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The ICH Guidelines - QSEM

Quality (Q) - chemical & pharmaceutical QA

Safety (S) -dealing with in vitro & in vivo pre clinical testing

Efficacy (E) -clinical studies in human beings

Multidisciplinary (M) -Terminology ,Electronic Standards ,Common Documents

Quality Guidelines

Q 1: Stability - Photostability

Q 2: Analytical Validation

Q 3: Impurities

Q 5: Biotechnological Quality

Q 6: Specifications

Q 7: GMP for active pharma ingredients

Q 8: Pharmaceutical development

Q 9: Quality risk management

Safety guidelines

• S1: Carcinogenicity studies – Need, Testing, Dose Selection

• S2: Genotoxicity – Regulatory, Battery of Tests


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• S3A: Toxicokinetics

• S3B: Pharmacokinetics

• S4: Chronic Toxicity Testing

• S5A: Toxicity to Reproduction

• S5B: Toxicity to Male Fertility

• S6: Preclinical Biotech derived drugs

• S7A: Safety Pharmacology

• S7B: QT interval prolongation

• S8: Immunotoxicity
Efficacy Guidelines

E 1: Exposure – to assess clinical safety

E 2: Clinical Safety Data Management

(E2A, E2B, E2C)

E 3: Study Reports

E 4: Dose Response Studies

E 5: Ethnic Factors

E 6: Good Clinical Practice (GCP)

E 7: Special Populations - Geriatrics

E 8: Clinical Trials Design

E 9: Statistical Considerations

E 10: Choice of Control Group

E 11: Special Populations – Children

E 12: Therapeutic categories

(E 12A)

- E 14: The clinical evaluation of QT/QTc interval prolongation and proarrhythmic potential for non
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antiarrhythmic drugs

Multidisciplinary (M)

M1: Medical Terminology

M2: Electronic Standards for Transfer of Regulatory Information & Data(ESTRI)

M3: Maintenance of ICH guidelines for nonclinical safety studies

M4: Common Technical Document (CTD)

M4Q: Quality

M4S: Safety

M4E: Efficacy

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