28. Cloxacillin (Oral) 36 In a cool place
29. Cloxacillin Sodium (Injection Grade) 36 In a cool place ___________________________________________________________________________________
1. Subs. by G.S.R. 17(E) , dt. 7.1.1986 ( w.e.f. 7.1.1986 ).
459
Drugs and Cosmetics Rules, 1945
1 2 3 4
30. Colistin Sulphate 60 Protected from light
31. D-Cycloserine 48 In a cool place
32. Dimethyl Chlortetracycline Hydrochloride 48
33. Dimethyl Chlortetracycline Hydrochloride 36 Capsules
34. Daunoblastin Injection. 36
35. Doxycycline Hydrochloride 48 In a cool place
36. Doxcycline Monohydrate 36 In a cool place
37. Doxycyline Monohydrate for Oral Suspension. 24
38. Doxycycline Monohydrate Capsules. 36
39. Erythromycin Estolate 36 In a cool place
40. Erythromycin Ethylsuccinate 60 In a cool place
41. Erythromycin Oral Suspension 36
42. Erythromycin Estolate for Oral Suspension 36
43. Erythromycin Ethyl Succinate Tablet 24
44. Erythromycin Estolate Tablets 24
45. Erythromycin Stearate 36 In a cool place
46. Framycetin Sulphate 48 In a well closed container with temperature not exceeding 30oC
47. Framycetin Sulphate Eye drops 24 In a well closed container with temperature not exceeding 30oC
48. Framycetin Sulphate Ointment 24 In a well closed container with temperature not exceeding
30oC.
49. Gentamycin Sulphate 60 In a cool place.
50. Gentamycin Sulphate Injection 36
51. Gramicidin 60 In a cool place
52. Griseofulvin 48 In a cool place
53. Griseofulvin Tablets 36
54. Kanamycin Sulphate Injection. 24
55. Kanamycin Acid Sulphate Powder 48 In a cool place
56. Mitomycin C 48 In a cool place
57. Neomycin Sulphate. 48 In a cool place
58. Nystatin 36 At temperature not exceeding 5oC.
59. Oleandomycin Phosphate sterile 24 In a cool place
60. Oleandomycin Phosphate non sterile 36 In a cool place
61. Oxytetracline Hydrochloride 36 In a cool place
62. Oxytetracycline Hydrochloride Capsules. 36
63. Oxytetracycline Hydrochloride Tablets 24
64. Oxytetracycline Hydrochloride Injection 24
65. Oxytetracycline Hydrochloride Ointment 36
66. Penicillin Crystalline 36 In a cool place
67. Penicillin Tablets 18 In a cool place
68. Procaine Penicillin G 36 In a cool place
460
Drugs and Cosmetics Rules, 1945
1 2 3 4
69. Benzathin Penicillin G 48 In a cool place
70. Potassium Phenoxy Methyl Penicillin 48 In a cool place
71. Potassium Phenoxy Methyl PenicillinTablets 24
72. Polymixin B Sulphate 48 In a cool place
73. Polymixin B Sulphate Ointment or Powder 24 In a cool place
74. Rifampicin 36 In a cool place 1 [75 Rifampicin Capsules 36]
76. Spramycin Base 24 In a cool place
77. Strepromycin Injection. 36
78. Streptomycin Ointment 24
79. Streptomycin Tablets 24
80. Streptomycin Sulphate 48 At temperature not exceeding 20oC
81. Tetracycline Base 24 In a cool place
82. Tetracycline Hydrochloride 36 In a cool place
83. Tetracycline Hydrochloride Capsules 36
84. Tetracycline Tablets 24
85. Tyrothricin 60 In a cool place.
VITAMINS
1. Vitamin A Injection 24
2. Vitamin B1 Injection 24
3. Thiamine Mononitrate Tablets 36
4. Thiamine Hydrochloride 48 In a well closed container, protected from light, in a cool place.
5. Thiamine Mononitrate 48 In a well closed container, protected from light, in a cool place.
6. Riboflavin 60 In a well closed container, protected from light, in a cool place.
7. Riboflavin-5-Phosphate 24 In a well closed container, protected from light, in a cool place.
8. Riboflavin Tablets 36
9. Vitamin B2 Injection 24
10. Vitamin B6 60 In a well closed container, protected from light, in a cool place.
11. Vitamin B6 tablets 36
12. Cyanacobalamin 48 In a well closed container, protected from light, in a cool place.
13. Hydroxycobalamin 48 In a well closed container, protected from light, in a cool place.
14. Vitamin B12 Injection 36
15. Calcium Pantothenate 36 In a well closed container, protected from light, in a cool place.
16. Vitamin C Injection 24
17. Calcium Pantothenate Tablets 36
18. Vitamin C 48 In a well closed container, protected from light, in a cool place.
___________________________________________________________________________________
1. Subs. by G.S.R. 250(E), dt. 4.4.2002
461
Drugs and Cosmetics Rules, 1945
1 2 3 4
19. Vitamin D2 D3 36 In a well closed container, protected from light, in a cool place.
20. Vitamin E or E-Acetate 60 In a well closed container, protected from light, in a cool place.
21. Folic Acid 60 In a well closed container, protected from light, in a cool place.
22. Folic Acid Tablets 36
23. Vitamin K 60 In a well closed container, protected from light, in a cool place.
24. Vitamin K Injection 36
25. Niacinamide 60 In a well closed container, protected from light, in a cool place.
26. Niacinamide Tablets 36
27. D-Panthenol 60 In a well closed container, protected from light, in a cool place.
INSULIN PREPARATIONS
1. Globuline Zinc Insulin Injection 24 At temperature between 2oC and 8oC, must not be allowed to freeze.
2. Insulin Injection 24 At temperature between 2oC and 8oC, must not be allowed to freeze.
3. Insulin Zinc Suspension 24 At temperature between 2oC and 8oC, must not be allowed to freeze.
4. Isophane Insulin Injection. 24 At temperature between 2oC and 8oC, must not be allowed to freeze.
1 [5. Human Insulin Injection 30 At temperature between 2 o C and 8 o C, must not be allowed to freeze.
NORMAL HUMAN PLASMA
1. Anti-Haemophillic Human Globulin 12 In a cool place
2. Dried Plasma 60 At a temperature not exceeding 25oC
3. Dried Normal Human Serum Albumin 60 At a temperature not exceeding 25oC
4. Frozen Plasma 60 In deep freeze
5. Liquid Plasma 24 In cold place
6. Liquid Normal Human Serum Albumin. 60 In cold place. 2 [7. Whole Human Blood-
(a) Collected in ACD solution 21days At temperature between 4oC and 6oC
(b) Collection in CPDA solution. 35days At temperature between 4oC and 6oC]
SERA TOXIN AND TOXOID
1. Alum Precipitated Diphtheria Toxoid 24 In cold place.
2. Alum Precipitated Diphtheria and 18 In cold place Tetanus toxoid and Pertusis
vaccine combined
___________________________________________________________________________________
1. Ins. by G.S.R. 215(E) , dt. 19.3.1999.
2. Subs. by G.S.R. 626(E) , dt. 14.10.1991.
462
Drugs and Cosmetics Rules, 1945
1 2 3 4
3. Alum Precipitated Tetanus Toxoid 24 In a cold place
4. Aluminium Hydroxide 24 In a cold place. Absorbed Diphtheria Toxoid
5. Aluminium Hydroxide Absorbed 18 In a cold place Diphtheria Tetanus Toxoid and Pertussis Vaccine combined.
6. Aluminium Phosphate Absorbed Diphtheria 24 In a cold place. Toxoid.
7. Aluminium Phosphate absorbed 24 In a cold place. Diphtheria and Tetanus Toxoid
8. Aluminium phosphate absorbed diphtheria 18 In cold place Toxoid Tetanus Toxoid and
Pertussis vaccine combined.
9. Diagnostic Diphtheira Toxin (Schick Test) 12 In cold place
10. Cobra venom in solution 3 Between 2oC and 5oC protected from light.
11. Diphtheria Toxoid 24 In cold place
12. Inactivted Diagnostic Diphtheria Toxin. 12 In cold place
13. Liquid serum 12 Between 2oC and 10oC preferable at the lower limit.
14. Lyophilised anti-snake venom serum 60
15. Lyophilised Schick test Toxin and control 60
16 Old Tuberculin 60 In cold place
17. Thrombin (Bovine origin) 36 In cold place.
18. Tetanus Toxoid 24 In cold place
19. Tuberculin PPD 60 In cold place
OTHER VACCINES
1. Alum precipitatd pertussis Vaccine. 18 In cold place
2. BCG Vaccine 14 In cold place days
3. Cholera Vaccine 18 In cold place
4. DHL Vaccine (for dog) 12 In cold place
5. Measles Vaccine 24 In cold place
6. Plague Vaccine 36 In cold place
7. Polio Vaccine 24 When stored at minus 20oC
6 When stored at ZerooC
3 When stored at 4 oC
8. Rabies vaccine 6 In cold place
9. Typhoid vaccine 18 In cold place
10. Typhoid and Para Typhoid Vaccine. 18 In cold place
11. Typhoid Para Typhoid A and B vaccine. 18 In cold place
12. Typhoid Para Typhoid A,B & C Vaccine 18 In cold place
13. Typhoid Para Typhoid A, B & C and 18 In cold place Tetanus Vaccine.
14. Typhus vaccine 12 In cold place
15. Yellow Fever Vaccine 12 In cold place
463
Drugs and Cosmetics Rules, 1945
1 2 3 4
1 [16. Anti-Rabies Vaccine (Cell Culture) 24 In cold place.]
ANTITOXIN
(For serum extracted preparations) 20% Excess potency 12 In cold place 30% Excess potency 24 In cold place 40% Excess potency 36 In cold place 50% Excess potency (for enzyme preparations) 48 In cold place 5% Excess potency 12 In cold place
10% Excess potency 24 In cold place
15% Excess potency 36 In cold place
20% Excess Potency 48 In cold place
MISCELLANEOUS DRUGS
1. Andrenaline for Injection 12 In cold place.
2. Chorionic Gonadotrophin for 36 At temperature not exceeding 20oC. Injection (Lyophilised)
3. Corticotrophin 24 In cold place
4. Corticotrophin Lyophilised 36 In cold place
5. Heparin Injection 36 In a cool place.
6. Liquid Extract of Ergot 12 In cold place
7. Liver Extract Crude Injection 24 In a cool place
8. Oxytocin Injection 24 In cold place
9. Paraldehyde Injection 6 In cool place protected from light.
10. Pituitary Injection 24 In cold place.
11. Vasopressin Injection 24 In cold place.
Note : (1) The term "cool place" means place having a temperature between 10oC and 25oC.
(2) The term "cold place" means a place having a temperature not exceeding 8 oC.
(3) Capsules should be kept in a well-closed container at temperature not exceeding 30 o C.
(4) Wherever condition of storage is not specified in Column 4, it may be stored under normal room temperature.]
___________________________________________________________________________________
1. Ins. by G.S.R. 215(E) , dt. 19. 3. 1999.
464
Drugs and Cosmetics Rules, 1945
1 [SCHEDULE P1
[See Rule 105]
PACK SIZES OF DRUGS
__________________________________________________________________________ Name of the Drug Dosage form Pack size
__________________________________________________________________________ _______1_______________________________2__________________________3_______ Albendazole Suspension 10ml
Atenolol Tablets 14
Anti-Haemmorhoidal Topicals Rectal Capsules 20
Aspirin (Low-dose) Tablets 14
Cholecalciferol or Ergocalciferol Granules 1 gm. Sachet Ciclopiroxolamine Vaginal Cream 30 gms.
Catalin Ophthalmic drops 15 ml
Famotidine Tablets 14
Glyceryl Trinitrate Spansules (Long Acting) 25
Isosorbide Dinitrate Spansules (Long Acting) 25
Isoniazide Syrup 200 ml
Ipecacuanha Syrup 10 ml
Oral Rehydration Salt (ORS) Powder Pouches to be reconstituted to one litre in one pack or
in 5 unit dose sachets in
one pack.
Piperazine Granules 5 gm.
Syrup 30 ml
Pyrantel Pamoate Syrup 8 ml or 10 ml
Potassium Chloride. Syrup 60 ml and 200 ml.
Progestogen Qestrogen Tablets 21 or 22 with or without 7 (Combinations for Oral Contraception) placebo.
Roxatidine Acetate Hydrochloride Tablets 14
Vitamin A Oral Drops Drops 7.5 ml.]
1 [Co-trimoxazole Suspension 50 ml.
Haloperidol Oral Solution 15 ml.
Loxapine Oral Liquid Concentrate 15 ml.]
________________________________________
1. Ins. by G.S.R. 796(E) , dt. 1.10.1992 (w. e. f. 1.1.1993).
2. Ins. by G.S.R. 753(E), dt. 4.11.1999.
465
Drugs and Cosmetics Rules, 1945
1 [SCHEDULE Q
(See rules 134 and 144)
2 [PART I]
3 [List of Dyes, colours and Pigments permitted to be used in Cosmetics and Soaps as given under IS : 4707 (Part I)-1988 as amended by the Bureau of Indian Standards].]
Common name of the Colour Chemical name of the colour colour Index
Number
1 2 3
Guinea Green B 42085 Monosodium salt of 4-(N-ethyl-p-sulfobenzylamino)- diphenylmethylone-(1-(N-ethyl-N-p-sulfoniumbenzyl)∆ 2,5- cyclohexadienimine).
Light Green SF Yellowish 42095 Disodium salt of 4-[4-(N-ethyl-p-sulfobenzylamine)-phenyl)-4- sulphoniumphenyl) methylene]-2(-(N-ethyl-N-sulfobenzyl) ∆
2,5-Cyclohexadienimine.
Tartrazine 19140 Trisodium salt of 3-carboxy-5-hydroxy-1-p-sulfophenyl-4-p- sulfophenylazo-pyrazole.
Sunset yellow FCF 15985 Disodium salt of 1-p-sulfophenylazo-2- naphthol-6-sulfonic acid.
Ponceau 3R 16155 Disodium salts of a mixture of 1-alkyl- phenylazo-2-napthol 3, 6-disulfonic acids.
Amarnath. 16185 Trisodium salt of 1-(4-sulfo-1- napthylazo) 2-naphthol 3, 6- disulfonic acid.
Erythrosine. 45430 Disodium salt of 9-0-carboxyphenyl-6- hydroxy 2,4,5, 7- tetraiodo-3- isoxanthone.
Ponceau SX. 14700 Disodium salt of 2-(5 sulfo-2, 4-xylyl- azo)-1-naphthol-4- sulfonic acid.
Brilliant Blue FCF 42090 Disodium salt of 4-(9-4-(N-ethyl-p-sulfobenzylamino)-phenyl)- 2-sulfonium phenyl)- methylene)-(1-(N-ethyl-N-p-sulfobenzyl)-
∆ 2, 5-cyclohexadienimine).
Indigocarmine. 73015 Disodium salt of 5,5'-indigotindisulfonic acid. Wool Violet 5 BN 42640 Monosodium salt of 4-(N-ethyl-p-sulfobenzylamino)-phenyl)-(4- (Acid- violet 6B) (N-ethyl-p-(sulfonium-benzylamine)-phenyl) methylene)-(N, N- dimethyl-∆ 2,5-cyclohexadienimine)
Light Green SF Yellowish 42095 Calcium salt of 4-(4-(N-ethyl-p-sulfobenzylamino)-phenyl) (4- sulfonium-phenyl)methylene), (1-(N-ethyl-N-p-sulfobenzyl)- ∆
2,5-cyclohexadienimine).
_ _____________________________________
1. Inserted by Notification F.-1-36/64 D, dated 17.8.1964.
2. Renumbered as Part I by G.S.R. 11(E) , dated 7.1.1991.
3. Substituted by G.S.R. 811(E) , dated 14.11.1994.
466
Drugs and Cosmetics Rules, 1945
1 2 3
Alizarin Cyanine Green F 61570 Disodium salt of 1,4-bis (O-sulfo-p-toluino) anthraquinone Quinazarine Green SS 61565 1,4-bis-(p-Toluino)-anthraquinone
Fast Green FCF 42053 Disodium salt of 4-(4-(ethyl-p-sulfobenzylamino)-phenyl) (4- hydroxy-2 sulphoniumphenyl) methylene)-(1-N-ethyl-N-p-
sulfobenzyl) ∆ 2, 5, cyclohexadienimine).
Acid Fast Green 42100 Monosodium salt of 4-(4-N-ethyl-p-sulfobenzylomino) phenyl)- (o-chlorophenyl)-methylene)- 1-(N-ethyl-N- p-sulfonium-
benzyl- ∆ 2,5, cyclohexadienimine).
Pyranine Concentrated 59040 Trisodium salt of 10-hydroxy-,3,5,8-pyrene-trisulfonic acid. Quinoline Yellow WS 47005 Disodium salt of disulfonic acid of 2-(2-Quinolyl)-1, 3- indandione.
Quinoline Yellow SS 47000 2-(2-quinolyl)-1, 3 indandiene.
Poneceau 2 R 16150 Disodium salt of 1-xylylazo-2-naphthol-3, 6-disulfonic acid. Lithol Rubin B. 15850 Monosodium salt of 4-(o-sulfo-p-tolylazo)3 hydroxy-2-naphthoic acid.
Lithol Rubin BCA 15850 Calcium salt of 4-(o-sulfo-p-tolylazo)-3-hydroxy-2-naphthoic acid
Lake Red D. 15500 Monosodium salt of 1-0-carboxyphenylazo-2-naphthol. Lake Red DBA 15500 Barium salt of 1-o-carboxyphenylazo-2-naphthol. Lake Red DCA. 15500 Calcium salt of 1-o-carboxyphenylazo-2-naphthol. Toney Red. 26100 I-p-phenylazophenylazo-2-naphthol.
Oil Red OS. 26125 I-Xylylazoxylylazo-2-napththol
Tetrabromofluorescein 45380 2,4,5,7-Tetrabromo-3, 6-flurandiol. Eosin TS 45380 Disodium salt of 2,4,5,7-tetrabromo-9-0 carboxyphenyl-6- hyroxy-3-isoxanthone.
Eosin YSK. . 45380 Dipotassium salt of 2,4,5,7-tetrabromo-9-0 carboxyphenyl- 6-hyroxy-3-isoxanthone
Tetrachlorofluorescein NA 45366 2,4,5,7- tetrachloro-S, 6-Fluorandiol Tetrachlorofluorescein K. 45366 Disodium salt of 9-0-carboxyphenyl-2,4,5,7-tetrachloro-6- hydroxy-3-isoxanthone.
Tetrachloro Tetrabromo 45410 2,4,5,7-Tetrabromo-12,13,14,15-tetrachloro-3, fluorescein 6-fluorandiol.
Phloxine B 45410 Disodium salt of 2,4,5,7-tetrabromo-9 (3,4,5,6-tetra chloro- o-carboxyphenyl)-6-hydroxy-3-isoxanthone
Bluish Orange T.R. 45457 1,4,5,8, 15-Pentabromo-2, 7-dicarboxy-3, 6-fluoran diol. Helindone Pink CN. 73360 5, 5-Dichloro-3, 3' dimethyl-thioindigo
467
Drugs and Cosmetics Rules, 1945
1 2 3
Deep Maroon (Fanchon Maroon) 15880 Calcium salt of 4-(I-sulfo-2-naphthylazo 3- hydroxy-2- naphthoic acid.
Toluidine Red. . 12120 1-(o-Nitro-p-tolylazo)-2-naphthol.
Flaming Red. 12085 I- (o-Chloro-p-nitrophenylazo)-2-naphthol
Deep Red (Maroon). 12350 3-Hydroxy-N- (m-nitrophenyl)-4-(o-nitro-p-tolylazo)-2- naphthamide.
Alba Red. 13058 o-(p,β,β-Dihydroxy-diethylamino)- phenylazo)-benzoic acid.
Orange G. 16230 Disodium salt of 1-phenylazo-2-naphthol-6-8-disulfonic acid.
Orange II 15510 Monosodium salt of 1-p-sulfophenylazo-2-naphthol. Dichlorofluorescein 45365 4,5-Dichloro-3, 6-fluorandiol.
Dichlorofluorescein. NA 45365 Disodium salt of 9-o-carboxyphenyl-1-4,5- dichloro-6- hydroxy-3-isoxanthone
Diiodofluorescein. 45425 4,5 -Diiodo-3, 6-fluorandiol
Erythrosine Yellowish NA. 45425 Disodium salt of 9-o-carboxyphenyl-6- hydroxy-4, 5- diiodo-3-isoxanthone.
Erythrosine Yellowish K. 45425 Dipotassium salt of 9-o-carboxyphenyl-6-hydroxy-4, 5- diiodo-3-isoxanthone.
Erythrosine Yellowish NH 45425 Dipotassium salt of 9-o-carboxyphenyl-6-hydroxy-4, 5- diiodo-3-isoxanthone
Orange TR 45456 4,5, 15-Tribromo 2, 7-dicarboxy-3, 6- fluorandiol. Alizarin. 58000 1,2- Anthraquinonediol.
Dibromodiiodofluorescein. 45371 4 ,5- Dibromo-2, 7-diiodo-3, 6-fluorandiol. Resorcin Brown. 20170 Monosodium salt of 4-p-sulfophenylazo-2-2 4, xylylazo)- 1, 3-resorcinol.
Alphazurine FG. 42090 Diammonium salt of 4-(N-ethyl-p- sulfobenzyl amino)- phenyl)-(2-sulfoniumphenyl)-Methytlene)-(-(1 (N-ethyl-N-
p-sulfobenzyl) ∆ 2 ,5-cyclohexadienimine).
Allarin Astrol B. 61530 Monosodium salt of 1-methylamino-4-(o-sulfo-p-toluino)- anthroquinone.
Indigo. 73000 Indigotin.
Patent Blue NA. . 42052 Monosodium salt of 4-(4- (N-ethyl- benzyl-amino)-phenyl - (5-hydroxy-4-sulfo-2-sulfoniumphenyl-methylene)(N-ethyl-
Benzyl- ∆ 2, 5-cyclohexadienimine).
Patent Blue CA. 42052 Calcium salt of 4-(4- (N-ethyl- benzyl-amino)-phenyl)-(5 hydroxy-4-sulfo-2-sulfoniumphenyl, methylene)- (N-ethyl-
N-benzyl- ∆ 2- 5-cyclohexadienimine).
Curbrantherene Blue 69825 3, 3- Dichloroindanthrene.
468
Drugs and Cosmetics Rules, 1945
1 2 3
Napthol Blue Black 20470 Disodium salt of 8-amino-7-p- nitrophenylazo 3-phenylazo-1- naphthol-3, 6-disulfonic acid
Alizurol purple SS 60725 I-hydroxy-4-p-toluino-anthraquinone. Acid Red 89 23910 ----
Acid Red 97 22890 ----
Acid Blue 1 42045 ----
Food Blue 3 42045 ----
Natural Orange 75480 ----
Solvent Blues 4 44045 ----
Solvent Yellow 18 12740 ----
Food Yellow 18. 12740 ----
Solvent Red 1. 12150 ----
Solvent Yellow 32. 48045 ----
Fanchon Yellow 11680 (α) -(O-Nitro-p-tolylazo) accetoacetanilide (Hansa Yellow G).
