SlideShare a Scribd company logo
1 of 14
Drug master file system in USA
Types of DMF.
IND application in USA.
IND submission process.
New drug application (NDA) in USA
References
A Drug Master File (DMF) is a submission to the Food and Drug
Administration (FDA) that may be used to provide confidential
detailed information about facilities, processes, or articles used in
the manufacturing, processing, packaging, and storing of one or
more human drugs.
The submission of a DMF is not required by law or FDA
regulation.
A DMF is submitted solely at the discretion of the holder.
The information contained in the DMF may be used to support an
Investigational New Drug Application (IND), a New Drug Application
(NDA), an Abbreviated New Drug Application (ANDA), another DMF,
an Export Application, or amendments and supplements to any of these.
There are five types of DMF's:
Type I Manufacturing Site, Facilities,
Operating Procedures, and Personnel
Type II Drug Substance, Drug Substance
Intermediate, and Material Used in Their
Preparation, or Drug Product
Type III Packaging Material
Type IV Excipient, Colorant, Flavor, Essence, or
Material Used in Their Preparation
Type V FDA accepted reference information.
Each DMF submission should contain a transmittal letter,
administrative information about the submission, and the specific
information to be included in the DMF.
The DMF must be in the English language. Whenever a submission
contains information in another language, an accurate certified
English translation must also be included.
Each page of each copy of the DMF should be dated and
consecutively numbered. An updated table of contents should be
included with each submission to the USFDA.
The investigational new drug applications (INDs) submitted to the Center for Drug
Evaluation and Research (CDER) and the Center for Biologics Evaluation and
Research (CBER) in USA.
The content & format of IND application is laid out in 21CFR part 312
The IND is also the vehicle through which a sponsor advances to the next
stage of drug development known as clinical trials (human trials).
The investigational new drug (IND) application is the result of a successful
preclinical development program.
Cover sheet (FORM FDA 1571)
Table of contents
Introductory statement and a general investigational plan
Investigators brochure
Protocols
Chemistry , manufacturing and control information
Pharmacology and Toxicology information
Previous human experience with the investigational drug
Other relevant information like no. of IND submissions.
Number of copies to be submitted (1 + 2)
Protocol amendments, any changes in the protocol.
Applicant / drug sponsor
IND REVIEW BY
CDER
CHEMISTRY PHARMACOLOGICAL Statistical
Safety review
Safety review
accepted
Complete review
Review complete &
acceptable
No deficiencies
Sponsor submits new
data
Clinical
hold
decision
Notify sponsor
Sponsor notified of
deficiencies
Study
ongoing
MEDICAL
Flow chart
process of IND
The NDA application is the vehicle through
which drug sponsors formally propose that
the FDA approve a new pharmaceutical for
sale and marketing in the U.S.
The data gathered during the animal studies
and human clinical trials of an Investigational
New Drug (IND) become part of the NDA.
Whether the methods used in manufacturing the drug and the
controls used to maintain the drug's quality are adequate to
preserve the drug's identity, strength, quality, and purity.
Whether the drug's proposed labeling (package insert)
is appropriate.
Whether the drug is safe and effective in its proposed
use.
Form FDA-356h. Application to market a new
drug, biological or an antibiotic drug for human
use.
Form FDA 3397. User fee cover sheet.
Form FDA 3331. New drug application field report.
 Fda.gov. 2019 [cited 1 February 2019]. Available from:
http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInfor
mation/Guidances/ucm1 22886.htm
 Investigational New Drug (IND) Application [Internet]. Fda.gov.
2019 [cited 1 February 2019]. Available from:
https://www.fda.gov/drugs/developmentapprovalprocess/howdru
gsaredevelopedandapproved/approvalapplications/investigation
alnewdrugindapplication/default.htm
 Fda.gov. 2019 [cited 1 February 2019]. Available from:
https://www.fda.gov/downloads/Drugs/Guidances/UCM446695.p
df
 New Drug Application (NDA) [Internet]. Fda.gov. 2019 [cited 1
February 2019]. Available from:
https://www.fda.gov/Drugs/DevelopmentApprovalProcess/HowD
rugsareDevelopedandApproved/ApprovalApplications/NewDrug
ApplicationNDA/default.htm
Regulatory approval and system of  drug master file ,IND  and NDA in USA

