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Agenda  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Overview of Clinical Trial Regulations in India, China and Russia
India
A Brief History of Regulating Medicinal Products in India 1940 Drug and Cosmetics Act  (British India) 1970 Indian Patents Act  (Only Recognizing Process Patents and Not Composition of Material) 1945 Drug and Cosmetics Rule  India gains Independence from Britain in 1947 1988 Schedule Y  Requirements & guidelines for permission to import and/or manufacture new drugs for sale or to undertake clinical trials in India 2000 ICMR issues  “Ethical Guidelines for Biomedical Research on Human Subjects” 2002 ICMR issues  “Good Clinical Practices for Clinical Research in India”  Indian government allowed for 100% direct foreign ownership of Pharmaceutical companies
Indian Government eliminated import duties for investigational drugs to be used in clinical trials ,[object Object],[object Object],2005
[object Object],2006 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],2006
Revised requirements posted on CDSCO Website for Protocol Amendments ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Revised requirements posted on CDSCO Website for Protocol Amendments
[object Object],[object Object],[object Object],[object Object],[object Object],Revised requirements posted on CDSCO Website for Protocol Amendments Note: All amendments must be approved by the concerned  Institutional Ethics Committee before their implementation
[object Object],2009 F.No. 12-01/09-DC-(Pt-32) Directorate General of Health Services Office of Drugs Controller General (India) (New Drug Division) Subject: Registration of Clinical Trial in ICMR Clinical Trial Registry  www.ctri.in  -reg. It has been decided to make registration of clinical trial mandatory w.e.f.15th June 2009, which will be applicable for clinical trials initiated after 15th June 2009. Accordingly, while granting permission for Clinical Trials, applicants are now being informed that registration of clinical trial in ICMR Clinical Trial Registry  www.ctri.in  before its initiation will be mandatory from June 15th 2009.
[object Object],2009 NOTIFICATION No. 88 (RE-2008) / 2004-2009 New Delhi, Dated the 26th February, 2009 The entry at Sl. No. 124, Chapter 30, regarding ‘Pharmaceutical products’ under Schedule 2 of ITC (HS) Classification of Export and Import Items stands amended as follows: Exports of Whole human blood plasma and all products derived from human blood except gamma globulin and human serum albumin manufactured from human placenta and human placental blood; Raw placenta; Placental blood Plasma permitted after obtaining  No Objection Certificate (NOC)  from Directorate General of Health Services under Ministry of Health.
Important definitions to consider while understanding the Indian Regulations ,[object Object],[object Object],[object Object]
Important definitions to consider while understanding the Regulatory scenario in India ,[object Object],[object Object],[object Object]
Important definitions to consider while understanding the Regulatory scenario in India ,[object Object],[object Object]
Important definitions to consider while understanding the Regulatory scenario in India ,[object Object],[object Object],[object Object]
Important definitions to consider while understanding the Regulatory scenario in India ,[object Object],[object Object],[object Object]
Important definitions to consider while understanding the Regulatory scenario in India ,[object Object]
CDSCO Central Government Directorate General of Health Services Drugs Controller General of India Permissions for Clinical Trials with New Drugs Test Import Licenses New Drug Approvals Ministry of Health & Family Welfare
CDSCO Central Government Statutory  Functions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],CDSCO   State Government Statutory  Functions
DCGI Permission  Drugs Manufactured  In   India Permission to Conduct Clinical Trials Drugs Manufactured  Outside India Test Import License   Permission to Conduct Clinical Trials + DGFT Approval for export of samples As we speak, this is no longer a requirement!
