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E3 – Structure and Content of Clinical Study Reports

Guideline number: E3
Status: Implementation (Step 5)
Adopted (Step 4): 30 November 1995

The ICH Harmonised Guideline was finalised under Step 4 in November 1995. This document describes the format and content of a clinical study report that will be acceptable to all regulatory authorities of the ICH regions. It consists of a core report suitable for all submissions and appendices that need to be available but will not be submitted in all cases.

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

Annexes

No results found.

Guideline implementation

ANMAT, Argentina

-

Implemented;
ANVISA, Brazil

-

Implemented; Date: 4 January 2021; Reference: RDC 413/2020, Guias 59 e 60/2023
COFEPRIS, Mexico

-

Not yet implemented;
EC, Europe

-

Implemented; Date: 1 July 1996; Reference: CPMP/ICH/137/95
EDA, Egypt

-

Implemented; Date: 1 January 2010; Reference: Regulatory Guide for mechanisms, procedures and rules of implementing the Decree of Egyptian Drug Authority No.343 of 2021
FDA, United States

-

Implemented; Date: 1 July 1996; Reference: Vol. 61, p. 37320
HSA, Singapore

-

Implemented; Date: 1 January 2008; Reference: Reference made to these guidelines can be found in the ASEAN ACTD Part IV: Clinical Document guideline, which is adopted and published on HSA, Singapore
Health Canada, Canada

-

Implemented; Date: 20 May 1997; Reference: Catalogue No. H42-2/67-10-1996E
JFDA, Jordan

-

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

-

Implemented; Date: 27 June 2018; Reference: Guideline on the Structure and Content of Clinical Study Reports [Guideline-0871-01]
MHLW/PMDA, Japan

-

Implemented; Date: 1 May 1996; Reference: PAB/PCD Notification No. 335
MHRA, UK

-

Implemented; Date: 1 December 1995;
NAFDAC, Nigeria

-

Implemented; Date: 5 May 2025; Reference: DER-GDL-009-01
NMPA, China

-

Implemented; Date: 12 May 2020; Reference: NMPA, China Announcement No. 88 (2019)
SAHPRA, South Africa

-

In the process of implementation;
SFDA, Saudi Arabia

-

Implemented; Date: 8 July 2015;
Swissmedic, Switzerland

-

Implemented; Date: 1 November 1995; Reference: ICH Guidelines apply in Switzerland automatically upon reaching Step 4: Swissmedic Journal 05/2006, p. 504
TFDA, Chinese Taipei

-

Implemented; Date: 14 April 2003; Reference: Guideline for Structure and Content of Clinical Study Reports
TITCK, Türkiye

-

Implemented; Date: 11 December 2021; Reference: Regulation on Clinical Trials of Medicinal Products for Human Use: Official Gazette numbered 32203 on 27 May 2023; Regulation on the Marketing Authorization of Medicinal Products for Human Use: numbered 31686 on 11 Dec 2021

Q+A

Q+A number: E3 Q&As (R1)
Q+A Status: Implementation (Step 5)
Q+A Adopted (Step X): 6 July 2012

Q+A implementation

Since reaching Step 4 and publication within the ICH regions, experiences by all parties with the implementation of the E3 Guideline have resulted in the need for some clarification. This supplementary Questions and Answers document intends to clarify key issues. In July 2012, minor typographical errors were corrected in the Answer to Question 6 and the document was renamed R1.

ANMAT, Argentina

-

Not yet implemented;
ANVISA, Brazil

-

Not yet implemented; Date: 1 July 2011; Reference: Guidelines for Elaboration of Clinical Trials Reports for Registration or Post Registration Changes of Biological Products
COFEPRIS, Mexico

-

Not yet implemented;
EC, Europe

-

Implemented; Date: 1 July 2012; Reference: CHMP/ICH/435606/2012
EDA, Egypt

-

Implemented; Date: 1 January 2012; Reference: Regulatory Guide for mechanisms, procedures and rules of implementing the Decree of Egyptian Drug Authority No.343 of 2021
FDA, United States

-

Implemented; Date: 1 January 2013; Reference: Posted on FDA, US website
HSA, Singapore

-

Implemented; Date: 1 January 2008; Reference: Reference made to these guidelines can be found in the ASEAN ACTD Part IV: Clinical Document guideline, which is adopted and published on HSA, Singapore
Health Canada, Canada

-

Implemented; Date: 18 December 2015; Reference: File #: 15-113539-305
JFDA, Jordan

-

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

-

Implemented; Date: 20 June 2019; Reference: Structure and Content of Clinical Study Reports Questions & Answers (R1) [Guideline-0951-01]
MHLW/PMDA, Japan

-

Implemented; Date: 1 October 2012; Reference: PFSB/ELD Administrative Notice
MHRA, UK

-

Implemented; Date: 1 July 2012;
NAFDAC, Nigeria

-

Not yet implemented;
NMPA, China

-

Implemented; Date: 12 May 2020; Reference: NMPA, China Announcement No. 88 (2019)
SAHPRA, South Africa

-

In the process of implementation;
SFDA, Saudi Arabia

-

Implemented; Date: 8 July 2015;
Swissmedic, Switzerland

-

Implemented; Date: 1 July 2012; Reference: ICH Guidelines apply in Switzerland automatically upon reaching Step 4: Swissmedic Journal 05/2006, p. 504
TFDA, Chinese Taipei

-

Implemented; Date: 22 December 2014; Reference: Public Announcement for ” List for ICH Guidelines Adopted.”
TITCK, Türkiye

-

Not yet implemented;