IND Annual Progress Report for Drug Products: - The Johns Hopkins ...
IND Annual Progress Report for Drug Products: - The Johns Hopkins ...
IND Annual Progress Report for Drug Products: - The Johns Hopkins ...
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ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
<strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> <strong>for</strong> <strong>Drug</strong> <strong>Products</strong>:<br />
<strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>Drug</strong><br />
<strong>Products</strong><br />
ICTR Navigators<br />
October 5, 2012<br />
Version 3.0<br />
Page 1 of 23
ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
1.0 Table of Contents<br />
Section<br />
Page<br />
1.0 Table of Contents 2<br />
2.0 Abbreviations 2<br />
3.0 FDA Websites 2<br />
4.0 Introduction 3<br />
5.0 Guidance and Instructions 3<br />
5.1 <strong>Report</strong>ing Period 3<br />
5.2 Due Date 3<br />
5.3 Number of Copies to be submitted 3<br />
5.4 <strong>Annual</strong> <strong>Report</strong> Binding 3<br />
5.5 Template Guidance Comments 4<br />
5.6 <strong>Annual</strong> <strong>Report</strong> Header and Footer 4<br />
5.7 FDA, CDER Mailing Address 4<br />
5.8 Website Address Hyperlinks 4<br />
5.9 Questions and Additional In<strong>for</strong>mation Contact 4<br />
6.0 Template Guidance Contents 5<br />
2.0 Abbreviations<br />
<strong>IND</strong> Investigational New <strong>Drug</strong><br />
CFR Code of Federal Regulations<br />
FDA U.S. Food and <strong>Drug</strong> Administration<br />
CDER Center <strong>for</strong> <strong>Drug</strong> Evaluation and Research<br />
CBER Center <strong>for</strong> Biologics Evaluation and Research<br />
CDRH Center <strong>for</strong> Devices and Radiological Health<br />
GCP Good Clinical Practices<br />
GLP Good Laboratory Practices<br />
GMP Good Manufacturing Practices<br />
BLA Biologic License Application<br />
NDA New <strong>Drug</strong> Application<br />
PMA Pre-Market Application<br />
IDE Investigational Device Exemption<br />
3.0 FDA Websites<br />
Within the document there are a number of links to various FDA <strong>for</strong>ms, regulations, and/or guidance<br />
documents. <strong>The</strong> list below contains additional useful FDA websites.<br />
FDA Forms Website:<br />
http://www.fda.gov/aboutfda/reportsmanuals<strong>for</strong>ms/<strong>for</strong>ms/default.htm<br />
FDA Title 21 Regulations Search Engine (e.g., <strong>IND</strong> regulations 21CRF312) website:<br />
http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm<br />
FDA Running Clinical Trials Website:<br />
http://www.fda.gov/ScienceResearch/SpecialTopics/RunningClinicalTrials/default.htm<br />
Page 2 of 23
ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
FDA – CDER Investigational New <strong>Drug</strong> (<strong>IND</strong>) Application website:<br />
http://www.fda.gov/<strong>Drug</strong>s/DevelopmentApprovalProcess/How<strong>Drug</strong>sareDevelopedandApproved/Approval<br />
Applications/InvestigationalNew<strong>Drug</strong><strong>IND</strong>Application/default.htm<br />
FDA – CDER <strong>Drug</strong> Guidance documents:<br />
http://www.fda.gov/<strong>Drug</strong>s/GuidanceComplianceRegulatoryIn<strong>for</strong>mation/Guidances/default.htm<br />
4.0 Introduction<br />
<strong>The</strong> enclosed in<strong>for</strong>mation is intended to provide an overview of the process <strong>for</strong> submitting an<br />
Investigational New <strong>Drug</strong> (<strong>IND</strong>) annual report <strong>for</strong> an active <strong>IND</strong> application as per the requirements set<br />
<strong>for</strong>th in 21CRF312.33. This document is designed to be used <strong>for</strong> an active <strong>IND</strong> application <strong>for</strong> a drug in<br />
which is submitted to the FDA Center <strong>for</strong> <strong>Drug</strong> Evaluation Research (CDER).<br />
<strong>The</strong> details of 21CRF312.33 can be found at the following website.<br />
http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?fr=312.33<br />
5.0 Guidance and Instructions<br />
5.1 <strong>Report</strong>ing Period<br />
<strong>The</strong> reporting period <strong>for</strong> an annual progress report is 12 months in length. <strong>The</strong> period <strong>for</strong> the<br />
first report will be from the date the <strong>IND</strong> went into effect to the day be<strong>for</strong>e the next anniversary<br />
date. <strong>The</strong> date the <strong>IND</strong> went into effect is the date the FDA stated the first human clinical trial<br />
may proceed (i.e., the date of the letter, email, and/or phone call the FDA stating that their<br />
safety review was complete and that the clinical trial may be started). (Note, the letter the FDA<br />
sends indicating the initial clinical trial may start is also referred to as the FDA letter of “no<br />
objection” or “may proceed” letter.) <strong>The</strong> anniversary date of an <strong>IND</strong> is the month and day the<br />
<strong>IND</strong> went into effect. For example, if the <strong>IND</strong> when into effect on June 12, 2009, then the<br />
reporting period <strong>for</strong> the annual report will be from June 12, 2009 to June 11, 2010, and<br />
anniversary date would be June 12 of each year the <strong>IND</strong> is active.<br />
5.2 Due Date<br />
<strong>IND</strong> annual reports must be submitted to the FDA Division/Office/Project Manager overseeing<br />
the <strong>IND</strong> no later than 60 days post the <strong>IND</strong>’s anniversary date. For example, if permission to<br />
begin the first human clinical study was June 12, 2009, then the anniversary date <strong>for</strong> each year<br />
that the <strong>IND</strong> is active will be June 12. Using the same example, the latest date the annual<br />
report should be received by the FDA is August 11.<br />
5.3 Number of Copies to be submitted<br />
One original copy and two photocopies are required.<br />
5.4 <strong>Annual</strong> <strong>Report</strong> Binding<br />
<strong>IND</strong> submissions that are received loose or which are inadequately bound may be returned to<br />
the Sponsor-Investigator <strong>for</strong> proper binding and resubmission which can significantly delay the<br />
FDA review process.<br />
If the annual report can be securely held together with a standard office staple, then there is no<br />
need to place the report in any type of binder. Normally, if the report is 15 pages or less,<br />
stapling is sufficient. If the report is longer than 15 pages or it cannot be securely held together<br />
