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New Drugs & Clinical Trials

Rules, 2019 [India]


- What has changed ??

Apr 2019
Background
Ministry of Health and Family Welfare [MoHFW],
India, has notified the “New Drugs and Clinical Trials
Rules, 2019” on 25 March 2019 [Reference
th

document: Ministry of Health GSR Notification #227


dated 19 March 2019].

Applicability: These rules will apply to all new drugs,


investigational new drugs for human use, clinical trial,
bioequivalence study, bioavailability study and Ethics
Committee. The new rules will supersede Part XA and
Schedule Y of Drugs and Cosmetics Rules, with
immediate effect. If there is any inconsistency
between these rules and any other rule made under
the Drugs & Cosmetics Act, the provisions of these
rules shall prevail over such other rules. Actions taken
according to the existing rules [Drugs & Cosmetics
Rules, 1945] shall continue to be in effect and valid.
This means existing licenses, orders, directions will
continue to remain valid.
The subsequent slides
summarize the changes brought
in by the New Drugs & Clinical
Trials Rules, 2019. A comparison
with previous regulatory
requirement is presented in
tabular form.
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Chapter I – Preliminary New definitions have been introduced for: These terms were not explicitly defined previously
• Biomedical and Health research
Definitions – New definitions • Clinical Trial site
• Efficacy
• Good clinical practice guidelines
• Orphan drugs
• Post trial access
• Registered pharmacist
• Similar biologic
• Trial subject

Chapter I – Preliminary ‘New drug’ definition has been modified.

Definitions – modified definitions Modified & Sustained release form of a drug or novel drug MR / SR formulations were not considered new
delivery system of any drug approved previously, will always drugs after 4 years from the time of initial approval
be deemed to be new drugs, even after 4 years of initial
approval
Chapter II – Authorities & The Drugs Controller, India, with the prior approval of The licensing authority may with the approval of the
Officers the Central Government, may, by an order in writing, delegate Central Government by an order in writing delegate
all or any of powers of the Central Licencing the power to sign licences and Registration
Delegation of powers of CLA Authority to any other officer of the Central Drugs Standard Certificate and such other powers as may be
Control Organisation not below the rank of Assistant specified in the order to any other person under his
Drugs Controller (India). [Rule 4] control. [Rule 22]
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Chapter III – Ethics Committee for At least 50 % members to be from outside the institute or No such requirements previously
CT, BA, BE studies organization in which EC is constituted

Constitution of EC

Chapter III – Ethics Committee for At least one woman member is mandatory There should be appropriate gender representation
CT, BA, BE studies on the Ethics Committee

Constitution of EC

Chapter III – Ethics Committee for Every member of the Ethics Committee shall be required to Members should be conversant with the provisions
CT, BA, BE studies undergo such training and development programmes as may of clinical trials under this Schedule, Good Clinical
be specified by the Central Licencing Authority from time to Practice Guidelines for clinical trials in India and
Training requirements of EC time: other regulatory requirements to safeguard the
members Provided that any member, who has not successfully rights, safety and well- being of the trial subjects.
completed such training and developmental programmes,
shall be disqualified to hold the post of member of the Ethics
Committee and shall cease to be a member of such
committee.
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Chapter III – Ethics Committee for 45 working days from the date of receipt of application 100 days approval time considered as per DCGI
CT, BA, BE studies office order dated 30 May 2014

Approval timeline Applicant may appeal within 60 working days No defined process for making appeal to Central
Government in case applicant is not satisfied with
CLA decision.

Central Govt shall dispose of the appeal within 60 working Applicant could appeal to Central Government in
days case the EC registration is cancelled or suspended,
within 90 days or receipt of the order of CLA.

