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As per Rule 122 E of the Drug and Cosmetic Rules 1945, a New Drug can be – [1]
a) Combined for the first time in a fixed ratio OR
b) If the ratio of ingredients in an already marketed combination is proposed to be changed, with certain claims, which can be-
(i) New Indications
(ii) New Dosage
(iii) New Dosage Form (including sustained release dosage form.
(iv) New Route of Administration
4. All vaccines shall be new drugs unless certified otherwise by the Licensing Authority.
5. A new drug shall continue to be considered as new drug for a period of four years from the date of its first approval or its inclusion in the Indian Pharmacopoeia, whichever is earlier. [2]
Fixed Dose Combinations (FDC’s) refer to products containing two or more active ingredients used for a particular indication(s). As per Rule 122-E of Drugs & Cosmetics Rule, a fixed dose combination of two or more drugs, individually approved earlier for certain claims, which are now proposed to be combined for the first time in a fixed ratio, or if the ratio of ingredients in an already marketed combination is proposed to be changed, with certain claims, viz. indications, dosage, dosage form (including sustained release dosage form) and route of administration are considered new drugs. Further, a new drug shall continue to be considered as new drug for a period of four years from the date of its first approval or its inclusion in the Indian Pharmacopoeia, whichever is earlier. [1]
FDC can be classified into 5 categories. Following are the classification of FDC [3]:
FDC Categories and Classification
A Subsequent New Drug application is an application for approval of an already approved new drug by the Central Drugs Standard Control Organization (CDSCO). Subsequent new drug application can be made for the following cases:
All the applications for approval of New Drug, Fixed Dose Combination and Subsequent New Drug are made under Form 44 (Application for grant of permission to import or manufacture a New Drug or to undertake clinical trial).
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