Replies to post #389957 on Innovation Pharmaceuticals Inc (IPIX)

[frenchbroad]

Maybe you forgot the US FDA had to review and approve and monitor each of the many Brilacidin trials. "Protecting the rights, safety and welfare of people who participate in clinical trials is a critical aspect of the FDA’s mission. FDA oversees clinical trials to ensure they are designed, conducted, analyzed and reported according to federal law and good clinical practice (GCP) regulations. FDA’s regulations and guidances for clinical trials help support efficient medical product development, while assuring trials generate the robust evidence needed to assess product safety and efficacy."
https://www.fda.gov/science-research/science-and-research-special-topics/clinical-trials-and-human-subject-protection

Or maybe you did not know this.

You can say as many times as you want Brilacidin is an unsafe dangerous drug. You can and do also quote "Electrophysiologic studies on human cell lines published in abstract form" which no one can find to try to say Brilacidin is not safe. But the US FDA does not agree with you. If you know anything about pharmaceuticals the US FDA is the best drug safety judge in the world.

[Empiricst1]

"clinicaltrials.gov is of course an NIH site, not an FDA site"

I think you may have been a bit flippant about clinicaltrials.gov being an NIH site and not an FDA site. It is an NIH cite but it is entirely devoted to FDA test issues. You'd be hard pressed to even find the term "NIH" in this federal description of the site (though it does appear in a few places). Below is a bit of a long piece, but it makes the point. Ok, this is not the biggest issue we have to dealt with, just sayin'. IPIX has a relationship to FDA, not so much with NIH, only indirectly, as I see it.

FDA's Role: ClinicalTrials.gov Information

What is FDA’s Role Related to ClinicalTrials.gov?
The Food and Drug Administration Amendments Act of 2007 (FDAAA) requires that the “Responsible Party” for certain clinical trials register with, and submit the results information of some trials to, the ClinicalTrials.gov databank (www.ClinicalTrials.gov).

FDA has been given the following implementation and compliance/enforcement responsibilities related to Title VIII of FDAAA:

Requiring a certification regarding compliance with ClinicalTrials.gov requirements to accompany certain human drug, biological product, and device applications and submissions to FDA.
Requiring the inclusion of a particular statement in the informed consent documents for “applicable clinical trials” (trials that will be entered into the ClinicalTrials.gov databank as required by FDAAA).
Compliance and enforcement activities related to the failure to submit required clinical trial information to ClinicalTrials.gov under HHS regulations at 42 CFR Part 11.
The operation and development of the ClinicalTrials.gov databank and the drafting of regulations related to the databank are the responsibility of the National Institutes of Health (NIH)/National Library of Medicine (NLM).

What Does FDA Require Regarding Certification?
To certify compliance with ClinicalTrials.gov requirements, FDA requires that applicants complete and submit Form FDA 3674 with certain human drug, biological product, and device applications and submissions. In general, FDA recommends that a Form FDA 3674 accompany the following applications and submissions to FDA:

Investigational New Drug Application (IND)
New Clinical Protocol Submitted to an IND
New Drug Application (NDA)
Efficacy Supplement to an Approved NDA
Biologics License Application (BLA)
Efficacy Supplement to an Approved BLA
Abbreviated New Drug Application (ANDA)
Premarket Approval Application (PMA)
PMA Panel Track Supplement
Humanitarian Device Exemption (HDE)
510(k) submissions that refer to, relate to, or include information on a clinical trial
Note – FDA does not require the submission of a Form FDA 3674 with an Investigational Device Exemption (IDE) application, as this was not required by FDAAA.

What Are the Informed Consent Requirements Related to ClinicalTrials.gov?
The following exact statement must be included in the informed consent documents of “applicable clinical trials”:

“A description of this clinical trial will be available on http://www.ClinicalTrials.gov, as required by U.S. Law. This Web site will not include information that can identify you. At most, the Web site will include a summary of the results. You can search this Web site at any time.”

FDA has issued guidance related to this new informed consent element.

Historical Background Information
The Food and Drug Administration Amendments Act of 2007 (FDAAA), Public Law 110-85 (September 27, 2007), amended the Public Health Service (PHS) Act and is designed, in part, to promote transparency of clinical research to trial participants and the public.

Title VIII of FDAAA amended the PHS Act by adding new section 402(j), 42 U.S.C. § 282(j). The new provisions require that additional information be submitted to the clinical trials data bank (www.ClinicalTrials.gov) previously established by the NIH/ NLM, including expanded information on clinical trials and information regarding the results of clinical trials.

HHS issued a final rule, which is codified at 42 CFR Part 11, as required by Title VIII of FDAAA, to clarify and expand the requirements for registering clinical trials and submitting results information. [September 21, 2016, 81 FR 64981]

A certification of compliance with ClinicalTrials.gov requirements is required by 42 U.S.C. § 282(j)(5)(B), section 402(j)(5)(B) of the PHS Act. The certification requirement went into effect on December 26, 2007. To assist sponsors, industry, researchers, and investigators in complying with the requirement, FDA created a certification form to be used to satisfy the certification requirement. This form is Form FDA 3674, OMB Control No. 0910-0616.

As required by FDAAA, FDA published a final regulation (21 CFR § 50.25(c)) [January 4, 2011, 76 FR 256] amending the current informed consent regulations to require that informed consent documents and processes for applicable drug (including biological products) and device clinical trials include a specific statement that clinical trial information may be entered into the ClinicalTrials.gov databank. Compliance with this new requirement was effective on March 7, 2012.

Related Information
ClinicalTrials.gov - Notices of Noncompliance and Civil Money Penalty Actions

ClinicalTrials.gov regulations (42 CFR Part 11)

Details of the statutory language of Title VIII of FDAAA

NIH Checklist and Elaboration for Evaluating Whether a Clinical Trial or Study is an Applicable Clinical Trial. (NIH site)

Form FDA 3674 (including instructions)

FDA Guidance on Form FDA 3674

FDA Guidance on Informed Consent Elements at 21 CFR 50.25(c)

Civil Money Penalties Relating to the ClinicalTrials.gov Data Bank

Questions Related to ClinicalTrials.gov
Any questions related to the following should be addressed to the ClincialTrials.gov staff at the NIH at [e-mail]:

Regulations at 42 CFR Part 11
How to register studies and enter clinical trial results information
Technical issues related to submission of information to the ClinicalTrials.gov databank
Questions and information (other than technical issues or complaints) related to compliance and enforcement of NIH ClinicalTrials.gov databank requirements can be addressed to FDA at [e-mail].

Complaints should be reported to the office handling the type of study involved. FDA contact information for complaints.

Office of Good Clinical Practice
Office of Clinical Policy and Programs
Food and Drug Administration
10903 New Hampshire Ave., WO32-5103
Silver Spring, MD 20993
301-796-8340