This document provides an overview of pharmaceutical regulations for drug approval in the US, EU, and India. It discusses the drug approval processes and requirements in each region, including the types of applications submitted (e.g. ANDA, NDA), necessary documentation, evaluation timelines, and guidelines followed (e.g. ICH). It also compares some key parameters of the regulatory frameworks like bioequivalence study designs, criteria, and pharmacokinetic measures assessed between the different jurisdictions.
International Journal of Drug Regulatory Affairs; 2014, 2(1), 1- 11
Abstract:
Developing a new drug requires great amount of research work in chemistry, manufacturing, controls, preclinical science and clinical trials. Drug reviewers in regulatory agencies around the world bear the responsibility of evaluating whether the research data support the safety, effectiveness and quality control of a new drug product to serve the public health. Every country has its own regulatory authority, which is responsible to enforce the rules and regulations and issue the guidelines to regulate the marketing of the drugs. This article focuses on drug approval process in different countries like USA, Europe and India.
International Journal of Drug Regulatory Affairs; 2014, 2(1), 1- 11
Abstract:
Developing a new drug requires great amount of research work in chemistry, manufacturing, controls, preclinical science and clinical trials. Drug reviewers in regulatory agencies around the world bear the responsibility of evaluating whether the research data support the safety, effectiveness and quality control of a new drug product to serve the public health. Every country has its own regulatory authority, which is responsible to enforce the rules and regulations and issue the guidelines to regulate the marketing of the drugs. This article focuses on drug approval process in different countries like USA, Europe and India.
USFDA Approval Process For Drug Products & Biological Product i.e NDA Vs. BLA
Comparison of NDA and BLA application process in USA. IND, NDA, ANDA & BLA dossier submission procedure.
I. INTRODUCTION
II. DEFINITIONS
III. TYPES OF DRUG MASTER FILES
IV. SUBMISSIONS TO DRUG MASTER FILES
V. AUTHORIZATION TO REFER TO A DRUG MASTER FILE
VI. PROCESSING AND REVIEWING POLICIES
VII. HOLDER OBLIGATIONS
IX. CLOSURE OF A DRUG MASTER FILE.
An innovator or branded drug is the first drugs created containing its specific active ingredient to receive approval for use.
A generic drug is made of the same active ingredient as its innovator drug.
Abbreviated New Drug Application [ANDA]Sagar Savale
An Abbreviated New Drug Application (ANDA) contains data which when submitted to FDA's CDER, Office of Generic Drugs, provides for the review and ultimate approval of a generic drug product.
Regulation Governing Clinical Trials In India,USA and Europe. KapilKumar198
This presentation contain detailed information about the "Regulation Governing Clinical Trials In India,USA and Europe".And about the clinical trails and medical devices regulations in India.
USFDA Approval Process For Drug Products & Biological Product i.e NDA Vs. BLA
Comparison of NDA and BLA application process in USA. IND, NDA, ANDA & BLA dossier submission procedure.
I. INTRODUCTION
II. DEFINITIONS
III. TYPES OF DRUG MASTER FILES
IV. SUBMISSIONS TO DRUG MASTER FILES
V. AUTHORIZATION TO REFER TO A DRUG MASTER FILE
VI. PROCESSING AND REVIEWING POLICIES
VII. HOLDER OBLIGATIONS
IX. CLOSURE OF A DRUG MASTER FILE.
An innovator or branded drug is the first drugs created containing its specific active ingredient to receive approval for use.
A generic drug is made of the same active ingredient as its innovator drug.
Abbreviated New Drug Application [ANDA]Sagar Savale
An Abbreviated New Drug Application (ANDA) contains data which when submitted to FDA's CDER, Office of Generic Drugs, provides for the review and ultimate approval of a generic drug product.
Regulation Governing Clinical Trials In India,USA and Europe. KapilKumar198
This presentation contain detailed information about the "Regulation Governing Clinical Trials In India,USA and Europe".And about the clinical trails and medical devices regulations in India.
