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China Nutrient Supplements: Significant Regulatory Updates

The establishment of Administrative Provisions on Nutrient Supplement (hereinafter Provisions) and Requirements of Application Dossiers (Hereinafter Requirements) can be regarded as the basis of notification scheme to be launched for nutrient supplements in future. The most important rules set out in the two drafts include the revision of positive lists and instruction for the preparation of application dossiers.

Contents

1. What is “Nutrient Supplement”?

China categorizes nutrient supplements as single substance vitamin and mineral supplements as well as vitamin and mineral complexes. It is a category of China’s health food. Supplements can only carry claims purporting to supplement normal vitamins and/or minerals intake.

Figure 1. Categories of China's Health Food

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2. Regulatory Instruments

Figure 2 Nutrient supplements regulatory instruments in accordance with Chinese legal hierarchy

As Figure 2 indicated, the Food Safety Law of People’s Republic of China is the foundation of all regulations and rules pertaining to food. This year’s draft amendment has passed an initial consultation period and is pending promulgation. On the second level, there are no administrative regulations for health foods. The third level concerns department rules. Currently, Administrative Provisions on Health Food Registration establishes a framework for CFDA regulation of nutrient supplements and all other health foods. The forth level relates to normative documents. With regard to the regulation of nutrient supplement, Provisions on Registration and Authorization of Nutrient Supplements plays a vital role and forms the basis for the draft of Provisions and Requirements. After promulgated, Provisions and Requirements are to supplement the above instruments. Administrative Provisions on Nutrient Supplements and Requirements on Nutrient Supplements Dossiers are released for public consultation. The two regulations establish strict technical standards for the nutrient supplements registration.  

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3. Analysis of Positive Lists Established by Provisions

The most important rules laid down in Provisions include the inclusion of a positive list of additive materials and the modification of the effective positive lists relating to vitamins and minerals as well as chemical substances used as sources of vitamins and minerals in the manufacture of food supplements. Table 1 compares the positive lists in force and their revisions established by draft of Provisions. Furthermore, revised positive lists are comparable to that established for the European vitamin and mineral supplements as regulated by 2002/46/EC. A comparison between the two frameworks is discussed in Table 2. 

Table 1: Changes of Positive List Relating to Minerals and Vitamins Used in the Manufacture of Nutrient Supplements 

ProvisionsProvisions on Registration and Authorization of Nutrient SupplementsDraft of ProvisionsComparison
Positive list।  Categories and Dosages of Vitamins and Minerals   Categories and Dosages of Nutrient Supplements
(Annex ।)
1. Effective provisions only address the daily recommended intake of vitamins and minerals for adults while draft of Provisions added another 10 groups, including the pregnant, lactating mothers and people less than 18-year old on the basis of the nutrient intake status of Chinese people.
2. The categories of minerals remain the same, amounting to 10 categories whereas that of vitamins reach 17 from 16 due to Vitamin E was divided into natural and synthetic.
3. Upper and low safety limits on daily intake of some vitamins and minerals were modified.
Positive list ॥ Compound List of Vitamins and Minerals Compound List and Quality Requirements of Nutrient Supplements
(Annex ॥)
1. Effective provisions contain 25* vitamins and minerals as well as 111 chemical substances. In contrast, draft of Provisions contain 23 vitamins and minerals with Mo and Cr excluded as well as 57 chemical substances.
2. Each compound was accompanied with its testing method , taking into account National Food Safety Standards.                                  
Positive list III Absent List and Quality Requirement of Nutrient Supplements (for infant)
(Annex III)
Compared to the counterpart list not intended for infant, 9 compounds were removed, which are calcium pantothenate, ferrous lactate, ferrous succinate, calcium lactate, calcium acetate, calcium ascorbate, calcium dihydrogen phosphate, potassium lactate and potassium.
Positive list IV Absent List of Additive Materials Approved for the Use of Health Food
(Annex IV)
222 **additive materials were approved for the use in health food. Most of them are approved food additives confined to Chinese standard GB2760-2011 and the rest are food.

