Regulatory Open Forum

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  • 1.  Clinical Study Report Narratives

    This message was posted by a user wishing to remain anonymous
    Posted 09-Dec-2019 17:06
    This message was posted by a user wishing to remain anonymous

    Dear Forum-

    In the E3 Guidance document, Content and Structure of Clinical Study Reports, it is clear that narratives are needed for deaths and other SAEs; however, it is unclear about other significant adverse events.  Should CSRs contain narratives for any Discontinuation Due to AEs?

    Any guidance is greatly appreciated.

    Thank you!


  • 2.  RE: Clinical Study Report Narratives

    Posted 10-Dec-2019 10:10
    As noted, there is not a requirement for providing narratives of discontinuations due to AEs. Whether one should provide narratives may depend on the overall clinical significance of the AEs. If "telling the story" helps interpret the safety profile for these events, it may be useful if for no other reason than to ease the work of the reviewer. However, I would probably limit the narratives to those events that were considered related to the product.

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    Glen Park PharmD
    Executive Director, Regulatory Affairs and Quality Assurance
    Jersey City NJ
    United States
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