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ICH
GUIDELINES
17BPH097
SURBHI SHARMA
INTRODUCTION
The International Council for Harmonisation of Technical
Requirements for Pharmaceuticals for Human Use (ICH)
is unique in bringing together the regulatory authorities
and pharmaceutical industry to discuss scientific and
technical aspects of drug registration. Since its inception
in 1990, ICH has gradually evolved, to respond to the
increasingly global face of drug development.
ORGANISATION OF ICH:
★ Auditors
★ ICH Management Committee
★ ICH Secretariat
★ ICH Coordinators
★ MeDRA Management Committee
★ ICH Working Groups(Q,S,E,M)
★ ICH Assembly
Quality Guidelines
Harmonisation achievements in the Quality area
include pivotal milestones such as the conduct of
stability studies, defining relevant thresholds for
impurities testing and a more flexible approach to
pharmaceutical quality based on Good
Manufacturing Practice (GMP) risk management.
Safety Guidelines
ICH has produced a comprehensive set of safety
Guidelines to uncover potential risks like
carcinogenicity, genotoxicity and reprotoxicity. A
recent breakthrough has been a non-clinical testing
strategy for assessing the QT interval prolongation
liability: the single most important cause of drug
withdrawals in recent years.
Efficacy Guidelines
The work carried out by ICH under the Efficacy
heading is concerned with the design, conduct,
safety and reporting of clinical trials. It also covers
novel types of medicines derived from
biotechnological processes and the use of
pharmacogenetics/genomics techniques to produce
better targeted medicines.
Multidisciplinary Guidelines
Those are the cross-cutting topics which do not fit
uniquely into one of the Quality, Safety and Efficacy
categories. It includes the ICH medical terminology
(MedDRA), the Common Technical Document (CTD)
and the development of Electronic Standards for the
Transfer of Regulatory Information (ESTRI)
➔ To make recommendations towards achieving greater harmonisation in the interpretation and application
of technical guidelines and requirements for pharmaceutical product registration and the maintenance
of such registrations;
➔ To maintain a forum for a constructive dialogue on scientific issues between regulatory authorities and
the pharmaceutical industry on the harmonisation of the technical requirements for pharmaceutical
products;
➔ To contribute to the protection of public health in the interest of patients from an international
perspective;
➔ To avoid divergent future requirements through harmonisation of selected topics needed as a result of
therapeutic advances and the development of new technologies for the production of medicinal
products;
➔ To encourage the implementation and integration of common standards through the dissemination of,
the communication of information about and coordination of training on, harmonised guidelines and their
use;
➔ And to develop policy for the ICH Medical Dictionary for Regulatory Activities Terminology (MedDRA)
whilst ensuring the scientific and technical maintenance, development and dissemination of MedDRA as a
standardised dictionary which facilitates the sharing of regulatory information internationally for medicinal
products used by humans.
MISSION
QUALITY
Q1A-Q1F- Stability Testing
Q2 – Validation of Analytical Procedures
Q3A-Q3E- Impurities in New Drug Substances
Q4A-Q4B-Pharmacopoeias
Q5A-Q5E- Quality of Biotechnology Products
Q6A-Q6B– Specifications
Q7 – Good Manufacturing Guide
Q8 – Pharmaceutical Development
Q9 – Quality Risk Management
Q10 – Pharmaceutical Quality System
Q11 – Development and Manufacture of Drug
Substances
Q12 – Life Cycle Management
Q13 – Continuous manufacturing of Drug Products
Q14 – Analytical Procedure Development
Q2R1(Validation of Analytical Procedures)
TEXT OF VALIDATION OF ANALYTICAL PROCEDURES:
➔ The objective of validation of an analytical procedure is to demonstrate that it is suitable for its
intended purpose.
➔ The discussion of the validation of analytical procedures is directed to the four most common types of
analytical procedures:
★ Identification tests(Qualitative)-Identification tests are intended to ensure the identity of an
analyte in a sample. This is normally achieved by comparison of a property of the sample (e.g.,
spectrum, chromatographic behavior, chemical reactivity, etc) to that of a reference standard.
★ Limit Test(Quantitative)-A quantitative test or a limit test for the impurity in a sample is
intended to accurately reflect the purity characteristics of the sample. (E.g.Sulphate,Chloride).
