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TABLE 3
Proposal of Milestones and Decision Points
Milestones
Project phase
Decision to
1: Project presentation
Preclinical
1: Start development
2: Application for IND2: Start clinical trials
3: Start phase I
Phase I
4: Start phase II
Phase II
3: Start pivotal program
5: Start phase III
Phase III
6: Clinical cut-off4: Submit for approval
7: Submission NDA
Approval
8: Approval NDA5: Launch
Prelaunch
9: Launch

TABLE 4
Tasks in Preclinical Development
Safety evaluation
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Toxicology
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Multiple dose oral or i.v. studies on one rodent and one other species of 2 weeks' to 3 months' duration
Mutagenicity tests
Reproduction toxicology
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Safety pharmacology
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Effects on hematology, hemodynamics, respiratory, gastrointestinal, and CNS systems
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Pharmacokinetics
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Basic kinetics and single dose ADME in two species; autoradiographic distribution pattern; protein binding
Metabolism in vitro; toxicokinetics
Production
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Drug substance scale-up
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Scale-up from laboratory to pilot scale to produce necessary amounts for phase I under GMP conditions; last chemical conversion step should preferably be finalized
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Formulation development
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Formulation with suitable stability and acceptable bioavailability for phase I studies

 
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