An investigational new drug is a new drug or biological drug that is used in a clinical investigation. This term also includes biological products used in vitro for diagnostic purposes.The Investigational New Drug Application (IND) is a request for an exemption from the federal statute that prohibits an unapproved drug from being shipped in interstate commerce.
IND is not an application for marketing authorization of a drug. For the purpose of this lesson, “IND” is synonymous with “Notice of Claimed Investigational Exemption for a New Drug.”Upon completion of preclinical study and collection of data, the sponsor (the person who takes responsibility for and initiates a clinical investigation) must submit an application to FDA to notify FDA it is conducting a clinical study on human subjects.
This application is called an Investigational New Drug Application (INDA or IND).Investigational new drug application abbreviated as INDA is a mandatory requirement filed with the FDA in order to seek permission for administering a new drug under investigation to Human subjects after completion of the preclinical studies on it.
2. It confers protection to the subjects and also sees that the investigational plan is efficient and designed to achieve its required objectives.
3. The sponsor of the drug is responsible for the initiation of clinical trials.
4. He might be an individual i.e. sponsor-investigator, a pharmaceutical company, governmental agency, academic institution or private or public organization.
5. The INDA is filed with the FDA under Title 21, Code of Federal Regulations Section 312- the guidelines for preapproval of all clinical testing’s are specified.
6. CONTENT OF INDA
 (i). All the requirements for submitting an INDA are prescribed in the Code of Federal Regulations and are submitted under a cover sheet (Form FDA- 1571) (1).
(ii). The items required are: – Name, address and telephone number of the sponsor of the drug. – Name and title of the person responsible for monitoring the conduct and progress of the investigation. – Names and titles of the persons responsible for the review and evaluation of information relevant to the safety of the drug. – Name and address of any contract research organization involved in the study (if any). –
Identification of the phase/phases of clinical investigation to be conducted. – Introductory statement and general investigational plan including, name of drug and all active ingredients, structural formula and pharmacological class, formulation, route of administration, and broad objectives and planned duration of study. – Description of the investigational plan.
The reason for selecting a drug or research study. Indications to be studied, approach to evaluation of the drug, types of studies, estimated number of subjects to be given the drug, and any risks anticipated based on animal studies. – Brief summary of previous experience with the drug, including reasons if the drug is withdrawn. –
Chemistry and manufacturing control information like physical, chemical and biologic characteristics, product stability during the clinical investigation. – Pharmacological and Toxicological information. –
If the drug is a combination of previously investigated components, then preclinical and clinical data of these components when given singly and in combination. – Clinical protocol for planned study. –
Commitment that an “Institutional Review Board” (IRB) has approved the study and will continue to monitor the investigation. – Investigators brochure. – Commitment not to begin clinical investigations until IND is in effect signature of the sponsor or authorized representative and the date of signed application.
7. After submission of IND to the FDA, it is assigned to the various divisions of Center for Drug Research and Evaluation wing of the FDA for its review and evaluation.
8. The FDA has 30days from the receipt of IND to decide whether the proposed clinical trial should proceed or not. If the sponsor is not contacted within 30days, the trial may proceed.
9. Meanwhile reviewers at FDA may put a “Clinical Hold” on the proposed Clinical trials at any time. This prevents human testing of drug. It may be due to the following reasons: – If there is any unreasoned threat to the safety of the trial subjects i.e. if the subjects face any illness or injury due to treatment. – Insufficient data to assess patient risks. – If the investigators involved in the study do not meet the necessary requirements with respect their qualification. – Misleading or incomplete investigators brochure.
10. In case if all the requirements for FDA approval are satisfied an IND is granted. Once an IND is in effect, all the proposed changes to the original IND thereafter, must be submitted as amendments for approval.