★ Assay procedures(Semi-quantitative) : Measure the analyte present in a given sample. The
assay represents a quantitative measurement of the major component(s) in the drug substance
NOTE
Revalidation may be necessary in the following circumstances:
- Changes in the synthesis of the drug substance;
- Changes in the composition of the finished product;
- Changes in the analytical procedure.
The degree of revalidation required depends on the nature of the changes.
Validation Characteristics
★ ANALYTICAL PROCEDURE
It should describe in detail the steps
necessary to perform each analytical
test.This may include the sample, the
reference ,standard etc.
★ SPECIFICITY
Specificity is the ability to assess
unequivocally(in a way that leaves no doubt) the
analyte in the presence of components which
may be expected to be present.This definition
has the following implications:-
Identification,Purity Tests,Assay (content or
potency).
★ ACCURACY(Trueness)
Closeness of agreement between the value which is
accepted either as a conventional true value or an
accepted reference value and the value found.
★ PRECISION
Closeness of agreement (degree of scatter)
between a series of measurements obtained from
multiple sampling of the same homogeneous sample.
Three levels: repeatability, intermediate precision
and reproducibility.Expressed as the variance,
standard deviation or coefficient of variation of a
series of measurements.
★ REPEATABILITY
Precision under the same operating conditions over a short
interval of time.
★ INTERMEDIATE PRECISION
Expresses within-laboratories variations: different days,
different analysts, different equipment, etc.
★ REPRODUCIBILITY
Expresses the precision between laboratories (collaborative
studies, usually applied to standardization of methodology).
★ ROBUSTNESS
Measure of its capacity to remain unaffected by small, but
deliberate variations in method parameters and provides an
indication of its reliability during normal usage.
★ DETECTION LIMIT
Lowest amount of analyte in a sample which can be detected
but not necessarily quantitated as an exact value.
★ QUANTITATION LIMIT
Lowest amount of analyte in a sample which can be
quantitatively determined with suitable precision and accuracy.
It is for low levels of compounds in sample matrices, and is used
particularly for the determination of impurities and/or
degradation products.
★ LINEARITY
Ability (within a given range) to obtain test results which are
directly proportional to the concentration (amount) of analyte
in the sample.
★ RANGE
Interval between the upper and lower concentration
(amounts) of analyte in the sample (including these
concentrations)
METHODOLOGY
Its purpose is to provide some guidance and recommendations on how to consider the various
validation characteristics for each analytical procedure.
1. Specificity:
➔ Identification:To discriminate between compounds of closely related structures which
are likely to be present. The discrimination of a procedure may be confirmed by obtaining
by comparison with a known reference material from samples containing the analyte;
Based on sound scientific judgement with a consideration of the interferences that could
occur.
➔ Assay and Impurity Test:For chromatographic procedures and in cases where a non-
specific assay is used, other supporting analytical procedures should be used to
demonstrate overall specificity. For example, where a titration is adopted to assay the
drug substance for release, the combination of the assay and a suitable test for impurities
can be used.
2.LINEARITY(a minimum of 5 concentrations)
➔ Demonstrated directly on the drug substance (by dilution of a standard stock
solution) and/or separate weighings of synthetic mixtures of the drug product
components, using the proposed procedure.
➔ Linearity should be evaluated by visual inspection of a plot of signals as a
function of analyte concentration or content. If there is a linear relationship,
test results should be evaluated by appropriate statistical methods, for
example, by calculation of a regression line by the method of least squares.
➔ The correlation coefficient, y-intercept, slope of the regression line and
residual sum of squares should be submitted. A plot of the data should be
included. In addition, an analysis of the deviation of the actual data points from
the regression line may also be helpful for evaluating linearity.
3.RANGE
It is established by confirming that the analytical
procedure provides an acceptable degree of
linearity, accuracy and precision when applied
to samples.
The following minimum specified ranges should
be considered:
- for the assay of a drug substance or a finished
(drug) product: normally from 80 to 120 percent
of the test concentration;
- for content uniformity, covering a minimum of
70 to 130 percent of the test concentration,
unless a wider more appropriate range, based on
the nature of the dosage form (e.g., metered dose
inhalers), is justified;
- for dissolution testing: +/-20 % over the
specified range;
- for the determination of an impurity: from the
reporting level of an impurity to 120% of the
specification;
- for impurities known to be unusually potent or
to produce toxic or unexpected pharmacological
effects, the detection/quantitation limit should
be commensurate with the level at which the
impurities must be controlled;
- if assay and purity are performed together as
one test and only a 100% standard is used,
linearity should cover the range from the
reporting level of the impurities to 120% of the
assay specification.
