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Opportunities and hurdles to European market access for multi-herbal traditional Chinese medicine products: An analysis of EU regulations for combination herbal medicinal products
Liping Qu1,2; Xiuli Li1; Yin Xiong3,4; Zhun Wang1; Yuehua Zhou5; Wejun Zou1; Jianyuan Tang2,6; Mei Wang4,7
2022-12-01
Source PublicationPHARMACOLOGICAL RESEARCH
ISSN1043-6618
Volume186Pages:106528
Abstract

TCM herbal remedies are popular among European patients. However, a very limited number of TCM products have been approved as herbal medicinal products (HMPs) in Europe. Multi-herbal TCM products, the most prevalent form of medication in TCM practice, are even rare. This indicates multi-herbal TCM products are facing considerable obstacles in the access to EU market. To further identify such obstacles, we make a systematic analysis of current advances in both EU herbal monographs and combination HMPs granted in member states and present main features of the regulation as well as challenges for multi-herbal TCM products. The results show the EU is open to combination HMPs based on TCM or other non-European traditions. The regulation allows appropriate flexibility in the range of drug extraction rations, variation in concentrations of extraction solvent and number of herbal drugs presented in the product, if plausible pharmacological effects could be justified. Meanwhile, to guarantee the safety and efficacy based on medicinal usage, especially to justify the rationale or plausibility of the combination, is the key element for well-established use or traditional use combination HMPs. Additionally, EU herbal monographs also have great value in their marketing procedure. Nonetheless, there are many challenges in the European market access of multi-herbal TCM products which lies in quality control, safety and efficacy evaluation and others e.g., practical standard for full marketing authorization. Enforced scientific research and communication among research institutions, industries and authorities are necessary to further facilitate the access of multi-herbal TCM products to EU market. The results of this article may provide guidance for HMPs based on TCM or other non-European traditions with intention to entering EU market.

KeywordEuropean Union Herbal Medicinal Product Multi-herbal Formula Market Access Traditional Chinese Medicine
DOI10.1016/j.phrs.2022.106528
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaPharmacology & Pharmacy
WOS SubjectPharmacology & Pharmacy
WOS IDWOS:000895776900004
PublisherACADEMIC PRESS LTD- ELSEVIER SCIENCE LTD, 24-28 OVAL RD, LONDON NW1 7DX, ENGLAND
Scopus ID2-s2.0-85141535853
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionFaculty of Health Sciences
Institute of Translational Medicine
Corresponding AuthorWejun Zou; Jianyuan Tang; Mei Wang
Affiliation1.State Key Laboratory of Southwestern Chinese Medicine Resources, Chengdu University of Traditional Chinese Medicine, Chengdu, 610037, China
2.Macau Institute for Translational Medicine and Innovation, University of Macau, Macau, 999078, China
3.Faculty of Life Science and Technology, Kunming University of Science and Technology, Kunming, 650500, China
4.SU BioMedicine B.V, Leiden, 2333 BD, Netherlands
5.Center for drug evaluation, National Medical Products Administration, Beijing, 100022, China
6.Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610072, China
7.Leiden University-European Center for Chinese Medicine and Natural compounds, Institute of Biology Leiden, Leiden University, Leiden, 2333BE, the Netherlands
First Author AffilicationUniversity of Macau
Corresponding Author AffilicationUniversity of Macau
Recommended Citation
GB/T 7714
Liping Qu,Xiuli Li,Yin Xiong,et al. Opportunities and hurdles to European market access for multi-herbal traditional Chinese medicine products: An analysis of EU regulations for combination herbal medicinal products[J]. PHARMACOLOGICAL RESEARCH, 2022, 186, 106528.
APA Liping Qu., Xiuli Li., Yin Xiong., Zhun Wang., Yuehua Zhou., Wejun Zou., Jianyuan Tang., & Mei Wang (2022). Opportunities and hurdles to European market access for multi-herbal traditional Chinese medicine products: An analysis of EU regulations for combination herbal medicinal products. PHARMACOLOGICAL RESEARCH, 186, 106528.
MLA Liping Qu,et al."Opportunities and hurdles to European market access for multi-herbal traditional Chinese medicine products: An analysis of EU regulations for combination herbal medicinal products".PHARMACOLOGICAL RESEARCH 186(2022):106528.
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