Since 2016, investment in China's medical and pharmaceutical sector has reached US$103 billion. File photo.

China’s pharmaceutical industry is undertaking a critical transformation toward high-quality and innovation-focused development, reflected by the explosion of new drug and clinical trial approvals in recent years, China Daily reported.

The transformation is being driven by factors such as a rapidly aging society, higher healthcare demands, drug regulation reforms, and increased investment inflows, according to global consultancy firm McKinsey.

“Healthcare is one of the most exciting sectors in China, growing above 10 percent annually,” said Franck Le Deu, a senior partner at McKinsey. “We expect more and more new drugs will come from Chinese companies.”

He made the remarks during a media conference recently in Beijing and stressed China’s faster approval process for clinical trials and new drugs, and the”4+7″ volume-based tendering policy, are having a big impact on the pharmaceutical market structure in China.

In late 2018, Chinese authorities launched a national centralized procurement pilot program in four municipalities and seven local cities, commonly known as the 4+7 volume-based tendering policy, with an aim to slash drug prices and deepen reforms in the healthcare sector.

Earlier this month, the National Healthcare Security Administration issued a notice to extend the pilot work to more cities and provinces, the report said.

In the first round of the pilot program in early 2019, 31 drugs were listed for centralized procurement across all public hospitals in the 11 cities, and a successful bidder on a particular drug had the entire guaranteed purchase amount.

In practice, centralized procurement will be about 60% to 70% of the annual drugs purchased by public hospitals in the pilot regions, according to an article published on the State Council’s website.

The centralized procurement is open to all approved companies that can produce drugs on the procurement list in the Chinese mainland. However, a selected drug, if a generic, must pass the consistency evaluation on quality and effectiveness against its original drug.

Clinical effects, adverse reactions, and batch stability of the drugs will be considered during the tendering, and their consistency will be the main criteria for evaluation, while production capacity and stability of the supplier will also be considered, the article said.

Zhou Gaobo, a partner at the firm, said the new landscape in China’s pharmaceutical market has been contoured by government reforms. He urged Chinese companies to upgrade production and management for better cost control, increased product quality and higher production capacities, as well as to invest heavily on research and development to transition more to innovative drugs, if they want to survive the fierce competition.

The new environment also offers new standout chances for competent companies, he said.

Since 2016, investment in China’s medical and pharmaceutical sector has reached US$103 billion, studies from the company showed.

The company’s studies also showed new pharmaceutical products are being brought to the China market faster due to related policy reforms, and more are from Chinese companies.

In 2016, only 17% of new drug applications in China were granted fast-track review, and in 2018, the figure rose to 74%.

According to Hou Lei, also a partner at the firm, China’s innovation capacity in the pharmaceutical sector has increased considerably since 2015, in terms of registration administration, market entrance, investments, talents, local innovation and internationalization.

“Most Chinese companies start with generics as a market follower, and now many are trying to flip their product portfolios for more innovative drugs with increased efforts,” she said.

“There have been me-too and me-better drugs from Chinese companies, and it is only a matter of time before Chinese companies produce first-in-class and best-in-class drugs.”

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