More Related Content

What's hot

Guidance for industry changes to an approved nda or anda
Guidance for industry changes to an approved nda or andaGuidance for industry changes to an approved nda or anda
Guidance for industry changes to an approved nda or anda
Gaurav Sharma
 

What's hot (20)

Drug master file
Drug master fileDrug master file
Drug master file
 
Regulatory requirement for approval of Biologics
Regulatory requirement for approval of BiologicsRegulatory requirement for approval of Biologics
Regulatory requirement for approval of Biologics
 
ANDA
ANDAANDA
ANDA
 
EUROPEAN MEDICAL AGENCY
EUROPEAN MEDICAL AGENCYEUROPEAN MEDICAL AGENCY
EUROPEAN MEDICAL AGENCY
 
Guidance for industry changes to an approved nda or anda
Guidance for industry changes to an approved nda or andaGuidance for industry changes to an approved nda or anda
Guidance for industry changes to an approved nda or anda
 
Dmf filing in US , Canada and Europe
Dmf filing in US , Canada and EuropeDmf filing in US , Canada and Europe
Dmf filing in US , Canada and Europe
 
Abriviated new drug application 505(j) filling
Abriviated new drug application 505(j) fillingAbriviated new drug application 505(j) filling
Abriviated new drug application 505(j) filling
 
MARKETING AUTHORISATION, LICENSING AND QUALITY ASSESSMENT OF VACCINES IN INDI...
MARKETING AUTHORISATION, LICENSING AND QUALITY ASSESSMENT OF VACCINES IN INDI...MARKETING AUTHORISATION, LICENSING AND QUALITY ASSESSMENT OF VACCINES IN INDI...
MARKETING AUTHORISATION, LICENSING AND QUALITY ASSESSMENT OF VACCINES IN INDI...
 
Nda and Anda
Nda and AndaNda and Anda
Nda and Anda
 
Common Technical Document
Common Technical DocumentCommon Technical Document
Common Technical Document
 
DMF -Drug Master File
DMF -Drug Master File DMF -Drug Master File
DMF -Drug Master File
 
Regulatory guidance and guidelines for filing and approval for biologics
Regulatory guidance and guidelines for filing and approval for biologicsRegulatory guidance and guidelines for filing and approval for biologics
Regulatory guidance and guidelines for filing and approval for biologics
 
2. unit II, chapter-2 regulatory authorities and agencies.
2. unit II, chapter-2 regulatory authorities and agencies.2. unit II, chapter-2 regulatory authorities and agencies.
2. unit II, chapter-2 regulatory authorities and agencies.
 
Bioavailability and bioequivalance studies and Regulatory aspects
Bioavailability and bioequivalance studies and Regulatory aspectsBioavailability and bioequivalance studies and Regulatory aspects
Bioavailability and bioequivalance studies and Regulatory aspects
 
hatch-waxman act@amendments
hatch-waxman act@amendmentshatch-waxman act@amendments
hatch-waxman act@amendments
 
Investigational new drug application
Investigational new drug application Investigational new drug application
Investigational new drug application
 
Quality, Safety and Legislation of Herbal Products in India
Quality, Safety and Legislation of Herbal Products in IndiaQuality, Safety and Legislation of Herbal Products in India
Quality, Safety and Legislation of Herbal Products in India
 
Post approval of drugs
Post approval of drugsPost approval of drugs
Post approval of drugs
 
Documentation in Pharmaceutical Industry Part I
Documentation in Pharmaceutical Industry Part I Documentation in Pharmaceutical Industry Part I
Documentation in Pharmaceutical Industry Part I
 
Hatch waxman act
Hatch waxman actHatch waxman act
Hatch waxman act
 

Similar to Regulatory approval and system of drug master file ,IND and NDA in USA

Ind (investigational new drug application) and nda
Ind (investigational new drug application) and ndaInd (investigational new drug application) and nda
Ind (investigational new drug application) and nda
swati2084
 
Product registration and drug approval process in us
Product registration and drug approval process in usProduct registration and drug approval process in us
Product registration and drug approval process in us
keerthi09
 

Similar to Regulatory approval and system of drug master file ,IND and NDA in USA (20)

Basic concepts about regulatory affairs
Basic concepts about regulatory affairsBasic concepts about regulatory affairs
Basic concepts about regulatory affairs
 
drug master file
drug master filedrug master file
drug master file
 
New drug application
New drug applicationNew drug application
New drug application
 
