Module 4: Nonclinical Study Reports
Module 4 contains nonclinical study reports organized per ICH M4S: pharmacology (primary, secondary, safety), pharmacokinetics (ADME), and toxicology (general, genetic, carcinogenicity, reproductive).
Sections
Pharmacology studies: primary PD, secondary PD, safety pharmacology, PD drug interactions
Pharmacokinetics studies: analytical methods, ADME, PK drug interactions
Acute toxicity studies in 2 species (rodent and non-rodent) to determine lethal dose and target organ toxicity
Repeat-dose toxicity studies with duration matching or exceeding planned clinical exposure. ICH M3(R2) Table 1 defines minimum durations.
Genotoxicity studies: in vitro (Ames, chromosomal aberration) and in vivo (micronucleus)
Carcinogenicity studies: long-term bioassay, short-term transgenic models, other studies
Reproductive and developmental toxicity studies: fertility, EFD, pre/postnatal, juvenile
Local tolerance assessment relevant to route of administration
Other toxicity studies: antigenicity, immunotoxicity, mechanistic, dependence, metabolites, impurities, phototoxicity
Related Sections
Module 1 contains documents that are specific to each region. It includes administrative information such as application forms, prescribing information, and labeling. This module is NOT part of the Common Technical Document (CTD) and varies by regulatory region.
Module 2 provides overviews and summaries of Modules 3, 4, and 5. It includes the Quality Overall Summary, Nonclinical Overview, Clinical Overview, and detailed written/tabulated summaries.
Module 3 contains the Body of Data for drug substance (S) and drug product (P) quality information, including manufacturing, controls, characterization, and stability per ICH M4Q guidelines.
Module 5 contains clinical study reports organized per ICH M4E: biopharmaceutic studies, human PK/PD studies, efficacy and safety studies, post-marketing data, and case report forms.
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