【转载】314Part B 314.50(2/4) 2014-10-16 22:57:44| 分类: FDA|举报|字号 [url=]订阅[/url] / i8 O9 u; z( L
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# p) g4 X. g2 ~9 ?8 }(2)非临床药理学和毒理学部分 本部分结合图表描述药品的动物研究和体外研究,包括以下内容:
5 s# L5 }# l: s4 y% ~3 i& }# H- ?(i) Studies of the pharmacological actions of the drug in relation to its proposed therapeutic indication and studies that otherwise define the pharmacologic properties of the drug or are pertinent to possible adverse effects.
( l0 k4 L2 J! D! C1 k) Y(i)与药品提议的治疗症相关的药理学研究,以及定义药品药理学性质的研究或者与潜在不良反应相关的研究。/ ^" [4 e8 I3 {% U0 _5 A% \
(ii) Studies of the toxicological effects of the drug as they relate to the drug's intended clinical uses, including, as appropriate, studies assessing the drug's acute, subacute, and chronic toxicity; carcinogenicity; and studies of toxicities related to the drug's particular mode of administration or conditions of use.
/ {; @! C8 w( @) q(ii)药品与目标的临床使用相关的毒理学研究,包括,若适用,评估药品急性,亚急性,慢性毒性的研究;致癌性;与药品具体的给药途径或者使用条件相关的毒理学研究。: b$ {5 h+ I+ S. y, w4 }0 j
(iii) Studies, as appropriate, of the effects of the drug on reproduction and on the developing fetus.# ?5 l( p# \3 n
(iii)研究药品对生殖和胎儿的影响,若适用0 m" V( N, G$ M6 j
(iv) Any studies of the absorption, distribution, metabolism, and excretion of the drug in animals.
9 A/ p- M0 d4 K, n(iv)动物体内药物的吸收,分布,代谢和排泄的研究
. g" F3 d) b Y% z% q4 G0 |0 D# _$ ?(v) For each nonclinical laboratory study subject to the good laboratory practice regulations under part 58 a statement that it was conducted in compliance with the good laboratory practice regulations in part 58, or, if the study was not conducted in compliance with those regulations, a brief statement of the reason for the noncompliance./ Q: ]* J; V7 d- v
(v)每一个非临床实验室研究遵守GLP的要提供一份声明证实研究的实施过程符合GLP的规定,或者,如果研究的实施不符合上述法规,需要对不遵守的原因作一个简短的声明。
1 v7 j9 O: x$ g7 B(3)Human pharmacokinetics and bioavailability section. A section describing the human pharmacokinetic data and human bioavailability data, or information supporting a waiver of the submission of in vivo bioavailability data under subpart B of part 320, including the following:1 _# E! D/ N- W1 f, m, L) C
(3)人体药代动力学和生物利用度部分 本部分描述人体药代动力学的数据和人体生物利用度的数据,或者按照320章节,副章节B的要求提供信息支持体内生物利用度数据的豁免,包括以下内容:
6 `% V5 [. J1 n4 w8 p l(i) A description of each of the bioavailability and pharmacokinetic studies of the drug in humans performed by or on behalf of the applicant that includes a description of the analytical procedures and statistical methods used in each study and a statement with respect to each study that it either was conducted in compliance with the institutional review board regulations in part 56, or was not subject to the regulations under 56.104 or 56.105, and that it was conducted in compliance with the informed consent regulations in part 50.
, F5 P0 L# h5 d% u$ T(i)每个由申请人实施或代理实施的人体内药品药代动力学和生物利用度的研究,需要包括每个研究中使用的分析方法和统计方法的描述,以及声明每个研究的实施符合56部分的机构审查委员会条例,或者不遵循56.104或者56.105的条款,以及研究的实施符合50部分知情同意的条款。# R: i% }1 f$ l7 w z1 ?; g. x
(ii) If the application describes in the chemistry, manufacturing, and controls section tests, analytical procedures, and acceptance criteria needed to assure the bioavailability of the drug product or drug substance, or both, a statement in this section of the rationale for establishing the tests, analytical procedures, and acceptance criteria, including data and information supporting the rationale.
# W. [2 {5 B' u8 x. d(ii)如果在化学,生产和控制部分描述的检测,分析方法和接受限度需要确保药品或者原料药,或两者的生物利用度,需要在本部分声明建立检测,分析方法以及接受限度的原理,包括支持这一原理的数据和信息。
3 D2 N6 n0 s# y3 l8 I) c3 F(iii) A summarizing discussion and analysis of the pharmacokinetics and metabolism of the active ingredients and the bioavailability or bioequivalence, or both, of the drug product.