1. Ansel’s Pharmaceutical Dosage forms and Drug delivery systems, 8th Edition, Pg: 44-45.
2. The Science and Practice of Pharmacy: Remington Pharmaceutical Sciences, 21st Edition, Volume 1, Pg: 965-967, Published By Lippincott William & Wilkins. “This Blog Contains No Plagiarized Material”
IND Format and Content
.: Section 1. Application Form and Coversheet
The coversheet must have basic information about applicant (name and address), submission contents, and must be signed and dated by the sponsor.
Section 2. Table of ContentsEach application must also have a table of contents, with page and volume number, to make it easy to find information.
Section 3. Introductory Statement The introductory statement is a brief, two- or three-page summary of the entire IND. Its intent is to help FDA understand drug development plans and sponsor needs.
The statement should include:
- The name of the drug;
- Structure ;
- Pharmacological class;
- Development history;
- Information regarding active ingredient(s) ;
- Dosage form;
- Route of administration;
- Planned duration of the study;
- Foreign testing;
- Previous human experience in other countries that may be relevant; and
- Any withdrawal from the market.
Section 4. General Investigational Plan
The general investigation plan briefly describes the development plan for the following year.
The plan should include:
- The rationale for the drug or the study;
- Indications to be studied;
- A summary of clinical studies to be conducted in the first year;
- The estimated number of subjects; and
- Anticipated risk based on toxicological data or prior human studies.
Section 5. Investigator’s Brochure
The investigator’s brochure should include:
- Brief description of drug and formulation including the structural formula;
- Summary of pharmacological and toxicological effects in animals;
- Summary of pharmaco-kinetics and biological disposition in animals and (if known) in humans;
- Summary of safety and effectiveness in humans (if any); and
- Possible risks and side effects
Early brochures will have more preclinical data; later versions will contain more clinical data.
Section 6. Protocol
Initially, a protocol for each planned study should be submitted in the original IND. In general, protocol for Phase I studies may be less detailed and more flexible than protocols for Phase II and III.
The protocol for Phase I should outline:
- The investigation;
- Number of patients to be involved;
- Description of the safety exclusions; and
- Description of dosing plan (including duration, dose, or methods to be used in determining dose).
Section 7. Chemistry, Manufacturing, and Control
This section should provide information regarding thecomposition, manufacture, and control of the drug substance and the drug product for different phases of the study. The amount of information included will depend on the scope of the study.
Provide detailed information for each of the following:
- Drug substance;
- Drug product;
- Labeling; and
- Environmental impact.
Section 8. Pharmacology and Toxicology
This section should provide adequate information
about pharmacological and toxicological studies
of the drug involving laboratory animals or in vitro, on
the basis of which the sponsor has concluded that it is
reasonably safe to conduct the proposed clinical investigations.
This section of the submission shall include:
- Information regarding identification/qualification of the individuals who evaluated the non-clinical data;
- Statement of where investigations were conducted and where records will be available for inspection;
- Summaries of preclinical studies of pharmacological and toxicological effects and mechanism(s) of action:
- Pharmacological effects and mechanism of action related to proposed therapeutic use in animals;
- Other pharmacological effects relevant to safety; and
- Any information available on Absorption, Distribution, Metabolism, and Excretion (ADME) and rationale for dose selection also should be submitted in this section.
Integrated summary of toxicological effects in animals and in vitro studies. It should include the results of acute, subacute, and chronic toxicity tests; tests of the drug’s effects on reproduction and the developing fetus; any special toxicity test related to the drug’s particular mode of administration or conditions of use (e.g., inhalation, dermal, or ocular toxicology); and any in vitro studies intended to evaluate drug toxicity. A tabulation of data suitable for detailed review should be submitted to support the safety of the drug.
The extent of the information depends on the class of drug and the intended phase of the clinical study.
Toxicology reports can be submitted in a draft format if the final report is not ready at the time of submission. The final report can be submitted when submitting the IND annual report.
Non-clinical studies should be conducted in compliance with GLP regulations. If not, a statement should be made explaining the reason for the noncompliance.
