The International Council for Harmonisation (ICH) is a joint initiative between regulators and the pharmaceutical industry to harmonize technical requirements for drug registration. The goal is to streamline development, eliminate redundant testing, and make new medicines available more quickly while maintaining standards of safety and efficacy. ICH involves six regulatory and industry parties working to produce unified guidelines for the European Union, Japan, and United States on quality, safety, and efficacy. This helps facilitate mutual acceptance of clinical data between jurisdictions.
Carlos Langezaal - Eisai Inc, Speaker at the marcus evans Discovery Summit Fall 2011, delivers his presentation on The Importance of Developing a Global Regulatory Strategy towards the Goal of Registration
Carlos Langezaal - Eisai Inc, Speaker at the marcus evans Discovery Summit Fall 2011, delivers his presentation on The Importance of Developing a Global Regulatory Strategy towards the Goal of Registration
It is unique in bringing together the regulatory authorities and
pharmaceutical industry to discuss scientific and technical aspects of pharmaceuticals and develop ICH guidelines.
ICH GUIDELINES, ICH, INTERNATIONAL CONFERENCE ON HARMONIZATION, B PHARMA 6TH SEM, PHARMACEUTICAL QUALITY ASSURANCE
ICH and ICH guidelines
Need
Origin of ICH
Evolution of ICH
ICH members
Steps of ICH
STEP 1: Building Scientific Consensus
STEP 2: Agreeing on Draft Text
STEP 3: Consulting Regional Regulatory Agencies
STEP 4: Adopting Harmonized Guidelines
STEP 5: Implementing Guidelines in ICH Regions
Categories of ICH guidelines
The International Classification of Diseases (ICD) is a globally recognized system for classifying and coding diseases, health conditions, and related factors. It is maintained and updated by the World Health Organization (WHO) and serves several critical functions in healthcare and epidemiology. To describe the ICD comprehensively within 3000 characters, we'll cover its history, purpose, structure, and significance.
**History:**
The roots of the ICD can be traced back to the mid-19th century when various countries began documenting statistics on causes of death. The need for a standardized classification system became evident as different nations used their own systems, hindering international comparisons. The ICD was officially established in its modern form in 1948, with subsequent revisions and updates.
**Purpose:**
The primary purposes of the ICD are as follows:
1. **Disease Classification:** The ICD provides a systematic way to categorize diseases and health conditions. Each condition is assigned a unique code, which simplifies data collection and reporting.
2. **Clinical Diagnosis:** Healthcare professionals use the ICD to document and communicate diagnoses. This aids in patient care, medical billing, and insurance claims processing.
3. **Epidemiology:** The ICD is crucial for monitoring and analyzing disease patterns on a global scale. It helps identify emerging health threats, allocate resources, and develop public health policies.
4. **Health Statistics:** Governments and health organizations use the ICD to compile health statistics, such as causes of death and disease prevalence. This information guides healthcare planning and resource allocation.
**Structure:**
The ICD is organized into chapters, sections, and codes. The current version, ICD-10, is divided into 22 chapters, covering a wide range of health-related topics. Here's an overview of some key chapters:
- **Chapter I:** Certain infectious and parasitic diseases
- **Chapter II:** Neoplasms (cancers)
- **Chapter III:** Diseases of the blood and blood-forming organs
- **Chapter IV:** Endocrine, nutritional, and metabolic diseases
- **Chapter V:** Mental and behavioral disorders
- **Chapter VI:** Diseases of the nervous system
- **Chapter VII:** Diseases of the eye and adnexa
- **Chapter VIII:** Diseases of the ear and mastoid process
- **Chapter IX:** Diseases of the circulatory system
- **Chapter X:** Diseases of the respiratory system
- **Chapter XI:** Diseases of the digestive system
- **Chapter XII:** Diseases of the skin and subcutaneous tissue
- **Chapter XIII:** Diseases of the musculoskeletal system and connective tissue
- **Chapter XIV:** Diseases of the genitourinary system
- **Chapter XV:** Pregnancy, childbirth, and the puerperium
- **Chapter XVI:** Certain conditions originating in the perinatal period
- **Chapter XVII:** Congenital malformations, deformations, and chromosomal abnormalities
- **Chapter XVIII:** Symptoms, signs, and abnormal clinical and labor
ICH Guidelines of Quality, Safety, Efficacy and Multidisciplinary guidelines that implemented by International Council for Harmonisation. ich stands for the harmonisation of Technical requirements of Pharmaceuticals for Human use.
1.5 international conference on harmonizationShital Patil
ICH is a joint initiative involving both regulators and research-based industry representatives of the EU, Japan and the US in scientific and technical discussions of the testing procedures required to assess and ensure the safety, quality and efficacy of medicines.
1. ICH is a unique joint initiative involving both regulators and industry as equal partners in the scientific
and technical discussions of the testing procedures which are required to ensure and assess the safety,
quality and efficacy of medicines.
