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                 Meanwhile, Australia’s Therapeutic Goods Administration (TGA)   We therefore recommend that the review process of Phase I
       Policy recommendations for the governments of Hong Kong and Shenzhen
                 offers two different schemes for applicants. Namely, the Clinical   clinical trials in Hong Kong be expedited (see Figure 19). On
                 Trial Application Scheme is for application of clinical research or   one hand, we recommend increasing the number of members
                 new drugs of higher risks; the Clinical Trial Notification Scheme is   of the review committee and frequency of meetings to
                 for applications with sufficient preclinical safety data and/or those   expedite the review process; on the other, Hong Kong may
                 with clinical trials completed elsewhere already. An overwhelming   draw on Australia’s model and permit clinical trials to
                 majority of clinical trials are conducted under the Clinical Trial   commence provided that there is sufficient safety data and
                 Notification Scheme, where clinical trials may commence as soon   that the applicant has notified the DH’s Drug Office upon
                 as the applicant has notified the TGA upon approval from the ERC.   approval of the ERC. This way, the review committee can
                 As the TGA need not engage in repetitive reviews, the entire   focus its review work on applications without sufficient safety
                 process takes about 30 days only.                          data. Besides, at present, the DH has not yet set out clear and



                 Figure 19    Expediting approval for Phase I clinical trials in Hong Kong




                                     Existing                                                    Suggested
                                    mechanism                                                    mechanism


                        Takes about                  Takes about                   Application with suf cient safety data requires
                       three months                  three months                     only noti cation to DH’s Drug Of ce with
                                                                                           no need for repeated review











                 Approval from ERC of hospital  Approval for Certi cate for   Approval from ERC of hospital  Approval for Certi cate for
                                                  Clinical Trial from                                    Clinical Trial from DH’s Drug Of ce
                                                PPB review committee
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