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By D.

Saidulu
Rule Permission for

122 A To import New drugs

122 B To manufacture New drugs

122 D To Import or Manufacture fixed


dose combinations

122DA To conduct clinical trials for New


Drug/Investigational New drug

122 DAA Definition of Clinical Trial


Application for permission

Clinical Trial

Studies in Specific Population

Post Marketing Surveillance

Special Studies : BA/BE studies


It shall made in Form 44 accompanied with the
following data in accordance with appendices, namely
 Clinical and pharmaceutical information
 Animal pharmacology data
 Animal Toxicology data
 Human Clinical pharmacology data
 Regulatory status in other countries
 Prescribing information

 FORM 12- To import Study drug for examination , test or


analysis
1. Approval for Clinical trials
 CT on a New drug shall be initiated only after permission by licensing
authority and approval from EC
2. Responsibilities of Sponsor
 Implementing and maintaining QA
 Submit status report to the licensing authority periodically
 SAE should be reported to the licensing authority with in 14 calendar days.

3. Responsibilities of Investigator
 Ensure adequate medical care is provided to the subject
 SAE and unexpected AE should be reported to the sponsor within 24 hrs and
to the EC within 7 working days
4.Informed consent
 Freely given informed written consent
 Provide information about the study verbally
 Non-Technically and understandable language
 5.Responsibilities of ethics committee
 Approval trial protocol to safe guard RSW of all trial subject and to
protect RSW of all vulnerable subjects
 Conduct ongoing review of trials
 6. Human Pharmacology (Phase I)
 Safety and tolerability
 7. Therapeutic exploratory trials (phase II)
 To evaluate the effectiveness of a drug for a particular indication
 To determine the short term side effects and risk associated with the
drug
 To determine the dosage regimen for phase III trials.
 8. Therapeutic confirmatory trials (phase III)
 Demonstration of therapeutic benefit
 Drug is safe and effective for use and provide and adequate basis for
marketing approval
 9. Post marketing surveillance
 Performed after drug approval and related to the approved indication
 Includes drug-drug interaction, dosage response and safety studies ,
mortality/ morbidity studies
 3. studies in special population
 1. Geriatrics
 2. Pediatrics
 3. pregnant or Nursing Women

4. Post marketing Surveillance


 closely monitored new drugs clinical safety
 PSUR- to report all relevant new information
 PSUR shall be submitted every 6months for the first 2 years
5. Special Studies- BA/BE studies
 conducted according to the guidance for BA and BE studies
 Evaluation of the effect of food on absorption following oral
administration
 APPENDIX I- Data to be submitted along with the application to conduct clinical trial/import/ manufacture of new
drugs for marketing in the country.
 APPENDIX I- Data required to be submitted by an applicant for grant of permission to import and/ or manufacture a
new drug already approved in the country.
 APPENDIX II- Structure , contents and format for clinical Study Reports.

 APPENDIX III- Animal toxicology (Non- Clinical Toxicity studies)

 APPENDIX IV- Animal Pharmacology

 APPENDIX V- Informed Consent


 APPENDIX VI- Fixed Dose combinations (FDC)

 APPENDIX VII- Undertaking by Investigator

 APPENDIX VIII- Ethics Committee


 APPENDIX IX- Stability testing of New Drugs
 APPENDIX X- Contents of the proposed protocol for conducting clinical trials
 APPENDIX XI- Data elements for reporting serious adverse events occurring in a Clinical trial

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