Investigational Drugs & Devices: Difference between revisions

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'''<big> Return to Main Contents Page </big>''' http://ctwiki.rsna.org/
'''Return to <big> [[Main Page]] </big>'''
 
:::''curator: Paula Jacobs, PhD''
== '''Items Applicable to Investigational New Drugs (INDs)''' ==
== '''Items Applicable to Investigational New Drugs (INDs)''' ==  
 
 
21 CFR 312 (CFR = Code of Federal Regulations)  
21 CFR 312 (CFR = Code of Federal Regulations)  
   
   
IND is required for all investigational drugs (except for a few radiopharmaceuticals)
An Investigational New Drug Exemption (IND) is an exemption from the requirement that all drugs be approved by the Food and Drug Administration (FDA)before distribution. An IND is required for all investigational drugs (except for a few radiopharmaceuticals)for which:
    
    
Drug is not marketed in US   
:Drug is not marketed in US   


Drug is marketed in US, but this is a new indication or route of administration   
:Drug is marketed in US, but this is a new indication or route of administration   


Drug is a modification of existing drug (even the solution)   
:Drug is a modification of existing drug (even the solution or concentration)   


IND “Sponsor” can be: Company; Institution (e.g.,hospital, NCI); Individual (usually physician)   
IND “Sponsor” can be: Company; Institution (e.g.,hospital, NCI); Individual (usually physician)   
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Application must be made to the appropriate FDA Division (CDER, CBER…)   
Application must be made to the appropriate FDA Division (CDER, CBER…)   


Specific data are needed for this application;   
Specific information are needed for this application;   
#Pharmacology and toxicology information   
#Pharmacology and toxicology information   
#Chemistry, manufacturing, and control
#Chemistry, manufacturing, and control
#Dosimetry for radiopharmaceuticals   
#Clinical trial information
##Trial Protocol
##Investigator qualifications
#Dosimetry for radiopharmaceuticals  
#Previous human experience  
#Important reporting requirements  
#Important reporting requirements  
##Serious adverse events
##Serious adverse events
##Annual report
##Annual report


FDA Guidance on IND process with multiple links to other documentation  http://www.fda.gov/cder/regulatory/applications/ind_page_1.htm
Useful outlinks:


Comprehensive FDA Guidance Page –  http://www.fda.gov/cder/guidance/guidance.htm  
:FDA Guidance on IND process with multiple links to other documentation  http://www.fda.gov/cder/regulatory/applications/ind_page_1.htm
 
:Comprehensive FDA Guidance Page –  http://www.fda.gov/cder/guidance/guidance.htm  
 
:A “how-to” guide from the Biological Development Program at NCI-Frederick with multiple links –  http://wwwbdp.ncifcrf.gov/pdf/GuidetoRegSubs.pdf
 
:FDA guidances on developing imaging drugs:
::Part 1:  Conducting Safety Assessments http://www.fda.gov/cder/guidance/5742prt1.pdf
::Part 2:  Clinical Indications http://www.fda.gov/cder/guidance/5742prt2.pdf
::Part 3:  Design, Analysis, and Interpretation of Clinical Studies http://www.fda.gov/cder/guidance/5742prt3.pdf


A “how-to” guide from the Biological Development Program at NCI-Frederick with multiple links –  http://wwwbdp.ncifcrf.gov/pdf/GuidetoRegSubs.pdf


'''Investigational Device Exemptions (IDEs)'''
'''Investigational Device Exemptions (IDEs)'''
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21 CFR 812 applies   
21 CFR 812 applies   


IDE is required for investigational devices that pose a significant risk   
IDE is required for investigational devices that pose a significant risk when:  


Device is not marketed in US   
:Device is not marketed in US   


Device is marketed in US, but this is a new indication or modification   
:Device is marketed in US, but this is a new indication or modification   


“Significant risk” as determined by local IRB or by FDA   
“Significant risk” is determined by local IRB or by FDA   


IND “Sponsor” is responsible which can be: Company, Institution (e.g., hospital, NCI), Individual   
IDE “Sponsor” is responsible which can be: Company, Institution (e.g., hospital, NCI), Individual   


Application must be made to the appropriate FDA Division (CDRH, etc)   
Application must be made to the appropriate FDA Division (CDRH, etc)   
 
Important reporting requirements  
#Important reporting requirements  
#Serious adverse events
##Serious adverse events
#Annual and semi-annual report
##Annual and semi-annual report


Information resources: FDA Center for Devices and Radiological Health  
Information resources: FDA Center for Devices and Radiological Health  

Latest revision as of 20:35, 29 December 2007

Return to Main Page

curator: Paula Jacobs, PhD

Items Applicable to Investigational New Drugs (INDs)

21 CFR 312 (CFR = Code of Federal Regulations)

An Investigational New Drug Exemption (IND) is an exemption from the requirement that all drugs be approved by the Food and Drug Administration (FDA)before distribution. An IND is required for all investigational drugs (except for a few radiopharmaceuticals)for which:

Drug is not marketed in US
Drug is marketed in US, but this is a new indication or route of administration
Drug is a modification of existing drug (even the solution or concentration)

IND “Sponsor” can be: Company; Institution (e.g.,hospital, NCI); Individual (usually physician)

Application must be made to the appropriate FDA Division (CDER, CBER…)

Specific information are needed for this application;

  1. Pharmacology and toxicology information
  2. Chemistry, manufacturing, and control
  3. Clinical trial information
    1. Trial Protocol
    2. Investigator qualifications
  4. Dosimetry for radiopharmaceuticals
  5. Previous human experience
  6. Important reporting requirements
    1. Serious adverse events
    2. Annual report

Useful outlinks:

FDA Guidance on IND process with multiple links to other documentation http://www.fda.gov/cder/regulatory/applications/ind_page_1.htm
Comprehensive FDA Guidance Page – http://www.fda.gov/cder/guidance/guidance.htm
A “how-to” guide from the Biological Development Program at NCI-Frederick with multiple links – http://wwwbdp.ncifcrf.gov/pdf/GuidetoRegSubs.pdf
FDA guidances on developing imaging drugs:
Part 1: Conducting Safety Assessments http://www.fda.gov/cder/guidance/5742prt1.pdf
Part 2: Clinical Indications http://www.fda.gov/cder/guidance/5742prt2.pdf
Part 3: Design, Analysis, and Interpretation of Clinical Studies http://www.fda.gov/cder/guidance/5742prt3.pdf


Investigational Device Exemptions (IDEs)

21 CFR 812 applies

IDE is required for investigational devices that pose a significant risk when:

Device is not marketed in US
Device is marketed in US, but this is a new indication or modification

“Significant risk” is determined by local IRB or by FDA

IDE “Sponsor” is responsible which can be: Company, Institution (e.g., hospital, NCI), Individual

Application must be made to the appropriate FDA Division (CDRH, etc) Important reporting requirements

  1. Serious adverse events
  2. Annual and semi-annual report

Information resources: FDA Center for Devices and Radiological Health http://www.fda.gov/cdrh/index.html

Device Advice: http://www.fda.gov/cdrh/devadvice/