with a staple, then it will need to be bound by another means. In this case, we suggest that the<br />
FDA Project Manager be consulted <strong>for</strong> additional instructions. Otherwise, use the binding<br />
Page 3 of 23
ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
instructions included in the “<strong>IND</strong> Guidance and Template <strong>for</strong> FDA-CDER <strong>Products</strong>” posted on<br />
the DDRS website (http://ictr.johnshopkins.edu/DDRS). When labeling the binders, should you<br />
use binders, indicate on the binder label that the submission is <strong>for</strong> an <strong>Annual</strong> <strong>Report</strong>. Each<br />
section of the report should begin on new page and index tabs should be used to mark each<br />
section of the submission packet.<br />
5.5 Template Guidance Comments<br />
<strong>The</strong> enclosed template guidance is a suggested <strong>for</strong>mat based on federal regulations, guidance<br />
documents, and previous experience. Within the template are references to applicable FDA<br />
regulations, web addresses to FDA guidance documents, comments/instructions, web<br />
addresses to FDA <strong>for</strong>ms, and suggested <strong>for</strong>matting and/or language. <strong>The</strong>se instructions outline<br />
what may need to be included or inserted into a particular section and may also address special<br />
considerations. As this is a basic template and each <strong>IND</strong> is unique, best judgment should be<br />
used concerning the in<strong>for</strong>mation to be included in the submission. <strong>The</strong> sponsor-investigator<br />
may use this <strong>for</strong>mat or adapt it as appropriate <strong>for</strong> the particular investigational product being<br />
evaluated. A blank template with just the cover letter, title page, and suggested section<br />
headings and subheadings is available <strong>for</strong> download at the DDRS website.<br />
5.6 <strong>Annual</strong> <strong>Report</strong> Header and Footer<br />
<strong>The</strong> following are the suggested <strong>for</strong>mat of the headers and footers to be used with the annual<br />
report. Note that headers and footers are not included in the template and must be inserted<br />
manually and may be modified as necessary.<br />
Header:<br />
[Left Hand Side]<br />
<strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong><br />
[INSERT Date of <strong>Report</strong>]<br />
[Right Hand Side]<br />
<strong>IND</strong> # [INSERT Number],<br />
Series # [INSERT Series number]<br />
Footer:<br />
[Left Hand Side]<br />
[Right Hand Side]<br />
John <strong>Hopkins</strong> University Page 1 of [##]<br />
[INSERT: Sponsor-Investigator Name]<br />
Confidential and Proprietary<br />
5.7 FDA, CDER Mailing Address<br />
Central Document Room<br />
Center <strong>for</strong> <strong>Drug</strong> Evaluation and Research<br />
Food and <strong>Drug</strong> Administration<br />
5901-B Ammendale Rd.<br />
Beltsville, MD 20705-1266<br />
5.8 Website Address Hyperlinks<br />
All hyperlinks to websites included are operational as of the date of this document. Please<br />
contact the ICTR Research Navigators via the contact in<strong>for</strong>mation below if any non-functional<br />
hyperlinks are identified so that they may be updated.<br />
5.9 Questions and Additional In<strong>for</strong>mation Contact<br />
For questions regarding any of the in<strong>for</strong>mation presented or use of the attached template,<br />
please contact the ICTR Research Navigators at ICTR_Navigators@jhmi.edu or via telephone<br />
at 410-955-8120 or 410-614-5383.<br />
Page 4 of 23
ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
6.0 Template Guidance Contents<br />
Section<br />
Page<br />
6.1 Cover Letter 6<br />
6.2 Cover Page 7<br />
6.3 Page Holder <strong>for</strong> 1571 8<br />
6.4 <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> 9<br />
Page 5 of 23
ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
6.1 Cover Letter<br />
[INSERT: Sponsor or Sponsor-Investigator letterhead or address]<br />
[INSERT: DATE]<br />
[INSERT: FDA Project Manager and CDER Office/Division]<br />
Central Document Room<br />
Center <strong>for</strong> <strong>Drug</strong> Evaluation and Research<br />
Food and <strong>Drug</strong> Administration<br />
5901-B Ammendale Rd.<br />
Beltsville, MD 20705-1266<br />
RE: <strong>Annual</strong> <strong>Report</strong> <strong>for</strong> <strong>IND</strong> Number [INSERT: <strong>IND</strong> Number “######”], <strong>for</strong> [INSERT: PRODUCT NAME]<br />
Dear [INSERT: FDA Project Manager Name],<br />
Enclosed please find the annual report <strong>for</strong> <strong>IND</strong> Number [INSERT: <strong>IND</strong> Number “######”] covering the<br />
reporting period from [INSERT: starting date] to [INSERT: end date]. Please do not hesitate to contact<br />
me at [INSERT: Sponsor contact in<strong>for</strong>mation], if there are any questions or concerns regarding this<br />
submission.<br />
Sincerely,<br />
[INSERT: Sponsor-Investigator Name]<br />
[INSERT: Title]<br />
[INSERT: Affiliation]<br />
Enclosure:<br />
Page 6 of 23
ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
6.2 Cover Sheet<br />
INVESTIGATIONAL NEW DRUG<br />
ANNUAL PROGRESS REPORT<br />
Date of <strong>Report</strong>:<br />
<strong>Report</strong>ing Period:<br />
[INSERT: Month Day, Year]<br />
[INSERT: Date <strong>Report</strong>ing Period began to Date<br />
<strong>Report</strong>ing Period ended]<br />
<strong>IND</strong> Number: [INSERT: <strong>IND</strong> Number “###,###”]<br />
<strong>Drug</strong> Name:<br />
Sponsor-Investigator:<br />
[INSERT: <strong>Drug</strong> Name]<br />
[INSERT: Name]<br />
[INSERT: Title]<br />
[INSERT: Address]<br />
[INSERT: Phone Number]<br />
[INSERT: Fax Number]<br />
[INSERT: Email Address]<br />
Page 7 of 23
ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
6.3 Page Holder of 1571<br />
[INSERT both pages of the signed and dated FDA Form 1571 here]<br />
FDA Form 1571<br />
http://www.fda.gov/downloads/AboutFDA/<strong>Report</strong>sManualsForms/Forms/UCM083533.pdf<br />
1571 Instructions<br />
http://www.fda.gov/<strong>Drug</strong>s/DevelopmentApprovalProcess/How<strong>Drug</strong>sareDevelopedandApproved/Approval<br />
Applications/InvestigationalNew<strong>Drug</strong><strong>IND</strong>Application/ucm071098.htm#<strong>for</strong>m1571<br />
Page 8 of 23
ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
6.4 <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong><br />
<strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Table of Contents<br />
Section<br />
Page<br />
A. Individual study summary in<strong>for</strong>mation ##<br />