Note: * Vitamin A and β—carotenes were counted separately. **Several substances may appear twice due to the way to organize them.

Table 2: Comparison between China’s and European Positive List Relating to Minerals and Vitamins Used in the Manufacture of Nutrient Supplements

ProvisionsDirective 2002/46/EC on Food SupplementsDraft of ProvisionsComparison
Positive list। Vitamins and Minerals which may be used in the manufacture of food supplements
(Annex ।)
 Categories and Dosages of Nutrient Supplements
(Annex ।)
1. European List contains iodine, sodium, fluoride, chloride, phosphorus and other 10 minerals included in the China's list as well.
2. China's list contains nicotinamide, choline, β—carotene and other 13 vitamins on the European list.
Positive list ॥ Vitamin and mineral substances which may be used in the manufacture of food supplements
(Annex ॥)
Compound List and Quality Requirements of Nutrient Supplements
(Annex ॥)
1.Regarding vitamin substances, China's list specifies 13 categories of vitamins while European list has an extra one-biotin. Besides, the former details 24 vitamin substances whereas the latter contains 32 vitamin substances.
2. Regarding mineral substances, China's list grants 10 categories of minerals, amounting to 33 substances. By contrast, European list approves 80 mineral substances that can be used in food supplements.                               
Positive list III Absent List and Quality Requirement of Nutrient Supplements (for infant)
(Annex III)
 
Positive list IV Absent List of Additive Materials Approved for the Use of Health Food
(Annex IV)
222 **additive materials were approve for health food. Most of them are approved food additives confined to Chinese standard GB2760-2011 and the rest are food.

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4. Introduction of Requirements on Nutrient Supplements Dossier 

Figure. 4 Example of Package Insert 

Terminology and definitions:

Multi-Vitamins/Multi-minerals supplements: Only if three or more vitamins or minerals are contained in the product, it is qualified for being named as multivitamins or multi-minerals supplements

Suitable Group: Product development targets a specific demographic defined as the “suitable group”.

Unsuitable Group:

  • If consumption of a supplement poses risk to a specific groups this group is define as an “unsuitable group”.

  • If the product is not suitable for infants and young children, pregnant women and lactating mothers they shall be listed in the “unsuitable group”

  • For products that are suitable for “adults”, where the recommended daily intake (RDI) associated with specific vitamin and mineral components of the product do not meet the requirements for pregnant women and lactating mothers; they shall be listed in unsuitable group.

  • Capsule, chewable tablet or large pill products, should not be used for infant and young children supplements.

Product Name: Power Essentials Super Adult Multi-vitamin product

Labelling Rationale:

  • This is a multi-vitamin and multi-mineral supplement. All the raw materials (Vitamin A, Vitamin C……) and additive materials (Stearic Acid, Magnesium Stearate……) shall be indicated and must be consistent with the product formulation.

  • The description of functional substances and corresponding contents, the information on nutrient values should be expressed based on the minimum units of consumption and explicitly numerical. Any expression of range shall not be included. As it declares in figure 4 each single dose softgel contains Vitamin A 0.33 mg, vitamin C 59.4 mg……;

  • Suitable and Unsuitable Group -The product is aimed at adults who need to supplement multi-vitamins and multi-minerals, but is not aimed at young children.

  • The intake amount and instruction for use should be expressed precisely like presented in Figure.4. It should be consumed after a meal, 1 time/day and 1 tablet /time. The intake amount goes first, followed by usage that is suggested.

  • To describe the product specification it is necessary to list the net content of the minimum unit of consumption. This product is solid, so the quality is measured with the measurement gram, 2.2 g/tablet.

  • The Shelf life as well as the Product Storage is decided on the basis of features and stability of the product. The shelf life of the product is 18 months with the storage condition of room temperature 15-30 ℃(59-86F).

  • The product must bear the following disclaimer: this product cannot replace medicine; consumers should not exceed the recommended intake or should not be taken with other nutrient supplements of the same kind.

