Taking Stock of U.S.-China Biotechnology Competition

Patrick Beyrer, Research Associate on Global Public Health at the Asia Society Policy Institute’s Center for China Analysis

May 15, 2024

Introduction

Since the U.S.-China trade and technology relationship took center stage during the Trump administration’s trade war, observers have sought to identify specific industries that could exacerbate tensions between Washington and Beijing. The Chinese biotech sector might be that next, risky frontier. Although long heralded as the new “national security obsession” and “next battleground” for U.S.-China technology decoupling in Beijing and Washington alike, past U.S. policymaking and official enforcement actions on the sector were precise and limited. But this reality is quickly unfurling.

Starting in earnest in late 2022, U.S. officials have continued to ratchet up their rhetoric and actions in a campaign to ensure U.S. leadership in global biotech competition and rulemaking. This flurry of regulation has not limited itself to the water’s edge of diplomacy and statecraft, as entrepreneurs, scientists, and major commercial entities are starting to feel the results of this sea change in policy. The U.S. House Select Committee on Strategic Competition between the United States and the Chinese Communist Party (CCP Select Committee) has spearheaded efforts among U.S. lawmakers to draw up a new playbook for this challenge. Rep. Mike Gallagher, former CCP Select Committee chairman, described new enforcement efforts in biotech as a “moral and ethical battle” to establish technical standards.

Other lawmakers and experts have asserted that biotech competition holds equally critical stakes for innovation and statecraft. In the wrong hands, biotechnologies – which can be used to manipulate DNA, surveil and identify individuals, augment advanced materials and chemical manufacturing, improve energy efficiency, and enable agricultural resilience and abundance – can be used for nefarious and even weaponized ends.

Biotech Competition between U.S. and China

The United States is not the only one seeking to fortify its research and manufacturing base. China’s own internal rhetoric has at times inflamed biotech competition in similarly nationalistic and even existential terms. Since biotech’s identification as a critical emerging technology for independent innovation in the Made in China 2025 policy, CCP attitudes appear fixed; nearly every application of biotech is invaluable to China’s conception of itself as a rising world power.

In April 2022, President Xi Jinping encouraged Chinese scientists to break through “bottlenecks” in key technologies and aspire for major breakthroughs in life sciences research, including biological macromolecules and genetics. Around the same time, he declared food security—an application of agricultural biotech—“an issue of utmost national importance,” describing arable land as the “lifeblood” of the Chinese nation. At provincial, city, and company levels (both state-owned and private), officials have connected the concept of “red genes” in party-building activities to upskilling talent in the biomedical industry. Within the latest State Council work report, both biomanufacturing and life sciences are highlighted as industries primed under the “new productive forces” campaign for China to “build new growth engines” and “open new tracks” for development. These speeches and signals are not simply political theater. Beijing touts major Chinese biotech companies as instrumental to the construction of its civil-military governance model: the “party-army-state.” Biotech corporations’ cooperation with researchers from the People’s Liberation Army (PLA) only reifies this trend.

U.S. Response to China’s Biotech Ambitions

The Biden administration has recognized the challenges posed by China’s biotech ambitions. In September 2022, the White House issued a biotechnology executive order (EO), which accelerates a “whole-of-government approach” to respond to Chinese biotech competition. The administration has delegated various departments to enhance targeted enforcement measures while working with Congress to ratchet up pressure on industry stakeholders to avoid Chinese partnerships of concern.

The Bureau of Industry and Security (BIS) within the Department of Commerce (DOC) has played the largest role in these countermeasures. By scrutinizing the end uses of Chinese biotech companies’ products, especially those relating to unethical biometric surveillance and research ties with military programs, the BIS has steadily added Chinese biotech companies and institutions to its Entity List: 34 in December 2021, 33 in February 2022, and 28 in March 2023. These include both sister companies and affiliates of firms WuXi AppTec and BGI Group, who have both been singled out by lawmakers for their partnerships with the PLA, and in the case of WuXi AppTec, have allegedly transferred U.S. client data without consent, according to intelligence officials.