1 [Part II - List of Colours permitted to be used in Soaps.
___________________________________________________________________________________ Common name of the Colour Index Chemical name of the colour Colour No.
___________________________________________________________________________________ Phthalocyanine Blue 74160 (phthalocyninate (2--) copper.
Iragalite Red CVPB Paste or 12075 1-(2,4-dinithro phenylazo)-2-Naphthalenol. Pigment Orange 5
Citrus Red No.2. 12156 1-2(2,5-dimethoxy phenylazo) 2-naphthol. Rhodamine B 500 45170 3-ethochloride of 9-0 carboxy-ethenyl-6-diethylamino- 3-ethylamine-3-isoxanthene.
Aqueous Green Paste 74260 Polychloro copper Phthalocyanine. Pigment Yellow 3 11710 2-(4-Chloro-2-nitrophenyl)-azo-N-(-2-Chloro-phenyl)-3- Oxobutamide.
Irgalite Carmine F-P Powder or 12490 N-(5-Chloro-2, 4-dimethoxy-phenyl)-4-(CS-diathylamine) Pigments Red 5. Sulfonyl-2-methoxyphenyl)azo-3-hydroxy-2-naphthalene carboxamide.
Monolite Red 4R HV Paste or 12420 N-(4-Chloro-2-methylphenyl-4-(-4-Chloro-2-methylphenyl) azo Pigment Red 7. 3-hydroxy-2-naphthalenol Carboxamide.
Oil Red No.1 or Solvent Red 24 or 26105 4-0-Tolylazo-Toluidine azo 2-naphthalenol.] Oil Red 3R.
___________________________________________________________________________ *This list of colour for use in soaps is in addition to those colours already given in Schedule Q and are used for soaps.]
_________________________________________________________
1. Ins. by G.S.R. 11(E) , dt. 7.1.1991.
469
Drugs and Cosmetics Rules, 1945
1 [SCHEDULE R
[See Rule 125]
Standards for condoms made of rubber latex intended for single use and other mechanical contraceptives
I-Condoms
1. Description. -Condoms consist of cylindrical rubber sheaths with one end open. The open end shall terminate with an integral rim. The closed end may have a receptacle. They may be supplied rolled and shall be free from tackiness and shall be capable of being unrolled readily.
470
Drugs and Cosmetics Rules, 1945
(4) Where the number of test samples is a multiple of 100 the distribution scale mentioned above shall be prorated.
(5) If the cumulative total sample rejected exceeds the number of allowables at any point in the sequence of quanta, the quantum at which this occurs shall be liable to rejection. The assessment of quality of further production quanta shall include all previous test results starting from quantum number 1 and approval of production shall be in suspense until the condition required by the scheme is again fulfilled.
(6) At least one sample shall be taken at random from each production quantum not exceeding 10,000 condoms and shall satisfy all requirements regarding dimensions as specified in paragraph 8 of this Schedule.
4. Procedure for sampling and testing of finished products by a manufacturer- A. Water Leakage Test.- (1) Statistical sampling for quality control assessment of the finished product in respect of Water Leakage Test shall be done in accordance with the plan set out in Annexure 1 to this Schedule.
(2) A test sample failing in the above test is to be considered as defective. If the cumulative total of rejects 'R' is found to be equal to or greater than the number shown against 'R' in Annexure-I, the batch or lot shall be declared as not of standard quality.
B. Bursting Volume and Pressure Test.- (1) Sample condoms shall be tested for Bursting Volume and Pressure Test. Statistical sampling for this test shall be done in accordance with the plan set out in Annexure III to this Schedule.
Condoms shall not leak or burst at a volume of less than that specified or at a pressure less than 1.0 kpa (gauge), when tested as per paragraph 9, both before and after oven conditioning as specified in Annexure V. Bursting Volume minimum limit in litres shall be equal to [mean condom width (mm)2] rounded to the nearest 0.5 litre.
151.8
(2) A test sample failing in the above test is to be considered defective. If the cumulative total of rejects 'R' is found to be equal or greater than the number shown against 'R' in Annexure III, the batch or lot shall be declared as not of standard quality. C. Dimensions. - At least 2 samples drawn from the lot or batch shall satisfy the requirements regarding dimensions as specified in paragraph 8 of this Schedule.
5. Procedure for sampling and testing of condoms by a purchaser.- Water Leakage Test.- (1) Statistical sampling of condoms by a purchaser for Water Leakage Test shall be done in accordance with the plan set out in Annexure II to this Schedule;
(2) A test sample failing in the above test is to be considered as defective. If the cumulative total of rejects 'R' is found to be equal to or greater than the number shown against 'R' in the Annexure-II, the batch or lot shall be declared as not of standard quality. B. Bursting Volume and Pressure Test.- Sample condoms shall be tested for Bursting Volume and Pressure Test. Statistical sampling for this test shall be done in accordance with the plan set out in Annexure III to this Schedule. If the cumulative total of rejects 'R' is found to be equal to or greater that the number shown against 'R' in Annexure III, the batch or lot shall be declared as not of standard quality. Condom shall not leak or burst at a volume of less than that specified or at a pressure less than 1.0 kpa (gauge), when tested as specified in paragraph 9, both before and after oven
471
Drugs and Cosmetics Rules, 1945 conditioning as per specified in Annexure V. Bursting volume minimum limit in litres shall be equal to [mean condom width (mm)2] rounded to the nearest 0.5 litre.
151.8
C. Dimensions. - At least two samples from the lot or batch shall satisfy the requirements regarding dimensions as specified in paragraph 8 of this Schedule.
6. Sampling plan for a Drugs Inspector. - (1) Where an Inspector under the Act desires to take test samples from the premises of manufacturer or a distribution depot; twenty containers from each batch of production may be selected by him on a random basis and from each of the containers, five samples shall be taken. The hundred samples so selected shall be distributed for various tests as specified in paragraph 7 of this Schedule. In case the number of container is less than twenty, the number of samples to be taken from each container shall be proportionately increased.
(2) Where an Inspector under the Act desires to take samples from a sales premises, he shall take hundred samples from each batch of production in accordance with the procedure as specified in sub- paragraph (1).
7. Sampled condoms drawn under sub-paragraph.- (1) shall be distributed for various tests as follows: - Two samples for thickness, length and width;
Forty-five samples for Water Leakage Test;
Forty-five samples for Bursting Volume and Pressure Test; and
Eight samples as reserve.
The samples shall be declared as not of standard quality, if, - (i) the number of condoms found defective in the Water Leakage Test exceeds one; (ii) the number of condoms found defective in Bursting Volume and Pressure Test exceeds two; (iii) samples fail to conform to the requirements of dimensions as specified in paragraph 8 of this Schedule.
8. Dimensions. - (1) The length when unrolled (excluding1[teat] shall be not less than. -
(i) 170 mm.
(ii) 1* * * 180 mm.
(2) The width of a condom which laid flat and measured at any point within 85 mm from the open end shall be,-
(i) 49 ± 2 mm for 1 [170 mm] length.
(ii) 53 ± 2 mm for 180 mm length. _______________________________________________________________________
472
Drugs and Cosmetics Rules, 1945
(3) The single-wall thickness of a condom when measured at three points, one at 30 ± 2mm from the open end, 30 ± 5mm from the close end excluding the reservoir tip and at the mid distance between these two point shall be from 0.045 mm to 0.075 mm.
NOTE 1. - The single-wall thickness shall be determined with a suitable micrometer dial gauge graduated in intervals of 0.01 mm.
NOTE 2. - Condoms shall, prior to the measurement of thickness, have the dusting powder or the lubricant or both removed by means of water or Isopropanol.
9. Bursting Volume and Pressure Test.- Determination of Bursting Volume and Pressure Test shall be done as specified in Annexure IV.
10. Water Leakage Test.- Unroll the condom and fit the open end on a suitable mount, the condom thus being suspended open end upwards. Fill it with 300 ml water at room temperature and inspect it after a period of at least 1 minute for leakage up to 25.mm from the open end.1[If, because of] distension of the condom the water does not extend to 25 mm from the open end,1[raise the closed end until the water level reaches this distance. After at] least 1 minute, inspect the newly-wetted part of the condom for leakage. The condom shall be deemed to be defective if it bursts during test or shows any evidence of leakage or seepage of micro-droplets or does not hold 300 ml water.
11. Quantity of Lubricant. -(1) The condoms shall be dressed with silicone lubricant. The quantity required on each individual condom should not be less than 200 mg and minimum viscosity shall be 200 centistokes.
(2) Lubricated condoms in individual foil packages shall be weighed on an Analytical Balance. Each condom shall be removed from its foil package and both condom and its foil package shall be washed in denatured ethanol or isopropanol, dried and then weighed again. All weights shall be recorded to the nearest milligram (mg.). Compliance with the requirement shall be determined by subtracting the weight of the washed and dried condom and its foil package from the weight of sample condom in individual foil package prior to the removal of lubricant. Washing and drying may be required upto a total of four times if the lubricant quantity is less than the required minimum.
(3) At least thirteen samples shall be drawn from the lot or batch and the samples shall satisfy the requirements regarding the quantity of lubricant.
12. Colour Fastness.- Not less than ten samples taken at random from each batch of coloured condoms shall pass the following test for colour fastness, namely :-
Thoroughly wet inside and outside of the condom with distilled water. Make no attempt to remove any dusting material or lubricant. Wrap the wet condom in white absorbent paper so that the largest possible surface area of the condom is in contact with the paper and seal the whole in a suitable container to prevent loss of moisture. Allow the container and its contents to stand for 16 hours to 24 hours at room temperature. After removing the absorbent
__________________________________________________________________________
473
Drugs and Cosmetics Rules, 1945 paper from the container, examine it visually in the natural daylight for any indication of staining. No part of the absorbent paper shall be stained. If there is any indication of staining of the absorbent paper by any colouring agent present in any of the condoms or any dusting material or lubricant, the entire batch shall be declared to be not of standard quality.
13. Labelling, packing and storage. - (1) The condoms shall be individually wrapped and sealed in laminates containing at least eight microns of aluminium foil. The individual condom shall be packed in square (non-squeeze condition) / rectangular aluminium foil. The packing shall protect the condoms from contamination and mechanical damage. The smallest packing offered to the consumer shall bear a clear permanent marking with the following particulars, namely: -
(i) Manufacturer's name and address and the trade name of the condoms, if any;
(ii) Batch number;
(iii) Date of manufacture (Month and year only);
(iv) Date of expiry (Month and year only) which shall not be more than thirty-six months from the date of manufacture;
(v) The words "For single use only"
(2) The condoms shall be stored in a cool dry place away from heat and direct sunlight.
14. Integrity of individual package seals. - Sample condoms in individual packages shall be placed in a sealed, transparent container (such as a laboratory Bell jar) and subjected to vacuum of 50± 10 kpa (gauge) for a period of one minute.
Condom packages that do not inflate or remain inflated for the period of the test shall be deemed non- compliers. In doubtful cases, the test may be repeated, and both the inflation and deflation of packages may be observed on application and removal of vacuum. An AQL of 2.5 per cent will be applied in assessing the results of this test. Thirty-two samples of condoms for a batch size less than 5 lakhs and fifty samples of condoms for batch size more than 5 lakhs shall be tested for integrity test of individual package seals and compliance limit or acceptance number shall be not more than two or three condoms respectively.
II- Other Mechanical Contraceptive
15. Standards for other mechanical contraceptive - Standards for 'Copper T' and 'Tubal Ring' shall be as laid down in Annexure VI.
1 [ANNEXURE I
[See Paragraph 4-A] Sampling Plan for Quality Control of Condoms at Manufacturer's Level.
BATCH SIZE: 35,001 TO 1.5 LAKH.
Single Sampling Plan Sample Size 200: AQL - 0.25 AC - 1
R - 2
_______________________________________________________________________
1 Subs. by. G.S.R. 353(E) , for " Annexures I to III" dt. 26-4-2000.
474
Drugs and Cosmetics Rules, 1945
BATCH SIZE: 150001 TO 5 LAKHS
Single Sampling Plan Sample Size 315 : AQL - 0.25 AC - 2
R - 3
BATCH SIZE: OVER 5 LAKHS
Single Sampling Plan. Sample Size 500: AQL - 0.25 AC - 3
R - 4
Note : AQL denotes Acceptance Quality Level; AC denotes Acceptance Number i.e. the maximum allowable number of defectives for acceptance of the Batch; and
R denotes Rejection Number i.e., the minimum number of defectives for rejection of the Batch.
ANNEDURE II
[See Paragraph 5A] Sampling Plan for Quality Control of Condoms at Purchaser's Level.
BATCH SIZE: 35,001 TO 1.5 LAKHS
Single Sampling Plan Sample Size 200: AQL - 0.25 AC - 1
R - 2
BATCH SIZE : 15,001 TO 5 LAKHS
Single Sampling Plan. Sample Size 315: AQL - 0.25 AC - 2
R - 3
BATCH SIZE : OVER 5 LAKHS
Single Sampling Plan Sample Size 500: AQL - 0.25 AC - 3
R - 4
Note: AQL denotes Acceptance Quality Level; AC denotes Acceptance Number i.e. the maximum allowable number of defectives for acceptance of the Batch; and
R denotes Rejection Number i.e., the minimum number of defectives for rejection of the Batch.
475
Drugs and Cosmetics Rules, 1945
ANNEXURE III
[See Paragraph 4-B and 5-B] Sampling Plan for Bursting Volume and Pressure Test.
BATCH SIZE: 35,001 TO 1.5 LAKH.
Single Sampling Plan. Sample Size 200: AQL - 1.5 AC - 7
R - 8
BATCH SIZE: 150001 LAKHS TO 5 LAKHS
Single Sampling Plan. Sample Size 315: AQL - 1.5 AC - 10
R - 11
BATCH SIZE: OVER 5 LAKHS
Single Sampling Plan. Sample Size 500: AQL - 1.5 AC - 14
R - 15
Note : AQL denotes Acceptance Quality Level; AC denotes Acceptance Number i.e. the maximum allowable number of defectives for acceptance of the Batch; and
R denotes Rejection Number i.e., the minimum number of defectives for rejection of the Batch.]
ANNEXURE IV
(See Paragraph 9)
Determination of Bursting Volume and Pressure
1. Principle. - Inflation of constant length of the condom with air and recording the volume and pressure at the moment of bursting.
2. Apparatus. - (1) Apparatus suitable for inflating the condom with clean air at a specified rate and provided with equipment for measuring volume and pressure.
(2) Suitable mount for fitting the condoms to the apparatus as shown in the figure annexed.
(3) Rod, 140 mm in length having a smooth sphere 20 mm in diameter at its top (see the figure) for hanging the unrolled condom when fixed to the apparatus.
3. Procedure. - (1) Unroll the condom, hang it on the rod (2.3), affix to the mount (2.2) and inflate with air at a rate of 0.4 to 0.5 litre/sec. (24 to 30 litres/min.)
(2) Measure and note the bursting volume, in litres rounded to the nearest 0.5 litre and the bursting pressure, in kilopascals rounded to the nearest 0.1 kpa.
4. Test report. - The test report shall include the following particulars:
(a) the identification of the sample;
476
Drugs and Cosmetics Rules, 1945
(b) the bursting volume and bursting pressure of each tested condom;
(c) the date of testing.
ANNEXURE V
[See Paragraphs 4(B) and 5 (B) Oven Conditioning
1. Principle of the Method. - The test consists in subjecting test samples to controlled deterioration by air at an elevated temperature and at atmospheric pressure after which burst volume and pressure limits are measured.
2. Apparatus. - The air oven shall be of such a size that the total volume of the test samples does not exceed 10 per cent of the free air space of the oven. Provision shall be made for slow circulation of air in the oven of not less than three changes and not more than ten changes per hour. The temperature of the oven shall be thermostatically controlled so that the test samples are kept within ± 2o C of the specified ageing temperature. A thermometer shall be placed near the centre of the ageing test samples to record the actual ageing temperature.
Note: - Copper or copper alloys shall not be used for the material of construction of the oven prescribed.
477
Drugs and Cosmetics Rules, 1945
3. Test sample. - The foil laminations of individual packages should remain intact throughout all laboratory handling including over conditioning.
4. Temperature of the oven - Maintain the oven at 70 ± 2o C.
5. Duration of test. - 96 hours.
6. Procedure. - Condition the requisite number of unopened packages of rubber condoms in the oven at 70 ± 2o C for 96 hours. After heating, keep the packages at 23 ± 5o C for at least 12 hours but not more than 96 hours. Open the packages and examine conditioned condoms for tackiness, brittleness, or other signs of deterioration. Within 96 hours but not sooner than 12 hours after conditioning, do the bursting volume and pressure Test as described in this Schedule.
ANNEXURE VI
(See Paragraph 15)
1. Standards for Copper T (200B) (IS-12418) (part 4)-1991-UDC 615.477.87). - Contraceptive Device Copper T (200 B) shall conform to the Indian Standards laid down from time to time by the Bureau of Indian Standards.
2. Standards for Contraceptive Tubal Ring (IS 13009 : 1990-UDC 615.472.6 : 611.656).- Contraceptive Device Tubal Ring shall conform to the Indian Standards laid down from time to time by the Bureau of Indian Standards.]
478
Drugs and Cosmetics Rules, 1945
1 [SCHEDULE R1
(See Rules 109-A and 125-A) The following medical devices shall conform to the Indian Standards specifications laid down from time to time by the Bureau of Indian Standards: -
(1) Sterile Disposable Perfusion sets for single use only (Sections 2 and 3 of item 1 of IS 9824:1981 read with Amendment number 1).
(2) Sterile Disposable Hypodermic Syringes for single use only (IS 10258 : 1982).
(3) Sterile Disposable Hypodermic Needles for single use only (IS 10654 : 1991).] ____________________________________________________________________________________________________________________
1. Ins. by G.S.R. 109(E) , dt. 22.2.1994.
479
Drugs and Cosmetics Rules, 1945
1 [SCHEDULE S
[See Rule 150-A] 2 [Bureau of Indian Standards (BIS)] Standards for cosmetics in finished form.− The following cosmetics in finished form shall conform to the Indian Standards specifications laid down from time to time by the2[Bureau of Indian Standards (BIS)].
1. Skin Powders.
2. Skin Powder for infants.
3. Tooth Powder.
4. Toothpaste.
5. Skin Creams.
6. Hair Oils.
7. Shampoo, Soap-based.
8. Shampoo, Synthetic-Detergent based.
9. Hair Creams.
10. Oxidation hair dyes, Liquid.
11. Cologne.] 3 [12 Nail Polish (Nail Enamel).
13. After Shave Lotion.
14. Pomades and Brilliantines.
15. Depliatories Chemical.
16 Shaving Creams.
17. Cosmetic Pencils.
18. Lipstick.] 4 [19. Toilet Soap.
20. Liquid Toilet Soap.
21. Baby Toilet Soap.
22. Shaving Soap.
23. Transparent Toilet Soap.] 5 [24. Lipsalve IS:10284.
25. Powder Hair Dye IS: 10350.
26. Bindi (Liquid) IS: 10998.
27. Kum Kum Powder IS: 10999.
28. Henna Powder IS: 11142.] __________________________________________________________________________
1. Ins. by G.S.R. 510(E), dt. 26.7.1982.
480
Drugs and Cosmetics Rules, 1945
1 [SCHEDULE T
(See rule 157)
GOOD MANUFACTURING PRACTICES FOR AYURVEDIC,
SIDDHA AND UNANI MEDICINES
The Good Manufacturing Practices (GMP) are prescribed as follows in Part I and Part II to ensure that:
(i) Raw materials used in the manufacture of drugs are authentic, of prescribed quality and are free from contamination.
(ii) The manufacturing process is as has been prescribed to maintain the standards.
(iii) Adequate quality control measures are adopted.
(iv) The manufactured drug which is released for sale is of acceptable quality.
(v) To achieve the objectives listed above, each licensee shall evolve methodology and procedures for following the prescribed process of manufacture of drugs which should be documented as a manual and kept for reference and inspection. However, under IMCC Act 1970 registered Vaidyas, Siddhas and Hakeems who prepare medicines on their own to dispense to their patients and not selling such drugs in the market are exempted from the purview of G.M.P.
PART I
GOOD MANUFACTURING PRACTICES
Factory Premises:
The manufacturing plant should have adequate space for: -
(i) Receiving and storing raw material.
(ii) Manufacturing process areas.
(iii) Quality control section.
(iv) Finished goods store.
(v) Office.
(vi) Rejected goods/drugs store.
1.2 General Requirements:
1.1(A) Location and surroundings. - The factory building for manufacture of Ayurveda, Siddha and Unani medicines shall be so situated and shall have such construction as to avoid contamination from open sewerage, drain, public lavatory for any factory which produces disagreeable or obnoxious odour or fumes or excessive soot, dust and smoke.
1.1(B) Buildings. - The buildings used for factory shall be such as to permit production of drugs under hygienic conditions and should be free from cobwebs and insects/rodents. It should have adequate provision of light and ventilation. The floor and the walls should not be damp or moist. The premises used for manufacturing, processing, packaging and labelling will be in conformity with the provisions of the Factory Act. It shall be located so as to be:
(I) Compatible with other manufacturing operations that may be carried out in the same or adjacent premises.
___________________________________________________________________________
1. Subs. by G.S.R. 198(E) , dt. 7.3.2003.
481
Drugs and Cosmetics Rules, 1945
(II) Adequately provided with working space to allow orderly and logical placement of equipment and materials to avoid the risk of mix-up between different drugs or components thereof and control the possibility of cross contamination by other drugs or substances and avoid the risk of omission of any manufacturing or control step.
(III) Designed, constructed and maintained to prevent entry of insects and rodents. Interior surface (walls, floors and ceilings) shall be smooth and free from cracks and permit easy cleaning and disinfection. The walls of the room in which the manufacturing operations are carried out shall be impervious to and be capable of being kept clean. The flooring shall be smooth and even and shall be such as not to permit retention or accumulation of dust or waste products.
(IV) Provided with proper drainage system in the processing area. The sanitary fittings and electrical fixtures in the manufacturing area shall be proper and safe.
(V) Furnace/Bhatti section could be covered with tin roof and proper ventilation, but sufficient care should be taken to prevent flies and dust.
(VI) There should be fire safety measures and proper exits should be there.
(VII) Drying Space: -There should be separate space for drying of raw material, in process medicine or medicines which require drying before packing. This space will be protected from flies/ insects/dust etc., by proper flooring, wire-mash window, glass panels or other material.
