Drug registration is a critical step for pharmaceutical companies entering the Chinese market, especially as China continues to expand as a global pharmaceutical powerhouse. The country is now the second-largest pharmaceutical industry in the world, after the United States, and is estimated to reach USD 161.8 billion by 2023, with an average growth rate of 5% in the coming years, accounting for nearly 30% of the global market.

Drug registration

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Drug registration in China has become increasingly important as the country’s pharmaceutical drug market continues to grow. China is now the second-largest pharmaceutical industry in the world, after the United States. It is estimated to reach USD 161.8 billion by 2023, with an average growth rate of 5% in the coming years, accounting for nearly 30% of the global market.

Moreover, the acceleration of new drug access, evolving regulatory requirements across different product categories, and the rapidly aging Chinese population have significantly increased overall medical demand. As a result, these changes create substantial opportunities for pharmaceutical companies.

After more than 13 years of regulatory development, the Chinese regulatory system has introduced multiple updates to existing rules and guidelines. These updates are intended to reduce procedural complexity and align more closely with global regulatory standards.


Highlights of China’s new provisions and opportunities

Let’s look at some key highlights introduced by Chinese regulators:

– A 60-day timeframe for CTA approval, aligned with global regulatory practices
– Clearly defined timelines for review and approval across different application types
– Streamlined coordination between the registration process and manufacturing authorization to ensure GMP compliance
– Improved communication between applicants and the Center for Drug Evaluation (CDE) to support a more efficient CTA process
– Parallel, risk-based site inspections and laboratory testing conducted alongside technical review
– Breakthrough designation, conditional approval during clinical trials, and priority review during marketing authorization to accelerate approval and address unmet medical needs


Regulatory authority for drug registration in China

The National Medical Products Administration (NMPA) is the primary authority responsible for pharmaceutical oversight, regulatory policy formulation, and review management.

Meanwhile, the Drug Evaluation Center (CDE) is responsible for evaluating clinical trial submissions, marketing authorization submissions, supplementary applications, and re-registration requests for overseas-manufactured products.


Who can apply for drug registration in China?

The Marketing Authorization Holder (MAH) is eligible to submit clinical trial submissions, marketing authorization submissions, re-registration requests, and supplementary materials. In addition, the MAH is responsible for ongoing obligations related to product safety, effectiveness, and quality control.


Medicinal product registration categories in China

The requirements to develop and register a medicinal product in China depend on its classification:

– Chemical medicines
– Biological products
– Traditional Chinese medicines

Each product type is further divided into specific categories that determine submission materials, including clinical trial and marketing authorization documentation.


Registration categories for chemical medicines

– Innovative drugs
– Improved new drugs
– Generic drugs


Registration categories for biological products

– Innovative biological products
– Improved new biological products
– Marketed biological products, including biosimilars

Accordingly, submission requirements are based on product characteristics, degree of innovation, and applicable review management principles.


Review process for marketing authorization

After completing pre-clinical and clinical studies, the applicant submits a marketing authorization submission in accordance with regulatory requirements.

First, materials undergo formal examination. If requirements are met, the submission is accepted. Then, technical experts organized by the Drug Evaluation Center conduct a comprehensive review. Finally, a registration certificate is issued. Otherwise, the submission is not approved.

china drug approval process registration credevo

Drug registration certificate validity and re-registration

The validity period of a drug registration certificate is five years. During this period, the MAH must ensure continuous compliance with safety, effectiveness, and quality standards.

Therefore, a re-registration request must be submitted at least six months prior to certificate expiration.


Accelerated approval pathways

According to current regulations, the National Medical Products Administration has established accelerated review mechanisms, including:

– Breakthrough approval
– Priority review
– Conditional approval
– Special approval

However, eligibility depends on product type and development stage. As a result, early regulatory planning is strongly recommended.


Registration fees for review and approval

Applicants are required to pay review and approval fees in accordance with applicable regulations. Fee structures vary depending on product category and manufacturing origin, including:

– New drugs manufactured in China
– New drugs manufactured outside China
– Generic drugs manufactured in China
– Generic drugs manufactured outside China

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