E3_Guideline

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INTERNATIONAL CONFERENCE ON HARMONISATION OF TECHNICAL

REQUIREMENTS FOR REGISTRATION OF PHARMACEUTICALS FOR HUMAN

USE

ICH HARMONISED TRIPARTITE GUIDELINE

STRUCTURE AND CONTENT OF CLINICAL STUDY REPORTS

E3

Current Step 4 version

dated 30 November 1995

This Guideline has been developed by the appropriate ICH Expert Working Group and

has been subject to consultation by the regulatory parties, in accordance with the ICH

Process. At Step 4 of the Process the final draft is recommended for adoption to the

regulatory bodies of the European Union, Japan and USA. E3

Document History

First Codification History Date New Codification

November 2005

E3 Approval by the Steering Committee under Step 2 and release for public consultation. 29 March 1995 E3

Current Step 4 version

E3 Approval by the Steering Committee under Step 4 and recommendation for adoption to the three ICH regulatory bodies. 30 November 1995 E3

STRUCTURE AND CONTENT OF CLINICAL STUDY REPORTS

ICH Harmonised Tripartite Guideline

Having reached Step 4 of the ICH Process at the ICH Steering Committee meeting

on 30 November 1995, this guideline is recommended for adoption

to the three regulatory parties to ICH

TABLE OF CONTENTS

INTRODUCTION TO THE GUIDELINE.....................................................................1

1. TITLE PAGE...........................................................................................................3

2. SYNOPSIS...............................................................................................................3

3. TABLE OF CONTENTS FOR THE INDIVIDUAL CLINICAL STUDY

REPORT..................................................................................................................4

4. LIST OF ABBREVIATIONS AND DEFINITION OF TERMS.......................4

5. ETHICS....................................................................................................................4

5.1 INDEPENDENT ETHICS COMMITTEE (IEC) OR INSTITUTIONAL REVIEW

BOARD (IRB)............................................................................................................4

5.2 ETHICAL CONDUCT OF THE STUDY.................................................................4

5.3 PATIENT INFORMATION AND CONSENT.........................................................4

6. INVESTIGATORS AND STUDY ADMINISTRATIVE STRUCTURE...........4

7. INTRODUCTION...................................................................................................5

8. STUDY OBJECTIVES...........................................................................................5

9. INVESTIGATIONAL PLAN.................................................................................5

9.1 OVERALL STUDY DESIGN AND PLAN - DESCRIPTION.................................5

9.2 DISCUSSION OF STUDY DESIGN, INCLUDING THE CHOICE OF

CONTROL GROUPS................................................................................................6

9.3 SELECTION OF STUDY POPULATION...............................................................7

9.3.1 Inclusion Criteria........................................................................................7

9.3.2 Exclusion Criteria.......................................................................................7

9.3.3 Removal of Patients from Therapy or Assessment...................................7

9.4 TREATMENTS.........................................................................................................7

9.4.1 Treatments Administered..........................................................................7

9.4.2 Identity of Investigational Product(s)........................................................7

9.4.3 Method of Assigning Patients to Treatment Groups................................8

i Structure and Content of Clinical Study Reports

9.4.4 Selection of Doses in the Study.................................................................8

9.4.5 Selection and Timing of Dose for each Patient.........................................8

9.4.6 Blinding......................................................................................................8

9.4.7 Prior and Concomitant Therapy................................................................9

9.4.8 Treatment Compliance...............................................................................9

9.5 EFFICACY AND SAFETY VARIABLES................................................................9

9.5.1 Efficacy and Safety Measurements Assessed and Flow Chart................9

9.5.2 Appropriateness of Measurements..........................................................10

9.5.3 Primary Efficacy Variable(s)...................................................................10

9.5.4 Drug Concentration Measurements........................................................10