Chapter III – Ethics Committee for 5 years 3 years


CT, BA, BE studies
Renewal application shall be submitted 90 days prior to Renewal application shall be submitted within three
Validity of registration expiry of registration months before expiry

Chapter III – Ethics Committee for Any change in the membership or the constitution of the the Licensing Authority shall be informed in writing
CT, BA, BE studies registered Ethics Committee shall be intimated in in case of any change in the membership or the
writing to the Central Licencing Authority within thirty constitution of the Ethics Committee takes place
Conditions of registration working days.
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Chapter III – Ethics Committee for The Ethics Committee shall maintain data, record, registers All records shall be safely maintained after the
CT, BA, BE studies and other documents related to the functioning and review of completion or termination of the study for not less
clinical trial or bioavailability study or bioequivalence study, than five years from the date of completion or
Maintenance of records as the case may be, for a period of five years after completion termination of the trial (Both in hard and soft
of such clinical trial. copies).

Chapter III – Ethics Committee for Additional records to be maintained by EC: These records were not explicitly mentioned in the
CT, BA, BE studies documents list to be maintained by EC
• recommendation given by Ethics Committee for
Maintenance of records determination of compensation;
• records relating to the serious adverse event, medical
management of trial subjects and compensation paid
Chapter IV – Any institution or organisation which intends to conduct Such studies were also approved by the Ethics
Ethics committee for biomedical and health research shall be required to have an Committees registered with DCGI office under Rule
Biomedical and health research Ethics Committee to review and oversee the conduct of 122DD
such research as detailed in National Ethical Guidelines for
Biomedical and Health Research Involving Human
Participants.

Chapter IV – Such EC shall be required to register with the authority Ethics Committees were required to be registered
Ethics committee for designated by the Central Government in the Ministry of with DCGI office under Rule 122DD
Biomedical and health research Health and Family Welfare, Department of Health Research
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Chapter V – Clinical Trial, Application to be submitted in Form CT 04 Application to be submitted in Form 44


Bioavailability And Bioequivalence
Study Of New Drugs And Permission granted in Form CT 06 Permission granted as approval letter, not in any
Investigational New Drugs specific format.

Part A – Clinical Trials Approval timeline – 90 working days Approval timeline – 120 days as per DCGI office
order dated 30 May 2014
Permission to conduct clinical
trial of a new drug or
investigational new drug

Chapter V – Clinical Trial, Approval timeline – 30 working days No differentiation was given previously in this
Bioavailability And Bioequivalence regard
Study Of New Drugs And
Investigational New Drugs
Provision of deemed approval – if CLA does not There was no provision of deemed approval earlier
Part A – Clinical Trials communicated to applicant in 30 working days, the
application is deemed to be approved. Applicant can submit
Permission to conduct clinical Form CT-4A to CLA, which will become legal form, on record
trial of a new drug or and shall be called automatic approval of CLA
investigational new drug as part
of discovery, research
and manufacture in India
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Chapter V – Clinical Trial, Where a clinical trial site does not have its own Ethics The trial site(s) may accept the approval granted to
Bioavailability And Bioequivalence Committee, clinical trial at that site may be initiated the protocol by the ethics committee of another
Study Of New Drugs And after obtaining approval of the protocol from the Ethics trial site or the approval granted by an independent
Investigational New Drugs Committee of another trial site; or an independent ethics committee (constituted as per Appendix VIII),
Ethics Committee; provided that the approving ethics committee(s)
Part A – Clinical Trials • Provided that the approving Ethics Committee for is/are willing to accept their responsibilities for the
clinical trial shall in such case be responsible for the study at such trial site(s) and the trial site(s) is/are
Ethics committee approval study at the trial site or the centre, as the case may willing to accept such an arrangement and that the
be protocol version is same at all trial sites.
• Provided further that the approving Ethics
Committee and the clinical trial site or the
bioavailability and bioequivalence centre, as the
case may be, shall be located within the same city
or within a radius of 50 kms of the clinical trial site
Chapter V – Clinical Trial, In case an ethics committee of a clinical trial site rejects the No such requirements previously
Bioavailability And Bioequivalence approval of the protocol, the details of the same shall be
Study Of New Drugs And submitted to the Central Licensing Authority prior to seeking
Investigational New Drugs approval of another Ethics Committee for the protocol for
conduct of the clinical trial at the same site
Part A – Clinical Trials
The Central Licencing Authority shall be informed about the
Communications related to EC approval granted by the Ethics Committee
approval process within a period of fifteen working days of the grant of such
approval
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Chapter V – Clinical Trial, • status of enrolment of the trial subjects shall be Annual status report of clinical trial was required to
Bioavailability And Bioequivalence submitted to the Central Licencing Authority on quarterly be submitted
Study Of New Drugs And basis or as appropriate as per the duration of treatment
Investigational New Drugs in accordance with the approved clinical trial protocol,
whichever is earlier
Part A – Clinical Trials
• six monthly status report of each clinical trial, as to
Status reports whether it is ongoing, completed or terminated, shall be
submitted to the Central Licencing Authority
electronically in the SUGAM portal

