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                 and item by item”, it is not necessary to declare every item for   cooperation between the ethic committees of both cities and
       Policy recommendations for Central Ministries and Departments
                 review, except specified ones requiring approval, so as to facilitate   explore the application of Hong Kong regulations and standards at
                 the reform of key areas.                                   the Loop. Furthermore, cooperation between ethics committees in
                                                                            the two cities and foreign countries and regions, such as the US
                 To create a biomedical powerhouse in the Loop for the GBA and   and the EU, should be promoted to bridge their ethics review rules
                 even the entire nation, we recommend that the Shenzhen     and standards.
                 Municipal Government seek the approval of the Central
                 Government on implementing comprehensive authorisation in
                 the Loop, followed by the Hong Kong and Shenzhen           | Bridging the two cities’ systems
                 governments jointly seeking the authorisation of various     and regimes
                 ministries and departments to implement pilot policies in
                 biotech reform. Examples include improving drug approval
                 procedures, facilitating the sharing of human genetic resources,   Recommendation 6.1    Relaxing regulations
                 streamlining the cross-border flow of research materials and   set by the Negative List to allow designated
                 devices, and supporting the testing and certification of drugs and   enterprises to enter the Mainland market
                 medical devices which have yet to complete clinical research   The two cities have yet to harmonise their regulations on market
                 procedures at eligible institutes at the Loop, etc. To ensure the   access. In Hong Kong, enterprises from the two cities are on an
                 smooth implementation of comprehensive authorisation, and to   equal footing as Mainland enterprises are not subject to any
                 launch pilot measures of biotech system and regime reform,   restrictions. However, under the Mainland’s restrictions on market
                 appropriate fault tolerance mechanisms and effective incentivising   access, besides existing restrictions that forbid persons of foreign
                 measures should be put in place in the Loop.               nationalities to act as the legal representative of public institutions
                                                                            and private non-enterprise units, the Negative List of foreign
                 A biotech expert advisory committee consisting of
                 government representatives and top-notch professionals     investment in China (2020) promulgated by the National
                 within China and from overseas should be established in the   Development and Reform Commission and the Ministry of
                 Loop to put forward specific recommendations on the        Commerce bars foreign investors from investing in the
                 development of the biotech industry, as well as exploring issues   development and application of human stem cells, genetic
                 like ethics review procedures and mutual recognition of clinical trial   diagnostics and therapy technology. As Hong Kong is designated
                 results and standards, and drug application review and approval   as a “foreign” region, it is difficult for Hong Kong enterprises
                 procedures, etc. To improve the ethics review of clinical trials in   specialised in genetic diagnostics and therapies to enter the
                 Hong Kong and Shenzhen, the advisory committee can foster   Mainland market.


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