Pharmaceutical Administration and Regulations in Japan - Nihs
Pharmaceutical Administration and Regulations in Japan - Nihs
Pharmaceutical Administration and Regulations in Japan - Nihs
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8) GCP<br />
The first GCP, St<strong>and</strong>ards for Conduct<br />
of Cl<strong>in</strong>ical Trials on Drugs, <strong>in</strong>tended to<br />
assure that cl<strong>in</strong>ical studies are performed<br />
on the basis of ethical considerations <strong>and</strong><br />
from the proper scientific st<strong>and</strong>po<strong>in</strong>t were<br />
issued as Notification No 874 of the PAB<br />
dated October 2, 1989, <strong>and</strong> this GCP was<br />
applied <strong>in</strong> the form of adm<strong>in</strong>istrative<br />
guidance from October 1, 1990.<br />
Thereafter, the MHW undertook various<br />
studies to improve the quality of cl<strong>in</strong>ical<br />
studies <strong>in</strong> <strong>Japan</strong> <strong>in</strong> accordance with<br />
changes <strong>in</strong> the <strong>in</strong>ternational regulatory<br />
situation, <strong>and</strong> a new GCP was issued as<br />
an MHW ord<strong>in</strong>ance (No.28, March 27,<br />
1997) based on a report of the Central<br />
<strong>Pharmaceutical</strong> Affairs Council (March 13,<br />
1997). This new GCP, which is legally<br />
b<strong>in</strong>d<strong>in</strong>g, went <strong>in</strong>to effect from April 1,<br />
1997.<br />
The old GCP consisted ma<strong>in</strong>ly of<br />
provisions concern<strong>in</strong>g pharmaceutical<br />
companies as the sponsors of cl<strong>in</strong>ical<br />
studies, but the new GCP clarifies <strong>and</strong><br />
re<strong>in</strong>forces the role <strong>and</strong> responsibilities of<br />
sponsors, <strong>and</strong> also <strong>in</strong>cludes provisions<br />
concern<strong>in</strong>g the medical <strong>in</strong>stitutions <strong>and</strong><br />
<strong>in</strong>vestigators (physicians) perform<strong>in</strong>g the<br />
cl<strong>in</strong>ical studies.<br />
Further, the GCP was revised to<br />
exp<strong>and</strong> its scope to cover cl<strong>in</strong>ical trials<br />
conducted by the physician or medical<br />
<strong>Pharmaceutical</strong> <strong>Regulations</strong> <strong>in</strong> <strong>Japan</strong>:<br />
<strong>in</strong>stitution for approval application <strong>in</strong> order<br />
to manage cl<strong>in</strong>ical trials similarly to the<br />
current cl<strong>in</strong>ical trial system. The revised<br />
GCP was enacted by the Ord<strong>in</strong>ance for<br />
Partial Revision of the St<strong>and</strong>ards for the<br />
Conduct of Cl<strong>in</strong>ical Trials on Drugs<br />
(Notification No. 106 issued by the MHLW<br />
on June 12, 2003) <strong>and</strong> enforced on April 1,<br />
2005 by the Ord<strong>in</strong>ance for Partial<br />
Revision of the St<strong>and</strong>ards for the Conduct<br />
of Cl<strong>in</strong>ical Trials on Drugs (Notification No.<br />
172 issued by the MHLW on December<br />
21, 2004). The GCP was further revised<br />
to improve the quality <strong>and</strong> function of the<br />
<strong>in</strong>vestigational review board (Ord<strong>in</strong>ance<br />
for Partial Revision of the St<strong>and</strong>ards for<br />
the Conduct of Cl<strong>in</strong>ical Trials on Drugs<br />
(Notification No. 72 issued by the MHLW<br />
on March 31, 2006).<br />
The MHLW Council of Ideal<br />
Registration-Directed Cl<strong>in</strong>ical Trials<br />
discussed ways <strong>and</strong> means of <strong>in</strong>stitutional<br />
review boards <strong>and</strong> notification of adverse<br />
drug reactions, etc. to medical <strong>in</strong>stitutions<br />
perform<strong>in</strong>g cl<strong>in</strong>ical studies, etc. <strong>and</strong><br />
compiled a report of recommendations on<br />
September 19, 2007. The report was<br />
adopted (MHLW Ord<strong>in</strong>ance No. 24 of<br />
February 29, 2008) <strong>and</strong> enforced from<br />
April 1, 2008 (partially enforced on April 1,<br />
2009).<br />
This GCP consists of six chapters <strong>and</strong><br />
59 articles. It has three ma<strong>in</strong> parts:<br />
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