4.ACCURACY(assessed using a minimum of 9
determinations over a minimum of 3
concentration levels covering the specified
range)
➔ Assay(Drug substance)
Several methods of determining accuracy are
available:
a) application of an analytical procedure to an
analyte of known purity (e.g. reference material);
b) comparison of the results of the proposed
analytical procedure with those of a second well-
characterized procedure, the accuracy of which
is stated and/or defined (independent procedure,
see 1.2.);
c) accuracy may be inferred once precision,
linearity and specificity have been established.
➔ Assay(Drug product)
a) application of the analytical procedure to
synthetic mixtures of the drug product
components to which known quantities of the
drug substance to be analysed have been added;
b) in cases where it is impossible to obtain
samples of all drug product components , it may
be acceptable either to add known quantities of
the analyte to the drug product or to compare
the results obtained from a second, well
characterized procedure, the accuracy of which
is stated and/or defined
c) accuracy may be inferred once precision,
linearity and specificity have been established.
5.PRECISION( The standard deviation, relative
standard deviation (coefficient of variation) and
confidence interval should be reported)
Repeatability should be assessed using:
a) a minimum of 9 determinations covering the
specified range for the procedure (e.g., 3
concentrations/3 replicates each);
b) a minimum of 6 determinations at 100% of the
test concentration.
Intermediate Precision: Typical variations to be
studied include days, analysts, equipment, etc. It
is not considered necessary to study these
effects individually. The use of an experimental
design (matrix) is encouraged.
Reproducibility
Assessed by means of an inter-laboratory trial.
Reproducibility should be considered in case of
the standardization of an analytical procedure,
for instance, for inclusion of procedures in
pharmacopoeias. These data are not part of the
marketing authorization dossier.
6.DETECTION LIMIT
Based on Visual Evaluation:The detection limit is
determined by the analysis of samples with
known concentrations of analyte and by
establishing the minimum level at which the
analyte can be reliably detected.
Based on Signal-to-Noise:Determination of the
signal-to-noise ratio is performed by comparing
measured signals from samples with known low
concentrations of analyte with those of blank
samples and establishing the minimum
concentration at which the analyte can be
reliably detected.
Based on the Standard Deviation of the Blank
Measurement of the magnitude of analytical
background response is performed by analyzing
an appropriate number of blank samples and
calculating the standard deviation of these
responses.
Based on the Calibration Curve
A specific calibration curve should be studied
using samples containing an analyte in the range
of DL. The residual standard deviation of a
regression line or the standard deviation of y-
intercepts of regression lines may be used as the
standard deviation.
7)ROBUSTNESS
One consequence of the evaluation of
robustness should be that a series of system
suitability parameters (e.g., resolution test) is
established to ensure that the validity of the
analytical procedure is maintained whenever
used.
Examples of typical variations are:
- stability of analytical solutions;
- extraction time.
In the case of liquid chromatography, examples
of typical variations are:
- influence of variations of pH in a mobile phase;
- temperature;
- flow rate.
- influence of variations in mobile phase
composition;
- different columns (different lots and/or
suppliers);
In the case of gas-chromatography, examples of
typical variations are:
- different columns (different lots and/or
suppliers);
- temperature;
- flow rate.
