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Comparing the Canadian CTA to the U.S.
                   IND Submission Process

                 Canadian CTA                                                   U.S. IND

Principle:                                               Principle:
One Clinical Trial Application (CTA) per protocol.       One open Investigational New Drug (IND) throughout
Protocol-by-protocol approval.                           drug development. New protocols submitted as
                                                         amendments.

Format:                                                  Format:
Common Technical Document (CTD)                          Common Technical Document (CTD) or
                                                         Investigational New Drug (IND) template

Review:                                                  Review:
- 30-day default review period except for Phase 1        - 30-day default period
  Bioequivalence studies (7 days)                        - Information request
- Clarification request                                  - Clinical hold
- Not Satisfactory Notice
- Receipt of a No Objection Letter (NOL)

Administrative Requirements:                             Administrative Requirements:
- Signature from Canadian representative                 - Signature from U.S. representative

Canadian Specifications:                                 U.S. Specifications:
- List ongoing Clinical Trials in Canada                 -   Introductory statement
- Clinical Trial Site Information Form (Health Canada    -   General Investigational plan
  database of on going studies and sites)                -   Investigator data (statement, CV)
- Protocol synopsis or rational product summary          -   120 days to submit audited reports
- Foreign Regulatory Authorities refusals                -   Annual report to FDA
- No annual report

CTA Amendments:                                          IND Amendments:
- Protocol amendment (30 day review):                    - Protocol amendment: similar requirements
	 •	Quality                                              - New investigator: IND amendment
	 •	Clinical                                             - Response to clinical hold (30 day review)
- New Investigator: Clinical Trial Site Information
  Form submitted
- Updated protocol with comprehensive amendment
- Notifications to Health Canada for minor protocol
  changes: Clinical Trial discontinuation, IRB refusal
  & Clinical Trial closure

Additional Information:
- Unlike INDs, there are no additional summaries to
  prepare outside the Investigator’s Brochure, i.e. no
  non-clinical or clinical reports to be submitted
- Approximate time to prepare a CTA once the
  required data has been received: 1-3 weeks
- Can be submitted at the same time, before or
  after an IND
- No review cost for CTAs in Canada



                                        www.scimega.com

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Canadian CTA vs. U.S. IND

  • 1. Comparing the Canadian CTA to the U.S. IND Submission Process Canadian CTA U.S. IND Principle: Principle: One Clinical Trial Application (CTA) per protocol. One open Investigational New Drug (IND) throughout Protocol-by-protocol approval. drug development. New protocols submitted as amendments. Format: Format: Common Technical Document (CTD) Common Technical Document (CTD) or Investigational New Drug (IND) template Review: Review: - 30-day default review period except for Phase 1 - 30-day default period Bioequivalence studies (7 days) - Information request - Clarification request - Clinical hold - Not Satisfactory Notice - Receipt of a No Objection Letter (NOL) Administrative Requirements: Administrative Requirements: - Signature from Canadian representative - Signature from U.S. representative Canadian Specifications: U.S. Specifications: - List ongoing Clinical Trials in Canada - Introductory statement - Clinical Trial Site Information Form (Health Canada - General Investigational plan database of on going studies and sites) - Investigator data (statement, CV) - Protocol synopsis or rational product summary - 120 days to submit audited reports - Foreign Regulatory Authorities refusals - Annual report to FDA - No annual report CTA Amendments: IND Amendments: - Protocol amendment (30 day review): - Protocol amendment: similar requirements • Quality - New investigator: IND amendment • Clinical - Response to clinical hold (30 day review) - New Investigator: Clinical Trial Site Information Form submitted - Updated protocol with comprehensive amendment - Notifications to Health Canada for minor protocol changes: Clinical Trial discontinuation, IRB refusal & Clinical Trial closure Additional Information: - Unlike INDs, there are no additional summaries to prepare outside the Investigator’s Brochure, i.e. no non-clinical or clinical reports to be submitted - Approximate time to prepare a CTA once the required data has been received: 1-3 weeks - Can be submitted at the same time, before or after an IND - No review cost for CTAs in Canada www.scimega.com