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Slide1
About OMICS Group
OMICS Group International is an amalgamation of
Open Access publications
and worldwide international science conferences and events. Established in the year 2007 with the sole aim of making the information on Sciences and technology ‘Open Access’, OMICS Group publishes 400 online open access
scholarly journals
in all aspects of Science, Engineering, Management and Technology journals. OMICS Group has been instrumental in taking the knowledge on Science & technology to the doorsteps of ordinary men and women. Research Scholars, Students, Libraries, Educational Institutions, Research centers and the industry are main stakeholders that benefitted greatly from this knowledge dissemination. OMICS Group also organizes 300
International conferences
annually across the globe, where knowledge transfer takes place through debates, round table discussions, poster presentations, workshops, symposia and exhibitions
.Slide2
About OMICS Group Conferences
OMICS Group International is a pioneer and leading science event organizer, which publishes around 400 open access journals and conducts over 300 Medical, Clinical, Engineering, Life Sciences,
Phrama
scientific conferences all over the globe annually with the support of more than 1000 scientific associations and 30,000 editorial board members and 3.5 million followers to its credit.
OMICS Group has organized 500 conferences, workshops and national symposiums across the major cities including San Francisco, Las Vegas, San Antonio, Omaha, Orlando, Raleigh, Santa Clara, Chicago, Philadelphia, Baltimore, United Kingdom, Valencia, Dubai, Beijing, Hyderabad,
Bengaluru
and Mumbai.Slide3
3Translating
Pharmacognosy
Knowledge into Healthcare: Research on Quality and Standards
10:55-11:15
Title: Current research on standards of medicinal plant products: Decoction pieces, granules and proprietary products as
phytomedicines
Kelvin Chan,
The University of Sydney & Western Sydney, Australia
11:15-11:35
Title: Notorious
Aristolochic
acids in traditional herbal medicines: Successful identification and validation using DNA barcodes, Real-Time PCR with
TaqMan
technology and UHPLC-HR-MS
Wei Sun,
China Academy of Chinese Medical Sciences, China
11:35-11:55
Title: Progress of R&D of Chinese
materia
medica
to keep up with advances in technology
De-an
Guo
,
Chinese Academy of Sciences, China
11:55-12:15
Title: Authentication and quality control of TCM herbs and herbal preparations
Yuan-
Shiun
Chang,
China Medical University, Taiwan
Slide4
4
Current research on standards of medicinal plant products: decoction pieces, granules and proprietary products as
phyto
-medicines
Kelvin Chan
Joint Chair Professor in TCM
Faculty of Pharmacy, USyd
The National Institute of Complementary Medicine, UWSSlide5
5Topics to be touched on
The current public views on herbal products
Pharmacopoeia standards of Chinese materia medica: Role of methodology development
The current global regulations for Chinese herbal products as
phyto
-medicines
The future actionsSlide6
Frequently Asked Questions/Concerns about Herbal Medicinal Material and Proprietary Herbal Medicinal Products
What are the active ingredients prescribed
herbal medicines?
Do
herbal
products have to pass through the same strict
legislative procedures
as pharmaceuticals?
What is known about the quality, safety and efficacy of the
herbal products
?
What are the latest research directions towards QC/QA of herbal drugs?Slide7
7
WHO Report on Traditional MedicineSlide8
8
Differences between Orthodox Drugs and
Chinese Medicinal
Materials
(CMM)
**
refer to chemically defined established drugs. ** refer to either single herb or combination of several herbs in one prescription.
From:
Chan & Cheung,
Interactions
between Chinese Herbal Medicinal Products and Orthodox Drugs
, Taylor & Francis Group, September 11, 2000 by CRC PressSlide9
9
Process in quality assurance of herbal medicines
Typical procedure for quality standardisation of herbal medicines Slide10
Total Quality Management of
Chinese
Medicines
Industry
*GACP is now adopted as Good Agricultural & Collection Practice
*Slide11
Strategies for Achieving Quality Medicinal Herbal Products
Establishment of
Good
Agricultural & Collection Practice
for
of medicinal plants
Good Sourcing Practice for supply of materials
Good Laboratory Practice for chemical/biological analyses
Establishing reliable pattern recognition procedures for fingerprinting relationship of source materials
GMP of ready-made products with approved fingerprinting
GCTP of ready-made products Slide12Slide13
Min County, Gansu: Transferring Danggui Young Seedlings in Green House to Open Fields
甘肃岷县:将当归幼苗转至绿色大棚以开辟土地Slide14
Danggui’s GAP Test Farms
当归良好农业规范试验田
Min County, Gansu Province
甘肃省岷县Slide15Slide16Slide17
GAP production bases of TCM herbs adopted by national certification before 2010 in China
Zhang
et al (2010), GAP Production of TCM herbs in China.
Planta
Medica
, 76: 1948-1955
GAP refers to: Good Agricultural PracticeSlide18
Some
Current G
AP Bases
of Chinese Materia Medica in China
[Zhang et al (2010), GAP Production of TCM
h
erbs in China.
