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Requirements for
Registration of a
New Drug
                              Presented by –
                      Nadim Dinani
              MSc-I Bioanalytical Sciences
                 Ramnarain Ruia College
                     Seat no: - XYZABC
Overview
What is a New Drug ?
   New substance meant for medical use in
    humans

   except during local clinical trials has not been
    used & recognized in the country to any
    significant extent

   composition is not generally recognized, as safe
    and     effective   under     the    conditions
    recommended in its labeling by qualified
    experts
   fixed dose combination of 2 or more drugs ,
    individually approved earlier for certain claims
    which are now proposed to be combined for
    the first time in fixed ratio

   marketed with modified or new claims but is
    already approved by the licensing authority for
    certain claims.
Why is Registration required ?
Primary Goal

      Safety

      Quality

      Efficacy

Secondary Goal
Who provides registration
Guidelines?

              FDA
CDER   CBER   CDRH CFSAN   CVM   NCTR
Who is the regulatory agency
          in India?
Central Drugs Standard Control Organization
                 (CDSCO),
              and the office of its leader,
 the Drugs Controller General (India) [DCGI]
HOW
 is a New Drug
Registered ?
Applicant


Application to Ethical     IND application filing
     Committee                  to CDSCO
                              Headquarters
    Report of ethical
      committee
IND application filing to CDSCO Headquarters

          Examination by New Drug Division

         Detailed Review by IND Committee

               Recommendation to DCGI

               IND Application Approved

Positive response from     Clinical Trials
  Ethical committee            Starts
Completion of Clinical Trial Phase 3


Application for New Drug Registration to CDSCO


              Reviewed by DCGI

                    License is granted
                 Refused to Grant License
Preclinical Studies
                      Investigational New Drug
     Phase I

    Phase II

    Phase III
                       New Drug Application
 FDA approval

    Phase IV
IND
         Investigational New Drug
•   synthesized and prepared for human administration?
•   identity and purity controlled?
•   protocol to be followed in proposed trial?
•   drug ?
•   qualifications (trial conductors and result evaluators)?
•   information sponsor provides clinicians?
•   convinced about     safety of drug (enough to be tested on
    humans)?
Requirements for IND
1. Cover Sheet (FDA Form-1571) [21 CFR 312.23(a)(1)]

2. Table of Contents [21 CFR 312.23(a)(2)]

3. Introductory Statement and General Investigational Plan
   [21 CFR 312.23(a)(3)]

4. Investigator's Brochure [21 CFR 312.23(a)(5)]

5. Protocols [21 CFR 312.23(a)(6)]
6. Chemistry, Manufacturing, and Control Information [21
   CFR 312.23(a)(7)]
     a)   Chemistry and Manufacturing Introduction
     b)   Drug Substance [21 CFR 312.23 (a)(7)(iv)(a)]
     c)   Drug Product [21 CFR 312.23 (a)(7)(iv)(b)]
     d)   A brief general description of the composition, manufacture, and
          control of any placebo to be used in the proposed clinical trial(s)
          [21 CFR 312.23(a)(7)(iv)(c)]
     e)   A copy of all labels and labeling to be provided to each investigator
          [21 CFR 312.23(a)(7)(iv)(d)]
     f)   A claim for categorical exclusion from or submission of an
          environmental assessment [21 CFR 312.23(a)(7)(iv)(e)]
7.   Pharmacology and Toxicology Information [21 CFR 312.23(a)(8)]
       a)   Pharmacology and Drug Distribution [21 CFR 312.23(a)(8)(i)]

       b)   Toxicology: Integrated Summary [21 CFR 312.23(a)(8)(ii)(a)]
               i.     A brief description of the design of the trials

               ii.    A systematic presentation of the findings from the animal
                      toxicology and toxico-kinetic studies.

               iii.   Identification and qualifications of the individual(s) who
                      evaluated the animal safety data and concluded

               iv.    A statement of where the animal studies were conducted and
                      where the records of the studies are available for inspection

               v.     A declaration that each study subject to good laboratory
                      practices (GLP) regulations was performed in full compliance
c)   Toxicology - Full Data Tabulation [21 CFR312.23(a)(8)(ii)(b)]

      d) Toxicology - GLP Certification [21 CFR 312.23(a)(8)(iii)]

      e)   Monitoring of Effects of these Clarifications




8. Previous Human Experience with the Investigational

   Drug [21 CFR 312.23(a)(9)]

9. 21 CFR 312.23(a)(10), (11) and (b), (c), (d), and (e)
Form FDA 1571
NDA
            New Drug Application
•   drug safe and effective?
•   Do benefits outweigh risks?
•   labeling (package insert) appropriate?
•   manufacturing and drug quality control methods adequate?
Requirements for NDA

