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	<title>Comments for GxP Perspectives</title>
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	<link>http://gxpperspectives.com</link>
	<description>Commentary on FDA, clinical trials, research ethics, GCP, drug safety, and FDA Warning Letters</description>
	<lastBuildDate>Sat, 27 Apr 2013 03:48:06 +0000</lastBuildDate>
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		<title>Comment on Clinical Trial Protocol Deviations &amp; Violations- Part II by GxP Perspectives</title>
		<link>http://gxpperspectives.com/2010/04/12/clinical-trial-protocol-deviations-violations-part-ii/#comment-9964</link>
		<dc:creator><![CDATA[GxP Perspectives]]></dc:creator>
		<pubDate>Sat, 27 Apr 2013 03:48:06 +0000</pubDate>
		<guid isPermaLink="false">http://carl1anderson.wordpress.com/?p=2013#comment-9964</guid>
		<description><![CDATA[Sandra,
The blog is currently hibernating. Please feel free to submit your question to the GxP Perspectives Linkedin group which is more active. I would suggest elaborating on your question a little. &lt;a href=&quot;http://www.linkedin.com/groups?mostPopular=&amp;gid=3201447&quot; rel=&quot;nofollow&quot;&gt;&lt;/a&gt;
Carl-]]></description>
		<content:encoded><![CDATA[<p>Sandra,<br />
The blog is currently hibernating. Please feel free to submit your question to the GxP Perspectives Linkedin group which is more active. I would suggest elaborating on your question a little. <a href="http://www.linkedin.com/groups?mostPopular=&amp;gid=3201447" rel="nofollow"></a><br />
Carl-</p>
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		<title>Comment on Clinical Trial Protocol Deviations &amp; Violations- Part II by Sandra Storli</title>
		<link>http://gxpperspectives.com/2010/04/12/clinical-trial-protocol-deviations-violations-part-ii/#comment-9885</link>
		<dc:creator><![CDATA[Sandra Storli]]></dc:creator>
		<pubDate>Mon, 22 Apr 2013 19:47:31 +0000</pubDate>
		<guid isPermaLink="false">http://carl1anderson.wordpress.com/?p=2013#comment-9885</guid>
		<description><![CDATA[How do you handle planned deviations and how do you define it as part of your process]]></description>
		<content:encoded><![CDATA[<p>How do you handle planned deviations and how do you define it as part of your process</p>
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		<title>Comment on Drug Accountability in Clinical Trials by GxP Perspectives</title>
		<link>http://gxpperspectives.com/2012/01/19/drug-accountability-in-clinical-trials/#comment-9635</link>
		<dc:creator><![CDATA[GxP Perspectives]]></dc:creator>
		<pubDate>Wed, 10 Apr 2013 18:27:57 +0000</pubDate>
		<guid isPermaLink="false">http://gxpperspectives.com/?p=4617#comment-9635</guid>
		<description><![CDATA[You are absolutely right. Repackaging any drug product, regardless if it is approved or investigational, appropriate labeling is an absolute must. Also, please remember that the clinical site also has responsibilities. If you have the time, I would recommend looking at the FDA website for &quot;Replies to inquiries to FDA on Good Clinical Practice: &lt;a href=&quot;http://www.fda.gov/ScienceResearch/SpecialTopics/RunningClinicalTrials/RepliestoInquiriestoFDAonGoodClinicalPractice/default.htm&quot; rel=&quot;nofollow&quot;&gt;&lt;/a&gt;

There is also a way to ask questions: &lt;a href=&quot;gcp.questions@fda.hhs.gov&quot; rel=&quot;nofollow&quot;&gt;&lt;/a&gt;

Here is what the regulations say about the sponsor&#039;s responsibilities for IP labeling. I habe put (a) into bold for your reference:

PART 312 -- INVESTIGATIONAL NEW DRUG APPLICATION

Subpart A--General Provisions

Sec. 312.6 Labeling of an investigational new drug.
&lt;strong&gt;(a) The immediate package of an investigational new drug intended for human use shall bear a label &lt;/strong&gt;with the statement &quot;Caution: New Drug--Limited by Federal (or United States) law to investigational use.&quot;

(b) The label or labeling of an investigational new drug shall not bear any statement that is false or misleading in any particular and shall not represent that the investigational new drug is safe or effective for the purposes for which it is being investigated.

(c) The appropriate FDA Center Director, according to the procedures set forth in 201.26 or 610.68 of this chapter, may grant an exception or alternative to the provision in paragraph (a) of this section, to the extent that this provision is not explicitly required by statute, for specified lots, batches, or other units of a human drug product that is or will be included in the Strategic National Stockpile.