This powerpoint presentation includes all the details regarding the topic Drug approval process with special procedure of Drug approval process in India.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
2. Contents
Introduction
Drug approval in USA
Drug approval in Europe
Drug product approval process in India
Comparative study of regulatory guidance in different countries
3. A Historical perspective of drug regulation
and approval
During the 20th century, there were no law’s & regulations to protect the public
from the unfavorable effects of the drugs.
Misfortune, disaster, and tragedy had triggered most of the advances in drug
regulation.
Thalidomide tragedy (1962)
JAKE-LEG paralysis (1930)
Elixer Sulfinamide (1937)
4. Pharmaceutical markets
1. Regulated: USA, EU, Japan (follows ICH paten. i.e. CTD)
2. Semi-Regulated: India, ASEAN countries, Russia, China, Brazil. (country specific
product registration guidelines are followed)
3. Non-Regulated: African countries. (min document is required for drug approval
process)
6. Different types of Drug applications that can be submitted to
FDA
IND
Application filed to FDA in order to start clinical trials in humans on the basis of data obtained from the preclinical trials.
Sponsor is responsible for submitting the IND Application.
NDA (505 b2)
If clinical studies confirm that a new drug is relatively safe and effective and will not pose unreasonable risks to patients, the
manufacturer files a NDA.
This is the actual request to manufacture and sell the drug in the US.
ANDA (505 j)
It’s an application mode for generic drugs.
Sponsor is not required to generate or produce clinical studies that were done for the original brand name product.
Instead, must prove that the generic product is same & bioequivalent to the brand name product.
Biologic Licence Application (BLA)
Biologic products are approved for marketing under the provision of the Public Health service Act.
7.
8.
9.
10. NDA document should explain
information on
CT
Preclinical studies
Ingredients of New drug
Manufacturing process
Labelling
Packaging
How the drug behaves in body
11. Multiple copies OF NDA
ARCHIVED COPY – It contains all sections of the NDA including cover letter, form FDA-356 h
(application to market a new drug for human use ) administrative section , NDA index and all
technical sections .
It is the only copy that contains the case report tabulation and case report form.
REVIEW COPY – It contains a NDA technical section along with the cover letter , form FDA-356 h ,
NDA index as well as individual table of content , the labelling section and application summary
FILED COPY – This is required by the FDA inspector during pre-approval facilities inspections.
In addition to the content review copy it includes the CMC and method validation package.
12.
13. Types of ANDA / 505 (j) Filling
While filling an ANDA , the generic company has to choose one of the following four options
Para I –The drug has not been patented . patent information is not available in orange book .
Para II –The patent for the drug has already expired .
Para III –The patent for product exists but the generic company wants to enter the market after the date of
patents expiry passes .
Para IV -Patent is not infringed upon or is invalid .
Para IV filling are most lucrative , tedious , time consuming and expensive of the para I ,para II and Para III.
on successful outcome the generic applicant enjoy the six months exclusivity in the market.
15. Europe submission
Types of Procedure
A centralized
A decentralized
Mutual recognition
National authorisation procedure
16. Centralized procedure
Marketing authorization is valid throughout the EU.
Each member state approval is not required.
Timeline: 210
Compulsory for:
Medicines which are derived from any biotechnology processes.
Anti-cancer drugs, HIV/AIDS, diabetes, neurodegenerative disorder or autoimmune
diseases.
Orphan medicines.
17.
18. Decentralized Procedure
RMS-first member state
CMS- other member states
Simultaneous application in more than one EU country
Time: 210 days.
19.
20. Mutual recognition procedure (MRP)
Applicant submits identical dossier to all EU member states.
RMS decides to evaluate the medicinal products, issues a report to other states on
its own findings.
Generic industry is the major user of this type of drug approval procedure.
Time: 390 days.
21.
22. EU Directive on pharmaceutical
submission
Article 10
Generic drug can be placed in the market only if authorisation of Reference drug had
elapsed a duration of 10yr.
Extension period of 1 yr is granted, if more than 1 indication is found i.e is clinically
significant.
Reference drug: Authorized under Article 6 & is in accordance with provisions of
Article 8.
