Monthly Report: New Drug Approvals in China | February 2023

by Grace Wang Mar 03, 2023

Editor's Notes: New drugs in this article refer to

  • Innovative/improved new chemical drugs / biological products that have never been granted marketing authorization in or outside China;

  • Original/improved chemical drugs / biological products that have received marketing authorization outside China and are applying for marketing authorization in China;

  • First generic drugs in China: the first generic chemical drug developed by a Chinese company and approved by China National Medical Products Administration (NMPA) with marketing authorization. The definition of “first generic drug” is commonly used in the Chinese pharma industry but not written in Chinese regulations.


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In Feb. 2023, China NMPA approved 13 new drugs, including 9 chemical drugs and 4 biological products.

1. Carephar’s Keverprazan Hydrochloride Tablets

2. Novartis’ Revolade

3. Pfizer’s Xeljanz XR

4. Vifor Fresenius’ Velphoro

5. Swedish Orphan Biovitrum’s Orfadin (capsule)

6. Swedish Orphan Biovitrum’s Orfadin (oral suspension)

7. Gilead Sciences’ AmBisome

8. AbbVie’s RINVOQ

9. Tide Pharma’s Limaprost Alfadex Tablets

10. BeiGene’s Tislelizumab Injection

11. Daiichi-Sankyo’s ENHERTU

12. Amgen’s Prolia

13. Sanofi Pasteur’s Influenza Vaccine (Split Virion), Inactivated, Quadrivalent 

The details are as follows.

1.  Keverprazan Hydrochloride Tablets

1

Generic Name

Keverprazan Hydrochloride Tablets

2

Brand Name

Bei Wen (倍稳)

3

Classification

Class 1 chemical drug

4

Application Type

New drug application (NDA), domestic

5

Marketing Authorization Holder (MAH)

Jiangsu Carephar Pharmaceutical Co., Ltd.

6

Approval Date

14/2/2023

7

Time from Application Acceptance to Approval

502 days

8

Priority Review

No

9

Target(s)

/

10

Indication(s)

For the treatment of duodenal ulcer and reflux esophagitis.

2. Eltrombopag Olamine Tablets

1

Generic Name

Eltrombopag Olamine Tablets

2

Brand Name

Revolade (瑞弗兰)

3

Classification

Class 5.1 chemical drug

4

Application Type

NDA, import

5

MAH

Novartis Pharma Schweiz AG

6

Approval Date

21/2/2023

7

Time from Application Acceptance to Approval

273 days

8

Priority Review

No

9

Target(s)

Thrombopoietin receptor (TPO-R)

10

Indication(s)

Previously approved:

1. For the treatment of patients with severe aplastic anemia (SAA) who previously had insufficient response to immunosuppressive therapy.

Newly approved on Feb. 21, 2023:

2. For the treatment of chronic immune thrombocytopenia (ITP) in adult patients (≥18 years old) who previously had insufficient response to therapies such as corticosteroids and immunoglobulins. The drug is used for increasing the platelet count and reducing/preventing bleeding.

* The drug should only be used only in patients with ITP whose risk of bleeding increase due to thrombocytopenia degree and clinical condition.

3. Tofacitinib Citrate Sustained-release Tablets

1

Generic Name

Tofacitinib Citrate Sustained-release Tablets

2

Brand Name

Xeljanz XR (尚杰)

3

Classification

Class 5.1 chemical drug

4

Application Type

NDA, import

5

MAH

Pfizer Inc.

6

Approval Date

7/2/2023

7

Time from Application Acceptance to Approval

302 days

8

Priority Review

No

9

Target(s)

Tyrosine-protein kinase JAK1

Tyrosine-protein kinase JAK3

10

Indication(s)

1. For the treatment of adult patients with moderately to severely active rheumatoid arthritis (RA) who previously had inadequate response or intolerance to one or more TNF blockers.

* Limitation of use: the drug is not recommended to be used in combination with biologic-disease-modifying antirheumatic drugs (DMARDs) or with potent immunosuppressants such as azathioprine and cyclosporine.

2. For the treatment of adult patients with active psoriatic arthritis (PsA) who had previously inadequate response or intolerance to one or more TNF blockers. The drug can be used in combination with methotrexate (MTX).

3. For the treatment of adult patients with active ankylosing spondylitis who previously had inadequate response or intolerance to one or more TNF blockers.

* Limitation of use: the drug is not recommended to be used with biologic DMARDs or potent immunosuppressants such as azathioprine and cyclosporine.

