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Pharmaceutical Administration and Regulations in Japan - Nihs

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trial sponsors (Article 59). However,<br />

s<strong>in</strong>ce the scope of application differs<br />

from that of the st<strong>and</strong>ards related to<br />

approval review data, certa<strong>in</strong><br />

provisions for cl<strong>in</strong>ical trials for new<br />

drug application are applied for<br />

those for reexam<strong>in</strong>ation <strong>and</strong> the<br />

required changes <strong>in</strong> read<strong>in</strong>g shall be<br />

made accord<strong>in</strong>gly <strong>in</strong> this article.<br />

Cl<strong>in</strong>ical trials performed to obta<strong>in</strong> data<br />

for approval applications must be<br />

conducted, results collected <strong>and</strong> data<br />

prepared <strong>in</strong> accordance with the GCP.<br />

In addition to cl<strong>in</strong>ical trials sponsored by<br />

companies, it is also possible for<br />

<strong>in</strong>vestigator-<strong>in</strong>itiated cl<strong>in</strong>ical trials to be<br />

performed for the preparation of approval<br />

application data <strong>in</strong> compliance with the<br />

GCP. With the legalization of the GCP<br />

st<strong>and</strong>ards, data from cl<strong>in</strong>ical trials subject<br />

to the GCP will not be accepted as<br />

approval application data unless the trial<br />

was conducted <strong>and</strong> the data collected <strong>and</strong><br />

prepared <strong>in</strong> accordance with the GCP.<br />

Application data from cl<strong>in</strong>ical trials<br />

submitted to the MHLW must first<br />

undergo a GCP compliance review to<br />

assure that it meets GCP st<strong>and</strong>ards.<br />

This review consists of a paper <strong>in</strong>spection<br />

<strong>and</strong> on-site <strong>in</strong>spection at the medical<br />

<strong>in</strong>stitution(s) perform<strong>in</strong>g the trial, etc.<br />

The review is <strong>in</strong>tended to confirm the<br />

<strong>Pharmaceutical</strong> <strong>Regulations</strong> <strong>in</strong> <strong>Japan</strong>:<br />

reliability of the data as application data.<br />

These GCP compliance reviews are<br />

performed by the PMDA at the request of<br />

the MHLW for data collected <strong>and</strong><br />

prepared <strong>in</strong> <strong>Japan</strong>. The approval review<br />

is then undertaken by the MHLW <strong>in</strong><br />

accordance with the results of PMDA<br />

review.<br />

The on-site <strong>in</strong>spections are performed<br />

at both the sponsor's facilities <strong>and</strong> the<br />

medical <strong>in</strong>stitution(s) perform<strong>in</strong>g the trial.<br />

Inspections of the sponsor's facilities<br />

exam<strong>in</strong>e the organization, structure <strong>and</strong><br />

management of the GCP-related division,<br />

GCP compliance of cl<strong>in</strong>ical trials <strong>and</strong><br />

confirmation of the items <strong>in</strong>cluded <strong>in</strong> the<br />

trial results. Inspections <strong>in</strong> the medical<br />

<strong>in</strong>stitutions review the outl<strong>in</strong>e of the<br />

facilities <strong>and</strong> organization, the structure<br />

<strong>and</strong> operation of the IRB, GCP<br />

compliance of the cl<strong>in</strong>ical trial, <strong>and</strong> items<br />

<strong>in</strong> the case report forms.<br />

9) Investigational Product GMP<br />

In Article 17, Supply of the<br />

Investigational Product, <strong>in</strong> the GCP<br />

ord<strong>in</strong>ance, it specifies that the sponsor<br />

shall supply to the medical <strong>in</strong>stitution<br />

perform<strong>in</strong>g the study <strong>in</strong>vestigational<br />

product manufactured <strong>in</strong> factories<br />

apply<strong>in</strong>g appropriate manufactur<strong>in</strong>g<br />

control <strong>and</strong> quality control methods <strong>and</strong><br />

with the build<strong>in</strong>gs <strong>and</strong> facilities required to<br />

2011-3 - 106 -

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