Monthly Recap: China Pharmaceutical Regulatory Updates | September 2023

by Grace Wang Oct 08, 2023

Editor's Notes: Monthly recap is a collection of China's 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 September 2023.

1. NMPA Publishes the 2022 China Drug Evaluation Report

2. NHC Releases the 2nd Catalog of Rare Diseases

3. NMPA Adjusts Anesthetic and Psychotropic Drug Catalogs

4. CDE Unveils 2022 Report on the Progress of New Drug Clinical Trials in China

5. NMPA Grants Three Rx-to-OTC Switches

6. ICH, NMPA, and CDE Release Pharmaceutical Guidelines

7. Chinese Pharmacopoeia Commission Consults on Drafts of Drug Standards

1. NMPA Publishes the 2022 China Drug Evaluation Report

On Sept. 6, China’s NMPA released the 2022 Drug Evaluation Report. According to the report, China approved a total of 21 innovative drugs, including three first-in-class new drugs, and authorized a record high of 66 pediatric drugs last year. 

Download the 2022 annual data on China’s drug approvals at BaiPharm Insight.

2. NHC Releases the 2nd Catalog of Rare Diseases

On Sept. 20, China’s NHC and five other authorities collaborated to release the Second Catalog of Rare Diseases, which comprises 86 rare diseases across various medical specialties including hematology, dermatology, rheumatology & immunology, pediatrics, neurology, and endocrinology.

This new catalog supplements the initial announcement made in 2018, expanding the number of recognized rare diseases in China to 207. Find the full catalog at BaiPharm News.

3. NMPA Adjusts Anesthetic and Psychotropic Drug Catalogs

On Sept. 11, China’s NMPA, Ministry of Public Security, and NHC announced the adjustments to the Catalogs of Anesthetics and Psychotropic Drugs. The changes are as follows:

  1. Tegileridine is included in the Catalog of Anesthetics.

  2. Dimdazenil and etomidate (excluding pharmaceutical preparations containing etomidate that have been authorized for marketing in China) are included in the Catalog of Category II Psychotropic Drugs.

  3. Modafinil, previously categorized as a category I psychotropic drug, is recategorized as a category II psychotropic drug.

The adjustments took effect on Oct. 1, 2023.

Find out more about how China regulates anesthetics and psychotropics.

4. CDE Unveils 2022 Report on the Progress of New Drug Clinical Trials in China

On Sept. 7, CDE rolled out the 2022 Report on the Progress of New Drug Clinical Trials in China. According to the report, a remarkable total of 3,410 clinical trials were registered on CDE's clinical trial registration and publication platform in 2022, setting a new record. Among these trials, 1,974 were related to new drugs, representing a slight decrease from the 2,033 clinical trials conducted in 2021. 

Chemical drugs accounted for 50% of the registered clinical trials, while biologics constituted 40%. Notably, there were 46 clinical trials focusing on cell and gene therapies, including 12 trials specifically dedicated to mesenchymal stem cell therapies.

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5. NMPA Grants Three Rx-to-OTC Switches

On Sept. 13, China NMPA announced three formerly prescription drugs had been granted OTC status. The three drugs are all Chinese patent medicines and include:

  1. Bupleurum Falcatum Granules (Xiaochaihu Keli);

  2. Rhodiola cretinii subsp. Sinoalpina Oral Solution (Gaoshan Hongjingtian Koufuye);

  3. Zhongsheng Tablets (Zhongsheng Pian).

View the full OTC drug catalog at BaiPharm Database.