, o; R3 |# \5 b* q1 s, K. t2 h(iii)对原料药的药代动力学和代谢,成品的生物利用度或者生物等效性,或者两者兼有,做一个总结性的讨论和分析。
0 E H5 @' F) l* s* U& ?$ D(4)Microbiology section. If the drug is an anti-infective drug, a section describing the microbiology data, including the following:
2 p9 O% O6 b! o* m `, [(4)微生物部分 本部分是针对抗感染药物,描述微生物的数据,包括以下内容:8 r% s+ y: |( v( o( `
(i) A description of the biochemical basis of the drug's action on microbial physiology.
! Z' B, T9 F: {' y* B(i)描述药物对微生物生理学作用的生化基础。
/ h( X9 u5 n/ M6 Z3 E9 \(ii) A description of the antimicrobial spectra of the drug, including results of in vitro preclinical studies to demonstrate concentrations of the drug required for effective use.
3 ~( b% q, ?2 X: B6 l3 a$ s* P(ii)药物抗菌谱的描述,包括证明药物有效抗菌浓度的体外临床前研究的结果。
8 R: Q% g( c( P(iii) A description of any known mechanisms of resistance to the drug, including results of any known epidemiologic studies to demonstrate prevalence of resistance factors.4 c, ]/ S% Z3 u+ E" V
(iii)描述任何已知的耐药机制,包括任何已知的证明耐药因子流行的流行病学研究的结果。4 B$ s; P/ N) W5 o
(iv) A description of clinical microbiology laboratory procedures (for example, in vitro sensitivity discs) needed for effective use of the drug.. c6 R w4 k- M( h& e) U( X9 f
(iv)描述为了药品有效使用所实施的临床微生物实验程序(例如,体外的药敏试验)
2 d5 m! Q% g7 I: s(5)Clinical data section. A section describing the clinical investigations of the drug, including the following:
2 [3 k" x3 d$ R) a: B' Y(5)临床数据部分 本部分描述药品临床研究,包括以下内容:4 D: h) G$ {0 E6 F0 t' m0 V/ Y
(i) A description and analysis of each clinical pharmacology study of the drug, including a brief comparison of the results of the human studies with the animal pharmacology and toxicology data.
0 M# {) o# Z! K) q, C: |$ k(i) 药品每个临床药理学研究的描述和分析,包括把人体研究的结果与动物药理学和毒理学数据做一个简要的对比。$ X! c! U8 u4 p1 {3 D$ n# Z6 X
(ii) A description and analysis of each controlled clinical study pertinent to a proposed use of the drug, including the protocol and a description of the statistical analyses used to evaluate the study. If the study report is an interim analysis, this is to be noted and a projected completion date provided. Controlled clinical studies that have not been analyzed in detail for any reason (e.g., because they have been discontinued or are incomplete) are to be included in this section, including a copy of the protocol and a brief description of the results and status of the study.7 D' [8 C( N5 Y
(ii)与提议的药品使用相关的每个受控的临床研究进行描述和分析,包括研究方案以及用于评估研究的统计分析的描述。如果研究报告是一份期中分析,需要备注说明并且需提供预计完成的时间。受控的临床研究,因任何原因未能完成详细分析的(例如临床研究被中断或者未完成),应包括在本部分中,需提供研究方案的复印件,并对研究的结果和状态做一份简要的描述。
* V0 ]$ P/ |9 Z(iii) A description of each uncontrolled clinical study, a summary of the results, and a brief statement explaining why the study is classified as uncontrolled.- t) z" v- \+ K. U) h& S
(iii)描述每个非受控的临床研究,对结果进行总结,并且做一个简要的声明解释研究为何被划分为非受控。
0 k. ^) i6 g! n0 U' a+ l- K(iv) A description and analysis of any other data or information relevant to an evaluation of the safety and effectiveness of the drug product obtained or otherwise received by the applicant from any source, foreign or domestic, including information derived from clinical investigations, including controlled and uncontrolled studies of uses of the drug other than those proposed in the application, commercial marketing experience, reports in the scientific literature, and unpublished scientific papers.; d- ^" Z7 X( O- w, l/ C* p4 P
(iv)描述和分析其他评估药品安全性有效性相关的数据和信息,这些数据和信息由申请人从任何国内的或者国外的途径接收或者获得,包括临床研究产生的信息,包括对未体现在申请中,药品其他使用所进行的的受控和非受控的研究,商业批上市的经验,科学文献中的报告,以及未发表的科学论文。2 w0 y4 o0 T1 a& m
(v) An integrated summary of the data demonstrating substantial evidence of effectiveness for the claimed indications. Evidence is also required to support the dosage and administration section of the labeling, including support for the dosage and dose interval recommended. The effectiveness data shall be presented by gender, age, and racial subgroups and shall identify any modifications of dose or dose interval needed for specific subgroups. Effectiveness data from other subgroups of the population of patients treated, when appropriate, such as patients with renal failure or patients with different levels of severity of the disease, also shall be presented.1 k5 c+ P( F+ D; I- t0 Y( _+ i
