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Journal of Ethnopharmacology 66 (1999) 51 – 55

New rules for phytopharmaceutical drug registration in Brazil

P.R. Petrovick 1,a,*, L.C. Marques b, I.C. De Paula a


a
Laboratory of Galenical De6elopment, Graduate Course of Pharmaceutical Sciences, College of Pharmacy,
Rio Grande do Sul Uni6ersity, A6. Ipiranga 2752, 90610 -000, Porto Alegre, RS, Brazil
b
Department of Pharmacy, State Uni6ersity of Maringá, A6. Colombo 5790, Campus Uni6ersitário, 87020 -900, Maringá, PR, Brazil

Received 18 May 1998; received in revised form 29 June 1998; accepted 17 August 1998

Abstract

Although it is among the ten largest pharmaceutical markets in the world and has the most diverse flora, few efforts
have been made in Brazil in order to assure legal rules, which are able to provide phytotherapeutical products with
efficacy, safety and constant quality. Only in the last 3 years has the Ministry of Health convened an expert
commission to evaluate the existent legal requirements for such products and to provide modern and effective
legislation. The results of this work and the consequences of its implementation are discussed in this article. © 1999
Elsevier Science Ireland Ltd. All rights reserved.

Keywords: Phytopharmaceutical; Legislation; Brazil

1. Introduction Such medicinal plants have, however, long been


used in the treatment of various diseases and this
Despite the rich Brazilian flora, which repre- folk knowledge has been perpetuated along the
sents more than 20% of the plant species known generations. The use of Brazilian medicinal plants
in the world, little has been done in Brazil to by the indigenous peoples was described by the
study their potential as source of new drug Portuguese discoverers in 1500. In the middle of
molecules or as raw materials for pharmaceutical the XVI century, during the occupation of the
preparations. Brazilian Northeast by the Dutch, the physician
William Pies from the Occidental Indian Com-
* Corresponding author. pany, described the use of Ipecac, Jaborandi and
E-mail: prpetrov@farmacia.ufrgs.br
1
P.R. Petrovick and L.C. Marques are members of the
Tobacco (Gottlieb and Mors, 1979). After the
Expert Committee for Phytotherapeuticals, Federal Health industrialisation era, the new-born original Brazil-
Agency, Ministry of Health, Brazil. ian industry began the manufacture of phytother-

0378-8741/99/$ - see front matter © 1999 Elsevier Science Ireland Ltd. All rights reserved.
PII: S0378-8741(98)00149-4
52 P.R. Petro6ick et al. / Journal of Ethnopharmacology 66 (1999) 51–55