Generic drug: API is same that of Reference product except the pharmaceutical
excipients.
Article 10a: BABE application, Bibliographic application.
Article 10b: New Combination drugs, submitted in accordance with Article B3(i).
Article 17: MAA can be submitted in more than two member state accordance to
article 27-39.
24. Drug regulation system in India
The Drug & Cosmetics Act 1940 & Rules 1945
CDSCO & DCGI was established
Schedule Y (1988,2005): Provides guidelines & requirements for conduct of Clinical trials.
Clinical trial was further divided into two in 2006,
Drug regulatory authority ensures: Quality, Safety & Efficacy
Form 44: To Mfr/import a new drug, along with the data mentioned in Schedule Y (data of
chemistry, mfg, animal studies, date in regard to protocol, IB, ICD)
FORM CT-16: Application for grant of license to import new drug or investigational new drug for
clinical trial or bioavailability or bioequivalence study or for examination, test and analysis
FORM 29: License to manufacture drugs for purpose of examination, test or analysis
25. Functions of………..
DCGI:
Matters related to product approval and standards, clinical trials, introduction of new drug, and
licenses of new drugs are handled by the DCGI.
CDSCO:
Approval of new drugs and clinical trials
Import registration and licensing
Licensing of Blood Banks & Medical Devices
Amendment to D&C Act and Rules
Banning of drugs and cosmetics
Grant of TL, NOC’s for Export
Testing of Drugs
26.
27. Comparative study of regulatory guidance in different
countries
Sl No. Parameter USA Europe India
1. Application ANDA MAA MAA
2. Debarment certification Required NA NA
3. Approval timeline 18 months 12months 12months
4. Presentation eCTD/Paper eCTD eCTD
5. Finished pdt justification ICHQ6A ICHQ6A ICHQ6A
6. Stability data required at the
time of submission
1 Batch 2 Batch -
7. Bioequivalence study
followed
USA Guideline It also
accepts other country
guidelines
E.U. Guidelines It also
accepts
other country guidelines
-
28. Sl No. Parameters US EUROPE CANADA
1. Study design Non-replicated, randomized, crossover
studies
Non-replicated, randomized, crossover
studies
Non-replicated, randomized,
crossover
studies
2. Fasting/fed state studies Fasting and fed Fasting Fasting
3. Volunteers Sufficient to achieve adequate power >12 (Min 80% power of acceptance
criteria)
Min 80% power of acceptance
4. Study dose
Test
Reference
Made by the manufacturer
Reference listed drug in USA
Made by the manufacturer
European reference product
Made by the manufacturer
Canadian reference product
5. Sampling points 12–18 samples, more samples should
be collected at Tmax, to be continued
upto 3 or more half lives
At least 2 samples before expected
Tmax, 3–4 terminal log–linear phase
12–18 samples per subject/dose
29. Sl No. Parameter USA Europe Canada
6. Analytical method validation
parameters
Accuracy, precision, selectivity,
sensitivity,
reproducibility, calibration curve,
and stability
Accuracy, precision, repeatability,
intermediate precision specificity,
detection. limit of quantitation,
linearity range
Stability, L.O.Q, specificity,
recovery,
standard curves, precision and
accuracy
7. Moieties to be measured in
plasma
Active drug/metabolites if applicable Active drug/metabolites if Active drug/metabolites if
applicable
8. Pharmacokinetic parameters Cmax, Tmax, AUC0–t and AUC0–1,
t1/2, kz
Cmax, Tmax, AUC0–t and AUC0–1,
t1/2, kz
Cmax, Tmax, AUC0–t and AUC0–1,
t1/2, kz
9. Criteria for bioequivalence 90% CI
80.00–125.00% for Cmax, AUCt,
AUC0–1
90% CI
80.00–125.00 for Cmax, AUCt,
AUC0–1 (for highly variable drugs
75–133%)
90% CI 80–125% for Cmax, AUCt,
AUC0–1
10. GCP requirements ICH GCP guidelines ICH GCP guidelines ICH GCP guidelines