International Conference on International Conference on
Harmonization (ICH)Harmonization (ICH)
INTERNATIONAL CONFERENCE OF INTERNATIONAL CONFERENCE OF
HARMONIZATION (ICH)HARMONIZATION (ICH)
By
G.PAVANI,
Y17MPHPA426 ,
DEPT OF PHARMACEUTICAL
ANALYSIS
CLPT
ICH GuidelinesICH Guidelines
ICH is neither a forum of global
politics nor a trade negotiation,
but a scientific forum
ICH covers “new drugs”
ICH guidelines provide “how to
collect data scientifically for
marketing authorization”
Philosophy/PurposePhilosophy/Purpose of ICHof ICH
Eliminate Duplication in Tests to
meet Different Regulatory
Requirements
More Efficient Use of Resources
Timely Access of Patients to
Safe and Effective “New Drugs”
What Does the Pharmaceutical What Does the Pharmaceutical
industry do?industry do?
chemists
biologists
molecular geneticists
drug metabolists
pharmacists
clinicians
statisticians
patents
marketing/sales
and many more!!
ICHICH
ICH Conferences ICH Conferences
ICH 1 - Nov1991 - Brussels
ICH 2 - Oct 1993 - Orlando ,Florida
ICH 3 - Nov 1995 - Yokohama, Japan
ICH 4 - July 1997 - Brussels
ICH 5 - Nov 2000 - San Diego - US
ICH 6 - Nov 2003 - Osaka, Japan
ICH 7 - 2007 - Europe ? Cancelled ?
ICH Public meetings ………..ICH Steering
Committees ----
Regional meet with non-profit organizations
Working Groups
SAFETY EFFICACY
QUALITY MULTIDISCIPLINARY
STEERING COMMITTEE
Endorses topics, guidelines and monitors
progress
Qs, Ss Es and Ms
Q1………………………… Q11
S1………………………….S8
E1………………………….E14.
M1…………………………M6
Quality :Q1 to Q11
Q1- Stability
Q2- Analytical validation
Q3- Impurities
Q4 – Pharmacopoeias
Q5- Quality of Biotechnological products
Q6 – Specifications
Q7 – GMP for APIs
Q8 – Pharmaceutical development
Q9- Quality Risk Management
Q10 – ‘Quality Management’ agreed ‘in principle’
Q 11-DEVELOPMENT AND MANUFACTURE OF DRUG SUBSTANCES (CHEMICAL ENTITIES AND
BIOTECHNOLOGICAL/BIOLOGICAL ENTITIES )
Q1
Stability
Q1A(R2)
Stability Testing of New Drug Substances and Products
Q1B
Stability Testing : Photostability Testing of New Drug Substances and Products
Q1C Stability Testing for New Dosage Forms
Q1D
Bracketing and Matrixing Designs for Stability Testing of New Drug Substances and Products
Q1E Evaluation of Stability Data
Q1F
Stability Data Package for Registration Applications in Climatic Zones III and IV
Q2
Analytical Validation
Q2(R1) New title:
Validation of Analytical Procedures: Text and Methodology
Q3
Impurities
Q3A(R1) Impurities in New Drug Substances
Q3B(R2) Impurities in New Drug Products
Q3C(R3)
Impurities: Guideline for Residual
Solvents
Q5
Quality of Biotechnological Products
Q5A(R1)
Viral Safety Evaluation of Biotechnology Products Derived from Cell Lines of Human or Animal Origin
Q5A Q5B
Quality of Biotechnological Products : Analysis of the Expression Construct in Cells Used for Production of r-DNA Derived Protein Products
Q5B Q5C
Quality of Biotechnological Products : Stability Testing of Biotechnological/Biological Products
Q5C Q5D
Derivation and Characterisation of Cell Substrates Used for Production of Biotechnological/Biological Products
Q5D Q5E
Comparability of Biotechnological/Biological Products Subject to Changes in their Manufacturing Process
Q6
Specifications
Q6A
Specifications : Test Procedures and Acceptance Criteria for New Drug Substances and New Drug Products: Chemical Substances (including Decision Trees)
Q6B
Specifications : Test Procedures and Acceptance Criteria for Biotechnological/Biological Products
Q7
Good Manufacturing
Practice
Q7 Good Manufacturing
Practice Guide for Active
Pharmaceutical
Ingredients
Q8
Pharmaceutical Development
Q8 Pharmaceutical Development
Risk Management across the
Product lifecycle for drug ( medicinal) products
Research
Preclinical
Phase
Clinical
Phases
Launch
Quality
ICH Q9
Safety
Efficacy
Manufacturing
& Distribution
GLP
GCP
GMP
GDP
End of
life cycle
Q10
‘Quality management’ agreed ‘in principle’
Waiting for Q9 to progress .
