Explore the differences between China and Singapore's pharmaceutical regulations, covering frameworks, approval processes, market access, and safety measures.

A Comparison of China and Singapore Pharmaceutical Regulations


The pharmaceutical landscape is constantly changing, with countries taking different approaches to ensure the safety and effectiveness of medications. China and Singapore are two vibrant markets experiencing an increasing demand for innovative drugs. However, the regulatory environments in both countries can be quite complex, posing challenges for those unfamiliar with the processes. This guide highlights the key differences and similarities in their pharmaceutical regulations. From regulatory frameworks and approval processes to market access and post-market surveillance, discover how both nations safeguard consumer drug safety and efficacy.

As more and more Chinese companies are looking to expand their pharmaceutical business abroad, Singapore could serve as a good base to start off with in the ASEAN region with clearly established guidelines and as a maturity level 4 agency recognized by WHO, having your dossier evaluated by HSA could indirectly mean that your product is supported by robust quality, clinical and safety data to support the intended usage accordance to approved indications.

You might wish to check out: https://theregconsultants.com/market-entry-guide-for-china-pharmaceutical-companies-to-enter-singapore/ for more information on some key barriers that you should work on.

Regulatory Frameworks

China’s primary regulatory body is the National Medical Products Administration (NMPA), responsible for managing pharmaceutical regulations. It formulates and organises the registration of pharmaceutical products, reviews applications, and decides whether to approve or reject them. The Drug Evaluation Centre (CDE) under the NMPA handles the review of clinical trials, marketing authorisation applications, and any supplementary or re-registration requests. Additionally, the Chinese Food and Drug Administration (CFDA/CNDA) oversees the safety and management of food, medical devices, health products, cosmetics, and drugs, operating directly under the State Council.

In contrast, Singapore’s Health Sciences Authority (HSA) serves as the key regulatory agency for medical and biological drugs. HSA adopts a streamlined approach, prioritising efficient regulation while upholding safety standards.

Understanding these regulatory frameworks is crucial for any company looking to navigate the complexities of country-specific drug regulations.

Approval Processes

When it comes to the pharmaceutical approval process, there are notable differences between the two nations. In China, new drug approvals often take longer due to rigorous clinical data requirements and comprehensive review procedures. However, recent reforms have been initiated to expedite drug approvals and bring it more in line with international standards. Conversely, Singapore offers a more streamlined approval pathway, enabling companies to get new pharmaceuticals to obtain marketing authorisation faster. This efficiency is especially attractive for businesses looking to gain pharma market access in a competitive environment.

Clinical Trial Requirements

Clinical trial requirements differ quite a bit between China and Singapore. In China, the regulatory landscape demands strict adherence to local standards, often leading to lengthy approval processes. NMPA requires extensive clinical data, which can be a challenge for international companies. In contrast, HSA has created a framework that supports clinical research, offering more flexibility and efficiency in trial designs. Singapore accepts foreign clinical data, which minimises the requirements to conduct local trials, unlike other neighbouring countries.

For new drug applications, most Chinese companies would have to register their product with US FDA making it an advantageous approach to enter Singapore via an expedited pathway with shorter time to market. The key point is that the application should be submitted within 3 years from date of approval and the dossier set as well as the proposed indications should be similar to what is proposed for Singapore registration.

Understanding these differences is crucial for companies looking to effectively plan their clinical strategies in both markets.

Market Access and Pricing

Drug market access strategies vary significantly between China and Singapore. China, with its large population and growing healthcare demands, presents a complex market that can be difficult to navigate. NMPA has established detailed pricing mechanisms and reimbursement frameworks, which require companies to conduct thorough market analysis. In Singapore, The Ministry of Health (MOH) maintains a list of subsidised drugs under the List of Subsidised Drug and Medication Assistance Fund (MAF). Drugs are categorised into different tiers based on their clinical efficacy and cost-effectiveness for treating common conditions. Although smaller, it is often more predictable, making it an appealing choice for pharmaceutical companies looking to expand into new markets.

Post-Market Surveillance

Post-market surveillance of pharmaceuticals is essential for maintaining drug safety once products are on the market. In China, NMPA uses stringent pharmacovigilance systems to track adverse effects and manage safety risks, requiring mandatory reporting from both healthcare professionals and companies. Similarly, Singapore’s HSA places a strong emphasis on drug safety through its comprehensive post-market surveillance protocols. This includes timely data collection and analysis to spot any potential issues with the pharmaceuticals in circulation.

