Demonstration of safety and efficacy of the drug product for use in humans is essential before the drug product can be approved for import or manufacturing and marketing in the country. The Rules 122A, 122B, 122 DAB, 122DAC, 122 DD and 122E of Drugs and Cosmetics Rules and Appendix I- XII of Schedule Y, describe the information/data required for approval of clinical trial and/or to import or manufacture of new drug for marketing in the country.

New drugs as define under Rule 122-E of Drugs and Cosmetics Rules as drug, including bulk drug substance or phytopharmaceutical drug which has not been used in the country to any significant extent under the conditions prescribed, recommended or suggested in the labeling thereof and has not been recognized as effective and safe by the licensing authority mentioned under rule 21 for the proposed claims. A drug already approved by the Licensing Authority mentioned in Rule 21 for certain claims, which is now proposed to be marketed with modified or new claims, namely, indications, dosage, dosage form (including sustained release dosage form) and route of administration. fixed dose combination of two or more drugs, individually approved earlier for certain claims, which are now proposed to be combined for the first time in a fixed ratio, or if the ratio of ingredients in an already marketed combination is proposed to be changed, with certain claims, viz. indications, dosage, dosage form (including sustained release dosage form) and route of administration. All vaccines and Recombinant DNA (r-DNA) derived drugs shall be new drugs unless certified otherwise by the Licensing Authority under Rule 21. A new drug shall continue to be considered as new drug for a period of four years from the date of its first approval.

RULES GOVERNING CLINICAL TRIALS

1. Rule 122-A -Application for permission to import new drug
2. Rule 122-B -Application for approval to manufacture new drug
3. Rule 122-DA-Mandatory requirement of permission from DCG (I) for conduct of clinical trial of new drug;
4. Rule 122 DAB -Provision for examination of serious adverse event (SAE) of injury and death and payment of compensation in clinical trial related cases. Provision for debarment of the applicant in case of failure to pay compensation;
5. Rule 122 DAC -Conditions of permission for conduct of clinical trial which includes mandatory requirement to follow Good Clinical Practice (GCP) guidelines, guidelines and requirements specified in Schedule Y of Drugs and Cosmetics Rules and other applicable regulations. Provision for debarment of applicant and investigator in case of non- compliance
6. Rule 122 E-Definition of new drug
7. Schedule Y-Detailed guidelines and requirements for conduct of clinical trial and approval of new drug
8. Good Clinical Practice Guidelines -issued by CDSCO, Directorate General of Health Services, Govt. of India

• Processing of applications received for New Drug Approval (IND/NDA/Veterinary/Phyto-pharmaceuticals i.e. Form 44), review and approval as per Schedule Y, Rule 122 A, 122 B, 122 DA, 122 DAB, 122 DAC and 122 E under Drugs & Cosmetics Rules 1945)
• Processing of applications received for approval of clinical trials (Phase-I/II/III/IV) review and approval as per Schedule Y, Rule 122 A, 122 B, 122 DA, 122 DAB, 122 DAC and 122 E under Drugs & Cosmetics Rules 1945)
• Review of Academic Clinical Trials as GSR 313 E dated 16th March 2016.
• Deliberation of proposals in Subject Expert Committee/Technical/Apex committee
• Review/ Handling of RTI/Parliament questions
• Review of notifications like Minor protocol amendments, Investigator's Brochure (IB), Informed Consent Form (ICD), Investigational Medicinal Product Dossier (IMPD), Development Safety Update Reports (DSUR), Change in Principal investigators/Co-investigators, Clinical Trial Agreements, Ethics committee approval of PI sites, Annual Status Reports, End of clinical trial notifications& Clinical Study Reports (CSR) etc.
• Handling/Monitoring of safety of approved medicinal products for marketing in the country based on documents like PSURs, SAE reports, complaints received etc.
• Handling and processing of documents submitted for updatation of Prescribing Information.
• Handling and processing of Signal Review Panel (PvPI-NCC, IPC) recommendations for Regulatory Action.

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