The Department of the Treasury (USDT) and the Department of Homeland Security (DHS) have followed the DOC’s lead to similar effect. In the same salvo as the 2021 BIS Entity List adjudication, the USDT concurrently instituted sanctions on Chinese biotech companies involved in the illicit drug trade and imposed a set of follow-up sanctions in October 2023. For its part, the DHS has brought enforcement actions against Chinese agricultural and chemical biotech companies under the Uyghur Forced Labor Prevention Act for their ties to forced labor, with the most recent sanctioned companies announced in August and October 2023.

Interagency efforts scrutinizing Chinese biotech across genetics, illicit pharmaceuticals, chemical manufacturing, and biometric technologies have further consolidated departmental efforts with even more significant implications. In a first-ever directive defining additional national security factors for the Committee on Foreign Investment in the United States (CFIUS), a September 2022 EO listed “biotechnology, biomanufacturing and elements of the agricultural industrial base” as areas of fundamental interest for CFIUS review. An additional February 2024 EO proposed measures that would block the high-volume export of U.S. genomic data, health data, and biometric data to China, with Biden administration officials going as far as identifying genomic data export as the most acute threat of the data categories to U.S. national security and commercial interests.

If the administration has orchestrated forceful efforts, then Congress has taken even more direct steps. Although the CCP Select Committee lacks a legislative mandate, its leadership and senior members have found common cause with fellow lawmakers to fast-track legislation that promotes the decoupling of the U.S.-China biotech sectors in sensitive areas. In the Senate, Sen. Marco Rubio reintroduced the GENE Act in June 2023 to require CFIUS reviews of genetic transfers and increase corresponding congressional oversight—a set of measures former chairman Gallagher previously signaled interest in. In July 2023, Gallagher partnered with Rep. Dan Newhouse to propose expanding CFIUS jurisdiction to assess Chinese land purchases near U.S. military sites and consider food security via biotech acquisition as a factor in national security reviews.

These efforts also take on a bipartisan sheen. In February, Rubio teamed up with Senate Intelligence Committee chair Mark Warner to urge the DOC and the USDT to develop a more “robust export control regime” that blunts Chinese biotech influence in the United States. Gallagher and CCP Select Committee ranking member Raja Krishnamoorthi proposed the BIOSECURE Act, which would ensure that “foreign adversary biotech companies,” including BGI Group and WuXi AppTec, are blocked from future U.S. federal contracting and government technology procurement. Gallagher and Krishnamoorthi have also forcefully written to the USDT, the DOC, and the Department of Defense to suggest the addition of BGI, WuXi AppTec, and its sister company, WuXi Biologics, to various entity and sanction lists.

Congressional interest in Chinese biotech’s national security implications has taken other notable forms. Announced in March 2022, the National Security Commission on Emerging Biotechnology (NSCEB) has supported the policy behind the BIOSECURE Act by recommending a federal procurement ban of BGI Group products. Additionally, NCSEB vice chair Michelle Rozo offered testimony at a February hearing of the U.S.-China Economic and Security Review Commission that reaffirmed China’s commitment to achieving food security, securing military advantages, and maintaining genetic resources access through biotech research and applications.

The CCP Select Committee has been equally active in publicly spreading this message. In a field visit to Boston, Gallagher and Krishnamoorthi led a group of lawmakers to meet with U.S. biotech executives to discuss challenges posed by China’s biotech sector, including pharmaceutical dependencies. In the months prior, the CCP Select Committee’s policy recommendations described U.S. dependence on Chinese pharmaceutical supply chains as a “distinct national security risk” and recommended the establishment of corresponding controls on Chinese biotech, including investment restrictions. Another CCP Select Committee report investigated U.S. venture capital firms’ investments in emerging Chinese technology and their ties to biometric surveillance, among other biotech advancements, enabling state control.