apeuticals based on traditional information and in technological development of new drugs and
formulations, and reached its production apex in products.
the forties. This decade also saw the establish- The thalidomide event, in the 1960s, resulted
ment of the foreign chemical and pharmaceuti- in directive n. 22, published by the Federal
cal industry in the country. From this moment Health Office for Pharmacy and Medicine
on, synthetic drugs from international pharma- (SNFMF) in 1967 (Brazil, 1967). This directive
ceutical laboratories have dominated the market. maintained the pharmacopoeial drug classifica-
Following the actual globalisation tendency, tion, mentioning them clearly in the document,
Brazil has also sought for alternative drug and advising the producers to annex copies of
sources. the corresponding phamacopoeial monographs
Nowadays, the Brazilian pharmaceutical in- to registration applications, so as to impart a
dustry has a U$9 billion market, and is, there- ‘scientific’ quality to these products.
fore, among the 10th largest in the world. Law 6360, from 1976 (CFF, 1996), was ap-
Around 30% of the marketed drugs registered plied for modern drug registration and evalua-
by the Federal Health Office are classified as tion, but no mention was made of
Phytopharmaceutical, representing 20 – 25% of phytopharmaceuticals, apart from the article
the local pharmaceutical market (Petrovick, which made their exemption from registration
1996). In addition Brazil exports considerable an official act. This was a terrible mistake since
quantities of medicinal plants, extracts and iso- from that moment on, pharmaceutical dosage
lated substances, reaching the value of U$22 forms containing pharmacopoeial vegetable raw
million per year (Sharapin, 1996). material mixed with other substances were also
Despite their importance, 70% of the phy- exempted from formal registration. Decree
topharmaceutical resources have not been suffi- 79094 in 1977 regulated Law 6360 (CFF, 1996),
ciently studied, in order to provide the necessary but made no mention of phytopharmaceuticals.
confirmation of their efficacy and safety, as ev- Directive n. 19 in 1981 (Brazil, 1981), published
ery medicine actually demands. For many years, by the Brazilian Drug Division (DIMED) of the
in fact, such products were marketed without Federal Health Agency (SVS), created addition-
clear legal registration rules by the Brazilian ally the expression ‘natural product’ to designate
Government. those medicines prepared from plants. A misun-
derstanding of this expression resulted in im-
proper advertisement in the media, such as, that
2. Historical background natural products ‘are harmless to the health be-
cause they come from nature’. Only in 1991, as
The legal requirements for registration and a consequence of its prohibition in Germany,
market authorisation of phytopharmaceuticals in was the plant Symphytum officinale, widely used
Brazil began with decree 19606 in 1931 (Bijos by the population for oral administration and
and Pilar, 1964a,b), which stated that such supported by TV-programs, banned from the
drugs were pharmacopoeial preparations, mainly Brazilian market (Brazil, 1992).
‘magistrally prepared drugs, easily processed’ It is interesting also to relate that two direc-
and therefore, exempted from legal registration. tives, n. 19 and 32 in 1986 (Brazil, 1986a,b),
Later, in 1946, decree 20397 (Bijos and Pilar, published by the Federal Health Agency-SVS,
1964a,b) expanded their class, allowing the ex- differentiated between plants used for nutritional
emption of products which demonstrated suffi- and therapeutic purposes. The first one would,
cient similarity to those pharmacopoeial from that moment on, be registered by the
phytopharmaceutical products. This shielded the Food Division of the SVS, and could not con-
national industry from competitive international tain any therapeutic claims in the secondary
pharmaceutical industries, which invested deeply packaging, labels and insert.
P.R. Petro6ick et al. / Journal of Ethnopharmacology 66 (1999) 51–55 53

3. Present situation 4.2. About manufacturing and marketing

The Health Ministry, influenced by earlier The legal requirements demand complete docu-
World Health Organisation directives from some mentation of efficacy, safety and constant defined
years before (WHO, 1991), in 1994 convened an quality as a condition for the registration of phy-
expert commission (Brazil, 1994) to evaluate the topharmaceutical products.
phytopharmaceutical situation in the country. In
October 1994, the Commission presented directive 4.3. Quality control guidelines
proposal n. 12,3 published by the SVS, to regulate
the phytopharmaceutical product registration. The directive specifies the quality characteristics
The premises of this proposal had been based on and some general assays for:
“ raw material, depending on whether it is a drug
the German (Keller, 1991) and French (Artiges,
1991) regulations as well as the WHO directives, or a preparation thereof (botanical and
and a determined period of time allowed the physico-chemical identification, foreign materi-
organised society to present suggestions and com- als, microbial and chemical contamination, and
ments. The revised proposal was incorporated quantitative analysis, etc);
“ intermediate process products have to present a
into directive n. 6, issued by SVS in 1995 (Brazil,
1995), which finally established the legal require- complete pharmaceutical and analytical docu-
ments for the phytopharmaceutical drug registra- mentation, proving the maintenance and assur-
tion in Brazil. ance of their quality;
“ for finished products quality control data and
assessment methods are requested, as well as
efficacy and safety test results in humans, in
4. Directive n. 6 conformity with the guidelines of directive 116
published by SVS (Brazil, 1996). Scientific doc-
This directive tries to adapt the internationally umentation from the literature may be submit-
accepted concept of drugs to phytopharmaceutical ted, instead of controlled clinical trials or
products, intending the modernisation and ade- animal tests, if they already exist for the pro-
quacy of definitions and quality requirements. posed preparation.

