravir

Powder for Suspension

0.1 g

3-6

Lifitegrast

Ophthalmic Solution

0.05

3-7

Lurbinectedin

Injection

4 mg

3-8

Lusutrombopag

Tablet

3 mg

3-9

Pimavanserin

Tablet

10 mg

3-9

Pimavanserin

Tablet

17 mg

3-9

Pimavanserin

Capsule

34 mg

3-10

Relugolix

Tablet

0.12 g

3-10

Relugolix

Tablet

40 mg

3-11

Telavancin

Powder for Injection

0.25 g

3-11

Telavancin

Powder for Injection

0.75 g

3-12

Tucatinib

Tablet

50 mg

3-12

Tucatinib

Tablet

0.15 g

3-13

Fostamatinib

Tablet

0.1 g

3-13

Fostamatinib

Tablet

0.15 g

3-14

Naloxegol

Tablet

12.5 mg

3-14

Naloxegol

Tablet

25 mg

3-15

Patisiran

Injection

5 ml: 10 mg

3-16

Rucaparib

Tablet

0.25 g

3-16

Rucaparib

Tablet

0.3 g

3-17

Tivozanib

Capsule

0.89 mg

3-17

Tivozanib

Capsule

1.34 mg

3-18

Aripiprazole

Extended-release Injection

1.6 ml: 0.441 g

3-18

Aripiprazole

Extended-release Injection

2.4 ml: 0.675 g

3-18

Aripiprazole

Extended-release Injection

3.2 ml: 0.96 g

3-19

Armodafinil

Tablet

50 mg

3-19

Armodafinil

Tablet

0.2 g

3-20

Asenapine

Sublingual Tablet

2.5 mg

3-20

Asenapine

Sublingual Tablet

5 mg

3-20

Asenapine

Sublingual Tablet

10 mg

3-21

Olanzapine + Samidorphan, combinations

Tablet

15 mg: 5 mg olanzapine and 10 mg samidorphan

3-21

Olanzapine + Samidorphan, combinations

Tablet

20 mg: 10 mg olanzapine and 10 mg samidorphan

3-21

Olanzapine + Samidorphan, combinations

Tablet

25 mg: 15 mg olanzapine and 10 mg samidorphan

3-21

Olanzapine + Samidorphan, combinations

Tablet

30 mg: 20 mg olanzapine and 10 mg samidorphan

3-22

Bempedoic Acid

Tablet

0.18 g

3-23

Vandetanib

Tablet

0.1 g

3-23

Vandetanib

Tablet

0.3 g

3-24

Fidaxomicin

Tablet

0.2 g

3-25

Gabapentin Enacarbil

Extended-release Tablets

0.3 g

3-25

Gabapentin Enacarbil

Extended-release Tablets

0.6 g

3-26

Cabozantinib

Capsule

20 mg

3-26

Cabozantinib

Capsule

80 mg

3-26

Cabozantinib

Tablet

20 mg

3-26

Cabozantinib

Tablet

40 mg

3-26

Cabozantinib

Tablet

60 mg

3-27

Cabotegravir

Extended-release Injection

3 ml: 0.6 g

3-28

Revefenacin

Solution for Inhalation

3 ml: 0.175 mg

3-29

Lisdexamfetamine

Capsule

10 mg

3-29

Lisdexamfetamine

Capsule

20 mg

3-29

Lisdexamfetamine

Capsule

40 mg

3-29

Lisdexamfetamine

Chewable Tablet

10 mg

3-29

Lisdexamfetamine

Chewable Tablet

20 mg

3-29

Lisdexamfetamine

Chewable Tablet

40 mg

3-30

Relugolix + Estradiol + Norethindrone, combinations

Tablet

41.5 mg: 40mg relugolix, 1 mg estradiol, and 0.5 mg norethindrone

3-31

Eplerenone

Tablet

25 mg

3-31

Eplerenone

Tablet

50 mg

3-32

Nitazoxanide

Tablet

0.5 g

3-32

Nitazoxanide

Suspension

5 ml: 0.1 g

3-33

Clobazam

Tablet

20 mg

3-33

Clobazam

Film

5 mg

3-33

Clobazam

Film

10 mg

3-33

Clobazam

Film

20 mg

3-33

Clobazam

Suspension

1 ml: 2.5 mg

3-34

Gallium-68 Dotatate

Injection

10 ml: 20 mCi

3-35

Fluorine-18 Fluorodopa

Injection

10 ml: 40.5 mCi

3-36

Fluorine-18 Fluoroestradiol

Injection

10 ml: 40.5 mCi

3-37

Fluorine-18 Sodium Fluoride

Injection

10 ml: 40.5 mCi

3-38

Fluorine-18 Flortaucipir/18F-AV1451

Injection

10 ml: 40.5 mCi

3-39

lodine I-123 Iobenguane/MIBG

Injection

10 ml: 20 mCi

Related: How to Submit Abbreviated New Drug Application (ANDA) for Generic Drugs in China

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Grace Wang
ChemLinked Regulatory Analyst & Editor
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