| 1. |
Adramycin |
30 |
In a cool place |
| 2. |
Ampicillin |
36 |
In a cool place |
| 3. |
Ampicillin Capsules |
24 |
|
| 4. |
Ampicillin Dry Syrup |
24 |
|
| 5. |
Ampicillin Injection |
24 |
|
| 6. |
Ampicillin Sodium |
36 |
In a cool place |
| 7. |
Ampicillin Trihydrate |
30 |
In a cool place |
| 8. |
Amoxycillin Trihydrate |
36 |
In a cool place |
| 9 |
Amoxycillin Trihydrate Capsules |
24 |
|
| 10. |
Amoxycillin Trihydrate Dry Syrup |
18 |
|
| 11. |
Bacitracin |
18 |
In a cool place |
| 12. |
Bacitracin or Zinc Bacitracin Tablets |
12 |
|
| 13. |
Bacitracin Lozenges |
12 |
|
| 14. |
Carbenicillin Sodium Injection |
24 |
At temperature not Exceeding 5°C |
| 15. |
Carbenicillin Sodium Powder |
24 |
At temperature not Exceeding 5°C |
| 16. |
Cephalexin |
24 |
In a cool place |
| 17. |
Chloramphenicol |
60 |
In a cool place |
| 18. |
Chloramphenicol Capsules & Tablets |
48 |
|
| 19. |
Chloramphenicol Palmitate |
48 |
|
| 20. |
Chloramphenicol Palmitate Oral Suspension |
36 |
|
| 21. |
Chloramphenicol Eye drops |
24 |
|
| 22. |
Chloramphenicol Sodium Succinate Powder |
48 |
In a cool palace |
| 23. |
Chloramphenicol Sodium Succinate Injection |
36 |
In a cool place |
| 24 |
Chlortetracycline Hydrochloride |
60 |
In a cool place |
| 25. |
Chlortetracycline Hydrochloride Capsules |
60 |
|
| 26. |
Chlortetracycline Hydrochloride Tablets |
24 |
|
| 27. |
Chlortetracycline Hydrochloride Ointment |
24 |
|
| 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 ).
532
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 Capsules |
36 |
|
| 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 30°C |
| 47. |
Framycetin Sulphate Eye drops |
24 |
In a well closed container with temperature not exceeding 30°C |
| 48. |
Framycetin Sulphate Ointment |
24 |
In a well closed container with temperature not exceeding 30°C |
| 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 5°C |
| 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 |
533
Drugs and Cosmetics Rules 1945
1 2 3 4
| 69. |
Benzathin Penicillin G |
48 |
|
| 70. |
Potassium Phenoxy Methyl Penicillin |
48 |
InI na ac ocolo pl lpalcaec e |
| 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 [7 5 |
Rifampicin Capsules |
36 ] |
|
| 76. |
Spramycin Base |
24 |
In a cool place |
| 77. |
Strepromycin Injection. |
36 |
|
| 78. |
Streptomycin Ointment |
24 |
|
| 79. |
Streptomycin Tablets |
|
|
| 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. |
| 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 |
|
| 2 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
2. Subs. by G.S.R. 626(E), dt. 14.10.1991
534
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 betw een 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 betw een 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 o 25 C |
| 3. |
Dried Normal Human Serum Albumin |
60 |
At a temperature not exceeding o 25 C |
| 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 |
o At temperature between 4 C and o 6 C |
| (b) Collection in CPDA solution. |
35days |
o At temperature between 4 C and o 6 C] |
o C]
1. Subs. by G.S.R. 626(E) , dt. 14.10.1991.
2. Subs. by G.S.R. 626(E) , dt. 14.10.1991.
535
Drugs and Cosmetics Rules 1945
SERA TOXIN AND TOXOID
1. Alum Precipitated Diphtheria Toxoid 24 In cold place.
2. Alum Precipitated Diphtheria and Tetanus toxoid and Pertusis vaccine combined 18 In cold place
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 o
13. Liquid serum 12 Between 2oC and 10 C preferable at the lower limit.
14. Lyophilised anti-snake venom serum 6 0
15. Lyophilised Schick test Toxin and control 60
16 Old Tuberculin 60 In cold place
17. Thrombin (Bovine origin) 36 In cold place. 1[ 18. Tetanus Toxoid 36 In cold place]
19. uberculin PPD 60 In cold place
536
Drugs and Cosmetics Rules 1945
OTHER VACCINES
1. Alum precipitatd pertussis Vaccine. 18 In cold place 2 [2. BCG Vaccine 24 In cold place]
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 20 o C
6 When stored at Zero o C
3 When stored at 4 o C
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
1. Subs. by G.S.R. 26(E) , dt. 19.01.2006.
2. Subs. by G.S.R. 174(E) , dt. 16.03.2005.
537
Drugs and Cosmetics Rules 1945
1 2 3 4
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 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
2[1. Andrenaline for Injection 12 [As prescribed in Indian Pharmacopoeia]
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 8oC.
(3) Capsules should be kept in a well-closed container at temperature not exceeding 30o 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.
538
Drugs and Cosmetics Rules 1945
1 [SCHEDULE P1
[See Rule 109]
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.]
2 [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.
539
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 42095 Calcium salt of 4-(4-(N-ethyl-p-sulfobenzyl) (minophenyl) Yellowish (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.
540
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 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
541
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. 1 [***]
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).
Carbrantherene Blue 69825 3, 3- Dichloroindanthrene.
1. Omitted by G.S.R. 203(E), dated 18-03-2015.
542
Drugs and Cosmetics Rules 1945
1 2 3
Napthol Blue 20470 Disodium salt of 8-amino-7-p- nitrophenylazo 3- Black 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 12. 12740 ----
1 [***] ----
Solvent Yellow 32. 48045 ----
Fanchon Yellow 11680 (α) -(O-Nitro-p-tolylazo) (Hansa Yellow G). accetoacetanilide
2 [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 12075 1-(2,4-dinithro phenylazo)-2-Naphthalenol. Paste or 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 12490 N-(5-Chloro-2, 4-dimethoxy-phenyl)-4-(CS- or Pigments Red 5. diathylamine) Sulfonyl-2-methoxyphenyl)azo- 3-hydroxy-2-naphthalene carboxamide.
Monolite Red 4R HV Paste 12420 N-(4-Chloro-2-methylphenyl-4-(-4-Chloro-2-methylphenyl) or Pigment Red 7. Azo 3-hydroxy-2-naphthalenol Carboxamide.
Oil Red No.1 or Solvent 26105 4-0-Tolylazo-Toluidine azo 2-naphthalenol.] Red 24 or 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. Omitted by G.S.R. 203(E) dated 18-03-2015
2. Ins. by G.S.R. 11(E) , dt. 7.1.1991.
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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.
2. Materials - (1) Condoms shall be manufactured from good quality rubber latex and shall be free from embedded grit and shall be opaque or translucent prior to the application of dusting materials or lubricants.
(2) The rubber latex, colours used and any dusting materials or lubricants applied to the condoms shall neither contain nor liberate substances which are known to have toxic or other harmful effects under normal conditions of use. Any dusting material or lubricant or colour used shall not have deleterious effect on the condoms or be harmful to the users.
3. Procedure for sampling during production − (1) Specimens constituting the test samples shall be taken at random successively from each quantum of production that is, from the quantity produced from the same finished rubber latex and under the same processing and finishing conditions of manufacture and samples from each quantum shall be tested separately to ascertain conformity of quantum with the specified requirements in accordance with the tests described in this Schedule.
(2) (a) The number of samples drawn from each quantum shall be not less than 0.5 per cent of the number.
(b) The number of samples drawn from each quantum shall be tested for Burst Volume and Pressure Test and Water Leakage Test in accordance with the method prescribed in paras 9 and 10 of this Schedule. 75 per cent of the samples drawn will be tested for Water Leakage Test and 25 per cent will be tested for Burst Volume and Pressure Test.