[52 FR 8831, Mar. 19, 1987, as amended at 72 FR 73599, Dec. 28, 2007]

I hope this helps,

Carl-]]></description>
		<content:encoded><![CDATA[<p>You are absolutely right. Repackaging any drug product, regardless if it is approved or investigational, appropriate labeling is an absolute must. Also, please remember that the clinical site also has responsibilities. If you have the time, I would recommend looking at the FDA website for &#8220;Replies to inquiries to FDA on Good Clinical Practice: <a href="http://www.fda.gov/ScienceResearch/SpecialTopics/RunningClinicalTrials/RepliestoInquiriestoFDAonGoodClinicalPractice/default.htm" rel="nofollow"></a></p>
<p>There is also a way to ask questions: <a href="gcp.questions@fda.hhs.gov" rel="nofollow"></a></p>
<p>Here is what the regulations say about the sponsor&#8217;s responsibilities for IP labeling. I habe put (a) into bold for your reference:</p>
<p>PART 312 &#8212; INVESTIGATIONAL NEW DRUG APPLICATION</p>
<p>Subpart A&#8211;General Provisions</p>
<p>Sec. 312.6 Labeling of an investigational new drug.<br />
<strong>(a) The immediate package of an investigational new drug intended for human use shall bear a label </strong>with the statement &#8220;Caution: New Drug&#8211;Limited by Federal (or United States) law to investigational use.&#8221;</p>
<p>(b) The label or labeling of an investigational new drug shall not bear any statement that is false or misleading in any particular and shall not represent that the investigational new drug is safe or effective for the purposes for which it is being investigated.</p>
<p>(c) The appropriate FDA Center Director, according to the procedures set forth in 201.26 or 610.68 of this chapter, may grant an exception or alternative to the provision in paragraph (a) of this section, to the extent that this provision is not explicitly required by statute, for specified lots, batches, or other units of a human drug product that is or will be included in the Strategic National Stockpile.</p>
<p>[52 FR 8831, Mar. 19, 1987, as amended at 72 FR 73599, Dec. 28, 2007]</p>
<p>I hope this helps,</p>
<p>Carl-</p>
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		<title>Comment on Drug Accountability in Clinical Trials by Shari Fox</title>
		<link>http://gxpperspectives.com/2012/01/19/drug-accountability-in-clinical-trials/#comment-9634</link>
		<dc:creator><![CDATA[Shari Fox]]></dc:creator>
		<pubDate>Wed, 10 Apr 2013 17:50:04 +0000</pubDate>
		<guid isPermaLink="false">http://gxpperspectives.com/?p=4617#comment-9634</guid>
		<description><![CDATA[Excellent article. I am working on a trial right now that has &quot;run out of study IP&quot;! The sponsor&#039;s solution to this is to break open the labeled boxes of IP, pull out the unlabeled plastic vials of study drug, and ship smaller batches of UNLABELED IP in plastic bags to each of the sites, with no labeling or identification whatsoever. I&#039;ve questioned how this could possibly be acceptable, but have been told &quot;everything should be OK&quot;. Am I wrong to see this as a potential train wreck in the making?]]></description>
		<content:encoded><![CDATA[<p>Excellent article. I am working on a trial right now that has &#8220;run out of study IP&#8221;! The sponsor&#8217;s solution to this is to break open the labeled boxes of IP, pull out the unlabeled plastic vials of study drug, and ship smaller batches of UNLABELED IP in plastic bags to each of the sites, with no labeling or identification whatsoever. I&#8217;ve questioned how this could possibly be acceptable, but have been told &#8220;everything should be OK&#8221;. Am I wrong to see this as a potential train wreck in the making?</p>
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		<title>Comment on FDA Releases Draft Guidance for Monitoring Clinical Trials by How the FDA Regulates Dietary Supplements &#171; Writing for the public 2013</title>
		<link>http://gxpperspectives.com/2011/09/04/fda-releases-draft-guidance-for-monitoring-clinical-trials/#comment-9397</link>
		<dc:creator><![CDATA[How the FDA Regulates Dietary Supplements &#171; Writing for the public 2013]]></dc:creator>
		<pubDate>Wed, 27 Mar 2013 04:30:40 +0000</pubDate>
		<guid isPermaLink="false">http://carl1anderson.wordpress.com/?p=4116#comment-9397</guid>
		<description><![CDATA[[...] http://gxpperspectives.com/2011/09/04/fda-releases-draft-guidance-for-monitoring-clinical-trials/ [...]]]></description>
		<content:encoded><![CDATA[<p>[...] <a href="http://gxpperspectives.com/2011/09/04/fda-releases-draft-guidance-for-monitoring-clinical-trials/" rel="nofollow">http://gxpperspectives.com/2011/09/04/fda-releases-draft-guidance-for-monitoring-clinical-trials/</a> [...]</p>
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		<title>Comment on FDA &amp; EU Requirements for Documentation &amp; Approval of GMP Procedures by GxP Perspectives</title>
		<link>http://gxpperspectives.com/2011/04/23/fda-requirements-for-documentation-approval/#comment-9026</link>
		<dc:creator><![CDATA[GxP Perspectives]]></dc:creator>
		<pubDate>Wed, 27 Feb 2013 18:25:55 +0000</pubDate>
		<guid isPermaLink="false">http://carl1anderson.wordpress.com/?p=3756#comment-9026</guid>
		<description><![CDATA[Hi Craig,
The Blog is not currently active as I ran out of steam. Please submit the comment to the GxP Perspectives Linked in Group where you may get a good response from someone more qualified than I: http://www.linkedin.com/groups?gid=3201447&amp;trk=hb_side_g]]></description>
		<content:encoded><![CDATA[<p>Hi Craig,<br />
The Blog is not currently active as I ran out of steam. Please submit the comment to the GxP Perspectives Linked in Group where you may get a good response from someone more qualified than I: <a href="http://www.linkedin.com/groups?gid=3201447&#038;trk=hb_side_g" rel="nofollow">http://www.linkedin.com/groups?gid=3201447&#038;trk=hb_side_g</a></p>
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	<item>
		<title>Comment on FDA &amp; EU Requirements for Documentation &amp; Approval of GMP Procedures by Craig</title>
		<link>http://gxpperspectives.com/2011/04/23/fda-requirements-for-documentation-approval/#comment-8704</link>
		<dc:creator><![CDATA[Craig]]></dc:creator>
		<pubDate>Thu, 24 Jan 2013 16:08:09 +0000</pubDate>
		<guid isPermaLink="false">http://carl1anderson.wordpress.com/?p=3756#comment-8704</guid>
		<description><![CDATA[I am wondering if, while explicit in the regs, the FDA makes a distinction between &quot;approval&quot; and &quot;signature&quot;.  That is, is the FDA accepting of approval documentation that does not contain a signature (obviously not where the regs explicitly state that a signature is required)?]]></description>
		<content:encoded><![CDATA[<p>I am wondering if, while explicit in the regs, the FDA makes a distinction between &#8220;approval&#8221; and &#8220;signature&#8221;.  That is, is the FDA accepting of approval documentation that does not contain a signature (obviously not where the regs explicitly state that a signature is required)?</p>
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		<title>Comment on Reflecting on the Trial Master File, the TMF by David Montgomery</title>
		<link>http://gxpperspectives.com/2010/02/05/reflecting-on-the-tmf/#comment-8273</link>
		<dc:creator><![CDATA[David Montgomery]]></dc:creator>
		<pubDate>Fri, 17 Aug 2012 08:46:20 +0000</pubDate>
		<guid isPermaLink="false">http://carl1anderson.wordpress.com/?p=1163#comment-8273</guid>
		<description><![CDATA[My post relates to the status of guidance documents rather than the inclusion of the Statistical Analysis Plan, in the TMF.  The latter is a tad ambiguous but the reference to ICH E3 is helpful. Guidelines, especially E6, should not be viewed in isolation. 