Regulatory Requirements for API, Biologics and Novel therapies
Regulatory Requirements for API, Biologics and Novel therapiesRegulatory Requirements for API, Biologics and Novel therapies
Regulatory Requirements for API, Biologics and Novel therapies
 
COMMON REGULATORY AFFAIRS JOB INTERVIEW QUESTIONS WITH ANSWERS-Updated in 2022!
COMMON REGULATORY AFFAIRS JOB INTERVIEW QUESTIONS WITH ANSWERS-Updated in 2022!COMMON REGULATORY AFFAIRS JOB INTERVIEW QUESTIONS WITH ANSWERS-Updated in 2022!
COMMON REGULATORY AFFAIRS JOB INTERVIEW QUESTIONS WITH ANSWERS-Updated in 2022!
 
NDA_ANDA_IND.docx
NDA_ANDA_IND.docxNDA_ANDA_IND.docx
NDA_ANDA_IND.docx
 
Ind (investigational new drug application) and nda
Ind (investigational new drug application) and ndaInd (investigational new drug application) and nda
Ind (investigational new drug application) and nda
 
New Drug Application (NDA) Filing
New Drug Application (NDA) Filing New Drug Application (NDA) Filing
New Drug Application (NDA) Filing
 
Regulatory Affairs Interview Questions .pdf
Regulatory Affairs Interview Questions .pdfRegulatory Affairs Interview Questions .pdf
Regulatory Affairs Interview Questions .pdf
 
Regulatory requirements for API and Biologics
Regulatory requirements for API and BiologicsRegulatory requirements for API and Biologics
Regulatory requirements for API and Biologics
 
Drug Master File(Regulatory Affairs).pptx
Drug Master File(Regulatory Affairs).pptxDrug Master File(Regulatory Affairs).pptx
Drug Master File(Regulatory Affairs).pptx
 
DMF by Anthony Crasto
DMF by Anthony CrastoDMF by Anthony Crasto
DMF by Anthony Crasto
 
INDA/NDA/ANDA
INDA/NDA/ANDAINDA/NDA/ANDA
INDA/NDA/ANDA
 
ANDA , NDA.pptx
ANDA , NDA.pptxANDA , NDA.pptx
ANDA , NDA.pptx
 
Inda, nda & anda concept
Inda, nda & anda conceptInda, nda & anda concept
Inda, nda & anda concept
 
NDA and ANDA regulatory approval process
NDA and ANDA regulatory approval processNDA and ANDA regulatory approval process
NDA and ANDA regulatory approval process
 
Drug master file
Drug master fileDrug master file
Drug master file
 
Product registration and drug approval process in us
Product registration and drug approval process in usProduct registration and drug approval process in us
Product registration and drug approval process in us
 
Nda ipr
Nda  iprNda  ipr
Nda ipr
 
Fundamental concept of regulatory affairs in pharmaceutical & biotechnology
Fundamental concept of regulatory affairs in pharmaceutical & biotechnologyFundamental concept of regulatory affairs in pharmaceutical & biotechnology
Fundamental concept of regulatory affairs in pharmaceutical & biotechnology
 

More from sandeep bansal (7)

ACTIVE SUBSTANCE MSTER FILE (ASMF) eMA
ACTIVE SUBSTANCE MSTER FILE (ASMF) eMA ACTIVE SUBSTANCE MSTER FILE (ASMF) eMA
ACTIVE SUBSTANCE MSTER FILE (ASMF) eMA
 
Regulatory requirnment and approval procedure of drugs in japan ppt
Regulatory requirnment and approval procedure of drugs in japan pptRegulatory requirnment and approval procedure of drugs in japan ppt
Regulatory requirnment and approval procedure of drugs in japan ppt
 
Comparative study of drug approval system in usa, europe & japan
Comparative study of drug approval system in usa, europe & japanComparative study of drug approval system in usa, europe & japan
Comparative study of drug approval system in usa, europe & japan
 
regulatory requirnment and approval procedure for drugs and cosmetics, medica...
regulatory requirnment and approval procedure for drugs and cosmetics, medica...regulatory requirnment and approval procedure for drugs and cosmetics, medica...
regulatory requirnment and approval procedure for drugs and cosmetics, medica...
 