(c) The number of test samples 'N' and the number of rejected samples 'R' from a sequence of production quanta shall be recorded in a register. The cumulative total of test samples 'N' and the cumulative total of rejects 'R' from the test shall be recorded and the condoms shall be deemed to comply with the requirements if the cumulative total of rejects 'R' is not more than 2[0.0025N+3 x √0.0025N] for Water Leakage Test, and 2[0.015N+3 x √0.015N] for Burst Volume and Pressure Test.
(3) Each unit of 100 test samples shall be distributed for the various tests as follows: - 25 for Burst Volume Pressure Test, and;
75 for Water Leakage Test.
1 Subs. by G.S.R. 495(E) , dt. 9.6.1995.
2. Subs. by G.S.R. 353(E), dt. 26.4.2000.
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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 -
A. 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
545
Drugs and Cosmetics Rules 1945 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 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 (excluding test) shall be not less than -
(i) 170 mm.
(ii) 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 170 mm length.
(ii) 53 ± 2 mm for 180 mm length.
(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.
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Drugs and Cosmetics Rules 1945
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. If, because of distension of the condom the water does not extend to 25 mm from the open end, 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 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: -
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Drugs and Cosmetics Rules 1945
(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.
548
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.
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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;
(b) the bursting volume and bursting pressure of each tested condom;
(c) the date of testing.
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Drugs and Cosmetics Rules 1945
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.
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.]
551
Drugs and Cosmetics Rules 1945
1 [SCHEDULE R1
(See Rules 109A, 109, 109C and 125A) The medical devices shall conform to the Indian Standards laid down from time to time by the Bureau of Indian Standards. If there are no Bureau of Indian Standards then it shall conform to the International Standards, like International Organisation for Standardisation, or other International Pharmacopeia Standards and such other standards as may be specified for this purpose. In case national or international standards are not available, the device shall conform to the manufacturer's validated standards.]
2 [SCHEDULE S
[See Rule 150-A]
STANDARDS FOR COSMETICS
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 the
3
[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.] 4[12. Nail Polish (Nail Enamel).
13. After Shave Lotion.
14. Pomades and Brilliantines.
15. Depliatories Chemical.
16 Shaving Creams.
17. Cosmetic Pencils.
18. Lipstick.] 5[19. Toilet Soap.
20. Liquid Toilet Soap.
21. Baby Toilet Soap.
22. Shaving Soap.
23. Transparent Toilet Soap.]
1. Subs. by G.S.R. 690(E), dt. 25.9.2014.
2. Ins. by G.S.R. 510(E) , dt. 26.07.1982.
3. Subs. by G.S.R. 673(E), dt. 27.10.1993.
552
Drugs and Cosmetics Rules 1945 1 [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.] 2[29. Bathing Bars IS: 13498: 1997 3[30. Sindoor IS: 14649: 1999 4[31. Liquid Foundation makeup IS 14318 4[32. Cold Wax Hair remover IS 15152 4[33. Face pack IS 15153
4[34. Kajal IS 15154 4[35. Oxidation Hair Dyes (Emulson Type) IS 15205 4[36. Cream Bleach IS 15608
1. Ins. by G.S.R. 553(E), dt. 20.7.1995.
2. Ins. by G.S.R. 592(E), dt.13.8.2008.
3. Ins. by G.S.R. 724(E), dt. 07.11.2013.
5 [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.
5. Subs. by G.S.R. 560(E), dt. 07.3.2003.
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Drugs and Cosmetics Rules 1945
PART I
GOOD MANUFACTURING PRACTICES
1.1 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.
1.1 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.
(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.
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Drugs and Cosmetics Rules 1945
(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 off.
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
6. Excipients etc.
7. Volatile oils/perfumes and flavours
8. Plant concentrates/ extracts and exudates/resins.
555
Drugs and Cosmetics Rules 1945 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) Packaging 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.
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Drugs and Cosmetics Rules 1945
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. 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.
557
Drugs and Cosmetics Rules 1945 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 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 for 3 years.
(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.
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Drugs and Cosmetics Rules 1945
(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: - 1 [(i) (a) Expert in Ayurveda or Sidha or Unani medicine who possesses a degree qualification recognized under Schedule II of Indian Medicine Central Council Act 1970;
(b) Chemist, who shall possess at least Bachelor Degree in Science or Pharmacy or Pharmacy (Ayurveda), awarded by a recognized University; and
(c) Botanist (Pharmacognosist), who shall possess at least Bachelor Degree in Science (Medical) or Pharmacy or Pharmacy (Ayurveda) awarded by a recognized University.]
(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 recognised laboratory for Ayurveda, 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 recognised 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 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.
1. Subs. by G.S.R. 463(E) dated 08-07-2005.
559
Drugs and Cosmetics Rules 1945 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.
560
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.
561
Drugs and Cosmetics Rules 1945 Sl.No. Category of Medicine Minimum manufacturing Machinery/equipment space required recommended
(1) (2) (3) (4)
Bhatti section fitted with
8. Pak/Avaleh/Khand/ 100 sq. feet exhaust fan and should be fly Modak/Lakayam proof, Iron Kadahi/S.S. Patila and S.S. Storage container.
9. Panak, Syrup / Pravahi 150 sq, feet Tincture press, exhaust fan Kwath Manapaku fitted 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
p ress, 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 Panir/Karn Bindu/Nasa- heated with thermostatic control, bindu kettle 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.
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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 space Machinery/equipment recommended Medicine required
(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 100 sq. feet Grinder/ Pulveriser, Sieves, powder Tirya/majoon/ mixer (if required), S.S. Patilas, Laooq/Jawarish Bhatti and other accessories, plant Khamiras 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 tablets. mixer, 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.
563
Drugs and Cosmetics Rules 1945
4. Sufoof (Powder) 200 sq. feet G r i n d e r / p ulveriser, Sieves, Trays, Scoops, Powder mixer
(where required).
5. Raughan (oils) (Crushing 100 sq. feet Oil Expeller, S.S. Patilas Oil filter and boiling) bottle, Filling machine, Bottle drier,
Bhatti.
6. Shiyaf, Surma, Kajal 100 sq. feet End runner, mixing S.S. Vessel..
7. Marham, Zimad 100 sq. feet Kharal, Bhatti, End runner, Grinder, Pulveriser, Triple Roller Mill (if
(Ointment)
required).
8. Qurs (Tab.) Grinder/Pulveriser, Sieves, Powder 100 sq. feet mixer (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 50-100kgs. 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 100 sq. feet Hot air oven electrically heated and Marham(Eye with thermostatic control, kettle drops, eye ointment)
14. Each manufacturing 200 sq. feet unit will have a
separate area for
Bhatti, furnaces,
boilers, putta,etc.
This will have proper
ventilation,removal
of smoke, prevention
of flies, insects, dust,
etc.
564
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 1. Microscope Binoculor. (complete set) 2. Dissecting Microscope.
2. Volatile Oil Determination 3. Microtome. Apparatus. 4. Physical Balance.
3. Boiling Point Determination 5. Aluminium Slide Trays. Apparatus. 6. Stage Micrometer.
4. Melting Point Determination 7. Camera Lucida (Prism and Apparatus. Mirror Type).
5. Refractometer. 8. Chemicals, Glassware etc.
6. Polarimeter.
7. Viscometer.
8. Tablet Disintegration Apparatus.
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.
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Drugs and Cosmetics Rules 1945
1 [D. SUPPLEMENTARY GUIDELINES FOR MANUFACTURING OF
RASAUSHADHIES OR RASAMARUNTHUKAL AND KUSHTAJAT (HERBO- MINERAL-METALLIC COMPOUNDS) OF AYURVEDA, SIDDHA AND UNANI
MEDICINES
These guidelines are intended to complement those provided above and should be read in conjunction with the parent guidelines. The supplementary guidelines are to provide general and minimum technical requirements for quality assurance and control in manufacturing Rasaushadhis or Rasamarunthukal and Kushtajat (Herbo-mineral-metallic formulations). These supplementary guidelines deal with Bhasmas, Sindura, Pishti, Kajjali, Khalviya Ras, Kupipakwa, Rasayan, Parpati, Potali Rasa, Satwa (of Metals and Minerals origin) Druti Parpam, Karpu, and Kushta etc. used in Ayurvedic, Siddha and Unani Systems of medicine.
