Recent Updates by DCGI which will ultimately attract new trials in India:
1) Confirming the turnaround time for approvals and making the deadline as 180 days for all
Global Clinical Trials. Confirmed on 30 May 2014.
2) Drafting a revision over the last update done as 122 DAB over the compensation for the trail
related injuries. Also order released confirming that compensation for death or trial related
injuries should be paid to the trial subject or nominee if any drug related anomaly is been
identified and accepted. 3 July 2014
3) Now instead of just one NDAC, now load of new drug clinical trial approval will go in two
layers primarily first review by SEC (Subject Expert Committee) and their recommendations
will be reviewed by TRC (Technical Review Committee) and finally CDSCO will grant approval
from TRC recommendations. This will now decrease the turnaround time of clinical trial
approval. 03 July 2014
4) Limitations for Investigator to undertake maximum of 3 trails will ensure more accountability
and least chances of negligence in clinical trials. 3 July 2014
5) Though Phase I clinical trial is exempted for medical devices but procedure for clinical trial
approval, accreditations of investigators, sites, ethics committee and such other conditions
will remain same. 03 July 2014
6) All trail subjects will be provided with primary care for any illness during their trial
participation this may be within the site or hospital. 3 July 2014
7) Academic studies will be conducted upon approval by IEC but if there is any new drug or new
use of an existing drug involved then it requires DCGI approval. 3 July 2014
8) Clinical trial for new drugs which are already approved in other countries outside India can
be waived if it’s for national emergency, extreme urgency and conditions / diseases for which
there is no therapy. 3 July 2014
9) There were factors which will be now reviewed by SEC which will decide if there are ethnically
sensitive or insensitive before giving approval to any clinical trial. 3 July 2014
10) It has been decided if Indian patients have been participated in phase III global clinical trials;
the number of participants would have adequate considering the approval of drug in India. 3
July 2014
11) Considering the placebo control to be very uncommon CDSCO considered there should be an
existing therapy to compare the test drug. It should be appropriate, efficient and ethical. 3
July 2014
12) If Indian population is participating in global clinical trials and for indication which is
prevalent in India so in that sponsor/ innovator should market this NCE in an expedited way
by manufacturing. This needs to be confirmed in the form of undertaking while submitting
the application. 3 July 2014
13) If two or more countries have removed drug from the market in grounds of safety and
efficacy then the continued marketing of the drug will be subjected to examination and
action. 3 July 2014
14) CDSCO require post marketing surveillance of drugs, rational use of drugs, drug utilization
studies and adverse drug reactions monitoring so for the same there was a cell constituted
within CDSCO which will be working with ICMR for the sponsoring various studies. 3 July 2014
BY..,
VIRENDRA SHUKLA
Consultant Clinical Operations, WCT & Clini India
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