Chapter V – Clinical Trial, Permission in CT-06 or CT-4A will be valid for two years from No validity / expiry was defined
Bioavailability And Bioequivalence the date of issue, unless extended by the CLA
Study Of New Drugs And
Investigational New Drugs

Part A – Clinical Trials

Validity of permission
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Chapter V – Clinical Trial, • Application to be submitted in CT-05 No specific format was prescribed
Bioavailability And Bioequivalence • Approval to be granted in CT-07
Study Of New Drugs And
Investigational New Drugs • Approval timeline – 90 working days

Part B – BA BE study

Application and approval process

Chapter V – Clinical Trial, In case an Ethics Committee of a bioavailability or No such requirement previously
Bioavailability And Bioequivalence bioequivalence study centre rejects the approval of the
Study Of New Drugs And protocol, the details of the same should be submitted to the
Investigational New Drugs Central Licensing Authority prior to seeking approval of
another Ethics Committee for the protocol for conduct of the
Part B – BA BE study bioavailability or bioequivalence study at the same site

Application and approval process


Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Chapter V – Clinical Trial, the Central Licencing Authority shall be informed about the No such requirement previously
Bioavailability And Bioequivalence approval granted by the registered Ethics Committee within a
Study Of New Drugs And period of 15 working days of the grant of such approval
Investigational New Drugs

Part B – BA BE study

Application and approval process

Chapter V – Clinical Trial, • The permission to conduct bioavailability or No such requirement previously
Bioavailability And Bioequivalence bioequivalence study granted under rule 34 in Form CT-
Study Of New Drugs And 07 shall remain valid for a period of one year from the
Investigational New Drugs date of its issue, unless suspended or cancelled by the
Central Licencing Authority.
Part B – BA BE study • In exceptional circumstances, where the Central Licencing
Authority is satisfied about the necessity for an extension
Validity of permission beyond one year, the said authority may, on the request
of the applicant made in writing, extend the period of
permission granted for a further period of one year.

• study shall be initiated by enrolling the first subject within


a period of one year from the date of grant of permission,
failing which prior permission from the Central Licencing
Authority shall be required
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Chapter VI – Compensation Sponsor & Investigator to forward their reports on SAE Death Sponsor & Investigator to forward their reports on
case after due analysis to CLA, Head of Institution within 14 SAE Death case after due analysis to Licensing
Death cases days of the knowledge of occurrence of SAE death. Authority, Head of Institution within 14 days of the
occurrence of SAE death.

Chapter VI – Compensation Ethics Committee to forward their reports on SAE Death case Ethics Committee to forward their reports on SAE
after due analysis along with their opinion on financial Death case after due analysis along with their
Death cases compensation to CLA, within 30 days of receiving the report opinion on financial compensation to Licensing
of the serious adverse event of death from investigator Authority, within 30 days of occurrence of the
serious adverse event of death

Chapter VI – Compensation Expert committee to provide their recommendations to CLA Expert committee to provide their
within 60 days from receipt of the report of SAE of Death. recommendations to Licensing Authority within 105
Death cases days of occurrence of the adverse event.