The supplementary GMP guidelines for Rasaushadhi or Rasamarunthukal and Kushtajat are needed to establish the authenticity of raw drug, minerals and metals, in- process validation and quality control parameters to ensure that these formulations are processed and prepared in accordance with classical texts and for which safety measures are complied. Only those manufacturing units which have Good Manufacturing Practices for ASU drugs and supplementary certificate for Rasaushadhi or Rasamarunthukal and Kushtajat formulations shall be allowed to manufacture th e same. Supplementary Good Manufactur ing Pr actices Certificate for Rasaushadhies shall be issued by the State Licensing Authority only after thorough inspection by an expert team including Rasashastra experts nominated by the Department of AYUSH.
2. Manufacturing Process Areas :-
For the manufacture of Bhasma and Kupipakawa and Rasaushadhi preparations made from metals and minerals the following specific areas shall be provided, which should be completely segregated from the production area used for preparation of plants and animal by product based formulation to avoid cross contamination. The following exclusive areas the required for Rasaushadhies or Rasamarunthukal and Kushtajat:-
2.2 (a) Bhatti or Heating Device Section for Bhasma and Rasaushadhies :- 100 sq. feet for heating, burning, putta and any heat related work with proper ventilation, exhaust and chimney. This could be tin shed also.
1. Ins. By G.S.R. 157(E), dated 04-03-2009
566
Drugs and Cosmetics Rules 1945
(b) Grinding, Drying and Processing Section for Bhasma and Rasaushadhies:-
100 Sq. feet (Manual or Mechanical, oven etc.). Drying1[Shall be] done in a space which is covered by glass or other transparent material to allow entry of sunrays on the material to keep for the purpose. If drying is being done in oven the temperature of the same may be selected specific temperature.
(c) Rashaushadi Related Store :-100 Sq. feet. The size and dimensions of each Bhatti Section would be so designed to suit the batch size or quantity of materials to be processed, keeping in mind the processing is done as per the conditions of Drug and Cosmetics Act mentioned under Schedule I official books.
In addition to the fuels prescribed in the schedule books namely coal, fire wood, cow dung cakes etc., use of other heating devices e.g. electrical heating, oil or gas fired furnaces and others Shall be] employed so as to provide the required temperature as per the nature of material and object of heating. Depending on the formulation being manufactured, manufacturers may adopt aerobic or anaerobic process. Properly baked and clean earthen pots of other crucibles and glass containers of appropriate design shall be used.
The manufacturing area should be designed with special attention to process the products that generate toxic fumes like SO2, arsenic and mercury vapor, etc. When heating and boiling of the materials is necessary, suitable ventilation and air exhaust flow mechanism should be provided to prevent accumulation of unintended fumes and vapors. Such areas may be provided with properly designed chimneys or ducts fitted with exhaust system and suitable scrubbing system to remove fumes and smoke, so that safety of personnel and environment is taken care of.
Since processing of Rasaushadhis may introduce heavy metal contamination and cross contamination etc., therefore, cleaning of equipment is particularly important after every process by using appropriate cleaning agent which should not react with material of equipment and must be free from unwanted properties e.g. corrosiveness.
2.3 Records shall be maintained specially for temperatures attained during the entire process of Bhasmikaran, while employing different kinds of classical puta, furnaces using oil, gas or electricity. Appropriate temperature measuring instrument should be employed such as pyrometer and, pyrograph for manual reading or recording by heat sensors, connected to computer as the case may be.
In order to handle large quantities, appropriate technology like use of hand operated extruders for making chakrikas or pellets may be adopeted. However, such equipments made of aluminium or its alloys should not be used.
567
Drugs and Cosmetics Rules 1945 Access to manufacturing areas shall be restricted to minimum number of authorized personnel only.
3. Quality Control :-
A. Inprocess Quality Control :-
The registers as indicated below should exclusively be maintained for ready reference :-
(a) Shodhan Register with following details :-
1. Sl No.
2. Batch No. and Size
3. Date, time and duration
4. Name of the Raw-material with Quality reference and quantity
5. Quantity of Shodhana Dravya
6. Book Reference followed
7. Methodology
(b) Bhavana and Putta Register with following details :-
1. Sl No.
2. Batch No.
3. Date, time
4. Name of the material and quantity of starting materials
5. Quantity of Nirvapya Dravya
6. Quantity of Bhavana Dravya
7. Date and time of Starting and completion of Bhavana or Mardana and duration
8. Type and Number of Puttas
9. Time and Date of completion of Puttas
10. Color and texture of the product or standards
11. Inprocess tests followed (Bhasma Pariksha and any other tests)
12. In case heating at a particular temperature is required, record of attainment of that temperature.
(c) Grinding Record Register:- (Finished Product / Intermediate procedure)
1. Sl. No.
2. Batch No.
3. Date and time
4. Name of the material and quantity
5. Name of the equipment (SS/granite)
6. Duration of grinding
7. Repeat the grinding if required (Number of repetition)
(d) Packing details:-
1. Name of Rasaushadhi
2. Type of Dosage Form (eg. Powder, pill, tablet etc)
3. Weight of Rasaushadhi in each unit
568
Drugs and Cosmetics Rules 1945
B. Product Quality Control:-
The specifications for finished Rasaushadhi are primarily intended to define the quality rather than to establish full characterization, and should focus on those characteristics found to be useful in ensuring the quality. Consistent quality for Rasaushadhi can only be assured if the starting material-metals and minerals are used of pharmacopoeial standards. In some cases more detailed information may be needed on aspects of their process. The manufacturer will ensure in-house standards for the uniform quality of product.
Quality testing will be carried out as per official Pharmaceutica or Schedule books for texts namely, color, taste, varitaratwa, Rekhapurnatwa, Laghutva, Nirdhumatwa, Dntagre Kachakacha, Niruttha, Apunarbhava and Nischandratwa.
The Particle size of the product should be tested by adopting microscope fitted with micrometer or particle size analyzer or any appropriate other techniques. Required physio- chemical characterization of the product should be undertaken by appropriate analytical equipment. The Standard Manufacturing Process of the product should be evolved/follow up. The disintegration time of pills-vati and tablets should also be recorded.
4. Product recalls:- Literature inserted inside the product package should indicate the name, address of the manufacturing unit1[and] telephone number for reporting of any adverse drug reaction by physicians or patients. On receipt of such Adverse Drug Reaction report, it will be the responsibility of the manufacturer to ensure the recall of the product from the market.
Standard Operating Procedures (SOP) should be included for storage of recalled Rasaushadhies in a secure segregated area, complying with the requirements specified for storage till their final disposal.
5. Medical examination of the Employees:- Employees engaged in manufacturing should be medially examined periodically at least once a year for any adverse effect of the drug during manufacturing process for which necessary investigations1[Shall be] carried out for ensuring that there is no effect of material on the vital organs of the employees. Annual examination reports of the employees shall be made available to statutory inspectors during Good Manufacturing Practices inspections.
6. Self-Inspection:- The release of Rasaushadhis should be under the control of a person who has been trained in the specific features of the processing and quality assurance of Rasaushadhis. Personnel dealing with the production and quality assurance of Rasaushadhis manufacturing section should have an adequate training in the specific subject of Rasaushadhis manufacturing. He will be at least a degree holder in Ayurvedic, Siddha / Unani medicines or B.Pharma degree holder in Ayurvedic / Siddha / Unani medicines.
569
Drugs and Cosmetics Rules 1945
7. Dosage form of Rasaushadhis:- The Rasaushadhis may be made into an acceptable dosage forms such as churna, vati, guti, tablet or capsules etc. after adding suitable permissible fillers or binding agents as permissible under the Ayurvedic Pharmacopoeia of India or Indian pharmacopoeia as updated from time to time. In such cases the label must indicate the quantity of Ayurveda, Siddha and Unani medicines in one Tablet or Pill or Capsule in addition to the filler. The crystalline product may be grinded before packing in the individual dispensing size. All the Rasaushadhis or Rasamaruthukal or Kushtajat shall be packed in a dosage form which is ready for use for the consumer. Grinding and weighing of individual dose of potentially poisonous products will not be permissible in patient consumer pack. This arrangement may reduce the Adverse Drug Reaction of Rasaushadhi which takes place due to dose variation. However, for hospital bulk pack, it will not be applicable and label will clearly indicate the "Hospital pack."