6. ICH, NMPA, and CDE Release Pharmaceutical Guidelines

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

No

Guidelines

Authority

Status

Issued

Enforced

1

ICH S12 Guideline on Nonclinical Biodistribution Considerations for Gene Therapy Products

ICH & NMPA

In force

05/09/2023

05/09/2023

2

ICH Q9 (R1) Guideline on Quality Risk Management

ICH & NMPA

In force

05/09/2023

04/03/2024

3

Guidelines on Inspections of Third-party Platforms for Drug Transactions Online

NMPA

Draft

06/09/2023

/

4

Technical Guidelines on Chemistry, Manufacturing, and Controls Changes to Chemical Drugs with Marketing Authorization (Trial)-Q&As on Changes to Active Pharmaceutical Ingredients

CDE

Draft

01/09/2023

/

5

Technical Guidelines on Clinical Trials for Human Fibrinogen (Revision)

CDE

Draft

04/09/2023

/

6

Technical Guidelines on Clinical Trials for Gene Therapies for Rare Diseases

CDE

Draft

12/09/2023

/

7

Technical Guidelines on Clinical Trials for Mesenchymal Stem Cells for Preventing and Treating Graft-versus-host Diseases

CDE

Draft

12/09/2023

/

8

Dossier Requirements for Communication Applications

CDE

Draft

18/09/2023

/

9

Technical Guidelines on Chemistry, Manufacturing, and Controls Research on Mini-tablets (Chemical Drugs)

CDE

Draft

20/09/2023

/

10

Guidelines on Nonclinical Studies on Enzyme Replacement Therapies for Rare Diseases

CDE

Draft

20/09/2023

/

11

Guidance for the Acceptance Review of Quality and Therapeutic Equivalence Evaluation Applications for Generic Drugs

CDE

Draft

25/09/2023

/

12

Technical Guidelines on Clinical Trials for Growth Hormones for Treating Growth Hormone Deficiency

CDE

Draft

25/09/2023

/

13

Technical Guidelines on Evaluating the Relevance of Adverse Events During Clinical Trials for Drugs

CDE

Draft

26/09/2023

/

14

Technical Guidelines on Nonclinical Studies on Antibody Drug Conjugates (ADCs)

CDE

In force

27/09/2023

27/09/2023

15

Technical Guidelines on Clinical Trials for Drugs for Slowing the Progression of Chronic Renal Diseases

CDE

In force

28/09/2023

28/09/2023

16

Technical Guidelines on Clinical Trials for Drugs for Treating Lupus Nephritis

CDE

In force

28/09/2023

28/09/2023

17

Technical Guidelines on Clinical Trials for Therapeutic Drugs for Multiple Sclerosis

CDE

In force

28/09/2023

28/09/2023

18

Technical Guidelines on Clinical Trials for Therapeutic Drugs for Dry Eyes

CDE

In force

28/09/2023

28/09/2023

19

Technical Guidelines on Evaluating Clinical Therapeutic Efficacy of New Traditional Chinese Medicines for Tension Headache

CDE

Draft

28/09/2023

/

20

Technical Guidelines on Chemistry, Manufacturing, and Controls Studies on Radioactive Generic Drugs

CDE

Draft

28/09/2023

/

21

Technical Guidelines on Chemistry, Manufacturing, and Controls Studies on Chemical Suspension for Nasal Spray

CDE

Draft

28/09/2023

/

22

Technical Guidelines on Overfill Studies on Generic Drugs

CDE

Draft

28/09/2023

/

23

Technical Guidelines on Chemistry, Manufacturing, and Controls Studies on Low Molecular Weight Heparins (LMWHs)

CDE

Draft

28/09/2023

/

24

Technical Guidelines on Chemistry, Manufacturing, and Controls Studies on Generic Oral Solutions

CDE

Draft

28/09/2023

/

7. Chinese Pharmacopoeia Commission Consults on Drafts of Drug Standards

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

No.

