FDA & Pharma Glossary

175 terms

505(b)(1)

A new drug application (NDA) containing full reports of safety and effectiveness studies conducted by the applicant.

Regulatory

505(b)(2)

An NDA that relies in part on data not developed by the applicant, such as published literature or FDA findings of safety and effectiveness for a previously approved drug.

Regulatory

505(j)

The section of the FD&C Act governing Abbreviated New Drug Applications (ANDAs) for generic drugs.

Regulatory

510(k)

A premarket submission demonstrating that a medical device is substantially equivalent to a legally marketed device not subject to PMA.

Device

AADA

Abbreviated Antibiotic Drug Application. Historical application type for generic antibiotics, now covered under ANDA.

Regulatory

Absorption

The process by which a drug moves from the site of administration into the bloodstream.

Clinical

Accelerated Approval

FDA program allowing earlier approval for drugs treating serious conditions based on surrogate endpoints.

Regulatory

ADME

Absorption, Distribution, Metabolism, Excretion. The four processes describing drug movement through the body.

Clinical

Adverse Event (AE)

Any undesirable experience associated with the use of a medical product in a patient.

Safety

Analytical Method Validation

Process of demonstrating that an analytical procedure is suitable for its intended purpose.

General

ANDA

Abbreviated New Drug Application. An application for a generic drug product approval.

Regulatory

API

Active Pharmaceutical Ingredient. The biologically active component of a drug product.

General

Batch Record

Documentation of the production history of each batch of drug product, including manufacturing steps and testing.

General

BE Study

Bioequivalence Study. Clinical study comparing the bioavailability of a test drug to a reference drug.

Clinical

Bioavailability

The rate and extent to which an active ingredient is absorbed and becomes available at the site of action.

Clinical

Bioequivalence

The absence of a significant difference in bioavailability between two pharmaceutical equivalents.

Clinical

Biologic

A medical product derived from living organisms, including vaccines, blood products, and gene therapies.

General

Biosimilar

A biological product highly similar to an already approved reference biologic with no clinically meaningful differences.

Regulatory

BLA

Biologics License Application. An application for approval of a biological product.

Regulatory

Blinding

A procedure in clinical trials where participants and/or investigators do not know treatment assignments.

Clinical

Boxed Warning

The strongest warning required by FDA, appearing in a box in the prescribing information for serious risks.

Safety

Breakthrough Therapy

A designation for drugs intended to treat serious conditions where preliminary evidence shows substantial improvement over existing therapies.

Regulatory

CAPA

Corrective and Preventive Action. A system for investigating deviations and implementing measures to prevent recurrence.

General

CBER

Center for Biologics Evaluation and Research. FDA center responsible for regulating biological products.

Regulatory

CDER

Center for Drug Evaluation and Research. FDA center responsible for regulating drugs.

Regulatory

CDRH

Center for Devices and Radiological Health. FDA center responsible for regulating medical devices.

Device

CFR

Code of Federal Regulations. The codification of rules published by federal agencies.

Regulatory

cGMP

Current Good Manufacturing Practice. Up-to-date manufacturing standards ensuring drug quality and safety.

Regulatory

Class I Device

Medical devices with lowest risk, subject to general controls only.

Device

Class II Device

Medical devices with moderate risk, subject to general and special controls.

Device

Class III Device

Medical devices with highest risk, requiring premarket approval (PMA).

Device

Clinical Endpoint

A characteristic or variable that reflects how a patient feels, functions, or survives in a clinical trial.

Clinical

Clinical Hold

An FDA order to delay or suspend a clinical investigation due to safety or compliance concerns.

Regulatory

Clinical Trial

A research study that tests how well new medical approaches work in people.

Clinical

Cmax

Maximum Concentration. The highest plasma concentration achieved after drug administration.

Clinical

CMC

Chemistry, Manufacturing, and Controls. The section of regulatory submissions describing drug substance and product manufacturing.

Regulatory

CMO

Contract Manufacturing Organization. A company that manufactures drug products for other companies.

General

Compassionate Use

Access to investigational drugs outside clinical trials for patients with serious conditions who have no alternatives.

Regulatory

Complete Response Letter

FDA communication indicating that the review cycle is complete but the application cannot be approved in its current form.

Regulatory

Contraindication

A specific situation in which a drug should not be used because it may cause harm.

Safety

Control Group

The group in a clinical trial that receives standard treatment or placebo for comparison.

Clinical

CRF

Case Report Form. Document used to collect data for each clinical trial participant.

