Monthly Recap: China Pharmaceutical Regulatory Updates | November 2023

by Grace Wang Nov 30, 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);

  • Center for Drug Evaluation (CDE), NMPA;

  • 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 November 2023.

1. China NMPA Applies for PIC/S Membership

2. China to Adopt System for E2B (R3) Electronic Transmission of ICSRs

3. China NMPA Grants Three Rx-to-OTC Switches

4. China Includes 195 Drug Products in Its 9th National VBP

5. China NMPA Issues Inspection Regulation on Clinical Trial Institutions

6. China NMPA Consults on Anesthetics and Psychotropics Regulations

7. China CDE Releases Pharmaceutical Guidelines

8. Chinese Pharmacopoeia Commission Consults on Drafts of Drug Standards

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1. China NMPA Applies for PIC/S Membership

On November 9, 2023, China NMPA announced that Pharmaceutical Inspection Co-operation Scheme (PIC/S) had confirmed the NMPA’s applicant status. NMPA said it would continue to seek the full membership to enhance inspection system and standards as well as promote the modernization of drug regulation in China.

2. China to Adopt System for E2B (R3) Electronic Transmission of ICSRs

On November 1, 2023, China CDE and National Center for ADR Monitoring jointly announced that they would adopt the same system for electronic transmission of individual case safety reports (ICSRs) according to the ICH E2B (R3) message standard.

The system’s trial operation will last one year, starting from 17:00 pm on November 6, 2023. During the trial period, users who are registered with the old system can submit ICSRs via either the new or old system, while new users must submit ICSRs through the new system.

3. China NMPA Grants Three Rx-to-OTC Switches

On November 22, 2023, China NMPA declared the approval of three Chinese patent medicines for of Rx-to-OTC switches. The medicines are as follows:

1) Lotus Cough Relief Tablets (Lianhua Qingke Pian);

2) Ziyin Yiwei Capsules (Ziyin Yiwei Jiaonang);

3) Pediatric Qizha Oral Solution (Xiao'er Qizha Koufu Ye).

View the full OTC Catalog at BaiPharm Database.

4. China Includes 195 Drug Products in Its 9th National VBP

On November 16, 2023, China Joint Drug Procurement Office announced the official list of 195 products (44 drugs when classified by active ingredients) that have successfully won the bid to participate in the 9th national volume-based procurement (VBP) program, a program of bulk-purchase of medicines for public healthcare institutions. The procurement process is scheduled to commence in March 2024, and the specific commencement dates will be released by local governments.

5. China NMPA Issues Inspection Regulation on Clinical Trial Institutions

On November 3, 2023, China NMPA released the Measures for the Supervision and Inspection of Drug Clinical Trial Institutions (Trial), which is set to take effect on March 1, 2024. The regulation is for inspecting whether the institutions follow GCP and other relevant rules in the process of filing for and conducting clinical trials for drug registration.

6. China NMPA Consults on Anesthetics and Psychotropics Regulations

On November 6, 2023, China NMPA published the draft Administrative Regulations on Experiments and Researches on Anesthetics and Psychotropics for public feedback. The draft requires that applicants must get NMPA’s approval before conducting pre-clinical experiments and researches with the aim of obtaining marketing authorization for anesthetics and psychotropics in China.

7. China CDE Releases Pharmaceutical Guidelines

In November 2023, CDE issued the following guidelines:

No

Guidelines

Authority

Status

Issued

Enforced

1

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

CDE

In force

03/11/2023

03/11/2023

2

Technical Guidelines on Quality Control Research for the Manufacturing Process of Oral Traditional Chinese Medicines

CDE

Draft

06/11/2023

/

3

Statistics Guidelines on Clinical Trials for Vaccines

CDE

Draft

06/11/2023

/

4

Technical Guidelines on Clinical Research & Development of New Traditional Medicines for Diabetic Retinopathy

CDE

In force

14/11/2023

14/11/2023

5

Guidelines on the Management and Review of the Compliance Information of Research Institutions and Manufacturers for Drug Registration

CDE

Draft

15/11/2023

/

6

Q&As on Researches on Changes to Chemistry, Manufacturing, and Controls of CAR-T Cell Therapeutic Products

CDE

In force

16/11/2023

16/11/2023

7

Measures for Accelerating the Communication and Application for Compound Traditional Chinese Medicine in Ancient Classic Prescriptions

CDE

In force

22/11/2023

22/11/2023

8

Technical Guidelines on the Safety Information Report and Risk Communication Between Participants in Clinical Trials for Drugs

