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Schedule Y
Corporate Headquarters:
Max House, G.F.
1 Dr. Jha Marg, Okhla
New Delhi – 110020 In Force Jan 2005
India
PRESENTATION OVERVIEW
• 122-DAA
• Implementing and maintaining quality assurance systems - Good Clinical Practice (GCP)
Guidelines issued by CDSCO, INDIA
• Sponsors are required to submit a status report on the clinical trial to the Licensing
Authority at the prescribed periodicity (annual).
• In case of studies prematurely discontinued for any reason including lack of commercial
interest in pursuing the new drug application, a summary report should be submitted
within 3 months. The summary report should provide a brief description of the study, the
number of patients exposed to the drug, dose and duration of exposure, details of adverse
drug reactions and the reason for discontinuation of the study or non-pursuit of the new
drug application
• Any unexpected serious adverse event (SAE) (as defined in GCP Guidelines) occurring
during a clinical trial should be communicated promptly (within 14 calendar days) by the
Sponsor to the Licensing Authority and to the other Investigator(s) participating in the study
DEFINITION SAE / SADR / AE / ADR
• SAE / SADR: An adverse event / adverse reaction associated with death, in patient
hospitalisation, prolongation of hospitalisation, persistant or significant disability or
incapacity , a congenital anomaly or birth defect or is otherwise life threatening
• Adverse Event (AE ) : any untoward medical occurrence (including a symptom /
disease or an abnormal lab finding) during treatment with a pharmaceutical product in
a patient or a human volunteer that does not necessarily have a relationship with the
treatment being given.
• Adverse Drug Reaction (ADR) :
– Approved product: Noxious / unintended response at doses normally
used or tested in humans
– Unapproved product: Noxious / unintended response at any dose
– There is reasonable possibility that the adverse event is related with
medicinal product studied
RESPONSIBILITIES OF INVESTIGATOR
• Responsible for the conduct of the trial according to the protocol and the
GCP Guidelines and also for compliance.
• Standard operating procedures are required to be documented by the
investigators for the tasks performed by them.
• Ensure that adequate medical care is provided to the participant for any
adverse events.
• Report all serious and unexpected adverse events to the Sponsor within
24 hours and to the Ethics Committee that accorded approval to the
study protocol within 7 working days of their occurence.
RESPONSIBILITIES OF ETHICS COMMITTEE
• Safeguard the rights, safety and well being of all trial subjects.
• Particular care to protect the rights, safety and well being of all vulnerable subjects
• Obtain ‘standard operating procedures’ and maintain a record
• Ongoing review based on periodic study progress reports
• In case an ethics committee revokes its approval it must record the reasons for doing
so and at once communicate such a decision to the Investigator as well as to the
Licensing Authority.
• APPLICATION FOR PERMISSION UNDER FORM 44, REGULATORY
AUTHORITIES, FEES AND TEST LICENCE
REGULATORY AUTHORITIES
Ministry of Chem & Ministry of Health Ministry of Sci &
Fertilizers Tech Ministry of
Health Secretary Enviro
DBT
NPPA DGHS Department of Additional
National Director General of Biotechnology Secretary
Pharmaceutical Health Services
Pricing Authority GEAC
DCGI Genetic
Drug Controller Engineering
Pricing General of India Approval
Regulations Committee
CDL/CDTL
Gov. Drug Testing
Laboratories
APPLICATION FORM 46 A
(MFG RM)
1. Justification
2. P’cokinetic / P’codynamic data
3. Any other data
FORM 44 Contd
Signature
Designation
Date
IMPORTANT CONSIDERATIONS - 1
PSURs shall be submitted every 6 months for the first two years after approval
PSURs due for a period must be submitted within 30 calendar days of the last day of
the reporting period.
IMPORTANT CONSIDERATIONS - 3
Application :
¾Form 12 application
¾Material Justification Plan
¾Treasury Challan of Rs 100 for first
drug, followed by Rs 50 for additional
drug
¾Test Licence obtained in FORM 11
• LOOPHOLES AND FURTHER REFINEMENT
LOOPHOLES and FURTHER REFINEMENT
• New Drug remains to be New Drug for 4 years. Phase IV trials require
permission? Approved drug and approved indication need not require
permission
• Unmet medical needs also to be added for CT waiver
• All clinical trial supplies to be included in FORM 11
• Approvals of Amendments could be a problem
• SOPs for investigators and documentation of tasks – templates
required
• EC chairperson outside institute is a rarity
LOOPHOLES and FURTHER REFINEMENT