The efficacy guidelines, of which E6 is but one, overlap with one another….....all provide valuable reading for clinical research professionals.

ICH provides a common framework for clinical research irrespective of where we are in the world but has always acknowledged the importance of &quot;applicable regulatory requirements&quot; .................BUT when we are applying said regulations do we remember ICH or is it a case of Act local think local rather than Act local think global?]]></description>
		<content:encoded><![CDATA[<p>My post relates to the status of guidance documents rather than the inclusion of the Statistical Analysis Plan, in the TMF.  The latter is a tad ambiguous but the reference to ICH E3 is helpful. Guidelines, especially E6, should not be viewed in isolation. </p>
<p>The efficacy guidelines, of which E6 is but one, overlap with one another…&#8230;..all provide valuable reading for clinical research professionals.</p>
<p>ICH provides a common framework for clinical research irrespective of where we are in the world but has always acknowledged the importance of &#8220;applicable regulatory requirements&#8221; &#8230;&#8230;&#8230;&#8230;&#8230;..BUT when we are applying said regulations do we remember ICH or is it a case of Act local think local rather than Act local think global?</p>
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		<title>Comment on Reflecting on the Trial Master File, the TMF by David Montgomery</title>
		<link>http://gxpperspectives.com/2010/02/05/reflecting-on-the-tmf/#comment-8272</link>
		<dc:creator><![CDATA[David Montgomery]]></dc:creator>
		<pubDate>Fri, 17 Aug 2012 08:32:24 +0000</pubDate>
		<guid isPermaLink="false">http://carl1anderson.wordpress.com/?p=1163#comment-8272</guid>
		<description><![CDATA[&quot;In the United States ICH guidance documents are recommendations, not regulatory requirements.&quot;

True but let&#039;s put this in context: 

(1) Who were the three original sponsors of the ICH process as these were the entities that comprise the ICH Steering Committee so decide which topics would benefit from being harmonised?

