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The electronic common technical document (eCTD) is an interface and international specification for the
pharmaceutical industry The pharmaceutical industry discovers, develops, produces, and markets drugs or pharmaceutical drugs for use as medications to be administered to patients (or self-administered), with the aim to cure them, vaccinate them, or alleviate symptoms. ...
to
agency Agency may refer to: Organizations * Institution, governmental or others ** Advertising agency or marketing agency, a service business dedicated to creating, planning and handling advertising for its clients ** Employment agency, a business that ...
transfer of regulatory information. The specification is based on the
Common Technical Document The Common Technical Document (CTD) is a set of specifications for an application dossier for the registration of Medicines and designed to be used across Europe, Japan and the United States and beyond. Synopsis The CTD is an internationally agre ...
(CTD) format and was developed by the International Council for Harmonisation (ICH) Multidisciplinary Group 2 Expert Working Group (ICH M2 EWG).


History

Version 2.0 of eCTD – an upgrade over the original CTD – was finalized on February 12, 2002, and version 3.0 was finalized on October 8 of the same year. , the most current version is 3.2.2, released on July 16, 2008. A Draft Implementation Guide for version 4.0 of eCTD was released in August 2012. However, work stalled on the project. An additional Draft Implementation Guide was released in February 2015 Draft specifications and guides were issued in April 2016 by the ICH and the FDA, followed by a May 13 ICH "teleconference to discuss the guidance and any questions and clarifications needed."


U.S.

On May 5, 2015, the U.S. Food & Drug Administration published a final, binding guidance document requiring certain submissions in electronic (eCTD) format within 24 months. The projected date for mandatory
electronic submission An electronic submission refers to a manuscript submitted by electronic means: that is, via e-mail or a web form on the Internet, or on an electronic medium such as a compact disc, a hard disk or a USB flash drive. Traditionally, a manuscript referr ...
s is May 5, 2017 for New Drug Applications (NDAs), Biologic License Applications (BLAs), Abbreviated New Drug Applications (ANDAs) and Drug Master Files (DMFs).


Canada

Health Canada Health Canada (HC; french: Santé Canada, SC)Health Canada is the applied title under the Federal Identity Program; the legal title is Department of Health (). is the Structure of the Canadian federal government#Departments, with subsidiary unit ...
was a sponsor and an early adopter of the eCTD workflow especially for its
Health Products and Food Branch The Health Products and Food Branch (HPFB) of Health Canada manages the health-related risks and benefits of health products and food by minimizing risk factors while maximizing the safety provided by the regulatory system and providing information ...
regulator, but as of April 2015 had not yet fully automated it.


E.U.

The E.U. and its
European Medicines Agency The European Medicines Agency (EMA) is an agency of the European Union (EU) in charge of the evaluation and supervision of medicinal products. Prior to 2004, it was known as the European Agency for the Evaluation of Medicinal Products or Euro ...
began accepting eCTD submissions in 2003. In February 2015, the "EMA announced it would no longer accept paper application forms for products applying to the centralized procedure beginning 1 July 2015." The EMA verified on that date that it would no longer accept "human and veterinary centralised procedure applications" and that all electronic application forms would have to be eCTD by January 2016.


China

In November 2017, China Food and Drug Administration (CFDA) publishes draft eCTD structure for drug registration for public consultations. This is a big transition for China to move from paper submission to eCTD submissions.


Japan

The
Japan Japan ( ja, 日本, or , and formally , ''Nihonkoku'') is an island country in East Asia. It is situated in the northwest Pacific Ocean, and is bordered on the west by the Sea of Japan, while extending from the Sea of Okhotsk in the north ...
PhMDA has been eCTD compliant at least since December 2017.


Governing specifications

An eCTD submission's structure is largely defined by the primary standard created by the ICH, the Electronic Common Technical Document Specification. However, additional specifications may be applied in national and continental contexts. In the United States, the
Food and Drug Administration The United States Food and Drug Administration (FDA or US FDA) is a List of United States federal agencies, federal agency of the United States Department of Health and Human Services, Department of Health and Human Services. The FDA is respon ...
(FDA) layers additional specifications onto its requirements for eCTD submissions, including PDF, transmission, file format, and supportive file specifications. In the European Union, the European Medicines Agency's EU Module 1 specification as well as other QA documents lay out additional requirements for eCTD submissions.