A.1 Ongoing clinical trials ##<br />
A.1.1 [INSERT TRIAL NAME] ##<br />
A.1.2 [INSERT TRIAL NAME] ##<br />
A.2 Clinical trials completed during reporting period ##<br />
A.2.1 [INSERT TRIAL NAME] ##<br />
A.3<br />
Confirmation that clinical trial oversight and monitoring are conducted per the<br />
plans submitted in this <strong>IND</strong><br />
##<br />
B.<br />
Summary In<strong>for</strong>mation - In<strong>for</strong>mation obtained from clinical and nonclinical<br />
investigations during the reporting period:<br />
##<br />
B.1<br />
Summary of most frequent and most serious adverse experiences by body<br />
system:<br />
##<br />
B.2 Summary of all <strong>IND</strong> safety reports submitted during reporting period: ##<br />
B.3 List of subjects who died during participation and cause of death: ##<br />
B.4<br />
List of subjects who dropped out during the course of the investigation in<br />
association with any adverse experience, whether or not thought to be drug ##<br />
related:<br />
B.5<br />
Summary of in<strong>for</strong>mation obtained pertinent to understanding the drug's<br />
actions (dose response, bioavailability, in<strong>for</strong>mation from other controlled ##<br />
trials, etc.):<br />
B.6<br />
List of preclinical studies (including animal studies) completed or in progress<br />
during the reporting period and a summary of major preclinical findings:<br />
##<br />
B.7<br />
Summary of any significant manufacturing or microbiological changes made<br />
during the reporting period:<br />
##<br />
C.<br />
Description of the general investigational plan <strong>for</strong> the upcoming reporting<br />
period to replace the plan submitted with the last annual report submission:<br />
##<br />
D.<br />
Description of any revisions to the Investigator's Brochure as well as a copy<br />
of the newly revised Brochure (if applicable):<br />
##<br />
E.<br />
Describe any significant Phase I protocol modifications made during the<br />
reporting period which have not been previously submitted to the FDA in a ##<br />
protocol amendment:<br />
F.<br />
Summarize any significant <strong>for</strong>eign marketing developments with the drug<br />
during the reporting period.<br />
##<br />
G.<br />
Log of any outstanding <strong>IND</strong> related business to which a reply, comment or<br />
scheduled meeting with FDA is expected or requested:<br />
##<br />
H. Attachments: ##<br />
Page 9 of 23
ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
A. Individual Study Summary In<strong>for</strong>mation:<br />
A.1 Ongoing Clinical Trials<br />
A.1.1<br />
A.1.1.1<br />
A.1.1.2<br />
Trial Title and other identifying in<strong>for</strong>mation<br />
Title: [INSERT: Title of Protocol]<br />
Protocol ID Number: [INSERT: Protocol ID Number or N/A if none]<br />
IRB Number:[INSERT: IRB Number]<br />
Purpose of the study:<br />
[INSTRUCTIONS: Write a brief description of the purpose of the study.]<br />
Study Objectives:<br />
[INSTRUCTIONS: Describe the study objectives. If there are more than a primary and a<br />
secondary objective, add additional lines.]<br />
A.1.1.2.1<br />
A.1.1.2.2<br />
A.1.1.3<br />
A.1.1.4<br />
A.1.1.4.1<br />
Primary:<br />
Secondary:<br />
Subject population(s) under study:<br />
[INSTRUCTIONS: Describe the study population(s) (e.g., Healthy normal controls, healthy<br />
smokers, schizophrenia, etc…) that will be enrolled in the study.]<br />
Subject Enrollment Status:<br />
[INSTRUCTIONS:<br />
Provide the in<strong>for</strong>mation <strong>for</strong> the tables below.]<br />
If enrollment is closed, or on hold <strong>for</strong> any reason, include a statement here explaining<br />
the situation.]<br />
Enrollment Time Table<br />
Date Study Open to Enrollment:<br />
Date Enrollment Closed:<br />
Expected End Date of Study:<br />
Months /Years Open to Accrual:<br />
IRB <strong>Annual</strong> Approval Dates:<br />
[INSTRUCTIONS: Insert N/A if the study<br />
remains opens, but if closed and there are<br />
ongoing follow-up or data analysis activities,<br />
provide the date.]<br />
A.1.1.4.2<br />
Table of Cumulative Enrollment Summary:<br />
Total planned accrual: ##<br />
Number consented to date: ##<br />
Number enrolled to date: ##<br />
Number completed to date: ##<br />
Number that withdrew/withdrawn from study to date: ##<br />
Page 10 of 23
ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
A.1.1.4.3<br />
Table of Enrollment Summary <strong>for</strong> this reporting Period<br />
Number consented in this reporting period: ##<br />
Number enrolled in this reporting period: ##<br />
Number that withdrew or who were withdrawn from study<br />
##<br />
in this reporting period:<br />
Number completed study in this reporting period: ##<br />
A.1.1.4.4<br />
Table of Total Number of Enrolled Subjects by Age, Gender, and Race<br />
[INSTRUCTIONS <strong>for</strong> the Table of Total Number of Enrolled Subjects by Age, Gender,<br />
and Race:<br />
Federal regulation (21CRF312.33 (a)(2))states that the annual report must provide<br />
the total number of subjects entered into the study to date, tabulated by age, gender,<br />
and race. Below are three examples of tables (the third example actually consists of<br />
2 tables) that can be used to report this in<strong>for</strong>mation and which may be modified as<br />
needed.<br />
<br />
SPECIAL NOTE regarding the racial categories listed in the tables below:<br />
o <strong>The</strong> FDA issued a guidance <strong>for</strong> industry document in September 2005<br />
entitled “Collection of Race and Ethnicity Data in Clinical Trials.” This<br />
guidance document describes the FDA‟s current thinking on the collection of<br />
race and ethnicity in<strong>for</strong>mation and the categories listed below are based on<br />
this document. <strong>The</strong> document provides:<br />
• Definitions of the racial and ethnic categories.<br />
• Guidance regarding methods of collecting both racial and ethnic data.<br />
o Based on previous experienced, even though „Hispanic or Latino‟ is an ethnic<br />
category, it is suggested that this category be listed with the races.<br />
o Be<strong>for</strong>e making any changes to these categories, it is strongly suggested that<br />
the PI consult with the FDA Project Manager or review the guidance<br />
document at the hyperlink below:<br />
o Guidance Website:<br />
http://www.fda.gov/downloads/<strong>Drug</strong>s/GuidanceComplianceRegulatoryIn<strong>for</strong>mation/Gui<br />
dances/ucm071596.pdf]<br />
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ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
EXAMPLE #1<br />