Current Applicable Clinical Trials Regulations in India ,[object Object],Indian GCP (CDSCO) Ethical Principles of  Biomedical Research  published by ICMR
Clinical Trial Application (CTA), India ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CTA, India (contd) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CTA, India (contd) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
China
Brief History of Regulations - China  Ministry of Health Administration Guidance for Drug Manufacturing 1982 Ministry of Health Administration Guidance for New Drug 1979 State Council Provisional Guideline for Drug Administration 1978 Ministry of Health Provisional Administration of New Drugs 1962 Conception (1962-1982) Issued By Regulations / Laws Year Stage
Brief History of Regulations - China  SDA Quality Control Guideline for Drug Clinical Trials 1999 SDA Guidance for New Drug Evaluation and Approval (revised) 1999 State Council Establishment of SDA 1998 Ministry of Health Administration Guidance for Clinical Trials of New Drug 1997 Ministry of Health Guidance for New Drug Evaluation and Approval 1985 State Council Regulations for Implementation of Drug Administration of Law of the People’s Republic of China 1985 National People’s Congress Drug Administration of Law of the People’s Republic of China 1984 Development (1984-1999) Issued By Regulations / Laws Year Stage
Brief History of Regulations - China  SFDA Quality Control Guideline for Drug Clinical Trials (Revised) 2003 State Council Establishment of SFDA 2003 SDA Provisions for Drug Registration (Draft) 2002 State Council Regulations for Implementation of Drug Administration of Law of the People’s Republic of China 2002 National People’s Congress Drug Administration of Law of the People’s Republic of China (Revised) 2001 SFDA Provisions for Drug Registration 2005 National People’s Congress Administrative Permission 2004 Maturation (2001-2005) Issued By Regulations / Laws Year Stage
Brief History of Clinical Trial Guidelines - China  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GCP - China  ,[object Object],[object Object],[object Object]
Regulatory Framework in China State Food and Drug Administration (SFDA)  State Ministry of Health  Issued Provisions for Drug Registration  (SFDA Order No.28)
Regulatory Framework in China ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Center for Drug Evaluation (CDE)
Clinical Trial Pre- Requisite ,[object Object],Receipt of a CLINICAL TRIAL APPROVAL (CTA) issued by SFDA is a pre-requisite to commencement  of clinical trials
Steps leading to Clinical Trial Approval in China ,[object Object],[object Object],[object Object],All Key Dossier Items must be translated to CHINESE
Steps leading to Clinical Trial Approval in China ,[object Object],[object Object],[object Object],[object Object],For local manufacturers, SFDA’s provincial affiliates will perform  an on-site (research site) inspection to check the application dossier authenticity and completeness and issue one inspection report to SFDA (30 workdays)
Steps leading to Clinical Trial Approval in China ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Without the  certificate of analysis issued by NICPBP ,  the institutional ethics committee (IEC) will not approve the clinical study
Steps leading to Clinical Trial Approval in China ,[object Object],[object Object],[object Object],[object Object],CDE will send the Final Technical Evaluation Opinion to the  Department of Drug Registration attached to SFDA
Steps leading to Clinical Trial Approval in China ,[object Object],[object Object],Clinical trial must be initiated within 3 years from date of Clinical Trial Approval
Time frame ,[object Object],[object Object],[object Object],[object Object],[object Object]
Challenges for conducting clinical trials in China ,[object Object],[object Object],[object Object],[object Object]
Challenges for conducting clinical trials in China (contd) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Challenges for conducting clinical trials in China (contd) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Challenges for conducting clinical trials in China (contd) ,[object Object]
Russia
Brief History of Regulations - Russia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Brief History of GCP - Russia ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],Competent Authority, Russia
Regulations & Guidelines ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Rules
Procedure for permission to Conduct Clinical Trials in Russia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Procedure for permission to Conduct Clinical Trials in Russia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Procedure for permission to Conduct Clinical Trials in Russia (contd) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Procedure for permission to Conduct Clinical Trials in Russia (contd) ,[object Object],[object Object],[object Object],[object Object],Timeframe: 3-4 weeks
[object Object],[object Object],[object Object],IMPORT & EXPORT LICENSE
Drug Shipment Challenges ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],LEC
GCP  Overview    (India, China and Russia)
Overview of Indian GCP   ,[object Object]
Overview of Indian GCP   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Overview of Indian GCP   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Overview of Indian GCP   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Overview of Indian GCP   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Overview of Schedule Y (Amended 2005, India)  ,[object Object]
Overview of Schedule Y  (Amended 2005, India)  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Overview of Schedule Y  (Amended 2005, India)  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Overview of Schedule Y  (Amended 2005, India)  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Overview of Schedule Y  (Amended 2005, India)  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Overview of Ethical Guidelines for Biomedical Research on Human Participants  (ICMR 2006, India) ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Overview of Ethical Guidelines for Biomedical Research on Human Participants  (ICMR 2006, India)
Overview of China GCP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Overview of China GCP ,[object Object],[object Object],[object Object],[object Object]
Overview of China GCP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Russia GCP ,[object Object],[object Object],[object Object],[object Object]
Russia GCP ,[object Object],[object Object]
Differences with ICH E6 Let’s Talk
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Identify differences between ICH E6 and the guidelines / regulations for India and China with respect to  ,[object Object],[object Object],[object Object],[object Object],[object Object],Exercises
Practical Experiences with QA Audits in India
Investigator Site Audits  (Phase II-III Studies) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigator Site Audits  (Phase II-III Studies) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigator Site Audits  (Phase II-III Studies) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Investigator Site Audits  (Phase II-III Studies) ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Practical considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Some positive initiatives in India
Questions? ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Good clinical practices tutorial-june-21-09 shehnaz-v7.0

  • 1.
