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                 has not yet been accredited): in particular, the Animal Laboratory   “the health of our community”, “thus helping its members to avoid
       Policy recommendations for the governments of Hong Kong and Shenzhen
                 of the Centre for Biopharmaceutical Safety Evaluation newly   the need to spend time in our hospitals whenever possible”, but it
                 established by the Shenzhen Institute for Drug Control came into   does not seek to achieve this goal with advanced research or
                 operation in April 2021 in the Nanshan Science and Technology   clinical trials. Therefore, even though many hospitals in Hong Kong
                 Park; the GLP Drug Safety Testing Center of the Hong Kong   have taken part in clinical trials, only three  have set up clinical
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                 Science and Technology Parks is expected to come into operation   trial centres to systematically manage and develop clinical trials.
                 in early 2022. Meanwhile, GLP laboratories that can conduct large   Compared with other regions, these centres are under-funded,
                 animal tests are few and far between. There are eight NMPA-  leading to sluggish development (see Table 8). Unlike HA
                 accredited laboratories authorised to conduct experiments on   hospitals, Grade III Level A hospitals in mainland China (i.e., its
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                 non-rodents  in both Shanghai and Beijing, compared to none in   top-ranked hospitals) are strong advocates of scientific research,
                 Hong Kong and Shenzhen. To build up comprehensive ancillary   with equal emphasis on research, healthcare and education, and
                 facilities for preclinical research in the area, we recommend that   hospitals are evaluated based on their research input and output. 60
                 the two governments establish GLP laboratories, particularly
                 those that can conduct large animal experiments, in the Loop.   In Hong Kong, applications for Phase I trials are subject to a
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                                                                            processing time as long as half a year;  in Shenzhen, the
                                                                            governmental approval part of the applications are handled by
                   Recommendation 2.3    Expediting the                     NMPA with a maximum processing time of 60 days.  In Australia,
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                   approval of Phase I clinical trials in Hong Kong         a hotspot for Phase I trials, applications can be approved in about
                                                                            30 days. In Hong Kong, Phase I applications must go through two
                 The next stage, clinical trials, can be completed either in Hong
                 Kong or Shenzhen. Given that Hong Kong’s internationalised   steps: step one is to apply for approval with the hospital’s Ethics
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                 clinical trial management system has better international   Review Committee (ERC),  which can take about three months;
                 recognition, and that fewer number of study participants are   step two is to apply for the Certificate for Clinical Trial/Medicinal
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                 involved in the first phase, Phase I trials may be completed entirely   Test  with the Department of Health (DH)’s Drug Office, which can
                 in Hong Kong. Yet, clinical trials in Hong Kong is subject to all   take two to three months. Both applications can be submitted
                 kinds of limitations, and the HA has not attached enough   simultaneously, but on one hand, the relevant review committee
                 importance to it. Of particular note, the HA’s vision and mission   of the Pharmacy and Poisons Board (PPB) have merely nine
                 speak of “providing high-quality [healthcare] services” to maintain   members holding only five meetings a year, and on the other,
                                                                            the content reviewed by the two organisations overlap.


                 58   The reproductive systems of non-rodents are more similar to that of human, and therefore experiments with non-rodents are more valuable for reference. Non-rodent species include animals
                   other than the orders of Rodentia and Lagomorpha.
                 59   The three hospitals are Queen Mary Hospital, Prince of Wales Hospital and the Hong Kong Sanatorium & Hospital.
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