Table of Total Number of Subjects Enrolled by Age, Gender, and Race:<br />
Age Groups 18-29 30-39 40-49 50-59 60-69 70 +<br />
Age not<br />
<strong>Report</strong>ed<br />
Gender F M F M F M F M F M F M F M<br />
Race<br />
White, Not of<br />
Hispanic Origin<br />
Black or African<br />
American, Not of<br />
Hispanic Origin<br />
Hispanic or Latino<br />
Asian<br />
Native Hawaiian or<br />
Other Pacific<br />
Islander<br />
American Indian or<br />
Alaska Native<br />
More Than One<br />
Race<br />
Race Not<br />
<strong>Report</strong>ed<br />
Totals per<br />
Race<br />
Gender/Age<br />
Group Column<br />
Totals<br />
Age Group Totals<br />
Total Females<br />
Total Males<br />
Total Subjects<br />
EXAMPLE #2<br />
Table of Total Number of Subjects Enrolled by Age, Gender, and Race:<br />
Age<br />
Gender<br />
Race<br />
18-29 yrs.<br />
30-39 yrs.<br />
40-49 yrs.<br />
50-59 yrs.<br />
60-69 yrs.<br />
Female<br />
Male<br />
White, Not of Hispanic Origin<br />
Black or African American, Not of Hispanic Origin<br />
Hispanic or Latino<br />
Asian<br />
Native Hawaiian or Other Pacific Islander<br />
American Indian or Alaska Native<br />
More Than One Race<br />
Race Not <strong>Report</strong>ed<br />
Treatment Group Control Group Total<br />
Page 12 of 23
ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
EXAMPLE #3<br />
Male<br />
Table of Total Number of Subjects Enrolled by Gender and Race:<br />
White, Not<br />
of<br />
Hispanic<br />
Origin<br />
Black or<br />
African<br />
American,<br />
Not of<br />
Hispanic<br />
Origin<br />
Hispanic<br />
or Latino<br />
Asian<br />
Native<br />
Hawaiian or<br />
Other<br />
Pacific<br />
Islander<br />
American<br />
Indian or<br />
Alaska<br />
Native<br />
More<br />
Than<br />
One<br />
Race<br />
Race Not<br />
<strong>Report</strong>ed<br />
Total<br />
Female<br />
Total<br />
Table of Total Number of Subjects Enrolled by Gender and Age:<br />
18 –29 yrs. 30-39 yrs. 40-49 yrs. 50-59 yrs. 60-69 yrs. 70 + yrs. Age not<br />
<strong>Report</strong>ed<br />
Total<br />
Male<br />
Female<br />
Total<br />
A.1.1.5<br />
A.1.1.5.1<br />
A.1.1.6<br />
Brief description of available study results:<br />
[INSTRUCTIONS: Write a brief description of study data and/or progress]<br />
Publications, Abstracts, Presentations:<br />
[INSTRUCTIONS: Provide citations <strong>for</strong> any of the above in which data from this study<br />
was used.]<br />
Registration and Result <strong>Report</strong>ing at ClinicalTrials.gov:<br />
[INSTRUCTIONS:<br />
This section of the template is optional as it is not a required by any federal regulation or<br />
FDA guidance document to be included in the <strong>IND</strong> annual progress report. However, it<br />
is suggested that Sponsor‟s (Sponsor-Investigator‟s) include this section to track<br />
compliance with the Title VIII of the Food and <strong>Drug</strong> Administration Amendments Act of<br />
2007 (FDAAA) clinical trial registration and reporting requirements.<br />
Web Resources:<br />
o Definitions of the bolded terms in quotes below can be found at<br />
http://prsinfo.clinicaltrials.gov/definitions.html#RespParty.<br />
o Additional resources pertaining to trial registration and result reporting requirements<br />
can be found at:<br />
• Clinicaltrials.gov Protocol Registration System In<strong>for</strong>mation Site<br />
http://prsinfo.clinicaltrials.gov/fdaaa.html.<br />
• NIH Grantees Clinicaltrials.gov and FDAAA Policy Site<br />
http://grants.nih.gov/ClinicalTrials_fdaaa/<br />
• FDA Certification (FDA Form 3674) Guidance (Draft)<br />
http://www.fda.gov/RegulatoryIn<strong>for</strong>mation/Guidances/ucm125335.htm<br />
Page 13 of 23
ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
<br />
<br />
<br />
<br />
Per Title VIII of the Food and <strong>Drug</strong> Administration Amendments Act of 2007 (FDAAA), all<br />
“Responsible Parties” must register and report results of certain "Applicable Clinical<br />
Trials."<br />
o “Applicable Clinical Trials” must be registered at ClinicalTrials.gov no later than 21<br />
days after the first patient is enrolled.<br />
o <strong>The</strong> “Applicable Clinical Trial” in<strong>for</strong>mation must be updated no less than once<br />
every 12 months, unless there has been no change in the clinical trial in<strong>for</strong>mation<br />
during the preceding 12-month period.<br />
o <strong>The</strong> recruitment status of the trial must be updated no later than 30 days after the<br />
status of the trial has changed (e.g. open to accrual, closed to accrual, terminated,<br />
etc.).<br />
o <strong>The</strong> “Primary Completion Date” of the “Applicable Clinical Trial” needs to be<br />
updated no later than 30 days after the trial is completed.<br />
o “Basic Results” of an “Applicable Clinical Trials” must be reported to<br />
ClinicalTrials.gov no later than one (1) year after the “Primary Completion Date” of<br />
the trial, unless a waiver is granted<br />
If the clinical trial reported here meets the definition of an “Applicable Clinical Trial”<br />
and the Sponsor (or Sponsor-Investigator) of this <strong>IND</strong> meets the definition of<br />
“Responsible Parties”, then supply the appropriate in<strong>for</strong>mation <strong>for</strong> A.1.1.6.1 through<br />
A.1.1.1.6.8.<br />
If the clinical trial reported here DOES NOT meet the definition of an “Applicable<br />
Clinical Trial” and/or the Sponsor (or Sponsor-Investigator) of this <strong>IND</strong> DOES NOT<br />
meet the definition of “Responsible Parties”, then:<br />
o<br />
o<br />
Delete A.1.1.6.1 through A.1.1.1.6.8, AND<br />
Provide an explanation under A.1.1.6 as to why the trial being reported here does not<br />
meet the definition of an “Applicable Clinical Trial” and/or the Sponsor (Sponsor-<br />
Investigator) of this <strong>IND</strong> DOES NOT meet the definition of “Responsible Parties”.<br />
SPECIAL CONSIDERATIONS:<br />
o Clinical trials that do not meet the definition of an “Applicable Clinical Trial” can<br />
still be registered and results reported at ClinicalTrials.gov.<br />
• If the trial reported here is registered at ClinicalTrials.gov even though it does not<br />
meet the definition of an “Applicable Clinical Trial”, then supply the appropriate<br />
in<strong>for</strong>mation <strong>for</strong> A.1.1.6.1 through A.1.1.1.6.8.<br />
• Note: If the holder of this <strong>IND</strong> is NOT the Sponsor of the clinical trial, the holder<br />
of this <strong>IND</strong> should consult with the Sponsor prior to registering or reporting<br />
results at ClinicalTrials.gov.<br />
o<br />
<strong>The</strong> International Committee of Medical Journal Editors (ICMJE)have specific clinical<br />