Although most of the legislation focused on Chinese biotech has yet to be approved, a combination of public pressure and congressional actions have both directly caused and coincided with major impacts across the Chinese biotech sector. WuXi AppTec’s and WuXi Biologics’ share values have declined nearly 40% and 50%, respectively, in the first several months of 2024, largely due to the announcement of the BIOSECURE Act and the CCP Select Committee’s letters to various federal executive departments and the Pentagon. BGI has since been dumped as a client by major Washington lobbying firms that previously advocated for the company’s U.S. market access. The Biotechnology Innovation Organization similarly cut ties with WuXi AppTec and affirmed biotech as a “national security imperative” after being called out by Gallagher for lobbying against the BIOSECURE Act on behalf of WuXi.

The BIOSECURE Act and Pharmaceutical Firms

Pharmaceutical firms are already responding to the BIOSECURE Act and related tensions through potential supply chain adjustments and contingency plans with an eye on the long term. According to the Financial Times, 23 different U.S. biotech companies have warned of their dependency on the WuXi companies in annual reports since March, with at least five such companies informing investors they will seek alternative manufacturing partners. Analysts additionally expect U.S. firms’ drug development costs to skyrocket in the absence of WuXi and BGI, as WuXi AppTec has been described as a “research superstore” for its U.S. partners and WuXi Biologics stands as the second largest biologic outsourcer in the world. In one recent survey of pharma executives, over 90% of respondents indicated that the BIOSECURE Act’s passage would set back their drug pipelines, with 53% stating it would be extremely difficult to replace Chinese contract development and manufacturing organizations like WuXi.

Overseas Investment in Chinese Biotech

U.S. investors in Chinese biotech have been similarly affected. Last September, the Wall Street Journal reported that the value of Chinese biotech venture deals including U.S. investors in 2022 was $102.6 million—a far cry from the $1.01 billion recorded a year earlier. Firms mentioned in the CCP Select Committee’s venture capital funding report have since attempted to sell off their stakes in different Chinese tech startups.

Downward pressure over the last year on Chinese biotech partnerships and investments has precipitated divestments at the corporate and academic levels, too. In February, German agri-tech giant BASF revealed it would exit from two of its joint venture chemical plants in Xinjiang, while U.S. biotech giant Thermo Fisher Scientific announced it would halt sales of DNA collection kits in Tibet. Notably, both regions are where Chinese biometric surveillance is purportedly used en masse, sometimes via American equipment.

On the academic side, in March 2023, France’s Pasteur Institute ended a partnership with the Chinese Academy of Sciences in Beijing and ceased another research operation in Shanghai. In February 2024, reports emerged that the academic journal Molecular Genetics and Genomic Medicine would retract eighteen genetics papers from China due to concerns over data “inconsistencies” on how human genetic samples were collected from vulnerable populations. Finally, as the long-term renewal of the U.S.-China Science and Technology Agreement continues to hang in the balance, state-to-state-level partnerships on crop gene sequencing and infectious diseases, in addition to other biotech-enabled projects, are liable to cancellation.

To this end, experts have suggested that the large financial impacts stemming from recent enforcement actions show that academics, investors, and corporates are not prepared for an expedited biotech decoupling. During the CCP Select Committee’s biotech hearing, NCSEB chair and Gingko Bioworks CEO Jason Kelly stated that industry conversations on national security have been “surprising” for many biotech entrepreneurs, who must avoid “putting our heads in the sand” on strategic biotech competition with China in the future. As one China biotech scholar has remarked, “the geopolitics and trade and investment parts of the U.S.-China relationship are on totally different planes.” This dynamic could not be more apparent as several key pharma executives traveled to Beijing in March, praising China’s biopharma innovation while announcing a series of expansion initiatives.

Looking forward, renewed congressional focus and public pressure campaigns are poised to further tighten the screws on the Chinese biotech sector, as CCP Select Committee leadership hopes to bring a “big China bill” to the House floor this year and human rights groups raise awareness of Chinese biotech’s more draconian applications. Krishnamoorthi has expressed his dedication to moving the BIOSECURE Act forward for a spring markup session in the House of Representatives, even in the absence of Gallagher.

Conclusion

Regardless of whether pending legislation passes through Congress, U.S.-China biotech decoupling is likely to continue, especially in areas of sensitive research and investment. As studies show that China leads the United States in four of seven major emerging biotech categories, the scramble between Washington and Beijing to lead, apply, and control emerging technology within the biotech sector appears to have only just begun. Speaking to the stakes of this new arena of U.S.-China tensions, Rep. Krishnamoorthi remarked during the CCP Select Committee’s hearing in March that “the competition with the CCP in biotech is make or break… so we must, and we will, win.”

