Comparative study of updated Clinical Trial Regulations in India with respect to Australia, Europe, Japan and US

  • Devender Kumar
  • shivali rahi Advanced Institute of Pharmacy, Palwal
  • Arpana Rana

Abstract

The national regulatory authorities, such as the US Food and Drug Administration (FDA), the European Medicines Agency (EMA), Central Drugs Standard Control Organization and the Australian Therapeutic Goods Administration (TGA), approve every drug that is prescribed for patients around the world. The process of approval undertaken by pharmaceutical companies for drug candidates consists of a series of phases to ensure the product is safe and effective at treating the disease.


In this paper, we will compare the clinical trial regulations of India with respect to Australia, Europe, Japan & USA in order to determine the safety and efficacy of pharmaceutical products like drugs, biologics and medical devices in different geographical regions and to confirm the clinical trials studies follow strict scientific standards.

Keywords: Clinical Trials, Post Marketing Surveillance, FDA, CDSCO, EMA, TGA, MHWF, Regulatory Framework, Institutional Review Board, CTX Application, Investigational New Drug Application

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References

1. Glossary of terms on clinical trials for patient engagement advisory committee meeting [Internet]. USFDA; 2018 Apr [cited 2021 Jan 11]. Available from:
https://www.fda.gov/media/108378/download
2. Clinical trial – Search Health IT [Internet]. 2018 Apr [cited 2021 Jan 11]. Available from:
https://searchhealthit.techtarget.com/definition/clinical-trial
3. Mahan, V. L., Clinical trial phases, International Journal of Clinical Medicine. 2014; 5(21):1374.
4. Mandal A.,What is a Phase 0 Clinical Trial; News Medical Life Sciences [Internet]. 2020 [cited 2021 Jan 01]. Available from:
https://www.news-medical.net/health/What-is-a-Phase-0-Clinical- Trial.aspx
5. Types and Phases of Clinical Trials, American Cancer Society [Internet]. cancer.org; 2020[cited 2021 Jan 10]. Available from:
https://www.cancer.org/treatment/treatments-and-side-effects/clinical-trials/what-you- need-to-know/phases-of-clinical-trials.html
6. What is a Phase 2 Clinical Trial? News Medical Life Sciences [Internet]. news-medical.net; 2019 Feb 26 [cited 2021 Jan 08]. Available from:
https://www.news-medical.net/health/What-is-a-Phase-2-Clinical-Trial.aspx
7. Umscheid C A, Margolis D J, & Grossman C E. Key concepts of clinical trials: a narrative review. Postgraduate medicine. 2011;123(5):194-204.
8. Suvarna V. Phase IV of drug development, Perspectives in clinical research. 2010;1(2):57.
9. Frequently Asked Questions (FAQs) on New Drugs and Clinical Trials. Central Drugs Standard Control Organization, Directorate General of Health Services. Ministry of Health and Family Welfare [Internet] CDSCO;2018 [cited 2021 Jan 07]. Available from:
https://cdsco.gov.in/opencms/resources/UploadCDSCOWeb/2018/UploadPublic_NoticesFiles/faqnd.pdf
10. Ministry of health and family welfare [Internet]. Ministry of health and family welfare;2020 [cited 2021 Jan 14]. Available from:
https://www.mohfw.gov.in/
11. Drugs Controller General of India [Internet]. Wikipedia; 2021 Jan 4 [cited 2021 Jan 13]. Available from:
https://en.wikipedia.org/wiki/Drugs_Controller_General_of_India
12. Chawan, V. S., Gawand, K. V., & Phatak, A. M, Impact of new regulations on clinical trials in India. Int J Clin Trials. 2015 Aug;2(3):56-58.
13. NIH's Definition of a Clinical Trial, Grants & Funding NIH Central Resource for Grants and Funding Information [Internet]. nih.gov; 2017 Aug 8 [cited 2021 Jan 14]. Available from:
https://grants.nih.gov/policy/clinical- trials/definition.htm
14. FDA Covid-19 response [Internet]. US FDA; 2020 [cited 2021 Jan 10]. Available from:
https://www.fda.gov/home
15. Regulations: Good Clinical Practice and Clinical Trials, U.S Food and Drug Administration [Internet].US FDA; 2020 [cited 2021 Jan 21]. Available from:
https://www.fda.gov/science-research/clinical-trials- and-human-subject-protection/regulations-good-clinical-practice-and-clinical-trials
16. Want to Conduct Clinical Trials in U.S.? Here’s what you need to know – Part 1, Credevo Articles [Internet]. 2017 Jul 3 [cited 2020 Dec 7] Available from:
https://credevo.com/articles/2017/07/03/want-to- conduct-clinical-trials-in-u-s-heres-what-you-need-to-know-part-1/
17. Glossary of Terms used in EU Clinical Trials Register, EU Clinical Trials Register [Internet]. clinicaltrialsregister.eu [cited 2020 Dec 18]. Available from:
https://www.clinicaltrialsregister.eu/doc/EU_Clinical_Trials_Register_Glossary.pdf
18. EU clinical trials regulation, ESMO [Internet]. esmo.org; 2020. [cited 2021 Jan 14]. Available from: https://www.esmo.org/policy/eu- clinical-trials-regulation
19. Acronyms & glossary, Therapeutic Goods Administration, Department of Health [Internet]. Australia: TGA; 2019 [cited 2020 Jul 22]. Available from:
https://www.tga.gov.au/acronyms-glossary
20. Federal register of legislature [Internet]. legislation.gov.au; 2019 Jan 22 [cited 2021 Feb 3]. Available from:
https://www.legislation.gov.au/Details/C2019C00066
21. Legislation, Regulations and Guidelines, National health and Medical Research Council, Australian Government [Internet]. australianclinicaltrials.gov.au; 2020 Jul 27 [cited 2020 Dec 20]. Available from:
https://www.australianclinicaltrials.gov.au/resources-clinical-trials-australia
22. Japan – Clinical Trial Regulatory Process, Credevo Articles [Internet]. credevo.com; 2018 Aug 16 [cited 2021 Feb 4]. Available from:
https://credevo.com/articles/2018/08/16/japan-clinical-trial-regulatory-process/
23. SUGAM Portal, Central Drugs Standard Control Organization, Directorate General of Health Services, Ministry of Health and Family Welfare [Internet]. 2020 [cited 2020 Dec 15]. Available from:
https://cdscoonline.gov.in/CDSCO/homepage
24. FDA Covid-19 response [Internet]. US FDA; 2021 [cited 2021 Jan 14] Available from:
https://www.fda.gov/home
25. European Medicine Agency [Internet]. EMEA; 2020 May 28 [cited 2020 Dec 28]. Available from:
https://europa.eu/european-union/about-eu/agencies/ema_en
26. About the TGA - Structure, Therapeutic Goods Administration, Department of Health [Internet]. TGA; 2020Oct 16 [cited 2021 Feb 3]. Available at:
https://www.tga.gov.au/structure
27. The Drug Approval Process in Japan, Credevo Articles [Internet]. credevo.com; 2020 Apr 15 [cited 2021 Jan 15]. Available from:
https://credevo.com/articles/2020/04/15/the-drug-approval-process-in-japan/
28. New Drugs and Clinical Trials Rules, 2019, Department of Health, Ministry of Health and Family Welfare [Internet]. CDSCO; 2019 Mar 19 [cited 2021 Feb 5]. Available from:
https://cdsco.gov.in/opencms/opencms/system/modules/CDSCO.WEB/elements/downl oad_file_division.jsp?num_id=NDI2MQ
29. Handbook for Applicants & Reviewers of Clinical Trials of New Drugs in India, Indian Council of Medical Research, Central Drugs Standard Control Organization, Directorate General of Health Services, Ministry of Health and Family Welfare [Internet]. New Delhi: ICMR; 2017 Jan [cited 2021 Jan 17]. Available from:
https://main.icmr.nic.in/sites/default/files/reports/Handbook%20for%20Applicants%20and%20Reviewers%20of%20Clinical%20Trials.pdf
30. Central Drugs Standard Control Organization, Directorate General of Health Services, Ministry of Health and Family Welfare [Internet]. New Delhi: CDSCO; 2021 [cited 2021 Jan 16]. Available from:
https://cdsco.gov.in/opencms/opencms/en/About-us/Introduction/
31. Singh & Associates, India: The New Drugs and Clinical Trial Rules. Mondaq connecting knowledge and People [Internet]. Mondaq; 2019 Apr 16 [cited 2021 Feb 23]. Available from:
https://www.mondaq.com/india/healthcare/799018/the-new-drugs-and-clinical-trial-rules-2019
32. GCT Checklist Central Drugs Standard Control Organization, Directorate General of Health Services, Ministry of Health and Family Welfare [Internet]. 2020; DCGI [cited 2021 Feb 22]. Available from:
https://cdsco.gov.in/opencms/export/sites/CDSCO_WEB/Pdfdocuments/GCT_PDFs/GCT_Checklist.pdf
33. Vaidyanathan, Gayathri, India's Clinical-Trial Rules to Speed up Drug Approvals, Nature [Internet]. Nature; 2019 Apr 3 [cited 2021 Jan 24]. Available at:
https://www.nature.com/articles/d41586-019-01054-4
34. Report of the Prof. Ranjit Roy Chaudhury Expert Committee to formulate policy and guidelines for approval of new drugs, clinical trials and banning of drugs [Internet]. India environment portal; 2013 July 1 [cited 2021 Feb 9]. Available from:
http://www.indiaenvironmentportal.org.in/content/381078/report-of-the-prof-ranjit-roy-chaudhury-expert-committee-to-formulate-policy-and-guidelines-for-approval-of-new-drugs-clinical-trials-and-banning-of-drugs/
35. Code of Federal Regulations - Title 21, Part 50 - Protection of Human Subjects (21CFR50) Food & Drug Administration, US Department of Health & Human Services [Internet]. ECFR; 2016 Apr 1 [cited 2021 Jan 12]. Available from:
https://www.ecfr.gov/cgi-bin/text- idx?SID=0ec2c5f89492b0d91d1b47ff7c92ac49&mc=true&node=pt21.1.50&rgn=div5
36. Code of Federal Regulations - Title 21, Part 312 - Investigational New Drug Application (21CFR312) Food & Drug Administration, US Department of Health & Human Services [Internet]. ECFR; 2016 Apr 1 [cited 2021 Jan 10]. Available from:
https://www.ecfr.gov/cgi-bin/textidx?SID=e2b23474f7 bce2e41563b141b35f329c&mc=true&node=pt21.5.312&rgn=div 5
37. Information for Sponsor-Investigators Submitting Investigational New Drug Applications (INDs), Food & Drug Administration, US Department of Health & Human Services [Internet]. US FDA; 2017 Jun 27 [cited 2021 Jan 13]. Available from:
https://www.fda.gov/drugs/investigational-new-drug-ind-application/information- sponsor-investigators-submitting-investigational-new-drug-applications-inds
38. Vaccines, Blood, and Biologics - Information on Submitting an Investigational New Drug Application, Food & Drug Administration, US Department of Health & Human Services [Internet]. US FDA; 2018 Jan 29 [cited 2021 Jan 17]. Available from:
https://www.fda.gov/vaccines-blood-biologics/investigational-new-drug-ind-or-device-exemption-ide-process-cber/information-submitting-investigational-new-drug-application
39. FDA Overview Organization Chart, Food & Drug Administration, US Department of Health & Human Services [Internet]. US FDA; 2019 Aug 7. [cited 2021 Jan 15]. Available from:
https://www.fda.gov/about-fda/fda-organization-charts/fda-overview-organization-chart
40. Code of Federal Regulations - Title 45, Part 46, Subpart A - Basic HHS Policy for Protection of Human Research Subjects (Revised Common Rule), US Department of Health & Human Services [Internet]. ECFR;2019 Jan 21 [cited 2021 Jan 15]. Available from:
https://www.ecfr.gov/cgi-bin/text-idx?SID=021fbc03 feeac00540ceebf28c121525&mc=true&node=sp45.1.46.a&rgn=div6
41. Code of Federal Regulations - Title 21, Part 56 - Institutional Review Boards (21CFR56), Food & Drug Administration, US Department of Health & Human Services [Internet]. ECFR; 2016 Apr 1 [cited 2021 Feb 4]. Available from:
https://www.ecfr.gov/cgi-bin/text-idx?SID=ee0d5b4bf8
42. Manual of Policies and Procedures (MAPP 6030.1): IND Clinical Holds, Center for Drug Evaluation and Research, Food & Drug Administration, US Department of Health & Human Services [Internet]. US FDA; 2018 Feb 20. [cited 2020 Dec 28]. Available from:
https://www.fda.gov/media/72751/download
43. SOPP 8201: Administrative Processing of Clinical Holds for Investigational New Drug Applications (Version 4), Center for Biologics Evaluation and Research, Food & Drug Administration, US Department of Health & Human Services [Internet]. US FDA; 2014 May 19. [cited 2021 Jan 16]. Available from:
https://www.fda.gov/media/88774/download
44. Article 6 - Assessment report Aspects covered by Part I and Article 7 - Assessment report Aspects covered by Part II, Chapter II - Authorisation procedure for a clinical trial, Regulation (EU) no 536/2014 of the European parliament and of the council of 16 April 2014 on clinical trials on medicinal products for human use, and repealing Directive 2001/20/EC, pp: L 158/16 - L 158/1; 2014