1.1(C) Water Supply. - The water used in manufacture shall be pure and of potable quality. Adequate provision of water for washing the premises shall be made. 1.1(D) Disposable of Waste. - From the manufacturing section and laboratories the waste water and the residues which might be prejudicial to the workers or public health shall be disposed of. 1.1(E) Container's Cleaning. - In factories where operations involving the use of containers such as glass bottles, vials and jars are conducted, there shall be adequate arrangements separated from the manufacturing operations for washing, cleaning and drying of such containers. 1.1(F) Stores. - Storage should have proper ventilation and shall be free from dampness. It should provide independent adequate space for storage of different types of material, such as raw material, packaging material and finished products.
1.1. (F)(A) Raw Materials. - All raw materials procured for manufacturing will be stored in the raw materials store. The manufacture based on the experience and the characteristics of the particular raw material used in Ayurveda, Siddha and Unani system shall decide the use of appropriate containers which would protect the quality of raw materials as well as prevent it from damage due to dampness, microbiological contamination or rodent and insect infestation, etc. If certain raw materials require such controlled environmental conditions, the raw materials stores may be sub-divided with proper enclosures to provide such conditions by suitable cabinization. While designing such containers, cupboard or areas in the raw materials store, care may be taken to handle the following different categories of raw materials:-
1. Raw material of metallic origin.
2. Raw material of mineral origin.
3. Raw material from animal source.
4. Fresh herbs.
5. Dry herbs or plant parts.
482
Drugs and Cosmetics Rules, 1945
6. Excipients etc.
7. Volatile oils/perfumes and flavours
8. Plant concentrates/ extracts and exudates/resins. Each container used for raw material storage shall be properly identified with the label which indicates name of the raw material, source of supply and will also clearly state the status of raw material such as 'UNDER TEST' or 'APPROVED' or 'REJECTED'. The labels shall further indicate the identity of the particular supply in the form of Batch No. or Lot No. and the date of receipt of the consignment.
All the raw materials shall be sampled and got tested either by the in-house Ayurvedic, Siddha and Unani experts (Quality control technical person) or by the laboratories approved by the Government and shall be used only on approval after verifying. The rejected raw material should be removed from other raw material store and should be kept in separate room. Procedure of 'First in first out' should be adopted for raw materials wherever necessary. Records of the receipt, testing and approval or rejection and use of raw material shall be maintained.
1.1. (F)(B) Packing Materials. - All packaging materials such as bottles, jars, capsules etc. shall be stored properly. All containers and closure shall be adequately cleaned and dried before packing the products.
1.1. (F)(C) Finished Goods Stores. - The finished goods transferred from the production area after proper packaging shall be stored in the finished goods stores within an area marked "Quarantine".
After the quality control laboratory and the experts have checked the correctness of finished goods with reference to its packing/labelling as well as the finished product quality as prescribed, then it will be moved to "Approved Finished Goods Stock" area. Only approved finished goods shall be dispatched as per marketing requirements. Distribution records shall be maintained as required. If any Ayurvedic, Siddha and Unani drug needs special storage conditions, finished goods store shall provide necessary environmental requirements.
1.1(G) Working space. - The manufacturing area shall provide adequate space (manufacture and quality control) for orderly placement of equipment and material used in any of the operations for which these employed so as to facilitate easy and safe working and to minimize or to eliminate any risk of mix-up between different drugs, raw materials and to prevent the possibility of cross contamination of one drug by another drug that is manufactured, stored or handled in the same premises. 1.1(H) Health Clothing, Sanitation and Hygiene of Workers.- All workers employed in the Factory shall be free from contagious diseases. The clothing of the workers shall consist of proper uniform suitable to the nature of work and the climate and shall be clean. The uniform shall also include cloth or synthetic covering for hands, feet and head wherever required. Adequate facilities for personal cleanliness such as clean towels, soap and scrubbing brushes shall be provided. Separate provision shall be made for lavatories to be used by men and women, and such lavatories shall be located at places separated from the processing rooms. Workers will also be provided facilities for changing their clothes and to keep their personal belongings.
1.1. (I) Medical Services: The manufacturer shall also provide:-
(a) adequate facilities for first aid;
(b) medical examination of workers at the time of employment and periodical check up thereafter by a physician once a year, with particular attention being devoted to freedom from infections. Records thereof shall be maintained.
483
Drugs and Cosmetics Rules, 1945 1.1(J) Machinery and Equipments. - For carrying out manufacturing depending on the size of operation and the nature of product manufactured, suitable equipment either manually operated or operated semi-automatically (Electrical or steam based) or fully automatic machinery shall be made available. These may include machines for use in the process of manufacture such as crushing, grinding, powdering, boiling, mashing, burning, roasting, filtering, drying, filling, labelling and packing etc. to ensure ease in movement of workers and orderliness in operations a suitably adequate space will be ensured between two machines or rows of machines. These equipments have to be properly installed and maintained with proper cleaning. List of equipments and machinery recommended is indicated in Part II-A.
Proper Standard Operational Procedures (SOPs) for cleaning, maintaining and performance of every machine should be laid down.
1.1(K) Batch Manufacturing Records.-The licensee shall maintain batch manufacturing record of each batch of Ayurvedic, Siddha and Unani drugs manufactured irrespective of the type of product manufactured (classical preparation or patent and proprietary medicines). Manufacturing records are required to provide an account of the list of raw materials and their quantities obtained from the store, tests conducted during the various stages of manufacture like taste, colour, physical characteristics and chemical tests as may be necessary or indicated in the approved books of Ayurveda, Siddha and Unani mentioned in the First Schedule of the Drugs and Cosmetics Act, 1940 (23 of 1940). These tests may include any in-house or pharmacopoeial test adopted by the manufacturer in the raw material or in the process material and in the finished product. These records shall be duly signed by Production and Quality Control Personnel respectively. Details of transfer of manufactured drug to the finished products store including dates and quantity of drugs transferred along with record of testing of the finished product, if any, and packaging, records shall be maintained. Only after the manufactured drugs have been verified and accepted quality shall be allowed to be cleared for sale. It should be essential to maintain the record of date, manpower, machine and equipments used and to keep in process record of various shodhana, bhavana, burning and fire and specific grindings in terms of internal use.
1.1(L) Distribution Records. - Records of sale and distribution of each batch of Ayurveda, Siddha and Unani Drugs shall be maintained in order to facilitate prompt and complete recall of the batch, if necessary.The duration of record keeping should be the date of expiry of the batch. Certain category of Ayurvedic, Siddha and Unani medicines like Bhasma, Rasa, Kupi-pakva, Parpati, Sindura, Karpu/Uppu/Puram, Kushta, Asava-arishta etc. do not have expiry date in contrast their efficacy increases with the passage of time. Hence, records need be maintained upto five years of the exhausting of stock.
1.1(M) Record of Market Complaints. - Manufacturers shall maintain a register to record all reports of market complaints received regarding the products sold in the market. The manufacturer shall enter all data received on such market complaints, investigations carried out by the manufacturers regarding the complaint as well as any corrective action initiated to prevent recurrence of such market complaints shall also be recorded. Once in a period of six months the manufacturer shall submit the record of such complaints to the licensing authority. The Register shall also be available for inspection during any inspection of the premises.
Reports of any adverse reaction resulting from the use of Ayurvedic, Siddha and Unani drugs shall also be maintained in a separate register by each manufacturer. The manufacturer shall investigate any of the adverse reaction to find if the same is due to any defect in the product, and whether such reactions are already reported in the literature or it is a new observation. 1.1(N) Quality Control. - Every licensee is required to provide facility for quality control section in his own premises or through Government approved testing laboratory. The test shall be as per the Auurveda, Siddha and Unani pharmacopoeial standard. Where the tests are not available, the test
484
Drugs and Cosmetics Rules, 1945 should be performed according to the manufacturers' specification or other information available. The quality control section shall verify all the raw materials, monitor in-process quality checks and control the quality of finished product being released to finished goods store/warehouse. Preferably for such quality control there will be a separate expert. The quality control section shall have the following facilities:-
(1) There should be 150 sq. feet area for quality control section.
(2) For identification of raw drugs, reference books and reference samples should be maintained.
(3) Manufacturing record should be maintained for the various processes.
(4) To verify the finished products, controlled samples of finished products of each batch will be kept till the expiry date of product..
(5) To supervise and monitor adequacy of conditions under which raw materials, semi- finished products and finished products are stored.
(6) Keep record in establishing shelf life and storage requirements for the drugs.
(7) Manufacturers who are manufacturing patent and proprietary Ayurveda, Siddha, and Unani medicines shall provide their own specification and control references in respect of such formulated drugs.
(8) The record of specific method and procedure of preparation, that is, "Bhavana",
"Mardana" and "Puta" and the record of every process carried out by the manufacturer shall be maintained.
(9) The standards for identity, purity and strength as given in respective pharmacopoeias of Ayurveda, Siddha and Unani systems of medicines published by Government of India shall be complied with.
(10) All raw materials will be monitored for fungal, bacterial contamination with a view to minimize such contamination.
(11) Quality control section will have a minimum of: -
(i) One person with Ayurveda /Siddha/ Unani qualification recognized under Schedule II of Indian Medicine Central Council Act, 1970 . Two other persons one each with Bachelor qualification in Botany/ Chemistry/ Pharmacy could be on part time or on contractual basis.
(ii) The manufacturing unit shall have a quality control section as explained under Section 35(ii). Alternatively, these quality control provisions will be met by getting testing etc., from a recognized laboratory for Ayuveda, Siddha and Unani drugs under rule 160-A of the Drugs and Cosmetics Act. The manufacturing company will maintain all the record of various tests got done from outside recognized laboratory.
(iii) List of equipments recommended is indicated in Part II- C.
1.2. Requirement for Sterile Product:
(A) Manufacturing Areas: - For the manufacture of sterile Ayurvedic, Unani and Siddha drugs, separate enclosed areas specifically designed for the purpose shall be provided. These areas shall be provided with air locks for entry and shall be essentially dust free and ventilated with an air supply. For all areas where aseptic manufacture has to be carried out, air supply shall be filtered through bacteria retaining filters (HEPA Filters) and shall be at a pressure higher than in the adjacent areas. The filters shall be checked for performance on installation and periodically thereafter the record of checks shall be maintained. All the surfaces in sterile manufacturing areas shall be designed to facilitate cleaning and disinfection. For sterile manufacturing routine
485
Drugs and Cosmetics Rules, 1945 microbial counts of all Ayurvedic, Siddha and Unani drug manufacturing areas shall be carried out during operations. Results of such count shall be checked against established in-house standards and record maintained.
Access to manufacturing areas shall be restricted to minimum number of authorized personnel. Special procedure to be followed for entering and leaving the manufacturing areas shall be written down and displayed.
For the manufacturing of Ayurvedic, Siddha and Unani drug that can be sterilized in their final containers, the design of the areas shall preclude the possibility of the products intended for sterilization being mixed with or taken to be products already sterilized. In case of terminally sterilized products, the design of the areas shall preclude the possibility of mix-up between non-sterile products.
(B) Precautions against contamination and mix:
(a) Carrying out manufacturing operations in a separate block of adequately isolated building or operating in an isolated enclosure within the building,
(b) Using appropriate pressure differential in the process area.
(c) Providing a suitable exhaust system.
(d) Designing laminar flow sterile air system for sterile products.
(e) The germicidal efficiency of UV lamps shall be checked and recorded indicating the burning hours or checked using intensity.
(f) Individual containers of liquids and ophthalmic solutions shall be examined against black-white background fitted with diffused light after filling to ensure freedom from contamination with foreign suspended matter.
(g) Expert technical staff approved by the Licensing Authority shall check and compare actual yield against theoretical yield before final distribution of the batch. All process controls as required under master formula including room temperature, relative humidity, volume filled, leakage and clarity shall be checked and recorded.
PART II
A. LIST OF RECOMMENDED MACHINERY, EQUIPMENT AND MINIMUM
MANUFACTURING PREMISES REQUIRED FOR THE MANUFACTURE OF
VARIOUS CATEGORIES OF AYURVEDIC, SIDDHA SYSTEM OF MEDICINES
One machine indicated for one category of medicine could be used for the manufacturing of other category of medicine also. Similarly some of the manufacturing areas like powdering, furnace, packing of liquids and Avaleha, Paks, could also be shared for these items.
486
Drugs and Cosmetics Rules, 1945 Sl.No. Category of Medicine Minimum manufacturing Machinery/equipment space required recommended
(1) (2) (3) (4)
1200 Square feet covered area with separate cabins or partitions for each activity. If Unani medicines are
manufactured in same premises an additional area of 400 sq. feet will be required.
1. Anjana/Pisti 100 sq. feet. Karel/mechanized/motorized, karel. End runner/Ball-Mill
Sieves/Shifter.
2. Churna / Nasya/ 200 sq feet Grinder/disintegrator/Pulveriser/ Manjan/Lepa/ Powder mixer/sieves/shifter.
Kwath Churn
3. Pills/Vati /Gutika 100 sq. feet Ball Mill, Mass mixer/powder Matirai and tablets mixer, Granulator, drier, tablet compressing machine, pill/vati
cutting machine, stainless steel
trays/container for storage and
sugar coating, polishing pan in case
of sugar-coated tablets,mechanised
chattoo (for mixing guggulu) where
required.
4. Kupi pakava/Ksara/ 150 sq. feet Bhatti, Karahi/Stainless steel Parpati/LavanaBhasm Vessels/Patila Flask, Multani a Satva/Sindura Matti/Plaster of Paris, Copper Rod, Karpu/ Uppu / Param Earthern container, Gaj Put Bhatti, Mufflefurnace(Electrically
operated) End/EdgeRunner, Exhaust
Fan, Wooden/S.S.Spatula.
5. Kajal 100 sq. feet Earthern lamps for collection of Kajal, Triple Roller Mill, End
Runner, Sieves, S.S.Patila, Filling/
packing and manufacturing room
should be provided with exhaust fan
and ultra violet lamps.
6. Capsules 100 sq. feet Air Conditioner, De-humidifier, hygrometer, thermometer, Capsule
filling machine and chemical
balance.
7. Ointment/Marham 100sq. feet Tube filling machine, Crimping Pasai Machine/Ointment Mixer, End
Runner/ Mill (Where required) S.S.
Storage Container S.S.Patila.
487
Drugs and Cosmetics Rules, 1945 Sl.No. Category of Medicine Minimum manufacturing Machinery/equipment s pace required recommended
(1) (2) (3) (4)
8. Pak/Avaleh/Khand/ Bhatti section fitted with exhaust Modak/Lakayam 100 sq. feet fan and should be fly proof, Iron Kadahi/S.S. Patila and S.S. Storage container.
9. Panak, Syrup / Pravahi 150 sq, feet Tincture press, exhaust fan fitted Kwath Manapaku and fly proof, Bhatti section, Bottle washing machine, filter press /
Gravity filter, liquid filling
machine, P.P. Capping Machine.
10. Asava / Arishta 200 sq. ft Same as mentioned above. Fermentation tanks, containers and
distillation plant where necessary,
Filter Press.
11. Sura 100 sq. ft Same as mentioned above plus Distillation plant and Transfer
pump.
12. Ark Tinir 100 sq. ft Maceration tank, Distillation plant, Liquid filling tank with tap /
Gravity filter/Filter press, Visual
inspection box.
13. Tail/Ghrit Ney 100 sq. ft Bhatti, Kadahi/S.S. Patila S.S.Storage Containers, Filtration
equipment, filling tank with
tap/Liquid filling machine.
14. Aschyotan / Netra Malham 100 sq. ft Hot air oven electrically heated Panir/Karn Bindu/Nasa- with thermostatic control, kettle bindu gas or electrically heated with
suitable mixing arrangements,
collation mill, or ointment mill,
tube filling equipment, mixing and
storage tanks of stainless steel or of
other suitable material sintered
glass funnel, seitz filter or filter
candle, liquid filling equipment,
autoclave.
15. Each manufacturing unit will 200 sq. ft have a separate area for
Bhatti, furnace boilers, puta, etc. This will have proper
ventilation, removal of
smoke, prevention of flies,
insets, dust etc. The furnace
section could have tin roof.
488
Drugs and Cosmetics Rules, 1945
B. LIST OF MACHINERY, EQUIPMENT AND MINIMUM MANUFACTURING
PREMISES REQUIRED FOR THE MANUFACTURE OF VARIOUS CATEGORIES
OF UNANI SYSTEM OF MEDICINES
One machine indicated for one category of medicine could be used for the manufacturing of other category of medicine also. Similarly some of the manufacturing areas like powdering, furnace, packing of liquids could also be shared for these items. Sl.No. Category of Minimum manufacturing Machinery/equipment
Medicine space required recommended
(1) (2) (3) (4)
. 1200 square feet covered area with separate cabins, partitions for each activity. If Ayurveda / Siddha
Medicines are also
manufactured in same
premises an additional area of 400 square feet will be required.
1. Itrifal Tirya/majoon/ 100 sq. feet Grinder/ Pulveriser, Sieves, powder Laooq/Jawarish mixer (if required), S.S. Patilas, Bhatti Khamiras and other accessories, plant mixer for
Khamiras.
2. Arq. 100 sq. feet Distillation Plant (garembic) S.S. storage tank, Boiling Vessel, Gravity
filter, Bottle filling machine, Bottle washing machine, Bottle drier.
3. Habb (Pills) and 100 sq. feet Ball Mill, Mass Mixer/Powder mixer, tablets. Granulator drier, tablet compressing
machine, pill/vati cutting machine,
stainless steal trays/ container for
storage and sugar coating, polishing
pan in case of sugar-coated tablets,
mechanized chattoo, (for mixing
guggul) where required.
4. Sufoof (Powder) 200 sq. feet Grinder / pulveriser, Sieves, Trays, Scoops, Powder mixer (where
required).
5. Raughan (oils) 100 sq. feet Oil Expeller, S.S. Patilas Oil filter (Crushing and boiling) bottle, Filling machine, Bottle drier, Bhatti.
6. Shiyaf, Surma, Kajal 100 sq. feet End runner, mixing S.S. Vessel.
489
Drugs and Cosmetics Rules, 1945 Sl.No. Category of Medicine Minimum manufacturing Machinery/equipment space required recommended
(1) (2) (3) (4)
7. Marham, Zimad 100 sq. feet Kharal, Bhatti, End runner, Grinder, (Ointment) Pulveriser, Triple Roller Mill (if required). Grinder/Pulveriser, Sieves, Powder mixer
8. Qurs (Tab.) 100 sq. feet (where needed), Granulator, Drier, Tablet Compressing Machine, Die punches
Trays, O.T. Apparatus, Balance with
weights, Scoops, Sugar Coating Pan,
polishing pan, Heater.
9. Kushta 100 sq. feet Bhatti, Kharal, Sil Batta, Earthen pots.
10. Murabba 100 sq. feet. Aluminium Vessels 50-100 kgs. Capacity, Gendna, Bhatti.
11. Capsule 100 sq. feet Pulveriser, Powder mixer (where needed), capsule filling machine, Air
conditioner, De-humidifier, Balance with weights, storage containers, glass.
12. Sharbat and Joshanda 100 sq. feet Tinctum Press, exhaust fan fitted, Bhatti section, Bottle washing machine, Filter
Press Gravity filter, Liquid filling tank
with tap/liquid filling machine, hot air
oven electrically heated with thermostatic
control, kettle.
13. Qutoor-e- Chashm and 100 sq. feet Hot air oven electrically heated with Marham (Eye drops, thermostatic control, kettle.
eye ointment)
490
Drugs and Cosmetics Rules, 1945
C. LIST OF EQUIPMENT RECOMMENDED FOR IN-HOUSE QUALITY CONTROL
SECTION
(Alternatively, unit can get testing done from the Government approved laboratory).
(A) CHEMISTRY SECTION (B) PHARMACOGNOSY SECTION
1 Alcohol Determination Apparatus (complete 1. Microscope Binoculor. set)
2. Volatile Oil Determination Apparatus. 2. Dissecting Microscope.
3. Boiling Point Determination Apparatus. 3. Microtome.
4. Melting Point Determination Apparatus. 4. Physical Balance.
5. Refractometer. 5. Aluminium Slide Trays.
6. Polarimeter. 6. Stage Micrometer.
7. Viscometer. 7. Camera Lucida (Prism and Mirror Type).
8. Tablet Disintegration Apparatus. 8. Chemicals, Glassware etc.
9. Moisture Meter.
10. Muffle Furnace.
11. Electronic Balance.
12. Magnetic Stirrer.
13. Hot Air Oven.
14. Refrigerator.
15. Glass/Steel Distillation Apparatus.
16. LPG Gas Cylinders with Burners.
17 Water Bath (Temperature controlled.)
18 Heating Mantles/ Hot Plates.
19. TLC Apparatus with all accessories (Manual)
20 Paper Chromatography apparatus with accessories.
21. Sieve size 10 to120 with Sieve shaker.
22 Centrifuge Machine.
23. Dehumidifier. 24 pH Meter.
25. Limit Test Apparatus.
Note: - The above requirements of machinery, equipments, space are made subject to the modification at the discretion of the Licensing Authority; if he is of the opinion that having regard to the nature and extent of the manufacturing operations it is necessary to relax or alter them in the circumstances in a particular case.
491
Drugs and Cosmetics Rules, 1945
1 [SCHEDULE U
(See rules 74, 74A, 74-B, 78 and 78A)
I. Particulars to be shown in Manufacturing Records
A. SUBSTANCES, OTHER THAN PARENTERAL PREPARATIONS IN GENERAL.
1. Serial number
2. Name of the product
3. Reference of Master Formula Records.
4. Lot/Batch Size.
5. Lot/Batch Number.
6. Date of commencement of manufacture and date of completion of manufacture and assigned date of expiry.
7. Name of all ingredients, specifications quantities required for the lot/Batch size and quantities actually used. All weighings and measurements shall be carried out by a responsible person and initialled by him and shall be counter-checked and signed by the competent technical staff under whose personal supervision the ingredients are used for manufacture.
8. Control Numbers of raw materials used in the formulation.
9. Date, time and duration of mixing.
10. Details of environmental controls like room temperature, relative humidity. 11.Date of granulation, wherever applicable.
12. Theoretical weight and actual weight of granules/powder blend.
13. Records of in-processes controls (Periodically whenever necessary):
(a) Uniformity of mixing.
(b) Moisture content of granules/powder in case of Tablet/Capsules.
(c) pH of solution in case of liquid.
(d) Weight variation.
(e) Disintegration time.
(f) Hardness
(g) Friability test
(h) Leak test in case of strip packing.
(i) Filled volume of liquids.
(j) Quantity of tablets/capsules in the final container.
(k) Content of ointment in the filled containers.
14. Date of compression in case of Tablets/date of filling in case of capsules.
15. Date of sealing/coating /polishing in case of capsules/tablets wherever applicable.
16. Reference to analytical Report number stating the result of test and analysis.
17. Separate records of the disposal of the rejected batches and of batches withdrawn from the market.
18. The theoretical yield and actual productions yield and packing particulars indicating the size and quantity of finished packings.
