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  1. Guidances | Drugs

Newly Added Guidance Documents

Below is a sortable list of the most recently added Guidance Documents.

You can sort alphabetically by: Category/Subject Area; Guidance Title; Guidance Type (Draft or Final) and also sort by the Date the Guidance was issued.

Newly Added Guidance Documents

TopicGuidanceStatusDate
ICH-EfficacyE22 General Considerations for Patient Preference StudiesDraft2/6/2026
ICH-MultidisciplinaryM4Q(R2) The Common Technical Document for the Registration of Pharmaceuticals for Human Use: QualityDraft1/21/2026
BiostatisticsUse of Bayesian Methodology in Clinical Trials of Drug and Biological ProductsDraft1/12/2026
Administrative/ProceduralFormal Dispute Resolution and Administrative Hearings of Final Administrative Orders Under Section 505G of the Federal Food, Drug, and Cosmetic ActFinal12/22/2025
AdvertisingPromotional Labeling and Advertising Considerations for Prescription Biological Reference Products, Biosimilar Products, and Interchangeable Biosimilar Products: Questions and AnswersFinal12/9/2025
Pharmacology/ToxicologyMonoclonal Antibodies: Streamlined Nonclinical Safety StudiesDraft12/2/2025
ICH-QualityQ3E Guideline for Extractables and LeachablesDraft12/1/2025
ICH-QualityQ3E Guideline for Extractables and Leachables: Supporting Documentation: Class 3 Leachable MonographsDraft12/1/2025
Current Good Manufacturing Practice (CGMP), Pharmaceutical QualityCurrent Good Manufacturing Practice for Medical GasesDraft12/1/2025
Generic DrugsConsiderations for Waiver Requests for pH Adjusters in Generic Drug Products Intended for Parenteral, Ophthalmic, or Otic UseFinal11/17/2025
BiosimilarsScientific Considerations in Demonstrating Biosimilarity to a Reference Product: Updated Recommendations for Assessing the Need for Comparative Efficacy StudiesDraft10/29/2025
Administrative/ProceduralExpanded Access to Investigational Drugs for Treatment Use: Questions and AnswersFinal10/22/2025
Administrative/ProceduralPatient-Focused Drug Development: Selecting, Developing, or Modifying Fit-for-Purpose Clinical Outcome AssessmentsFinal10/22/2025
ICH-EfficacyE20 Adaptive Designs for Clinical TrialsDraft9/30/2025
Clinical - AntimicrobialMalaria: Developing Drugs for TreatmentDraft9/23/2025
LabelingSafety Labeling Changes—Implementation of Section 505(o)(4) of the FD&C ActDraft9/18/2025
Clinical - AntimicrobialDisseminated Coccidioidomycosis: Developing Drugs for TreatmentDraft9/17/2025
Clinical - MedicalSymptomatic Nonerosive Gastroesophageal Reflux Disease: Developing Drugs for TreatmentDraft9/17/2025
Clinical - MedicalErosive Esophagitis: Developing Drugs for TreatmentDraft9/17/2025
Pharmaceutical Quality, Current Good Manufacturing Practice (CGMP)Alternative Tools: Assessing Drug Manufacturing Facilities Identified in Pending ApplicationsFinal9/12/2025
Clinical - MedicalDevelopment of Non-Opioid Analgesics for Chronic PainDraft9/11/2025
ICH-EfficacyE6(R3) Good Clinical Practice (GCP)Final9/9/2025
BiosimilarsDevelopment of Therapeutic Protein Biosimilars:  Comparative Analytical Assessment and Other Quality-Related ConsiderationsFinal9/9/2025
BiosimilarsFormal Meetings Between the FDA and Sponsors or Applicants of BsUFA Products Guidance for IndustryFinal7/18/2025
ICH-QualityE21 Inclusion of Pregnant and Breastfeeding Women in Clinical TrialsDraft7/18/2025
Clinical - MedicalSmall Volume Parenteral Drug Products and Pharmacy Bulk Packages for Parenteral Nutrition: Aluminum Content and Labeling RecommendationsDraft7/3/2025
Clinical - AntimicrobialAntibacterial Therapies for Patients With an Unmet Medical Need for the Treatment of Serious Bacterial Diseases – Questions and AnswersFinal6/26/2025
Clinical - AntimicrobialEarly Lyme Disease as Manifested by Erythema Migrans:  Developing Drugs for TreatmentFinal6/26/2025
ICH-QualityQ1 Stability Testing of Drug Substances and Drug ProductsDraft6/23/2025
Generic DrugsPost-Warning Letter Meetings Under GDUFAFinal6/20/2025
Pharmaceutical Quality; Chemistry, Manufacturing, and Controls (CMC)ANDAs: Pre-Submission Facility Correspondence Related to Prioritized Generic Drug SubmissionsFinal6/13/2025
ICH-MultidisciplinaryM11 Technical Specification: Clinical Electronic Structured Harmonised ProtocolDraft6/5/2025
ICH-MultidisciplinaryM11 Template: Clinical Electronic Structured Harmonised Protocol (CeSHarP)Draft6/5/2025
Over-the-Counter DrugsRecommendations for Complying With Over-the-Counter Monograph Procedure for Minor Changes C001: Minor Changes to Solid Oral Dosage Forms for Certain Over-the-Counter Monograph DrugsDraft6/4/2025
ICH-MultidisciplinaryM13B Bioequivalence for Immediate-Release Solid Oral Dosage Forms: Additional Strengths BiowaiverDraft6/2/2025