(v)能实质上证明药品对适应症有效的数据,需要提供一份综合的数据汇总。同样也需要证据支持标签的给药途径和剂量部分,包括支持建议的给药间隔和剂量的证据。有效性的数据应当按照性别,年龄,种族亚组的类别递交,并且针对具体亚组所做的任何剂量或者给药间隔的调整都应当确认。来源于受治疗病患人群其他亚组的有效性数据,若适用,例如肾衰竭的病患,或者疾病不同严重程度的病患,都应当递交。
+ T8 w) J4 {5 b8 L4 s(vi) A summary and updates of safety information, as follows:
|1 Q# c1 @4 D$ c& C9 A/ \$ c(vi)安全性信息的总结和更新,按照以下要求:
- H, |$ L* T _) D0 U2 K: h(a ) The applicant shall submit an integrated summary of all available information about the safety of the drug product, including pertinent animal data, demonstrated or potential adverse effects of the drug, clinically significant drug/drug interactions, and other safety considerations, such as data from epidemiological studies of related drugs. The safety data shall be presented by gender, age, and racial subgroups. When appropriate, safety data from other subgroups of the population of patients treated also shall be presented, such as for patients with renal failure or patients with different levels of severity of the disease. A description of any statistical analyses performed in analyzing safety data should also be included, unless already included under paragraph (d)(5)(ii) of this section.3 q$ \# S+ g& J$ T0 n" [# _
(a)所有有关药品安全性的有效信息,申请人应当递交一份完整的总结,包括动物实验相关的数据,药品已证实的或者潜在的不良反应,临床上重要的药品之间的相互作用,以及其他的安全性考量,例如从相关药物流行病学研究中得来的数据。安全性的数据应当按照性别,年龄,种族亚组的类别递交。来源于受治疗病患人群其他亚组的安全性数据,若适用,例如肾衰竭的病患,或者疾病不同严重程度的病患,也应当递交。任何分析安全性数据时使用的统计分析的描述,也应当被包括进去,这部分内容已经在(d)(5)(ii)中体现的情况除外。7 @$ p' ?2 _ J5 E6 o. d! G2 h: v
(b ) The applicant shall, under section 505(i) of the act, update periodically its pending application with new safety information learned about the drug that may reasonably affect the statement of contraindications, warnings, precautions, and adverse reactions in the draft labeling and, if applicable, any Medication Guide required under part 208 of this chapter. These "safety update reports" are required to include the same kinds of information (from clinical studies, animal studies, and other sources) and are required to be submitted in the same format as the integrated summary in paragraph (d)(5)(vi)(a ) of this section. In addition, the reports are required to include the case report forms for each patient who died during a clinical study or who did not complete the study because of an adverse event (unless this requirement is waived). The applicant shall submit these reports (1 ) 4 months after the initial submission; (2 ) in a resubmission following receipt of a complete response letter; and (3 ) at other times as requested by FDA. Prior to the submission of the first such report, applicants are encouraged to consult with FDA regarding further details on its form and content.! z9 o/ f0 b1 x, z( G5 V
(b)按照法案505(j)的要求,申请人应当定期更新待批准申请,增加新获悉的药品的安全信息,这些安全信息可能对标签草案上的禁忌症,警示语,注意事项以及不良反应的声明,以及若适用,对按照本章节208部分递交的用药指南造成一定的影响。这些“安全性更新报告”需要递交的信息类型(临床研究,动物实验以及其他来源)以及作为综合总结递交的格式按照(d)(5)(vi)(a)同样的要求执行。此外,报告需包括每个在临床研究期间的死亡病例或者因不良反应未完成研究病例的报告表(除非该条要求被豁免)。申请人应当按照以下要求递交报告:(1)首次递交4个月后;(2)包含在CR不足信回复的重新递交中;(3)FDA要求的其他时间段。第一次递交这类报告时,鼓励申请人就报告格式和内容向FDA咨询进一步的细节。, Y6 v* R& o- J
(vii) If the drug has a potential for abuse, a description and analysis of studies or information related to abuse of the drug, including a proposal for scheduling under the Controlled Substances Act. A description of any studies related to overdosage is also required, including information on dialysis, antidotes, or other treatments, if known./ @1 z( F/ w3 X8 ]0 P K8 e8 i
(vii)如果药物存在潜在的成瘾性,需要对药品成瘾相关的研究或者信息进行描述和分析,包括建议将药品列入受管制药品法案管理。同时还需要对任何药物过量相关的研究进行描述,若可以获得信息,需包括用于透析,解毒,或其他治疗的信息。* {) a8 }" A3 _3 S
(viii) An integrated summary of the benefits and risks of the drug, including a discussion of why the benefits exceed the risks under the conditions stated in the labeling.+ z7 x& W' v' A
(viii)对药物的利弊进行综合的总结,包括讨论为何在标签声明的使用条件下利大于弊。
* W6 P6 i$ o K( K, i# D(ix) A statement with respect to each clinical study involving human subjects that it either was conducted in compliance with the institutional review board regulations in part 56, or was not subject to the regulations under 56.104 or 56.105, and that it was conducted in compliance with the informed consent regulations in part 50.
