The document discusses regulations for herbal drugs and quality standards. It outlines World Health Organization guidelines for authentication, contaminants testing, and other quality control of herbal drugs. It then describes regulations for herbal drugs in India, the United States, Australia, Canada, and the European Union. It also discusses Schedule T of the Indian Drugs and Cosmetics Act, which lays out good manufacturing practices, and potential interactions between herbal medicines and conventional drugs.
2. Content
Quality control of herbal drugs as per WHO
guidelines.
Herbal regulatory issue
Safety parameters, toxicity concerns and herb- drug
interactions
Herb patent case study
Schedule T
Schedule Y
Proposed Schedule Z & shelf-life
Standardization of marker of Phytoconstituents
3. Quality control of herbal drugs
(WHO guideline)
1. Authentication (stage of collection, parts of the plant
collected, regional status, botanical identity like
phyto-morphology, Microscopical and histological
analysis, taxonomical identity, etc.)
2. Foreign matter (herbs collected should be free from
soil, insect parts or animal excreta, etc.)
3. Organoleptic evaluation (sensory characters – taste,
appearance, odour, feel of the drug, etc.)
4. Tissues of diagnostic importance present in the drug
powder.
4. Quality control of herbal drugs
(WHO guideline)
5. Volatile matter
6. Moisture content determination
7. Chromatographic and spectroscopic evaluation.
9. Determination of heavy metals –
e.g. cadmium, lead, arsenic, etc.
9. Pesticide residue
10. Microbial contamination
11. Radioactive contamination
6. Regulation in India
Herbal drugs are regulated under the Drug and Cosmetic
Act (D and C) 1940 and Rules 1945 in India, where
regulatory provisions for Ayurveda, Unani, Siddha
medicine are clearly laid down.
Department of AYUSH is the regulatory authority and
mandate that any manufacture or marketing of herbal
drugs have to be done after obtaining manufacturing
license, as applicable.
The D and C Act extends the control over licensing,
formulation composition, manufacture, labelling, packing,
quality, and export.
Schedule “T” of the act lays down the good
manufacturing practice (GMP) requirements to be
followed for the manufacture of herbal medicines.
7. Regulation in India
The official pharmacopoeias and formularies are
available for the quality standards of the medicines.
First schedule of the D and C Act has listed
authorized texts, which have to be followed for
licensing any herbal product under the two
categories: ASU drugs & Patent or proprietary
medicines.
In India, traditional medicines are governed by the
Drugs and Cosmetics Act of 1940 and the Drugs and
Cosmetics Rules of 1945. They regulate the import,
manufacture, distribution and sale of drugs and
cosmetics.
8. Regulation in India
In 1959, the Government of India recognized the traditional
Indian systems of medicine and amended the Drugs and
Cosmetics Act to include drugs which are derived from
traditional Indian medicine.
No products derived from traditional systems may be
manufactured without a licence from the State Drug Control
Authorities.
Patent and proprietary medicines derived from the traditional
systems must contain ingredients which are mentioned in the
recognized books of the above systems, as specified in the
Drugs and Cosmetics Act.
The government is advised by a special committee and an
advisory board for Ayurvedic, Siddha and Unani drugs.
Pharmacopoeia committees have been constituted to prepare
pharmacopoeias for all these systems
9. Regulation in US
The botanical products are classified as a drug, food
or a dietary supplement by the United States Food
and Drug Administration on the basis of the claims or
end use.
A product that is used to prevent, diagnose, mitigate,
treat or cure a disease would fall under the category
of drug.
If the intended use of a botanical product is to affect
the structure or function of the human body, it may
be classified as either a drug or a dietary supplement.
As per FDA, the drug must be marketed under an
approved New Drug Application (NDA).
10. Regulation in US
FDA regulates the dietary supplements under the
Dietary Supplement Health and Education Act of
1994.
These do not require premarket approval and it’s the
responsibility of the marketer to ensure the safety
and labelling compliance of their products with the
regulations.
The claims need to comply with the regulatory
guidelines issued by the FDA.
The manufacturing of dietary supplements should be
done as per the current GMP for dietary supplements
11. Regulation in Australia
Therapeutic Goods Administration, the regulatory
agency of Australia, regulate herbal products under
the category of complementary medicine.