Draft standard

Type

Consultation

1

Naomaili Granules (Naomaili Keli)

Monograph on TCM

05/09/2023-05/12/2023

2

Determination of Acid-producing Capacity

General chapter

07/09/2023-08/10/2023

3

0502 Thin-layer Chromatography

General chapter

07/09/2023-08/10/2023

4

0901 Color of Solution

General chapter

07/09/2023-08/10/2023

5

0902 Clarity of Solution

General chapter

07/09/2023-08/10/2023

6

Guideline for Chemical Imaging

General chapter

07/09/2023-07/12/2023

7

0521 Gas Chromatography

General chapter

07/09/2023-07/12/2023

8

Guideline for Determining Intrinsic Dissolution

General chapter

07/09/2023-08/10/2023

9

0993 Determination of Bulk Density and Tapped Density

General chapter

07/09/2023-08/10/2023

10

Shenqi Wuweizi Syrup (Shenqi Wuweizi Tangjiang)

Monograph on TCM

07/09/2023-07/12/2023

11

Shenmai Granules (Shenmai Keli)

Monograph on TCM

07/09/2023-07/12/2023

12

Calcium Hydrogen Phosphate Dihydrate

Monograph on excipient

08/09/2023-08/12/2023

13

1101 Sterility Tests

General chapter

13/09/2023-13/12/2023

14

1105 Microbiological Examination of Nonsterile Products, Microbial Enumeration Tests

General chapter

13/09/2023-13/12/2023

15

1106 Microbiological Examination of Nonsterile Products: Tests for Specified Microorganisms

General chapter

13/09/2023-13/12/2023

16

1107 Microbiological Acceptance Criteria of Nonsterile Pharmaceutical Product

General chapter

13/09/2023-13/12/2023

17

1143 Test for Bacterial Endotoxin

General chapter

13/09/2023-13/12/2023

18

Amino-polypeptide

Monograph on API

13/09/2023-13/12/2023

19

Scanning Electron Microscopy

General chapter

14/09/2023-15/10/2023

20

0400 Spectrometry

General chapter

14/09/2023-15/10/2023

21

Guideline for Analytical Instrument Qualification

General chapter

14/09/2023-15/10/2023

22

Guideline for Assessing Measurement Uncertainty

General chapter

14/09/2023-14/12/2023

23

0841 Determination of Reside on Ignition

General chapter

14/09/2023-14/12/2023

24

0942 Minimum Fill

General chapter

14/09/2023-14/12/2023

25

0921 Determination of Disintegration

General chapter

14/09/2023-14/12/2023

26

0940 Uniformity of Dosage Units

General chapter

14/09/2023-14/12/2023

27

0931 Dissolution and Drug Release Test

General chapter

14/09/2023-14/12/2023

28

0923 Test for Tablet Friability

General chapter

14/09/2023-14/12/2023

29

0542 Capillary Electrophoresis

General chapter

14/09/2023-14/12/2023

30

0512 High Performance Liquid Chromatography

General chapter

14/09/2023-15/10/2023

31

5300 Plastic Containers and Components for Pharmaceutical Packaging

5301 Plastic Containers and Components for Solution for Injection

5302 Plastic Bottles and Components for Eye Drops

5303 Plastic Bottles and Components for Topical Solution

5304 Composite Tubes and Components for Topical Ointment

5305 Plastic Bottles and Components for Oral Solution

5306 Plastic Bottles and Components for Oral Solid Dosage Forms

5307 Composite Films and Packages for Oral Solid Dosage Forms

5308 Hard Plates for Oral Solid Dosage Forms

5309 Composite Films and Packages for Oral Solution

5310 Plastic Spherical Shells for TCM Pills

General Chapter

14/09/2023-14/12/2023

32

Benzyl Benzoate

Monograph on excipient

14/09/2023-14/12/2023

33

0982 Determination of Particle Size and Particle Size Distribution

General chapter

25/09/2023-25/12/2023

34

Qilian Oral Solution (Qilian Koufuye)

Monograph on TCM

25/09/2023-25/12/2023

35

Jingdaining Capsules (Jingdaining Jiaonang)

Monograph on TCM

25/09/2023-25/12/2023

36

Luoyutong Capsules (Luoyutong Jiaonang)

Monograph on TCM

25/09/2023-25/12/2023

37

Sodium Methylparaben

Monograph on excipient

27/09/2023-27/12/2023

38

Sodium Propyl Parahydroxybenzoate

Monograph on excipient

27/09/2023-27/12/2023

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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