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