8. Area Specifications/ requirement for an applicant companies only to have GMP of Rasaushadhis or Rasamarunthukal and Kushtajat (Herbomineral/metallic compounds) of Ayurveda, Siddha and Unani medicines:-
1. Subs. by G.S.R. 338(E) dated 15-04-2010
570
Drugs and Cosmetics Rules 1945
| Sr. No. |
Category of Medicine / Manufacturing area |
Minimum Manufacturing space required (1500 sq. ft.) |
Machinery equipme recommended |
| 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. |
isti / grinding area for hasma, Pishti, Kushtajat owdering area for raw drugs f plant origin giving in asaushadhis (Herbo-metalic ormulations) ills / Vati/ Gutika Matrica nd tablets / Habb making area upi pakva / Ksara / Parpati / avana Bhasma Satva / indura Kapu / Uppa / Param / ushta / Jawhar eceiving and storing raw aterial uality Control Section uarantine / observation inished goods store ejected goods store hatti-putta area rea for water and washing tc. ffice |
100 sq. ft. 200 sq. ft. 100 sq. ft. 150 sq. ft. 200 sq. ft. 150 sq. ft. 50 sq. ft. 150 sq. ft. 50 sq. ft. 200 sq. ft. 50 sq. ft. 100 sq. ft. |
Kharal/mechanized/motorized Kharal, End runner / Ball-Mill Sieves / Sifter. Grinder / Distintegrator /Pulverisor / Powder mixer / Sieves / Sifter Ball Mills, Mass Mixer/Powder 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, mechanized chatoo, (for mixing of guggulu) where required. Bhatti, Karahi / stainless steel vessels /patila flask, Multani Matti / Plaster of Paris, Copper Rod, Earthen container, Gaj Put Bhatti, Muffle furnace (electrically operated) End / Edge Runner, Exhaust Fan, Wooden, S.S. Spatula. |
space required (1500 sq. ft.)
1. Pisti / grinding area for 100 sq. ft. Kharal/mechanized/motorized Kharal, Bhasma, Pishti, Kushtajat End runner / Ball-Mill Sieves / Sifter.
2. Powdering area for raw drugs 200 sq. ft. Grinder / Distintegrator /Pulverisor / Powder of plant origin giving in mixer / Sieves / Sifter
Rasaushadhis (Herbo-metalic
formulations)
3. Pills / Vati/ Gutika Matrica 100 sq. ft. Ball Mills, Mass Mixer/Powder mixer, and tablets / Habb making area 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,
mechanized chatoo, (for mixing
of guggulu) where required.
4. Kupi pakva / Ksara / Parpati / 150 sq. ft. Bhatti, Karahi / stainless steel vessels Lavana Bhasma Satva / /patila flask, Multani Matti / Plaster Sindura Kapu / Uppa / Param / of Paris, Copper Rod, Earthen container, Gaj Qushta / Jawhar Put Bhatti, Muffle furnace (electrically
operated) End / Edge Runner, Exhaust Fan,
Wooden, S.S. Spatula.
5. Receiving and storing raw 200 sq. ft. material
6. Quality Control Section 150 sq. ft.
7. Quarantine / observation 50 sq. ft.
8. Finished goods store 150 sq. ft.
9. Rejected goods store 50 sq. ft.
10. Bhatti-putta area 200 sq. ft.
11. Area for water and washing 50 sq. ft. etc.
12. Office 100 sq. ft.
TOTAL 1500 sq. ft 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,1[he may do so after recording reasons in writing]].
571
Drugs and Cosmetics Rules 1945 1 [Schedule TA
(See rule 157 A)
FORM FOR RECORD OF UTILIZATION OF RAW MATERIAL BY AYURVEDA OR
SIDDHA OR UNANI LICENSED MANUFACTURING UNITS DURING THE
FINANCIAL YEAR
Identification Particulars:
Manufacturing License No ................................... Issued by.................................................................. Name: ............................................
Address: ........................................
State: ............................................. Pin Code: ................................................................... Telephone:...................................... Fax: ......................................................................... Email: ..................................
1. Quantity of Medicinal Plants/Extracts/Essential Oils/Metals/Animal By-Products Minerals Used During 1st April, to 31st March of the preceeding year (For Productions at the identified facility)
(a) Herbs Used
| Common Name as in AFI/API* |
Plant’s Botanical Name |
Quantity Used/per annum (in Kgs.) |
Sources of Supply |
Part Used |
| Traders/ Manufacturers |
Forest Collectors |
Cultivators |
Imported |
Total |
Whole plans |
Root |
Leaf |
Others |
Name annum (in Manufacturers Collectors plans Kgs.)
*Ayurvedic Formulary of India/Ayurvedic Pharmacopoeia of India
(b) Extracts Used
| Name of Extracts |
Quantity Used/per annum (in Kgs.) |
Sources of Supply |
| Common Name as in AFI/API* |
Botanical Name |
In-House |
Export Suppliers |
Imported |
Total |
* Ayurvedic Formulary of India/Ayurvedic Pharmacopoeia of India
(c) Metals/Minerals Used
| Name of Mineral |
Quantity Used/per annum (in Kgs.) |
Sources of Supply |
| Common Name |
Chemical Name |
Manufacturers Traders (Domestic) |
Importers |
Total |
1. Ins. By G.S.R. 512 (E), dated 09-07-2008
572
Drugs and Cosmetics Rules 1945
(d) Animal By-Products Used
| Name of By-Product |
Quantity Used/per annum (in Kgs.) |
Sources of Supply |
| Common Name |
Biological/Chemical Name (if any) |
Manufacturers Traders (Domestic) |
Importers |
Total |
2. Shortage of raw material(s)/inputs during the preceeding year.
Y N
If yes, please indicate name(s) of such raw material(s) by level of importance starting from most important to least important, reason for shortage [availability, quality or any other (please specify)]
| Name of Raw Materials |
Appro. Qty of shortage (in Kgs.) |
Reason |
| Name of the drug and part used as mentioned in official formulary / Pharmacopoeial/ Schedue I books |
Biological/ Chemical Name (if any) |
|
|
1 [SCHEDULE U
(See rules 74, 74A, 74B, 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.
1. Subs. by G.S.R. 735(E) dated 24-06-1988
573
Drugs and Cosmetics Rules 1945
(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.
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: -
574
Drugs and Cosmetics Rules 1945
(a) To ensure that sealed ampoules are leak proof
(b) To check the presence of foreign particles.
(c) Pyrogen test, wherever applicable
(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.
(c) Uniformity of weight.
(d) Uniformity of diameter (if applicable).
(e) Disintegration test (time in minutes).
(f) Any other tests.
(g) Results of Assay.
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Drugs and Cosmetics Rules 1945
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.
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.
576
Drugs and Cosmetics Rules 1945
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.
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.]
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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. RECORDS 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.]
2 [SCHEDULE V
( See rule 124B)
STANDARDS FOR PATENT OR PROPRIETARY MEDICINES
3 [***] 4 [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: - [see table below].
3 [***]
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.]
1. Added by G.S.R. 1594, dt. 28-10-1976.
2. Added by G.S.R. 665, dt. 06-05-1977.
3. Omitted. G.S.R. 56(E) ,dt. 22.1.1992.
4. Added by G.S.R. No. 930 ,dt. 13-7-1978.
5. Ins. by. G.S.R. 792(E) ,dt. 17.9.1987.
578
Drugs and Cosmetics Rules 1945 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:-
(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. 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.
1. Omitted. by G.S.R. 59(E) ,dt. 22.1.1992.
579
Drugs and Cosmetics Rules 1945
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.]
