Monthly Recap: China Pharmaceutical Regulatory Updates | July 2023

by Grace Wang Aug 11, 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 the 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 July 2023.

1. China Publishes Administrative Measures for Drug Standards

2. China Announces Customs Codes of Anesthetics and Psychotropic Drugs

3. China Rolls out the 70th RLD List

4. China Grants Four Rx-to-OTC Switches

5. China Revises Drug Inspection Regulation

6. China Issues Draft Regulation on Inspection of Clinical Trial Institutions

7. China Releases Pharmaceutical Guidelines

8. China Consults on Drafts of Drug Standards 

1. China Publishes Administrative Measures for Drug Standards

On July 5, China NMPA issued the Administrative Measures for Drug Standards, which will take effect on Jan. 1, 2024. China’s drug standards refer to any of the following three standards:

1) National drug standards in the Chinese Pharmacopoeia; drug standards issued by NMPA;

2) Drug registration standards proposed by drug registration applicants, then verified and determined by CDE;

3) TCM standards made by provincial medical products administrations.

Find out what drug applicants and marketing authorization holders should do about drug standards at BaiPharm News.

2. China Announces Customs Codes of Anesthetics and Psychotropic Drugs

On July 5, China NMPA and the General Administration of Customs (GACC) declared the customs codes for oliceridine, an anesthetic, as well as suvorexant, perampanel, eptazocine, and tramadol, four psychotropic drugs.

China has been reining in the supervision of tramadol, etazocine, and perampanel. Starting on July 1 this year, manufacturers of the three drugs must apply for manufacturing qualification to be recognized by the local provincial medical products administration, and file the production plan for 2023. 

Get more details at BaiPharm News

3. China Rolls out the 70th RLD List

On July 17, China NMPA released the 70th list of reference listed drugs (RLDs), including 21 drugs, e.g., AstraZeneca's Sodium Zirconium Cyclosilicate Powder, Biohaven's Rimegepant Sulfate. 

View the full RLD catalog at ChemLinked BaiPharm Database.

RELATED: China Abbreviated New Drug Application (ANDA) for Generic Drugs 

4. China Grants Four Rx-to-OTC Switches

On July 25, China NMPA announced Rx-to-OTC switches of four traditional Chinese medicines (TCMs):

Notes: Texts in the four parentheses below are Chinese Pinyin of the TCMs’ names.

1) Yinhuang Buccal Tablets (Yinhang Hanpian)

2) Sleep-benefiting Combination Preparation (Mian’anning Heji)

3) Jingtian Acne-ameliorating Tablets (Jintian Quban Pian)

4) Xinghe Cough-relieving Syrup (Xinghe Zhike Tangjiang)

View the full OTC drug catalog at ChemLinked BaiPharm Database.

RELATED: China Updates Documentation Requirements for Rx-to-OTC Switch Applications 

5. China Revises Drug Inspection Regulation

On July 21, 2023, China NMPA released the revised Administrative Measures for Drug Inspections (Trial) (hereafter referred to as the Inspection Measures) with immediate effect. The revisions mainly took place in “Chapter 3 Inspection Procedures” and “Chapter 9 Handling of Inspection Conclusion”. 

The Inspection Measures, first issued in May 2021, has replaced two abolished regulations—Administrative Measures on the Certification of Good Supply Practices (GMP) for Drugs and Administrative Measures on the Certification of Good Manufacturing Practices (GSP) for Drugs

The Inspection Measures, first issued in May 2021, has replaced two abolished regulations—Administrative Measures Good Supply Practices (GMP) Certification and Administrative Measures on Good Manufacturing Practices (GSP) Certification, as China has cancelled the GMP and GSP certifications since the revised Drug Administration Law took effect in 2019. 

Get more details at BaiPharm News.

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6. China Issues Draft Regulation on Inspection of Clinical Trial Institutions

On July 3, China released the draft of Supervision & Inspection Measures for Drug’s Clinical Trial Institutions. The inspections are divided into four categories:

Inspection

Definition

The first Inspection after filing

Ÿ   For clinical trial institutions that have just filed their information to NMPA, or have just changed the filed information (e.g., to add a new academic discipline involved in the clinical trial, a change of the institution’s address, etc.)

Ÿ   Conducted within 60 workdays after the first filing or the change to the filed information.

Ÿ   Focusing on verifying the filed information.

Routine inspection

Ÿ   Made based on the annual inspection plan and in consideration of risks and randomness.

Ÿ   Focusing on whether the institution comply with laws, regulations, and GCP, and whether it has corrected the deficiencies found in previous inspections.

For-cause inspection

Ÿ   Targeted at institutions that have problems with potential safety risks, or are complained or reported to have illegalities.

Ÿ   Possibly with no notification in advance.

Other inspection

Ÿ   Other inspections other than the above three.

Ÿ   E.g., random inspection by NMPA, and special inspection by provincial-level regulators.