  • Other notes are required based on relevant standards and product properties.

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5.Time Scale for Health Food Registration

For the registration of health foods (not including than nutrient supplements), it usually takes 2 ~ 2.5 years while for nutrient supplements it usually takes 1.5 years . More details on the explanation of the time scale are shown in Table 3.

Table 3 The Health food Registration Time Scale 

Health Food Registration Time Scale

CFDA/ Testing Laboratory (TL)

Testing items

Time Scale

TL

Hygiene Testing

120 days

TL

Stability Testing

TL

Testing on substances that characterise product

TL

Toxicology Testing

150 ~ 330 days

(not required for vitamins/minerals supplements)

TL

Claims Testing

Above only concerns the 1st assessment

CFDA

Review dossiers

5 days

CFDA

Take samples for 2nd assessment

15 days

TL

2nd assessment

50 days

CFDA

Organize final evaluation

85 days

CFDA

Final evaluation

150 days

CFDA

Administrative approval

60 days

Rough estimate

Health foods other than vitamins/minerals supplements

635 ~ 815 days

Vitamins/minerals supplements

485 days

Annex 1 51 Testing Agencies accredited by CFDA

  1. National Food Safety Risk Assessment Center

  2. Chinese Academy of Inspection and Quarantine Comprehensive Testing Center

  3. General Logistics Department of the Ministry of Health Drug and Instrument

  4. Tianjin CDC

  5. Liaoning Institute for Food & Drug Control

  6. Liaoning disease Prevention and Control Center

  7. Shanghai Institute for Food & Drug Control

  8. Shanghai Municipal Center for Disease Control and Prevention

  9. Jiangsu Institute for Food & Drug Control

  10. Jiangsu Provincial Center for Disease Control

  11. Anhui Institute for Food & Drug Control

  12. Fujian CDC

  13. Jiangxi Provincial Institute for Food & Drug Control

  14. Jiangxi Province CDC

  15. Henan Provincial Institute of Food & Drug Control

  16. Hubei Institute for Food & Drug Control

  17. Hubei CDC

  18. Hunan Institute for Food &Drug Control

  19. Hunan CDC

  20. Hunan Hospital for Occupational Disease Prevention

  21. Sichuan Institute for Food & Drug Control

  22. Sichuan CDC

  23. National Institute for Food & Drug Control

  24. Beijing Institute for Food & Drug Control

  25. Beijing CDC

  26. Tianjin Institute for Drug Control

  27. Zhejiang Institute for Food & Drug Control

  28. Zhejiang CDC

  29. Guangdong Institute for Food & Drug Control

  30. Guangzhou Drug Control

  31. Shenzhen Institute for Drug Control

  32. Nanjing Medical and Health Analysis Testing Center

  33. Hebei Institute for Food & Drug Control

  34. Jilin Institute for Food & Drug Control

  35. Jilin Provincial Center for Disease Control and Prevention

  36. Heilongjiang Provincial Center for Disease Control and Prevention

  37. Fujian Institute for Drug Control

  38. Shandong Institute for Food & Drug Control

  39. Shandong Center for Disease Control and Prevention

  40. Henan Center for Disease Control and Prevention

  41. Center for Disease Control and Prevention of Guangdong Province

  42. Guangxi Institute for Food & Drug Control

  43. Guangxi Center for Disease Prevention and Control

  44. Sanitary Inspection Center of Harbin Medical University

  45. Center for Sanitary Analysis and Testing of Shandong University

  46. Center for Analysis and Testing of West China School of Public Health of Sichuan University

  47. Hebei Center for Disease Prevention and Control

  48. Jilin Chinese Medical University

  49. Zhejiang Medical University

  50. Medical Testing and Safety Evaluation Center of Shandong Medical University

  51. Food and Cosmetics Inspection Center of Shanxi Chinese Medical Research Center

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 This article is jointly contributed by senior regulatory specialists Emily Xu and Spring He from REACH24H Consulting Group. 

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