Section 9. Previous Human Experience
This section should contain a summary of known previous human experience in the United States and other countries that support the investigational drug
- Data from other INDs and NDAs;
- Marketing information or withdrawal from any market; and
- Published information on safety or efficacy.
Section 10. Additional Information
This section contains information on special topics, such as drug dependence and abuse potential, radioactive drugs, pediatric studies, and plans for assessing pediatric safety and effectiveness.
Any other information that will help the evaluation of the clinical investigations with respect to their safety or to their design and potential as controlled clinical trials to support marketing of the drug should be included in this section.
Section 11. Relevant Information
Any other information relevant to the study needed for review of the application should be incorporated in this section.
This may include:
- Minutes of FDA meetings (if there has been any Pre-IND meeting);
- Steps taken for the FDA suggestion;
- Reference to previously submitted information;
- Literature and publications in foreign language and their English translations; and
- Any other relevant information.
IND Review Process
When the FDA receives the original IND, it assigns an IND number. This is the number that the applicant or sponsor should use in all correspondence with FDA regarding the application.
The application is then forwarded to the appropriate reviewing division. The reviewing division will send a letter to the sponsor-investigator providing notification of the IND number assigned, date of receipt of the original application, the address where future submissions to the IND should be sent, and the name and telephone number of the FDA representative to whom questions about the application should be directed.
INDs are not approved, they become effective 30 days after receipt by FDA
if clinical hold (suspension or delay in clinical investigations) is not imposed.
Unless notified earlier by the FDA that studies may begin, the sponsor should
wait for 30 days to initiate clinical studies.
A clinical hold is an order from the FDA to suspend or delay a proposed clinical investigation or to suspend an ongoing investigation. The most common reasons for a clinical hold include:
- Unreasonable risk to subjects;
- Investigator not qualified;
- Investigator brochure misleading;
- Insufficient information to assess risk;
- Gender bias in a study in patients with life-threatening disease; and
- Deficient study design
Once the IND is in effect, the sponsor must amend it as needed
to ensure that current information is submitted to FDA and
that FDA is aware of the changes. The three main sections we
will look at in this topic are Amendments (protocol and information),
IND Safety Reports, and Annual Reports.
There are three types of protocol amendments:
- New Protocol: For studies that are not covered by protocol already contained in the IND.
- Change in protocol: To explain changes to the current protocol that significantly affect the safety of the subjects, the scope of the investigation, and scientific quality of the study (e.g., increase in drug dose, addition or dropping of a control group).
- New investigator: When a new investigator is added to carry out a previously submitted protocol. The sponsor should notify FDA of the new investigator within 30 days of investigator being added.
The content and format of a protocol amendment:Clearly identify the amendment (e.g., “Protocol Amendment: New protocol” or Protocol Amendment: Change in Protocol”);
- Form 1571;
- In the case of new protocol, a copy of the new protocol and a brief description of significant difference from the previous protocol;
- In the case of new investigator, name and the qualifications (CV) and reference to the previous protocol; and
- Reference, if necessary, to specific technical information in the IND or submitted information.
Report any change that is not within the scope of protocol amendment, IND safety report, or annual reports under the information amendment. Examples include new toxicology, chemistry, other technical information, or discontinuation of a clinical investigation.
An information amendment can be submitted as necessary, but not more frequently than every 30 days.
The content and format of the information amendment:
Clearly identify the amendment with the information submitted (e.g., if it is CMC information, it shall bear the title, “Information Amendment: “Chemistry, Manufacturing and Control” or “Information Amendment: Pharmacology-Toxicology”);
- Form 1571;
- An statement explaining the nature and the purpose of the submission;
- The organized records and reports; and
- Organized data (if necessary).
IND Safety Reports
The annual report is sent to FDA to update the IND on the investigation progress and all changes that are not reported in amendments or other reports. Annual reports should be submitted within 60 days of the date that the IND went into effect.
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