Chapter VI – Compensation CLA to pass orders to sponsor within 90 days of receipt of Licensing Authority to pass orders to sponsor within
report of the SAE 150 days of occurrence of SAE
Death cases

Chapter VI – Compensation Sponsor or its representative shall pay compensation within Same timelines as earlier
30 days of receipt of such order from CLA
Death cases
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Chapter VI – Compensation Sponsor & Investigator to forward their reports on SAE case Sponsor & Investigator to forward their reports on
after due analysis to CLA, Chairperson of Ethics committee, SAE case after due analysis to Licensing Authority,
Injury cases Head of Institution within 14 days of the reporting of SAE. Chairman of the Ethics Committee, Head of
Institution within 14 days of the occurrence of SAE.
Chapter VI – Compensation Ethics Committee to forward their reports on SAE after due Ethics Committee to forward their reports on SAE
analysis along with their opinion on financial compensation, after due analysis along with their opinion on
Injury cases within 30 days of receiving the report of the serious adverse financial compensation to Licensing Authority,
event within 30 days of occurrence of the serious adverse
event
Chapter VI – Compensation CLA may constitute expert committee to examine the case The Licensing Authority shall have the option to
and provide their recommendations to CLA. The committee constitute an independent Expert Committee,
Injury cases shall provide its recommendation within 60 days of receipt of wherever considered necessary, to examine such
the report of SAE. serious adverse events of injury, which will
recommend to the Licensing Authority for arriving
at the cause considered necessary, to examine such
serious adverse events of injury, which will
recommend to the Licensing Authority for arriving
at the cause of the injury and also the quantum of
compensation in case of clinical trial related injury.
Chapter VI – Compensation CLA to pass orders to sponsor within 90 days of receipt of Licensing Authority to pass orders to sponsor within
report of the SAE 150 days of occurrence of SAE
Injury cases
Chapter VI – Compensation Sponsor or its representative shall pay compensation within Same timelines as earlier
30 days of receipt of such order from CLA
Injury cases
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Chapter VII - Bioavailability and Registration of BA BE centers will be granted in CT-09 within BA BE center approval was granted in 60 days from
bioequivalence study centre 90 working days from the date of receipt of the application in the time of receipt of joint inspection report
CT-08 [Reference DCGI office order dt 30 May 2014].
Approval timelines

Chapter VII - Bioavailability and Registration is valid for 5 years from date of issue Approval is valid for 3 years [Ref. DCGI office order
bioequivalence study centre 05 Sep 2016]

Validity of registration

Chapter VII - Bioavailability and Renewal applications shall be submitted 90 days prior to Application for renewal of approval shall be
bioequivalence study centre expiry of registration submitted 4 months before the expiry of present
approval
Renewal applications

Chapter VII - Bioavailability and for a period of five years after completion of such study or For at least 2 years after expiry of the batch
bioequivalence study centre for at least two years after the expiration date of the batch of
the new drug or investigational new drug studied, whichever
Records Maintenance is later;
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Chapter VIII – Manufacture of Application to be submitted in CT-10 No specific format prescribed for application or
new drugs or IND for CT, BA, BE or approval [Form 29 NOC]
for Examination Test and analysis Approval to be granted in CT-11
Approval timeline – 60 days
Approval process Approval timeline – 90 working days

Chapter VIII – Manufacture of The permission will remain valid for 3 years, No validity defined for Form 29 NOC
new drugs or IND for CT, BA, BE or
for Examination Test and analysis Extension of 1 year may be granted

Approval validity

Chapter VIII – Manufacture of Manufacturing of drugs shall be in accordance with the This was not explicitly defined earlier.
new drugs or IND for CT, BA, BE or principles of Good Manufacturing Practices;
for Examination Test and analysis

Manufacturing
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Chapter IX – Import of new drugs Application to be submitted in CT-16 Application submitted in Form 12
and IND for CT, BA, BE or for
Examination Test and analysis Approval to be granted in CT-17 Approval granted in Form 11

Approval process Approval timeline – 90 days Approval timeline – 45 days

Chapter IX – Import of new drugs The licence will remain valid for 3 years, 3 years
and IND for CT, BA, BE or for
Examination Test and analysis Extension of 1 year may be granted No provision of extension. New license may be
obtained instead.
Validity of license

Chapter IX – Import of new drugs Licensee to ensure that the drug has been manufactured in This was not explicitly defined earlier.
and IND for CT, BA, BE or for accordance with the principles of Good Manufacturing
Examination Test and analysis Practices;

Conditions of license
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Chapter X – Import or Application to be submitted in CT-18 Application submitted in Form 44


manufacture of new drugs for sale
or for distribution Approval to be granted in CT-19 [API] or CT-20 [Finished Approval granted in Form 45 [Finished formulation]
formulation] or Form 45A [API]
Permission to import a new drug
Approval timeline – 90 working days Approval timeline – 180 days

Conditions for waiver of local clinical trials are defined very Local clinical trials may not be necessary if the drug
clearly in the new regulations. is of such a nature that the Licensing Authority may,
in public interest, decide to grant such permission
on the basis of data available from other countries.