___________________________________________________________________________
1. Subs. by . G.S.R. 735(E) , dt. 24.6.1988.
492
Drugs and Cosmetics Rules, 1945
19. Specimen of label/strip, carton with batch coding information like Batch Number, date of manufacture, date of expiry, retail price as applicable stamped thereon and inserts used in the finished packings.
20. Signature with date of competent technical staff responsible for the manufacture.
21. Counter-signature of the head of the testing units or other approved person-in-charge of testing for having verified the batch records and for having released and batch for sale and distribution, the quantity released and date of release.
22. Date of release of finished packings and quantity released for sale and distribution.
23. Quantity transferred to warehouse.
24. For Hypodermic tablets and ophthalmic preparations, which are required to be manufactured under aseptic conditions, records shall be maintained indicating the precautions taken during the process of manufacture to ensure that aseptic conditions are maintained.
B. PARENTERAL PREPARATIONS
1. Serial number.
2. Name of the product.
3. Reference of the master formula record.
4. Batch /Lot size.
5. Batch No. and/or Lot No.
6. Date of commencement of manufacture and date of completion.
7. Names of all ingredients, specifications and quantity required for the Lot/Batch size and quantity actually used. All weighings and measurements shall be carried out by a responsible person and initialled by him and shall be countersigned by the technical staff under whose personal supervision the stock are issued and by another competent technical staff under whose supervision the ingredients are used for manufacture.
8. Control numbers of raw materials used in the formulation.
9. Date, time and duration of mixing.
10. Details of environmental controls like temperature, humidity, microbial count in the sterile working areas.
11. pH of the solution, wherever applicable.
12. Date and method of filtration.
13. Sterility test, reference on bulk batch wherever applicable.
14. Record of check on volume filled.
15. Date of filling.
16. Records of tests employed: -
(a) To ensure that sealed ampoules are leak proof
(b) To check the presence of foreign particles.
(c) Pyrogen test, wherever applicable.
493
Drugs and Cosmetics Rules, 1945
(d) Toxicity test, wherever applicable.
17. Records of checking of instruments and apparatus of sterilization (indicators).
18. Records of cleaning and sterilization of containers and closures, if necessary.
19. Records of sterilization in case of parenteral preparations which are heat sterilized including particulars of time, temperature and pressure employed. Such records should be marked to relate to the batch sterilized.
20. Number and size of containers filled and quantity rejected.
21. The theoretical yield and actual yield and the percentage yield thereof.
22. Reference to Analytical report numbers stating whether of standard quality or otherwise.
23. Specimen of labels, cartons, etc. with Batch coding information like batch number, date of manufacture, date of expiry, as applicable, stamped thereon, and inserts used in the finished packings.
24. Signature with date of the component technical staff responsible for manufacture.
25. Particulars regarding the precautions taken during the manufacture to ensure that aseptic conditions are maintained.
26. Countersignature of head of the testing unit or person in charge of testing for having verified the documents and for having released the product for sale and distribution, the quantity released and date of release.
27. Records for having transferred to warehouse giving packings and quantities.
28. Separate records of the disposal of the rejected batches and of all batches withdrawn from the market.
29. Records of reprocessing if any and particulars of reprocessing.
II. Records of Raw Materials
Records in respect of each raw material shall be maintained indicating the date of receipt, invoice number, name and address of the manufacturer/supplier, batch number, quantity received, pack size, date of manufacture, date of expiry, if any, date of analysis and release/rejection by quality control, analytical report number with special remarks, if any, quantity issued, date of issue and the particulars of the name and batch numbers of products for the manufacture of which issued and the proper disposal of the stocks.
III. Particulars to be recorded in the Analytical Records
A. TABLETS AND CAPSULES.
1. Analytical report number.
2. Name of the sample.
3. Date of receipt of sample.
4. Batch/Lot number.
5. Protocols of tests applied.
(a) Description.
(b) Identification.
494
Drugs and Cosmetics Rules, 1945
(c) Uniformity of weight.
(d) Uniformity of diameter (if applicable).
(e) Disintegration test (time in minutes).
(f) Any other tests.
(g) Results of Assay.
Note: Records regarding various tests applied (including readings and calculations) should be maintained and necessary reference to these records should be entered in Col. 5 above whenever necessary.
6. Signature of the Analyst.
7. Opinion and signature of the approved Analyst.
B. PARENTERAL PREPARATIONS.
1. Analytical report number.
2. Name of the sample.
3. Batch number.
4. Date of receipt of samples.
5. Number of containers filled.
6. Number of containers received.
7. Protocols of tests applied.
(a) Clarity.
(b) pH wherever applicable.
(c) Identification.
(d) Volume in container.
(e) Sterility - (i) Bulk sample wherever applicable (ii) container sample.
(f) Pyrogen test, wherever applicable.
(g) Toxicity test, wherever applicable.
(h) Any other tests.
(i) Results of Assay.
Note: Records regarding various tests applied (including readings and calculations) should be maintained and necessary reference to these records should be entered in Col. 7 above, wherever necessary.
8. Signature of the Analyst.
9. Opinion and signature of the approved Analyst.
PYROGEN TEST:
1. Test Report Number.
2. Name of the sample.
3. Batch Number.
4. Number of rabbits used.
495
Drugs and Cosmetics Rules, 1945
5. Weight of each rabbit.
6. Normal temperature of each rabbit.
7. Mean initial temperature of each rabbit.
8. Dose and volume of solution injected into each rabbit and time of injection.
9. Temperature of each rabbit noted at suitable intervals.
10. Maximum temperature.
11. Response.
12. Summed response.
13. Signature of the Analyst. 14.Opinion and signature of the approved Analyst.
TOXICITY TEST
1. Test Report Number.
2. Name of the sample.
3. Batch Number.
4. Number of mice used and weight of each mouse.
5. Strength and volume of the drugs injected.
6. Date of injection.
7. Results and remarks.
8. Signature of Analyst.
9. Opinion and signature of the approved Analyst.
C. FOR OTHER DRUGS
1. Analytical report number.
2. Name of the sample.
3. Batch/Lot number.
4. Date of receipt of sample.
5. Protocol of tests applied.
(a) Description.
(b) Identification.
(c) Any other tests.
(d) Results of Assay.
Note:Particulars regarding various tests applied (including readings and calculations) shall be maintained and necessary reference to these records shall be entered in Column 5 above, wherever necessary.
6. Signature of Analyst.
7. Opinion and signature of the approved Analyst.
D. RAW MATERIALS
1. Serial number.
2. Name of the materials.
3. Name of the manufacturer/supplier.
4. Quantity received.
496
Drugs and Cosmetics Rules, 1945
5. Invoice/Challan number and date.
6. Protocols of tests applied.
Note: Particulars regarding various tests applied (including readings and calculations) shall be maintained and necessary reference to these records shall be entered in Column 6 above, wherever necessary.
E. CONTAINER, PACKING MATERIALS ETC.
1. Serial number.
2. Name of the item.
3. Name of the manufacturer/supplier.
4. Quantity received.
5. Invoice/Challan number and date
6. Results of tests applied.
Note: Particulars regarding various tests applied shall be maintained and necessary reference to these records shall be entered in Column 6 above, wherever necessary
7. Remarks.
8. signature of the examiner.
Notes: (1) The foregoing provisions represent the minimum requirements to be complied with by the licensee. The Licensing Authority may, however, direct the nature of records to be maintained by the licensee for such products as are not covered by the categories described above.
2. The Licensing Authority may permit the licensee to maintain records in such manner as are considered satisfactory, provided the basic requirements laid down above are complied with.
3. The Licensing Authority may at its discretion direct the licensee to maintain records for such additional particulars as it may consider necessary in the circumstances of a particular case.]
497
Drugs and Cosmetics Rules, 1945
1 [SCHEDULE U(I)
(See rules 142 and 142B)
I. PARTICULARS TO BE SHOWN IN THE MANUFACTURING RECORDS:
1. Serial number.
2. Name of the product.
3. Lot/Batch size.
4. Lot/Batch number.
5. Date of commencement of manufacture and date when manufacture was completed.
6. Names of all ingredients, quantities required for the lot/batch size, quantities actually used.
7. Control reference numbers in respect of raw materials used in formulation.
8. Reference to analytical report numbers.
9. Actual production and packing particulars indicating the size and quantity of finished packings.
10. Date of release of finished packing for distribution or sale.
11. Signature of the expert staff responsible for the manufacture.
II. R ECORDS OF RAW MATERIALS:
Records in respect of each raw material shall be maintained indicating the quantity received, control reference number, the quantity issued from time to time, the names and batch numbers of the products for the manufacture of which the said quantity of raw material has been issued and the particulars relating to the proper disposal of the stocks.
Notes: (1) The Licensing Authority may permit the licensee to maintain records in such manner as is considered satisfactory, provided the basic requirements laid down above are complied with.
(2) The Licensing Authority may direct the licensee to maintain records for such additional particulars, as it may consider necessary in the circumstances of a particular case.] ___________________________________________________________________________
1. Added by G.S.R. 1594, dt. 13-11-1976.
498 Drugs and Cosmetics Rules, 1945
1 [SCHEDULE V
( See rule 124B)
STANDARDS FOR PATENT OR PROPRIETARY MEDICINES
2
* * * * * 3 [2. Standards for patent or proprietary medicines, containing vitamins:
Patent or proprietary medicines containing vitamins for prophylactic, therapeutic or paediatric use shall contain the vitamins in quantities not less than and not more than those specified below in single or in two divided daily doses, namely: - 2 * * * * *
4 * * * * *
5 [4. General Standards for Different Categories of Patent or Proprietary Medicines. - In the case of pharmaceutical products containing several active ingredients, the selection shall be such that the ingredients do not interact with one another and do not affect the safety and therapeutic efficacy of the product. The combination shall not also lead to analytical difficulties for the purpose of assaying the content of such ingredient separately. The substances added as additives shall be innocuous, shall not affect the safety or therapeutic efficacy of the active ingredients, and shall not affect the assays and identity tests in the amount present.
Subject to the provisions of these rules, patent or proprietary medicines shall comply with the following standards, namely: -
1. Patent or proprietary medicines shall comply with the general requirements of the dosage form under which it falls as given in the Indian Pharmacopoeia. If the dosage form is not included in the Indian Pharmacopoeia, but is included in any other pharmacopoeia, prescribed for the purpose of the Second Schedule to the Act, it shall comply with the general requirements of the dosage of such pharmacopoeia. Without prejudice to the generality of the foregoing requirements, general requirements shall include compliance with colour consistency, clarity, stability, freedom from contamination with foreign matter or fungal growth, defects like chipping and capping of tablets, cracking of the coating, mottled appearance and other characteristic defects that can be perceived by visual inspection.
2. Without prejudice to the generality of the following paras, dosage forms of patent or proprietary medicines shall comply with the following requirements, namely:-
____________________________________________________________________________
1. Added by G.S.R. No. 665, dt. 28-5-1977.
2. Paragraphs 2 and 3 omitted. G.S.R. 59(E) ,dt. 22.1.1992.
3. Added by G.S.R. No. 930 ,dt. 22-7-1978.
4. Ins. by G.S.R. 331(E) ,dt. 8.5.1984 and omitted . G.S.R. 59(E) ,dt. 22.1.1992.
5. Ins. by. G.S.R. 792(E) ,dt. 17.9.1987.
(a) Tablets: Medicines shall comply with requirements for tablets as laid down in the Indian Pharmacopoeia. The nature of coating shall be indicated on the label.
504
499 Drugs and Cosmetics Rules, 1945 Permitted colours may, however, be added and declared on the label. Nature of tablets, such as uncoated, sugar coated or film coated, shall be declared on the label. 1 * * * * *
.
(b) Capsules : Medicines shall comply with the requirements for capsules laid down in the Indian Pharmacopoeia. However, the capsules shall be free from distortion or shape, dis-colouration and other physical defects like leakage of powder from joints, pinholes or cracks in the capsules;
(c) Liquid oral dosage forms: Emulsions and suspensions shall disperse uniformly on shaking. Homogeneous solutions shall contain no sediments. The volume of the product (net content) in the container shall be not less than the labelled volume. The limit for ethanol content of pharmaceutical products shall be not less than 90 per cent and not more than 110 per cent of the labelled contents.
(d) Injections: Medicines shall comply with the requirements for injections as laid down in the Indian Pharmacopoeia.
(e) Ointments: Medicines shall comply with the requirements for injections as laid down in the Indian Pharmacopoeia.
3. The content of active ingredients, other than vitamins, enzymes and antibiotics, in patent or proprietary medicines shall be not less than 90 per cent and not more than 110 per cent of the labelled content; however, for enzymes and vitamins, only for lower limit of 90 per cent shall apply. In all dry formulations containing antibiotics, the limit shall be 90 to 130 per cent of the labelled contents and in case of liquid antibiotic formulations, the limit shall be 90 to 140 per cent of labelled contents.
Fiducial limits for error for microbiological assay of antibiotics may be estimated depending upon the design of assay procedure. Methods, used for assaying active ingredients shall employ the same basic principles and shall use same organisms as given in the latest edition of the Indian Pharmacopoeia or shall follow any other methods as approved by the authority competent to grant licence to manufacture.
4. All patent or proprietary medicines containing aspirin shall be subjected to "Free Salicylic Acid Test" and the limit of such acid shall be 0.75 per cent. Except in case of soluble type aspirin in which case the limit of such acid shall be 3 per cent.
5. Patent or proprietary medicine to be tested under the provisions of rule 121-A for pyrogen shall be tested by injecting into rabbits not less than the human dose of the medicine based on body weight of a 60 kg. human being. Methodology and limits shall be based on the method recorded in the Indian Pharmacopoeia. Dose selected shall be indicated in the protocol but the dose shall be not greater than 5 times the human dose based on body weight of 60 kg for man.
6. In injectable patent or proprietary medicines, the test for freedom from toxicity, shall be performed as described in the Indian Pharmacopoeia. Dose selected shall be indicated in the protocol but the dose shall not be less than five times the human dose based on body weight of 60 kg. human being.]
______________________________________________________________________________
1. Omitted. by G.S.R. 59(E) ,dt. 22.1.1992.
505
500 Drugs and Cosmetics Rules, 1945 Vitamin Unit Patent or proprietary Patent or proprietary Patent or proprietary medicines containing Medicines containing medicines containing vitamins for paediatric use. Vitamins for prophylactic vitamins for therapeutic
Use.
___________________________________________________________________________________________________________________ ______________ (in single dose or in two divided doses) per daily dose
_________________________________________________________________________________________________________________________________
For adults For infants less than For children above one one year. year up to adults
1 2 3 4 5 6
Vitamin A. I.U Not less than 1600 and not Not less than 5000 and not more Not less than 750 and not Not less than 1500 and more more than 2,500 than 10,000 more than 3,000 than 5,000
Vitamin D. I.U Not less than 100 and not more Not less than 400 and not more Not less than 200 and not Not less than 100 and more than than 200. than 1,000 more than 400 400
Vitamin B1 mg. Not less than 1 and not more Not less than 4.5 and not more Not less than 0.5 and more Not less than 1 and not more than 2 than 10 than 1 than 4.5
Vitamin B2 mg Not less than 1 and not more Not less than 5 and not more Not less than 0.5 and not Not less than 1 and not more than 3 than 10 more than 1.5 than 5.
Vitamin B6 mg Not less than 0.5 and not more Not less than 1.5 and not more Not less than 0.5 and not Not less than 1 and not more than 1.5 than 3 more than 1.5 than 3
Niacinamide mg Not less than 15 and not more Not less than 45 and not more Not less than 5 and not more Not less than 10 and not more than 26 than 100 than 15 than 40.
d-Pantothenic mg Not less than 1 and not more Not less than 5 and not more Not less than 1 and not more Not less than 2.5 and not more acid or its salts than 5 than 50 than 3 than 10
and panthenol.
Folic acid mg. Not less than 50 and not more Not less than 1000 and not more Not less than 25 and not Not less than 100 and not more than 300 than 1500 more than 100 than 500
506
501 Drugs and Cosmetics Rules, 1945
1 2 3 4 5 6
Vitamin B12 mcg Not less than 0.5 and not more Not less than 5 and not more Not less than 1 and not more Not less than 1 and not more than 1 than 15 than 3 than 5
Vitamin C mg Not less than 25 and not more Not less than 75 and not more Not less than 20 and not Not less than 30 and not more than 50 than 150 more than 40 than 80
Vitamin E I.U Not less than 5 and not more Not less than 15 and not more Not less than 2.5 and not Not less than 5 and not more than 10 than 25 more than 10 than 20.
Notes: (1) Patent or proprietary medicines containing vitamins intended for prophylactic, therapeutic or paediatric use shall bear on the label the words "For Prophylactic Use" " For Therapeutic Use," or "For Paediatric Use" as the case may be. In the case of paediatric preparations the age of the infant or the child for whose use it is intended, shall be given in addition to the particulars required to be given under these rules. (2)The above standards shall not apply to any preparation containing a single vitamin only and also to any preparation containing vitamins intended for parenteral use.
Provided, however, that in the case of patent or proprietary medicines containing vitamins which are intended for the treatment of certain specific conditions or diseases, the Licensing Authority specified in clause (b) of rule 21, may permit the addition of vitamins therein in relaxation of the limits specified above, if satisfactory evidence is produced in justification of such relaxation.
507
502 Drugs and Cosmetics Rules, 1945
1 SCHEDULE W- (Omitted)
2 [SCHEDULE X
[See Rules 23, 61, 75, 97 and 105A] Amobarbital3* * *
Amphetamine Methylphenidate Barbital Methylphenobarbital Cyclobarbital Pentobarbital Dexamphetamine Phencyclidine Ethclorvynol Phenometrazine Glutethimide4* * *
Meprobamate Secobarbital Methamphetamine
Note: 1. Any stereoisometric form of the substance specified in this Schedule, any salt of the substance and preparation containing such substances are also covered by this Schedule.
2. Preparations containing the above substances are also covered by this Schedule. Provided, however, preparations containing Meprobamate4* * * in combination with other drugs may be exempted by the Licensing Authority specified in clause (b) of rule 21, from the provisions of this Schedule, if satisfactory evidence is adduced that these preparations are not liable to be misused.]
____________________________________________________________________________
1. Schedule W ins. by. G.S.R. 27(E) ,dt. 17.1.1981 and omitted by. G.S.R. 94(E) ,dt. 8..2. 2000.
2 Ins. by G.S.R. 462(E) ,dt. 22.6.1982.
3. Omitted by G.S.R. 647(E) ,dt. 28.10.1998.
508
503 Drugs and Cosmetics Rules, 1945
1[SCHEDULE Y
(See rules 122A, 122B, 122D, 122DA, 122DAA and 122E)
REQUIREMENTS AND GUIDELINES FOR PERMISSION TO IMPORT AND / OR
MANUFACTURE OF NEW DRUGS FOR SALE OR TO UNDERTAKE CLINICAL
TRIALS
1. Application for permission.- (1) Application for permission to import or manufacture new drugs for sale or to undertake clinical trials shall be made in Form 44 accompanied with following data in accordance with the appendices, namely:-
(i) chemical and pharmaceutical information as prescribed in item 2 of Appendix I;
(ii) animal pharmacology data as prescribed in item 3 of Appendix I and Appendix IV;
(a) specific pharmacological actions as prescribed in item 3.2 of Appendix I, and demonstrating, therapeutic potential for humans shall be described according to the animal models and species used. Wherever possible, dose-response relationships and ED50s shall be submitted. Special studies conducted to elucidate mode of action shall also be described (Appendix IV);
(b) general pharmacological actions as prescribed in item 3.3 of Appendix I and item 1.2 of Appendix IV;
(c) pharmacokinetic data related to the absorption, distribution, metabolism and excretion of the test substance as prescribed in item 3.5 of Appendix I. Wherever possible, the drug effects shall be corelated to the plasma drug concentrations;
(iii) animal toxicology data as prescribed in item 4 of Appendix I and Appendix III;
(iv) human Clinical Pharmacology Data as prescribed in items 5, 6 and 7 of Appendix I and as stated below:-
(a) for new drug substances discovered in India, clinical trials are required to be carried out in India right from Phase I and data should be submitted as required under items 1, 2, 3, 4, 5 (data, if any, from other countries), and 9 of Appendix I;
(b) for new drug substances discovered in countries other than India, Phase I data as required under items 1, 2, 3, 4, 5 (data from other countries) and 9 of Appendix I should be submitted along with the application. After submission of Phase I data generated outside India to the Licensing Authority, permission may be granted to repeat Phase I trials and/or to conduct Phase II trials and subsequently Phase III trials concurrently with other global trials for that drug. Phase III trials are required to be conducted in India before permission to market the drug in India is granted;
(c) the data required will depend upon the purpose of the new drug application . The number of study subjects and sites to be involved in the conduct of clinical trial will depend upon the nature and objective of the study. Permission to carry out these trials shall generally be given in stages, considering the data emerging from earlier Phase(s);
(d) application for permission to initiate specific phase of clinical trial should also accompany Investigator's brochure, proposed protocol (Appendix X), case record form, study subject's informed consent document(s) (Appendix V), investigator's undertaking (Appendix VII) and ethics committee clearance, if available (Appendix VIII);
(e) reports of clinical studies submitted under items 5-8 of Appendix I should be in consonance with the format prescribed in Appendix II of this Schedule. The ____________________________________________________________________
509
504 Drugs and Cosmetics Rules, 1945 study report shall be certified by the Principal Investigator or, if no Principal Investigator is designated, then by each of the Investigators participating in the study. The certification should acknowledge the contents of the report, the accurate presentation of the study as undertaken, and express agreement with the conclusions. Each page should be numbered;
(v) regulatory status in other countries as prescribed in item 9.2 of Appendix I, including Information in respect of restrictions imposed, if any, on the use of the drug in other countries, e.g. dosage limits, exclusion of certain age groups, warning about adverse drug reactions,.etc. (item 9.2 of Appendix I). Likewise, if the drug has been withdrawn in any country by the manufacturer or by regulatory authorities, such information should also be furnished along with the reasons and their relevance, if any, to India. This information must continue to be submitted by the sponsor to the Licensing Authority during the course of marketing of the drug in India;
(vi) the full prescribing information should be submitted as part of the new drug application for marketing as prescribed in item 10 of Appendix I. The prescribing information (package insert) shall comprise the following sections: generic name; composition; dosage form/s, indications; dose and method of administration; use in special populations (such as pregnant women, lactating women, paediatric patients, geriatric patients etc.); contra-indications; warnings; precautions; drug interactions; undesirable effects; overdose; pharmacodynamic and pharmacokinetic properties; incompatibilities; shelf-life; packaging information; storage and handling instructions. All package inserts, promotional literature and patient education material subsequently produced are required to be consistent with the contents of the approved full prescribing information. The drafts of label and carton texts should comply with provisions of rules 96 and 97. After submission and approval by the Licensing Authority, no changes in the package insert shall be effected without such changes being approved by the Licensing Authority; and
(vii) complete testing protocol/s for quality control testing together with a complete impurity profile and release specifications for the product as prescribed in item 11 of Appendix I should be submitted as part of new drug application for marketing. Samples of the pure drug substance and finished product are to be submitted when desired by the regulatory authority.
