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Pharmaceutical Administration and Regulations in Japan - Nihs

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<strong>in</strong>ternational harmonization of approval<br />

review data for new drugs.<br />

This notification consists of the<br />

objective of the guidel<strong>in</strong>es, general<br />

pr<strong>in</strong>ciples (protection of cl<strong>in</strong>ical trial<br />

subjects <strong>and</strong> scientific approach <strong>in</strong> design<br />

<strong>and</strong> analysis) <strong>and</strong> development methods<br />

(po<strong>in</strong>ts to consider for development plans<br />

<strong>and</strong> for <strong>in</strong>dividual cl<strong>in</strong>ical studies).<br />

In order to protect the study subjects<br />

these Guidel<strong>in</strong>es specify that, as a<br />

condition to start a cl<strong>in</strong>ical study, the<br />

safety of the drug must be shown from<br />

noncl<strong>in</strong>ical studies or previous human<br />

studies. Throughout drug development,<br />

qualified cl<strong>in</strong>icians <strong>and</strong> other experts<br />

should review <strong>and</strong> evaluate all newly<br />

obta<strong>in</strong>ed data from toxicity studies on<br />

animals <strong>and</strong> human studies to assess<br />

their implications for the safety of the<br />

subjects.<br />

Cl<strong>in</strong>ical studies should be designed,<br />

conducted, <strong>and</strong> analyzed <strong>in</strong> keep<strong>in</strong>g with<br />

sound scientific pr<strong>in</strong>ciples <strong>in</strong> order to<br />

achieve their objectives, <strong>and</strong> they should<br />

be reported appropriately. The essence<br />

of rational drug development is to pose<br />

important questions <strong>and</strong> answer them<br />

with the results of carefully controlled<br />

cl<strong>in</strong>ical studies. The primary objectives<br />

of any study should be clear <strong>and</strong> explicitly<br />

stated.<br />

Cl<strong>in</strong>ical studies can be classified by<br />

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

their objectives. The basic logic beh<strong>in</strong>d<br />

serially conducted studies of a drug is that<br />

the results of prior studies should<br />

<strong>in</strong>fluence the protocols of later studies<br />

(Table 5. Classification of Cl<strong>in</strong>ical Studies<br />

Accord<strong>in</strong>g to Objectives).<br />

Follow<strong>in</strong>g an ICH agreement to issue<br />

common GCP for scientific <strong>and</strong> ethical<br />

conduct of cl<strong>in</strong>ical studies <strong>in</strong> three regions,<br />

the MHLW Ord<strong>in</strong>ance on St<strong>and</strong>ards for<br />

Implementation of Cl<strong>in</strong>ical Studies on<br />

Drugs (GCP) (MHW Ord<strong>in</strong>ance No. 28<br />

dated March 27, 1997, partial revision by<br />

MHLW Ord<strong>in</strong>ance No. 106 dated June 12,<br />

2003, MHLW Ord<strong>in</strong>ance No. 172 dated<br />

December 21, 2004, MHLW Ord<strong>in</strong>ance<br />

No. 72 dated March 31, 2006, <strong>and</strong> MHLW<br />

Ord<strong>in</strong>ance No. 24 dated February 29,<br />

2008) was issued with the aims of<br />

specify<strong>in</strong>g the requirements for the<br />

plann<strong>in</strong>g, conduct, monitor<strong>in</strong>g, audit<strong>in</strong>g,<br />

records, analysis, <strong>and</strong> reports of cl<strong>in</strong>ical<br />

studies performed to collect data to be<br />

submitted with applications for approval to<br />

manufacture <strong>and</strong> market drugs; to protect<br />

the human rights, safety, <strong>and</strong> welfare of<br />

study subjects; <strong>and</strong> to assure the<br />

scientific quality of the study <strong>and</strong> the<br />

reliability of its results.<br />

The Evaluation <strong>and</strong> Licens<strong>in</strong>g Division<br />

of the PMSB issued a notification (No.<br />

889 dated July 24, 2000) on the topic of<br />

monitor<strong>in</strong>g <strong>and</strong> audits to promote <strong>and</strong><br />

2011-3 - 84 -

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