4. Sucroferric Oxyhydroxide Chewable Tablets

1

Generic Name

Sucroferric Oxyhydroxide Chewable Tablets

2

Brand Name

Velphoro

3

Classification

Class 5.1 chemical drug

4

Application Type

NDA, import

5

MAH

Vifor Fresenius Medical Care Renal Pharma Ltd

6

Approval Date

21/2/2023

7

Time from Application Acceptance to Approval

399 days

8

Priority Review

Yes (pediatric drug)

9

Target(s)

/

10

Indication(s)

1. For the treatment of hyperphosphatemia in adult patients with chronic kidney disease (CKD) who are receiving hemodialysis (HD) or peritoneal dialysis (PD).

2. For the treatment of hyperphosphatemia in pediatric patients (≥ 12 years old) with phase 4-5 CKD (glomerular filtration rate < 30 mL/min/1.73 m2) or on dialysis.

5. Nitisinone Capsules

1

Generic Name

Nitisinone Capsules

2

Brand Name

Orfadin

3

Classification

Class 5.1 chemical drug

4

Application Type

NDA, import

5

MAH

Swedish Orphan Biovitrum International AB

6

Approval Date

14/2/2023

7

Time from Application Acceptance to Approval

792 days

8

Priority Review

Yes (reason not revealed yet)

9

Target(s)

4-hydroxyphenylpyruvate dioxygenase (HPPD)

10

Indication(s)

For the treatment of adult and pediatric patients with hereditary tyrosinemia type 1 (HT-1) in combination with dietary restriction of tyrosine and phenylalanine.

6. Nitisinone Oral Suspension

1

Generic Name

Nitisinone Oral Suspension

2

Brand Name

Orfadin

3

Classification

Class 5.1 chemical drug

4

Application Type

NDA, import

5

MAH

Swedish Orphan Biovitrum International AB

6

Approval Date

14/2/2023

7

Time from Application Acceptance to Approval

792 days

8

Priority Review

Yes (reason not revealed yet)

9

Target(s)

HPPD

10

Indication(s)

For the treatment of adult and pediatric patients with hereditary tyrosinemia type 1 (HT-1) in combination with dietary restriction of tyrosine and phenylalanine.

7. Amphotericin B Liposome for Injection

1

Generic Name

Amphotericin B Liposome for Injection

2

Brand Name

AmBisome

3

Classification

Class 5.1 chemical drug

4

Application Type

NDA, import

5

MAH

Gilead Sciences Ireland UC

6

Approval Date

14/2/2023

7

Time from Application Acceptance to Approval

857 days

8

Priority Review

No

9

Target(s)

/

10

Indication(s)

1. For treating patients with systemic fungal infections;

2. For treating patients with disease progression or no response to other anti-fundal therapies. For example, the patient has septicemia, endocarditis, meningitis (due to cryptococcus and/or other fungi), peritoneal infections (including those related to dialysis), pulmonary infections, urinary tract infection, etc.

3. For treating patients who cannot be treated with amphotericin B deoxycholate due to renal impairment or drug toxicity.

8. Upadacitinib Sustained-release Tablets

1

Generic Name

Upadacitinib Sustained-release Tablets

2

Brand Name

RINVOQ (瑞福)

3

Classification

Class 2.4 chemical drug

4

Application Type

NDA, import

5

MAH

AbbVie Deutschland GmbH & Co. KG

6

Approval Date

14/2/2023

7

Time from Application Acceptance to Approval

403 days

8

Priority Review

No

9

Target(s)

Tyrosine-protein kinase JAK1

10

Indication(s)

Previously approved:

1. For the treatment of adult and pediatric patients (≥ 12 years old) with refractory, moderate to severe atopic dermatitis.

2. For the treatment of adults with moderately to severely active rheumatoid arthritis who previously had inadequate response or intolerance to one or more TNF blockers.

3. For the treatment of adults with active psoriatic arthritis who previously had inadequate response or intolerance to one or more DMARDs.

Newly approved on Feb. 14, 2023:

4. For the treatment of adult patients with moderately to severely active ulcerative colitis who previously had inadequate response, intolerance, or contra-indication to one or more TNF blockers.

9. Limaprost Alfadex Tablets

1

Generic Name

Limaprost Alfadex Tablets

2

Brand Name

/

3

Classification

Class 3 chemical drug

4

Application Type

Abbreviated new drug application (ANDA), domestic

5

MAH

Beijing Tide Pharmaceutical Co., Ltd.

6

Approval Date

14/2/2023

7

Time from Application Acceptance to Approval

568 days

8

Priority Review

No

9

Target(s)

/

10

Indication(s)

1. For the improvement of various ischemic symptoms such as ulcer, pain and feeling of coldness associated with thromboangiitis obliterans;

2. For the improvement of subjective symptoms (pain and numbness of lower legs) and gait ability associated with acquired lumbar spinal canal stenosis (in patients with bilateral intermittent claudication showing normal SLR test result) as an additional indication.

