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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y test<strong>in</strong>g facilities for noncl<strong>in</strong>ical safety tests<br />
on drugs from the viewpo<strong>in</strong>t of the<br />
structure/equipment <strong>and</strong> the<br />
operation/management of the facilities. The<br />
first GLP guidel<strong>in</strong>e was issued as a PAB<br />
notification <strong>in</strong> 1982, but was changed to a<br />
MHW ord<strong>in</strong>ance <strong>in</strong> 1997 (Ord<strong>in</strong>ance No. 21:<br />
GLP dated March 26, 1997) that was<br />
enforced on April 1, 1997 to assure greater<br />
reliability of application data.<br />
The GLP ord<strong>in</strong>ance was partially revised<br />
by MHLW Ord<strong>in</strong>ance No. 114 entitled<br />
“MHLW Ord<strong>in</strong>ance to Partially Amend the<br />
MHLW Ordnance on St<strong>and</strong>ards for<br />
Implementation of Noncl<strong>in</strong>ical Studies on<br />
Safety of Drugs” <strong>and</strong> the amendment was<br />
enacted on August 15, 2008. On June 20,<br />
2008, Notification No. 0620059 of the PMDA<br />
entitled “Establishment of Guidel<strong>in</strong>es for Drug<br />
GLP <strong>and</strong> Medical Device GLP On-site<br />
Inspections” was issued (refer to Section<br />
3.1.4).<br />
3.13 Good Cl<strong>in</strong>ical Practice (GCP)<br />
“Cl<strong>in</strong>ical trials” refer to studies with the<br />
objective of collect<strong>in</strong>g data on cl<strong>in</strong>ical trial<br />
results from among the data attached to drug<br />
approval application forms. In <strong>Japan</strong>, the<br />
St<strong>and</strong>ards for the Conduct of Cl<strong>in</strong>ical Studies<br />
(so-called “New GCP”; Ord<strong>in</strong>ance No. 28,<br />
GCP dated March 27, 1997) was enacted on<br />
April 1, 1997 based on the ICH-GCP<br />
Guidel<strong>in</strong>es (E6) to protect human rights of<br />
<strong>Pharmaceutical</strong> <strong>Regulations</strong> <strong>in</strong> <strong>Japan</strong>:<br />
subjects, to assure safety, <strong>and</strong> to assure the<br />
reliability of cl<strong>in</strong>ical study data <strong>in</strong> not only<br />
ord<strong>in</strong>ary cl<strong>in</strong>ical studies but also<br />
post-market<strong>in</strong>g cl<strong>in</strong>ical trials.<br />
In June 1999, the Study Group on the<br />
Efficient Conduct of Cl<strong>in</strong>ical Trials reported<br />
recommendations to improve systems for<br />
actively encourag<strong>in</strong>g voluntary participation<br />
of human subjects <strong>in</strong> cl<strong>in</strong>ical studies <strong>and</strong> for<br />
establish<strong>in</strong>g cl<strong>in</strong>ical research facilities <strong>in</strong><br />
hospitals. These recommendations are<br />
summarized as follows:<br />
(1) Actively publicize the importance of<br />
cl<strong>in</strong>ical studies to the public.<br />
(2) Promote the publicity of planned or<br />
scheduled cl<strong>in</strong>ical studies for<br />
efficient recruitment of prospective<br />
subjects.<br />
(3) Be equipped to provide adequate<br />
treatment to subjects dur<strong>in</strong>g study<br />
period.<br />
(4) Reduce the burden on the subjects.<br />
(5) Tra<strong>in</strong> <strong>and</strong> secure cl<strong>in</strong>ical research<br />
coord<strong>in</strong>ators (CRCs).<br />
Based on these recommendations,<br />
several measures were taken to improve the<br />
conduct of cl<strong>in</strong>ical trials. Such measures<br />
<strong>in</strong>cluded establish<strong>in</strong>g guidel<strong>in</strong>es for the<br />
improvement of cl<strong>in</strong>ical research facilities <strong>and</strong><br />
equipment, education <strong>and</strong> tra<strong>in</strong><strong>in</strong>g of CRCs,<br />
<strong>and</strong> rules concern<strong>in</strong>g appropriate<br />
dissem<strong>in</strong>ation of <strong>in</strong>formation for efficient<br />
recruitment of subjects (Notification No. 65 of<br />
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