With the development of the economy, China has become the second largest pharmaceuticals market in the world. However, several serious problems are restricting the development of the pharmaceutical industry. Domestic pharmaceutical companies have little interest in innovation and few innovative drugs have originated locally. The regulatory system has been unfavourable to new drugs approved by other jurisdictions attempting to enter the Chinese market, and patients with severe diseases have not had timely access to advanced therapeutics. Under the current legal framework, originator drugs have no channel through which to prevent a generic drug from being approved by the regulatory process.
To encourage pharmaceutical innovation and protect the interests of innovators, the China Food and Drug Administration (CFDA) has initiated a number of significant regulatory reforms in recent years. These reforms include new classifications of new drugs, proposed data exclusivity, patent term extension, patent linkage and marketing authorisation holders. All these reforms will have a far-reaching influence on the pharmaceutical industry and the Chinese healthcare sector as a whole.
Classification of new drugs
In order to reconstruct the landscape of a domestic pharmaceutical market, encourage innovations in the pharmaceutical industry and accelerate the pace of local companies looking to take a place in the international market, the CFDA launched a new classification system for chemical drugs in 2016.
The CFDA redefined the classification of what is considered a ‘new drug’ and what is a ‘generic drug’. Compared with the 2007 version of the regulations, the scope of new drugs has been narrowed and the classification is stricter and more accurate. The new regulations also expand the scope of generic drugs and apply similar evaluation standards as the International Council for Harmonisation, the Food and Drug Administration and the European Medicines Agency.
The new classification includes five classes. Classes 1 and 2 collectively refer to new drugs which have never been marketed anywhere in the word. The difference between the two classes lies in the fact that Class 1 refers to active pharmaceutical ingredients (APIs) and their formulations that are new in structure and carry clinical value, while Class 2 refers to improved or new forms of drugs with obvious clinical advantages. Classes 3 and 4 collectively refer to generic drugs, of which APIs and their formulations have the same active ingredients, forms, indications, administration routes and dosages as the originator drugs. Class 3 refers to generic drugs already marketed abroad but not in China, while Class 4 refers to generic drugs already marketed in China. Class 5 refers to imported drugs, including both originator and non-originator drugs.
The scope of new drugs has been narrowed. Under the old regulations, a ‘new drug’ meant a drug that had not been marketed in China. Since 2016 it has referred to a drug that has never been marketed anywhere in the world. Imported drugs, redefined in Class 5, no longer belong to the new drug category. From ‘new in China’ under the old regulations to ‘new in the world’ under the new regulations, the requirements for R&D capacity have increased, which should help local pharmaceutical industries meet international standards.
New drugs under the current classification focus more on clinical value and advantage, no longer emphasising only the new chemical structure. Classes 1 and 2 refer to ‘clinical value or advantage’, which means that the clinical value must have more weight in regulatory review. New drugs must have explicit clinical value and improved or new forms of drugs should have an obvious clinical advantage over the originator drugs. Such a classification system should effectively stimulate initiatives for drug innovation entities and prevent low-level repetition of research and development (eg, re-marketing after a simple modification to the drug’s structure).
The new classification also imposes strict requirements on generic drugs. Generic drugs should be consistent with the originator drugs in quality and efficacy. Class 3.1 drugs under the old regulations have been redefined as generic drugs and are subject to quality consistency evaluation. Generic drugs which cannot withstand quality consistency evaluation will potentially be eliminated from the market.
Without doubt, the new classification system redefines ‘new drugs’ and ‘generic drugs’, focuses on clinical value and advantage in regulatory review of a new drug and raises the standards of quality and efficacy for generic drugs. It is intended to encourage innovation of new drugs and improve the quality of generics, which will in turn contribute to the healthy development of the pharmaceutical industries.