SAFETY
S1A-S1C- Carcinogenicity Studies
S2 – Genotoxicity Studies
S3A-S3B- Toxicokinetics and Pharmacokinetics
S4-Toxicity Testing
S5- Reproductive Toxicology
S6– Biotechnological Products
S7A-S7B – Pharmacology Studies
S8 – Immunotoxicology Studies
S9-Nonclinical Evaluation for Anticancer Drugs
S10 – Photosafety Evaluation
S11 – Nonclinical Paediatric Safety
S12 – Nonclinical Biosafety Studies for gene therapy
EFFICACY
E1- Clinical safety for long term drugs
E2A-E2F – Pharmacovigilance
E3- Clinical Study Reports
E4-Dose -Response studies
E5- Ethnic Factors
E6– Good Clinical Practice(GCP)
E7 – Clinical trials in Geriatric Population
E8 – General consideration for clinical trials
E9 – Statistical Principles for Clinical Trials
E10 – Choice for control Group in Clinical Trials
E11 – Clinical Trial in Pediatric Population
E12-E14 – Clinical Evaluation
E15-E16 – Pharmacogenomics
E17 – Multi-Regional Clinical Trials
E18 – Genomic Sampling
E19 – Safety Data collection
E20 – Adaptive Clinical Trials
THANK YOU
REFERENCE
https://database.ich.org/sites/default/files/Q2%28R1%29%20Guideline.pdf
https://www.ich.org/page/quality-guidelines

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Ich guidelines

  • 2. INTRODUCTION The International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) is unique in bringing together the regulatory authorities and pharmaceutical industry to discuss scientific and technical aspects of drug registration. Since its inception in 1990, ICH has gradually evolved, to respond to the increasingly global face of drug development. ORGANISATION OF ICH: ★ Auditors ★ ICH Management Committee ★ ICH Secretariat ★ ICH Coordinators ★ MeDRA Management Committee ★ ICH Working Groups(Q,S,E,M) ★ ICH Assembly
  • 3. Quality Guidelines Harmonisation achievements in the Quality area include pivotal milestones such as the conduct of stability studies, defining relevant thresholds for impurities testing and a more flexible approach to pharmaceutical quality based on Good Manufacturing Practice (GMP) risk management. Safety Guidelines ICH has produced a comprehensive set of safety Guidelines to uncover potential risks like carcinogenicity, genotoxicity and reprotoxicity. A recent breakthrough has been a non-clinical testing strategy for assessing the QT interval prolongation liability: the single most important cause of drug withdrawals in recent years. Efficacy Guidelines The work carried out by ICH under the Efficacy heading is concerned with the design, conduct, safety and reporting of clinical trials. It also covers novel types of medicines derived from biotechnological processes and the use of pharmacogenetics/genomics techniques to produce better targeted medicines. Multidisciplinary Guidelines Those are the cross-cutting topics which do not fit uniquely into one of the Quality, Safety and Efficacy categories. It includes the ICH medical terminology (MedDRA), the Common Technical Document (CTD) and the development of Electronic Standards for the Transfer of Regulatory Information (ESTRI)
  • 4. ➔ To make recommendations towards achieving greater harmonisation in the interpretation and application of technical guidelines and requirements for pharmaceutical product registration and the maintenance of such registrations; ➔ To maintain a forum for a constructive dialogue on scientific issues between regulatory authorities and the pharmaceutical industry on the harmonisation of the technical requirements for pharmaceutical products; ➔ To contribute to the protection of public health in the interest of patients from an international perspective; ➔ To avoid divergent future requirements through harmonisation of selected topics needed as a result of therapeutic advances and the development of new technologies for the production of medicinal products; ➔ To encourage the implementation and integration of common standards through the dissemination of, the communication of information about and coordination of training on, harmonised guidelines and their use; ➔ And to develop policy for the ICH Medical Dictionary for Regulatory Activities Terminology (MedDRA) whilst ensuring the scientific and technical maintenance, development and dissemination of MedDRA as a standardised dictionary which facilitates the sharing of regulatory information internationally for medicinal products used by humans. MISSION
  • 5. QUALITY Q1A-Q1F- Stability Testing Q2 – Validation of Analytical Procedures Q3A-Q3E- Impurities in New Drug Substances Q4A-Q4B-Pharmacopoeias Q5A-Q5E- Quality of Biotechnology Products Q6A-Q6B– Specifications Q7 – Good Manufacturing Guide Q8 – Pharmaceutical Development Q9 – Quality Risk Management Q10 – Pharmaceutical Quality System Q11 – Development and Manufacture of Drug Substances Q12 – Life Cycle Management Q13 – Continuous manufacturing of Drug Products Q14 – Analytical Procedure Development
  • 6. Q2R1(Validation of Analytical Procedures) TEXT OF VALIDATION OF ANALYTICAL PROCEDURES: ➔ The objective of validation of an analytical procedure is to demonstrate that it is suitable for its intended purpose. ➔ The discussion of the validation of analytical procedures is directed to the four most common types of analytical procedures: ★ Identification tests(Qualitative)-Identification tests are intended to ensure the identity of an analyte in a sample. This is normally achieved by comparison of a property of the sample (e.g., spectrum, chromatographic behavior, chemical reactivity, etc) to that of a reference standard. ★ Limit Test(Quantitative)-A quantitative test or a limit test for the impurity in a sample is intended to accurately reflect the purity characteristics of the sample. (E.g.Sulphate,Chloride). ★ Assay procedures(Semi-quantitative) : Measure the analyte present in a given sample. The assay represents a quantitative measurement of the major component(s) in the drug substance
  • 7. NOTE Revalidation may be necessary in the following circumstances: - Changes in the synthesis of the drug substance; - Changes in the composition of the finished product; - Changes in the analytical procedure. The degree of revalidation required depends on the nature of the changes.
