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The ICH Topics are divided into four major categories and ICH Topic Codes are assigned according to these categories.
"Quality"
Topics, i.e., those relating to chemical and
pharmaceutical Quality Assurance.
Examples: Q1 Stability Testing, Q3 Impurity Testing
"Safety"
Topics, i.e., those relating to in vitro and in vivo
pre-clinical studies.
Examples: S1 Carcinogenicity Testing, S2 Genotoxicity Testing
"Efficacy"
Topics, i.e., those relating to clinical studies in
human subject.
Examples: E4 Dose Response Studies, Carcinogenicity Testing, E6 Good Clinical
Practices. (Note Clinical Safety Data Management is also classified as an
"Efficacy" topic - E2)
"Multidisciplinary" Topics, i.e., cross-cutting Topics which do not fit uniquely into one of the above categories.
M1: Medical Terminology (MedDRA)
M2: Electronic Standards for Transmission of Regulatory Information (ESTRI)
M3: Timing of Pre-clinical Studies in Relation to Clinical Trials
M4: The Common Technical Document (CTD)
M5: Data Elements and Standards for Drug Dictionaries
The ICH guidelines are submitted to the Committee for Human Medicinal Products (CHMP) for endorsement once they have reached Step 2 or Step 4 of the ICH Process. The CHMP, in consultation with the European Commission decides on the duration for consultation with interested parties (up to 6 months).
The European Agency for the Evaluation of Medicinal Products (EMEA) publishes and distrubutes the Step 2 guidelines for comments. At Step 4 the guidelines are endorsed by the CHMP and a timeframe for implementation is established (usually 6 months).
The guidelines are subsequently published by the European Commission in the Rules Governing Medicinal Products in the European Union (http://ec.europa.eu/enterprise/pharmaceuticals/eudralex/index.htm).
Step
2 and Step 4 guidelines are available from the EMEA site on the
Internet:
http://www.emea.europa.eu/htms/human/ich/background.htm
When Step 2 or Step 4 has been reached, the ICH texts are
translated into Japanese. Subsequently Pharmaceutical and Medical Safety Bureau
(PMSB) Notification for the promulgation or consultation of guidelines written
in Japanese is issued with a deadline for comments in the case of consultation
drafts, or an implementation date for finalised guidelines. The notifications on
guidelines in Japanese and also English attachments (ICH Texts) are available
from PMSB or on the Internet by the Pharmaceutical and Medical Devices Agency
(PMDA).
http://www.pmda.go.jp/ich/ich_index.html
When Step 2 or Step 4 has been reached, FDA publishes a notice with the full
text of the guidance in the Federal Register. Notices for Step 2 guidances
include a date for receipt of written comment; Step 4 guidances are available
for use on the date they are published in the Federal Register. FDA guidances
and guidelines are available on the Internet:
CDER: http://www.fda.gov/cder/guidance/index.htm
CBER: http://www.fda.gov/cber/guidelines.htm