Q11
Q 11-Development and manufacture of drug
substances (chemical entities and
biotechnological/biological entities)
Regulatory or formal stability testing
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Storage temperature
(°C)
Relative
humidity
(%)
Minimum time
period covered by
data at submission
(months)
Accelerated: 40±2 75±5 6
Intermediate: 30±2 65±5 12
Long term: 25±2 60±5 12 (6)
Impurities
ICH Topic Q 3 B (R2)
Impurities in New Drug Products
Organic Impurities
Inorganic Impurities
Residual solvents
LISTING OF DEGRADATION PRODUCTS IN SPECIFICATIONS
QUALIFICATION OF DEGRADATION PRODUCTS
Quantification of the degradants
Limits of impurities
Limits of impurities
Unspecified : NMT 0.1%
NMT 500 mcg /day intake
Efficacy : E1- E14
Clinical Safety
E1
The Extent of Population Exposure to Assess Clinical Safety for Drugs Intended for Long-Term Treatment of Non-Life Threatening Conditions
E2A
Clinical Safety Data Management: Definitions and Standards for Expedited Reporting
E2B(R3)
Clinical Safety Data Management: Data Elements for Transmission of Individual Case Safety Reports
E2C(R1)
Clinical Safety Data Management: Periodic Safety Update Reports for Marketed Drugs
E2D
Post-Approval Safety Data Management: Definitions and Standards for Expedite Reporting
E2E Pharmacovigilance Planning
Clinical Study Reports
E3 Structure and Content of Clinical Study Reports
Dose-Response Studies
E4 Dose-Response Information to Support Drug Registration
Efficacy
Ethnic Factors
E5 (R1) Ethnic Factors in the Acceptability of Foreign Clinical Data
Good Clinical Practice
E6(R1) Good Clinical Practice
Clinical Trials
E7 Studies in Support of Special Populations: Geriatrics
E8 General Consideration of Clinical Trials
E9 Statistical Principles for Clinical Trials
E10 Choice of Control Group and Related Issues in Clinical Trials
E11 Clinical Investigation of Medicinal Products in the Pediatric Population
Guidelines for Clinical Evaluation by Therapeutic Category
E12 Principles for Clinical Evaluation of New Antihypertensive Drugs
Clinical Evaluation
E14 The Clinical Evaluation of QT/ QTC Interval Prolongation and Pro arrhythmic
Potential for
Non- Anti arrhythmic Drugs
Safety:
Carcinogenicity studies
S1A : Need for Carcinogenicity studies for Pharmaceuticals
S1B : Testing for carcinogenicity for pharmaceuticals
SC1(R1) : Dose selection for carcinogenicity of Pharmaceuticals & Limit
dose
Genotoxicity studies
S2A Guidance on Specific Aspects ofRegulatory Genotoxicity Tests
for Pharmaceuticals
S2B Genotoxicity: A Standard Battery for Genotoxicity Testing of
Pharmaceuticals
Toxicokinetics and Pharmacokinetics