In entering this competitive phase of potential U.S.-China biotech decoupling, Americans outside of the industry or the scientific community are not adequately prepared for its consequences in their daily lives. In addition to China representing the largest and most cost-effective exporter of active pharmaceutical ingredients to the U.S. market, jointly developed drugs, agricultural technologies, and other biotech-enabled solutions have improved countless American lives. As the New York Times has reported, the elimination of companies like WuXi from U.S. supply chains would impact developments in treatments for critical medical conditions, including hearing loss, cystic fibrosis, and leukemia. U.S.-China gene editing research collaborations have created disease-resistant crops while improving their yields. Research published in the Harvard Business Review has shown that China’s integration into a full U.S.-led international regulatory harmonization of cancer clinical trials could save 1 to 2 million lives annually through expediting critical reviews of breakthrough medicines. The collapse of U.S.-China biotech partnerships would spell the end of such jointly developed innovations that harbor the potential to deliver sorely needed global public goods, including saving American lives suffering from diseases such as cancer.

Corporations and academia are not ready for a full U.S.-China biotech decoupling, nor do they seek it. As enforcement from Washington grows broader and more restrictive, U.S. biotech firms, institutions, and researchers will face difficult choices when evaluating relationships with Chinese partners. Although changes are certainly necessary within the United States’ posture toward biotech cooperation with China, if decoupling is pursued to its fullest extent, the impacts on the U.S. economy and innovation ecosystem may prove severe. With U.S.-China competition likely to persist, remaining avenues for scientific cooperation, including in biotech, will likely have far-reaching consequences for the rest of the world.

Acknowledgements

The author would like to acknowledge the members of the Cure4Cancer team, as well as other contributors from the Center for China Analysis (CCA), Asia Society Policy Institute (ASPI), for their review and input on the article.

以患者为中心的护理

如何查找和参与癌症临床试验


参与癌症临床试验可以为患者提供最先进的治疗,并有助于推动癌症治疗的进步。查找和参与临床试验包含几个关键步骤。首先,个人可通过咨询医生自行搜索临床试验,以根据其癌症类型和分期探索合适的治疗方案。此外,美国国家癌症研究所(NCI)、TrialCheck®和ClinicalTrials.gov等机构提供数据库等在线资源,可帮助个人根据研究地点和试验类型等各种因素确定可能适合自己的试验。


在考虑是否参与临床试验时,了解资格标准至关重要。每项试验都有具体的指导原则,概述了可以参与试验的人群特征,如年龄、性别、癌症类型和分期。个人必须仔细查看这些标准,以确定自己是否适合参与特定试验。如有需要,可向医生寻求说明,或直接联系研究组织者,寻求协助以了解相关要求。此外,在确定意向试验后联系研究组织者有助于启动资格确定流程,该流程可能涉及预约和资格测试。


在参与临床试验之前,应完整阅读研究说明,该说明对研究方案进行了概述,而方案详细介绍了研究程序和保护受试者健康的保障措施。建议与医疗提供者讨论研究说明,并通过提问明确任何不解之处。参与试验之前,必须完成知情同意程序,在这一程序中,研究团队会解释试验的目的、持续时间、潜在风险和益处以及医疗信息的保密性。知情同意程序贯穿整个试验,可让受试者了解研究的最新进展以及任何已识别的风险或副作用。


如需了解关于查找和参与临床试验的更多信息,请访问纪念斯隆-凯特琳癌症中心网站。

First Drug Targeting HER2-Mutant Non-Small Cell Lung Cancer Approved by FDA

Memorial Sloan Kettering Cancer Center, August 12 2022

The U.S. Food and Drug Administration (FDA) recently sanctioned the use of trastuzumab deruxtecan, also known as T-DXd or Enhertu®, for treating advanced non-small cell lung cancer (NSCLC) marked by mutant HER2. This drug, previously employed for HER2-positive breast cancer, has now garnered approval for NSCLC with mutant HER2. Memorial Sloan Kettering Cancer Center’s (MSK) study on trastuzumab deruxtecan, conducted by researchers and led by Bob Li, emphasized the benefits of the drug in combating HER2-mutant NSCLC. The promising results of the research were presented at the European Society for Medical Oncology (ESMO) Congress 2021 and were later published in The New England Journal of Medicine (NEJM).

