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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
Generic Drugs, Drug Competition Action Plan, Electronic SubmissionsNew Clinical Investigation Exclusivity (3-Year Exclusivity) for Drug Products: Questions and AnswersDraft3/3/2026
ICH-EfficacyE2D(R1) Post-Approval Safety Data: Definitions and Standards for Management and Reporting of Individual Case Safety ReportsFinal3/3/2026
ICH-MultidisciplinaryM14 General Principles on Planning, Designing, Analyzing, and Reporting of Non-interventional Studies That Utilize Real-World Data for Safety Assessment of MedicinesFinal3/3/2026
Administrative/ProceduralCertification Process for Designated Medical GasesDraft2/11/2026
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
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