(2) If the study drug is intended to be imported for the purposes of examination, test or analysis, the application for import of small quantities of drugs for such purpose should also be made in Form 12.
(3) For drugs indicated in life threatening / serious diseases or diseases of special relevance to the Indian health scenario, the toxicological and clinical data requirements may be abbreviated, deferred or omitted, as deemed appropriate by the Licensing Authority.
2. CLINICAL TRIAL:
(1) Approval for clinical trial
(i) Clinical trial on a new drug shall be initiated only after the permission has been granted by the Licensing Authority under rule 21 (b), and the approval obtained from the respective ethics committee(s). The Licensing Authority as defined shall be informed of the approval of the respective institutional ethics committee(s) as prescribed in Appendix VIII, and the trial initiated at each respective site only after obtaining such an approval for that site. The trial site(s) may accept the approval granted to the protocol by the ethics committee of another trial site or the approval granted by an independent ethics committee
510
505 Drugs and Cosmetics Rules, 1945 (constituted as per Appendix VIII), provided that the approving ethics committee(s) is/are willing to accept their responsibilities for the study at such trial site(s) and the trial site(s) is/are willing to accept such an arrangement and that the protocol version is same at all trial sites.
(ii) All trial Investigator(s) should possess appropriate qualifications, training and experience and should have access to such investigational and treatment facilities as are relevant to the proposed trial protocol. A qualified physician (or dentist, when appropriate) who is an investigator or a sub-investigator for the trial, should be responsible for all trial-related medical (or dental) decisions. Laboratories used for generating data for clinical trials should be compliant with Good Laboratory Practices. If services of a laboratory or a facilities outside the country are to be availed, its/their name(s), address(s) and specific services to be used should be stated in the protocol to avail Licensing Authority's permission to send clinical trial related samples to such laboratory(ies) and/or facility(ies). In all cases, information about laboratory(ies) / facilities to be used for the trial, if other than those at the investigation site(s), should be furnished to the Licensing Authority prior to initiation of trial at such site(s).
(iii) Protocol amendments if become necessary before initiation or during the course of a clinical trial, all such amendments should be notified to the Licensing Authority in writing along with the approval by the ethics committee which has granted the approval for the study. No deviations from or changes to the protocol should be implemented without prior written approval of the ethics committee and the Licensing Authority except when it is necessary to eliminate immediate hazards to the trial Subject(s) or when change(s) involve(s) only logistic or administrative aspects of the trial. All such exceptions must be immediately notified to the ethics committee as well as to the Licensing Authority. Administrative and/or logistic changes in the protocol should be notified to the Licensing Authority within 30 days.
(2) Responsibilities of Sponsor:
(i) The clinical trial Sponsor is responsible for implementing and maintaining quality assurance systems to ensure that the clinical trial is conducted and data generated, documented and reported in compliance with the protocol and Good Clinical Practice (GCP) Guidelines issued by the Central Drugs Standard Control Organization, Directorate General of Health Services, Government of India as well as with all applicable statutory provisions. Standard operating procedures should be documented to ensure compliance with GCP and applicable regulations.
(ii) Sponsors are required to submit a status report on the clinical trial to the Licensing Authority at the prescribed periodicity.
(iii) In case of studies prematurely discontinued for any reason including lack of commercial interest in pursuing the new drug application, a summary report should be submitted within 3 months. The summary report should provide a brief description of the study, the number of patients exposed to the drug, dose and duration of exposure, details of adverse drug reactions (Appendix XI), if any, and the reason for discontinuation of the study or non-pursuit of the new drug application;
(iv) Any unexpected serious adverse event (SAE) (as defined in GCP Guidelines) occurring during a clinical trial should be communicated promptly (within 14 calendar
511
506 Drugs and Cosmetics Rules, 1945 days) by the Sponsor to the Licensing Authority and to the other Investigator(s) participating in the study (see Appendix XI).
(3) Responsibilities of the Investigator(s):
The Investigator(s) shall be responsible for the conduct of the trial according to the protocol and the GCP Guidelines and also for compliance as per the undertaking given in Appendix VII. Standard operating procedures are required to be documented by the investigators for the tasks performed by them. During and following a subject's participation in a trial, the investigator should ensure that adequate medical care is provided to the participant for any adverse events. Investigator(s) shall report all serious and unexpected adverse events to the Sponsor within 24 hours and to the Ethics Committee that accorded approval to the study protocol within 7 working days of their occurrence.
(4) Informed Consent:
(i) In all trials, a freely given, informed, written consent is required to be obtained from each study subject. The Investigator must provide information about the study verbally as well as using a patient information sheet, in a language that is non-technical and understandable by the study subject. The Subject's consent must be obtained in writing using an 'Informed Consent Form'. Both the patient information sheet as well as the Informed Consent Form should have been approved by the ethics committee and furnished to the Licensing Authority. Any changes in the informed consent documents should be approved by the ethics committee and submitted to the Licensing Authority before such changes are implemented.
(ii) Where a subject is not able to give informed consent (e.g. an unconscious person or a minor or those suffering from severe mental illness or disability), the same may be obtained from a legally acceptable representative (a legally acceptable representative is a person who is able to give consent for or authorize an intervention in the patient as provided by the law(s) of India). If the Subject or his/her legally acceptable representative is unable to read/write - an impartial witness should be present during the entire informed consent process who must append his/her signatures to the consent form.
(iii) A checklist of essential elements to be included in the study subject's informed consent document as well as a format for the Informed Consent Form for study Subjects is given in Appendix V.
(5) Responsibilities of the Ethics Committee:
(i) It is the responsibility of the ethics committee that reviews and accords its approval to a trial protocol to safeguard the rights, safety and well being of all trial subjects. The ethics committee should exercise particular care to protect the rights, safety and well being of all vulnerable subjects participating in the study, e.g., members of a group with hierarchical structure (e.g. prisoners, armed forces personnel, staff and students of medical, nursing and pharmacy academic institutions), patients with incurable diseases, umemployed or impoverished persons, patients in emergency situation, ethnic minority groups, homeless persons, nomads, refugees, minors or others incapable of personally
512
507 Drugs and Cosmetics Rules, 1945 giving consent. Ethics committee(s) should get document 'standard operating procedures' and should maintain a record of its proceedings.
(ii) Ethics Committee(s) should make, at appropriate intervals, an ongoing review of the trials for which they review the protocol(s). Such a review may be based on the periodic study progress reports furnished by the investigators and/or monitoring and internal audit reports furnished by the Sponsor and/or by visiting the study sites.
(ii) In case an ethics committee revokes its approval accorded to a trial protocol, it must record the reasons for doing so and at once communicate such a decision to the Investigator as well as to the Licensing Authority.
(6) Human Pharmacology (Phase I):
(i) The objective of studies in this Phase is the estimation of safety and tolerability with the initial administration of an investigational new drug into human(s). Studies in this Phase of development usually have non-therapeutic objectives and may be conducted in healthy volunteers subjects or certain types of patients. Drugs with significant potential toxicity e.g. cytotoxic drugs are usually studied in patients. Phase I trials should preferably be carried out by Investigators trained in clinical pharmacology with access to the necessary facilities to closely observe and monitor the Subjects.
(ii) Studies conducted in Phase I, usually intended to involve one or a combination of the following objectives:-
(a) Maximum tolerated dose: To determine the tolerability of the dose range expected to be needed for later clinical studies and to determine the nature of adverse reactions that can be expected. These studies include both single and multiple dose administration.
(b) Pharmacokinetics, i.e., characterization of a drug's absorption, distribution, metabolism and excretion. Although these studies continue throughout the development plan, they should be performed to support formulation development and determine pharmacokinetic parameters in different age groups to support dosing recommendations.
(c) Pharmacodynamics: Depending on the drug and the endpoints studied, pharmacodynamic studies and studies relating to drug blood levels (pharmacokinetic/ pharmacodynamic studies) may be conducted in healthy volunteer Subjects or in patients with the target disease. If there are appropriate validated indicators of activity and potential efficacy, pharmacodynamic data obtained from patients may guide the dosage and dose regimen to be applied in later studies.
(d) Early Measurement of Drug Activity: Preliminary studies of activity or potential therapeutic benefit may be conducted in Phase I as a secondary objective. Such studies are generally performed in later Phases but may be appropriate when drug activity is readily measurable with a short duration of drug exposure in patients at this early stage.
(7) Therapeutic exploratory trials (Phase II):
(i) The primary objective of Phase II trials is to evaluate the effectiveness of a drug for a particular indication or indications in patients with the condition under study and to determine the common short-term side-effects and risks associated with the drug. Studies in Phase II should be conducted in a group of patients who are selected by relatively narrow criteria leading to a relatively homogeneous population. These studies should be closely monitored. An important goal for this Phase is to determine the dose(s) and
513
508 Drugs and Cosmetics Rules, 1945 regimen for Phase III trials. Doses used in Phase II are usually (but not always) less than the highest doses used in Phase I.
(ii) Additional objectives of Phase II studies can include evaluation of potential study endpoints, therapeutic regimens (including concomitant medications) and target populations (e.g. mild versus severe disease) for further studies in Phase II or III. These objectives may be served by exploratory analyses, examining subsets of data and by including multiple endpoints in trials.
(iii) If the application is for conduct of clinical trials as a part of multi-national clinical development of the drug, the number of sites and the patients as well as the justification for undertaking such trials in India shall be provided to the Licensing Authority.
(8) Therapeutic confirmatory trials (Phase III):
(i) Phase III studies have primary objective of demonstration or confirmation of therapeutic benefit(s). Studies in Phase III are designed to confirm the preliminary evidence accumulated in Phase II that a drug is safe and effective for use in the intended indication and recipient population. These studies should be intended to provide an adequate basis for marketing approval. Studies in Phase III may also further explore the dose-response relationships (relationships among dose, drug concentration in blood and clinical response), use of the drug in wider populations, in different stages of disease, or the safety and efficacy of the drug in combination with other drug(s).
(ii) For drugs intended to be administered for long periods, trials involving extended exposure to the drug are ordinarily conducted in Phase III, although they may be initiated in Phase II. These studies carried out in Phase III complete the information needed to support adequate instructions for use of the drug (prescribing information).
(iii) For new drugs approved outside India, Phase III studies need to be carried out primarily to generate evidence of efficacy and safety of the drug in Indian patients when used as recommended in the prescribing information. Prior to conduct of Phase III studies in Indian subjects, Licensing Authority may require pharmacokinetic studies to be undertaken to verify that the data generated in Indian population is in conformity with the data already generated abroad.
(iv) If the application is for the conduct of clinical trials as a part of multi-national clinical development of the drug, the number of sites and patients as well as the justification for undertaking such trials in India should be provided to the Licensing Authority along with the application.
(9) Post Marketing Trials (Phase IV):
Post Marketing trials are studies (other than routine surveillance) performed after drug approval and related to the approved indication(s). These trials go beyond the prior demonstration of the drug's safety, efficacy and dose definition. These trials may not be considered necessary at the time of new drug approval but may be required by the Licensing Authority for optimizing the drug's use. They may be of any type but should have valid scientific objectives. Phase IV trials include additional drug-drug interaction(s), dose-response or safety studies and trials designed to support use under the approved indication(s), e.g. mortality/morbidity studies, epidemiological studies etc.
3. Studies in special populations:
Information supporting the use of the drug in children, pregnant women, nursing women, elderly patients, patients with renal or other organ systems failure, and those on specific
514
509 Drugs and Cosmetics Rules, 1945 concomitant medication is required to be submitted if relevant to the clinical profile of the drug and its anticipated usage pattern. Any claim sought to be made for the drug product that is not based on data submitted under preceding items of this Schedule should be supported by studies included under this item of the Schedule (Appendix I, item 8.3).
(1) Geriatrics:
Geriatric patients should be included in Phase III clinical trials (and in Phase II trials, at the Sponsor's option) in meaningful numbers, if-
(a) the disease intended to be treated is characteristically a disease of aging; or
(b) the population to be treated is known to include substantial numbers of geriatric patients; or
(c) when there is specific reason to expect that conditions common in the elderly are likely to be encountered; or
(d) when the new drug is likely to alter the geriatric patient's response (with regard to safety or efficacy) compared with that of the non-geriatric patient.
(2) Paediatrics.
(i) The timing of paediatric studies in the new drug development program will depend on the medicinal product, the type of disease being treated, safety considerations, and the efficacy and safety of available treatments. For a drug expected to be used in children, evaluations should be made in the appropriate age group. When clinical development is to include studies in children, it is usually appropriate to begin with older children before extending the trial to younger children and then infants.
(ii) If the new drug is for diseases predominantly or exclusively affecting paediatric patients, clinical trial data should be generated in the paediatric population except for initial safety and tolerability data, which will usually be obtained in adults unless such initial safety studies in adults would yield little useful information or expose them to inappropriate risk.
(iii) If the new drug is intended to treat serious or life-threatening diseases, occurring in both adults and paediatric patients, for which there are currently no or limited therapeutic options, paediatric population should be included in the clinical trials early, following assessment of initial safety data and reasonable evidence of potential benefit. In circumstances where this is not possible, lack of data should be justified in detail.
(iv) If the new drug has a potential for use in paediatric patients - Paediatric studies should be conducted. These studies may be initiated at various phases of clinical development or after post marketing survelliance in adults if a safety concern exists. In cases where there is limited paediatric data at the time of submission of application - more data in paediatric patients would be expected after marketing authorisation for use in children is granted.
(v) The paediatric studies should include -
(a) clinical trials,
(b) relative bioequivalence comparisons of the paediatric formulation with the adult formulation performed in adults, and
(c) definitive pharmacokinetic studies for dose selection across the age ranges of paediatric patients in whom the drug is likely to be used. These studies should be conducted in the paediatric patient population with the disease under study.
515
510 Drugs and Cosmetics Rules, 1945
(vi) If the new drug is a major therapeutic advance for the paediatric population - the studies should begin early in the drug development , and this data should be submitted with the new drug application.
(vii) Paediatric Subjects are legally unable to provide written informed consent, and are dependent on their parent(s)/ legal guardian to assume responsibility for their participation in clinical studies. Written informed consent should be obtained from the parent/ legal guardian. However, all paediatric participants should be informed to the fullest extent possible about the study in a language and in terms that they are able to understand. Where appropriate, paediatric participants should additionally assent to enrol in the study. Mature minors and adolescents should personally sign and date a separately designed written assent form. Although a participant's wish to withdraw from a study must be respected, there may be circumstances in therapeutic studies for serious or life-threatening diseases in which, in the opinion of the Investigator and parent(s)/ legal guardian, the welfare of a pediatric patient would be jeopardized by his or her failing to participate in the study. In this situation, continued parental/ legal guardian consent should be sufficient to allow participation in the study.
(viii) For clinical trials conducted in the paediatric population, the reviewing ethics committee should include members who are knowledgeable about pediatric, ethical, clinical and psychosocial issues.
(3) Pregnant or nursing women.-
(i) Pregnant or nursing women should be included in clinical trials only when the drug is intended for use by pregnant/nursing women or foetuses/nursing infants and where the data generated from women who are not pregnant or nursing, is not suitable.
(ii) For new drugs intended for use during pregnancy, follow-up data (pertaining to a period appropriate for that drug) on the pregnancy, foetus and child will be required. Where applicable, excretion of the drug or its metabolites into human milk should be examined and the infant should be monitored for predicted pharmacological effects of the drug.
(4) Post Marketing Surveillance.-
(i) Subsequent to approval of the product, new drugs should be closely monitored for their clinical safety once they are marketed. The applicants shall furnish Periodic Safety Update Reports (PSURs) in order to-
(a) report all the relevant new information from appropriate sources;
(b) relate these data to patient exposure ;
(c) summarize the market authorization status in different countries and any significant variations related to safety; and
(d) indicate whether changes should be made to product information in order to optimize the use of the product.
(ii) Ordinarily all dosage forms and formulations as well as indications for new drugs should be covered in one PSUR. Within the single PSUR separate presentations of data for different dosage forms, indications or separate population need to be given.
(iii) All relevant clinical and non-clinical safety data should cover only the period of the report (interval data). The PSURs shall be submitted every six months for the first two years after approval of the drug is granted to the applicant. For subsequent two years - the PSURs need to be submitted annually. Licensing authority may extend the total duration of submission of PSURs if it is considered necessary in the interest of public health. PSURs due for a period must be submitted within 30 calendar days of the last day of the reporting period.
516
511 Drugs and Cosmetics Rules, 1945 However, all cases involving serious unexpected adverse reactions must be reported to the licensing authority within 15 days of initial receipt of the information by the applicant. If marketing of the new drug is delayed by the applicant after obtaining approval to market, such data will have to be provided on the deferred basis beginning from the time the new drug is marketed.
(iv) New studies specifically planned or conducted to examine a safety issue should be described in the PSURs.
(v) A PSUR should be structured as follows:
(a) A title page stating: Periodic safety update report for the product, applicant's name, period covered by the report, date of approval of new drug, date of marketing of new drug and date of reporting;
(b) Introduction,
(c) Current worldwide market authorization status,
(d) Update of actions taken for safety reasons,
(e) Changes to reference safety information,
(f) Estimated patient exposure,
(g) Presentation of individual case histories,
(h) Studies, ( I) Other information,
(j) Overall safety evaluation,
(k) Conclusion,
(l) Appendix providing material relating to indications, dosing, pharmacology and other related information.
(5) Special studies: Bioavailability / Bioequivalence Studies.-
(i) For drugs approved elsewhere in the world and absorbed systemically, bioequivalence with the reference formulation should be carried out wherever applicable. These studies should be conducted under the labelled conditions of administration. Data on the extent of systemic absorption may be required for formulations other than those designed for systemic absorption.
(ii) Evaluation of the effect of food on absorption following oral administration should be carried out. Data from dissolution studies should also be submitted for all solid oral dosage forms.
(iii) Dissolution and bioavailability data submitted with the new drug application must provide information that assures bioequivalence or establishes bioavailability and dosage correlations between the formulation(s) sought to be marketed and those used for clinical trials during clinical development of the product. (See items 8.1, 8.2 and 8.3 of Appendix I).
(iv) All bioavailability and bioequivalence studies should be conducted according to the Guidelines for Bioavailability and Bioequivalence studies as prescribed.
Note.- The data requirements stated in this Schedule are expected to provide adequate information to evaluate the efficacy, safety and therapeutic rationale of new drugs (as defined under rule 122-E) prior to the permission for sale. Depending upon the nature of new drugs and disease(s), additional information may be required by the Licensing Authority. The applicant shall certify the authencity of the data and documents submitted in support of an
517
512 Drugs and Cosmetics Rules, 1945 application for new drug. The Licensing Authority reserves the right to reject any data or any document(s) if such data or contents of such documents are found to be of doubtful integrity.
APPENDIX I
DATA TO BE SUBMITTED ALONG WITH THE APPLICATION TO CONDUCT
CLINICAL TRIALS/IMPORT/MANUFACTURE OF NEW DRUGS FOR
MARKETING IN THE COUNTRY
1. Introduction
A brief description of the drug and the therapeutic class to which it belongs.
2. Chemical and pharmaceutical information
2.1. Information on active ingredients Drug information (Generic Name, Chemical Name or INN)
2.2. Physicochemical Data
(a) Chemical name and Structure Empirical formula
Molecular weight
(b) Physical properties Description
Solubility
Rotation
Partition coefficient Dissociation constant
2.3. Analytical Data Elemental analysis Mass spectrum
NMR spectra
IR spectra
UV spectra
Polymorphic identification
2.4. Complete monograph specification including Identification
Identity/quantification of impurities Enantiomeric purity
Assay
2.5. Validations Assay method Impurity estimation method Residual solvent/other volatile impurities (OVI) estimation method
518
513 Drugs and Cosmetics Rules, 1945
2.6. Stability Studies (for details refer Appendix IX) Final release specification
Reference standard characterization
Material safety data sheet
2.7. Data on Formulation Dosage form
Composition
Master manufacturing formula Details of the formulation (including inactive ingredients) In process quality control check
Finished product specification
Excipient compatibility study
Validation of the analytical method
Comparative evaluation with international brand(s) or approved Indian brands, if applicable
Pack presentation
Dissolution
Assay
Impurities
Content uniformity
pH
Force degradation study
Stability evaluation in market intended pack at proposed storage conditions Packing specifications
Process validation
When the application is for clinical trials only, the international non-proprietary name (INN) or generic name, drug category, dosage form and data supporting stability in the intended container-closure system for the duration of the clinical trial (information covered in item nos. 2.1, 2.3, 2.6, 2.7) are required.
3. Animal Pharmacology (for details refer Appendix IV)
3.1. Summary
3.2. Specific pharmacological actions
3.3. General pharmacological actions
3.4. Follow-up and Supplemental Safety Pharmacology Studies
3.5. Pharmacokinetics: absorption, distribution; metabolism; excretion
4. Animal Toxicology (for details refer Appendix III)
4.1. General Aspects
4.2. Systemic Toxicity Studies
519
514 Drugs and Cosmetics Rules, 1945
4.3. Male Fertility Study
4.4. Female Reproduction and Developmental Toxicity Studies
4.5. Local toxicity
4.6. Allergenicity/Hypersensitivity
4.7. Genotoxicity
4.8. Carcinogenicity
5. Human / Clinical pharmacology (Phase I)
5.1. Summary
5.2. Specific Pharmacological effects
5.3. General Pharmacological effects
5.4. Pharmacokinetics, absorption, distribution, metabolism, excretion
5.5. Pharmacodynamics / early measurement of drug activity
6. Therapeutic exploratory trials (Phase II)
6.1. Summary
6.2. Study report(s) as given in Appendix II
7. Therapeutic confirmatory trials (Phase III)
7.1. Summary
7.2. Individual study reports with listing of sites and Investigators.
8. Special studies
8.1. Summary
8.2. Bio-availability / Bio-equivalence.
8.3 Other studies e.g. geriatrics, paediatrics, pregnant or nursing women
9. Regulatory status in other countries
9.1. Countries where the drug is a. Marketed
b. Approved
c. Approved as IND
d. Withdrawn, if any, with reasons
9.2. Restrictions on use, if any, in countries where marketed /approved
9.3. Free sale certificate or certificate of analysis, as appropriate.
10. Prescribing information
10.1. Proposed full prescribing information
11. Samples and Testing Protocol/s
11.1. Samples of pure drug substance and finished product (an equivalent of 50 clinical doses, or more number of clinical doses if prescribed by the Licensing Authority), with testing protocol/s, full impurity profile and release specifications.
520
515 Drugs and Cosmetics Rules, 1945
NOTES:
(1) All items may not be applicable to all drugs. For explanation, refer text of Schedule Y.