2 Scientists conducting Investigative medical research, using lab equipment.

You may also refer to the quick table below highlighting the regulatory similarities and differences between both countries for your quick access:

Submission Request

提交要求

NMPA (National Medical Products Administration)

NMPA(国家药品监督管理局)

HSA (Health Sciences Agency)

HSA(卫生科学局)

Application

申请文件结构

The application must adhere to the Common Technical Document (CTD) format encompassing administrative information, quality safety and effectiveness modules.

必须遵循共同技术文件(CTD)格式,包括行政信息、质量、安全性和有效性模块。

The CTD format must be followed, aligning with international standards and should include administrative information quality non-clinical and clinical data.

遵循CTD格式,类似于国际标准,包括行政信息、质量、非临床和临床数据。

Clinical Trial Requirements

临床试验要求

Clinical trials are generally required to be conducted within China. Foreign clinical data may be accepted under certain circumstances, particularly for drugs that have received approval in recognised jurisdictions.

临床试验通常必须在中国进行。某些情况下可以接受外国临床数据,尤其是已在认可的司法管辖区批准的药物。

Clinical data from international studies will be accepted provided they are pertinent to the population of Singapore. Local bridging studies may be mandated in specific instances.

接受国际研究的临床数据,前提是这些数据与新加坡人口相关。某些情况下可能需要进行本地桥接研究。

Preclinical Data

临床前数据

Comprehensive preclinical studies including pharmacology toxicology and pharmacokinetics are mandatory.

需要全面的临床前研究,包括药理学、毒理学和药代动力学。

Pre-clinical data is generally not required to be submitted.

临床前数据基本上是不必递交的。

Production Information

生产信息

Comprehensive information regarding the production process facility and Good Manufacturing Practice (GMP) compliance is required. The production site must undergo inspection and receive approval from the NMPA.

需要详细的生产过程、设施和GMP合规性信息。生产地点必须经过NMPA检查和批准。

Comprehensive information regarding the production process facility and Good Manufacturing Practice (GMP) compliance is required. HSA may accept GMP certificates issued by accredited PIC/S regulatory agencies.

需要提供详细的生产过程、设施和GMP合规性信息。HSA可能接受来自认PIC/s可监管机构的GMP证书。

Quality Control

质量控制

Detailed data concerning the quality of pharmaceutical raw materials and products including stability studies is obligatory.

药物原料和产品质量的详细数据,包括稳定性研究,是强制性的。

Comprehensive quality control documentation is required including stability data and specifications for pharmaceutical raw materials and products.

要求提供详细的质量控制文档,包括稳定性数据和药物原料及产品的规格。

Regulatory Approach

法规途径

This includes routine approval pathways expedited approval for innovative drugs and conditional approval for urgent public health needs.

包括常规审批途径、创新药物的快速审批和紧急公共卫生需求的有条件审批。

Multiple regulatory pathways should be provided: comprehensive assessment simplified assessment and verification pathways. Critical drugs may be eligible for priority review.

提供多种法规途径:全面评估、简化评估和验证途径。关键药物可申请优先审查。

Submission Fee

提交费用

Submission fees vary based on the type of application (e.g. new drug generic drug change) and the complexity of the review.

提交费用因申请类型(如新药、仿制药、变更)和审查复杂性而异。

The submission fee is contingent upon the type of application and whether the comprehensive or simplified assessment process is utilised.

提交费用取决于申请类型以及使用的是全面还是简化评估流程。

Review Time

审查时间

The standard review time is approximately 200 working days; however the expedited process may reduce this duration.

标准审查时间约为200个工作日,但加急流程可能会缩短此时间。

The standard review time may extend up to 230 days with priority review applications being processed more swiftly.

标准审查时间最长可达230天,优先审查申请的时间更快。

Language Requirements

语言要求

All submitted documents must be in Chinese or accompanied by a certified translation.

所有提交文件必须为中文或附有认证翻译件。

Submission documents must be in English and any documents not in English must include a certified translation.

提交文件必须为英文,任何非英文文件都需要附有认证翻译件。

Electronic Submission

电子提交

NMPA has instituted an electronic submission system; however certain sections of the document may still necessitate paper copies.

NMPA已经实施了电子提交系统,但某些部分的文件仍可能需要纸质副本。

HSA employs the Electronic Submission System (PRISM) for the majority of applications and has specific requirements regarding file format and structure.

HSA使用电子提交系统(PRISM)进行大多数申请,并对文件格式和结构有具体要求。

Navigating pharmaceutical regulations in China and Singapore requires a keen understanding of the factors discussed. For businesses looking to thrive in these markets, leveraging expert pharma regulatory services can be a game-changer. If you need guidance on registering pharmaceutical products or accessing these promising markets, The Reg Consultants can provide the support you need. With our experienced team of experts, we can assist you through every step of the registration process, ensuring a smoother journey toward compliance and success.

Contact us to learn more about our services and how we can help you get started today.

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