Pharmaceutical Quality, Chemistry, Manufacturing, and Controls (CMC)Replacing Color Additives in Approved or Marketed Drug ProductsDraft5/29/2025
Clinical - MedicalObesity and Overweight: Developing Drugs and Biological Products for Weight ReductionDraft1/7/2025
Clinical - MedicalDeveloping Drugs for Optical ImagingDraft1/7/2025
Clinical - MedicalStudy of Sex Differences in the Clinical Evaluation of Medical ProductsDraft1/6/2025
Compounding and Related DocumentsInterim Policy on Compounding Using Bulk Drug Substances Under Section 503B of the Federal Food, Drug, and Cosmetic ActFinal1/6/2025
Compounding and Related DocumentsInterim Policy on Compounding Using Bulk Drug Substances Under Section 503A of the Federal Food, Drug, and Cosmetic ActFinal1/6/2025
Artificial IntelligenceConsiderations for the Use of Artificial Intelligence To Support Regulatory Decision-Making for Drug and Biological ProductsDraft1/7/2025
Administrative/ProceduralCommunications From Firms to Health Care Providers Regarding Scientific Information on Unapproved Uses of Approved/Cleared Medical Products Questions and AnswersDraft1/6/2025
Pharmaceutical Quality, Current Good Manufacturing Practice (CGMP)Considerations for Complying with 21 CFR 211.110Draft1/6/2025
Pharmaceutical Quality, Chemistry, Manufacturing, and Controls (CMC)Advanced Manufacturing Technologies Designation ProgramFinal12/31/2024
ICH - MultidisciplinaryM15 General Principles for Model-Informed Drug DevelopmentDraft12/30/2024
ICH - EfficacyE11A Pediatric ExtrapolationFinal12/30/2024
ICH - EfficacyE6(R3) Good Clinical Practice: Annex 2Draft12/30/2024
Clinical - MedicalProtocol Deviations for Clinical Investigations of Drugs, Biological Products, and DevicesDraft12/30/2024
Technical Specifications DocumentTechnical Specifications for Submitting Clinical Trial Data Sets for Treatment of Noncirrhotic Nonalcoholic Steatohepatitis (NASH)\Final12/13/2024
ProceduralAccelerated Approval – Expedited Program for Serious ConditionsDraft12/5/2024
ICH - MultidisciplinaryM13A Bioequivalence for Immediate-Release Solid Oral Dosage FormsFinal10/30/2024
Labeling / Clinical PharmacologyDrug Interaction Information in Human Prescription Drug and Biological Product LabelingDraft10/21/2024
Clinical - MedicalPostoperative Nausea and Vomiting: Developing Drugs for PreventionDraft10/17/2024
User FeesRequests for Reconsideration at the Division Level Under GDUFAFinal10/16/2024
CompoundingTemporary Policies for Compounding Certain Parenteral Drug ProductsFinal10/11/2024
Administrative / ProceduralElectronic Systems, Electronic Records, and Electronic Signatures in Clinical Investigations: Questions and AnswersFinal10/1/2024
Clinical - MedicalConducting Clinical Trials With Decentralized ElementsFinal9/17/2024
Real World Data / Real World Evidence (RWD/RWE)Integrating Randomized Controlled Trials for Drug and Biological Products Into Routine Clinical PracticeDraft9/17/2024
Electronic SubmissionsProviding Regulatory Submissions in Electronic Format — Certain Human Pharmaceutical Product Applications and Related Submissions Using the eCTD Specifications Guidance for IndustryFinal9/11/2024
Generic DrugsANDA Submissions | Amendments to Abbreviated New Drug Applications Under GDUFAFinal9/11/2024
Current Good Manufacturing Practice (CGMP), Pharmaceutical QualityControl of Nitrosamine Impurities in Human DrugsFinal9/5/2024
ICH - MultidisciplinaryM12 Drug Interaction Studies: Questions and AnswersFinal8/2/2024
Electronic SubmissionsProviding Over-the-Counter Monograph Submissions in Electronic FormatFinal7/25/2024
Real World Data / Real World Evidence (RWD/RWE)Real-World Data: Assessing Electronic Health Records and Medical Claims Data To Support Regulatory Decision-Making for Drug and Biological ProductsFinal7/25/2024
BiologicsPostapproval Manufacturing Changes to Biosimilar and Interchangeable Biosimilar Products Questions and AnswersDraft7/23/2024
Clinical - MedicalPediatric Inflammatory Bowel Disease: Developing Drugs for TreatmentDraft7/19/2024
Clinical - PharmacologyClinical Pharmacology Considerations for Human Radiolabeled Mass Balance StudiesFinal7/18/2024
Clinical - PharmacologyDrugs for Treatment of Partial Onset Seizures: Full Extrapolation of Efficacy from Adults to Pediatric Patients 1 Month of Age and Older Guidance for IndustryFinal7/15/2024
Combination ProductsPurpose and Content of Use-Related Risk Analyses for Drugs, Biological Products, and Combination ProductsDraft7/08/2024
ICH - MultidisciplinaryM14 General Principles on Plan, Design, and Analysis of Pharmacoepidemiological Studies That Utilize Real-World Data for Safety Assessment of MedicinesDraft7/05/2024
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