11

Note

First generic drug in China

10. Tislelizumab Injection

1

Generic Name

Tislelizumab Injection

2

Brand Name

Bai Ze An (百泽安)

3

Classification

Class 2.2 therapeutic biological product

4

Application Type

Biologics License Application (BLA), domestic

5

MAH

BeiGene, Inc.

6

Approval Date

21/2/2023

7

Time from Application Acceptance to Approval

244 days

8

Priority Review

No

9

Target(s)

Programmed cell death protein 1 (PD-1)

10

Indication(s)

Previously approved:

1. For the second-line treatment of relapsed or refractory classic Hodgkin lymphoma (cHL) patients who have received at least the second-line chemotherapy;

2. For treating urothelial cancer (UC) and small lymphocytic lymphoma (SLL) patients with high PD-L1 expression, prior failure of platinum chemotherapy, and disease progression within 12 months after the neoadjuvant or adjuvant chemotherapy;

3. In combination with paclitaxel and platinum for the first-line treatment for patients with advanced squamous NSCLC that is unresectable by surgery;

4. For treating hepatocellular carcinoma (HCC) patients who have received at least one type of systemic therapy;

5. In combination with pemetrexed and platinum chemotherapy for the first-line treatment for NSCLC that are EGFR-negative, ALK-negative and unresectable by surgery.

6. For the second-line or third-line treatment for NSCLC patients who have disease progression after platinum chemotherapy.

7. For the treatment of locally advanced, unresectable or metastatic, microsatellite instability-high (MSI-H) or deficient mismatch repair (dMMR) solid tumors after prior treatment.

8. For the treatment of esophageal squamous cell carcinoma (ESCC) that is unresectable, relapsed, locally advanced or metastatic after prior systemic treatment.

9. For the first-line treatment of relapsed or metastatic nasopharyngeal carcinoma.

Newly approved on Feb. 21, 2022:

10. For treating advanced or metastatic gastric/gastroesophageal junction (G/GEJ) cancer.

11. Trastuzumab Deruxtecan for Injection

1

Generic Name

Trastuzumab Deruxtecan for Injection

2

Brand Name

ENHERTU

3

Classification

Class 2.2 therapeutic biological product

4

Application Type

BLA, import

5

MAH

Daiichi-Sankyo

6

Approval Date

21/2/2022

7

Time from Application Acceptance to Approval

337 days

8

Priority Review

Yes (breakthrough therapy)

9

Target(s)

Receptor tyrosine-protein kinase erbB-2 (HER2)

10

Indication(s)

The drug as a single therapy is indicated for treating adult patients who have HER2-positive breast cancer that cannot be removed by surgery or is metastatic, and who have received a prior treatment of anti-HER2 breast cancer.

12. Denosumab Injection

1

Generic Name

Denosumab Injection

2

Brand Name

Prolia (普罗力)

3

Classification

Class 3.1 therapeutic biological product

4

Application Type

BLA, import

5

MAH

Amgen Europe B.V.

6

Approval Date

21/2/2023

7

Time from Application Acceptance to Approval

253 days

8

Priority Review

No

9

Target(s)

Tumor necrosis factor ligand superfamily member 11 (TNFSF11)

10

Indication(s)

Previously approved:

1. For the treatment of postmenopausal osteoporosis at high risk for fracture. The drug can reduce the incidence of vertebral, nonvertebral, and hip fractures in postmenopausal women.

Approved on Feb. 21, 2023:

2. For the treatment of osteoporosis in men at high risk for fracture.

13. Influenza Vaccine (Split Virion), Inactivated, Quadrivalent

1

Generic Name

Influenza Vaccine (Split Virion), Inactivated, Quadrivalent

2

Brand Name

/

3

Classification

Class 3.2 prophylactic biological product

4

Application Type

BLA, domestic

5

MAH

Shenzhen Sanofi Pasteur Biological Products Co., Ltd.

6

Approval Date

21/2/2023

7

Time from Application Acceptance to Approval

377 days

8

Priority Review

Yes (vaccine urgently needed for disease prevention and control)

9

Target(s)

Influenza virus

10

Indication(s)

For active immunization of influenza on people between 6 and 35 months of age, especially those who are susceptible to flu complications.

Welcome to contact BaiPharm if you need more details of drug approvals in China.

Read More

Monthly Recap: China Pharmaceutical Regulatory Updates | February 2023

Grace Wang
ChemLinked Regulatory Analyst & Editor
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