Chapter X – Import or Application to be submitted in CT-21 Application submitted in Form 44


manufacture of new drugs for sale
or for distribution Approval to be granted in CT-22 [API] or CT-22 [Finished Approval granted in Form 46 [Finished formulation]
formulation] or Form 46A [API]
Permission to manufacture a new
drug Approval timeline – 90 working days Approval timeline – 180 days

Conditions for waiver of local clinical trials are defined very Local clinical trials may not be necessary if the drug
clearly in the new regulations. is of such nature that the Licensing Authority in
Rule 21 may, in public interest, decide to grant such
permission on the basis of data available from other
countries
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Chapter XI – Import or Application to be submitted in CT-24 Application submitted in Form 12-AA


manufacture of unapproved new
drug for treatment of patients in Import License to be granted in CT-25 Approval granted in Form 11-A
government hospital and
government medical institution Approval timeline – 90 working days Approval timeline – not defined

Permission to import a new drug Validity of license – 3 years Validity of license – 1 year
by a govt hospital and govt
medical institution Half yearly report is to be submitted by the govt hospital or No requirement of submitting such report
medical institution to CLA about status and stock of the
unapproved drugs imported, utilized and destroyed

Chapter XI – Import or Where any medical officer of a Government hospital or No such provision was available earlier
manufacture of unapproved new Government medical institution prescribes in special
drug for treatment of patients in circumstances any new drug for a patient suffering from
government hospital and serious or life threatening disease for which there is no
government medical institution satisfactory therapy available in the country and which is not
yet approved by the Central Licencing Authority but the same
Permission to manufacture is under clinical trial in the country, then, such new drug
unapproved new drug but under may be approved to be manufactured in limited quantity
clinical trial, for treatment of subject to provisions of these rules.
patient of life threatening disease
Application to be submitted in CT-26

Import License to be granted in CT-27


Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Chapter XI – Import or Application to be submitted in CT-26 No such provision was available earlier
manufacture of unapproved new
drug for treatment of patients in Import License to be granted in CT-27
government hospital and
government medical institution Approval timeline – 90 days

Permission to manufacture Validity of permission – 1 year


unapproved new drug but under
clinical trial, for treatment of The permission holder shall inform the Central Licencing
patient of life threatening disease Authority of the occurrence of any serious adverse event and
action taken thereon including any recall within fifteen days
of occurrence of such event.
Chapter XII – Amendments of In the Drugs and Cosmetics Rules 1945, after rule 122DA the Not applicable
Drugs and Cosmetics Rules, 1945 following new rule shall be inserted, namely:
“122DAA. Non-application of certain rules for new drugs and
investigational new drugs for human use. Part XA and
Schedule Y shall not be applicable in respect of new drugs
and investigational new drugs for human use from the date of
coming into force of the New Drugs and Clinical Trials Rules,
2019, and the references in respect of human use made in
the these rules shall respectively be omitted, and the
construction thereof shall be construed accordingly and shall
stand amended with all cogent meaning of the grammar”.
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Chapter XIII –Miscellaneous Provisions included for pre-submission meeting with the Not applicable. Pre-submission meeting is a new
Central Licencing Authority or any other officer authorised by concept
the Central Licencing Authority for seeking guidance about
Pre Submission Meeting [Rule the requirements of law and procedure of obtaining licence
98] or permission of manufacturing process, clinical trial and
other requirements.