Ayurvedic medicine, traditional Chinese medicine, and
Australian indigenous medicines are all covered
under this category
Complementary medicines which do not require
medical supervision are permitted and have to be
entered on the Australian Register for Therapeutic
Goods (ARTG) before marketing
12. Regulation in Australia
The low-risk medicines require to be listed while the
medicines for comparatively higher risk therapeutic
conditions require registration on the ARTG.
Only evidence-based claims which are entered on
the ARTG are allowed.
13. Regulation in Canada
Since January 1, 2004, Health Canada regulates herbal
remedies and traditional medicines such as Ayurvedic
medicine, under the natural health products
regulations.
The regulations mandate that a manufacturer, packer,
labeler or importer need to have a prior registration
with Health Canada before commencing any such
activity.
14. Regulation in Canada
The process involves registration of the
manufacturing site/s along with the products.
Complete data on product composition,
standardization, stability, microbial and chemical
contaminant testing methods and tolerance limits,
safety and efficacy along with ingredient
characterization, quantification by assay or by input
needs to be submitted to Natural Health Product
Directorate (NHPD).
The authority mandate that NHPs must comply with
the contaminant limits and must be manufactured as
per the GMP norms
15. Regulation in European union
The European Medicine Agency have laid down two
ways of registration of herbal medicinal products:
(1) A full marketing authorization by submission of a
dossier, which provides the information on quality,
safety and efficacy of the medicinal products
including the physicochemical, biological or microbial
tests and pharmacological, toxicological and clinical
trials data; under directive 2001/83/EC
16. Regulation in European union
(2) For traditional herbal medicinal products, which
do not require medical supervision, and where
evidence of long traditional of use of medicinal
products exists, and adequate scientific literature to
demonstrate a well-established medicinal use cannot
be provided, a simplified procedure under directive
2004/24/EC exists.
The evidence of traditional use is accepted as
evidence of efficacy of the product. However,
authorities may still ask for evidence to support
safety.
17. Regulation in European union
Quality control requirements require physicochemical and
microbiological tests to be included in the product
specifications. The product should comply to the quality
standards in relevant pharmacopoeias of the member
state or European Pharmacopoeia.
The bibliographic evidence should support that the
product has been in medicinal use for at least 30 years
out including at least 15 years within the European
community.
The application for traditional use registration shall be
referred to the Committee for Herbal Medicinal Products,
if the product has been in the community for less than 15
years, but otherwise qualifies for the simplified
registration procedure under the directive.
18. Herb drug interactions
Many medicinal herbs and pharmaceutical drugs are
therapeutic at one dose and toxic at another.
Interactions between herbs and drugs may increase
or decrease the pharmacological or toxicological
effects of either component.
Synergistic therapeutic effects may complicate the
dosing of long-term medications-
E.g. herbs traditionally used to decrease glucose
concentrations in diabetes1 could theoretically
precipitate hypoglycaemia if taken in combination
with conventional drugs.
19. Herb drug interactions
E.g. herbs traditionally used to decrease glucose
concentrations in diabetes1 could theoretically
precipitate hypoglycaemia if taken in combination
with conventional drugs.
Herbal medicines are ubiquitous: the dearth of
reports of adverse events and interactions probably
reflects a combination of under-reporting and the
benign nature of most herbs used.
increase or decrease the effect of a blood thinner
such as Warfarin and lead to either a bleeding
episode or formation of a dangerous clot;
20. Herb drug interactions
decrease the effect of a blood pressure medication,
leading to high blood pressure and a stroke;
decrease the effect of an anti-infection agent, letting
the infection get out of control; or
increase the effect of an anti-diabetes drug and
plunge blood sugar to dangerously low levels.
21. Herb drug interactions
Garlic
Allium sativum (garlic) decreased the area under the
plasma concentration-time curve (AUC) and
maximum plasma concentration of saquinavir, but
not ritonavir and paracetamol (acetaminophen), in
volunteers.
A. sativum increased the clotting time and
international normalised ratio of warfarin and caused
hypoglycaemia when taken with chlorpropamide.
22. Herb drug interactions
Ginkgo
Ginkgo biloba (ginkgo) caused bleeding when
combined with warfarin or aspirin (acetylsalicylic
acid), raised blood pressure when combined with a
thiazide diuretic and even caused coma when
combined with trazodone in patients.