trial registration requirements that must be met in order <strong>for</strong> manuscripts to be<br />
considered <strong>for</strong> publication in an ICMJE journal, <strong>The</strong>ir requirements include<br />
registration of the clinical trial at ClinicalTrials.gov prior to enrollment of the first<br />
participant. <strong>The</strong> ICMJE registration in<strong>for</strong>mation can be found at:<br />
• Statement on Registration:<br />
http://www.icmje.org/publishing_10register.html<br />
• Registration FAQs:<br />
http://www.icmje.org/faq_clinical.html]<br />
Page 14 of 23
ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
A.1.1.6.1<br />
A.1.1.6.2<br />
A.1.1.6.3<br />
A.1.1.6.4<br />
A.1.1.6.5<br />
A.1.1.6.6<br />
A.1.1.6.7<br />
A.1.1.6.8<br />
NCT Number:<br />
[INSTRUCTIONS: Insert the National Clinical Trial (NCT) Number that was assigned to<br />
the trial at the time that it was registered at ClinicalTrials.gov. If the clinical trial has not<br />
yet been registered, insert “Not Applicable”.]<br />
Date of registration:<br />
[INSTRUCTIONS: Insert the date that the clinical trial was registered at<br />
ClinicalTrials.gov. If the clinical trial has not yet been registered, insert “Not Applicable”.]<br />
Date FDA Form 3674 was submitted to the FDA <strong>for</strong> this clinical trial:<br />
[INSTRUCTIONS: Insert the date that the FDA Form 3674 was submitted to the FDA <strong>for</strong><br />
this clinical trial. If the <strong>for</strong>m has not been submitted, state why it has not been done.<br />
Review the FDA Certification requirement website listed above in the instructions <strong>for</strong> the<br />
FDA‟s current thinking on when this <strong>for</strong>m should be submitted.]<br />
Date clinical trial in<strong>for</strong>mation last updated:<br />
[INSTRUCTIONS: Insert the date that the clinical trial in<strong>for</strong>mation was last updated at<br />
the ClinicalTrials.gov site. If the in<strong>for</strong>mation has not been updated since the initial<br />
registration, then state „<strong>The</strong>re has been no changes to the clinical trial in<strong>for</strong>mation since<br />
the trial was initially registered.‟ If the clinical trial has not be registered, insert “Not<br />
Applicable”.]<br />
Date that recruitment in<strong>for</strong>mation last updated:<br />
[INSTRUCTIONS: Insert the date that the trial recruitment status (e.g., not recruiting,<br />
actively recruiting, open but not actively recruiting, etc…) was updated. If the clinical trial<br />
has not been registered, insert “Not applicable”.]<br />
Primary Completion Date:<br />
[INSTRUCTIONS: Insert the “Primary Completion Date” and indicate whether the date<br />
is the estimated or actual completion date. If the clinical trial has not been registered at<br />
ClinicalTrials.gov, insert “Not Applicable”.]<br />
Date that Basic Results were reported:<br />
[INSTRUCTIONS: Insert the date the “Basic Results” were reported. If the basic<br />
results have not been reported, but the trial is registered at ClinicalTrials.gov and results<br />
are not required to be reported yet, state “<strong>The</strong> results have not been reported because<br />
the clinical trial has not been completed.” If the clinical trial has not yet been registered,<br />
insert “Not Applicable”.]<br />
Plans <strong>for</strong> registering if the clinical trial has not yet been registered:<br />
[INSTRUCTIONS: If the clinical trial is required to be registered at ClinicalTrials.gov, but<br />
this has not yet been done, then describe the plan <strong>for</strong> registering the trial including the<br />
estimated date of trial registration. If the trial has already been registered at<br />
ClinicalTrials.gov, insert “Not applicable.”]<br />
[INSTRUCTIONS: If only reporting one ongoing clinical trial, delete A.1.2 through A.1.2.6.8. If<br />
reporting more than one ongoing clinical trial, continue below with A.1.2. If reporting more than two<br />
ongoing clinical trials, then copy A.1.2 through A.1.2.6.8, paste below A.1.2.6.8 and re-number the<br />
section so that the first three letter/digits read A.1.3., etc.]<br />
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ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
A.1.2<br />
A.1.2.1<br />
A.1.2.2<br />
Trial Title and other identifying in<strong>for</strong>mation<br />
Title:<br />
Protocol ID Number:<br />
IRB Number:<br />
Purpose of the study:<br />
Study Objectives:<br />
A.1.2.2.1<br />
A.1.2.2.2<br />
A.1.2.3<br />
A.1.2.4<br />
A.1.2.4.1<br />
Primary:<br />
Secondary:<br />
Subject population(s) under study:<br />
Subject Enrollment Status:<br />
Enrollment Time Table<br />
Date study opened to enrollment:<br />
Date enrollment closed:<br />
Expected end date of study:<br />
Months/years open to accrual:<br />
IRB annual approval dates:<br />
A.1.2.4.2<br />
Table of Cumulative Enrollment Summary:<br />
Total planned accrual: ##<br />
Number consented to date: ##<br />
Number enrolled to date: ##<br />
Number completed to date: ##<br />
Number that withdrew/withdrawn from study to date: ##<br />
A.1.2.4.3<br />
Table of Enrollment Summary <strong>for</strong> this reporting Period<br />
Number consented in this reporting period: ##<br />
Number enrolled in this reporting period: ##<br />
Number that withdrew/withdrawn from study in this ##<br />
reporting period:<br />
Number completed study in this reporting period: ##<br />
A.1.2.4.4<br />
A.1.2.5<br />
Table of Total Number of Enrolled Subjects by Age, Gender, and Race<br />
[INSTRUCTIONS: Note that the same type of table used in A.1.1 should be used to<br />
report the total number of subjects enrolled by Age, Gender, and Race.]<br />
Brief description of available study results:<br />
Page 16 of 23
ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
A.1.2.5.1<br />
A.1.2.6<br />
A.1.2.6.1<br />
A.1.2.6.2<br />
A.1.2.6.3<br />
A.1.2.6.4<br />
A.1.2.6.5<br />
A.1.2.6.6<br />
A.1.2.6.7<br />
A.1.2.6.8<br />
Publications, Abstracts, Presentations<br />
Registration and Result <strong>Report</strong>ing at ClinicalTrials.gov:<br />
NCT Number:<br />
Date of registration:<br />
Date FDA Form 3674 submitted to the FDA <strong>for</strong> this clinical trial:<br />
Date clinical trial in<strong>for</strong>mation last updated:<br />
Date recruitment in<strong>for</strong>mation last updated:<br />
Primary Completion Date:<br />
Date Basic Results <strong>Report</strong>ed:<br />
Plans <strong>for</strong> registering at ClinicalTrials.gov if the trial is not yet registered:<br />
[INSTRUCTIONS FOR THE FOLLOWING SECTION: If reporting on clinical trials that closed during<br />