Traditionally, treating HER2-mutant NSCLC has been challenging, with previous approaches yielding inconsistent outcomes. Approximately 3% of nonsquamous NSCLC cases are fueled by HER2 genetic mutations, affecting patients who are typically younger, female, never-smokers, and prone to poor prognoses and brain metastases. While HER2 gene targeting has revolutionized cancer treatment in breast and gastric cancers, no HER2-targeted therapies were approved for NSCLC until trastuzumab deruxtecan. The phase 2 DESTINY-Lung01 trial, involving 91 patients across North America, Europe, and Asia, showed promising results with 54.9% of patients

experiencing a confirmed objective response and almost all patients displaying disease control and tumor size reduction. Notably, trastuzumab deruxtecan is the first antibody-drug conjugate utilized for lung cancer, the primary therapy targeting HER2 mutations in lung cancer, and the first HER2-targeted treatment for lung cancer to receive a Breakthrough Therapy designation from the FDA, earning accelerated approval.

In conclusion, the approval of trastuzumab deruxtecan marks a significant advancement in precision medicine for NSCLC, especially for patients with HER2-mutant tumors. The success of this drug signifies a breakthrough in the treatment landscape for a subset of NSCLC patients who previously had limited therapeutic options. The study’s outcomes bring hope for improved outcomes and better quality of life for individuals grappling with HER2-mutant NSCLC, demonstrating the valuable contributions of MSK’s research and the potential for personalized treatment strategies in oncology.

To read the full article, visit the Memorial Sloan Kettering Cancer Center website.

情况说明:拜登总统重启“癌症登月计划”以终结我们已知的癌症

白宫,2022年2月2日

拜登总统在一次活动上围绕重启“癌症登月计划”发表讲话,强调了应对癌症问题的迫切需求,并承诺将其作为拜登政府的重中之重。拜登叙述了与癌症相关的亲身经历,强调了医疗专业人士的奉献精神以及这类疾病对家庭的影响。拜登表示,决心要在未来25年内将癌症死亡率降低50%,并将癌症从致死性疾病转变为可控制的慢性病。目标是改善患者体验,解决差异问题,并终结目前已知的癌症。

拜登总统概述了推进“癌症登月计划”的关键行动,包括组建一个由内阁成员组成的全新“癌症内阁”,负责推动全面抗击癌症的政府工作。拜登呼吁国会资助受DARPA成功模式启发的拟议健康高级研究计划局(ARPA-H),以加快在生物医学领域取得突破。他还敦促科学界提供创新解决方案,并敦促私营部门开发可负担的治疗方法并共享数据,以推进研究工作。

此外,拜登总统还强调了癌症筛查和早期检测的重要性,敦促美国民众优先采取这些基本医疗措施。他鼓励医疗提供者、非营利组织和企业合作,提供无障碍筛查选项,包括流动单位和临时诊所。拜登分享了他在结肠癌筛查方面的个人经历,强调了早期检测对改善治疗效果的重要性。他重申了团结全国抗击癌症的首要任务,并承诺利用政府资源和权威,推动癌症研究和治疗领域取得突破。拜登最后呼吁所有利益攸关方团结合作,不懈努力,改变癌症治疗结果,为全国患者和家庭带来希望。

如需了解更多信息,请访问白宫网站

中美癌症合作可能助力新的“乒乓外交”:陆克文


Russell Flannery福布斯,2021年8月28日

澳大利亚前总理、亚洲协会现任首席执行官陆克文表示,中美在抗癌方面的共同努力可能类似于具有历史意义的乒乓外交,该举措在20世纪70年代帮助缓和了中美双边关系。陆克文对利用癌症合作弥合两国间的关系鸿沟和克服其他挑战秉持乐观态度。