4.4. New and old phytopharmaceutical products


4.1. Legal definitions
The legal code differs between new and old
A phytopharmaceutical product is a processed products, giving the later ones 5 or 10 years for
drug containing as active ingredients exclusively the assessment of safety and efficacy, respectively.
plant material and/or vegetable drug prepara-
tions. Isolated active substances, whether of veg-
etable origin or not, cannot be added to such 5. Directive n. 116
preparations. They are intended to treat, cure,
alleviate, prevent and diagnose diseases, restoring, In order to regulate pharmacological and toxi-
correcting, influencing or modifying physiological cological tests, directive 116 (Brazil, 1996) re-
conditions in human beings. It is the final product quires detailed information about pre-clinical and
inside its labelled package. Pharmaceutical excipi- clinical test performances. This directive was elab-
ents, accepted by the SVS Division, can be used in orated with the support of the Brazilian Academy
their preparation (Petrovick et al., 1997). of Sciences and was in conformity with the Brazil-
Vegetable raw material includes the fresh plant, ian guidelines for biological testing of drugs
the vegetable drug or any elaborated preparation (Brazil, 1988), World Health Organisation guideli-
thereof, used as an intermediate component in the nes (WHO, 1993), EEC directives and the GCP-
preparation of phytopharmaceutical products. Good Clinical Practice (WHO, 1992).
54 P.R. Petro6ick et al. / Journal of Ethnopharmacology 66 (1999) 51–55

6. Goals gard to the free trade union (MERCOSUL) be-


tween Brazil, Argentina, Paraguay and Uruguay
According to the Brazilian legislators, the main and the American free market area. The accep-
objectives of the new code to be attained by its tance of such products by the members of the
implementation, aim at: European Union and their marketing authorisa-
“ the safe utilisation of phytopharmaceuticals by tion in these countries (Artiges, 1991; Keller,
the population, including them in the govern- 1991) depends on well documented minimal qual-
mental healthcare programs; ity criteria, such as those established by WHO,
“ improvement of scientific skill in the pharma- which are fulfilled by the new Brazilian
cological, toxicological, analytical and techno- legislation.
logical fields;
“ interaction between research centres, Universi-
ties and Industries, and; Acknowledgements
“ development of new phytopharmaceutical
products. The authors thank Dr Christine Gaillard for
critical comments and assistance in preparing the
manuscript.
7. Practical problems and consequences