  • 8. Validation Characteristics ★ ANALYTICAL PROCEDURE It should describe in detail the steps necessary to perform each analytical test.This may include the sample, the reference ,standard etc. ★ SPECIFICITY Specificity is the ability to assess unequivocally(in a way that leaves no doubt) the analyte in the presence of components which may be expected to be present.This definition has the following implications:- Identification,Purity Tests,Assay (content or potency). ★ ACCURACY(Trueness) Closeness of agreement between the value which is accepted either as a conventional true value or an accepted reference value and the value found. ★ PRECISION Closeness of agreement (degree of scatter) between a series of measurements obtained from multiple sampling of the same homogeneous sample. Three levels: repeatability, intermediate precision and reproducibility.Expressed as the variance, standard deviation or coefficient of variation of a series of measurements.
  • 9. ★ REPEATABILITY Precision under the same operating conditions over a short interval of time. ★ INTERMEDIATE PRECISION Expresses within-laboratories variations: different days, different analysts, different equipment, etc. ★ REPRODUCIBILITY Expresses the precision between laboratories (collaborative studies, usually applied to standardization of methodology). ★ ROBUSTNESS Measure of its capacity to remain unaffected by small, but deliberate variations in method parameters and provides an indication of its reliability during normal usage. ★ DETECTION LIMIT Lowest amount of analyte in a sample which can be detected but not necessarily quantitated as an exact value. ★ QUANTITATION LIMIT Lowest amount of analyte in a sample which can be quantitatively determined with suitable precision and accuracy. It is for low levels of compounds in sample matrices, and is used particularly for the determination of impurities and/or degradation products. ★ LINEARITY Ability (within a given range) to obtain test results which are directly proportional to the concentration (amount) of analyte in the sample. ★ RANGE Interval between the upper and lower concentration (amounts) of analyte in the sample (including these concentrations)
  • 10. METHODOLOGY Its purpose is to provide some guidance and recommendations on how to consider the various validation characteristics for each analytical procedure. 1. Specificity: ➔ Identification:To discriminate between compounds of closely related structures which are likely to be present. The discrimination of a procedure may be confirmed by obtaining by comparison with a known reference material from samples containing the analyte; Based on sound scientific judgement with a consideration of the interferences that could occur. ➔ Assay and Impurity Test:For chromatographic procedures and in cases where a non- specific assay is used, other supporting analytical procedures should be used to demonstrate overall specificity. For example, where a titration is adopted to assay the drug substance for release, the combination of the assay and a suitable test for impurities can be used.
  • 11. 2.LINEARITY(a minimum of 5 concentrations) ➔ Demonstrated directly on the drug substance (by dilution of a standard stock solution) and/or separate weighings of synthetic mixtures of the drug product components, using the proposed procedure. ➔ Linearity should be evaluated by visual inspection of a plot of signals as a function of analyte concentration or content. If there is a linear relationship, test results should be evaluated by appropriate statistical methods, for example, by calculation of a regression line by the method of least squares. ➔ The correlation coefficient, y-intercept, slope of the regression line and residual sum of squares should be submitted. A plot of the data should be included. In addition, an analysis of the deviation of the actual data points from the regression line may also be helpful for evaluating linearity.
  • 12. 3.RANGE It is established by confirming that the analytical procedure provides an acceptable degree of linearity, accuracy and precision when applied to samples. The following minimum specified ranges should be considered: - for the assay of a drug substance or a finished (drug) product: normally from 80 to 120 percent of the test concentration; - for content uniformity, covering a minimum of 70 to 130 percent of the test concentration, unless a wider more appropriate range, based on the nature of the dosage form (e.g., metered dose inhalers), is justified; - for dissolution testing: +/-20 % over the specified range; - for the determination of an impurity: from the reporting level of an impurity to 120% of the specification; - for impurities known to be unusually potent or to produce toxic or unexpected pharmacological effects, the detection/quantitation limit should be commensurate with the level at which the impurities must be controlled; - if assay and purity are performed together as one test and only a 100% standard is used, linearity should cover the range from the reporting level of the impurities to 120% of the assay specification.
