2.5 — Clinical Overview
Clinical overview: benefit-risk analysis based on all clinical data (~30 pages for NDA)
Requirements by Phase
Clinical overview: benefit-risk analysis based on all clinical data (~30 pages for NDA)
Requirements by Phase
NDA: required
Content Requirements
- Product development rationale and scientific background
- Overview of biopharmaceutics (bioavailability, dissolution, food effects)
- Overview of clinical pharmacology (PK, PD, dose-response, drug interactions)
- Overview of efficacy (design, conduct, results of pivotal and supportive studies)
- Overview of safety (common adverse events, serious adverse events, deaths, lab abnormalities, vital signs, special populations)
- Benefits and risks conclusions with integrated benefit-risk assessment
- Literature references
Expected Deliverables
- Clinical overview document (~30 pages)
Page guidance: ~30 pages
ICH Guidelines: ICH M4E(R2)
Note: NDA only. ~30 pages, benefit-risk analysis
Source: ICH M4E
References
Related Sections
Up toModule 2: Common Technical Document SummariesTable of contents for the CTD
Brief introduction to the drug including pharmacological class and proposed indication
Quality overall summary covering drug substance and drug product (40-80 pages for NDA)
Nonclinical overview: integrated assessment of pharmacology, PK, and toxicology (~30 pages for NDA)
Nonclinical written and tabulated summaries covering pharmacology, PK, and toxicology (100-150 pages for NDA)
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