the reporting period, please complete A.2. If no clinical trials closed during the reporting period, include<br />
a statement under A.2 citing that no clinical trials were closed during the reporting period and delete<br />
A.2.1 through A.2.1.6.7. If reporting more than two closed clinical trials, then copy A.2.1 through<br />
A.2.1.6.7, paste below A.2.1.6.7 and re-number the section so that the first three letter/digits read<br />
A.2.2., etc.]<br />
A.2 Clinical Trials Completed During the <strong>Report</strong>ing Period<br />
A.2.1<br />
A.2.1.1<br />
A.2.1.2<br />
Trial Title and other identifying in<strong>for</strong>mation<br />
Title:[INSERT: Title of Protocol]<br />
Protocol ID Number:[INSERT: Protocol ID Number or N/A if none]<br />
IRB Number: [INSERT: IRB Number]<br />
Purpose of the study:<br />
[INSTRUCTIONS: Write a brief description of the purpose of the study.]<br />
Study Objectives:<br />
[INSTRUCTIONS: Describe the study objectives. If there are more than a primary and a<br />
secondary objective, add additional lines.]<br />
A.2.1.2.1<br />
A.2.1.2.2<br />
A.2.1.3<br />
Primary:<br />
Secondary:<br />
Subject population(s) under study:<br />
[INSTRUCTIONS: Describe the study population(s) (e.g., Healthy normal controls, healthy<br />
smokers, schizophrenia, etc…) that will be enrolled in the study.]<br />
Page 17 of 23
ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
A.2.1.4<br />
A.2.1.4.1<br />
Subject Enrollment Status:<br />
[INSTRUCTIONS:<br />
Provide the in<strong>for</strong>mation <strong>for</strong> the tables below.]<br />
If enrollment is closed, or on hold <strong>for</strong> any reason, include a statement to that effect here<br />
along with an explanation if appropriate.]<br />
Enrollment Time Table<br />
Date study open to enrollment:<br />
Date enrollment closed:<br />
Expected end date of study:<br />
Months/years open to accrual:<br />
IRB annual approval dates:<br />
Study closure date:<br />
[INSERT: Date enrollment closed.]<br />
A.2.1.4.2<br />
Table of Cumulative Enrollment Summary:<br />
Total planned accrual: ##<br />
Number consented to date: ##<br />
Number enrolled to date: ##<br />
Number completed to date: ##<br />
Number that withdrew/withdrawn from study to date: ##<br />
A.2.1.4.3<br />
Table of Enrollment Summary <strong>for</strong> this reporting Period<br />
Number consented in this reporting period: ##<br />
Number enrolled in this reporting period: ##<br />
Number who withdrew or who were withdrawn from<br />
##<br />
study in this reporting period:<br />
Number completed study in this reporting period: ##<br />
A.2.1.4.4<br />
A.2.1.5<br />
A.2.1.5.1<br />
A.2.1.6<br />
Table of Total Number of Enrolled Subjects by Age, Gender, and Race<br />
[INSTRUCTIONS: Note that the same type of table used in the previous annual report<br />
<strong>for</strong> a clinical study to report the total number of subjects enrolled by Age, Gender, and<br />
Race should be used so the data is reported consistently, especially in the case of<br />
reporting closed trials.]<br />
Brief description of available study results:<br />
[INSTRUCTIONS: Write a brief description of study data and/or progress]<br />
Publications, Abstracts, Presentations<br />
[INSTRUCTIONS: Provide citations <strong>for</strong> any of the above in which data from this study<br />
was used.]<br />
Registration and Result <strong>Report</strong>ing at ClinicalTrials.gov:<br />
[INSTRUCTIONS:<br />
This section of the template is optional as it is not a required by any federal regulation<br />
or FDA guidance document to be included in the <strong>IND</strong> annual progress report. However,<br />
it is suggested that Sponsor‟s (Sponsor-Investigator‟s) include this section to track<br />
compliance with the Title VIII of the Food and <strong>Drug</strong> Administration Amendments Act of<br />
2007 (FDAAA) clinical trial registration and reporting requirements.<br />
Page 18 of 23
ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
<br />
<br />
<br />
<br />
Web Resources:<br />
o Definitions of the bolded terms in quotes below can be found at<br />
http://prsinfo.clinicaltrials.gov/definitions.html#RespParty.<br />
o Additional resources pertaining to trial registration and result reporting<br />
requirements can be found at:<br />
• Clinicaltrials.gov Protocol Registration System In<strong>for</strong>mation Site<br />
http://prsinfo.clinicaltrials.gov/fdaaa.html.<br />
• NIH Grantees Clinicaltrials.gov and FDAAA Policy Site<br />
http://grants.nih.gov/ClinicalTrials_fdaaa/<br />
• FDA Certification (FDA Form 3674) Guidance (Draft)<br />
http://www.fda.gov/RegulatoryIn<strong>for</strong>mation/Guidances/ucm125335.htm<br />
Per Title VIII of the Food and <strong>Drug</strong> Administration Amendments Act of 2007 (FDAAA),<br />
all “Responsible Parties” must register and report results of certain "Applicable<br />
Clinical Trials."<br />
o “Applicable Clinical Trials” must be registered at ClinicalTrials.gov no later than<br />
21 days after the first patient is enrolled.<br />
o <strong>The</strong> “Applicable Clinical Trial” in<strong>for</strong>mation must be updated no less than once<br />
every 12 months, unless there has been no change in the clinical trial in<strong>for</strong>mation<br />
during the preceding 12-month period.<br />
o <strong>The</strong> recruitment status of the trial must be updated no later than 30 days after the<br />
status of the trial has changed (e.g. open to accrual, closed to accrual, terminated,<br />
etc.).<br />
o <strong>The</strong> “Primary Completion Date” of the “Applicable Clinical Trial” needs to be<br />
updated no later than 30 days after the trial is completed.<br />
o “Basic Results” of an “Applicable Clinical Trials” must be reported to<br />
ClinicalTrials.gov no later than one (1) year after the “Primary Completion Date”<br />
of the trial, unless a waiver is granted.<br />
If the clinical trial reported here meets the definition of an “Applicable Clinical Trial”<br />
and the Sponsor (or Sponsor-Investigator) of this <strong>IND</strong> meets the definition of<br />
“Responsible Parties”, then supply the appropriate in<strong>for</strong>mation <strong>for</strong> A.1.1.6.1 through<br />
A.1.1.1.6.8.<br />
Since this clinical trial is listed under the “closed clinical trial” section, then if the trial<br />
meets the registration and reporting criteria, the results from this trial must be reported<br />
to clinicaltrials.gov within 12-months of the “Primary Completion Date”, unless an<br />
extension is requested and granted. For more in<strong>for</strong>mation about the results reporting<br />
requirements and methods, please review the in<strong>for</strong>mation posted under the "Basic<br />