CDE

Draft

23/11/2023

/

9

1) Bioequivalence Guidelines on Dydrogesterone Tablets

2) Bioequivalence Guidelines on Compound Glycyrrhizin Tablets

CDE

Draft

23/11/2023

/

10

Guidelines on the Application of Real-world Data Based on Disease Registry

CDE

Draft

24/11/2023

/

11

1) Guidelines on the Compilation of Medication Package Inserts (Simplified Version and Big Font Version)

2) Format Requirements for Digital Medical Package Inserts (Complete Version)

CDE

In force

24/11/2023

24/11/2023

12

Technical Guidelines on Decentralized Clinical Trials in the Clinical Development of Rare Disease Drugs

CDE

Draft

24/11/2023

/

13

CDE’s Detailed Work Rules on Adding Pediatric Medication Information to the Medication Package Inserts of Approved Drugs

CDE

Draft

28/11/2023

/

14

Guidance for the Acceptance Review of Drug Change Applications

CDE

Draft

28/11/2023

/

8. Chinese Pharmacopoeia Commission Consults on Drafts of Drug Standards

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

No.

Draft standard

Type

Consultation

1

1146 Determination of Histamine

General chapter

01/11/2023-31/01/2024

2

1210 Bioassay of Oxytocin

General chapter

01/11/2023-31/01/2024

3

1209 Bioassay of Chorionic Gonadotropin

General chapter

01/11/2023-31/01/2024

4

1211 Bioassay of Insulins

General chapter

01/11/2023-31/01/2024

5

1213 Bioassay of Protamine Sulfate

General chapter

01/11/2023-31/01/2024

6

1215 Test for the Toxicity of Sodium Antimony Gluconate

General chapter

01/11/2023-31/01/2024

7

9306 Guidelines on the Control of Genotoxic Impurities

Guideline

01/11/2023-31/01/2024

8

Bicyclol

Chemical drug monograph

02/11/2023-01/02/2024

9

Bicyclol Tablets

Chemical drug monograph

02/11/2023-01/02/2024

10

Shangke Dieda Tablets (Shangke Dieda Pian)

TCM monograph

14/11/2023-15/12/2023

11

Gummi Tragacanthae

Excipient monograph

14/11/2023-13/02/2024

12

Sucrose

Excipient monograph

14/11/2023-13/02/2024

13

Guidelines on the Determination of Aluminum Impurities in Compound Amino Acid Injections

Guideline

14/11/2023-13/02/2024

14

Pharynx-clearing Tablets (Qingye Pian)

TCM monograph

15/11/2023-14/02/2024

15

0731 Protein Content Assay

General chapter

16/11/2023-15/02/2024

16

Guidelines on Rheology

Guideline

16/11/2023-15/02/2024

17

Jinsang Kaiyin Capsules (Jinsang Kaiyin Jiaonang)

TCM monograph

21/11/2023-22/12/2023

18

Guidelines on Elemental Impurities

Guideline

21/11/2023-22/12/2023

19

0861 Determination of Residual Solvents

General chapter

21/11/2023-20/02/2024

20

0931 Determination of Dissolution and Release

Method 8: Reciprocating Holder Method

General chapter

21/11/2023-20/02/2024

21

Intestine-moistening Pills (Runchang Wan)

TCM monograph

22/11/2023-23/12/2023

22

Burn Relief Spray

TCM monograph

22/11/2023-23/12/2023

23

Tongguanteng Oral Solution (Tongguanteng Koufu Ye)

TCM monograph

22/11/2023-23/12/2023

24

Musk Zhenggu Tincture (Shexiang Zhenggu Ting)

TCM monograph

22/11/2023-23/12/2023

25

Bingyong Tongmai Tablet (Bingyong Tongmai Pian)

TCM monograph

23/11/2023-24/12/2023

26

Fried Viticis Fructus (Vitex rotundifolia) Composition Granules

TCM monograph

24/11/2023-25/12/2023

27

Jianbaoling Granules (Jianbaoling Keli)

TCM monograph

28/11/2023-27/02/2024

28

TCM Composition Granules

TCM monograph

28/11/2023-27/02/2024

29

Lizhong Pills (Lizhong Wan) (Extract Pills)

TCM monograph

28/11/2023-27/02/2024

30

Dynamic Vapor Sorption Method

General chapter

29/11/2023-28/02/2024

31

Pholcodine

Chemical drug monograph

29/11/2023-28/02/2024

32

Pholcodine Tablet

Chemical drug monograph

29/11/2023-28/02/2024

33

Heart Relief Capsules (Xinkening Jiaonang)

TCM monograph

30/11/2023-29/02/2024

34

Composition Folium Isatidis Suppository (Fufang Daqingye Shuan)

TCM monograph

30/11/2023-29/02/2024

Contact BaiPharm if you are interested in learning more about drug regulations in China.

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Grace Wang
ChemLinked Regulatory Analyst & Editor
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