As previously stated, the Brazilian pharmaceu- References


tical industry changed little over the last four
decades. For this reason, their manufacturing pro- Artiges, A., 1991. What are the legal requirements for the use
cedures are still old fashioned, invoking requiring of phytopharmaceutical drugs in France? Journal of
large financial investments in order to install the Ethnopharmacology 32, 231 – 234.
new rules of quality production. Consequently, Bijos, G.M., Pilar, O., 1964. Legislação Farmacêutica 1931 a
1964, Rio de Janeiro, São José, pp. 5 – 14.
the Brazilian Government is facing great resis- Bijos, G.M., Pilar, O.@ 1964. Legislação Farmacêutica 1931 a
tance from these industries, and the hope lies in 1964, Rio de Janeiro, São José, pp. 79 – 102.
recent agreements between the Federal Health Brazil, 1967. Portaria SNFMF n. 22 from 30.10.67, Diário
Office, the scientific society and industrial phar- Oficial da União, 16. Nov. (Normative for the use of
macists and Pharmaceutical Industry phytotherapeutic preparations).
Brazil, 1981. Portaria DIMED n. 19 from 27.11.81., Diário
Associations. Oficial da União, 14. Dec. (Natural Product Preliminary
Another obstacle is the limited number of re- Approval).
search institutions and centres qualified to per- Brazil, 1986. Portaria SNFMF n. 19 from 07.04.86. Diário
form all the clinical trials and the extensive list of Oficial da União, 09. Apr. (Registration as food for herbs
plants, for which chemical, botanical, agronomi- and spices destined to the preparation of teas without
therapeutic indications).
cal, pharmacological and toxicological studies are Brazil, 1986. Portaria SNFMF n. 32 from 05.07.86. Diário,
required. The most disturbing problem is the inef- Oficial da União, 11. Aug. (Distinguish herbs for dietary or
fectiveness of Governmental Inspection Agencies. therapeutic purposes).
The lack of a clear concept of ‘a long time used Brazil, 1988. Resolution n. 1 from 13.06.88, National Health
product, without adverse reactions records’, as Council, Diário Oficial da União, 01. Jan., 1989. (Guideli-
nes for health research).
appraised by the pharmaceutical industry to jus- Brazil, 1992. Portaria SNVS n. 19 from 30.01.92. Diário
tify the safety of herbal drugs and products, and Oficial da União, 03. Feb. (Forbid the use of Symphytum
of a nation-wide organised epidemiological system officinale L. for internal use).
are serious barriers to be also surmounted. Brazil, 1994 Portaria n. 31 from 04.04.94 Diário Oficial da
União, 08. Apr. (Constitution of the Expert Committee for
The new Brazilian legal code has awakened
Phytopharmaceutic Products).
other Latin American countries with respect to Brazil, 1995. Portaria SVS n. 6 from 31.01.95. Diário Oficial
the need for harmonisation of regional regulation da República Federativa do Brasil,. 06. Jan. (Normative
of phytopharmaceutical drugs, especially with re- for the registration of phytotherapeutic products).
P.R. Petro6ick et al. / Journal of Ethnopharmacology 66 (1999) 51–55 55

Brazil, 1996. Portaria SVS n. 116 from 08.08.96. Diário Oficial Petrovick, P.R., González Ortega, G., Bassani, V.L., 1997.
da República Federativa do Brasil, 14. Aug. (Proposal for From a medicinal plant to a pharmaceutical dosage form.
toxicity and efficacy assessment from phytotherpic prod- A (still) long way for the Brazilian medicinal plants. Ciên-
ucts). cia e Cultura 49 (5/6), 364 – 369.
CFF, 1996, Conselho Federal de Farmácia. A organização Sharapin, N., 1996. Normatização da Indústria Fitofarmacêu-
jurı́dica da Profissão Farmacêutica (coletânea), Brası́lia- tica. In: 1a Reunión de Coordinación Internacional. Pro-
DF. grama Iberoamericano de Ciencia y Tecnologı́a para el
Gottlieb, O.R., Mors, W.B., 1979. Planzenprophylaxe aus dem Desarrollo (CYTED). Red Iberoamericana de Productos
Tropenwald Brasiliens. Unesco Kurier 20 (7), 35–36. Fitofarmacéuticos (RIPROFITO), 28 sep – 01 oct., An-
Keller, K., 1991. Legal Requirements for the use of phy- tigua-Guatemala, p.42 – 44.
topharmaceutical drugs in the Federal Republic of Ger- WHO, 1991. Guidelines for the Assessment of Herbal
many. Journal of Ethnopharmacology 32, 225–229. Medicines, World Health Organisation, Geneva.
Petrovick, P.R., 1996. Normatização da Indústria Fitofarma- WHO, 1992. Guidelines for Good Clinical Practice (GCP) for
cêutica. In: 1a Reunión de Coordinación Internacional. trials on Pharmaceutical Products, World Health Organi-
Programa Iberoamericano de Ciencia y Tecnologı́a para el sation Drug Information 6 (4), 170 – 188.
Desarrollo (CYTED). Red Iberoamericana de Productos WHO, 1993. Regional Office for the Western Pacific, Research
Fitofarmacéuticos (RIPROFITO), Sep. 28–Oct. 01, An- Guidelines for Evaluating the Safety and Efficacy of
tigua-Guatemala, pp. 91–93. Herbal Medicines, World Health Organisation, Manila.

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