23. Herb drug interactions
Ginseng
Panax ginseng (ginseng) reduced the blood
concentrations of alcohol (ethanol) and warfarin, and
induced mania when used concomitantly with
phenelzine, but ginseng increased the efficacy of
influenza vaccination.
24. Herb drug interactions
St. john’s wort
Hypericum perforatum (hypericum; St John's wort)
decreased the blood concentrations of ciclosporin
(cyclosporin), midazolam, tacrolimus, amitriptyline,
digoxin, indinavir, warfarin, phenprocoumon and
theophylline, but did not alter the pharmacokinetics
of carbamazepine, pravastatin, mycophenolate
mofetil and dextromethorphan.
25. Herb drug interactions
St. john’s wort
Cases have been reported where decreased
ciclosporin concentrations led to organ rejection.
Hypericum also caused breakthrough bleeding and
unplanned pregnancies when used concomitantly
with oral contraceptives.
It also caused serotonin syndrome when used in
combination with selective serotonin reuptake
inhibitors (e.g. sertraline and paroxetine).
26. Patent case study
Pharmaceutical compositions comprising hemp and
turmeric to treat pain and inflammation
WO 2015171445 A1
ABSTRACT
The present invention comprises compositions
comprising therapeutically effective amounts of CBD
and curcumin in various combinations to treat pain.
CBD and curcumin are preferably from natural
sources. A method of using the combination of CBD
and curcumin compositions to treat pain is also
described.
27. Patent case study
Publication number WO2015171445 A1
Publication type Application
Application number PCT/US2015/028718
Publication date 12 Nov 2015
Filing date 1 May 2015
Priority date 6 May 2014
Inventors Mewa Singh
Applicant Mewa Singh
Export Citation BiBTeX, EndNote, RefMan
28. Patent case study
WHAT IS CLAIMED IS:
1. A composition for treating pain comprising a
therapeutically effective amount of cannabidiol (CBD)
and curcumin.
2. The composition of claim 1, further comprising at
least one of: magnesium or ginger.
3. The composition of claim 1, wherein the CBD and
curcumin comprises natural sources of CBD and
curcumin.
4. The composition of claim 1 , wherein the natural
source of CBD comprises CBD producing hemp and
the natural source of curcumin comprises turmeric.
29. Patent case study
5. The composition of claim 4, wherein the CBD comprises
a liquid or a powder extract of a cannabis plant and the
curcumin comprises a liquid or a powder extract from a
turmeric root.
6. The composition of claim 5, wherein the CBD extract
comprises at least 80% (w/w) CBD to total cannabinoid
content.
7. The composition of claim 5, wherein the curcumin
extract comprises at least 2% by weight curcuminoid
content.
8. The composition of claim 5, wherein the weight ratio of
CBD extract to curcumin extract comprises about 1 : 1 to
about 1 :5.
30. Patent case study
9. The composition of claim 5, wherein the weight ratio of
CBD in the CBD extract and curcuminoid in the curcumin
extract comprises about 1 : 1 to about 1 : 10.
10. The composition of claim 5, wherein the composition
comprises a water soluble dosage form.
11. The dosage form of claim 10, wherein the dosage form
comprises a capsule, tablet or liquid.
12. The dosage form of claim 11 , wherein the dosage form
comprises a capsule.
31. Patent case study
13. A method of treating pain comprising: a) selecting a
patient in need of treatment for pain; b) administering to
the patient a therapeutically effective amount of CBD and
curcumin, wherein the patient is treated.
14. The method as claimed in claim 13, wherein the pain
comprises acute pain, chronic pain, or acute and chronic
pain.
15. A method of treating pain comprising administering to
a patient the composition of claim 1.
16. A method of treating pain comprising administering to
a patient the composition of claim 2.
32. Patent case study
17. A method of treating pain comprising administering to
a patient the composition of claim 4.
18. A method of treating pain comprising administering to
a patient the composition of claim 5.
19. A method of treating pain comprising administering to
a patient the capsule of claim 12.
33. Schedule T
The Good Manufacturing Practices (GMP) are prescribed
as follows in Part I and Part II to
ensure that:
I. Raw materials used in the manufacture of drugs are
authentic, of prescribed quality and are free from
contamination.
II. The manufacturing process is as has been
prescribed to maintain the standards.