45. Therapeutic Goods Act 1989 (No. 104, 2018, Compilation No. 72) (Amended), Office of Parliamentary Counsel Office of Parliamentary Counsel [Internet]. legislation.gov.au; 2019 Jan 1 [cited 2020 Dec 24]. Available from:
https://www.legislation.gov.au/Details/C2019C00066
46. Clinical Trials, Therapeutic Goods Administration, Department of Health [Internet]. Australia: TGA; 2018 Jun 21 [cited 2020 Dec 21]. Available from:
https://www.tga.gov.au/clinical-trials
47. Therapeutic Goods Regulations 1990 (Statutory Rules No. 394, 1990, Compilation No. 85) (TGR), Office of Parliamentary Counsel [Internet]. 2018 Dec 27 [cited 2021 Jan 14]. Available from:
https://www.legislation.gov.au/Details/F2018C00897
48. Australian Register of Therapeutic Goods, Therapeutic Goods Administration, Department of Health [Internet]. legislation.gov.au; 2019 Oct [cited 2021 Jan 23]. Available from:
https://www.tga.gov.au/australian-register- therapeutic-goods
49. Australian Clinical Trial Handbook: Guidance on Conducting Clinical Trials in Australia Using ‘Unapproved’ Therapeutic Goods, Therapeutic Goods Administration, Department of Health [Internet]. Australia: TGA; 2018 Oct [cited 2021 Jan 12]. Available from:
https://www.tga.gov.au/sites/default/files/australian-clinical-trial-handbook.pdf
50. Clinical Trials Toolkit, National Health and Medical Research Council and Department of Industry, Innovation and Science [Internet]. australianclinicaltrials.gov.au; 2019 Mar 18 [cited 2021 Feb 4]. Available from:
https://www.australianclinicaltrials.gov.au/clinical-trials-toolkit
51. Article: Japan - A Country Focus, World Courier [Internet]. 2016 Feb 16 [cited 2021 Jan 12]. Available from: https://www.worldcourier.com/insights/japan---a-country-focus
52. Koong LB. Regulatory changes and the acceptance of foreign clinical data have fuelled growth of the clinical trial sector in Japan, Pharma Focus Asia. [Internet]. Pharmafocusasia’ 2021 [cited 2021 Feb 16]. Available from:
https://www.pharmafocusasia.com/clinical-trials/japanese-clinical-trials
53. Regulatory Information Task Force Japan Pharmaceutical Manufacturers Association, Pharmaceutical Administration and Regulations in Japan [Internet]. JPMA; 2015 [cited 2021 Jan 17]. Available from:
http://www.jpma.or.jp/english/parj/pdf/2015.pdf
54. Pharmaceutical laws and Regulations, Pharmaceutical Regulations in Japan [Internet]. JPMA; 2019 [cited 2021 Jan 29]. Available from:
http://www.jpma.or.jp/english/parj/pdf/2019e_ch02.pdf
55. Clinical trials handbook Asia Pacific [Internet]. Bakermckenzie; 2019 [cited 2021 Feb 23]. Available from:
https://www.bakermckenzie.com//media/files/insight/publications/2019/healthcare/ap/ dsc125067_clinical-trials-handbook--japan.pdf?la=en.
56. The Drug Approval Process in Japan, Credevo Articles [Internet]. Credevo; 2015 Apr [cited 2021 Feb 23] Available from:
https://credevo.com/articles/2020/04/15/the-drug-approval-process-in-japan/
57. Pharmaceutical and medical device agency [Internet]. PMDA [cited 2021 Feb 12]. Available from:
https://www.pmda.go.jp/english/about-pmda/outline/0002.html
58. Japan Ministry of Health, Labour and Welfare, Safenano [Internet]. Safenano [cited 2021 Jan 12]. Available from:
https://www.safenano.org/knowledgebase/regulation/protection/japan-ministry-of- health,-labour,-and-welfare/
59. Regulatory timelines in the Asia-Pacific, Pharmaphorum bringing healthcare together [Internet]. Pharmaphorum; 2016 Aug 22 [cited 2021 Feb 13]. Available from:
https://pharmaphorum.com/views-and- analysis/regulatory-timelines-asia-pacific/
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How to Cite
Kumar, D., shivali rahi, and A. Rana. “Comparative Study of Updated Clinical Trial Regulations in India With Respect to Australia, Europe, Japan and US”. International Journal of Drug Regulatory Affairs, Vol. 9, no. 1, Mar. 2021, pp. 48-61, doi:10.22270/ijdra.v9i1.455.