Module 1administrativendaind● High priority
1.3.2 — Financial Disclosure
Financial disclosure forms (Form 3454/3455) for clinical investigators
Requirements by Phase
Phase 1
required
Phase 2
required
Phase 3
required
NDA
required
Financial disclosure forms (Form 3454/3455) for clinical investigators
Requirements by Phase
IND Phase 1: required IND Phase 2: required IND Phase 3: required NDA: required
Content Requirements
- Financial disclosure forms (FDA Form 3454 or 3455) for each clinical investigator
- Disclosure of compensation arrangements affected by study outcome
- Disclosure of equity interest in sponsor exceeding $50,000
- Disclosure of proprietary interest in the product (patent, trademark, copyright, licensing agreement)
- Disclosure of significant payments of other sorts exceeding $25,000
- Coverage period: one year prior to study participation through completion
- Steps taken to minimize potential bias (if financial interest identified)
Expected Deliverables
- Financial disclosure forms (Form 3454/3455) for each investigator
ICH Guidelines: 21 CFR 54
Source: 21 CFR 54
References
Related Sections
Up to1.3 — Administrative Information1.3.1 — Cover Letter
Cover letter identifying the submission type and key information
1.3.3 — Debarment Certification
Debarment certification under Generic Drug Enforcement Act
1.3.4 — Environmental Assessment
Environmental assessment or categorical exclusion claim
1.3.5 — Patent and Exclusivity Information
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