Monthly Recap: China Pharmaceutical Regulatory Updates | August 2023

by Grace Wang Sep 08, 2023

Editor's Notes: Monthly recap is a collection of China's laws, regulations, policies, and standards on medicines, including chemicals and biologics. Generally, they are issued by these authorities:

  • National Medical Products Administration (NMPA);

  • NMPA's Center for Drug Evaluation (CDE);

  • National Health Commission (NHC);

  • National Healthcare Security Administration (NHSA);

  • National Joint Drug Procurement Office;

  • Chinese Pharmacopoeia (ChP) Commission.


The following are the regulatory updates in August 2023.

  1. China Consults on Conditional Approval Process

  2. China Rolls out 71st and 72nd Lists of RLDs

  3. China Grants Two Rx-to-OTC Switches

  4. China Releases Pharmaceutical Guidelines

  5. China Consults on Drafts of Drug Standards

1. China Consults on Conditional Approval Process

On Aug. 25, 2023, China NMPA released the revised draft of Work Process for Conditional Approval of Drug Marketing Authorization Applications (Trial).

As one of the four expedited programs for drug registration in China, conditional approval’s general requirements are briefly stated in the Provisions of Drug Registration along with other three expedited programs—breakthrough therapy, priority review, and special approval.

Now the newly revised draft focuses on the procedures of submission, review, and approval. The draft’s previous version, also the currently effective version, was issued in 2020.

Compared to the previous version, the new draft solves more problems that may have appeared in the practice, e.g., request for changing the marketing authorization holder (MAH) after the drug has been conditionally approved but not fully approved. Such a request will be dismissed according to the draft. Get more details at BaiPharm News.

2. China Rolls out 71st and 72nd Lists of RLDs

On Aug. 17 and 23, China NMPA published the 71st and 72nd lists of reference listed drugs (RLDs) respectively. The two lists cover 58 reference drugs, including Toray Industries’ Beraprost Sodium Sustained-release Tablets and GSK’s Terbinafine Hydrochloride Pigment. View the full RLD catalog at BaiPharm Database.

3. China Grants Two Rx-to-OTC Switches

In August 2023, China NMPA announced Rx-to-OTC switches of two drugs:

  1. Paracetamol Orally Disintegrating Tablets;

  2. Antiviral Dripping Pill (Kangbingdu Di Wan).

View the full OTC drug catalog at BaiPharm Database.

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4. China Releases Pharmaceutical Guidelines

In August 2023, Chinese drug regulators issued the following guidelines:

No.

Draft guidelines

Authority

Status

Issued

Enforced

1

ICH Guideline Q12 on Technical and Regulatory Considerations for Pharmaceutical Product Lifecycle Management

ICH & NMPA

In force

25/08/2023

25/08/2023

2

Technical Guidelines on Pharmacokinetic-based Criteria for Supporting Alternative Dosing Regimens of Programmed Cell Death Receptor-1 (PD-1) or Programmed Cell-ligand 1 (PD-L1) Blocking Antibodies for Treatment of Patients with Cancer

CDE

Draft

01/08/2023

/

3

Guidelines on the R&D of Oral Combination Drugs for Type-2 Diabetes Mellitus

CDE

In force

02/08/2023

02/08/2023

4

1) Technical Guidelines for Bioequivalence Studies on Azathioprine Tablets

2) Technical Guidelines for Bioequivalence Studies on Mercaptopurine Tablets

3) Technical Guidelines for Bioequivalence Studies on Regorafenib Tablets

4) Technical Guidelines for Bioequivalence Studies on Octreotide Acetate Microspheres for Injection

5) Technical Guidelines for Bioequivalence Studies on Omeprazole and Sodium Bicarbonate Capsules

6) Technical Guidelines for Bioequivalence Studies on Omeprazole and Sodium Bicarbonate for Suspension

CDE

Draft

22/08/2023

/

5

ICH M7(R2) Guideline on Assessment and Control of DNA Reactive (Mutagenic) Impurities in Pharmaceuticals to Limit Potential Carcinogenic Risk, its Questions and Answers, Addendum, as well as the Chinese versions of these documents

ICH & CDE

Draft

25/08/2023

/

6

1) Technical Guidelines on the Chemistry, Manufacturing and Controls (CMC) Change and Research on Biologics During Clinical Trial

2) Technical Guidelines on CMC Post-approval Changes of Vaccines

CDE

Draft

28/08/2023

/

5. China Consults on Drafts of Drug Standards

In August 2023, the Chinese Pharmacopoeia Commission released the following draft standards.