Pharmaceutical Dossier submission
 Pharmaceutical Dossier submission Pharmaceutical Dossier submission
Pharmaceutical Dossier submission
 
World health organisation
World health organisation World health organisation
World health organisation
 
Presentation on cancer
Presentation on cancerPresentation on cancer
Presentation on cancer
 

Recently uploaded

Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
9953056974 Low Rate Call Girls In Saket, Delhi NCR
 

Recently uploaded (20)

The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
 
O963O942363 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O963O942363 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadO963O942363 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O963O942363 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 

Regulatory approval and system of drug master file ,IND and NDA in USA

  • 1.
  • 2. Drug master file system in USA Types of DMF. IND application in USA. IND submission process. New drug application (NDA) in USA References
  • 3. A Drug Master File (DMF) is a submission to the Food and Drug Administration (FDA) that may be used to provide confidential detailed information about facilities, processes, or articles used in the manufacturing, processing, packaging, and storing of one or more human drugs. The submission of a DMF is not required by law or FDA regulation. A DMF is submitted solely at the discretion of the holder. The information contained in the DMF may be used to support an Investigational New Drug Application (IND), a New Drug Application (NDA), an Abbreviated New Drug Application (ANDA), another DMF, an Export Application, or amendments and supplements to any of these.
  • 4. There are five types of DMF's: Type I Manufacturing Site, Facilities, Operating Procedures, and Personnel Type II Drug Substance, Drug Substance Intermediate, and Material Used in Their Preparation, or Drug Product Type III Packaging Material Type IV Excipient, Colorant, Flavor, Essence, or Material Used in Their Preparation Type V FDA accepted reference information.
  • 5. Each DMF submission should contain a transmittal letter, administrative information about the submission, and the specific information to be included in the DMF. The DMF must be in the English language. Whenever a submission contains information in another language, an accurate certified English translation must also be included. Each page of each copy of the DMF should be dated and consecutively numbered. An updated table of contents should be included with each submission to the USFDA.
  • 6. The investigational new drug applications (INDs) submitted to the Center for Drug Evaluation and Research (CDER) and the Center for Biologics Evaluation and Research (CBER) in USA. The content & format of IND application is laid out in 21CFR part 312 The IND is also the vehicle through which a sponsor advances to the next stage of drug development known as clinical trials (human trials). The investigational new drug (IND) application is the result of a successful preclinical development program.
  • 7. Cover sheet (FORM FDA 1571) Table of contents Introductory statement and a general investigational plan Investigators brochure Protocols Chemistry , manufacturing and control information Pharmacology and Toxicology information Previous human experience with the investigational drug Other relevant information like no. of IND submissions. Number of copies to be submitted (1 + 2) Protocol amendments, any changes in the protocol.
  • 8. Applicant / drug sponsor IND REVIEW BY CDER CHEMISTRY PHARMACOLOGICAL Statistical Safety review Safety review accepted Complete review Review complete & acceptable No deficiencies Sponsor submits new data Clinical hold decision Notify sponsor Sponsor notified of deficiencies Study ongoing MEDICAL Flow chart process of IND
  • 9. The NDA application is the vehicle through which drug sponsors formally propose that the FDA approve a new pharmaceutical for sale and marketing in the U.S. The data gathered during the animal studies and human clinical trials of an Investigational New Drug (IND) become part of the NDA.
  • 10. Whether the methods used in manufacturing the drug and the controls used to maintain the drug's quality are adequate to preserve the drug's identity, strength, quality, and purity. Whether the drug's proposed labeling (package insert) is appropriate. Whether the drug is safe and effective in its proposed use.
  • 11. Form FDA-356h. Application to market a new drug, biological or an antibiotic drug for human use. Form FDA 3397. User fee cover sheet. Form FDA 3331. New drug application field report.
  • 12.
  • 13.  Fda.gov. 2019 [cited 1 February 2019]. Available from: http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInfor mation/Guidances/ucm1 22886.htm  Investigational New Drug (IND) Application [Internet]. Fda.gov. 2019 [cited 1 February 2019]. Available from: https://www.fda.gov/drugs/developmentapprovalprocess/howdru gsaredevelopedandapproved/approvalapplications/investigation alnewdrugindapplication/default.htm  Fda.gov. 2019 [cited 1 February 2019]. Available from: https://www.fda.gov/downloads/Drugs/Guidances/UCM446695.p df  New Drug Application (NDA) [Internet]. Fda.gov. 2019 [cited 1 February 2019]. Available from: https://www.fda.gov/Drugs/DevelopmentApprovalProcess/HowD rugsareDevelopedandApproved/ApprovalApplications/NewDrug ApplicationNDA/default.htm