Results" Database section “on the “PRS and U.S. Public Law 110-85” website located<br />
at http://prsinfo.clinicaltrials.gov/fdaaa.html.]<br />
A.2.1.6.1<br />
A.2.1.6.2<br />
NCT Number:<br />
[INSTRUCTIONS: Insert the National Clinical Trial (NCT) Number that was assigned<br />
when clinical trial was registered.]<br />
Date of registration:<br />
[INSTRUCTIONS: Insert the date the clinical trial was registered.]<br />
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A.2.1.6.3<br />
A.2.1.6.4<br />
A.2.1.6.5<br />
A.2.1.6.6<br />
A.2.1.6.7<br />
Date FDA Form 3674 submitted to the FDA <strong>for</strong> this clinical trial:<br />
[INSTRUCTIONS: Insert the date the FDA Form 3674 was submitted <strong>for</strong> this clinical trial.<br />
If the <strong>for</strong>m has not been submitted, state why it has not been submitted. Review the<br />
FDA Certification requirement website listed above in the instructions <strong>for</strong> FDA‟s current<br />
thinking on when this <strong>for</strong>m needs to be submitted.]<br />
Date clinical trial in<strong>for</strong>mation last updated:<br />
[INSTRUCTIONS: Insert the date that the clinical trial in<strong>for</strong>mation was last updated. If<br />
the in<strong>for</strong>mation has not been updated since the initial registration, then state „<strong>The</strong>re has<br />
been no changes to the clinical trial in<strong>for</strong>mation since the trial was initially registered.]<br />
Date recruitment in<strong>for</strong>mation last updated:<br />
[INSTRUCTIONS: Insert the date that recruitment status (e.g., not recruiting, actively<br />
recruiting, open but not actively recruiting, etc…) was updated.]<br />
Primary Completion Date:<br />
[INSTRUCTIONS: Insert the Primary Completion Date stating that the date is the actual<br />
completion date.]<br />
Date Basic Results <strong>Report</strong>ed:<br />
[INSTRUCTIONS: Insert the date the Basic Results were reported. If the results have<br />
not been reported because the 12-month period between the primary completion date<br />
and the date of the submission of the annual report has not elapsed, then state this and<br />
indicate the expected date the results will be reported to clinicaltrials.gov. If the results<br />
have not been reported due a request <strong>for</strong> an extension, state this explaining the reason<br />
<strong>for</strong> the request <strong>for</strong> an extension and indicate the expected date the results will be<br />
reported to clinicaltrials.gov.]<br />
A.3 Confirmation that clinical trial oversight and monitoring are conducted per the plans<br />
submitted in this <strong>IND</strong><br />
[INSTRUCTIONS: Provide a statement confirming that the clinical trial oversight and<br />
monitoring, as outlined in the most recent version of the <strong>IND</strong> (referred to by <strong>IND</strong> # serial 0000),<br />
is being per<strong>for</strong>med as described.]<br />
B. Summary In<strong>for</strong>mation - In<strong>for</strong>mation obtained from clinical and nonclinical investigations<br />
during this reporting period:<br />
B.1 Summary of most frequent and most serious adverse experiences by body system:<br />
[INSTRUCTIONS: Provide a list, in tabular <strong>for</strong>m if possible, of the most frequent and most<br />
serious adverse events by body system. If there were no serious adverse events noted, state<br />
that no serious adverse experiences occurred during this reporting period.]<br />
B.2 Summary of all <strong>IND</strong> safety reports submitted during the reporting period:<br />
[INSTRUCTIONS: Provide a list of all <strong>IND</strong> safety reports submitted during the reporting period.<br />
If no reports were submitted, state that no safety reports were submitted.]<br />
B.3 List of subjects who died during participation and cause of death:<br />
[INSTRUCTIONS: Provide a list of all deaths that occurred during participation in the study<br />
during the reporting period along with the cause of death. If no deaths occurred during this<br />
reporting period, include a statement here to that effect.]<br />
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B.4 List of subjects who dropped out during the course of the investigation in association<br />
with any adverse experience, whether or not thought to be drug related:<br />
[INSTRUCTIONS:<br />
<br />
Provide a list of all subjects that withdrew or were with withdrawn during the reporting period<br />
from the study due to an adverse experience and state whether or not the experience may<br />
have been due do the drug.<br />
If no subjects withdrew or were withdrawn due to an adverse experience, state that no<br />
subjects withdrew or were withdrawn due to an adverse experience during the reporting<br />
period.<br />
SPECIAL NOTE: If any of the tables labeled “Table of Enrollment Summary <strong>for</strong> this<br />
reporting period” in section A indicate that a subject withdrew or was withdrawn during this<br />
reporting period, but the withdrawal/removal was not due to an adverse experience, then a<br />
brief statement should be included here explaining the reason <strong>for</strong> the withdrawal/removal<br />
from the study. For example: “<strong>The</strong> table in Section A.2.1.4.3 indicates that two subjects<br />
withdrew during this reporting period; however, neither withdrew because of an adverse<br />
experience. One of the participants withdrew because he moved out of state with his job and<br />
the other cited child care changes that decreased the amount of time that she could devote<br />
to study visits”.]<br />
B.5 Summary of in<strong>for</strong>mation obtained pertinent to understanding the drug's actions (dose<br />
response, bioavailability, in<strong>for</strong>mation from other controlled trials, etc.):<br />
[INSTRUCTIONS: Provide a summary of any pertinent in<strong>for</strong>mation obtained during the<br />
reporting period concerning the understanding of the drug‟s action. If no new in<strong>for</strong>mation has<br />
been obtained, include the following statement: “No pertinent in<strong>for</strong>mation concerning the drug‟s<br />
action was obtained during this reporting period.”]<br />
B.6 List of preclinical studies (including animal studies) completed or in progress during the<br />
reporting period and a summary of major preclinical findings:<br />
[INSTRUCTIONS: List ALL preclinical studies in progress or completed during this reporting<br />
period along with a summary of any major findings. SPECIAL NOTE: While not required, it is<br />
suggested that the primary objective of each study be included within the list.]<br />