RELATED: China GLP Certification Regulation Takes Effect on July 1, 2023

7. China Releases Pharmaceutical Guidelines

In July 2023, China drug regulators issued the following guidelines:

No.

Draft Guidelines

Authority

Status

Issued

Enforced

1

ICH Guideline M10 on Bioanalytical Method Validation and Study Sample Analysis-Q&As and FAQs

ICH & NMPA

In force

04/07/2023

29/07/2023

2

1) Technical Guidelines on Designing Patient-centered Clinical Trials for Drugs (Trial)

2) Technical Guidelines on Conducting Patient-centered Clinical Trials for Drugs (Trial)

3) Technical Guidelines on Patient-centered Benefit-risk Assessment of Drugs (Trial)

CDE

In force

27/07/2023

27/07/2023

3

Guidelines on Identifying, Handling, and Evaluating Drug-induced Liver Injury in Clinical Trials

CDE

In force

10/07/2023

10/07/2023

4

Technical Guidelines on Clinical Trials for Human Papillomavirus (HPV) Vaccines (Trial)

CDE

In force

11/07/2023

11/07/2023

5

Guidelines on Natural History Studies for the Development of Rare Disease Drugs

CDE

In force

27/07/2023

27/07/2023

6

Guidance for the Acceptance Review of Marketing Authorization Applications of Chemical Drugs’ Active Pharmaceutical Ingredients (Trial)

CDE

In force

03/07/2023

03/07/2023

7

Work Procedures for Adding Pediatric Information to the Medication Package Inserts of Approved Drugs (Trial)

CDE

In force

04/07/2023

04/07/2023

8

Technical Guidelines on Preparation and Research on Investigational Drugs for New TCMs’ Clinical Trials (Trial)

CDE

In force

25/07/2023

25/07/2023

9

Technical Guidelines on Chemistry, Manufacturing, and Control (CMC) Studies of TCM Combination Preparations

CDE

In force

25/07/2023

25/07/2023

10

Opinions on Accelerating the Communication about and Application of TCM Combination Preparations Originated from Ancient Classic Prescriptions

CDE

Draft

05/07/2023

/

11

Technical Requirements for the Electronic Compact Disks Containing Application Dossiers

CDE

Draft

07/07/2023

/

12

CDE Work Procedures for Safety Information Assessment and Risk Management During Clinical Trials for Drugs (Trial) (Revised)

CDE

Draft

10/07/2023

/

13

Technical Guidelines on Clinical Development of New TCMs for Diabetic Retinopathy

CDE

Draft

17/07/2023

/

14

Technical Guidelines on Human Radiolabeled Mass Balance Studies

CDE

Draft

24/07/2023

/

15

Technical Guidelines on CMC Study and Clinical Trial Evaluation for In Vivo Gene Therapy with Adeno-associated Virus as a Vector

CDE

Draft

25/07/2023

/

16

Technical Guidelines on Communications About Clinical Studies on Cell and Gene Therapies

CDE

Draft

25/07/2023

/

17

1) Guidelines on Bioequivalence of Acetylcysteine Granules

2) Guidelines on Bioequivalence of Etomidate Injectable Emulsion

3) Guidelines on Bioequivalence of Epalrestat Tablets

4) Guidelines on Bioequivalence of Thioctic Acid Tablets

5) Guidelines on Bioequivalence of Lidocaine and Prilocaine Cream

CDE

Draft

27/07/2023

/

18

Technical Guidelines on Pharmacological Studies on Improved Chemical Drugs

CDE

Draft

28/07/2023

/

8. China Consults on Drafts of Drug Standards

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

No.

Draft Standard

Type

Consultation Period

1

Isopropyl Alcohol

Excipient monograph

26/07/2023-25/10/2023

2

Sorbic Acid

Excipient monograph

28/07/2023-27/10/2023

3

Combination Pumpkin Yangyin Granules (Fufang Nangua Yangyin San)

TCM monograph

07/07/2023-07/10/2023

4

Anshen Yangxue Oral Solution (Anshen Yangxue Koufuye)

TCM monograph

07/07/2023-07/10/2023

5

Jixueteng Granules (Jixueteng Keli)

TCM monograph

08/07/2023-07/10/2023

6

Chrysanthemum Formulation Granules (Jvhua Peifang Keli)

TCM monograph

13/07/2023-13/08/2023

7

Canger’zi Rhinitis Capsules (Canger’zi Biyan Jiaonang)

TCM monograph

13/07/2023-13/08/2023

8

Feining Granules (Feining Keli)

TCM monograph

13/07/2023-13/08/2023

9

Shengxuebao Combination Preparation (Shengxuebao Heji)

TCM monograph

13/07/2023-13/08/2023

10

Ziqi Cough-relieving Oral Solution (Ziqi Keke Koufuye)

TCM monograph

26/07/2023-25/10/2023

11

Bushen Jiangu Capsules (Bushen Jiangu Jiaonang)

TCM monograph

28/07/2023-28/08/2023

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

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Grace Wang
ChemLinked Regulatory Analyst & Editor
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