Planta
Medica
, 76: 1948-1955
]
Site
of bases Cultivated medicinal Plants
Anhui province
Paeonia
suffruticosa
Chongqing
Pinellia
ternata
Gansu province
Angelica
sinensis
Guangxi
province
Momordica
grosvenorii
GuiZhou
province
Dendrobium
candidum
;
Eucommia
ulmoides
;
Hebei
province
Angelica
dahurica
;
Scutellaria
baicalensis
Heilongjiang
province
Panax
ginseng
Henan province
Panax
ginseng
Hubei province
Kehmannia
gluiinosa
Hunan province
Lespedeza
cyrtobotrya
Inner Mongolia
Eucommia
umloides
Jiangsu province
Glycyrrhiza
uralensis
Jilin province
Chrysanthemum
morifolium
Liaoning
province
Panax
ginseng;
Panax
quinquefolium
Ningxia
province
Panax
ginseng
Shandong
province
Lycium
chinensis
Shanghai
Lonicera
japonica
Shanxi province
Crocus
sativus
Sichuan
province
Salvia
miltiorrhiza
Tibet province
Crocus
sativus
;
Ligusticum
chuanxiong
Yunnan
province
Rhodiola
roseaDracaena
draco
;
Panax
notoginsengSlide19
Role of European Directorate for Quality Medicines & Healthcare (
EDQM)
Slide20
20
The EP Commission in Strasbourg 2005
*
‘Monographs on Herbal Drugs used in
Traditional Chinese Medicine should be developed
to give
a modern quality standard according to
European Pharmacopoeia principles and
to facilitate and encourage use
by practitioners for safe,
authorised products’
*
Slide from Prof Franz-©2009 EDQM, Council of Europe, All rights reservedSlide21
21
Commission of European Pharmacopoeia
(2008):
Set up Working Party of TCM at Strasbourg, EDQM
Président/Chairman Prof. Dr. Gerhard Franz
Other Experts:
A Prof. Dr. Rudolf BAUER
A Dr. Erich Andreas STOEGER
B Dr. Pierre DUEZ
CH Dr. Albert BLARER
CH Dr. Thomas LEHMANN
CH Dr. Eike REICH
D Dr. Uwe Michael GASSER
D Dr. Bernhard Klier
E Ms. Gloria GARCIA LORENTE
F Prof. Isabelle FOURASTE
F Mr. Robert SOUSSAIN
UK Prof. Dr. Kelvin CHAN --
AU Observer (since Mar 2010)
I Prof. Francesco VINCIERI
NL Dr. Mei WANG
TR Prof. Kemal Husnü Can BASERSlide22
Multi-disciplinary methods for the quality standardisation of CMM
Pharmacognosy: GAP and sample preparation
Capillary Electrophoresis
Carbohydrate analysis
Chemometrics
Authentication:
TLC
DNA
finger printing
UPLC/
HPLC
LC-MS
Biological
Clinical
Studies
Slide23
Strategic priorities
Optimisation
of manufacturing and analysis methods to achieve herbal product standardisation and predictable
bioactivity.
Contribute
to R&D product development methodologies in
TCM.
Progress
TCM bioinformatics / data
management.
Assisting
the development of Chinese herb cultivation in Australia (encompassing Good Supply Practice/Good Agriculture Practice
issues).
Developing
the national and international profile of NSW and Australia in
TCM.
Further
development of strategic TCM research priorities (to articulate with NICM TCM priorities
).Slide24
Salvia Miltiorrhiza Radix & Rhizoma (
Danshen
)
Panax
N
otoginseng
Radix &
Rhizoma
(
Sanqi
)
Angelica
S
inensis
Radix (
Danggui
)
Pueraria
Lobata Radix (Gegen
)Zingiber officinale
Rhizoma
(Ginger)
Granule
comparison with raw
materials
StandardisationSlide25
AnalysisUsing TLC and UPLC, quantifying several reference compounds.
Antioxidant activity
Chemometrics
GranulesSlide26
General results between decoction pieces & granules
CMM decoction pieces were in their own group.
CMM decoction pieces had consistent yields.
Antioxidant activity favoured CMM decoction pieces .
Quantification of more markers allowed greater comparison of products.
Did industry follow traditional decoction?
Pharmacopoeia needs
to define standards for
herbal granulesSlide27
27
Difference in registration of herbal products
China: TCMs treated and registered as a medicine, health-supplement
Europe: Traditional Herbal Medicinal Product
Registration Scheme is good for European traditional remedies (NB 30/15 year rule) but is a barrier to entry for TCMs and other non-EU traditional remedies
USA: stringent rules, need to claim efficacy for disease
Canada: ease of access via Natural Health Products route
Australia: risk strategy approach (different levels)Slide28
Dantonic
®
[
Danshen
Diwan
:
Radix
Salviae
miltiorrhizae
,
Radix
notoginseng
and
Borneolum
Syntheticum
] developed as a formulation for
treating chronic stable angina pectoris
in early 1990sApproved as a Class 4 drug by the SFDA in 1993CMC information (formulation development, specification, manufacturing process, stability test, etc)pre-clinical data (pharmacological studies and acute and sub-acute toxicity studies
clinical evidence (157 patients, positive control studies, Fu Fang Danshen Pian).