Clinical

CRL

Complete Response Letter. FDA letter indicating application deficiencies that must be addressed before approval.

Regulatory

CRO

Contract Research Organization. A company that provides clinical trial and drug development support services.

Clinical

CSR

Clinical Study Report. Comprehensive document describing the design, methods, and results of a clinical trial.

Clinical

CTD

Common Technical Document. Standardized format for regulatory submissions accepted in ICH regions.

Regulatory

De Novo

A regulatory pathway for novel low-to-moderate risk devices that lack a legally marketed predicate device.

Device

Deviation

A departure from approved procedures, specifications, or standards during manufacturing or testing.

General

Distribution

The process by which a drug is transported from the bloodstream to tissues and organs.

Clinical

DMF

Drug Master File. A submission to FDA containing confidential detailed information about a drug manufacturing facility.

Regulatory

Dose-Response

The relationship between the dose of a drug and the magnitude of its effect.

Clinical

Double-Blind

A clinical trial design where neither participants nor investigators know treatment assignments.

Clinical

Drug Interaction

A reaction between two or more drugs, or between a drug and food, that affects drug effectiveness or safety.

Safety

Drug Product

The finished dosage form containing the active pharmaceutical ingredient and excipients.

General

Drug Substance

The active pharmaceutical ingredient (API) before formulation into the final drug product.

General

DSCSA

Drug Supply Chain Security Act. Law establishing requirements for tracking prescription drugs through the supply chain.

Regulatory

DSMB

Data Safety Monitoring Board. Independent committee monitoring patient safety during clinical trials.

Safety

eCTD

Electronic Common Technical Document. Electronic format for regulatory submissions.

Regulatory

Efficacy

The ability of a drug to produce the desired therapeutic effect under ideal conditions.

Clinical

EMA

European Medicines Agency. Regulatory agency responsible for drug approval in the European Union.

Regulatory

Endpoint

A defined outcome measure used to assess the effect of a treatment in a clinical trial.

Clinical

EUA

Emergency Use Authorization. Authorization for unapproved medical products during a public health emergency.

Regulatory

Excipient

An inactive substance used as a carrier for the active ingredient in a drug formulation.

General

Exclusivity

FDA-granted marketing protection preventing approval of competing applications for a specified period.

Regulatory

Expanded Access

Pathways allowing patients with serious conditions to access investigational drugs outside clinical trials.

Regulatory

FAERS

FDA Adverse Event Reporting System. Database of adverse event and medication error reports.

Safety

Fast Track

A designation to facilitate development and expedite review of drugs for serious conditions.

Regulatory

FD&C Act

Federal Food, Drug, and Cosmetic Act. The primary law governing FDA regulation of drugs and devices.

Regulatory

FDA Form 483

Document listing observations of objectionable conditions found during FDA inspections.

Regulatory

First-in-Human

The initial administration of an investigational drug to human subjects, typically in Phase I trials.

Clinical

Formulation

The process of combining active ingredients with excipients to create the final drug product.

General

GCP

Good Clinical Practice. International ethical and scientific quality standard for clinical trials.

Clinical

GDP

Good Distribution Practice. Guidelines ensuring proper storage and transportation of pharmaceutical products.

General

GDUFA

Generic Drug User Fee Act. Authorizes FDA to collect fees from generic drug manufacturers.

Regulatory

Generic Drug

A drug product that is equivalent to a brand-name drug in dosage, safety, strength, and intended use.

General

GLP

Good Laboratory Practice. Regulations governing non-clinical laboratory studies.

Clinical

GMP

Good Manufacturing Practice. Regulations ensuring products are consistently produced and controlled.

Regulatory

Half-Life

The time required for the plasma concentration of a drug to decrease by half.

Clinical

Hatch-Waxman Act

Legislation establishing the modern framework for generic drug approval and patent term restoration.

Regulatory

HDE

Humanitarian Device Exemption. FDA approval pathway for devices treating conditions affecting fewer than 8,000 patients annually.

Device

ICH

International Council for Harmonisation. Organization developing pharmaceutical regulatory guidelines.

Regulatory

IDE

Investigational Device Exemption. Authorization to conduct clinical trials with an unapproved medical device.

Device

Impurity

Any component of a drug product that is not the active ingredient or an intended excipient.

General

In-Process Control

Checks performed during manufacturing to monitor and ensure product quality.

General

IND

Investigational New Drug. An application to begin human clinical trials.

Regulatory

Indication

The specific disease, condition, or symptom for which a drug is approved for treatment.

