EMEA (European Medicines Agency).
Because permission will be granted
accepting the approvals of the protocols
from these countries, the CDSCO
estimates that approval time for clinical
trials will take 2 to 4 weeks. However, all
other applicants will fall under Category
B, which will require protocol
verification and take 3 to 4 months
approval time.
The CDSCO ( http://cdsco.nic.in/
index.html) has also categorized protocol
amendments into three groups: those not
requiring any notification or permission,
those that require notification but no
permission, and those requiring prior
permission from the CDSCO before
implementation of clinical trial protocol
amendments.
China: The State Food and Drug
Administration (SFDA;
www.sfda.gov/cn/eng/) is the Chinese
equivalent of the US FDA and is the
national authority that approves and
reviews clinical research. The regulation
of drugs and clinical trials is outlined by
the Drug Administration Law of the
People’s Republic of China, which went
into effect in December 2001, and the
Drug Registration Regulation of 2002.
Before a clinical trial may be carried
out in China, it must first be approved by
the SFDA. The sponsor should prepare
and submit the dossier and drug samples
to the SFDA, which will consult with the
Center for Drug Evaluation before
issuing a clinical trial approval letter.
Other drug institutes, such as the
National Institute for the Control of
Pharmaceutical and Biological Products,
will also aide the SFDA in screening
applications. The entire process for
clinical trial approval takes
approximately 7 to 9 months. Fast-track
76 review is available for clinical trials of
CIALTY PHARMA MARCH 2007 Vol 7 No 3
drugs that treat serious or life-threatening
illness, or for drugs that are the same
kind of drug as one that has already been
approved.
Southeast Asia: Each country has a
specific governmental health
organization that oversees clinical trials
and pharmaceutical regulations. Approval
processes can be relatively quick in these
countries, taking only 3 to 4 months. The
most popular location for clinical trials in
Southeast Asia (not including Singapore)
is Malaysia for its relatively developed
hospital infrastructure and advanced
regulatory environment for drugs.
Summary
Outsourcing clinical trials in Asia
provides a way for US and European
medical companies to reduce cost and
increase productivity and efficiency.
Currently, about 25% of US medical
companies outsource overseas to some
extent. Although IP protection issues still
linger, some US companies are now
outsourcing all phases of product
development, including drug discovery,
research and development, clinical trials,
and manufacturing. American companies
will continue to outsource in Asia as the
medical communities in Asian countries
continue to become more sophisticated
and cost reduction can be more clearly
defined.
To purchase Pacific Bridge Medical’s
complete report on clinical
trials/contract research organizations
in Asia, please visit our website at
www.pacificbridgemedical.com.
Mr. Ames Gross,
MBA
President & Founder
Pacific Bridge Medical
Mr. Ames Gross is President and
Founder of Pacific Bridge Medical
(PBM), and is recognized nationally
and internationally as a leader in the
Asian medical markets. Established in
1988, PBM is a consulting firm that
assists medical companies with
business development and regulatory
issues in Asia. PBM has helped more
than 200 medical companies over the
years. Mr. Gross earned his BA, Phi
Beta Kappa, from the University of
Pennsylvania and his MBA from
Columbia University.
Ms. Momoko
Hirose
Associate
Pacific Bridge Medical
Ms. Momoko Hirose is an Associate of
PBM. She works on research, writing,
and consulting projects and is a
graduate of Brown University.