Used by more than 25 million people in chronic, 3-5 month administration, with substantial benefits and bioactivity superior to existing pharmaceuticals in one or more aspects in terms of safety, efficacy and cost-effectiveness
In 1996,
Dantonic
®
entered the first foreign market – Vietnam
The currently active IND (70,359) from the FDA received in June 2006 for the treatment and management of chronic stable angina
Phase II, randomized, placebo controlled studies in the USA and Australia conducted 2008-2009
In July 2010, the EOPII meeting with the US FDA was held, and the phase III studies are under active planning in the USA, EU, Australia and Asia
Case study:
Dantonic
®
Worldwide Markets (1
)Slide29
Country/Region
Legal status
Approval time
USA
Dietary supplement
Sep 2000
The United Arab Emirates
Prescription drug
Jun 2001
South Korea
OTC
Jan 2002
Cuba
Drug*
Jul 2002
Singapore
TPM**
Oct 2002
Mongolia
Drug*
Oct 2002
Nambia
CAM**
Aug 2003
Kazakhstan
Prescription drug
Jan 2004
Ivory coast
Functional product***
Mar 2005
Dantonic
®
Worldwide Markets (2)
*
Drug:
there is no clear classification between prescription drugs and OTC in some developing countries
**
TPM:
Traditional Patent Medicine;
CAM:
Complementary and Alterative Medicine;
TM:
Traditional Medicine;
TCM:
Traditional Chinese Medicine;
***
Functional product:
Similar to dietary supplement or food supplement;Slide30
Dantonic®
Worldwide Markets (3)
South Africa
CAM**
Sep 2005
Vietnam
Prescription drug
Oct 2005
Russia
Prescription drug
Dec 2005
Nigeria
CAM**
Dec 2006
India
Functional product***
Mar 2007
Thailand
TM**
Feb 2008
Hong Kong
TCM**
Mar 2008
Canada
OTC
Jul 2008
Philippines
OTC
Jul 2009
Uganda
Functional product***
Aug 2009Slide31
31Di’ao
Xinxuekang
Capsule - the 1
st
authorised THM from outside the EU
Approved by Dutch Medicines Evaluation Board (MEB) on
14 March 2012
The application was evaluated very carefully on the basis of:
pharmaceutical
qualitysafety
and
the justification of traditional use, i.e. 30/15 year rule
(
Dioscorea
nipponica
rhizome)
The marketing authorisation holder is obliged to implement a
pharmacovigilance
system
The manufacturing site of
Di’ao
in Chengdu, China wasinspected on GMP by the Dutch Pharmaceutical Inspection.Slide32
Email Addresses for Regulatory Agencies in various regions Australia ---
http:/www.tga.gov.au/cm/cm.htm#argcm
Canada--http://www.hc-sc.gc.ca/hpfb-dgpsa/nhpd-dpsn/index_e.html
China---http://www.sfda.org.cn/
Hong Kong Chinese Medicine Division--http://www.cmchk.org.hk/cm/english/idx_ord.htm
The European Agency for the Evaluation of Medicinal Products— http:www.emea.eu.int/
USA-- -FDA---http://www.fda.gov/cder/guidance/index.htmSlide33
Pharmacopoeia of various countries or regions that have monographic standards for
CMM
Chan
K, Leung KS, Zhao SS. Harmonization of monographic standards
is needed
to ensure the quality of Chinese medicinal materials.
BMC-Chin Med 2009
; 4: 18
Pharmacopoeia
and
monograph
Authority Status
WHO Monographs on Selected Medicinal Plants
WHO
unofficial
Chinese Pharmacopoeia
SFDA
China official
AU Regulatory Guidelines for
Complementary
Medicines TGA
Australia official
European Pharmacopoeia
EDQM officialHong Kong Chinese Materia Medica Standards DHHKSAR, China
official
Japanese Pharmacopoeia PA
Japan
official
Thai Herbal Pharmacopoeia
TFDA
official
British Pharmacopoeia BPC,
UK
official
American Herbal
Pharmacopoeia
(AHP)
prívate
unofficialSlide34
34
Take home messages
Open mindedness
collaboration/cooperation/networking
Ensure good practices in
GACP, GSP, GLP, GMP & GCTP
Linking technologies,
chemometrics
& bioinformatics with regulatory requirements
Evidence-based assessment of
efficacy
&
safety
Global harmonisation of
regulatory control/
pharmaco
-vigilance system
To achieve these we need:
Updating monographic standards of CMM with R & D data
Local, national and global networking on all issues is a MUST
Recognition of industrial specifications for GCTP- proven brand-named products.
Train local human resources in coping with demand—role of university & educational institutes
Do the
utmost to establish a state of harmony between "tradition" and "modern" in the provision of global healthcareSlide35
Thank
you for your
attentionSlide36
Lets Meet again at Pharmacognosy-2015
3
rd
International Conference and Exhibition on Pharmacognosy, Phytochemistry and Natural Products
October 26-28, 2015 Hyderabad, India
Theme:
Advanced trends for the future of Herbal Drugs and Products
Website:
http://pharmacognosy-phytochemistry-natural-products.pharmaceuticalconferences.com/