  • 2. Overview of Clinical Trial Regulations in India, China and Russia
  • 4. A Brief History of Regulating Medicinal Products in India 1940 Drug and Cosmetics Act (British India) 1970 Indian Patents Act (Only Recognizing Process Patents and Not Composition of Material) 1945 Drug and Cosmetics Rule India gains Independence from Britain in 1947 1988 Schedule Y Requirements & guidelines for permission to import and/or manufacture new drugs for sale or to undertake clinical trials in India 2000 ICMR issues “Ethical Guidelines for Biomedical Research on Human Subjects” 2002 ICMR issues “Good Clinical Practices for Clinical Research in India” Indian government allowed for 100% direct foreign ownership of Pharmaceutical companies
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19. CDSCO Central Government Directorate General of Health Services Drugs Controller General of India Permissions for Clinical Trials with New Drugs Test Import Licenses New Drug Approvals Ministry of Health & Family Welfare
  • 20.
  • 21.
  • 22. DCGI Permission Drugs Manufactured In India Permission to Conduct Clinical Trials Drugs Manufactured Outside India Test Import License Permission to Conduct Clinical Trials + DGFT Approval for export of samples As we speak, this is no longer a requirement!
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.  
  • 28. China
  • 29. Brief History of Regulations - China Ministry of Health Administration Guidance for Drug Manufacturing 1982 Ministry of Health Administration Guidance for New Drug 1979 State Council Provisional Guideline for Drug Administration 1978 Ministry of Health Provisional Administration of New Drugs 1962 Conception (1962-1982) Issued By Regulations / Laws Year Stage
  • 30. Brief History of Regulations - China SDA Quality Control Guideline for Drug Clinical Trials 1999 SDA Guidance for New Drug Evaluation and Approval (revised) 1999 State Council Establishment of SDA 1998 Ministry of Health Administration Guidance for Clinical Trials of New Drug 1997 Ministry of Health Guidance for New Drug Evaluation and Approval 1985 State Council Regulations for Implementation of Drug Administration of Law of the People’s Republic of China 1985 National People’s Congress Drug Administration of Law of the People’s Republic of China 1984 Development (1984-1999) Issued By Regulations / Laws Year Stage
  • 31. Brief History of Regulations - China SFDA Quality Control Guideline for Drug Clinical Trials (Revised) 2003 State Council Establishment of SFDA 2003 SDA Provisions for Drug Registration (Draft) 2002 State Council Regulations for Implementation of Drug Administration of Law of the People’s Republic of China 2002 National People’s Congress Drug Administration of Law of the People’s Republic of China (Revised) 2001 SFDA Provisions for Drug Registration 2005 National People’s Congress Administrative Permission 2004 Maturation (2001-2005) Issued By Regulations / Laws Year Stage
  • 32.
  • 33.
  • 34. Regulatory Framework in China State Food and Drug Administration (SFDA) State Ministry of Health Issued Provisions for Drug Registration (SFDA Order No.28)
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59.
  • 60. GCP Overview (India, China and Russia)
  • 61.
  • 62.
  • 63.
  • 64.
  • 65.
  • 66.
  • 67.
  • 68.
  • 69.
  • 70.
  • 71.
  • 72.
  • 73.
  • 74.
  • 75.
  • 76.
  • 77.
  • 78. Differences with ICH E6 Let’s Talk
  • 79.
  • 80.
  • 81. Practical Experiences with QA Audits in India
  • 82.
  • 83.
  • 84.
  • 85.
  • 86.
  • 87.
  • 88.
  • 89.

Editor's Notes

  1. When we say via DCGI No Objection Letters we mean this! It is ‘ NO OBJECTION ’ to conduct clinical trials in India under supervision of investigators mentioned in the submission letter THE LETTER STATES: You are requested to follow Ethical aspects of the clinical trial as described in the booklet ‘Ethical Guidelines for Biomedical Research on Human Subjects’ published by Indian Council of Medical Research (ICMR), New Delhi, and ‘GCP’ Guidelines issued by this department and to obtain ethical committee clearance of the institution before initiation of the study.