  • 13. 4.ACCURACY(assessed using a minimum of 9 determinations over a minimum of 3 concentration levels covering the specified range) ➔ Assay(Drug substance) Several methods of determining accuracy are available: a) application of an analytical procedure to an analyte of known purity (e.g. reference material); b) comparison of the results of the proposed analytical procedure with those of a second well- characterized procedure, the accuracy of which is stated and/or defined (independent procedure, see 1.2.); c) accuracy may be inferred once precision, linearity and specificity have been established. ➔ Assay(Drug product) a) application of the analytical procedure to synthetic mixtures of the drug product components to which known quantities of the drug substance to be analysed have been added; b) in cases where it is impossible to obtain samples of all drug product components , it may be acceptable either to add known quantities of the analyte to the drug product or to compare the results obtained from a second, well characterized procedure, the accuracy of which is stated and/or defined c) accuracy may be inferred once precision, linearity and specificity have been established.
  • 14. 5.PRECISION( The standard deviation, relative standard deviation (coefficient of variation) and confidence interval should be reported) Repeatability should be assessed using: a) a minimum of 9 determinations covering the specified range for the procedure (e.g., 3 concentrations/3 replicates each); b) a minimum of 6 determinations at 100% of the test concentration. Intermediate Precision: Typical variations to be studied include days, analysts, equipment, etc. It is not considered necessary to study these effects individually. The use of an experimental design (matrix) is encouraged. Reproducibility Assessed by means of an inter-laboratory trial. Reproducibility should be considered in case of the standardization of an analytical procedure, for instance, for inclusion of procedures in pharmacopoeias. These data are not part of the marketing authorization dossier.
  • 15. 6.DETECTION LIMIT Based on Visual Evaluation:The detection limit is determined by the analysis of samples with known concentrations of analyte and by establishing the minimum level at which the analyte can be reliably detected. Based on Signal-to-Noise:Determination of the signal-to-noise ratio is performed by comparing measured signals from samples with known low concentrations of analyte with those of blank samples and establishing the minimum concentration at which the analyte can be reliably detected. Based on the Standard Deviation of the Blank Measurement of the magnitude of analytical background response is performed by analyzing an appropriate number of blank samples and calculating the standard deviation of these responses. Based on the Calibration Curve A specific calibration curve should be studied using samples containing an analyte in the range of DL. The residual standard deviation of a regression line or the standard deviation of y- intercepts of regression lines may be used as the standard deviation.
  • 16. 7)ROBUSTNESS One consequence of the evaluation of robustness should be that a series of system suitability parameters (e.g., resolution test) is established to ensure that the validity of the analytical procedure is maintained whenever used. Examples of typical variations are: - stability of analytical solutions; - extraction time. In the case of liquid chromatography, examples of typical variations are: - influence of variations of pH in a mobile phase; - temperature; - flow rate. - influence of variations in mobile phase composition; - different columns (different lots and/or suppliers); In the case of gas-chromatography, examples of typical variations are: - different columns (different lots and/or suppliers); - temperature; - flow rate.
  • 17. SAFETY S1A-S1C- Carcinogenicity Studies S2 – Genotoxicity Studies S3A-S3B- Toxicokinetics and Pharmacokinetics S4-Toxicity Testing S5- Reproductive Toxicology S6– Biotechnological Products S7A-S7B – Pharmacology Studies S8 – Immunotoxicology Studies S9-Nonclinical Evaluation for Anticancer Drugs S10 – Photosafety Evaluation S11 – Nonclinical Paediatric Safety S12 – Nonclinical Biosafety Studies for gene therapy
  • 18. EFFICACY E1- Clinical safety for long term drugs E2A-E2F – Pharmacovigilance E3- Clinical Study Reports E4-Dose -Response studies E5- Ethnic Factors E6– Good Clinical Practice(GCP) E7 – Clinical trials in Geriatric Population E8 – General consideration for clinical trials E9 – Statistical Principles for Clinical Trials E10 – Choice for control Group in Clinical Trials E11 – Clinical Trial in Pediatric Population E12-E14 – Clinical Evaluation E15-E16 – Pharmacogenomics E17 – Multi-Regional Clinical Trials E18 – Genomic Sampling E19 – Safety Data collection E20 – Adaptive Clinical Trials