) {5 F& d) U% t% T6 L9 s! e2 O(ix)声明每个包含受试者的临床研究的实施符合机构审查委员会条例 56部分,或者不遵循56.104或者56.105的条款,以及研究的实施符合50部分知情同意的条款。! ]- L- J( L, _
(x) If a sponsor has transferred any obligations for the conduct of any clinical study to a contract research organization, a statement containing the name and address of the contract research organization, identification of the clinical study, and a listing of the obligations transferred. If all obligations governing the conduct of the study have been transferred, a general statement of this transfer--in lieu of a listing of the specific obligations transferred--may be submitted.! @0 f: V' B+ y4 r. W
(x)如果发起人将任何实施临床研究的义务转让给一家合同研究组织,需要一份声明,包含合同研究组织的名称和地址,临床研究的确认,以及所转让义务的清单。如果所有研究管理的义务都被转让,可以递交一份一般的转让声明,替代具体转让义务的清单。
/ s5 B7 }1 j: f! F+ T(xi) If original subject records were audited or reviewed by the sponsor in the course of monitoring any clinical study to verify the accuracy of the case reports submitted to the sponsor, a list identifying each clinical study so audited or reviewed.9 s$ m: g6 g/ n% c F
(xi)如果在任何临床研究的监测过程中,赞助人为了确认所递交病例报告的准确性,对原始病例记录进行了审查和审核,需要出具一份清单确认每个被审查或者审核的临床研究。0 M, {1 L" C" F" v K$ G! z9 h
(6)Statistical section. A section describing the statistical evaluation of clinical data, including the following:; ]( J8 _7 V) |, h5 p. I! w
(6)统计部分 本部分描述对临床数据的统计学评估,包括以下内容:- k3 [* H7 U; f2 ~- k2 ~& t
(i) A copy of the information submitted under paragraph (d)(5)(ii) of this section concerning the description and analysis of each controlled clinical study, and the documentation and supporting statistical analyses used in evaluating the controlled clinical studies.
% Y& U& [5 h, g% n3 x: p(i)按照本部分(d)(5)(ii)递交的,有关每个受控的临床研究,以及评估这些研究所用的文件和支持性的统计学分析的描述和分析的信息,提供一份复印件。/ Z6 `$ g7 ^5 ^% B. W8 D3 F
(ii) A copy of the information submitted under paragraph (d)(5)(vi)(a ) of this section concerning a summary of information about the safety of the drug product, and the documentation and supporting statistical analyses used in evaluating the safety information.
: H9 H8 O, r5 N( M4 O(ii)按照本部分(d)(5)(vi)(a)递交的,有关药品安全性,以及评估安全性信息所用的文件和支持性的统计学分析的信息摘要,提供一份复印件。
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(7)Pediatric use section. A section describing the investigation of the drug for use in pediatric populations, including an integrated summary of the information (the clinical pharmacology studies, controlled clinical studies, or uncontrolled clinical studies, or other data or information) that is relevant to the safety and effectiveness and benefits and risks of the drug in pediatric populations for the claimed indications, a reference to the full descriptions of such studies provided under paragraphs (d)(3) and (d)(5) of this section, and information required to be submitted under 314.55., Q) r) U2 b& j# j" J
(7)儿科用药部分 本部分描述儿科用药的研究,包括对儿科药物用于适应症时与药品安全性有效性以及利弊有关的信息(临床药理学研究,受控的临床研究,或者非受控的临床研究,或者其他数据或者信息)做一份综合的摘要,对按照本部分段落(d)(3)和(d)(5)要求提供的此类研究的详细描述做一份引用,以及提供按照314.55需要递交的信息。
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