Regulatory

Informed Consent

The process of providing participants with information about a clinical trial to enable voluntary participation decisions.

Clinical

Interchangeable Biosimilar

A biosimilar that may be substituted for the reference product without prescriber intervention.

Regulatory

IQ

Installation Qualification. Verification that equipment is properly installed according to specifications.

General

IRB

Institutional Review Board. Committee that reviews and monitors research involving human subjects.

Clinical

ITT

Intent-to-Treat. Analysis including all randomized participants regardless of protocol adherence.

Clinical

Labeling

All written, printed, or graphic material accompanying a drug product, including the package insert.

Regulatory

LASA

Look-Alike Sound-Alike. Drugs with names or appearances that may be confused with other drugs.

Safety

LD50

Lethal Dose 50. The dose that causes death in 50% of test animals, used to measure acute toxicity.

Safety

Lot

A batch of drug product manufactured during a single production cycle with uniform characteristics.

General

MAUDE

Manufacturer and User Facility Device Experience. Database of medical device adverse event reports.

Device

MDR

Medical Device Reporting. Requirements for manufacturers to report device-related adverse events to FDA.

Device

MDUFA

Medical Device User Fee Act. Authorizes FDA to collect fees from medical device manufacturers.

Device

MedWatch

FDA safety information and adverse event reporting program.

Safety

Metabolism

The chemical modification of drugs by the body, primarily in the liver, affecting drug activity and elimination.

Clinical

Monoclonal Antibody

A type of biologic made from identical immune cells, used to target specific proteins in disease treatment.

General

NDA

New Drug Application. Application for FDA approval to market a new drug.

Regulatory

NME

New Molecular Entity. A drug containing an active moiety never before approved by FDA.

Regulatory

Non-Inferiority Trial

A clinical trial designed to show that a new treatment is not worse than an existing treatment by a specified margin.

Clinical

OOS

Out of Specification. Test result falling outside established acceptance criteria.

General

OQ

Operational Qualification. Verification that equipment operates correctly within specified parameters.

General

Orange Book

FDA publication listing approved drug products with therapeutic equivalence evaluations.

Regulatory

Orphan Drug

A drug developed to treat a rare disease affecting fewer than 200,000 people in the US.

Regulatory

OTC

Over-the-Counter. Drugs available without a prescription.

General

PAI

Pre-Approval Inspection. FDA inspection of manufacturing facilities before drug approval.

Regulatory

Paragraph IV Certification

ANDA certification that the generic drug will not infringe valid patents or that patents are invalid.

Regulatory

Patent Term Extension

Extension of patent protection to compensate for time lost during FDA review.

Regulatory

Patient Registry

An organized system collecting clinical data on patients with specific conditions.

Clinical

PDUFA

Prescription Drug User Fee Act. Authorizes FDA to collect fees from drug manufacturers.

Regulatory

Pediatric Exclusivity

Additional six months of marketing exclusivity granted for conducting pediatric studies.

Regulatory

PFS

Progression-Free Survival. Time from treatment to disease progression or death, used as a clinical endpoint.

Clinical

Pharmacodynamics

The study of the biochemical and physiological effects of drugs on the body.

Clinical

Pharmacokinetics

The study of how the body absorbs, distributes, metabolizes, and excretes drugs over time.

Clinical

Pharmacovigilance

The science of monitoring, detecting, and preventing adverse effects of pharmaceutical products.

Safety

Phase I

First stage of clinical trials, testing safety, dosage, and side effects in a small group.

Clinical

Phase II

Second stage of clinical trials, testing efficacy and side effects in a larger group.

Clinical

Phase III

Third stage of clinical trials, confirming efficacy, monitoring side effects, and comparing to standard treatments.

Clinical

Phase IV

Post-marketing studies to gather additional information about risks, benefits, and optimal use.

Clinical

PI

Principal Investigator. The lead researcher responsible for conducting a clinical trial at a site.

Clinical

Placebo

An inactive treatment used as a comparator in clinical trials to measure true drug effects.

Clinical

PMA

Premarket Approval. The FDA process for evaluating Class III medical devices.

Device

PMDA

Pharmaceuticals and Medical Devices Agency. Regulatory agency responsible for drug approval in Japan.

Regulatory

Post-Marketing Surveillance

Ongoing monitoring of drug safety after market approval to detect rare or long-term adverse effects.

Safety

Potency

A measure of drug activity expressed in terms of the amount required to produce a defined effect.