S3A Note for Guidance on Toxicokinetics: The Assessment of
Systemic Exposure in Toxicity Studies
S3B Pharmacokinetics: Guidance for Repeated Dose Tissue
Distribution Studies
Safety
Toxicity Testing
Single Dose Toxicity Tests
S4 Duration of Chronic Toxicity Testing in Animals (Rodent
and Non Rodent Toxicity Testing)
Reproductive Toxicology
S5(R2) New title: Detection of Toxicity to Reproduction for
Medicinal Products & Toxicity to Male Fertility
Previously: Detection of Toxicity to Reproduction for
Medicinal Products
Biotechnological Products
S6 Preclinical Safety Evaluation of Biotechnology-Derived
Pharmaceuticals
Safety
Pharmacology Studies
S7A Safety Pharmacology Studies for Human Pharmaceuticals
S7BThe Non-Clinical Evaluation of the Potential for Delayed
Ventricular Repolarization (QT Interval Prolongation) by Human
Pharmaceuticals
Immunotoxicology Studies
S8 Immunotoxicity Studies for Human Pharmaceuticals
Joint Safety/Efficacy (Multidisciplinary) Topic
M3(R1) Non-Clinical Safety Studies for the Conduct of Human
Clinical Trials for Pharmaceuticals
Multidisciplinary Guidelines
M1: Medical Terminology
M2: Electronic Standards for transmission of
Regulatory Information ESTRI
M3: Timing of Pre-clinical Studies in relation to Clinical
Trials
M4: The Common Technical Document
M5: Data elements & standards for drug dictionaries
M6: SOPs for maintenance of ICH terminologies lists
action
What is CTD ?What is CTD ?
Common Technical Document
ICH M4 – deals with CTD
A harmonized format for a regulatory
dossier that is considered acceptable in
US, Japan Europe and Canada
What is CTD ?What is CTD ?
The CTD refers to an application format
The CTD is a prescribed organization of
the information required to be submitted.
Each regulatory authority retains the
ability to address its own regional specific
requirements for needed documentation.
Not
part
of
CTD
Module 1
Module 2
Module 3 Module 4 Module 5
Quality
Nonclinical
Study
Reports
Clinical
Study
Reports
Regional
Administrative
Information
Nonclinical
Summary
Clinical
Summary
Nonclinical
Overview
Clinical
Overview Quality
Overall
Summary
Organisation
of the CTD
CTD
Number of Number of
copies requiredcopies required
Module
1
Module 3 Module 4 Module 5
Quality
Nonclinical
Study
Reports
Clinical
Study
Reports
Regional
Administrative
Information
Nonclinical
Summary
Clinical
Summary
Nonclinical
Overview
Clinical
Overview
Quality
Overall
Summary
1.1 ToC of Mod 1 or
overall ToC, incl. Mod 1
2.3 2.6 2.7
2.4 2.5
CTD ToC (Mod 2,3,4,5)
CTD Introduction
4.1 ToC for
3.1 ToC for
Mod 3
2.1
2.2
Mod 4
5.1 ToC for
Mod 5
15
5
15
5151515
22
222
What is eCTD ?What is eCTD ?