580
Drugs and Cosmetics Rules 1945 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
581
Drugs and Cosmetics Rules 1945 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.
1. Subs. by G.S.R. dated 22-12-2009
582
Drugs and Cosmetics Rules 1945 1 [***]
2 [SCHEDULE X
[See Rules 23, 61, 75, 97 and 105A] Amobarbital
Glutethimide
Pentobarbital
3 [Ketamine hydrochloride] Amphetamine
Meprobamate
Phencyclidine
Barbital
Methamphetamine
Phenometrazine
Cyclobarbital
4 [***]
5 [***]
Dexamphetamine
Methylphenidate
Secobarbital
Ethclorvynol
Methylphenobarbital
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.
5
Provided, however, preparations containing Meprobamate [***] 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.Omitted by. G.S.R. 94(E) ,dt. 8.5. 2000
2 Ins. by G.S.R. 462(E) ,dt. 22.6.1982
3. Ins. by G.S.R. 724(E) ,dt. 07.11.2013
4. Omitted by G.S.R. 647(E) ,dt. 28.10.1998. 5.Omitted by. G.S.R. 673(E) ,dt. 27.10.1993.
583
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);
1. Subs. G.S.R. 32(E), dt. 20.1.2005.
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Drugs and Cosmetics Rules 1945
(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 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 (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
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Drugs and Cosmetics Rules 1945 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;
1 [(iv) Any report of the serious adverse event, after due analysis shall be forwarded by the sponsor to the Licensing Authority as referred to in clause (b) of rule 21, the Chairman of the Ethics Committee and the head of the institution where the trial has been conducted, within fourteen days of the occurrence of the serious adverse event.]
2 [(v) in case of injury or death occurring to the clinical trial subject, the Sponsor (whether a pharmaceutical company or an Institution) or his representative, whosoever, had obtained permission from the Licensing Authority for conduct of the clinical trial, shall make payment for medical management of the subject and also provide financial compensation for the clinical trial related injury or death in the manner as prescribed in Appendix XII; 2 [(vi) the Sponsor (whether a pharmaceutical company or an Institution) or his representative, whosoever had obtained permission from the Licensing Authority for conduct of the clinical trial, shall submit details of compensation provided or paid for clinical trial related injury or death, to the Licensing Authority within thirty days of the receipt of the order of the Licensing Authority.]
1. Subs. by G.S.R. 889(E) dated 12-12-2014
2. Ins. By G.S.R. 53(E) dated 30-1-2013
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Drugs and Cosmetics Rules 1945 1 [(3)(i)] 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 the2[Licensing Authority defined under clause (b) of rule 21, the Sponsor or his repeesentative, whosoever had obtained permission from the Licensing Authority for conduct of the clinical trial, and the Ethics Committee that accorded approval to the study protocol, within twenty four hours of their occurance.3[In case, the Investigator fails to report any serious adverse event within the stipulated period, he shall have to furnish the reason for the delay to the satisfaction of the Licensing Authority along with the report of the serious adverse event. The report of the serious adverse event, after due analysis, shall be forwarded by the Investigator to the Licensing Authority as referred to in clause (b) of rule 21, the Chairman of the Ethics Committee and the Head of the institution where the trial has been conducted within fourteen days of the occurrence of the serious adverse event.]].
4 [(ii)The Investigator shall provide information to the clinical trial subject through informed consent process as provided in Appendix V about the essential elements of the clinical trial and the subject's right to claim compensation in case of trial related injury or death. He shall also inform the subject or his/her nominees(s) of their rights to contact the Sponsor or his representative whosoever had obtained permission from the Licensing Authority for conduct of the clinical trial for the purpose of making claims in the case of trial related injury or death.]
(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.
1. Sub-para (3) renumbered as sub-para, (3)(i) thereof by G.S.R 53(E), dated 30-01-2013.
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(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 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.
(iii) 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.
1 [(iv) In case of serious adverse event occurring to the clinical trial subject, the Ethics Committee shall forward its report on the serious adverse event, after due analysis, along with its opinion on the financial compensation, if any, to be paid by the Sponsor or his representative, whosoever had obtained permission from the Licensing Authority as referred to in clause (b) of rule 21 for conducting the clinical trial, to the Licensing Authority within thirty days of the occurrence of the serious adverse event.
2 [5(A). Serious Adverse Events:
(1) A serious adverse event is an untoward medical occurrence during clinical trial that is associated with death, in patient hospitalization (in case the study was being conducted on out- patient), prolongation of hospitalization (in case the study was being conducted on in-patient), persistent or significant disability or incapacity, a congenital anomaly or birth defect or is otherwise life threatening.
(2) The Investigator shall report all serious3[***] adverse events to the Licensing Authority as defined under clause (b) of Rule 21, the Sponsor or his representative, whosoever had obtained permission from the Licensing Authority for conduct of the clinical trial and the Ethics Committee that accorded approval to the study protocol, within twenty four hours of their occurrence as per Appendix XI and the said Licensing Authority shall determine the cause of injury or death as per the procedure prescribed under Appendix XII and pass orders as deemed necessary.4[In case, the Investigator fails to report any serious adverse event within the stipulated period, he shall have to furnish the reason for the delay to the satisfaction of the Licensing Authority along with the report of the serious adverse event.
1. Subs. by G.S.R. 889(E) dated 12-12-2014.
2. Ins. by G.S.R. 53(E) dated 30-01-2013.
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(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 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.
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(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 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
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(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.
(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
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Drugs and Cosmetics Rules 1945 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. 1 [(4) Post Marketing Surveillance:
(i) The applicant shall have a pharmacovigilance system in place for collecting, processing and forwarding the report to the licensing authority for information on adverse drug reactions emerging from the use of the drug manufactured or marketed by the applicant in the country.
(ia) The system shall be managed by qualified and trained personnel and the officer in- charge of collection and processing of data shall be a medical officer or a pharmacist trained in collection and analysis of adverse drug reaction reports. (ib) Subsequent to approval of the product, new drug shall be closely monitored for its clinical safety once it is marketed.
(ic) The applicant 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. 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.
1. Subs. by G.S.R. 287(E) dated 08-03-2016.
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(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 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
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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
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
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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
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
1 [Note.- Where the data on animal toxicity as per the specifications of Appendix III has been submitted and the same has been considered by the regulatory authority of the country which had earlier approved the drug, the animal toxicity studies shall not be required to be conducted in India except in cases where there are specific concerns recorded in writing.]
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
1. Subs. by G.S.R. 313(E) dated 16-03-2016.
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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.
1 [12. New Chemical Entity and Global Clinical Trial:
12.1 Assessment of risk versus benefit to the patients
12.2 Innovation vis-à-vis existing therapeutic option
12.3 Unmet medical need in the country.]
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
1. Ins. by G.S.R. 826 (E), dt. 30-10-2015.
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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.
1 [APPENDIX I B
DATA TO BE SUBMITTED ALONG WITH APPLICATION TO CONDUCT CLINICAL
TRIAL OR IMPORT OR MANUFACTURE OF A PHYTOPHARMACEUTICAL DRUG IN
THE COUNTRY
PART - I
1. Data to be submitted by the applicant:
1.1. A brief description or summary of the phytopharmaceutical drug giving the botanical name of the plant (including vernacular or scriptural name, wherever applicable), formulation and route of administration, dosages, therapeutic class for which it is indicated and the claims to be made for the phytopharmaceutical product.
1.2. Published literature including information on plant or product or phytopharmaceutical drug, as a traditional medicine or as an ethno medicine and provide reference to books and other documents, regarding composition, process prescribed, dose or method of usage, proportion of the active ingredients in such traditional preparations per dose or per day's consumption and uses.
1.3. Information on any contraindications, side effects mentioned in traditional medicine or ethno medicine literature or reports on current usage of the formulation.
1.4. Published scientific reports in respect of safety and pharmacological studies relevant for the phytopharmaceutical drug intended to be marketed,-
(a) where the process and usages are similar or same to the product known in traditional medicine or ethno medicine; and
(b) where process or usage is different from that known in traditional medicine or ethno medicine.