(2) How far has each of these co-sponsors gone in terms of codifying guidelines into law or is it more a case of guidelines supporting laws?

(3) What is envisaged by these co-sponsors of ICH as Step 5, implementation in relation to harmonised guidelines

(3) What is meant by guidance or guidelines – should they be ignored as they are not the law? 

I think NOT – but let’s here it straight from the horse’s mouth or rather website and then you decide:
  [a].http://www.fda.gov/RegulatoryInformation/Guidances/ucm122046.htm

[b].	&quot;Guidance documents accessible from this page represent the Agency&#039;s current thinking on good clinical practice (GCP) and the conduct of clinical trials……..An alternative approach may be used if such approach satisfies the requirements of the applicable statute and regulations.&quot;

[c] &quot;Guidance documents included under the umbrella title of FDA Information Sheets represent the agency&#039;s CURRENT THINKING ON PROTECTION OF HUMAN SUBJECTS IN RESEARCH&quot; (I added the capitals)

Their current thinking......we always want to know what they are thinking so a good starting point is reading ICH E6 which has been with us for more than a decade.

And how many countries have bought into the ICH process? It&#039;s increasingly a case of who hasn&#039;t thanks to activities of ICH&#039;s Global Cooperation Group.]]></description>
		<content:encoded><![CDATA[<p>&#8220;In the United States ICH guidance documents are recommendations, not regulatory requirements.&#8221;</p>
<p>True but let&#8217;s put this in context: </p>
<p>(1) Who were the three original sponsors of the ICH process as these were the entities that comprise the ICH Steering Committee so decide which topics would benefit from being harmonised?</p>
<p>(2) How far has each of these co-sponsors gone in terms of codifying guidelines into law or is it more a case of guidelines supporting laws?</p>
<p>(3) What is envisaged by these co-sponsors of ICH as Step 5, implementation in relation to harmonised guidelines</p>
<p>(3) What is meant by guidance or guidelines – should they be ignored as they are not the law? </p>
<p>I think NOT – but let’s here it straight from the horse’s mouth or rather website and then you decide:<br />
  [a].<a href="http://www.fda.gov/RegulatoryInformation/Guidances/ucm122046.htm" rel="nofollow">http://www.fda.gov/RegulatoryInformation/Guidances/ucm122046.htm</a></p>
<p>[b].	&#8220;Guidance documents accessible from this page represent the Agency&#8217;s current thinking on good clinical practice (GCP) and the conduct of clinical trials……..An alternative approach may be used if such approach satisfies the requirements of the applicable statute and regulations.&#8221;</p>
<p>[c] &#8220;Guidance documents included under the umbrella title of FDA Information Sheets represent the agency&#8217;s CURRENT THINKING ON PROTECTION OF HUMAN SUBJECTS IN RESEARCH&#8221; (I added the capitals)</p>
<p>Their current thinking&#8230;&#8230;we always want to know what they are thinking so a good starting point is reading ICH E6 which has been with us for more than a decade.</p>
<p>And how many countries have bought into the ICH process? It&#8217;s increasingly a case of who hasn&#8217;t thanks to activities of ICH&#8217;s Global Cooperation Group.</p>
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		<title>Comment on Reflecting on the Trial Master File, the TMF by GxP Perspectives</title>
		<link>http://gxpperspectives.com/2010/02/05/reflecting-on-the-tmf/#comment-8271</link>
		<dc:creator><![CDATA[GxP Perspectives]]></dc:creator>
		<pubDate>Fri, 17 Aug 2012 05:24:32 +0000</pubDate>
		<guid isPermaLink="false">http://carl1anderson.wordpress.com/?p=1163#comment-8271</guid>
		<description><![CDATA[Recommended, not required. ICH E3 outlines the structure and content of clinical study reports. Section 9.7.1 describes statistical and analytical plans. Section 8 of E6 outlines the contents of the TMF. Section 8.4.8 is the clinical study report. In the United States ICH guidance documents are recommendations, not regulatory requirements.]]></description>
		<content:encoded><![CDATA[<p>Recommended, not required. ICH E3 outlines the structure and content of clinical study reports. Section 9.7.1 describes statistical and analytical plans. Section 8 of E6 outlines the contents of the TMF. Section 8.4.8 is the clinical study report. In the United States ICH guidance documents are recommendations, not regulatory requirements.</p>
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