Chapter XIII –Miscellaneous The application for pre-submission meeting may be Not applicable. Pre-submission meeting is a new
accompanied by particulars and documents referred to in the concept
Second Schedule, as available with the applicant to support
Pre Submission Meeting [Rule his proposal along with fee as specified in the Sixth Schedule.
98]
Central Licencing Authority shall, within a period of thirty
days, intimate the facts to the applicant in writing and direct
him to furnish such further information or documents as
necessary.

In the pre-submission meeting, the Central Licencing


Authority or any other person authorised by it shall provide
suitable clarification to the applicant.
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Chapter XIII –Miscellaneous If the applicant desires to seek clarification in person in Not applicable. Post-submission meeting is a new
respect of pending application and queries related thereto, concept
the applicant may make an application for a post-submission
Post Submission Meeting [Rule meeting with the officer designated by the Central Licencing
99] Authority within a period of fifteen days from the date the
query was received for seeking guidance with regards to the
queries concerning pending application.

Chapter XIII –Miscellaneous The applicant shall clearly state the points on which Not applicable. Post-submission meeting is a new
clarification is required and after receipt of such application, concept
the designated officer shall inform the time and date
Post Submission Meeting [Rule scheduled for post submission meeting.
99]
In the post submission meeting, the officer designated by the
Central Licencing Authority shall provide suitable clarification
to the applicant.

The summary of the clarification provided by the designated


officer shall be made available to the applicant.
Section / Rule / Subject New requirement / understanding Previous requirement /
understanding

Second Schedule – Accelerated approval process may be allowed to a new drug for a disease or condition, No specific provisions
taking into account its severity, rarity, or prevalence and the availability or lack of existed earlier
Requirements and guidelines alternative treatments, provided that there is a prima facie case of the product being of
for permission to import or meaningful therapeutic benefit over the existing treatment.
manufacture of new drug for
sale or to undertake clinical a) In such case, the approval of the new drug may be based on data generated in
Trial clinical trial where surrogate endpoints rather than using standard outcome
measures such as survival or disease progression, which are reasonably likely to
Provision for Accelerated predict clinical benefit, or a clinical endpoint.
Approval Process b) Post marketing trials will be required to validate the anticipated clinical benefit.
c) Accelerated approval may also be granted to a new drug if it is intended for the
treatment of a serious or life-threatening condition or disease of special
relevance to the country, and addresses unmet medical needs.
d) If the remarkable efficacy is observed with a defined dose in the Phase II clinical
trial of investigational new drug for the unmet medical needs of serious and life
threatening diseases in the country, it may be considered for grant of marketing
approval by the Central Licencing Authority based on Phase II clinical trial data.
In such cases, additional post licensure studies may be required to be conducted
after approval to generate the data on larger population to further verify and
describe the clinical benefits

Please refer to clause 1 (2) (ii) (A) of Second Schedule for full details
Section / Rule / Subject New requirement / understanding Previous requirement /
understanding

Second Schedule – Situations where quick or expeditious review process can be sought for approval of a new No specific provisions
drug after clinical development: existed earlier.
Requirements and guidelines
for permission to import or 1) In situation where the evidence for clinical safety and efficacy have been established
manufacture of new drug for even if the drug has not completed the all or normal clinical trial phases, the sponsor
sale or to undertake clinical or applicant may apply to the licencing authority for expedited review process wherein
Trial the licencing authority will examine and satisfy the conditions as specified under
clause 1 (2) (ii) (B) (i) of Second Schedule
Provision for quick or
expeditious review process for 2) the sponsor or applicant may also apply to the licencing authority for expedited review
approval of a new drug after process for new drugs developed for disaster or defence use in extraordinary situation,
clinical development: such as war time, the radiation exposure by accident or intention, sudden deployment
of forces at areas with higher health risk, where specific preventive and treatment
strategy is required, here new intervention in the form of new drug, route of delivery
or formulation has been developed and were real life clinical trial may not be possible.
The permission for manufacture of such new drug may be granted subject to
conditions as specified under clause 1 (2) (ii) (B) (ii) of Second Schedule

3) the new drug is an orphan drug as defined in clause (x) of rule 2 of these Rules