Proposed data exclusivity
Data exclusivity was added to the Implementing Regulation of the Drug Administration Law in 2002. According to the regulation, data exclusivity provides for the undisclosed data of drug experiments which are independently acquired and submitted by drug manufacturers or sellers to obtain production or marketing approval of the drugs in question which contain new chemical entities. A six-year data protection period will be granted for a drug which contains new chemical entities following market approval. However, no regulations have been prescribed regarding how to enforce the exclusivity, meaning that in practice there is no actual data exclusivity in place.
On May 12 2017 the CFDA released a draft policy encouraging drug and medical device innovation and protecting the interests of innovators. The draft proposed improving the protection of data exclusivity in China.
In respect of further reforming the review and approval system and encouraging the innovation of drugs and medical devices released by the Central Committee of the Chinese Communist Party and the State Council, it has been established that improving and implementing the data protection system is the key. Under the CFDA’s draft policy, data exclusivity should be requested when the applicant submits an application for drug marketing approval, meaning that data exclusivity will not be granted automatically. Data exclusivity starts from the date of approval. Within the exclusivity period, the authority must not approve a marketing application submitted by other applicants regarding drugs of the same type, except for the data obtained by the applicant per se.
For innovative drugs that have been approved for marketing, a six-year data exclusivity period will be granted. However, data exclusivity of 10 years will be granted if the innovative drug is for rare or paediatric diseases. For improved new drugs for rare or paediatric diseases, a three-year data exclusivity period will be issued. Innovative and improved new drugs belong to Classes 1 and 2 respectively under the current classification of new drugs.
The draft policy also proposed a 10-year data exclusivity period for therapeutically innovative biologics.
Data exclusivity will also be granted to a new drug which is first approved by other authorities and later enters China within a certain period. According to the draft, corresponding data exclusivity will be granted for new drugs with an application for marketing and data protection submitted in China within one year of being approved in the United States, Japan and Europe. If the application is submitted in China after the one-year period, any excess time will be deducted from the corresponding data exclusivity. Data exclusivity of one-and-a-half years will be granted if less than one-and-a-half years after deduction. Data exclusivity of one-and-a-half years will also be granted to the first generic drug launched under a successful challenge to the patents.
According to the draft policy, a certain period of data exclusivity will be granted to new drugs with different levels of innovation, with the aim of encouraging domestic pharmaceutical companies to put more effort into new innovations. Data exclusivity will also be granted to new drugs approved by other authorities within a certain period, which will encourage new drugs approved by other authorities to enter the Chinese market.
It is expected that the implementing regulations will enter into force within the next couple of years.
Proposed patent linkage
According to the draft policy encouraging drug and medical device innovation and the protection of innovators’ interests, it is important to establish a drug patent linkage system. The proposed patent linkage system includes a statement about the relevant patent rights, compulsory infringement litigation and the waiting period for approval (which is similar to its US counterpart).
The applicant of a drug registration should submit a statement of rights that the applicant knows and should know. When the drug is approved, the relevant patents and other exclusive right information (eg, the monitoring period and data exclusivity) will be listed in the Catalogue of the Chinese Marketed Drugs (similar to the US Orange Book).
To challenge the relevant patents, the applicant should state that the drug to be registered will not infringe these patents and the patentee should be informed of the relevant drug within 20 days of the application’s submission. If the patentee believes that the patent right is infringed, he or she should institute patent infringement litigation before the judicial branches within 20 days of receiving the applicant’s statement. The drug review authority should also be informed (this is compulsory for infringement litigation).
After receiving the relevant certification documents regarding the patent infringement from the judiciary branches, the drug review authority can set a waiting period of no more than 24 months for approval. During this period, review work continues and if an agreement is reached by the parties, or an infringement or non-infringement decision is made by the judicial branch, the drug review authority will approve or disapprove the marketing of the drug in light of the agreement or decision. If the judicial branch fails to make a decision within the waiting period, the drug review authority may approve the marketing of the drug.
If the applicant does not state the relevant patents at registration while the patentee initiates an infringement litigation, the drug review authority will place the registration on a list waiting for approval. Under such circumstances, there is no 24-month limitation.