           NDA

  Scientific
               Documentation
Requirements
Scientific Requirements

 Manufacturing Methodology
 Authentication
 Testing of Drug for
  - safety
  - Efficacy
Scientific Requirements
 Bioavailability and Bioequivalence Studies Data
 Container Closure Systems for Packaging Human Drugs and
  Biologics
 Microbiological analysis Data
 Clinical Research Data
 Statistical Data
 Human Pharmacokinetics and Bioavailability test Data
 Non-clinical pharmacology and toxicology studies Data
 Clinical evidence of effectiveness
 Summary of New Drug

 Samples and Analytical Data – for Method Validation
 Manufacture process of Drug
 Impurities in the Drug
Documentation for NDA
FIRST: Documents
• Organization & administrative information
• Certificates, information & administrative documents about
  the product
• Technical file documents
• Clinical studies documents
SECOND: Attachments to the registration file
• 15 copies of internal information
• 15 copies of “The approved information form of the drug”
  duly completed
• 2 samples of finished product
THIRD : separate copy of technical file for analysis
  purpose to Drug Control Laboratory
Form FDA 356h
Bibliography
      GUIDANCE FOR INDUSTRY ON PREPARATION OF COMMON TECHNICAL
DOCUMENT FOR IMPORT / MANUFACTURE AND MARKETING APPROVAL OF NEW
DRUGS FOR HUMAN USE (NEW DRUG APPLICATION – NDA), CENTRAL DRUGS STANDARD
CONTROL ORGANIZATION DIRECTORATE GENERAL OF HEALTH SERVICES MINISTRY OF HEALTH &
FAMILY WELFARE GOVT. OF INDIA, NOVEMBER 2010

         Richard A. Guarino ,M.D., New drug approval process, 5th edition, vol 190, 93-
155
        Dr. Harish Dureja,          New Drug       Approval    Process: Regulatory
View, Pharmainfo.net online article – (link)
        http://www.fda.gov/RegulatoryInformation/Guidances/ucm129703.htm
        http://www.fda.gov/aboutfda/reportsmanualsforms/forms/default.htm
        http://cdsco.nic.in/
        http://cdsco.nic.in/new_drugs_division.htm

THANK YOU
  
FOR YOUR KIND ATTENTION

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Requirements for Registration of a New Drug