Please refer to clause 1 (2) (ii) (A) of Second Schedule for full details
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Second Schedule –
Long term – Long term –
Stability data requirements for new drug 30°C ± 2°C/75% RH ± 5% RH – 6 or 12 30°C ± 2°C/65% RH ± 5% RH - 12 months
substances and formulations intended to be months
stored under general conditions Accelerated -
Accelerated - 40°C ± 2°C/75% RH ± 5% RH - 6 months
40°C ± 2°C/75% RH ± 5% RH - 6 months
Second Schedule –
Long term - Long term -
Stability data requirements for drug 5°C ± 3°C – 6 or 12 months 5°C ± 3°C - 12 months
substances and formulations intended to be
stored in a refrigerator Accelerated - Accelerated -
25°C ± 2°C/60% RH ± 5% RH - 6 months 25°C ± 2°C/60% RH ± 5% RH - 6 months

Second Schedule –
Long term - Long term -
Stability data requirements for drug 5°C ± 3°C – 6 or 12 months 5°C ± 3°C 12 months
substances and formulations intended to be
stored in a freezer
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Third Schedule – Conduct of A format of Investigator Brochure has been included Format of IB was provided in Indian GCP
Clinical Trial in rules. The format and content of the IB prescribed [Appendix IV]
in the new Rules is pretty much similar to existing
format as per Indian GCP Appendix IV.
Table 7 – Investigator
Brochure

Third Schedule – Conduct of A specific template has been provided for Prescribing Content of Prescribing Information was
Clinical Trial Information under Table 8 of Third Schedule. prescribed under Clause 1 (1) (vi) of Schedule
Y.
Information like ‘Patient counselling information’,
Table 8 – Prescribing ‘Details of manufacturer’, ‘Details of permission or
Information license number with date’ are some additional
requirements of PI document in the new rules.
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Fourth Schedule – Requirements The requirements of BA BE studies are explicitly prescribed Requirements were not very explicit in the Rule
and guidelines for conduct of BA under Fourth Schedule of the Rules. book.
BE study of new drugs of
investigational new drugs Clearly defined process for;

• General principles
• BA BE study centre
• Organisation and management
• Documented SOPs
• Clinical Pharmacological Unit
• Maintenance of records
• Retention of samples
Fourth Schedule – Requirements Table 1: Document required for registration of bioavailability Not applicable
and guidelines for conduct of BA and bioequivalence centre
BE study of new drugs of
investigational new drugs table 2: Data and information required for grant of
permission to conduct bioavailability and bioequivalence
study of a new drug or investigational new drug

table 3: Data and information required for grant of


permission to conduct bioavailability and bioequivalence
study of a new drug already approved in the country
Section / Rule / Subject New requirement / understanding Previous requirement / understanding

Fifth Schedule – Post Market Defined process & fees for approval of Phase IV studies have No fees was defined earlier for Phase IV studies
Assessment been provided in the new rules

Phase IV [Post Marketing] trial Phase IV study fees – INR 200,000


Fifth Schedule – Post Market Such studies will now need DCGI approval Previously, there was a grey area whether such
Assessment studies require approval from HA.
Inclusion or exclusion of subject are decided as per the
Post marketing surveillance study recommended use as per prescribing information or
or observational or non- approved package insert.
interventional study for active
surveillance In such studies the study drugs are the part of treatment of
patient in the wisdom of the prescriber included in the
protocol.

The regulatory provisions and guidelines applicable for


clinical trial of a new drug are not applicable
Fifth Schedule – Post Market Format of PSUR is slightly changed and it is more elaborated The brief format of PSUR was prescribed in
Assessment now Schedule Y

Post marketing surveillance Information about Risk Management Plan is now part of PSUR
through PSURs document Information about Risk Management Plan was not
required to be part of PSUR earlier
Copy of marketing authorization in India is to be enclosed
with PSUR Copy of marketing authorization in India was not
required
Revision in application fees for various licenses
Type of application Previous fees New fees
Clinical trial – Phase I 50,000 INR 300,000 INR
Clinical trial – Phase II, III 25,000 INR 200,000 INR
Clinical trial – Phase IV No fees 200,000 INR
Reconsideration of clinical trial application No fees 50,000 INR
BA / BE study 25000 for drugs approved 200,000 INR
within 1 year & 15000 for
drugs b/w 1 to 4 years