B.7 Summary of any significant manufacturing or microbiological changes made during the<br />
reporting period:<br />
[INSTRUCTIONS:<br />
Provide a summary describing any significant manufacturing or microbiological changes<br />
made during the reporting period. Changes may include but are not limited to:<br />
o Updated in<strong>for</strong>mation (i.e. lot release data and characterization testing in tabular <strong>for</strong>m<br />
as in original CMC section) on any newly produced clinical lots<br />
o Updated stability in<strong>for</strong>mation<br />
o Updated in<strong>for</strong>mation on analytical methods<br />
o Updated manufacturing quality control and quality assurance processes<br />
<br />
If there were no significant changes made, include a statement here to that effect.]<br />
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ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
C. Description of the general investigational plan <strong>for</strong> the upcoming reporting period<br />
(coming year) to replace the plan submitted with the last annual report:<br />
[INSTRUCTIONS: Describe what changes are being considered to the general investigational<br />
plan <strong>for</strong> the upcoming year to replace the previous year‟s plan. If changes are being made,<br />
please use the following <strong>for</strong>mat. If no changes are planned, include a statement to that effect<br />
here, including an explanation as to why, and delete E.1 through E.6.]<br />
C.1 Rationale <strong>for</strong> the investigational drug or the research study (studies):<br />
C.2 Indication(s) to be studied:<br />
C.3 General Approach to be followed in evaluating the investigational drug:<br />
C.4 Types of clinical studies to be conducted in the upcoming reporting period:<br />
[SPECIAL NOTE: If plans have not been developed <strong>for</strong> the entire year, include a statement here<br />
to that effect. In this instance, an additional statement should be made citing that appropriate<br />
protocol amendments will be submitted to the FDA as these plans are developed.]<br />
C.5 Estimated number of patients or subjects who will be administered the investigational<br />
drug under these studies during the upcoming reporting period:<br />
C.6 Anticipated significant risks of study participation:<br />
[SPECIAL NOTE: Describe any risks of particular severity or seriousness anticipated on the<br />
basis of preclinical toxicology studies or prior clinical studies of the investigational drug or<br />
related drugs. If no significant risks are anticipated, include a statement here to that effect.]<br />
D. Description of any revisions to the Investigator's Brochure as well as a copy of the newly<br />
revised Brochure:<br />
[INSTRUCTION:<br />
If the investigator‟s brochure was revised, describe the revision(s) and provide a copy of<br />
the new brochure in the appendix.<br />
<br />
<br />
<br />
If no revisions were made during the reporting period, include a statement here to that<br />
effect.<br />
If there is no investigator brochure <strong>for</strong> this <strong>IND</strong>, include a statement here to that effect.<br />
If the <strong>IND</strong> is <strong>for</strong> an approved drug, indicate whether or not any changes were made to<br />
the approved package insert during the reporting period and include a copy of the<br />
updated package insert in the appendix.<br />
o Note that the National Library of Medicine now maintains a reference website of<br />
approved package inserts at: http://dailymed.nlm.nih.gov/dailymed/about.cfm.]<br />
E. Describe any significant Phase I protocol modifications made during the reporting period<br />
which have not been previously reported to the FDA in a protocol amendment:<br />
[INSTRUCTIONS:<br />
<br />
List all protocol modifications that were made during the reporting period which were not<br />
reported to the FDA in a Protocol Amendment: Change in Protocol submission.<br />
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ICTR DDRS: <strong>IND</strong> <strong>Annual</strong> <strong>Progress</strong> <strong>Report</strong> Guidance and Template <strong>for</strong> <strong>Drug</strong> <strong>Products</strong> Version 3.0<br />
o<br />
o<br />
o<br />
If unreported modifications were made, include a statement here to that effect,<br />
explaining that a copy of the revised protocol and consent <strong>for</strong>m, if applicable,<br />
is/are attached <strong>for</strong> FDA review in the appendix.<br />
SPECIAL NOTE: Per 21CFR312.30 (b), certain changes need to be reported to<br />
FDA and IRB approved prior to implementation. If changes were made to the<br />
protocol that fall under the categories listed in 312.30(b), an explanation as to<br />
why the changes were not reported in a timely manner must be included here.<br />
<strong>The</strong> website <strong>for</strong> 21CFR312.30 (b) can be found at:<br />
• http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?fr=312.30<br />
Note: If changes were made to more than one open protocol under this <strong>IND</strong> in<br />
this reporting period, list the changes by protocol, <strong>for</strong> example “G.1 For study A.#<br />
above, entitled “Protocol Title,” the following amendment was made to the<br />
protocol.”<br />
<br />
If no protocol modifications were made during the reporting period, include a statement<br />
here to that effect.]<br />
F. Summarize any significant <strong>for</strong>eign marketing developments with the drug during the<br />
reporting period:<br />
[INSTRUCTIONS: Provide a brief summary of any known <strong>for</strong>eign marketing changes <strong>for</strong> the<br />
drug that were made during this reporting period. Changes can include, but are not limited to,<br />
approval of a marketing application in any country or withdrawal or suspension from marketing<br />
in any country. If there were no known <strong>for</strong>eign marketing developments during the reporting<br />
period, include a statement here to that effect.]<br />
G. Log of any outstanding <strong>IND</strong> related business to which a reply, comment or scheduled<br />
meeting with FDA is expected or requested:<br />
[INSTRUCTIONS: Describe all outstanding business with the FDA related to this <strong>IND</strong>. If there is<br />
no outstanding business, include a statement here to that effect.]<br />
H. Attachments:<br />
[INSTRUCTIONS: Provide a list of all attachments being submitted with this annual progress<br />
report. If no attachments are being submitted, include a statement here that there are no<br />
attachments being submitted.]<br />
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