Pharmaceutical point of view

The eCTD has five modules: # Administrative information and prescribing information. # Common technical document summaries. # Quality. # Nonclinical study reports. #
Clinical study report {{Short description, Document providing much detail about the methods and results of a trialIn medicine, a clinical study report (CSR) on a clinical trial is a document, typically very long, providing much detail about the methods and results of a t ...
s
full table of contents
could be quite large. There are two categories of modules: * Regional module: 1 (different for each region; i.e., country) * Common modules: 2–5 (common to all the regions) The CTD defines the content only of the common modules. The contents of the Regional Module 1 are defined by each of the ICH ''regions'' (USA, Europe and Japan).


IT point of view


eCTD (data structure)

The eCTD is a message specification for the transfer of files and metadata from a submitter to a receiver. The primary technical components are: * A high level folder structure (required) * An XML "backbone" file that provides metadata about content files and lifecycle instructions for the receiving system * An optional lower level folder structure (recommended folder names are provided in Appendix 4 of the eCTD specification) * Associated document type definitions (DTDs) and stylesheets. Each submission message constitutes one "sequence". A cumulative eCTD consists of one or more sequences. While a single sequence may be viewed with web browser and the ICH stylesheet provided, viewing a cumulative eCTD requires specialized eCTD viewers. The top part of the directory structure is as follows:
ctd-123456/0000/index.xml
ctd-123456/0000/index-md5.txt
ctd-123456/0000/m1
ctd-123456/0000/m2
ctd-123456/0000/m3
ctd-123456/0000/m4
ctd-123456/0000/m5
ctd-123456/0000/util
The string ''ctd-123456/0000'' is just an example.


Backbone (header)

This is the file index.xml in the ''submission sequence number folder''. For example:
ctd-123456/0000/index.xml
The purpose of this file is twofold: * Manage meta-data for the entire submission * Constitute a comprehensive table of contents and provide corresponding navigation aid.


Stylesheets

Stylesheets that support the presentation and navigation should be included. They must be placed in the directory:
ctd-123456/0000/util/style
See entry 377 in Appendix 4.


DTDs

DTDs must be placed in the directory:
ctd-123456/0000/util/dtd
See entries 371–76 in Appendix 4. They must follow a naming convention. The DTD of the backbone is in Appendix 8. It must be placed in the above directory.


Business process (protocol)

The business process to be supported can be described as follows: Industry <-----> Message <-----> Agency The ''lifecycle management'' is composed at least of: * ''Initial submission'': should be self-contained. * ''Incremental updates'': with its ''sequence number''.


See also

*
Clinical trial Clinical trials are prospective biomedical or behavioral research studies on human participants designed to answer specific questions about biomedical or behavioral interventions, including new treatments (such as novel vaccines, drugs, dietar ...
*
Clinical Data Interchange Standards Consortium The Clinical Data Interchange Standards Consortium (CDISC) is a standards developing organization (SDO) dealing with medical research data linked with healthcare, to "enable information system interoperability to improve medical research and rela ...
*
European Medicines Agency The European Medicines Agency (EMA) is an agency of the European Union (EU) in charge of the evaluation and supervision of medicinal products. Prior to 2004, it was known as the European Agency for the Evaluation of Medicinal Products or Euro ...
(EMA) *
Food and Drug Administration The United States Food and Drug Administration (FDA or US FDA) is a List of United States federal agencies, federal agency of the United States Department of Health and Human Services, Department of Health and Human Services. The FDA is respon ...
(FDA) *
Ministry of Health, Labour and Welfare The is a cabinet level ministry of the Japanese government. It is commonly known as in Japan. The ministry provides services on health, labour and welfare. It was formed with the merger of the former Ministry of Health and Welfare or and the ...
(Japan). * Russian Ministry of Healthcare and Social Development (Russia).


References

{{Reflist


External links


eCTD Specification and Related Files
(ICH)

(FDA)
EU Module 1
(EMA) Clinical research Clinical data management Health informatics Health standards International standards International trade World government Food and Drug Administration Health Canada Intellectual property law Pharmaceutical industry Medical research Drug safety Experimental drugs Biotechnology products Regulators of biotechnology products Regulation in the European Union