2021福布斯中国医疗峰会围绕推进全球抗癌事业展开,重点关注在后疫情时代取得进展。COVID-19疫情持续蔓延,夺走了全球数百万人的生命,在此背景下,峰会强调了消除癌症的重要性,预计今年癌症将导致近1000万人死亡。峰会强调,癌症患者易感染COVID-19,反映了在癌症治疗领域加强合作和开展研究的紧迫性。

峰会与会者包括来自医疗和肿瘤学领域的关键人物,并且还讨论了全球抗癌战略。此次活动还涉及美国癌症研究和治疗工作的两党性质,已超出了政治界限。峰会强调,乔·拜登等重要人物此前参与推动癌症研究以及在这一领域开展国际合作的潜力是在抗击癌症方面取得重大进展的途径。此次峰会旨在促进利益攸关方之间的对话与合作,以在全球范围内推动癌症治疗和药物研究的发展。

如需阅读全文,请访问Forbes.com

彭博创新经济国际癌症联盟

2019年,在北京举行的彭博创新经济论坛上,多名中美专家齐聚一堂,为两国可以合作的领域制定战略。该专家组由亚洲协会和纪念斯隆-凯特琳癌症中心共同领导,联合中国和国际生物制药公司,提出了加强国际临床试验合作的构想,目标是加快可挽救数百万条生命的癌症疗法的研发、获取和审批。彭博创新经济国际癌症联盟应运而生。

请点击此处观看YouTube视频。

“奥比斯项目”- 同时提交和审查肿瘤学产品的框架


美国食品药品监督管理局,2023年3月4日

“奥比斯项目”由FDA肿瘤卓越中心(OCE)于2019年5月发起,旨在促进国际合作伙伴之间肿瘤学产品的同时提交和审查。全球监管机构在“奥比斯项目”下的合作,使癌症患者能够在监管延误严重的国家或地区更早获得治疗,而不论FDA审批状态如何。该框架对研发肿瘤药物大有裨益,因为关键性临床试验通常在全球范围内进行,这就体现了为有效的试验设计制定一致全球标准的重要性。

自成立以来,“奥比斯项目”已处理多份肿瘤药物上市申请,并成功为全球患者批准了多种肿瘤药物。“奥比斯项目”加强了国际合作,简化了审查流程,在加快患者获得创新癌症疗法方面发挥了关键作用。“奥比斯项目”的成功得益于与各大国际监管机构的合作,如澳大利亚、加拿大和其他加入奥比斯项目合作伙伴(POP)以提高肿瘤产品审查效率的国家或地区的监管机构。

“奥比斯项目”背后的核心团队由R. Angelo de Claro、Dianne Spillman、Lauren Tesh Hotaki、Yinghua Wang和Tina MacAulay等敬业的专业人士组成,他们贡献了各自的专业知识和经验,以期推动这一倡议不断向前发展。这些团队成员在管理申请、促进国际沟通以及监督外国监管机构的审查流程中发挥着不可或缺的作用。随着“奥比斯项目”的不断发展和范围的扩大,该架构有望进一步简化肿瘤产品审查,并促进全球患者更快获得挽救生命的治疗。

如需了解关于“奥比斯项目”的更多信息,请访问FDA网站

纪念斯隆-凯特琳癌症中心和中国胸部肿瘤研究协作组在年度研讨会期间加强国际合作

本文重点介绍了第三届MSK-CTONG年度研讨会,该研讨会汇集了医学专家、行业领袖和政府监管机构,讨论了国际临床试验,其中还重点关注了中美合作问题。陆克文等主要发言人强调了合作抗击癌症的重要性。纪念斯隆-凯特琳癌症中心(MSK)与中国胸部肿瘤研究协作组(CTONG)的合作旨在开展肺癌治疗的联合临床试验。这一合作伙伴关系于2018年确立,促进了两国之间知识、资源和疗法的共享。

