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E5 – Ethnic Factors in the Acceptability of Foreign Clinical Data

Guideline number: E5(R1)
Status: Implementation (Step 5)
Adopted (Step 4): 5 February 1998

The ICH Harmonised Guideline was finalised under Step 4 in February 1998.

This document addresses the intrinsic characteristics of the drug recipient and extrinsic characteristics associated with environment and culture that could affect the results of clinical studies carried out in regions, and describes the concept of the “bridging study” that a new region may request to determine whether data from another region are applicable to its population.

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

-

Not yet implemented;
ANVISA, Brazil

-

Implemented; Date: 1 May 2019; Reference: Roteiro de Análise de Eficácia e Segurança para Avaliação de Registro de Medicamentos Sintéticos, RDC 413/2020
COFEPRIS, Mexico

-

Not yet implemented;
EC, Europe

-

Implemented; Date: 1 September 1998; Reference: CPMP/ICH/289/95
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 June 1998; Reference: Vol. 63, No. 111, p. 31790
HSA, Singapore

-

Implemented; Date: 1 January 2008;
Health Canada, Canada

-

Implemented; Date: 18 December 2015; Reference: File #: 15-113552-719.
JFDA, Jordan

-

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

-

Implemented; Date: 1 December 1999; Reference: Regulation on Pharmaceuticals Approval, Notification and Review [MFDS, Republic of Korea Notification]; Guideline on Bridging Data Evaluation [Guideline-0155-01]
MHLW/PMDA, Japan

-

Implemented; Date: 1 August 1998; Reference: PMSB/ELD Notification No. 672, PMSB Notification No. 739
MHRA, UK

-

Implemented; Date: 1 March 1998;
NAFDAC, Nigeria

-

Not yet implemented;
NMPA, China

-

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

-

In the process of implementation;
SFDA, Saudi Arabia

-

Implemented; Date: 10 August 2023;
Swissmedic, Switzerland

-

Implemented; Date: 1 February 1998; Reference: ICH Guidelines apply in Switzerland automatically upon reaching Step 4: Swissmedic Journal 05/2006, p. 504
TFDA, Chinese Taipei

-

Implemented; Date: 9 July 2009; Reference: Guideline for Ethnic Factors in the Acceptability of Foreign Clinical Data
TITCK, Türkiye

-

Not yet implemented;

Q+A

Q+A number: E5 Q&As (R1)
Q+A Status: Implementation (Step 5)
Q+A Adopted (Step X): 2 June 2006

Q+A implementation

Since reaching Step 4 and publication within the ICH regions, experiences by all parties with the implementation of the E5 Guideline have resulted in the need for some clarification. This supplementary Questions and Answers document intends to clarify key issues.

ANMAT, Argentina

-

Not yet implemented;
ANVISA, Brazil

-

In the process of implementation; Date: 30 June 2022;
COFEPRIS, Mexico

-

Not yet implemented;
EC, Europe

-

Implemented; Date: 1 June 2006; Reference: CPMP/ICH/5746/03
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 September 2006; Reference: Posted on FDA, US website
HSA, Singapore

-

Implemented; Date: 1 January 2008;
Health Canada, Canada

-

Implemented; Date: 4 January 2016; Reference: File #: 15-113559-530
JFDA, Jordan

-

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

-

Implemented; Date: 1 August 2006; Reference: Guideline on Bridging Data Evaluation [Guideline-0167-01]
MHLW/PMDA, Japan

-

Implemented; Date: 1 October 2006; Reference: PFSB/ELD Notification
MHRA, UK

-

Implemented; Date: 1 June 2006;
NAFDAC, Nigeria

-

Not yet implemented;
NMPA, China

-

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

-

In the process of implementation;
SFDA, Saudi Arabia

-

Implemented; Date: 10 August 2023;
Swissmedic, Switzerland

-

Implemented; Date: 1 June 2006; 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;