Under the proposed patent linkage system, it is helpful for the patentee, or the originator and generic company, to address their disputes before a generic drug enters the market. The relevant patent rights of the innovative drugs will be public, which is helpful for the generic company to evaluate the risk before launching a generic copy. The patentee or originator could also prevent the generic copy from obtaining market approval by taking suitable actions.
Infrastructure must be implemented before the system comes into force. Under existing practice, applying for registration of a generic drug is not considered patent infringement. However, a legal basis which will regard registration as infringement is set to be introduced. Further issues include whether a 24-month waiting period is reasonable and whether it is possible to address the dispute within such time. Under the bifurcated system, it is common for the infringer to take invalidity action before the patent re-examination board after the patent owner has initiated a civil action before the court. The patent re-examination board’s decision is twice appealable for judicial review. The civil infringement court generally relies on the patent re-examination board’s decision following judicial review to determine infringement or non-infringement. It takes much longer than 24 months from the institution of infringement.
Marketing authorisation holder
Marketing authorisation holders have recently been introduced in several provinces, and it is expected that the policy will quickly extend to the whole country. The purpose of a marketing authorisation holder is to separate the marketing authorisation and manufacturing licence.
Drug manufacturing licences used to be tied to drug market approval, and only organisations with manufacturing capability could obtain market approval. An academic institution had to build up its own manufacturing facility to commercialise its projects or license its technologies to other companies with manufacturing facilities. Such close binding of manufacturing licensing and marketing authorisation was a barrier to academic institutions and other entities without manufacturing facilities to develop and commercialise technologies. It also prevented investment in the pharmaceutical sectors.
In June 2016 the government launched a pilot marketing authorisation holder system in 10 provinces. Under the new system, an academic institution without manufacturing facilities can commercialise its own innovations and retain marketing rights. It allows such institutions, as well as individuals, to outsource drug manufacturing to a contract manufacturing organisation, while retaining marketing authorisation status on approved drugs. Under the marketing authorisation holder system, the holder can, depending on its capability, entrust more than one qualified company to manufacture the approved drugs or manufacture the approved drugs themselves. The holder also bears further responsibilities related to drug safety and quality during the drugs’ full cycle, including research and development, pre-clinical drug research, clinical trials, registration, manufacturing, circulation and adverse reaction surveillance – all of which are helpful in guaranteeing drug quality.
Under the system, innovative organisations need not invest in manufacturing facilities. It is expected that the system will stimulate innovation in the pharmaceutical sector. In future, academic institutions, biotech and pharma companies will utilise the system, while universities, investment companies and individuals could also benefit.
The new classification redefines new and generic drugs, focuses on clinical value and advantage in regulatory review for a new drug and raises the standards of quality and efficacy for generics. Under the new classification, more pharmaceutical companies will put effort into pharmaceutical innovation.
Data exclusivity will be granted to new drugs with different levels of innovation, originating from both the domestic and foreign markets. This will encourage domestic innovations and fast entry of new drugs approved by other authorities, together with acknowledgement of clinical trials conducted abroad.
The proposed patent linkage system provides a mechanism for innovators and generic companies to address their disputes before a generic drug enters the market. A generic company can evaluate the risk before launching a generic drug by relying on the public patent rights of the innovative drugs; while the innovator could intervene or prevent the generic copy from obtaining market approval by taking civil action.
Under the marketing authorisation holder system, innovative organisations need not invest in manufacturing facilities while retaining marketing authorisation. Biotech companies, as well as academic institutions, universities, investment companies and individuals could benefit from such a system, which will promote investment and innovation in the pharmaceutical sector.
In addition to improving the quality of generic drugs, the reforms intend to promote innovation and investment in innovative drugs, expedite the entry of global new drugs into the Chinese market and contribute to the long-term development of the pharmaceutical and healthcare sectors.
This article first appeared in IAM. For further information please visit www.IAM-media.com.