Reconsideration of BA / BE study application No fees 50,000 INR


Registration of BA BE centre No fees 500,000 INR
Reconsideration of BA / BE centre application No fees 100,000 INR
Permission to manufacture new drugs or investigational new drugs for clinical trial or BE BE Study No fees 5000 INR per product

Reconsideration of application to manufacture new drugs or investigational new drugs for clinical trial or BA BE study No fees 2000 INR per product

Import of new drugs or investigational new drugs for clinical trial or bioavailability or bioequivalence study or for 5000 INR for first drug and 5000 INR per product
examination, test and analysis 2000 INR for every
additional drug

Reconsideration of application for Import of new drugs or investigational new drugs for clinical trial or BA BE study or for No fees 1000 INR
examination, test and analysis
Revision in application fees for various licenses
Type of application Previous fees New fees
Permission to import new drug (Finished Formulation or API ) for marketing 250,000 INR 500,000 INR
Permission to import new Drug (Finished Formulation or API ) already approved in the country for marketing 100,000 INR 200,000 INR

Reconsideration of application for permission to import new drug for marketing No fees 50,000 INR

Application for permission to import approved new drug for new claims, new indication or new dosage form or new route 100,000 INR 300,000 INR
of administration or new strength for marketing

Application for permission to import fixed dose combination having one or more of the ingredients as unapproved new 250,000 INR 500,000 INR
molecules for Marketing

Application for permission to import fixed Dose combination having approved ingredients for marketing 100,000 INR 400,000 INR

Application for permission to import fixed dose combination already approved for Marketing 100,000 INR 200,000 INR

Application for permission to import fixed dose combination for new claims, new indication or new dosage form or new 100,000 INR 300,000 INR
route of administration or new strength for marketing

Application for permission to manufacture new drug (Finished Formulation or Active Pharmaceutical Ingredient) for sale or 50,000 INR 500,000 INR
Distribution

Application for permission to manufacture new drug (Finished formulation or Active Pharmaceutical Ingredient) already 50,000 INR or 15,000 INR 200,000 INR
approved in the country for sale or distribution

Application for permission to manufacture approved new drug for new claims, new indication or new dosage form or new 15,000 INR 300,000 INR
route of administration or new strength for sale or distribution
Revision in application fees for various licenses
Type of application Previous fees New fees
Application for permission to manufacture fixed dose combination having one or more of the ingredients as unapproved 50,000 INR 500,000 INR
new molecules for sale or distribution
Application for permission to manufacture fixed dose combination having approved ingredients for sale or distribution 15,000 INR 300,000 INR

Application for permission to manufacture fixed dose combination already approved for sale or distribution 15,000 INR 200,000 INR

Application for permission to manufacture fixed dose combination for new claims, new indication or new dosage form or 15,000 INR 300,000 INR
new route of administration or new strength for sale or distribution
Reconsideration of application for permission to manufacture new drug for sale or distribution No fees 50,000 INR
Application for Import of unapproved new drug by Government hospital and medical institution 600 INR for first drug, 300 10,000 INR
INR for additional drugs

Application for permission to manufacture unapproved new drug but under clinical trial, for treatment of patient of life No provision 5,000 INR
threatening disease
Pre-submission meeting No provision / fees 500,000 INR
Post submission meeting No provision / fees 50,000 INR
Any other application No provision / fees 50,000 INR

Note 1: No fee shall be chargeable in respect of application for conduct of clinical trial for orphan drugs.
Note 2: In case of application received from Micro Small Medium Enterprises (MSME) firms for conduct of clinical trial, approval of new drug and pre and post submission
meeting, the fee payable shall be half of the fee specified above.
Disclaimer
Every care has been taken to ensure correctness
of the information & its interpretation in this
presentation. Any discrepancy or inconsistency
is inadvertent.

For feedback, please send email to


Vikas.k.Dhiman@outlook.com or connect on
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Document identifier: VKD/NDCTR/TabularSummary Version 1.1 dated 04 May 2019

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