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FDA Regional Implementation Guide for E2B(R3) Electronic Transmission of Individual Case Safety Reports for Drug and Biological Products

FinalCenter for Drug Evaluation and Research08/01/2024

Description

This technical specifications document is to assist interested parties in electronically submitting individual case safety reports (ICSRs) (and ICSR attachments) to the Center for Drug Evaluation and Research (CDER) and the Center for Biologics Evaluation and Research (CBER) in the Food and Drug Administration (FDA or Agency). This document describes FDA’s technical approach for submitting ICSRs, for incorporating its regionally controlled terminology, and for adding FDA Adverse Event Reporting System (FAERS) regional data elements that are not addressed in the International Conference on Harmonisation’s (ICH) E2B (R3) Implementation Guideline (IG) for the following FDA-regulated products:

Scope & Applicability

Product Classes

2
Combination Product

Products combining drug, device, or biological constituents; Generally recommended for Enhanced Documentation; Requires 14971-based framework incorporating ICH Q9; A drug-device combination where the device constituent part detects ingestion.

Biological Products

Requires analytical comparability per ICH Q5E

Stakeholders

4
Submitters

submitters of De Novo requests to CDRH and CBER

Primary source reporters

FDA recommends that applicants proactively validate substance information with primary source reporters

outsourcing facilities

Facilities registered under section 503B; Entities reporting adverse events under Section 503B.

sponsors

Target audience for recommendations on assessment of overall survival

Regulatory Context

Attributes

6
nullFlavors

Used in data elements when information is missing

mediaType

file type in the reference value tag must match the file extension

100 megabytes

recommended ICSR submission size is less than 100 megabytes

100 GB

FDA ESG supports the receipt of electronic regulatory submissions of up to 100 GB

Required

Data element conformance category

XML

Extensible markup language file format

Related CFR Sections (6)

Related Warning Letters (10)

  • CGMP/QSR/Medical Devices/Adulterated/Misbranded

    Royal Philips

    2025-10-28
  • Medical Device Reporting/Misbranded

    Insung Medical Co. Ltd.

    2025-09-30
  • CGMP/QSR/Medical Devices/Adulterated/Misbranded

    Visgeneer, Inc

    2025-08-05
  • Medical Device Reporting/Misbranded

    Insightra Medical Inc.

    2025-07-08
  • CGMP/QSR/Medical Devices/Adulterated

    Aju Pharm Co., Ltd.

    2025-06-24
  • CGMP/QSR/Medical Devices/Adulterated

    DFI Co., Ltd.

    2025-06-03
  • CGMP/QSR/Medical Devices/Adulterated

    Sedecal S.A.

    2025-05-27
  • CGMP/QSR/Medical Devices/Adulterated

    NeuroSync, Inc.

    2025-05-20
  • CGMP/QSR/Medical Devices/Adulterated

    EpiCare Acquisitions, LLC

    2025-04-08
  • CGMP/Finished Pharmaceutical/Adulterated

    Advanced Pharmaceutical Technology

    2025-03-18

See Also (8)