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M4 – Organisation of the Common Technical Document for the Registration of Pharmaceuticals for Human Use

Guideline number: M4(R4)
Status: Implementation (Step 5)
Adopted (Step 4): 15 June 2016

This guideline presents the agreed upon common format for the preparation of a well-structured Common Technical Document (CTD) for applications that will be submitted to regulatory authorities. The document primarily addresses the organisation of the information to be presented in registration applications for new pharmaceuticals (including biotechnology-derived products).

Module 1 is for administrative information and prescribing information, and should contain documents that are specific to each region; for example, application forms or the proposed label for use in the region. Module 2 contains the CTD summaries and should begin with a general introduction to the drug, including its pharmacological class, mode of action and proposed clinical use. Module 2 should also provide the overall summary of the ‘quality’ information provided, the non-clinical overview and the clinical overview, as well as the non-clinical written summaries and the tabulated summaries, and the clinical summary. As a foundation for the aforementioned material, module 3 contains information on quality topics, module 4 contains the nonclinical study reports and module 5 contains the clinical study reports. The organisation of summaries in module 2 is described in Guidelines for M4Q, M4S, M4E.

The Common Technical Document was agreed upon in November 2000 and re-edited with Numbering and Section Headers changes in September 2002.

The Granularity Document in Annex was included in 2002, and further corrected in 2003 and 2004. In 2016, this Annex was revised to add Module 2 and 3 tables and Appendices for eCTD v4, as well as, corrections to Module 2 and 3 tables for eCTD v3.2.2.

The ICH Harmonised Guideline was finalised under Step 4 in July 1997. This document covers the preclinical safety testing requirements for biotechnological products. It addresses the use of animal models of disease, determination of when genotoxicity assays and carcinogenicity studies should be performed, and the impact of antibody formation on duration of toxicology studies.

An addendum was proposed to provide clarification on S6 and an update of the following topics discussed in the original ICH S6 Guideline: species selection, study design, immunogenicity, reproductive and developmental toxicity and assessment of carcinogenic potential. The Harmonised addendum provides further complementary guidance to the S6 Guideline and helps to define the current recommendations and reduce the likelihood that substantial differences will exist among regions.

The addendum reached Step 4 of the harmonisation process in June 2011 and was integrated as part II in the core Guideline that was then renamed S6(R1).

Guideline
WG Presentations / Trainings

Annexes

No results found.

Guideline implementation

ANMAT, Argentina

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Implemented; Date: 12 February 2019; Reference: ANMAT Circular 11/2019
ANVISA, Brazil

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Implemented; Date: 14 August 2019; Reference: Guia para a Organização do Documento Técnico Comum (CTD) para o Registro e Pós-Registro de Medicamentos
COFEPRIS, Mexico

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In the process of implementation; Date: 1 August 2024; Reference: Common Technical Document (CTD)
EC, Europe

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Implemented; Date: 1 July 2003; Reference: CPMP/ICH/2887/99
EDA, Egypt

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Implemented; Date: 29 July 2021; Reference: (Regulatory guide for mechanisms, procedures and rules of implementing the decree of Egyptian Drug Authority No.343 of 2021) and (Regulatory Guideline on Organizing the Rules and Procedures of Chairman Decree No. (450) of 2023) and (Submission Guidance for The Common Technical Document for Human Pharmaceutical Products Registration)
FDA, United States

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Implemented; Date: 3 October 2017; Reference: Vol. 82, No. 190 p. 46078-46079
HSA, Singapore

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Implemented; Date: 1 November 2016; Reference: Guidance on Therapeutic Products Registration in Singapore
Health Canada, Canada

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Implemented; Date: 23 June 2012; Reference: File #: 12-110850-902
JFDA, Jordan

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Implemented; Date: 7 January 2008;
MFDS, Republic of Korea

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Implemented; Date: 30 June 2016; Reference: Regulation on Pharmaceuticals Approval, Notification and Review [MFDS, Republic of Korea Notification]
MHLW/PMDA, Japan

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Implemented; Date: 1 June 2017; Reference: PSEHB/PELD Notification No. 0707-4
MHRA, UK

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Implemented; Date: 1 July 2016;
NAFDAC, Nigeria

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Implemented; Date: 13 December 2021; Reference: DR&R-GDL-018-01
NMPA, China