Clinical

PQ

Performance Qualification. Verification that equipment consistently performs as intended under actual conditions.

General

Preclinical Studies

Laboratory and animal studies conducted before human clinical trials to assess safety and activity.

Clinical

Predicate Device

A legally marketed device to which a new device is compared in a 510(k) submission.

Device

Priority Review

FDA designation for drugs that offer significant improvements in treatment, diagnosis, or prevention.

Regulatory

PRO

Patient-Reported Outcome. Health outcomes reported directly by patients without interpretation.

Clinical

Process Validation

Documented evidence that a manufacturing process consistently produces product meeting specifications.

General

Protocol

A detailed plan describing the objectives, design, methodology, and analysis of a clinical trial.

Clinical

QA

Quality Assurance. Systematic activities ensuring quality requirements are fulfilled.

General

QbD

Quality by Design. Systematic approach to pharmaceutical development emphasizing understanding of product and process.

General

QC

Quality Control. Testing and verification activities ensuring products meet specifications.

General

QIDP

Qualified Infectious Disease Product. Designation for antibacterial or antifungal drugs providing additional incentives.

Regulatory

QMS

Quality Management System. Organizational structure and processes ensuring consistent quality.

General

RAMP

Risk Assessment and Mitigation Planning. Process for identifying and managing drug development risks.

Safety

Randomization

The process of assigning clinical trial participants to treatment groups by chance.

Clinical

RCT

Randomized Controlled Trial. A clinical trial with random assignment to treatment or control groups.

Clinical

Recall

Action to remove or correct a marketed product that violates FDA regulations.

Safety

Reference Listed Drug

The approved drug product to which generic versions are compared for bioequivalence.

Regulatory

REMS

Risk Evaluation and Mitigation Strategy. A drug safety program required by FDA.

Safety

Repackaging

The act of placing a drug product into a different container without altering the drug.

General

Right of Reference

Authorization to rely on another party's data in a regulatory submission.

Regulatory

Risk-Benefit Analysis

Evaluation comparing potential benefits of a treatment against its potential risks.

Safety

RTR

Real-Time Release. Testing approach using process data to release batches without traditional end-product testing.

General

SAE

Serious Adverse Event. An adverse event resulting in death, hospitalization, disability, or other serious outcomes.

Safety

Scale-Up

The process of increasing batch size from laboratory or pilot scale to commercial production.

General

Shelf Life

The period during which a drug product remains within approved specifications under stated storage conditions.

General

Side Effect

Any effect of a drug other than the intended therapeutic effect, whether harmful or not.

Safety

SMQ

Standardised MedDRA Query. Grouping of related medical terms for safety analysis.

Safety

SNDA

Supplemental New Drug Application. Application to modify an existing approved NDA.

Regulatory

SOP

Standard Operating Procedure. Written instructions describing how to perform specific tasks.

General

Specification

A list of tests, references to analytical procedures, and acceptance criteria for a product.

General

Sponsor

The entity responsible for initiating, managing, and financing a clinical trial or drug application.

Clinical

Stability Study

Testing to determine how drug quality varies over time under different environmental conditions.

General

Statistical Significance

A result unlikely to have occurred by chance alone, typically p < 0.05.

Clinical

Substantial Equivalence

The standard for 510(k) clearance showing a device is as safe and effective as a predicate.

Device

Superiority Trial

A clinical trial designed to show that a new treatment is better than an existing treatment.

Clinical

Surrogate Endpoint

A biomarker intended to substitute for a clinical endpoint in assessing treatment benefit.

Clinical

SUSAR

Suspected Unexpected Serious Adverse Reaction. A serious adverse reaction not listed in product information.

Safety

Therapeutic Equivalence

Drug products that are pharmaceutical equivalents and can be expected to have the same clinical effect.

Regulatory

Therapeutic Index

The ratio between the toxic dose and therapeutic dose of a drug, indicating its safety margin.

Safety

Tmax

Time to Maximum Concentration. The time required to reach peak plasma drug concentration.

Clinical

Toxicology

The study of adverse effects of drugs and chemicals on living organisms.

Safety

UDI

Unique Device Identification. System for identifying medical devices through distribution and use.

Device

USP

United States Pharmacopeia. Organization setting standards for medicines.

General

Validation

Documented evidence that a process, system, or method consistently produces expected results.

General

Warning Letter

FDA official correspondence notifying a company of significant regulatory violations.

Regulatory

Washout Period

Time between treatment phases in a clinical trial allowing prior drug effects to dissipate.

Clinical