Electronic format of the ICH Common
Technical Document
Moving towards a paperless submission
environment
eCTDeCTD
Electronic Common Technical Document
ICH has given specification
Electronic submission is easier and has
many advantages
The philosophy of eCTD is to use open
standards. Open standards including
proprietary standards which through their
widespread use can be considered can be
considered as de facto standard are
deemed to be appropriate in general
eCTD contains 5 modules
5 modules of eCTD5 modules of eCTD
Module1- Administrative information &
Prescribing information – Regional specific
information
Module 2-Summaries
Module 3- Quality
Module 4- Non-clinical study reports
Module 5- Clinical study reports
Module 1Module 1
The CTD does not describe the module 1,
the regional administrative information
and prescribing information nor does it
describe documents that can be submitted
as amendments or variations to the initial
application
Module 2 SummariesModule 2 Summaries
Introduction
Overall quality summary
Non-clinical overview
Clinical overview
Non-clinical written and tabulated
summaries
Clinical summary
Module 3 - QualityModule 3 - Quality
Quality parameters of Drug substance
Quality parameters of Drug product
Reference standards
Container and closure system
Stability studies of Drug substance & Drug
product
Control of excipient
Control of Drug product
Module 4 – Non clinical study Module 4 – Non clinical study
reportsreports
Pharmacology
Pharmacodynamics
Safety pharmacology
Drug interactions
Pharmacokinetics
ADME
Toxicology
In-vitro and in-vivo evaluations
IVIVC
Carcinogenicity
Short term and long term studies
Reproductive and development toxicity
Literature references
Module 5 – Clinical dataModule 5 – Clinical data
Listing of all clinical
studies
Clinical study
reports
BA
BE
BA/BE
IVIVC
Bio-analytical
reports
PK
PD
PK/PD
Efficacy and safety
reports
Reports of PMS
Where are we today…Where are we today…
Working on becoming a standards based
organization
◦eCTD is just such a standard
Accepting IND, NDA, ANDA, BLA, DMF and
related submissions in eCTD format
Moving towards a paperless submission
environment
Where are we going…Where are we going…
Secure electronic transmission of eCTD
submission
◦Structured Product Labeling
◦Electronic submission in XML format
Electronic Submission GuidancesElectronic Submission Guidances
Using eCTD SpecificationsUsing eCTD Specifications
Providing Regulatory Submissions in
Electronic Format - Human
Pharmaceutical Product Applications and
Related Submissions
◦Includes NDA, ANDA, BLA, IND, DMF and
associated submissions
Preferred Format for Submissions
Electronic Submissions Using Electronic Submissions Using
eCTD SpecificationseCTD Specifications
Guidance Published August, 2003
eCTD Specifications
◦FDA eCTD Table of Contents Headings and
Hierarchy
◦FDA Module 1 Specification
◦FDA Modules 2 to 5 Specification
◦Study Tagging File Specification
Specifications Available On-Line
http://www.fda.gov/cder/regulatory/ersr/default.htm
Current eNDA/eANDA Guidances remain available
as an alternative to the eCTD for NDA and ANDA
only
Resources for IndustryResources for Industry
CTD and eCTD Subject Matter Experts
FDA is making EVS processing and review
tools available to industry
◦Download free from FDA web site
◦Tools provided on an as-is basis
◦No support from FDA will be provided
3
rd
party developers are creating tools to
support generation and validation of
submission prior to FDA submission
Just donJust don’t ask…’t ask…
No paper unless required for original
signatures
No Word files or file formats not specified
in the guidance
No electronic submissions or records sent
directly to a reviewer or project manager
No electronic desk copies
Traditional SignaturesTraditional Signatures
What are the
functions of a pen
and ink signature?
Functions of a Traditional SignatureFunctions of a Traditional Signature
¨ identification;
¨ authentication;
¨ declaration of will;
¨ authorization;
¨ safeguard against undue haste;
¨ non-repudiation of origin and receipt;
¨ notice of contents;
¨ integrity; and
¨ originality.
.
Non-cryptographic means of authenticating Non-cryptographic means of authenticating
identityidentity
PIN and a Password (shared secret);
a smart card;
a digitized signature; and
Biometrics.
cryptographic electronic cryptographic electronic
signaturesignature
PKI or Public Key
Infrastructure
Also known as
Digital Signatures
Highly Secure
.
Advantage of eCTDAdvantage of eCTD
Only module one has to be changed in
submitting to various countries
Module 2 to 5 remains same
Quicker submissions , quicker process and
there by quicker approvals
BenefitsBenefits
Our mission is to provide relief and hope for
millions of people around the world — And we
must do so as quickly as possible because …
The patient is waiting!The patient is waiting!