Asian Journal of Traditional Medicines ›› 2025, Vol. 20 ›› Issue (4): 181-194.

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Analysis and insights into the changes of traditional Chinese medicine review and approval from 2020 to 2024

  

  • Online:2025-08-28 Published:2025-09-01

Abstract:

The official release of the “Drug Registration Management Measures” in January 2020 marked a new milestone in the  classification management of traditional Chinese medicine (TCM) registration, ushering in a new era for the registration and  application of innovative TCM drugs. This article provides a detailed analysis of the approval status of innovative TCM drugs,  improved new drugs, and ancient classic prescription compound preparations from 2020 to 2024, revealing the significant  achievements made in the inheritance and innovation of TCM in China. The study found that the number of New Drug  Applications (NDAs) and Investigational New Drug Applications (INDs) have increased annually, with a particularly notable  surge in the submission of applications for classic prescription compound preparations. The approval rates for innovative  TCM drugs and improved new drugs have significantly increased, along with the streamlining of review and approval process,  leading to shorter development cycles and reduced costs. Key findings include: (1) Enterprises demonstrate strong enthusiasm  for the research and development of innovative and improved TCM drugs, actively engaging in various types of drug R&D and  submissions; (2) Classic prescription compound preparations have become a focal point for enterprises due to their shorter  development cycles and lower costs; (3) Improvement to the “three-combined” evidence system has accelerated the R&D process  by incorporating real-world data. Through this study, we aim to provide valuable insights for TCM R&D enterprises and  policymakers, promoting the sustained prosperity and development of the TCM sector.

Key words:

traditional classic prescription

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