China cuts red tape to give patients quicker access to new medicine
Beijing — For decades, Chinese patients have struggled to gain access to cutting-edge medicines thanks to bureaucratic delays that have hamstrung drug development. Now a sweeping government overhaul of drug approvals is poised to change that.
Beijing on Sunday announced new rules that will speed up approvals of medicines and medical devices, easing bottlenecks in introducing new treatments. The move is also a growth opportunity for international and local drugmakers in the world’s second biggest pharmaceutical market.
The changes were announced by the State Council, China’s cabinet, just days before a key leadership gathering in Beijing next week. On October 18, delegates will gather for the 19th National Congress of the Communist Party, a twice-in-a-decade shuffling of China’s political decks.
Under the new rules, data from overseas clinical trials can be used for drug registrations in China. That removes the need for manufacturers to conduct added tests in China after receiving overseas approvals and will likely cut delays in the launch of new drugs by several years.
China is revamping its drug regulatory system as demand for new therapies surges due to an ageing population and rising incidence of diseases such as cancer and diabetes.
Faster approvals could deliver a revenue boost in coming years to multinationals like Pfizer, AstraZeneca and GlaxoSmithKline that are expanding there. China spent $116.7bn on medicine in 2016 and the market is second only to the US in size, according to researcher QuintilesIMS.
Shares of Chinese drugmakers researching new medicines jumped on Monday on hopes that they will also benefit. Jiangsu Hengrui Medicine surged as much as 6.5% and Shanghai Fosun Pharmaceutical Group advanced as much as 6.1%.
"For multinational and leading local innovative drugmakers, the anticipated acceleration of approval will improve patients’ access to new medicine and increase revenues for pharmaceutical companies," said Jialin Zhang, senior healthcare analyst at ICBC International Research. Foreign manufacturers control about a quarter of the Chinese pharmaceutical market, with the rest controlled by local players, he estimates.
China is revamping its drug regulatory system as demand for new therapies surges due to an ageing population and rising incidence of diseases such as cancer and diabetes
In the short term, foreign drugmakers might be the prime beneficiaries because they’re already starting to see quicker approvals for their drugs and have deep pipelines of medicines in development, Zhang said. Most local drug companies are still climbing the innovation ladder. That said, Chinese rivals might be bigger beneficiaries over the long-term thanks to expertise in the local market and cheaper costs, he said.
Local and multinational drugmakers have for years struggled with delayed approvals in China as a surging numbers of applications and a relatively small team of government reviewers resulted in a regulatory backlog. The delays in access to life-saving therapies led Chinese patients to buy drugs from grey markets over the Internet or from bootleggers, putting them at risk of receiving counterfeit drugs.
The changes announced on Sunday had already been widely telegraphed by the Chinese government, which earlier this year said it was considering overhauling the approval process. The China Food and Drug Administration (FDA) has been introducing bold reforms in recent years, and the latest policy appears to have received the blessing of top levels of the central government, said Zhang.
More recently, the China FDA has already been working to reduce the backlog. That has already led to speedier approvals for some treatments like AstraZeneca’s lung cancer therapy called Tagrisso, estimated to become a global blockbuster next year.
As more innovative drugs make an entrance, foreign manufacturers will still have to manage rising price pressures in China. The government has sought to cut prices to manage costs in its public health insurance system, putting foreign drugmakers through more negotiations with hospitals and local governments and squeezing margins.
The reforms announced on Sunday include other measures to speed up approvals for clinically needed drugs and equipment, establish a compulsory licensing system and make it easier for research institutions to conduct clinical trials, according to the document.
The government said it will also explore a new system linking drug approvals to patent status. This could potentially delay the introduction of generics when there are legal challenges posed by the patent holder.
China’s protection of intellectual properties is still lacking, "and this is also an important reason that restricts the development of our medical innovation industry," said Wu Zhen, vice minister of China FDA, at a press briefing webcast on Monday.
Measures on patents were previously adopted by developed markets such as the US, Europe and Japan, and their implementation helped boost both innovative companies and generic drugmakers, Wu said.