(2) For requirements of data to be submitted with application for clinical trials refer text of this Schedule.
APPENDIX IA
DATA REQUIRED TO BE SUBMITTED BY AN APPLICANT FOR GRANT OF
PERMISSION TO IMPORT AND / OR MANUFACTURE A NEW DRUG ALREADY
APPROVED IN THE COUNTRY
1. Introduction
A brief description of the drug and the therapeutic class
2. Chemical and pharmaceutical information
2.1 Chemical name, code name or number, if any; non-proprietary or generic name, if any, structure; physico-chemical properties
2.2 Dosage form and its composition
2.3 Test specifications
(a) active ingredients
(b) inactive ingredients
2.4 Tests for identification of the active ingredients and method of its assay
2.5 Outline of the method of manufacture of active ingredients
2.6 Stability data
3. Marketing information
3.1 Proposed package insert / promotional literature
3.2 Draft specimen of the label and carton
4. Special studies conducted with approval of Licensing Authority
4.1 Bioavailability / Bioequivalence and comparative dissolution studies for oral dosage forms
4.2 Sub-acute animal toxicity studies for intravenous infusions and injectables
APPENDIX II
STRUCTURE, CONTENTS AND FORMAT FOR CLINICAL STUDY REPORTS
1. Title Page:
This page should contain information about the title of the study, the protocol code, name of the investigational product tested, development Phase, indication studied, a brief description of the trial design, the start and end date of patient accrual and the names of the Sponsor and the participating Institutes (Investigators).
2.,Study Synopsis (1 to 2 pages):
521
516 Drugs and Cosmetics Rules, 1945 A brief overview of the study from the protocol development to the trial closure should be given here. This section will only summarize the important conclusions derived from the study.
3. Statement of compliance with the 'Guidelines for Clinical Trials on Pharmaceutical Products in India :
GCP Guidelines' issued by the Central Drugs Standard Control Organization, Ministry of Health, Government of India.
4. List of Abbreviations and Definitions
5. Table of contents
6. Ethics Committee:
This section should document that the study was conducted in accordance with the ethical principles of Declaration of Helsinki. A detailed description of the Ethics Committee constitution and date(s) of approvals of trial documents for each of the participating sites should be provided. A declaration should state that EC notifications as per Good Clinical Practice Guidelines issued by Central Drugs Standard Control Organization and Ethical Guidelines for Biomedical Research on Human Subjects, issued by Indian Council of Medical Research have been followed.
7. Study Team:
Briefly describe the administrative structure of the study (Investigators, site staff, Sponsor/ designates, Central laboratory etc.).
8. Introduction:
A brief description of the product development rationale should be given here.
9. Study Objective:
A statement describing the overall purpose of the study and the primary and secondary objectives to be achieved should be mentioned here.
10. Investigational Plan:
This section should describe the overall trial design, the Subject selection criteria, the treatment procedures, blinding / randomization techniques if any, allowed/ disallowed concomitant treatment, the efficacy and safety criteria assessed, the data quality assurance procedures and the statistical methods planned for the analysis of the data obtained.
11. Trial Subjects:
A clear accounting of all trial Subjects who entered the study will be given here. Mention should also be made of all cases that were dropouts or protocol deviations. Enumerate the patients screened, randomised, and prematurely discontinued. State reasons for premature discontinuation of therapy in each applicable case.
12. Efficacy evaluation
The results of evaluation of all the efficacy variables will be described in this section with appropriate tabular and graphical representation. A brief description of the demographic characteristics of the trial patients should also be provided along with a listing of patients and observations excluded from efficacy analysis.
13. Safety Evaluation:
This section should include the complete list
522
517 Drugs and Cosmetics Rules, 1945
13.1 all serious adverse events, whether expected or unexpected and
13.2 unexpected advese events whether serious or not (compiled from data received as per Appendix XI).
The comparison of adverse events across study groups may be presented in a tabular or graphical form. This section should also give a brief narrative of all important events considered related to the investigational product.
14. Discussion and overall Conclusion:
Discussion of the important conclusions derived from the trial and scope for further development.
15. List of References:
16. Appendices:
List of Appendices to the Clinical Trial Report
(a) Protocol and amendments
(b) Specimen of Case Record Form
(c) Investigators' name(s) with contact addresses, phone, e-mail etc.
(d) Patient data listings
(e) List of trial participants treated with investigational product
(f) Discontinued participants
(g) Protocol deviations
(h) CRFs of cases involving death and life threatening adverse event cases
(i) Publications from the trial
(j) Important publications referenced in the study
(k) Audit certificate, if available
(l) Investigator's certificate that he/she has read the report and that the report accurately describes the conduct and the results of the study.
APPENDIX III
ANIMAL TOXICOLOGY (NON-CLINICAL TOXICITY STUDIES)
1. General Principles:
Toxicity studies should comply with the norms of Good Laboratory Practice (GLP). Briefly, these studies should be performed by suitably trained and qualified staff employing properly calibrated and standardized equipment of adequate size and capacity. Studies should be done as per written protocols with modifications (if any) verifiable retrospectively. Standard operating procedures (SOPs) should be followed for all managerial and laboratory tasks related to these studies. Test substances and test systems (in-vitro or in-vivo) should be properly characterized and standardized. All documents belonging to each study, including its approved protocol, raw data, draft report, final report, and histology slides and paraffin tissue blocks should be preserved for a minimum of 5 years after marketing of the drug.
523
518 Drugs and Cosmetics Rules, 1945 Toxicokinetic studies (generation of pharmacokinetic data either as an integral component of the conduct of non-clinical toxicity studies or in specially designed studies) should be conducted to assess the systemic exposure achieved in animals and its relationship to dose level and the time course of the toxicity study. Other objectives of toxicokinetic studies include obtaining data to relate the exposure achieved in toxicity studies to toxicological findings and contribute to the assessment of the relevance of these findings to clinical safety, to support the choice of species and treatment regimen in nonclinical toxicity studies and to provide information which, in conjunction with the toxicity findings, contributes to the design of subsequent non-clinical toxicity studies.
1.1 Systemic Toxicity Studies 1.1.1 Single-dose Toxicity Studies: These studies (see Appendix I item 4.2) should be carried out in 2 rodent species (mice and rats) using the same route as intended for humans. In addition, unless the intended route of administration in humans is only intravenous, at least one more route should be used in one of the species to ensure systemic absorption of the drug. This route should depend on the nature of the drug. A limit of 2g/kg (or 10 times the normal dose that is intended in humans, whichever is higher) is recommended for oral dosing. Animals should be observed for 14 days after the drug administration, and minimum lethal dose (MLD) and maximum tolerated dose (MTD) should be established. If possible, the target organ of toxicity should also be determined. Mortality should be observed for up to 7 days after parenteral administration and up to 14 days after oral administration. Symptoms, signs and mode of death should be reported, with appropriate macroscopic and microscopic findings where necessary. LD10 and LD50 should be reported preferably with 95 percent confidence limits. If LD50s cannot be determined, reasons for the same should be stated.
The dose causing severe toxic manifestations or death should be defined in the case of cytotoxic anticancer agents, and the post-dosing observation period should be up to 14 days. Mice should first be used for determination of MTD. Findings should then be confirmed in rat for establishing linear relationship between toxicity and body surface area. In case of nonlinearity, data of the more sensitive species should be used to determine the Phase I starting dose. Where rodents are known to be poor predictors of human toxicity (e.g., antifolates), or where the cytotoxic drug acts by a novel mechanism of action, MTD should be established in non-rodent species.
1.1.2 Repeated-dose Systemic Toxicity Studies: These studies (see Appendix I, item 4.2) should be carried out in at least two mammalian species, of which one should be a non- rodent. Dose ranging studies should precede the 14-, 28-, 90- or 180- day toxicity studies. Duration of the final systematic toxicity study will depend on the duration, therapeutic indication and scale of the proposed clinical trial (see item 1.8). If a species is known to metabolize the drug in the same way as humans, it should be preferred for toxicity studies. In repeated-dose toxicity studies the drug should be administered 7 days a week by the route intended for clinical use. The number of animals required for these studies, i.e. the minimum number of animals on which data should be available, is shown in Item 1.9. Wherever applicable, a control group of animals given the vehicle alone should be included, and three other groups should be given graded doses of the drug. The highest dose should produce observable toxicity; the lowest dose should not cause observable toxicity, but should be comparable to the intended therapeutic dose in humans or a multiple of it . To make allowance for the sensitivity of the species the intermediate dose should cause some symptoms, but not gross toxicity or death, and should be placed logarithmically between the other two doses.
524
519 Drugs and Cosmetics Rules, 1945 The parameters to be monitored and recorded in long-term toxicity studies should include behavioral, physiological, biochemical and microscopic observations. In case of parenteral drug administration, the sites of injection should be subjected to gross and microscopic examination. Initial and final electrocardiogram and fundus examination should be carried out in the non-rodent species.
In the case of cytotoxic anticancer agents dosing and study design should be in accordance with the proposed clinical schedule in terms of days of exposure and number of cycles. Two rodent species may be tested for initiating Phase I trials. A non-rodent species should be added if the drug has a novel mechanism of action, or if permission for Phase II, III or marketing is being sought.
For most compounds, it is expected that single dose tissue distribution studies with sufficient sensitivity and specificity will provide an adequate assessment of tissue distribution and the potential for accumulation. Thus, repeated dose tissue distribution studies should not be required uniformly for all compounds and should only be conducted when appropriate data cannot be derived from other sources. Repeated dose studies may be appropriate under certain circumstances based on the data from single dose tissue distribution studies, toxicity and toxicokinetic studies. The studies may be most appropriate for compounds which have an apparently long half life, incomplete elimination or unanticipated organ toxicity.
Notes:
(i) Single Dose Toxicity Study: Each group should contain at least 5 animals of either sex. At least four graded doses should be given. Animals should be exposed to the test substance in a single bolus or by continuous infusion or several doses within 24 hours. Animals should be observed for 14 days. Signs of intoxication, effect on body weight, gross pathological changes should be reported. It is desirable to include histo-pathology of grossly affected organs, if any.
(ii) Dose-ranging Study: Objectives of this study include the identification of target organ of toxicity and establishment of MTD for subsequent studies.
(a) Rodents: Study should be performed in one rodent species (preferably rat) by the proposed clinical route of administration. At least four graded doses including control should be given, and each dose group as well as the vehicle control should consist of a minimum of 5 animals of each sex. Animals should be exposed to the test substance daily for 10 consecutive days. Highest dose should be the maximum tolerated dose of single-dose study. Animals should be observed daily for signs of intoxication (general appearance, activity and behaviour etc), and periodically for the body weight and laboratory parameters. Gross examination of viscera and microscopic examination of affected organs should be done.
(b) Non-rodents: One male and one female are to be taken for ascending Phase MTD study. Dosing should start after initial recording of cage-side and laboratory parameters. Starting dose may be 3 to 5 times the extrapolated effective dose or MTD (whichever is less), and dose escalation in suitable steps should be done every third day after drawing the samples for laboratory parameters. Dose should be lowered appropriately when clinical or laboratory evidence of toxicity are observed. Administration of test substance should then continue for 10 days at the well-tolerated dose level following which, samples for laboratory parameters should be taken. Sacrifice, autopsy and microscopic examination of affected tissues should be performed as in the case of rodents.
525
520 Drugs and Cosmetics Rules, 1945
(iii) 14-28 Day repeated-dose toxicity studies: One rodent (6-10/sex/group) and one non-rodent (2-3/sex/group) species are needed. Daily dosing by proposed clinical route at three dose levels should be done with highest dose having observable toxicity, mid- dose between high and low dose, and low dose. The doses should preferably be multiples of the effective dose and free from toxicity. Observation parameters should include cage- side observations, body weight changes, food/water intake, blood biochemistry, haematology, and gross and microscopic studies of all viscera and tissues.
(iv) 90-Day repeated-dose toxicity studies: One rodent (15-30/sex/group) and one non- rodent (4-6/sex/group) species are needed. Daily dosing by proposed clinical route at three graded dose levels should be done. In addition to the control a "high-dose-reversal"
group and its control group should be also included. Parameters should include signs of intoxication (general appearance, activity and behaviour etc), body weight, food intake, blood biochemical parameters, haematological values, urine analysis, organ weights, gross and microscopic study of viscera and tissues. Half the animals in "reversal" groups (treated and control) should be sacrificed after 14 days of stopping the treatment. The remaining animals should be sacrificed after 28 days of stopping the treatment or after the recovery of signs and/or clinical pathological changes - whichever comes later, and evaluated for the parameters used for the main study.
(v) 180-Day repeated-dose toxicity studies: One rodent (15-30/sex/group) and one non-rodent (4-6/sex/group) species are needed. At least 4 groups, including control, should be taken. Daily dosing by proposed clinical route at three graded dose levels should be done. Parameters should include signs of intoxication, body weight, food intake, blood biochemistry, hematology, urine analysis, organ weights, gross and microscopic examination of organs and tissues.
1.2 Male Fertility Study One rodent species (preferably rat) should be used. Dose selection should be done from the results of the previous 14 or 28-day toxicity study in rat. Three dose groups, the highest one showing minimal toxicity in systemic studies, and a control group should be taken. Each group should consist of 6 adult male animals. Animals should be treated with the test substance by the intended route of clinical use for minimum 28 days and maximum 70 days before they are paired with female animals of proven fertility in a ratio of 1:2 for mating.
Drug treatment of the male animals should continue during pairing. Pairing should be continued till the detection of vaginal plug or 10 days, whichever is earlier. Females getting thus pregnant should be examined for their fertility index after day 13 of gestation. All the male animals should be sacrificed at the end of the study. Weights of each testis and epididymis should be separately recorded. Sperms from one epididymis should be examined for their motility and morphology. The other epididymis and both testes should be examined for their histology.
1.3 Female Reproduction and Developmental Toxicity Studies These studies (see Appendix I, item 4.4) need to be carried out for all drugs proposed to be studied or used in women of child bearing age. Segment I, II and III studies (see below) are to be performed in albino mice or rats, and segment II study should include albino rabbits also as a second test species.
526
521 Drugs and Cosmetics Rules, 1945 On the occasion, when the test article is not compatible with the rabbit (e.g. antibiotics which are effective against gram positive, anaerobic organisms and protozoas) the Segment II data in the mouse may be substituted.
1.3.1 Female Fertility Study (Segment I): The study should be done in one rodent species (rat preferred). The drug should be administered to both males and females, beginning a sufficient number of days (28 days in males and 14 days in females) before mating. Drug treatment should continue during mating and, subsequently, during the gestation period. Three graded doses should be used, the highest dose (usually the MTD obtained from previous systemic toxicity studies) should not affect general health of the parent animals. At least 15 males and 15 females should be used per dose group. Control and the treated groups should be of similar size. The route of administration should be the same as intended for therapeutic use
Dams should be allowed to litter and their medication should be continued till the weaning of pups. Observations on body weight, food intake, clinical signs of intoxication, mating behaviour, progress of gestation/ parturition periods, length of gestation, parturition, post-partum health and gross pathology (and histopathology of affected organs) of dams should be recorded. The pups from both treated and control groups should be observed for general signs of intoxication, sex-wise distribution in different treatment groups, body weight, growth parameters, survival, gross examination, and autopsy. Histopathology of affected organs should be done.
1.3.2 Teratogenicity Study (Segment II):
One rodent (preferably rat) and one non-rodent (rabbit) species are to be used. The drug should be administered throughout the period of organogenesis, using three dose levels as described for segment I. The highest dose should cause minimum maternal toxicity and the lowest one should be proportional to the proposed dose for clinical use in humans or a multiple of it. The route of administration should be the same as intended for human therapeutic use.
The control and the treated groups should consist of at least 20 pregnant rats (or mice) and 12 rabbits, on each dose level. All foetuses should be subjected to gross examination, one of the foetuses should be examined for skeletal abnormalities and the other half for visceral abnormalities. Observation parameters should include: (Dams) signs of intoxication, effect on body weight, effect on food intake, examination of uterus, ovaries and uterine contents, number of corpora lutea, implantation sites, resorptions (if any); and for the foetuses, the total number, gender, body length, weight and gross/ visceral/ skeletal abnormalities, if any.
1.3.3 Perinatal Study (Segment III):
This study is specially recommended if the drug is to be given to pregnant or nursing mothers for long periods or where there are indications of possible adverse effects on foetal development. One rodent species (preferably rat) is needed. Dosing at levels comparable to multiples of human dose should be done by the intended clinical route. At least 4 groups (including control), each consisting of 15 dams should be used. The drug should be administered throughout the last trimester of pregnancy (from day 15 of gestation) and then the dose that causes low foetal loss should be continued throughout lactation and weaning. Dams should then be sacrificed and examined as described below.
527
522 Drugs and Cosmetics Rules, 1945 One male and one female from each litter of F1 generation (total 15 males and 15 females in each group) should be selected at weaning and treated with vehicle or test substance (at the dose levels described above) throughout their periods of growth to sexual maturity, pairing, gestation, parturition and lactation. Mating performance and fertility of F1 generation should thus be evaluated to obtain the F2 generation whose growth parameters should be monitored till weaning. The criteria of evaluation should be the same as described earlier (3.4.1).
Animals should be sacrificed at the end of the study and the observation parameters should include (Dams) body weight, food intake, general signs of intoxication, progress of gestation/ parturition periods and gross pathology (if any); and for pups, the clinical signs, sex-wise distribution in dose groups, body weight, growth parameters, gross examination, survival and autopsy (if needed) and where necessary, histopathology.
1.4 Local toxicity These studies (see Appendix I, item 4.5) are required when the new drug is proposed to be used by some special route (other than oral) in humans. The drug should be applied to an appropriate site (e.g., skin or vaginal mucous membrane) to determine local effects in a suitable species. Typical study designs for these studies should include three dose levels and untreated and/ or vehicle control, preferably use of 2 species, and increasing group size with increase in duration of treatment. Where dosing is restricted due to anatomical or humane reasons, or the drug concentration cannot be increased beyond a certain level due to the problems of solubility, pH or tonicity, a clear statement to this effect should be given. If the drug is absorbed from the site of application, appropriate systemic toxicity studies will also be required.
Notes:
(i) Dermal toxicity study: The study should be done in rabbit and rat. Daily topical (dermal) application of test substance in its clinical dosage form should be done. Test material should be applied on shaved skin covering not less than 10% of the total body surface area. Porous gauze dressing should be used to hold liquid material in place. Formulations with different concentrations (at least 3) of test substance, several fold higher than the clinical dosage form should be used. Period of application may vary from 7 to 90 days depending on the clinical duration of use. Where skin irritation is grossly visible in the initial studies, a recovery group should be included in the subsequent repeated-dose study. Local signs (erythema, oedema and eschar formation) as well as histological examination of sites of application should be used for evaluation of results.
(ii) Photo-allergy or dermal photo-toxicity: It should be tested by Armstrong/ Harber Test in guinea pig. This test should be done if the drug or a metabolite is related to an agent causing photosensitivity or the nature of action suggests such a potential (e.g., drugs to be used in treatment of leucoderma). Pretest in 8 animals should screen 4 concentrations (patch application for 2 hours ±15 min.) with and without UV exposure (10 J/cm2). Observations recorded at 24 and 48 hours should be used to ascertain highest nonirritant dose. Main test should be performed with 10 test animals and 5 controls. Induction with the dose selected from pretest should use 0.3 ml/patch for 2 hour ±15 min. followed by 10 J/cm2of UV exposure. This should be repeated on day 0, 2,4,7,9 and 11 of the test. Animals should be challenged with the same concentration of test substance between day 20 to 24 of the test with a similar 2-hour application followed by exposure to
10 J/cm2of UV light. Examination and grading of erythema and oedema formation at the
528
523 Drugs and Cosmetics Rules, 1945 challenge sites should be done 24 and 48 hours after the challenge. A positive control like musk ambrett or psoralin should be used.
(iii) Vaginal Toxicity Test: Study is to be done in rabbit or dog. Test substance should be applied topically (vaginal mucosa) in the form of pessary, cream or ointment. Six to ten animals per dose group should be taken. Higher concentrations or several daily applications of test substance should be done to achieve multiples of daily human dose. The minimum duration of drug treatment is 7 days (more according to clinical use), subject to a maximum of 30 days. Observation parameters should include swelling, closure of introitus and histopathology of vaginal wall.
(iv) Rectal Tolerance Test: For all preparations meant for rectal administration this test may be performed in rabbits or dogs. Six to ten animals per dose group should be taken. Formulation in volume comparable to human dose (or the maximum possible volume) should be applied once or several times daily, per rectally, to achieve administration of multiples of daily human dose. The minimum duration of application is 7 days (more according to clinical use), subject to a maximum of 30 days. Size of suppositories may be smaller, but the drug content should be several fold higher than the proposed human dose. Observation parameters should include clinical signs (sliding on backside), signs of pain, blood and/or mucus in faeces, condition of anal region/sphincter, gross and (if required) histological examination of rectal mucosa.
(v) Parenteral Drugs: For products meant for intravenous or intramuscular or subcutaneous or intradermal injection the sites of injection in systemic toxicity studies should be specially examined grossly and microscopically. If needed, reversibility of adverse effects may be determined on a case to case basis.
(vi) Ocular toxicity studies (for products meant for ocular instillation): These studies should be carried out in two species, one of which should be the albino rabbit which has a sufficiently large conjunctival sac. Direct delivery of drug onto the cornea in case of animals having small conjunctival sacs should be ensured. Liquids, ointments, gels or soft contact lenses (saturated with drug) should be used. Initial single dose application should be done to decide the exposure concentrations for repeated-dose studies and the need to include a recovery group. Duration of the final study will depend on the proposed length of human exposure subject to a maximum of 90 days. At least two different concentrations exceeding the human dose should be used for demonstrating the margin of safety. In acute studies, one eye should be used for drug administration and the other kept as control. A separate control group should be included in repeated-dose studies. Slit-lamp examination should be done to detect the changes in cornea, iris and aqueous humor. Fluorescent dyes (sodium fluorescein, 0.25 to 1.0%) should be used for detecting the defects in surface epithelium of cornea and conjunctiva. Changes in intra-ocular tension should be monitored by a tonometer. Histological examination of eyes should be done at the end of the study after fixation in Davidson's or Zenker's fluid.
(vii) Inhalation toxicity studies: The studies are to be undertaken in one rodent and one non-rodent species using the formulation that is to be eventually proposed to be marketed. Acute, subacute and chronic toxicity studies should be performed according to the intended duration of human exposure. Standard systemic toxicity study designs (described above) should be used. Gases and vapours should be given in whole body exposure chambers; aerosols are to be given by nose-only method. Exposure time and concentrations of test substance (limit dose of 5mg/l) should be adjusted to ensure exposure at levels comparable to multiples of intended human exposure. Three dose groups and a control (plus vehicle control, if needed) are required. Duration of exposure
529
524 Drugs and Cosmetics Rules, 1945 may vary subject to a maximum of 6 hours per day and five days a week. Food and water should be withdrawn during the period of exposure to test substance. Temperature, humidity and flow rate of exposure chamber should be recorded and reported. Evidence of exposure with test substance of particle size of 4 micron (especially for aerosols) with not less that 25% being 1 micron should be provided. Effects on respiratory rate, findings of bronchial lavage fluid examination, histological examination of respiratory passages and lung tissue should be included along with the regular parameters of systemic toxicity studies or assessment of margin of safety.