III. Adequate quality control measures are adopted.
IV. The manufactured drug which is released for sale is
of acceptable quality.
34. Schedule T
V. To achieve the objectives listed above, each licensee
shall evolve methodology and procedures for
following the prescribed process of manufacture of
drugs which should be documented as a manual and
kept for reference and inspection. However, under
IMCC Act 1970 registered Vaidyas, Siddhas and
Hakeems who prepare medicines on their own to
dispense to their patients and not selling such drugs
in the market are exempted from the purview of
G.M.P.
35. Schedule T
PART-I
GOOD MANUFACTRING PRACTICES
Factory Premises:
The manufacturing plant should have adequate space
for:-
(i) Receiving and storing raw material
(ii) Manufacturing process areas
(iii) Quality control section
(iv) Finished goods store
(v) Office
(vi) Rejected goods/drugs store
36. Schedule T
General Requirements:
Location and surroundings
Buildings
Water supply
Disposal of waste
Containers’ cleaning
Stores
Raw materials
Packaging material
Finished goods stores
37. Schedule T
Working space
Heath, clothing, sanitation and hygiene of workers
Medical services
Machinery and equipment's
Batch manufacturing records
Distribution records
Record of market complaints
Quality control
38. Schedule T
Requirement for Sterile product
Manufacturing areas
Precautions against contamination and mix
40. Schedule Y for Herbal Drugs
All of the fundamental ethical principles of human participation in
research apply equally to herbal remedies and research involving
these compounds.
Consent must be obtained, subject selection must be equitable,
risks and benefits must be weighed and must be favourable to the
potential participant, and experimental design must be sound.
Concerns that particularly apply to clinical trials with herbal
products include:
Product adulteration (has it been documented?)
Interactions between herbal remedies and other entities (rarely
understood)
Reproductive and organ toxicity data (may be minimal)
Prior dose finding (likely to be incomplete).
41. Schedule Y for Herbal Drugs
Category 1: already in use for more than 5 years
Category 2: in use for less than 5 years
Category 3: new medicines.
For the herbal remedies and medicinal plants that are to be
clinically evaluated for use in the Allopathic System and which may
later be used in allopathic hospitals, the procedures laid down by
the office of the Drugs Controller General of India for allopathic
drugs should be followed.
When an extract of a plant or a compound isolated from the plant
has to be clinically evaluated for a therapeutic effect not originally
described in the texts of traditional systems or, the method of
preparation is different, it has to be treated as a new substance or
new chemical entity (NCE) and the same type of acute, sub acute
and chronic toxicity data will have to be generated as required by
the regulatory authority before it is cleared for clinical evaluation.
42. Schedule Y for Herbal Drugs
An extract or a compound isolated from a plant, which has never
been in use before and has not ever been mentioned in ancient
literature, should be treated as a new drug, and therefore, should
undergo all regulatory requirements before being evaluated
clinically.
The document also provides general guidelines on clinical trials of
herbals, toxicity studies, need for standardization, and compliance
with GCP in all clinical trials.
Some of the recommendations are:
Clinical trials should be carried out with herbal preparations only
after standardization and identification of markers to ensure that
the substances being evaluated are always the same.
Plants and herbal remedies should be prepared strictly in the same
way as described in the literature while incorporating GMP norms
for standardization.
43. Schedule Y for Herbal Drugs
Herbal remedies, Phase 1 studies must be undertaken to check
Maximum tolerarated dose (MTD) & Early Measurement of Drug
activity.
If there are reports suggesting toxicity or when the herbal
preparation is to be used for more than 3 months, toxicity studies
(4-6 weeks toxicity study in 2 species) are needed for phase 2 trials.
For Phase 3 trial toxicity studies (4-6 weeks toxicity study in 2
species) are needed.
Ethical guidelines (patient information, informed consent, protection
of vulnerable populations etc) for biomedical research should be
followed.
Clinical trials should to be approved by the appropriate scientific
and ethical committees of the concerned Institutes.
Clinical trials should be carried out only when a competent
Ayurvedic, Siddha or Unani physician is a co-investigator.
44. Herbal Drug Regulations
Schedule Z: Proposed: Requirements and Guidelines for permission to
manufacture of ASU Drugs for sale or to undertake clinical trials
Updated shelf life