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Implemented; Date: 1 February 2018; Reference: CFDA, China Announcement No. 10 (2018)
SAHPRA, South Africa

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Implemented; Date: 1 May 2003; Reference: SAHPGL-HPA-09 & SAHPGL-HPA-07
SFDA, Saudi Arabia

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Implemented; Date: 22 September 2011;
Swissmedic, Switzerland

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In the process of implementation; Reference: Full implementation with eCTD v4; see M8
TFDA, Chinese Taipei

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Implemented; Date: 1 November 2012; Reference: 1. Public Announcement for CTD. Began from 1 November 2012, the submission of dossiers in CTD format was mandatory for NMEs. 2. Checking list for API Application 3. Public Announcement for all NDA/BLA applications were required to submit in CTD format since July 2014. 4. Public Announcement for generic applications were required to submit in CTD format since July 2014.
TITCK, Türkiye

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Implemented; Date: 11 December 2021; Reference: Guideline on Common Technical Document (CTD) was updated on 18.01.2022

Q+A

Q+A number: M4 Q&As (R3)
Q+A Status: Implementation (Step 5)
Q+A Adopted (Step X): 10 June 2004
Questions & Answers

Q+A implementation

In order to facilitate the implementation of the CTD General (M4) Guideline, the ICH Experts have developed a series of Q&As. The document which reached Step 4 of the ICH Process in June 2004, intends to clarify the key issues regarding the CTD.

ANMAT, Argentina

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Not yet implemented;
ANVISA, Brazil

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Implemented; Date: 14 August 2019; Reference: Guia para a Organização do Documento Técnico Comum (CTD) para o Registro e Pós-Registro de Medicamentos
COFEPRIS, Mexico

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In the process of implementation; Date: 1 August 2024; Reference: Guide to Structuring The File According to The Technical Document Common (CTD) For The Presentation of Applications for Marketing Authorizations and Q&A Guideline about CTD Implementation
EC, Europe

-

Implemented; Date: 1 June 2004; Reference: CHMP/ICH/5552/02
EDA, Egypt

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Implemented; Date: 29 July 2021; Reference: (Regulatory guide for mechanisms, procedures and rules of implementing the decree of Egyptian Drug Authority No.343 of 2021) and (Regulatory Guideline on Organizing the Rules and Procedures of Chairman Decree No. (450) of 2023)
FDA, United States

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Implemented; Date: 1 December 2004; Reference: Vol. 69, No. 111, p. 32358-32359
HSA, Singapore

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Implemented; Date: 1 November 2016; Reference: Guidance on Therapeutic Products Registration in Singapore
Health Canada, Canada

-

Implemented; Date: 22 June 2012; Reference: File #: 12-110850-902
JFDA, Jordan

-

Implemented; Date: 7 January 2008;
MFDS, Republic of Korea

-

Implemented; Date: 23 December 2020; Reference: Q&As: Guideline for preparation of Common Technical Document [Guideline-1087-01]
MHLW/PMDA, Japan

-

Implemented; Date: 1 November 2004; Reference: PFSB/ELD Notification
MHRA, UK

-

Implemented; Date: 1 June 2004;
NAFDAC, Nigeria

-

Not yet implemented;
NMPA, China

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Implemented; Date: 1 February 2018; Reference: CFDA, China Announcement No. 10 (2018)
SAHPRA, South Africa

-

Implemented; Date: 1 May 2003; Reference: SAHPGL-HPA-09 & SAHPGL-HPA-07
SFDA, Saudi Arabia

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Implemented; Date: 22 September 2011;
Swissmedic, Switzerland

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Implemented; Date: 1 July 2004; Reference: Swissmedic, Switzerland Journal 04/04
TFDA, Chinese Taipei

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Implemented; Date: 1 November 2012; Reference: 1. Public Announcement for CTD. Began from 1 November 2012, the submission of dossiers in CTD format was mandatory for NMEs. 2. Checking list for API Application 3. Public Announcement for all NDA/BLA applications were required to submit in CTD format since July 2014. 4. Public Announcement for generic applications were required to submit in CTD format since July 2014.
TITCK, Türkiye

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Implemented; Date: 1 January 2006; Reference: Guideline on CTD was updated on 18.01.2022