1.5 Allergenicity/ Hypersensitivity:
Standard tests include guinea pig maximization test (GPMT) and local lymph node assay (LLNA) in mouse. Any one of the two may be done.
Notes:
(i) Guinea Pig Maximization Test: The test is to be performed in two steps; first, determination of maximum nonirritant and minimum irritant doses, and second, the main test. The initial study will also have two components. To determine the intradermal induction dose, 4 dose levels should be tested by the same route in a batch of 4 male and 4 female animals (2 of each sex should be given Freund's adjuvant). The minimum irritant dose should be used for induction. Similarly, a topical minimum irritant dose should be determined for challenge. This should be established in 2 males and 2 females. A minimum of 6 male and 6 female animals per group should be used in the main study. One test and one control group should be used. It is preferable to have one more positive control group. Intradermal induction (day 1) coupled with topical challenge (day 21) should be done. If there is no response, re-challenge should be done 7-30 days after the primary challenge. Erythema and oedema (individual animal scores as well as maximization grading) should be used as evaluation criteria.
(ii) Local Lymph Node Assay: Mice used in this test should be of the same sex, either only males or only females. Drug treatment is to be given on ear skin. Three graded doses, the highest being maximum nonirritant dose plus vehicle control should be used. A minimum of 6 mice per group should be used. Test material should be applied on ear skin on three consecutive days and on day 5, the draining auricular lymph nodes should be dissected out 5 hours after i.v. H-thymidine or bromo-deoxy-uridine (BrdU). Increase in H-thymidine or BrdU incorporation should be used as the criterion for evaluation of results.
1.6 Genotoxicity Genotoxic compounds, in the absence of other data, shall be presumed to be trans- species carcinogens, implying a hazard to humans. Such compounds need not be subjected to long-term carcinogenicity studies. However, if such a drug is intended to be administered for chronic illnesses or otherwise over a long period of time - a chronic toxicity study (up to one year) may be necessary to detect early tumorigenic effects. Genotoxicity tests are in vitro and in vivo tests conducted to detect compounds which induce genetic damage directly or indirectly. These tests should enable a hazard identification with respect to damage to DNA and its fixation. The following standard test battery is generally expected to be conducted:
(i) A test for gene mutation in bacteria.
530
525 Drugs and Cosmetics Rules, 1945
(ii) An in vitro test with cytogenetic evaluation of chromosomal damage with mammalian cells or an in vitro mouse lymphoma tic assay.
(iii) An in vivo test for chromosomal damage using rodent haematopoietic cells. Other genotoxicity tests e.g. tests for measurement of DNA adducts, DNA strand breaks, DNA repair or recombination serve as options in addition to the standard battery for further investigation of genotoxicity test results obtained in the standard battery. Only under extreme conditions in which one or more tests comprising the standard battery cannot be employed for technical reasons, alternative validated tests can serve as substitutes provided sufficient scientific justification should be provided to support the argument that a given standard battery test is not appropriate.
Both in-vitro and in-vivo studies should be done. In-vitro studies should include Ames' Salmonella assay and chromosomal aberrations (CA) in cultured cells. In-vivo studies should include micronucleus assay (MNA) or CA in rodent bone marrow. Data analysis of CA should include analysis of 'gaps.'
Cytotoxic anticancer agents: Genotoxicity data are not required before Phase I and II trials. But these studies should be completed before applying for Phase III trials.
Notes:
Ames' Test (Reverse mutation assay in Salmonella): S. typhimurium tester strains such as TA98, TA100, TA102, TA1535, TA97 or Escherichia coli WP2 uvrA or Escherichia coli WP2 uvrA (pKM101) should be used.
(i) In-vitro exposure (with and without metabolic activation, S9 mix) should be done at a minimum of 5 log dose levels. "Solvent" and "positive" control should be used. Positive control may include 9-amino-acridine, 2-nitrofluorine, sodium azide and mitomycin C, respectively, in the tester strains mentioned above. Each set should consist of at least three replicates. A 2.5 fold (or more) increase in number of revertants in comparison to spontaneous revertants would be considered positive.
(ii) In-vitro cytogenetic assay : The desired level of toxicity for in vitro cytogenetic tests using cell lines should be greater than 50% reduction in cell number or culture confluency. For lymphocyte cultures, an inhibition of mitotic index by greater than 50% is considered sufficient. It should be performed in CHO cells or on human lymphocyte in culture. In-vitro exposure (with and without metabolic activation, S9 mix) should be done using a minimum of 3 log doses. "Solvent" and "positive" control should be included. A positive control like Cyclophosphamide with metabolic activation and Mitomycin C for without metabolic activation should be used to give a reproducible and detectable increase clastogenic effect over the background which demonstrates the sensitivity of the test system. Each set should consist of at least three replicates. Increased number of aberrations in metaphase chromosomes should be used as the criteria for evaluation.
(iii) In-vivo micronucleus assay: One rodent species (preferably mouse) is needed. Route of administration of test substance should be the same as intended for humans. Five animals per sex per dose groups should be used. At least three dose levels, plus "solvent"
and "positive" control should be tested. A positive control like mitomycin C or cyclophosphamide should be used. Dosing should be done on day 1 and 2 of study followed by sacrifice of animals 6 hours after the last injection. Bone marrow from both the femora should be taken out, flushed with fetal bovine serum (20 min.), pelletted and smeared on glass slides. Giemsa-MayGruenwald staining should be done and increased number of micronuclei in polychromatic erythrocytes (minimum 1000) should be used as the evaluation criteria.
531
526 Drugs and Cosmetics Rules, 1945
(iv) In-vivo cytogenetic assay: One rodent species (preferably rat) is to be used. Route of administration of test substance should be the same as intended for humans. Five animals/sex/dose groups should be used. At least three dose levels, plus "solvent" and
"positive" control should be tested. Positive control may include cyclophosphamide. Dosing should be done on day 1 followed by intra-peritoneal colchicine administration at 22 hours. Animals should be sacrificed 2 hours after colchicine administration. Bone marrow from both the femora should be taken out, flushed with hypotonic saline (20 min.), pelletted and resuspended in Carnoy's fluid. Once again the cells should be pelletted and dropped on clean glass slides with a Pasteur pipette. Giemsa staining should be done and increased number of aberrations in metaphase chromosomes (minimum 100) should be used as the evaluation criteria.
1.7 Carcinogenicity (see Appendix I, item 4.8) Carcinogenicity studies should be performed for all drugs that are expected to be clinically used for more than 6 months as well as for drugs used frequently in an intermittent manner in the treatment of chronic or recurrent conditions. Carcinogenicity studies are also to be performed for drugs if there is concern about their carcinogenic potential emanating from previous demonstration of carcinogenic potential in the product class that is considered relevant to humans or where structure-activity relationship suggests carcinogenic risk or when there is evidence of preneoplastic lesions in repeated dose toxicity studies or when long-term tissue retention of parent compound or metabolite(s) results in local tissue reactions or other pathophysiological responses. For pharmaceuticals developed to treat certain serious diseases, Licensing Authority may allow carcinogenicity testing to be conducted after marketing permission has been granted.
In instances where the life-expectancy in the indicated population is short (i.e., less than 2-3 years)- no long-term carcinogenicity studies may be required. In cases where the therapeutic agent for cancer is generally successful and life is significantly prolonged there may be later concerns regarding secondary cancers. When such drugs are intended for adjuvant therapy in tumour free patients or for prolonged use in non-cancer indications, carcinogenicity studies may be / are needed. Completed rodent carcinogenicity studies are not needed in advance of the conduct of large scale clinical trials, unless there is special concern for the patient population.
Carcinogenicity studies should be done in a rodent species (preferably rat). Mouse may be employed only with proper scientific justification. The selected strain of animals should not have a very high or very low incidence of spontaneous tumors.
At least three dose levels should be used. The highest dose should be sub-lethal, and it should not reduce the life span of animals by more than 10% of expected normal. The lowest dose should be comparable to the intended human therapeutic dose or a multiple of it, e.g. 2.5x; to make allowance for the sensitivity of the species. The intermediate dose to be placed logarithmically between the other two doses. An untreated control and (if indicated) a vehicle control group should be included. The drug should be administered 7 days a week for a fraction of the life span comparable to the fraction of human life span over which the drug is likely to be used therapeutically. Generally, the period of dosing should be 24 months for rats and 18 months for mice.
Observations should include macroscopic changes observed at autopsy and detailed histopathology of organs and tissues. Additional tests for carcinogenicity (short-term bioassays, neonatal mouse assay or tests employing transgenic animals) may also be done depending on their applicability on a case to case basis.
Note:
532
527 Drugs and Cosmetics Rules, 1945 Each dose group and concurrent control group not intended to be sacrificed early should contain atleast 50 animals of each sex. A high dose sattelite group for evaluation of pathology other than neoplasia should contain 20 animals of each sex while the sattelite control group should contain 10 animals of each sex. Observation parameters should include signs of intoxication, effect on body weight, food intake, clinical chemistry parameters, hematology parameters, urine analysis, organ weights, gross pathology and detailed histopathology. Comprehensive descriptions of benign and malignant tumour development, time of their detection, site, dimensions, histological typing etc. should be given.
1.8 Animal toxicity requirements for clinical trials and marketing of a new drug. Systemic Toxicity Studies
Route of Duration of Human Long term toxicity
administration proposed human Phase(s) requirements
administration for which
study is
proposed
to be
conducted
Oral or Parenteral Single dose or I,II,III 2sp,2wk
or Transdermal several doses in
one day, Upto
1wk
> 1 wk but upto I,II,III 2sp;4wk
2wk
> 2 wk but upto I,II,III 2sp;12wk
4wk
Over 1mo I,II,III 2sp;24wk
Inhalation (general Upto 2 wk I,II,III 2sp;1mo; (Exposure time anaesthetics, 3h/d, 5d/wk)
aerosols)
Upto 4wk I,II,III 2sp;12wk, (Exposure time
6h/d, 5d/wk)
> 1 4wk I,II,III 2sp;24wk, (Exposure time
6h/d, 5d/wk)
Local Toxicity Studies
Dermal Upto 2 wk I,II 1sp;4wk
III 2sp;4wk
> 2 wk I,II,III 2sp;12wk
Ocular or Otic or Upto 2 wk I,II 1sp;4wk
Nasal
III 2sp;4wk
> 2 wk I,II,III 2sp;12wk
533
528 Drugs and Cosmetics Rules, 1945 Vaginal or Rectal Upto 2 wk I,II 1sp;4wk III 2sp;4wk
> 2 wk I,II,III 2sp;12wk
Special Toxicity Studies
Male Fertility Study:
• Phase I, II, III in male volunteers/patients Female Reproduction and Developmental Toxicity Studies:
• Segment II studies in 2 species; Phase II, III involving female patients of child- bearing age.
• Segment I study; Phase III involving female patients of child-bearing age.
• Segment III study; Phase III for drugs to be given to pregnant or nursing mothers for long periods or where there are indications of possible adverse effects on foetal development.
Allergenicity/Hypersensitivity:
• Phase I, II, III - when there is a cause of concern or for parenteral drugs (including dermal application)
Photo-allergy or dermal photo-toxicity:
• Phase I, II, III - if the drug or a metabolite is related to an agent causing photosensitivity or the nature of action suggests such a potential. Genotoxicity:
• In-vitro studies - Phase I
• Both in-vitro and in-vivo - Phase II, III arcinogenicity:
• Phase III - when there is a cause for concern, or when the drug is to be used for more than 6 months.
Abbreviations: sp-species; mo-month; wk-week; d -day; h-hour; I, II, III - Phases of clinical trial;
Note: 1. Animal toxicity data generated in other countries may be accepted and may not be asked to be repeated/duplicated in India on a case to case basis depending upon the quality of data and the credentials of the laboratory(ies) where such data has been generated.
2. Requirements for fixed dose combinations are given in Appendix VI.
534
529 Drugs and Cosmetics Rules, 1945
1.9 Number of animals required for repeated-dose toxicity studies 14-28 days 84-182 days
Group Rodent (Rat) Non-rodent Rodent (Rat) Non-rodent (Dog or (Dog or
Monkey) Monkey)
M F M F M F M F
Control 6- 6-10 2-3 2-3 15- 15- 4-6 4-6
10 30 30
Low dose 6- 6-10 2-3 2-3 15- 15- 4-6 4-6
10 30 30
Intermediate 6- 6-10 2-3 2-3 15- 15- 4-6 4-6 dose 10 30 30
High dose 6- 6-10 2-3 2-3 15- 15- 4-6 4-6
10 30 30
2.0 Laboratory parameters to be included in toxicity studies.
Haematological parameters
• Haemoglobin • Total RBC • Haematocrit • Reticulocyte Count Count
• Total WBC Count • Differential WBC • Platelet Terminal Bone Count Count Marrow Examination
• ESR (Non- • General Blood Picture: A special mention of abnormal and immature rodents only) cells should be made.
• Coagulation Parameters (Non-rodents only): Bleeding Time, Coagulation Time, Prothrombin Time, Activated Partial Thromboplastin Time
Urinalysis Parameters:
• Colour • Appearance • Specific • 24-hour urinary Gravity output
• Reaction (pH) • Albumin •Sugar • Acetone Bile pigments Urobilinogen • Occult Blood
• Microscopic examination of urinary sediment.
535
530 Drugs and Cosmetics Rules, 1945
Blood Biochemical Parameters
• Glucose • Cholesterol • Triglycerides • HDL Cholesterol
(Non-
rodents
only)
• LDL Cholesterol • Bilirubin • SGPT (ALT) • SGOT (Non-rodents (AST)
only)
• Alkaline • GGT • Blood Urea • Ceatinine Phosphatase (Non-rodents only) Nitrogen
(ALP)
• Total Proteins • Albumin • Globulin • (Calculated Sodium
values)
• • • Potassium Phosphorus Calcium
Gross and Microscopic Pathology
• Brain*: • (Spinal Cord) • Eye • (Middle Ear) Cerebrum,
cerebellum,
Midbrain
• Thyroid • Parathyroid) • Spleen • Thymus
• Adrenal* • (Pancreas) • (Trachea) • Lung*
• Heart* • Aorta • Oesophagus • Stomach
• Duodenum • Jejunum • Terminal • Colon ileum
• (Rectum) • Liver* • Kidney* • Urinary bladder
• Epididymis • Testis* • Ovary • Uterus*
• Skin • Mammary • Mesenteric • Skeletal muscle gland lymph node
* Organs marked with an asterisk should be weighed. () Organs listed in parenthesis should be examined if indicated by the nature of the drug or observed effects.
Non-clinical toxicity testing and safety evaluation data of an IND needed for the conduct of different phases of clinical trials.
___________________________________________________________________________
536
531 Drugs and Cosmetics Rules, 1945
Note: Refer Appendix III (Points 1.1 through 1.7 and tables 1.8 and 1.9) for essential features of study designs of the non-clinical toxicity studies listed below.
For Phase I Clinical Trials
Systemic Toxicity studies
(i) Single dose toxicity studies
(ii) Dose Ranging Studies
(iii) Repeat-dose systemic toxicity studies of appropriate duration to support the duration of proposed human exposure.
Male fertility study
In-vitro genotoxicity tests
Relevant local toxicity studies with proposed route of clinical application (duration depending on proposed length of clinical exposure)
Allergenicity/Hypersensitivity tests (when there is a cause for concern or for parenteral drugs, including dermal application)
Photo-allergy or dermal photo-toxicity test (if the drug or a metabolite is related to an agent causing photosensitivity or the nature of action suggests such a potential)
For Phase II Clinical Trials
Provide a summary of all the non-clinical safety data (listed above) already submitted while obtaining the permissions for Phase I trial, with appropriate references. In case of an application for directly starting a Phase II trial - complete details of the non- clinical safety data needed for obtaining the permission for Phase I trial, as per the list provided above must be submitted.
Repeat-dose systemic toxicity studies of appropriate duration to support the duration of proposed human exposure
In-vivo genotoxicity tests.
Segment II reproductive/developmental toxicity study (if female patients of child bearing age are going to be involved)
For Phase III Clinical Trials
Provide a summary of all the non-clinical safety data (listed above) already submitted while obtaining the permissions for Phase I and II trials, with appropriate references. In case of an application for directly initiating a Phase III trial - complete details of the non-clinical safety data needed for obtaining the permissions for Phase I and II trials, as per the list provided above must be provided.
Repeat-dose systemic toxicity studies of appropriate duration to support the duration of proposed human exposure
Reproductive/developmental toxicity studies
Segment I (if female patients of child bearing age are going to be involved), and Segment III (for drugs to be given to pregnant or nursing mothers or where there are indications of possible adverse effects on foetal development).
537
532 Drugs and Cosmetics Rules, 1945 Carcinogenicity studies (when there is a cause for concern or when the drug is to be used for more than 6 months).
For Phase IV Clinical Trials
Provide a summary of all the non-clinical safety data (listed above) already submitted while obtaining the permissions for Phase I, II and III trials, with appropriate references. In case an application is made for initiating the Phase IV trial, complete details of the non-clinical safety data needed for obtaining the permissions for Phase I, II and III trials, as per the list provided above must be submitted.
Application Of Good Laboratory Practices (GLP) The animal studies be conducted in an accredited laboratory. Where the safety pharmacology studies are part of toxicology studies, these studies should also be conducted in an accredited laboratory.
APPENDIX IV
ANIMAL PHARMACOLOGY
1. General Principles
Specific and general pharmacological studies should be conducted to support use of therapeutics in humans. In the early stages of drug development enough information may not be available to rationally select study design for safety assessment. In such a situation, a general approach to safety pharmacology studies can be applied. Safety pharmacology studies are studies that investigate potential undesirable pharmacodynamic effects of a substance on physiological functions in relation to exposure within the therapeutic range or above.
1.1 Specific Pharmacological Actions Specific pharmacological actions are those which demonstrate the therapeutic potential for humans.
The specific studies that should be conducted and their design will be different based on the individual properties and intended uses of investigational drug. Scientifically validated methods should be used. The use of new technologies and methodologies in accordance with sound scientific principles should be preferred.
1.2 General Pharmacological Actions 1.2.1 Essential Safety Pharmacology Safety pharmacology studies need to be conducted to investigate the potential undesirable pharmacodynamic effects of a substance on physiological functions in relation to exposure within the therapeutic range and above. These studies should be designed to identify undesirable pharmacodynamic properties of a substance that may have relevance to its human safety; to evaluate adverse pharmacodynamic and/or pathophysiological effects observed in toxicology and/or clinical studies; and to investigate the mechanism of the adverse pharmacodynamic effects observed and/or suspected.
The aim of the essential safety pharmacology is to study the effects of the test drug on vital functions. Vital organ systems such as cardiovascular, respiratory and central nervous systems should be studied. Essential safety pharmacology studies may be excluded or supplemented based on scientific rationale. Also, the exclusion of certain
538
533 Drugs and Cosmetics Rules, 1945 test(s) or exploration(s) of certain organs, systems or functions should be scientifically justified.
1.2.1.1 Cardiovascular System
Effects of the investigational drug should be studied on blood pressure, heart rate, and the electrocardiogram. If possible in vitro, in vivo and/or ex vivo methods including electrophysiology should also be considered.
1.2.1.2 Central Nervous System
Effects of the investigational drug should be studied on motor activity, behavioral changes, coordination, sensory and motor reflex responses and body temperature. 1.2.1.3 Respiratory System
Effects of the investigational drug on respiratory rate and other functions such as tidal volume and hemoglobin oxygen saturation should be studied.
1.3 Follow-up and Supplemental Safety Pharmacology Studies
In addition to the essential safety pharmacological studies, additional supplemental and follow-up safety pharmacology studies may need to be conducted as appropriate. These depend on the pharmacological properties or chemical class of the test substance, and the data generated from safety pharmacology studies, clinical trials, pharmacovigilance, experimental in vitro or in vivo studies, or from literature reports. 1.3.1 Follow-up Studies For Essential Safety Pharmacology
Follow-up studies provide additional information or a better understanding than that provided by the essential safety pharmacology.
1.3.1.1 Cardiovascular System
These include ventricular contractility, vascular resistance and the effects of chemical mediators, their agonists and antagonists on the cardiovascular system. 1.3.1.2 Central Nervous System
These include behavioral studies , learning and memory, electrophysiology studies , neurochemistry and ligand binding studies.
1.3.1.3 Respiratory System
These include airway resistance, compliance, pulmonary arterial pressure, blood gases and blood pH.
1.3.2 Supplemental Safety Pharmacology Studies
These studies are required to investigate the possible adverse pharmacological effects that are not assessed in the essential safety pharmacological studies and are a cause for concern.
1.3.2.1 Urinary System
These include urine volume, specific gravity, osmolality, pH, proteins, cytology and blood urea nitrogen, creatinine and plasma proteins estimation. 1.3.2.2 Autonomic Nervous System
These include binding to receptors relevant for the autonomic nervous system, and functional response to agonist or antagonist responses in vivo or in vitro, and effects of direct stimulation of autonomic nerves and their effects on cardiovascular responses.
539
534 Drugs and Cosmetics Rules, 1945 1.3.2.3 Gastrointestinal System These include studies on gastric secretion, gastric pH measurement, gastric mucosal examination, bile secretion, gastric emptying time in vivo and ileocaecal contraction in vitro.
1.3.2.4 Other Organ Systems
Effects of the investigational drug on organ systems not investigated elsewhere should be assessed when there is a cause for concern. For example dependency potential, skeletal muscle, immune and endocrine functions may be investigated.
1.4 Conditions Under Which Safety Pharmacology Studies Are Not Necessary Safety pharmacology studies are usually not required for locally applied agents e.g. dermal or ocular, in cases when the pharmacology of the investigational drug is well known, and/or when systemic absorption from the site of application is low. Safety pharmacology testing is also not necessary, in the case of a new derivative having similar pharmacokinetics and pharmacodynamics.
1.5 Timing Of Safety Pharmacology Studies In Relation To Clinical Development 1.5.1 Prior To First Administration In Humans
The effects of an investigational drug on the vital functions listed in the essential safety pharmacology should be studied prior to first administration in humans. Any follow-up or supplemental studies identified, should be conducted if necessary, based on a cause for concern.
1.5.2 During Clinical Development
Additional investigations may be warranted to clarify observed or suspected adverse effects in animals and humans during clinical development 1.5.3 Before applying for marketing Approval
Follow-up and supplemental safety pharmacology studies should be assessed prior to approval unless not required, in which case this should be justified. Available information from toxicology studies addressing safety pharmacology endpoints or information from clinical studies can replace such studies.
