Source-based policy note

Boao Lecheng special access — questions before considering fit

A source-based overview of the institution-led route for selected clinically needed imported drugs and medical devices in Boao Lecheng.

Published
2 August 2026
Last reviewed
2 August 2026
Author
AsterNexis Advisory

What this pathway is

Boao Lecheng provides a controlled route under which a qualified medical institution may apply to use a selected clinically needed imported drug or medical device. The product, institution, intended purpose, clinical need, application materials, and official procedure all matter. The responsible medical institution must follow the applicable controls for procurement, use, monitoring, follow-up, and traceability.

Who may find it relevant

An overseas drug or medical-device team may consider an assessment when its product has relevant overseas status, a credible clinical-use question exists, and a qualified institution independently identifies a clinical need. Those facts are inputs for review, not proof of eligibility or institutional interest.

What it does not provide

Lecheng use is not Mainland China marketing authorization and does not create general distribution permission. Permission for one product, institution, or purpose does not establish permission elsewhere.

Scientifically designed research using relevant, reliable, and quality-controlled real-world data may generate supporting real-world evidence for clinical evaluation of an eligible product. It does not replace NMPA review, determine what other evidence is required, or guarantee approval.

Questions to assess

  • What is the product’s current overseas approval and use status?
  • What specific clinical need would a qualified institution need to identify?
  • Does the proposed product, indication or scope, institution, and use plan fit the current procedure?
  • What supply, traceability, monitoring, consent, and follow-up responsibilities would apply?
  • Is a real-world study scientifically justified, and how would its data complement the broader evidence package?
  • What national-registration questions remain separate from special access?