1.5. Information on any contraindications, side effects mentioned or reported in any of the studies, information on side effects and adverse reactions reported during current usage of the phytopharmaceutical in the last three years, wherever applicable.
1.6. Present usage of the phytopharmaceutical drug, - to establish history of usages, provide details of the product, manufacturer, quantum sold, extent of exposure on human population and number of years for which the product is being sold.
2. Human or clinical pharmacology information:
2.1. Published scientific reports in respect of pharmacological studies including human studies or clinical studies or epidemiological studies, relevant for the phytopharmaceutical drug intended to be marketed,-
(a) where the process and usages are similar or same to the product known in traditional medicine or ethno medicine; and
(b) where process or usage is different from that known in traditional medicine or ethno medicine.
2.2. Pharmacodynamic information (if available).
2.3. Monographs, if any, published on the plant or product or extract or phytopharmaceutical. (Copies of all publications, along with english translation to be attached.)
1. Ins. by G.S.R. 918 (E), dt. 30-11-2015.
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Data generated by applicant
3. Identification, authentication and source of plant used for extraction and fractionation:
3.1. Taxonomical identity of the plant used as a source of the phytopharmaceutical drug giving botanical name of genus, species and family, followed by the authority citation (taxonomist's name who named the species), the variety or the cultivar (if any) needs to be mentioned.
3.2 Morphological and anatomical description giving diagnostic features and a photograph of the plant or plant part for further confirmation of identity and authenticity. (Furnish certificate of confirmation of botanical identity by a qualified taxonomist).
3.3 Natural habitat and geographical distribution of the plant and also mention whether the part of the plant used is renewable or destructive and the source whether cultivated or wild.
3.4 Season or time of collection.
3.5 Source of the plant including its geographical location and season or time of collection.
3.6 A statement indicating whether the species is any of the following, namely:-
(a) determined to be endangered or threatened under the Endangered Species Act or the Convention on International Trade in Endangered species (CITES) of wild Fauna and Flora;
(b) entitled to special protection under the Biological Diversity Act, 2002 (18 of 2003); (c) any known genotypic, chemotypic and ecotypic variability of species.
3.7. A list of grower or supplier (including names and addresses) and information on the following items for each grower or supplier, if available or identified already, including information of primary processing, namely:-
(a) harvest location;
(b) growth conditions;
(c) stage of plant growth at harvest;
(d) harvesting time;
(e) collection, washing, drying and storage conditions;
(f) handling, garbling and transportation;
(g) grinding, pulverising of the plant material; and
(h) sieving for getting uniform particle size of powdered plant material.
3.8. Quality specifications, namely:-
(a) foreign matter;
(b) total ash;
(c) acid insoluble ash;
(d) pesticide residue;
(e) heavy metal contamination;
(f) microbial load;
(g) chromatographic finger print profile with phytochemical reference marker;
(h) assay for bio-active or phytochemical compounds; and
(i) chromatographic fingerprint of a sample as per test method given under quality control of the phytopharmaceutical drug (photo documentation).
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3.9 . An undertaking to supply specimen sample of plant duly labeled and photocopy of the certificate of identity confirmation issued by a qualified taxonomist along with drawings or photographs of the diagnostic morphological and histological features of the botanical raw material used for the confirmation of authenticity.
4. Process for extraction and subsequent fractionation and purification:
4.1. Quality specifications and test methods for starting material.
4.2. Steps involved in processing.
(a) details of solvent used, extractive values, solvent residue tests or limits, physico-chemical tests, microbial loads, heavy metal contaminants, chromatographic finger print profile with phytochemical reference markers, assay for active constituents or characteristic markers, if active constituents are not known;
(b) characterisation of final purified fraction;
(c) data on bio-active constituent of final purified fraction;
(d) information on any excipients or diluents or stabiliser or preservative used, if any.
4.3. Details of packaging of the purified and characterised final product, storage conditions and labeling.
5. Formulation of phytopharmaceutical drug applied for:
5.1. Details of the composition, proportion of the final purified fraction with defined markers of phytopharmaceutical drug per unit dose, name and proportions of all excipients, stabilisers and any other agent used and packaging materials.
5.2. Test for identification for the phytopharmaceutical drug.
5.3. Quality specifications for active and inactive phytopharmaceutical chromatographic finger print profile with phytochemical reference marker and assay of active constituent or characteristic chemical marker.
6. Manufacturing process of formulation:
6.1. The outline of the method of manufacture of the dosage form, along with environmental controls, in-process quality control tests and limits for acceptance.
6.2. Details of all packaging materials used, packing steps and description of the final packs.
6.3. Finished product's quality specifications, including tests specific for the dosage form, quality and chromatographic finger print profile with phytochemical reference marker and assay for active constituent or characteristic marker, if active constituents are not known.
7. Stability data:
7.1. Stability data of the phytopharmaceutical drug described at 4 above, stored at room temperature at 40 +/- 2 deg. C and humidity at 75%RH +/- 5%RH for 0, 1, 2, 3 and 6 months.
7.2 Stability data of the phytopharmaceutical drug in dosage form or formulation stored at room temperature at 40 +/- 2 deg. C and humidity at 75%RH +/- 5%RH for 0, 1, 2, 3 and 6 months, in the pack intended for marketing.
8. Safety and pharmacological information:
8.1. Data on safety and pharmacological studies to be provided.
8.2. Animal toxicity and safety data:
(a) 28 to 90 days repeat dose oral toxicity on two species of animals;
(b) In-vitro genotoxicity data (Ame's test and Chromosomal aberration test as per Schedule Y);
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(c) dermal toxicity tests for topical use products;
(d) teratogenicity study (only if phytopharmaceutical drug is intended for use during pregnancy).
9. Human studies:
9.1. Clinical trials for phytopharmaceutical drugs to be conducted as per applicable rules and guidelines for new drugs.
9.2. For all phytopharmaceutical drugs data from phase I (to determine maximum tolerated dose and associated toxicities) and the protocols shall be submitted prior to performing the studies.
9.3. Data of results of dose finding studies performed and the protocols shall be submitted prior to performing the studies: Provided that in the case of phytopharmaceutical drug already marketed for more than five years or where there is adequate published evidence regarding the safety of the phytopharmaceutical drug, the studies may be abbreviated, modified or relaxed.
10. Confirmatory clinical trials:
10.1. Submit protocols for approval for any specific or special safety and efficacy study proposed specific to the phytopharmaceutical drug.
10.2. Submit proposed protocol for approval for human clinical studies appropriate to generate or validate safety and efficacy data for the phytopharmaceutical dosage form or product as per applicable rules and guidelines.
10.3. Submit information on how the quality of the formulation would be maintained during the above studies.
11. Regulatory status:
11.1. Status of the phytopharmaceutical drug marketed in any country under any category like functional food or dietary supplement or as traditional medicine or as an approved drug.
12. Marketing information:
12.1. Details of package insert or patient information sheet of the phytopharmaceutical drug to be marketed.
12.2. Draft of the text for label and carton.
13. Post marketing surveillance (PMS):
13.1. The applicant shall furnish periodic safety update reports every six months for the first two years after approval the drug is granted.
13.2. For subsequent two years the periodic safety update reports need to be submitted annually.
14. Any other relevant information:
Any other relevant information which the applicant considers that it will help in scientific evaluation of the application.]
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):
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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
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).
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Drugs and Cosmetics Rules 1945 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.
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
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Drugs and Cosmetics Rules 1945 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.
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.
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Drugs and Cosmetics Rules 1945 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.
(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"
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Drugs and Cosmetics Rules 1945 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.
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
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Drugs and Cosmetics Rules 1945 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.
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,
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Drugs and Cosmetics Rules 1945 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/cm2 of 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/cm2 of UV light. Examination and grading of erythema and oedema formation at the 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.
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(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 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
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Drugs and Cosmetics Rules 1945 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.
(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
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Drugs and Cosmetics Rules 1945 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.