MSK和CTONG之间的合作顺应中国新的监管环境下更为快速的新药审批。该合作伙伴关系利用这一监管变化来加速癌症患者新疗法的开发和审批。通过在“奥比斯项目”等倡议下开展合作,中美研究人员可以协调努力,在全球范围内加快审批速度,同时加强患者护理。此次合作加快了创新科学、精准医学和肺癌靶向治疗取得进展的速度。

首个中美多中心临床试验的启动标志着MSK-CTONG合作伙伴关系的一大重要里程碑。这项成果为围绕临床试验的进一步国际合作奠定了基础,特别是在将实验室科学转化为治疗的1期试验中。研讨会与会者包括行业合作者和监管机构,各方共同致力于为癌症药物研发制定协调和透明的框架。最终目标是迅速为美国、中国和世界各地的患者提供更好的治疗,彰显全球合作在推进癌症研究和治疗方面的影响。

如需了解更多信息,请访问纪念斯隆-凯特琳癌症中心网站

国际人用药品注册技术协调会(ICH)在布鲁塞尔成立


ICH关于儿童药物和临床试验进展的大会决定和进展报告

国际人用药品注册技术协调会大会

国际人用药品注册技术协调会(ICH)大会在加拿大蒙特利尔举行,针对儿童药物和临床试验领域做出了重要决定,并取得了重大进展。大会批准了中国国家食品药品监督管理总局(CFDA)成为新的监管成员,旨在扩大合作以提高医疗标准。此外,大会同意为儿科药物的外推制定一项新的国际协调指导原则。该举措旨在提高对儿科外推的利用率,以加快儿童获得新药,这是改善儿科医疗的关键一步。

此外,ICH大会决定修订1997年ICH E8指导原则“临床试验的一般考虑”,这是2016年11月在大阪宣布的战略性“GCP革新”的其中一环。此次修订的重点是,通过确定关键质量因素来加强研究设计、规划和实施。此次修订旨在通过改进临床试验,为监管决策提供更好的依据,减少重复试验的需求,提高参与者的安全性,最终推动公共卫生的进步。

此外,大会最终确定了多项重要指导原则,包括M7(R1)附录“评估和控制药物中DNA反应性杂质”,以及E2B(R3)指导原则“个例安全性报告电子传输”的问答更新。为简化运营并容纳日益增加的成员和观察员,大会对《协会章程》和议事规则进行了修订。其目标是确保专家工作组的规模保持在可控范围内,并与相关全球组织开展有效合作,从而反映ICH对灵活发展和协调的承诺。ICH大会的各项努力体现了共同积极努力提高医疗标准和推进制药行业监管的实践。

如需查阅ICH的完整历史,请访问其网站。

A Legacy of Bold and Venturesome Leadership in the Fight Against Cancer

CEO Roundtable on Cancer

President George H. W. Bush and his family were deeply affected by cancer following the tragic loss of their 3-year-old daughter, Robin. This personal experience motivated them to dedicate themselves to finding a cure for cancer. In 1999, President Bush and Mrs. Barbara Bush established the National Dialogue on Cancer, a platform that brought together various leaders to collaborate on eliminating cancer as a major public health issue. This initiative aimed to identify barriers and opportunities in the fight against cancer.

Under President Bush’s leadership, a complementary organization called the CEO Roundtable on Cancer was formed in 2001. Robert A. Ingram and Dr. Martin J. Murphy played key roles in spearheading this organization, which focused on cancer prevention, diagnosis, and treatment. President Bush remained actively involved in the organization, attending meetings and providing feedback on its progress. The CEO Roundtable on Cancer’s first major initiative, the CEO Cancer Gold Standard™, encouraged companies to prioritize health and wellness in the workplace to combat cancer.

In recognition of his dedication to public service and cancer advocacy, President Bush was awarded the Presidential Medal of Freedom in 2011 by President Barack Obama. This award highlighted President Bush’s unwavering commitment to noble work and leadership. The Chairman of the CEO Roundtable on Cancer praised President Bush for his tireless efforts and acknowledged him as a true American hero. President Bush’s legacy in the fight against cancer continues to inspire individuals and organizations to prioritize cancer prevention and treatment efforts.

Find out more about the CEO Roundtable on Cancer on their website.