  • 1.
  • 2. Requirements for Registration of a New Drug Presented by – Nadim Dinani MSc-I Bioanalytical Sciences Ramnarain Ruia College Seat no: - XYZABC
  • 4. What is a New Drug ?  New substance meant for medical use in humans  except during local clinical trials has not been used & recognized in the country to any significant extent  composition is not generally recognized, as safe and effective under the conditions recommended in its labeling by qualified experts
  • 5. fixed dose combination of 2 or more drugs , individually approved earlier for certain claims which are now proposed to be combined for the first time in fixed ratio  marketed with modified or new claims but is already approved by the licensing authority for certain claims.
  • 6. Why is Registration required ? Primary Goal  Safety  Quality  Efficacy Secondary Goal
  • 7.
  • 8.
  • 9. Who provides registration Guidelines? FDA CDER CBER CDRH CFSAN CVM NCTR
  • 10. Who is the regulatory agency in India? Central Drugs Standard Control Organization (CDSCO), and the office of its leader, the Drugs Controller General (India) [DCGI]
  • 11.
  • 12.
  • 13.
  • 14. HOW is a New Drug Registered ?
  • 15. Applicant Application to Ethical IND application filing Committee to CDSCO Headquarters Report of ethical committee
  • 16. IND application filing to CDSCO Headquarters Examination by New Drug Division Detailed Review by IND Committee Recommendation to DCGI IND Application Approved Positive response from Clinical Trials Ethical committee Starts
  • 17. Completion of Clinical Trial Phase 3 Application for New Drug Registration to CDSCO Reviewed by DCGI License is granted Refused to Grant License
  • 18. Preclinical Studies Investigational New Drug Phase I Phase II Phase III New Drug Application FDA approval Phase IV
  • 19. IND Investigational New Drug • synthesized and prepared for human administration? • identity and purity controlled? • protocol to be followed in proposed trial? • drug ? • qualifications (trial conductors and result evaluators)? • information sponsor provides clinicians? • convinced about safety of drug (enough to be tested on humans)?
  • 20. Requirements for IND 1. Cover Sheet (FDA Form-1571) [21 CFR 312.23(a)(1)] 2. Table of Contents [21 CFR 312.23(a)(2)] 3. Introductory Statement and General Investigational Plan [21 CFR 312.23(a)(3)] 4. Investigator's Brochure [21 CFR 312.23(a)(5)] 5. Protocols [21 CFR 312.23(a)(6)]
  • 21. 6. Chemistry, Manufacturing, and Control Information [21 CFR 312.23(a)(7)] a) Chemistry and Manufacturing Introduction b) Drug Substance [21 CFR 312.23 (a)(7)(iv)(a)] c) Drug Product [21 CFR 312.23 (a)(7)(iv)(b)] d) A brief general description of the composition, manufacture, and control of any placebo to be used in the proposed clinical trial(s) [21 CFR 312.23(a)(7)(iv)(c)] e) A copy of all labels and labeling to be provided to each investigator [21 CFR 312.23(a)(7)(iv)(d)] f) A claim for categorical exclusion from or submission of an environmental assessment [21 CFR 312.23(a)(7)(iv)(e)]
  • 22. 7. Pharmacology and Toxicology Information [21 CFR 312.23(a)(8)] a) Pharmacology and Drug Distribution [21 CFR 312.23(a)(8)(i)] b) Toxicology: Integrated Summary [21 CFR 312.23(a)(8)(ii)(a)] i. A brief description of the design of the trials ii. A systematic presentation of the findings from the animal toxicology and toxico-kinetic studies. iii. Identification and qualifications of the individual(s) who evaluated the animal safety data and concluded iv. A statement of where the animal studies were conducted and where the records of the studies are available for inspection v. A declaration that each study subject to good laboratory practices (GLP) regulations was performed in full compliance
  • 23. c) Toxicology - Full Data Tabulation [21 CFR312.23(a)(8)(ii)(b)] d) Toxicology - GLP Certification [21 CFR 312.23(a)(8)(iii)] e) Monitoring of Effects of these Clarifications 8. Previous Human Experience with the Investigational Drug [21 CFR 312.23(a)(9)] 9. 21 CFR 312.23(a)(10), (11) and (b), (c), (d), and (e)
  • 25.
  • 26. NDA New Drug Application • drug safe and effective? • Do benefits outweigh risks? • labeling (package insert) appropriate? • manufacturing and drug quality control methods adequate?
  • 27. Requirements for NDA NDA Scientific Documentation Requirements
  • 28. Scientific Requirements  Manufacturing Methodology  Authentication  Testing of Drug for - safety - Efficacy
  • 29. Scientific Requirements  Bioavailability and Bioequivalence Studies Data  Container Closure Systems for Packaging Human Drugs and Biologics  Microbiological analysis Data  Clinical Research Data  Statistical Data  Human Pharmacokinetics and Bioavailability test Data  Non-clinical pharmacology and toxicology studies Data  Clinical evidence of effectiveness  Summary of New Drug  Samples and Analytical Data – for Method Validation  Manufacture process of Drug  Impurities in the Drug
  • 30. Documentation for NDA FIRST: Documents • Organization & administrative information • Certificates, information & administrative documents about the product • Technical file documents • Clinical studies documents SECOND: Attachments to the registration file • 15 copies of internal information • 15 copies of “The approved information form of the drug” duly completed • 2 samples of finished product THIRD : separate copy of technical file for analysis purpose to Drug Control Laboratory
  • 32.
  • 33.
  • 34. Bibliography  GUIDANCE FOR INDUSTRY ON PREPARATION OF COMMON TECHNICAL DOCUMENT FOR IMPORT / MANUFACTURE AND MARKETING APPROVAL OF NEW DRUGS FOR HUMAN USE (NEW DRUG APPLICATION – NDA), CENTRAL DRUGS STANDARD CONTROL ORGANIZATION DIRECTORATE GENERAL OF HEALTH SERVICES MINISTRY OF HEALTH & FAMILY WELFARE GOVT. OF INDIA, NOVEMBER 2010  Richard A. Guarino ,M.D., New drug approval process, 5th edition, vol 190, 93- 155  Dr. Harish Dureja, New Drug Approval Process: Regulatory View, Pharmainfo.net online article – (link)  http://www.fda.gov/RegulatoryInformation/Guidances/ucm129703.htm  http://www.fda.gov/aboutfda/reportsmanualsforms/forms/default.htm  http://cdsco.nic.in/  http://cdsco.nic.in/new_drugs_division.htm 
  • 35. THANK YOU  FOR YOUR KIND ATTENTION

Editor's Notes

  1. The FDA is divided into many centers; each center comprising a division with specific regulatory responsibilitiesThe main centers are as follows: CDER—Center for Drug Evaluation and Research CBER—Center for Biologics Evaluation Research CDRH—Center for Devices and Radiologic Health CFSAN—Center of Food Safety and Applied Nutrition CVM—Center for Veterinary Medicine NCTR—National Center for Toxicological Research