(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.),
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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:
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
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1.8 Animal toxicity requirements for clinical trials and marketing of a new drug. Systemic Toxicity Studies
Duration of Human Phase(s) Long term toxicity
Route of administration proposed human for which study is requirements administration proposed to be
conducted
1[Oral or Parenteral or Single dose or I,II,III 2sp,2wks
Transdermal several doses in one
day, Upto 1wk
> 1 wk but upto 2wks I,II,III 2sp;4wks
Upto 2 wks Marketing permission 2sp;4wks > 2 wk but upto 4wks I,II,III 2 sp; equal to duration of human exposure
Marketing permission 2 sp; 12 wks
> 4 wks but upto 12 wks I,II,III 2 sp; equal to duration of human exposure
Marketing permission 2sp;24wks
> 12 wks but upto 24 I,II,III 2 sp; equal to duration of human wks exposure
Marketing permission 2 sp; Rodent 24 wks, non-rodent 36 wks
> 24 wks I,II,III 2 sp; Rodent 24 wks, non-rodent 36 wks
Marketing permission 2 sp; Rodent 24 wks, non-rodent 36 wks]
Inhalation (general Upto 2 wk I,II,III 2sp;1mo; anaesthetics, aerosols) (Exposure time 3h/d,
5d/wk)
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 Upto 2 wk I,II, 1sp;4wk Dermal
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
Vaginal or Rectal Upto 2 wk I,II 1sp;4wk
III 2sp;4wk
> 2 wk I,II,III 2sp;12wk
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Drugs and Cosmetics Rules 1945 Special Toxicity Studies Male Fertility Study:
1[ Phase 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 derrmal 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.
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 6-10 6-10 2-3 2-3 15-30 15-30 4-6 4-6 Low dose 6-10 6-10 2-3 2-3 15-30 15-30 4-6 4-6 Intermediate 6-10 6-10 2-3 2-3 15-30 15-30 4-6 4-6 dose
High dose 6-10 6-10 2-3 2-3 15-30 15-30 4-6 4-6
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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.
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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 Nitrogen (Non-rodents only)
(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.
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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). Carcinogenicity studies (when there is a cause for concern or when the drug is to be used for more than 6 months).
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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
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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.
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Drugs and Cosmetics Rules 1945 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. 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.
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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.
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)
9.1[Statement describing the financial compensation and medical management as under:
2 [(a) In case of any injury occurring to the subject during the clinical trial, free medical management shall be given as long as required or till such time it is established that the injury is not related to the clinical trial, whichever is earlier.]
(b) In the event of a trial related injury or death, the Sponsor or his representative, whosoever has obtained permission from the Licensing Authority for conduct of the clinical trial, shall provide financial compensation for the injury or death].
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.
3 [14. Statement that there is a possibility of failure of investigational product to provide intended therapeutic effect.
15. Statement that in the case of placebo controlled trial, the placebo administered to the subjects shall not have any therapeutic effect.
16.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.
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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:
Subject's Initials: _________ Subject's Name: ______________ Date of Birth / Age: _______
1 [Address of the Subject______________
Qualification ______________________
Occupation: Student/Self-Employed/ Service/Housewife/Others (Please tick as appropriate) Annual Income of the subject __________________
Name and address of the nominee(s) and his relation to the subject ________ (for the purpose of compensation in case of trial related death).]
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:
Signature of the Witness
Date: / /
Name of the Witness:
1 [Copy of the Patient Information Sheet and duly filled Informed Consent Form shall be handled over to the subject or his/her attendant.]
1. Ins. by G.S.R 53(E), dt. 30-01-2013
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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.
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.
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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.
(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
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APPENDIX VIII
ETHICS COMMITTEE
1 [I. Requirements and guidelines for registration of Ethics Committee
1. Scope:
Ethics Committee shall review every clinical trial proposal and evaluate the possible risks to the subjects, expected benefits and adequacy of documentation for ensuring privacy, confidentiality and justice. In the case of any serious adverse event occurring to the clinical trial subjects during the clinical trial, the Ethics Committee shall analyze and forward its opinion as per procedures specified in APPENDIX XII of Schedule Y.
2. Composition of Ethics Committee:
(a) Ethics Committee shall consist of not less than seven members and one among its members, who is from outside the institute, shall be appointed as Chairman; one member as a Member Secretary and rest of the members shall be from Medical, Scientific, Non-medical and Non-scientific fields including lay public.
(b) The committee shall include at least one member whose primary area of interest or specialization is Non-scientific and at least one member who is independent of the institution. Besides, there should be appropriate gender representation on the Ethics Committee.
(c) The Ethics Committee can have as its members, individuals from other Institutions or Communities, if required.
(d) Members should be conversant with the provisions of clinical trials under this Schedule, Good Clinical Practice Guidelines for clinical trials in India and other regulatory requirements to safeguard the rights, safety and well- being of the trial subjects.
(e) For review of each protocol the quorum of Ethics Committee shall be at least five members with the following representations:
(i) Basic medical scientist (preferably one pharmacologist)
(ii) Clinician;
(iii) Legal expert;
(iv) Social scientist or representative of non-governmental voluntary agency or philosopher or ethicist or theologian or a similar person;
(v) Lay person from community.
(f) The members representing medical scientists and clinicians should have post graduate qualification and adequate experience in their respective fields and aware of their role and responsibilities as committee members.
(g) As far as possible, based on the requirement of research area such as HIV, Genetic disorder etc., specific patient group may also be represented in the Ethics Committee.
(h) There should be no conflict of interest. The members shall voluntarily withdraw from the Ethics Committee meeting while making a decision on an application which evokes a conflict of interest which may be indicated in writing to the Chairman prior to the review and be recorded so in the minutes. All members shall sign a declaration on conflict of interest.
(i) Subject experts or other experts may be invited to the meetings for their advice. But no such expert shall have voting rights.
3. Information required to be submitted by the applicant for registration of Ethics Committee:
(a) Name of the Ethics Committee
(b) Authority under which the Ethics Committee has been constituted, membership requirements, the term of reference, conditions of appointment and the quorum required.
1. Subs. by G.S.R. 72(E), dt. 8-2-2013.
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(c) The procedure for resignation, replacement or removal of members.
(d) Address of the office of the Ethics Committee.
(e) Name, address, qualification, organizational title, telephone number, fax number, email, mailing address and brief profile of the Chairman.
(f) Names, qualifications, organizational title, telephone number, fax number, e-mail and mailing address of the members of the Ethics Committee. The information shall also in clude member 's specialty (pr imary, scientific or non -scientific), member 's affiliation with institutions and patient group representation, if any.
(g) Details of the supporting staff.
(h) In the case of Ethics Committees existing before the publication of the Drugs and Cosmetics (Third Amendment) Rules, 2013,-
(i) Type of clinical research reviewed by the committee (e.g. pharmaceuticals, devices, epidemiological, retrospective, herbals, etc.)
(ii) Documents reviewed for every clinical trial protocol including Informed Consent documents.
(iii) In for mation in respect of number of meetings of the committee and documentation of the minutes of meetings of these committees concerning clinical trials.
(iv) Information regarding review of serious adverse events reported during the conduct of the trial.
(i) The Standard Operating Procedures to be followed by the committee in general.
(j) Standard Operating Procedures to be followed by the committee for vulnerable population.
(k) Policy regarding training for new and existing committee members along with Standard Operating Procedures.
(l) Policy to monitor or prevent the conflict of interest along with Standard Operating Procedures.
(m) If the committee has been audited or inspected before, give details.
4. Maintenance of record:
All documentation and communication of an Ethics Committee are to be dated, filed and preserved according to the Standard Operating Procedures. Strict confidentiality shall be maintained during access and retrieval procedures. Records should be maintained for the following, namely:-
(a) The constitution and composition of the Ethics Committee; (b) The curriculum vitae of all the committee members;
(c) Standard Operating Procedures followed by the committee; (d) National and international guidelines;
(e) Copies of the protocol, data collection formats, Case Report Forms, Investigator's brochures, etc, submitted for review;
(f) All correspondence with committee members and Investigators regarding application, decision and follow up;
(g) Agenda of all Ethics Committee meetings;
(h) Minutes of all Ethics Committee meetings with signature of the Chairman; (i) Copies of decisions communicated to the applicants;
(j) Record of all notification issued for premature termination of a study with a summary of the reasons;
(k) Final report of the study including microfilms, compact disks or video-recordings. All records shall be safely maintained after the completion or termination of the study for not less than five years from the date of completion or termination of the trial (Both in hard and soft copies).
