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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<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 />
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