Regulatory Applications

Regulatory Submissions for Sites

It is the responsibility of the Site PI to submit the protocol and all accompanying documentation to the IRB and any other required entities for review. For all information regarding submissions, including what needs to be submitted, IRB forms, review or submission support, and IRB fees for certain studies, visit the Penn IRB website.

For some studies, an individual might be both the PI and the (Regulatory) Sponsor. In this case, both sets of responsibilities mentioned apply.

Regulatory Submissions for Sponsors

US Trial

Sponsors who are developing investigator-initiated protocols should follow the steps outlined here for studies to be conducted in the US.

International Trial

If you are conducting clinical trials outside of the US, trial requirements will differ by country. Reference Step 4 and contact OCR Regulatory via psom-ind-ide@pobox.upenn.edu

For some studies, an individual might be both the PI and the (Regulatory) Sponsor. In this case, both sets of responsibilities mentioned apply. 

The FDA regulates a wide range of products, including foods, drugs, vaccines and other biological products, medical devices, radiation-emitting products, cosmetics, dietary supplements, and tobacco products. The regulations are defined in the Code of Federal Regulations (CFR), Title 21 Food and Drugs

The first step is determining the product’s category and the associated requirements. If you have developed the product, please first review Product Development.  For further guidance or questions that are not addressed on this page, please contact OCR Regulatory via psom-ind-ide@pobox.upenn.edu.

 

What is a Drug?

 

A drug is a substance that is:

  • Recognized by an official pharmacopoeia or formulary
  • Intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease
  • Intended to affect structure or function of the body (* other than food)
  • Intended for use as a component of a medicine but not a device or a component of a device

 

Biological products are included within this definition and generally follow the same laws and regulations, with some differences regarding their manufacturing processes.

References:

What is a Medical Device? *

 

  • A medical device is an instrument, apparatus, implement, machine, contrivance, implant, in vitro reagent, or other similar or related article, which is:
  • Recognized in the official pharmacopoeia or formulary
  • Intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease, or
  • Intended to affect the structure or any function of the body, and which does not achieve its primary purpose through chemical action within or on the body, and which is not dependent upon being metabolized for the achievement of its primary purpose.

 

* Certain software and mobile medical apps, including those using artificial intelligence and/or machine learning algorithms, can also fall under the medical device regulations. The FDA’s Digital Health Policy Navigator may be a helpful tool.

 

References:

 

After determining that you are using a drug or medical device, you need to know the regulatory requirements that apply to your clinical trial. Drug regulations can be found in [21 CFR 312] and device regulations can be found in [21 CFR 812]. For further guidance, please contact OCR Regulatory via email at psom-ind-ide@pobox.upenn.edu. Some reviews of drugs and devices may be deferred to the FDA or may have a requirement for FDA review (i.e. certain grants); see step 5 for additional details.

 

Drugs and the IND Regulations

Drug studies may fall into two categories:

  • IND exempt or
  • IND application required

 

IND Exemption Flow Chart

 

Medical Devices and the IDE Regulations

Medical device studies may fall into several different categories:

  • Part 812 doesn’t apply (not studied for safety/effectiveness and no intent to develop for marketing)
  • FDA Enforcement Discretion (FDA is not enforcing medical device regulations for the device in question)
  • IDE Exempt
  • Not IDE Exempt, presenting non-significant risk (Abbreviated IDE application)
  • Not IDE Exempt, presenting significant risk (Full IDE application)

 

IDE Exemption Flow Chart

 

It is possible that you may have or may develop Intellectual Property (IP) over the course of the clinical trial.  Consultation and close communication with the Penn Center for Innovation is essential to protecting your IP.

For further guidance, please contact OCR Regulatory via email at psom-ind-ide@pobox.upenn.edu.

If it has been determined that your clinical trial requires an IND or IDE application, or an international clinical trial application, please complete the Sponsor Registration Survey, as indicated in PSOM SOP006.

Additionally, many trials will require posting on ClinicalTrials.gov. Please reference additional guidance here.

For further guidance, please contact OCR Regulatory via email at psom-ind-ide@pobox.upenn.edu.

In many cases, review by OCR or another Penn reviewing entity will be sufficient. However, in some cases, a submission to the FDA will be needed.

Drugs

(includes biologics, food, dietary supplements)

Devices

IND Exemption Request

Some exemption requests may need to be reviewed by the FDA. There are templates and submission instructions available. Please contact OCR Regulatory via psom-ind-ide@pobox.upenn.edu.

 

IDE Exemption Request

Some exemption requests may need to be reviewed by the FDA. There are templates and submission instructions available. Please contact OCR Regulatory via psom-ind-ide@pobox.upenn.edu.

 

IND Application

Pre-Submission Feedback

There are mechanisms available to obtain feedback from the FDA prior to submission of an IND application (pre-IND meeting).

 

The FDA has a detailed guidance regarding the different types of meetings that may be requested, the request process, and timelines. Please contact OCR Regulatory via psom-ind-ide@pobox.upenn.edu for additional guidance.

IDE Application

Pre-Submission Feedback

There are mechanisms available to obtain feedback from the FDA prior to submission of an IDE application through the Q-submission process.

The FDA has a detailed guidance regarding Pre-IDE Meeting requests, the request process, and timelines. Please contact OCR Regulatory via psom-ind-ide@pobox.upenn.edu for additional guidance.

 

IND Application

On the OCR website, you can find the following templates and instructions:

·       IND Application Template with instructions

·       Instructions for Submitting to the FDA

 

The FDA also has an extensive website for Investigator Initiated Investigational New Drug (IND) Application.

 

FDA often has questions during the 30-day review period, and often there are short response deadlines. This should be taken into account prior to submission.

 

Please contact OCR Regulatory at psom-ind-ide@pobox.upenn.edu for additional guidance.

 

Abbreviated IDE (aIDE) Application

If you have a non-significant risk device, you will need to complete an aIDE application and submit it to the IRB. In certain cases, you may need to submit the aIDE application to the FDA.

 

Please reference the IRB website for additional details and contact OCR Regulatory at psom-ind-ide@pobox.upenn.edu for additional guidance.

 

 

Full IDE (IDE) Application

If you have a significant risk device, you will need to complete the full IDE application and submit it to the FDA.

 

The FDA also has an informative website for preparing IDE Applications and has templates and instructions on the submission process.

 

FDA often has questions during the 30-day review period, and often there are short response deadlines. This should be taken into account prior to submission.

 

Please contact OCR Regulatory via psom-ind-ide@pobox.upenn.edu for additional guidance.

 

FDA Review Timelines

IND exemption request – generally 30 days

 

IND pre-submission – varies based on type of submission, refer to FDA guidance

 

IND application – 30 days

FDA Review Timelines

IDE exemption request – 30-90 days, depending on submission mechanism

 

IDE pre-submission – varies based on type of submission, refer to FDA guidance

 

IDE application – generally 30 days