5. The Ethics Committee shall be open to inspection by the officers authorized by the Central Drugs Standard Control Organization, who may include an officer of the State Drug Control Authority concerned, to verify compliance to the requirements of Schedule Y, Good Clinical
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Drugs and Cosmetics Rules, 1945 Practice guidelines and other applicable regulation for safeguarding the rights, safety and well-being of the trial subjects.]
III. Format for According Approval to clinical trial protocol by the 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).
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.
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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. 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
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Drugs and Cosmetics Rules, 1945 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 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.
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.
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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. 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
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Drugs and Cosmetics Rules, 1945 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
(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).
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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. 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 Profession (speciality) Date of reporting the event to Licensing Authority:
Date of reporting the event to Ethics Committee overseeing the site:
Signature of the Investigator
Note: Information marked * must be provided."]
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1 [APPENDIX XII
Compensation in case of injury or death during clinical trial
2 [(1) In case of an injury occurring to the subject during the clinical trial, free medical management shall be given as long as required or till such time it is established that the injury is not related to the clinical trial, whichever is earlier.]
(2) In case the injury occurring to the trial subject is related to the clinical trial, such subject shall also be entitled for financial compensation as per order of the Licensing Authority defined under clause (b) of Rule 21 and the financial compensation will be over and above any expenses incurred on the medical management of the subject.3[In case, there is no permanent injury, the quantum of compensation shall be commensurate with the nature of the non-permanent injury and loss of wages.]
(3) In the case of clinical trial related death of the subject, his/her nominee(s) would be entitled for financial compensation as per the order of the Licensing Authority defined under clause (b) of Rule 21, and the financial compensation will be over and above any expenses incurred on the medical management of the subject.
(4) The financial compensation for clinical trial related injury or death could be in the form of:-
(a) Payment for medical management;
(b) Financial compensation for trail related injury;
(c) Financial compensation to nominee(s) of the trial subject in case of death;
(d) Financial compensation for the child injured in-utero because of the participation of parent in clinical trial.
(5) The Sponsor or his representative, whosoever had obtained permission from the Licensing Authority for conduct of the clinical trial shall provide financial compensation, if the injury or death has occurred because of any or the following reasons, namely:-
(a) Adverse effect of investigational product(s);
(b) Any clinical trial procedures involved in the study;
(c) Violation of the approved protocol, scientific misconduct or negligence by the Sponsor or his representative or the Investigator;
(d) Failure of investigational product to provide intended therapeutic effect; where, the standard care, though available, was not provided to the subject as per the clinical trial protocol.
(e) Use of placebo in a placebo-controlled trial, where, the standard care, though available, was not provided to the subject as per the clinical trial protocol;
1. Ins. by G.S.R. 53(E), dt. 30.1.2013.
2. Subs. by G.S.R. 889(E), dt. 12.12.2014.
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(f) Adverse effects due to concomitant medication excluding standard care, necessitated as part of approved protocol;
(g) Injury to the child in-utero because of the participation of parent in clinical trial.
(6) Procedure for payment of financial compensation.
(a) The Investigator shall report all serious1[***] adverse events to the Licensing Authority as defined under clause (b) of Rule 21, the Sponsor or his representative whosoever had obtained permission from the Licensing Authority for conduct of the clinical trial and the Ethics Committee that accorded approval to the study protocol, within twenty four hours of their occurrence as per Appendix XI.2[In case, the Investigator fails to report any serious adverse event within the stipulated period, he shall have to furnish the reason for the delay to the satisfaction of the Licensing Authority along with the report of the serious adverse event.]
(b) (i) The cases of serious adverse events of death shall be examined as under:
(A) An independent Expert Committee shall be constituted by the Licensing Authority as defined under Rule 21(b) to examine the cases and recommend to the Licensing Authority for the purpose of arriving at the cause of death and quantum of compensation in case of clinical trial related death. (B)The Sponsor or his representative, whosoever had obtained permission from the Licensing Authority for conducting the clinical trial and the Investigator shall forward their reports on serious adverse event of death after due analysis to3[***] the Licensing Authority as defined under Rule 21(b) and the head of the Institution where the trial has been conducted within4[fourteen days] of occurrence of the serious adverse event of death.
(C) The Ethics Committee shall forward its report on serious adverse event of death after due analysis along with its opinion on the financial compensation, if any, to be paid by the Sponsor or his representative, whosoever had obtained permission from the Licensing Authority as defined under Rule 21(b) for conducting the clinical trial,5[***] to the Licensing Authority within6[thirty days] of the occurrence of the serious adverse event of death. 2 [(CA) The Licensing Authority shall forward the report of the Investigator, Sponsor or his representative whosoever had obtained permission from the Licensing Authority for conducting clinical trial and the Ethics Committee to the Chairman of the Expert Committee.]
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(D) The Expert Committee shall examine the report of serious adverse event of death and give its recommendations to the Licensing Authority for the purpose of arriving at the cause of the adverse event with in1[one hundred and five days of the occurrence of the adverse event,] and the expert committee while examining the event, may take into consideration, the reports of the Investigator, Sponsor or his representative whosoever had obtained permission from the Licensing Authority for conducting the clinical trial and the Ethics Committee.
(E) In the case of clinical trial related death, the Expert Committee shall also recommend the quantum of compensation to be paid by the Sponsor or his representative, whosoever had obtained permission from the Licensing Authority as defined under Rule 21(b) for conducting the clinical trial.
(F) The Licensing Authority shall consider the recommendations of the Expert Committee and shall determine the cause of death and pass orders as deemed necessary.
(G) In case of clinical trial related death, the Licensing Authority, after considering the recommendations of the Expert Committee, shall decide the quantum of compensation to be paid by the Sponsor or his representative, whosoever had obtained permission from the Licensing Authority for conducting the clinical trial and shall pass orders as deemed necessary within1[one hundred and fifty days of the occurrence of the adverse event].
(ii) Cases of serious adverse events, other than deaths, shall be examined as under:
(A) The Sponsor or his representative, whosoever had obtained permission from the Licensing Authority for conducting the clinical trial, and the Investigator shall forward their reports on serious adverse event, after due analysis, to the Licensing Authority as defined under Rule 21(b), Chairman of the Ethics Committee and the head of the Institution where the trial has been conducted within1[fourteen days] of occurrence of the serious adverse event.
(B) The Ethics Committee shall forward its report on the serious adverse event, after due analysis along with its opinion regarding the financial compensation, if any, to be paid by the Sponsor or his representative, whosoever had obtained permission from the Licensing Authority as defined under Rule 21(b) for conducting the clinical trial, to the Licensing Authority within1[thirty days] of occurrence of the serious adverse event.
(C) The Licensing Authority shall determine the cause of injury and pass order as deemed necessary. The Licensing Authority shall have the option to constitute an independent Expert Committee, wherever
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Drugs and Cosmetics Rules, 1945 cause considered necessary, to examine such serious adverse events of injury, which will recommend to the Licensing Authority for arriving at the cause of the injury and also the quantum of compensation in case of clinical trial related injury, to be paid by the Sponsor or his representative whosoever had obtained permission from the Licensing Authority as defined under Rule 21(b) for conducting the clinical trial.
(D) In case of clinical trial related injury, the Licensing Authority, shall decide the quantum of compensation to be paid by the Sponsor or his representative whosoever had obtained permission from the Licensing Authority for conducting the clinical trial and shall pass orders as deemed necessary within1[one hundred and fifty days of the occurrence of the adverse event].
(c) The sponsor or his representative, whosoever had obtained permission from the Licensing Authority for conducting the clinical trial shall pay the compensation in case of clinical trial related injury or death as per the order of the Licensing Authority as defined under Rule 21(b) within thirty days of the receipt of such order.]
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