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Peethaambaran Kunnathoor, Chennai January 22 , 2019
Following direction from the central Ayush Ministry and opposition from the Ayurveda industry, the government of Kerala has withdrawn its September 6, 2013 order, which mandated clinical trials for patented and proprietary Ayurveda drugs for receiving licences from the government.

In place, the government has issued a new order making pilot study as per the Drugs and Cosmetics Act 1940 a sufficient criterion for getting manufacturing licences. However, the order of January 16, 2019 says that the efficacy of the proprietary drugs has to be proven as per the suggestions of the expert committee formed by the government in 2015.

With this new order of the Kerala government, rule for clinical study for Ayurveda drugs has ceased to exist in the country. Kerala was the first state taken steps to introduce the rule and it was also the last one to withdraw the order mandated for clinical study. No other state in India has made clinical study as a compulsory part for licence application following Central rule.

The new order, which was issued by the government on January 16 this year, clarifies that the licensing authority for ayush (SLA) can now issue licences for patented and proprietary Ayurveda drugs based on provisions stipulated under Section 158 (B) II (B) of the drugs and cosmetics rules 1945. Instead of clinical trials mandated in the 6/9/2013 order, the manufacturers can now go with pilot studies as specified in the drugs and cosmetics act to avail permit from the department of Ayurveda.

In the year 2010, the union ayush ministry had brought a new rule by amending the D&C Act making clinical study compulsory for proprietary medicines, especially for those products manufactured for export purpose. Based on this rule, the government of Kerala constituted an expert committee to work out on modalities for the clinical trials. Although the expert committee recommended three institutions for conducting clinical study, not all of them undertaken any project or supported clinical study. Further, the manufacturers also opposed the government rule and they approached the union government demanding review of its decision. They wanted the government to allow them go with the pilot study as specified in the D&C Act. Considering their request, the union ayush ministry issued a revised order in July last year making pilot study as the compulsory part for applying licences. The ministry had also directed all the state ISM departments to issue licences based on its revised order. But the Kerala government was reluctant to change its stance of clinical study.

The delay in reviewing the state government’s decision halted issuance of licences from the Kerala Ayurveda department resulting the industry being put in trouble.  Manufactures association held several round of talk with the government and finally the government has now opened the door for pilot study for all ayurvedic proprietary products in Kerala.

Welcoming the decision of the government permitting manufacturers to continue with pilot study for the proprietary drugs manufactured on textual rational,  Dr D Ramanathan, president of Ayurveda Medicine Manufacturers Organisation of India (AMMOI), said the whole Ayurveda sector in Kerala is now obliged to the state government as more and more research based medicinal products can be manufactured for various chronic ailments. The permission for pilot study will also help the small scale units in the manufacturing sector and the state can market quality products to other parts of the country from Kerala, he said.

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