The purpose is to make recommendations on ways to achieve greater harmonization in
the interpretation
Application of technical guidelines
Requirements for product registration in order to reduce or obviate the need to
duplicate the testing carried out during the research and development of new
medicines.
Aim to produce a single set of technical requirements for the registration of new drug,
drug products to streamline development.
Reduce or obviate duplicate testing
More economical use of human, animal and material resources.
Eliminate unnecessary delays in the availability of new medicines.
Availability of new medicines whilst maintaining safeguards on quality, safety and
efficacy, and regulatory obligations to protect public health.
To provide a unified standard for the European Union (EU), Japan & United States to
facilitate mutual acceptance of clinical data by the regulatory authorities in these
jurisdictions
Members:
Steering committee (SC):
ICH Parties - 6
ICH – Coordinators (One from each party)
Observers - 3 (non-voting)
IFPMA: Secretariat
Expert Working Groups (EWGs) :The SC is advised on technical issues concerned with
harmonization topics by Expert Working Groups. They are nominated from the 6 Co –Sponsors.
Participants
Six Parties: EU, EFPIA, FDA, MHLW, JPMA, PhRMA,
Three Observers: WHO, EFTA, Canada
Commission - European Union (EU)
2. European Federation of Pharmaceutical Industries and Associations (EFPIA)
US Food and Drug Administration (FDA)
Pharmaceutical Research and Manufacturers of America (PhRMA)
Ministry of Health, Labor and Welfare, Japan (MHLW)
Japan Pharmaceutical Manufacturers Association (JPMA) .
STEERING COMMITTEE:
Oversees the preparation for ICH and the harmonization initiatives under taken
under the ICH Process.
2 members from each of the 6 co-sponsors
Determines policies & procedures
Selects topics for harmonization
Monitors progress of harmonization initiatives
Five-step approach
Step 1: Consensus building
Step 2: Confirmation of six-party harmonised and consensus text released
Step 3: Regulatory Consultation and Discussion outside the ICH
Step 4: Adoption of an ICH Harmonized Guideline
Step 5: Implementation
Quality (Q) - chemical & pharmaceutical QA
Q 1(A-F): Stability - Photostability
Q 2: Analytical Validation
Q 3(A-C): Impurities
Q 5(A-E): Biotechnological Quality
Q 6(A,B): Specifications
Q 7: GMP for active pharma ingredients
Q 8: Pharmaceutical development
Q 9: Quality risk management
Q10: Pharmaceutical Quality System
3. Safety (S) -dealing with in vitro & in vivo pre clinical testing
S1: Carcinogenicity studies – Need, Testing, Dose Selection
S2: Genotoxicity – Regulatory, Battery of Tests
S3A: Toxicokinetics
S3B: Pharmacokinetics
S4: Chronic Toxicity Testing
S5A: Toxicity to Reproduction
S5B: Toxicity to Male Fertility
S6: Preclinical Biotech derived drugs
S7A: Safety Pharmacology
S7B: QT interval prolongation
S8: Immunotoxicity for Human Pharmaceuticals
S9 : Nonclinical Evaluation for Anticancer Pharmaceuticals
Efficacy (E) -clinical studies in human beings
E 1: Exposure to assess clinical safety
E 2: Clinical Safety Data Management
E 3: Study Reports
E 4: Dose Response Studies
E 5: Ethnic Factors
E 6: Good Clinical Practice (GCP)
E 7: Special Populations – Geriatrics
E 8: Clinical Trials Design
E 9: Statistical Considerations
E 10: Choice of Control Group
E 11: Special Populations – Children
E 12: Therapeutic categories
E 14: The clinical evaluation of QT/QC interval prolongation & pro arrhythmic potential for non
antiarrhythmic drugs
4. E15: Definitions for Genomic Biomarkers, Pharmacogenomics, Pharmacogenetics, Genomic Data &
Sample Coding Categories
E16: Genomic Biomarkers Related to Drug Response: Context, Structure and Format of Qualification
Submissions
Multidisciplinary (M) -deals with Terminology, Electronic Standards, Common Documents.
M1: Medical Terminology
M2: Electronic Standards for Transfer of Regulatory Information & Data (ESTRI)
M3: Maintenance of ICH guidelines for nonclinical safety studies
M4: Common Technical Document (CTD)
M5: Data Elements and Standards for Drug Dictionaries
FDA Center for Drug Evaluation and Research (CDER)
The mission of FDA's Center for Drug Evaluation and Research is to assure that safe and
effective drugs are available to the American people. The information below provides an
understanding of how CDER works to accomplish this mission as it relates to new drug
development and review.
New Drug Development Process- An interactive chart that provides an overview
of the new drug development process, with an emphasis on preclinical research
and clinical studies conducted by the drug's sponsor.
Investigational New Drug (IND) Review Process- An interactive chart that
provides an overview of CDER's investigational new drug application process,
including how CDER determines if the product is suitable for use in clinical trials.
New Drug Application (NDA) Review Process- An interactive chart that provides
an overview of CDER's new drug application review process, including how
CDER determines the benefit:risk profile of a drug product prior to approval for
marketing.