1.6 Application Of Good Laboratory Practices (GLP) The animal studies be conducted in an accredited laboratory. Where the safety pharmacology studies are part of toxicology studies, these studies should also be conducted in an accredited laboratory.
APPENDIX V
INFORMED CONSENT
1. Checklist for study Subject's informed consent documents
1.1 Essential Elements:
1. Statement that the study involves research and explanation of the purpose of the research
2. Expected duration of the Subject's participation
540
535 Drugs and Cosmetics Rules, 1945
3. Description of the procedures to be followed, including all invasive procedures and
4. Description of any reasonably foreseeable risks or discomforts to the Subject
5. Description of any benefits to the Subject or others reasonably expected from research. If no benefit is expected Subject should be made aware of this.
6. Disclosure of specific appropriate alternative procedures or therapies available to the Subject.
7. Statement describing the extent to which confidentiality of records identifying the Subject will be maintained and who will have access to Subject's medical records
8. Trial treatment schedule(s) and the probability for random assignment to each treatment (for randomized trials)
9. Compensation and/or treatment(s) available to the Subject in the event of a trial- related injury
10. An explanation about whom to contact for trial related queries, rights of Subjects and in the event of any injury
11. The anticipated prorated payment, if any, to the Subject for participating in the trial
12. Subject's responsibilities on participation in the trial
13. Statement that participation is voluntary, that the subject can withdraw from the study at any time and that refusal to participate will not involve any penalty or loss of benefits to which the Subject is otherwise entitled
14. Any other pertinent information
1.2 Additional elements, which may be required
(a) Statement of foreseeable circumstances under which the Subject's participation may be terminated by the Investigator without the Subject's consent.
(b) Additional costs to the Subject that may result from participation in the study.
(c) The consequences of a Subject's decision to withdraw from the research and procedures for orderly termination of participation by Subject.
(d) Statement that the Subject or Subject's representative will be notified in a timely manner if significant new findings develop during the course of the research which may affect the Subject's willingness to continue participation will be provided. (e). A statement that the particular treatment or procedure may involve risks to the Subject (or to the embryo or fetus, if the Subject is or may become pregnant), which are currently unforeseeable
(f) Approximate number of Subjects enrolled in the study
2. Format of informed consent form for Subjects participating in a clinical trial
Informed Consent form to participate in a clinical trial Study Title:
Study Number:
541
536 Drugs and Cosmetics Rules, 1945 Subject's Initials: _______________ Subject's Name:_______________ Date of Birth / Age: _________________
Please initial box
(Subject)
(i) I confirm that I have read and understood the information sheet dated ___ [ ] for the above study and have had the opportunity to ask questions.
(ii) I understand that my participation in the study is voluntary and that I am [ ] free to withdraw at any time, without giving any reason, without my medical care or legal rights being affected.
(iii) I understand that the Sponsor of the clinical trial, others working on the [ ] Sponsor's behalf, the Ethics Committee and the regulatory authorities will not need my permission to look at my health records both in respect of the current study and any further research that may be conducted in relation to it, even if I withdraw from the trial. I agree to this access. However, I understand that my identity will not be revealed in any information released to third parties or published.
(iv) I agree not to restrict the use of any data or results that arise from this [ ] study provided such a use is only for scientific purpose(s)
(v) I agree to take part in the above study. [ ] Signature (or Thumb impression) of the Subject/Legally Acceptable Representative:_____________
Date: _____/_____/______
Signatory's Name: ______________________________________________________ Signature of the Investigator: ____________________________ Date:
_____/_____/______
Study Investigator's Name: __________________________________________________
542
537 Drugs and Cosmetics Rules, 1945 Signature of the Witness ______________________ Date:_____/_____/_______ Name of the Witness: _______________________________________________________
APPENDIX VI
FIXED DOSE COMBINATIONS (FDCs)
Fixed Dose Combinations refer to products containing one or more active ingredients used for a particular indication(s). FDCs can be divided into the following groups and data required for approval for marketing is described below:
(a) The first group of FDCs includes those in which one or more of the active ingredients is a new drug. For such FDCs to be approved for marketing data to be submitted will be similar to data required for any new drug (including clinical trials) [see rule 122E, item (a)].
(b)(i) The second group FDCs includes those in which active ingredients already approved/marketed individually are combined for the first time, for a particular claim and where the ingredients are likely to have significant interaction of a pharmacodynamic or pharmacokinetic nature [see rule 122E, item (c)]. If clinical trials have been carried out with the FDC in other countries, reports of such trials should be submitted. If the FDC is marketed abroad, the regulatory status in other countries should be stated. (see Appendix I, item 9).
(ii) For marketing permission, appropriate chemical and pharmaceutical data will be submitted. In case such a combination is not marketed anywhere in the world but these drugs are already in use concomitantly (not as an FDC but individually) for the said claim, marketing permission may be granted based on chemical and pharmaceutical data. Data showing the stability of the proposed dosage form will also have to be submitted.
(iii) For any other such FDCs, clinical trials may be required. For obtaining permission to carry out clinical trials with such FDCs a summary of available pharmacological, toxicological and clinical data on the individual ingredients should be submitted, along with the rationale for combining them in the proposed ratio. In addition, acute toxicity data (LD 50) and pharmacological data should be submitted on the individual ingredients as well as their combination in the proposed ratio.
(c) The third group of FDCs includes those which are already marketed, but in which it is proposed either to change the ratio of active ingredients or to make a new therapeutic claim. For such FDCs, the appropriate rationale including published reports (if any) should be submitted to obtain marketing permission. Permission will be granted depending upon the nature of the claim and data submitted.
(d) The fourth group of FDC includes those whose individual active ingredients (or drugs from the same class) have been widely used in a particular indication(s) for years, their concomitant use is often necessary and no claim is proposed to be made other than convenience. It will have to be demonstrated that the proposed dosage form is stable and the ingredients are unlikely to have significant interaction of a pharmacodynamic or pharmacokinetic nature.
No additional animal or human data are generally required for these FDCs, and marketing permission may be granted if the FDC has an acceptable rationale.
543
538 Drugs and Cosmetics Rules, 1945
APPENDIX VII
UNDERTAKING BY THE INVESTIGATOR
1. Full name, address and title of the Principal Investigator (or Investigator(s) when there is no Principal Investigator)
2. Name and address of the medical college, hospital or other facility where the clinical trial will be conducted: Education, training & experience that qualify the Investigator for the clinical trial (Attach details including Medical Council registration number, and / or any other statement(s) of qualification(s))
3. Name and address of all clinical laboratory facilities to be used in the study.
4. Name and address of the Ethics Committee that is responsible for approval and continuing review of the study.
5. Names of the other members of the research team (Co- or sub-Investigators) who will be assisting the Investigator in the conduct of the investigation (s).
6. Protocol Title and Study number (if any) of the clinical trial to be conducted by the Investigator.
7. Commitments:
(i) I have reviewed the clinical protocol and agree that it contains all the necessary information to conduct the study. I will not begin the study until all necessary Ethics Committee and regulatory approvals have been obtained.
(ii) I agree to conduct the study in accordance with the current protocol. I will not implement any deviation from or changes of the protocol without agreement by the Sponsor and prior review and documented approval / favorable opinion from the Ethics Committee of the amendment, except where necessary to eliminate an immediate hazard(s) to the trial Subjects or when the change(s) involved are only logistical or administrative in nature.
(iii) I agree to personally conduct and/or supervise the clinical trial at my site.
(iv) I agree to inform all Subjects, that the drugs are being used for investigational purposes and I will ensure that the requirements relating to obtaining informed consent and ethics committee review and approval specified in the GCP guidelines are met.
(v) I agree to report to the Sponsor all adverse experiences that occur in the course of the investigation(s) in accordance with the regulatory and GCP guidelines.
(vi) I have read and understood the information in the Investigator's brochure, including the potential risks and side effects of the drug.
(vii) I agree to ensure that all associates, colleagues and employees assisting in the conduct of the study are suitably qualified and experienced and they have been informed about their obligations in meeting their commitments in the trial.
(viii) I agree to maintain adequate and accurate records and to make those records available for audit / inspection by the Sponsor, Ethics Committee, Licensing Authority or their authorized representatives, in accordance with regulatory and GCP provisions. I will fully cooperate with any study related audit conducted by regulatory officials or authorized representatives of the Sponsor.
(ix) I agree to promptly report to the Ethics Committee all changes in the clinical trial activities and all unanticipated problems involving risks to human Subjects or others.
544
539 Drugs and Cosmetics Rules, 1945
(x) I agree to inform all unexpected serious adverse events to the Sponsor as well as the Ethics Committee within seven days of their occurence.
(xi) I will maintain confidentiality of the identification of all participating study patients and assure security and confidentiality of study data.
(xii) I agree to comply with all other requirements, guidelines and statutory obligations as applicable to clinical Investigators participating in clinical trials
8. Signature of Investigator with Date
APPENDIX VIII
ETHICS COMMITTEE
1. The number of persons in an Ethcis Committee should have atleast seven members. Ethics Committee should appoint, from among its members, a Chairperson (who is from outside the institution) and a Member Secretary. Other members should be a mix of medical/non-medical, scientific and non-scientific persons, including lay public, to reflect the different viewpoints.
For review of each protocol the quorum of Ethics Committee should be atleast 5 members with the following representations:
(a) basic medical scientists (preferably one pharmacologist).
(b) clinicians
(c) legal expert
(d) social scientist / representative of non-governmental voluntary agency / philosopher / ethicist / theologian or a similar person
(e) lay person from the community. In any case, the ethics committee must include at least one member whose primary area of interest / specialization is nonscientific and at least one member who is independent of the institution / trial site. Besides, there should be appropriate gender representation on the Ethics Committee. If required, Subject experts may be invited to offer their views. Further, based on the requirement of research area, e.g. HIV AIDS, genetic disorders etc. specific patient groups may also be represented in the Ethics Committee as far as possible.
Only those Ethics Committee members who are independent of the clinical trial and the Sponsor of the trial should vote / provide opinion in matters related to the study.
2. Format for Approval of Ethics Committee To
Dr.
Dear Dr. ________
The Institutional Ethics Committee / Independent Ethics Committee (state name of the committee, as appropriate) reviewed and discussed your application to conduct the clinical trial entitled "……" on …….(date).
545
540 Drugs and Cosmetics Rules, 1945 The following documents were reviewed:
(a) Trial Protocol (including protocol amendments), dated____________ Version no (s).__________
(b) Patient Information Sheet and Informed Consent Form (including updates if any) in English and/or vernacular language.
(c) Investigator's Brochure, dated_________, Version no.________
(d) Proposed methods for patient accrual including advertisement (s) etc. proposed to be used for the purpose.
(e) Principal Investigator's current CV.
(f) Insurance Policy / Compensation for participation and for serious adverse events occurring during the study participation.
(g) Investigator's Agreement with the Sponsor.
(h) Investigator's Undertaking (Appendix VII). The following members of the ethics committee were present at the meeting held on (date, time, place).
__________ Chairman of the Ethics Committee
__________ Member secretary of the Ethics Committee
__________ Name of each member with designation
We approve the trial to be conducted in its presented form.
The Institutional Ethics Committee / Independent Ethics Committee expects to be informed about the progress of the study, any SAE occurring in the course of the study, any changes in the protocol and patient information/informed consent and asks to be provided a copy of the final report.
Yours sincerely,
Member Secretary, Ethics Committee.
APPENDIX IX
STABILITY TESTING OF NEW DRUGS
Stability testing is to be performed to provide evidence on how the quality of a drug substance or formulation varies with time under the influence of various environmental factors such as temperature, humidity and light, and to establish shelf life for the formulation and recommended storage conditions.
546
541 Drugs and Cosmetics Rules, 1945 Stability studies should include testing of those attributes of the drug substance that are susceptible to change during storage and are likely to influence quality, safety, and/or efficacy. In case of formulations the testing should cover, as appropriate, the physical, chemical, biological, and microbiological attributes, preservative content (e.g., antioxidant, antimicrobial preservative), and functionality tests (e.g., for a dose delivery system). Validated stability-indicating analytical procedures should be applied. For long term studies, frequency of testing should be sufficient to establish the stability profile of the drug substance.
In general, a drug substance should be evaluated under storage conditions that test its thermal stability and, if applicable, its sensitivity to moisture. The storage conditions and the length of studies chosen should be sufficient to cover storage, shipment and subsequent use. Stress testing of the drug substance should be conducted to identify the likely degradation products, which in turn establish the degradation pathways, evaluate the intrinsic stability of the molecule and validate the stability indicating power of the analytical procedures used. The nature of the stress testing will depend on the individual drug substance and the type of formulation involved.
Stress testing may generally be carried out on a single batch of the drug substance. It should include the effect of temperatures ), humidity where appropriate, oxidation, and photolysis on the drug substance.
Data should be provided for (a) Photostability on at least one primary batch of the drug substance as well as the formulation, as the case may be and (b) the susceptibility of the drug substance to hydrolysis across a wide range of pH values when in solution or suspension. Long-term testing should cover a minimum of 12 months' duration on at least three primary batches of the drug substance or the formulation at the time of submission and should be continued for a period of time sufficient to cover the proposed shelf life. Accelerated testing should cover a minimum of 6 months duration at the time of submission. In case of drug substances, the batches should be manufactured to a minimum of pilot scale by the same synthetic route and using a method of manufacture that simulates the final process to be used for production batches. In case of formulations, two of the three batches should be at least pilot scale and the third one may be smaller. The manufacturing process(es) used for primary batches should simulate that to be applied to production batches and should provide products of the same quality and meeting the same specifications as that intended for marketing.
The stability studies for drug substances should be conducted either in the same container - closure system as proposed for storage and distribution or in a container - closure system that simulates the proposed final packaging. In case of formulations, the stability studies should be conducted in the final container - closure system proposed for marketing. Stability Testing of new drug substances and formulations:
(i) Study conditions for drug substances and formulations intended to be stored under general conditions
Study Study conditions Duration of study
Long term 30°C ± 2°C/65% RH ± 5% RH 12 months
Accelerated 40°C ± 2°C/75% RH ± 5% RH 6 months
547
542 Drugs and Cosmetics Rules, 1945 If at any time during 6 months' testing under the accelerated storage condition, such changes occur that cause the product to fail in complying with the prescribed standards, additional testing under an intermediate storage condition should be conducted and evaluated against significant change criteria.
(ii) Study conditions for drug substances and formulations intended to be stored in a refrigerator
Study Study conditions Duration of study
Long term 5°C ± 3°C 12 months
Accelerated 25°C ± 2°C/60% RH ± 5% RH 6 months
(iii) Study conditions for drug substances and formulations intended to be stored in a freezer
Study Study conditions Duration of study
Long term - 20°C ± 5°C 12 months
(iv) Drug substances intended for storage below -20°C shall be treated on a case-by-case basis.
(v) Stability testing of the formulation after constitution or dilution, if applicable, should be conducted to provide information for the labelling on the preparation, storage condition, and in-use period of the constituted or diluted product. This testing should be performed on the constituted or diluted product through the proposed in-use period.
APPENDIX X
CONTENTS OF THE PROPOSED PROTOCOL FOR CONDUCTING CLINICAL
TRIALS
1. Title Page
(a) Full title of the clinical study,
(b) Protocol / Study number, and protocol version number with date
(c) The IND name/number of the investigational drug
(d) Complete name and address of the Sponsor and contract research organization if any
(e) List of the Investigators who are conducting the study, their respective institutional affiliations and site locations
(f) Name(s) of clinical laboratories and other departments and/or facilities participating in the study.
2. Table of Contents
A complete Table of Contents including a list of all Appendices.
548
543 Drugs and Cosmetics Rules, 1945
1. Background and Introduction
(a) Preclinical experience.
(b) Clinical experience. Previous clinical work with the new drug should be reviewed here and a description of how the current protocol extends existing data should be provided. If this is an entirely new indication, how this drug was considered for this should be discussed. Relevant information regarding pharmacological, toxicological and other biological properties of the drug/biologic/medical device, and previous efficacy and safety experience should be described.
2. Study Rationale This section should describe a brief summary of the background information relevant to the study design and protocol methodology. The reasons for performing this study in the particular population included by the protocol should be provided.
3. Study Objective(s) (primary as well as secondray) and their logical relation to the study design.
4. Study Design
(a) Overview of the Study Design: Including a description of the type of study (i.e., double-blind, multicentre, placebo controlled, etc.), a detail of the specific treatment groups and number of study Subjects in each group and investigative site, Subject number assignment, and the type, sequence and duration of study periods.
(b) Flow chart of the study
(c) A brief description of the methods and procedures to be used during the study.
(d) Discussion of Study Design: This discussion details the rationale for the design chosen for this study.
5. Study Population: the number of Subjects required to be enrolled in the study at the investigative site and by all sites along with a brief description of the nature of the Subject population required is also mentioned.
6. Subject Eligibility
(a) Inclusion Criteria
(b) Exclusion Criteria
7. Study Assessments - plan, procedures and methods to be described in detail
8. Study Conduct stating the types of study activities that would be included in this section would be: medical history, type of physical examination, blood or urine testing, electrocardiogram (ECG), diagnostic testing such as pulmonary function tests, symptom measurement, dispensation and retrieval of medication, Subject cohort assignment, adverse event review, etc.
Each visit should be described separately as Visit 1, Visit 2, etc. Discontinued Subjects: Describes the circumstances for Subject withdrawal, dropouts, or other reasons for discontinuation of Subjects . State how dropouts would be managed and if they would be replaced
Describe the method of handling of protocol waivers, if any. The person(s) who approves all such waivers should be identified and the criteria used for specific waivers should be provided.
549
544 Drugs and Cosmetics Rules, 1945 Describes how protocol violations will be treated, including conditions where the study will be terminated for non-compliance with the protocol.
9. Study Treatment
(a) Dosing schedule (dose, frequency, and duration of the experimental treatment) Describe the administration of placebos and/or dummy medications if they are part of the treatment plan. If applicable, concomitant drug(s), their doses, frequency, and duration of concomitant treatment should be stated.
(b) Study drug supplies and administration: A statement about who is going to provide the study medication and that the investigational drug formulation has been manufactured following all regulations Details of the product stability, storage requirements and dispensing requirements should be provided.
(c) Dose modification for study drug toxicity: Rules for changing the dose or stopping the study drug should be provided.
(d) Possible drug interactions.
(e) Concomitant therapy: The drugs that are permitted during the study and the conditions under which they may be used are detailed here. Describe the drugs that a Subject is not allowed to use during parts of or the entire study. If any washout periods for prohibited medications are needed prior to enrolment, these should be described here.
(f) Blinding procedures: A detailed description of the blinding procedure if the study employs a blind on the Investigator and/or the Subject.
(g) Unblinding procedures: If the study is blinded, the circumstances in which unblinding may be done and the mechanism to be used for unblinding should be given.
10. Adverse Events (See Appendix XI): Description of expected adverse events should be given.
Procedures used to evaluate an adverse event should be described.
11`. Ethical Considerations: Give the summary of:
(a) Risk/benefit assessment:
(b) Ethics Committee review and communications.
(c) Informed consent process.
(d) Statement of Subject confidentiality including ownership of data and coding procedures.
12. Study Monitoring and Supervision: A description of study monitoring policies and procedures should be provided along with the proposed frequency of site monitoring visits, and who is expected to perform monitoring.
Case Record Form (CRF) completion requirements, including who gets which copies of the forms and any specifics required in filling out the forms CRF correction requirements, including who is authorized to make corrections on the CRF and how queries about study data are handled and how errors, if any, are to be corrected should be stated.
Investigator study files, including what needs to be stored following study completion should be described.
13. Investigational Product Management
550
545 Drugs and Cosmetics Rules, 1945
(a) Give Investigational product description and packaging (stating all Ingredients and the formulation of the investigational drug and any placebos used in the study)
(b) The precise dosing required during the study.
(c) Method of packaging, labelling, and blinding of study substances.
(d) Method of assigning treatments to Subjects and the Subject identification code numbering system.
(e) Storage conditions for study substances.
(f) Investigational product accountability: Describe instructions for the receipt, storage, dispensation, and return of the investigational products to ensure a complete accounting of all investigational products received, dispensed, and returned/destroyed. (g.)Describe policy and procedure for handling unused investigational products.
14. Data Analysis:
Provide details of the statistical approach to be followed including sample size, how the sample size was determined, including assumptions made in making this determination, efficacy endpoints (primary as well as secondary) and safety endpoints. Statistical analysis: Give complete details of how the results will be analyzed and reported along with the description of statistical tests to be used to analyze the primary and secondary endpoints defined above. Describe the level of significance, statistical tests to be used, and the methods used for missing data; method of evaluation of the data for treatment failures, non-compliance, and Subject withdrawals; rationale and conditions for any interim analysis if planned.
Describe statistical considerations for Pharmacokinetic (PK) analysis, if applicable.
15. Undertaking by the Investigator (see Appendix VII).
16. Appendices: Provide a study synopsis, copies of the informed consent documents (patient information sheet, informed consent form etc.); CRF and other data collection forms; a summary of relevant pre-clinical safety information and any other documents referenced in the clinical protocol.
APPENDIX XI
Data Elements for reporting serious adverse events occuring in a clinical trial
1. Patient Details
Initials & other relevant identifier (hospital/OPD record number etc.)* Gender
Age and/or date of birth
Weight
Height
2. Suspected Drug(s)
Generic name of the drug*. Indication(s) for which suspect drug was prescribed or tested. Dosage form and strength.
551
546 Drugs and Cosmetics Rules, 1945 Daily dose and regimen (specify units - e.g., mg, ml, mg/kg). Route of administration.
Starting date and time of day.
Stopping date and time, or duration of treatment
3. Other Treatment(s)
Provide the same information for concomitant drugs (including non prescription/OTC drugs) and non-drug therapies, as for the suspected drug(s).
4. Details of Suspected Adverse Drug Reaction(s)
Full description of reaction(s) including body site and severity, as well as the criterion (or criteria) for regarding the report as serious. In addition to a description of the reported signs and symptoms, whenever possible, describe a specific diagnosis for the reaction.* Start date (and time) of onset of reaction.
Stop date (and time) or duration of reaction.
Dechallenge and rechallenge information.
Setting (e.g., hospital, out-patient clinic, home, nursing home).
5. Outcome
Information on recovery and any sequelae; results of specific tests and/or treatment that may have been conducted.
For a fatal outcome, cause of death and a comment on its possible relationship to the suspected reaction; any post-mortem findings.
Other information: anything relevant to facilitate assessment of the case, such as medical history including allergy, drug or alcohol abuse; family history; findings from special investigations etc.
6. Details about the Investigator*
Name Address Telephone number
552
547 Drugs and Cosmetics Rules, 1945 Records of amendments carried out Amendment list number and Amendments carried out Initial of the person carrying date out the amendments and date
553