No.

Draft standard

Type

Consultation period

1

5400 Metal Components and Containers for Pharmaceutical Packaging

5401 Metal Tubes for Pharmaceutical Packaging for Ointment

5402 Metal Cans for Aerosol for Inhalation

5403 Metal Boxes for Preparations for External Use

5404 Metal Cans for Aerosol for External Use

5405 Aluminum-plastic Caps

5406 Aluminum Caps

5407 Aluminum Foils for Pharmaceuticals

5408 Aluminum Bottles for Pharmaceuticals

General chapter on pharmaceutical packaging

15/08/2023-14/09/2023

2

Cassette Bottles for Syringe Pens

General chapter on pharmaceutical packaging

23/08/2023-23/09/2023

3

Determination of Critical Micelle Concentration

Guideline

03/08/2023-02/11/2023

4

Apixaban

Monograph on active pharmaceutical ingredient (API)

03/08/2023-02/11/2023

5

Apixaban Tablets

Monograph on chemical drug

03/08/2023-02/11/2023

6

Potassium Sorbate

Monograph on excipient

03/08/2023-02/11/2023

7

Carbon Dioxide

Monograph on excipient

03/08/2023-02/11/2023

8

Guiqi Yangxue Yiqi Oral Solution (Guiqi Yangxue Yiqi Koufuye)

Monograph on traditional Chinese medicine (TCM)

03/08/2023-02/11/2023

9

Yelv Oil (Yelv You)

Monograph on TCM

03/08/2023-02/11/2023

10

Liuwei Gouqi Oral Solution (Liuwei Gouqi Koufuye)

Monograph on TCM

15/08/2023-14/11/2023

11

Shenrong Spleen-strengthening Tablets (Shenrong Qiangshen Pian)

Monograph on TCM

15/08/2023-14/11/2023

12

Metronidazole, Clotrimazole and Chlorhexidine Acetate Suppositories

Monograph on chemical drug

15/08/2023-14/11/2023

13

Shiduqing Tablets (Shiduqing Pian)

Monograph on TCM

15/08/2023-14/11/2023

14

Constipation-relieving Capsules (Tongbianling Capsules)

Monograph on TCM

15/08/2023-14/11/2023

15

Tongmai Granules (Tongmai Keli)

Monograph on TCM

15/08/2023-14/11/2023

16

Sanzi Rongshen Tablets (Sanzi Rongshen Pian)

Monograph on TCM

15/08/2023-14/11/2023

17

Shuxiong Tablets (Shuxiong Pian)

Monograph on TCM

15/08/2023-14/11/2023

18

Arthritis Pain-relieving Patch (Shangshi Zhitong Gao)

Monograph on TCM

15/08/2023-14/11/2023

19

Huodan Dripping Pills (Huodan Diwan)

Monograph on TCM

22/08/2023-21/11/2023

20

Sunflower Seed Oil

Monograph on excipient

22/08/2023-21/11/2023

21

Quinine Dihydrochloride Injection

Monograph on chemical drug

22/08/2023-22/09/2023

22

Determination of Impurities in Pharmaceutical Packaging

Determination method

23/08/2023-22/11/2023

23

Tianqi Menstrual Pain Capsules (Tianqi Tongjing Capsules)

Monograph on TCM

23/08/2023-22/11/2023

24

Pumpkin Yangyin Combination Granules (Fufang Nangua Yangyin San)

Monograph on TCM

23/08/2023-22/11/2023D

25

Di’ao Cardiovascular Health Capsules (Di’ao Xinxuekang Capsules)

Monograph on TCM

23/08/2023-23/09/2023

26

Spleen-strengthening Digestion-promoting Oral Solution (Bupi Xiaoji Koufuye)

Monograph on TCM

24/08/2023-23/11/2023

27

Xingnao Zaizao Pills (Xingnao Zaizao Wan)

Monograph on TCM

29/08/2023-28/11/2023

28

Olopatadine Hydrochloride

Monograph on API

31/08/2023-30/11/2023

29

Olopatadine Hydrochloride Eye Drops

Monograph on chemical drug

31/08/2023-30/11/2023

Contact BaiPharm if you’d like to know more about drug regulations in China.

Read more:

Grace Wang
ChemLinked Regulatory Analyst & Editor
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