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Capability Domain
Navigate ICH guidelines, FDA guidance documents, EMA EPARs, and global regulatory requirements. Find the exact section you need without wading through hundreds of pages of regulatory text.
Regulatory intelligence answers: what does the guidance say, and how does it apply to this situation? NexVigilant indexes the authoritative sources — ICH, FDA, EMA, CIOMS — and extracts the specific provisions relevant to your question.
The International Council for Harmonisation (ICH) guidelines are organized into four topic areas. Each letter represents a domain; the number represents the specific guideline within that domain.
E — Efficacy
E2A (expedited reporting), E2B (ICSR format), E2E (pharmacovigilance planning), E6 (GCP)
S — Safety
S1 (carcinogenicity), S2 (genotoxicity), S7 (pharmacology studies), S9 (oncology)
Q — Quality
Q8 (pharmaceutical development), Q9 (quality risk management), Q10 (pharmaceutical QS)
M — Multidisciplinary
M1 (MedDRA), M4 (CTD structure), M7 (mutagenic impurities), M8 (eCTD)
| Guideline | Topic | Key Requirement |
|---|---|---|
| E2A | Expedited Reporting | 7-day for fatal/life-threatening, 15-day for serious unexpected ICSRs |
| E2B(R3) | ICSR Data Elements | ICH ICSR format, 195 data elements, HL7 FHIR-aligned |
| E2C(R2) | PBRER | Periodic Benefit-Risk Evaluation Report structure and content |
| E2D | Post-Approval Reporting | Definitions, case processing, minimum dataset requirements |
| E2E | PV Planning | Risk characterization, pharmacoepidemiological studies, RMP planning |
| E2F | DSUR | Development Safety Update Report — annual aggregate for trials |
FDA guidance documents provide FDA's current thinking on regulatory topics. They are organized by product type, therapeutic area, and regulatory activity. NexVigilant enables full-text search across FDA guidance with semantic query support.
Safety Reporting
IND safety, postmarket surveillance, MedWatch 3500A
REMS
Risk Evaluation and Mitigation Strategies design and assessment
Labeling
Prescribing information, boxed warning criteria (21 CFR 201.57)
Pharmacoepidemiology
RWD studies, BEST framework, Sentinel System use
Drug-Drug Interactions
In vitro/in vivo studies, labeling recommendations
Benefit-Risk
Structured approach for NDA/BLA review and approval decisions
European Public Assessment Reports (EPARs) document EMA's scientific conclusions for approved medicines, including benefit-risk assessment summaries and PRAC recommendations. CIOMS (Council for International Organizations of Medical Sciences) forms provide the international standard for individual case safety reporting.
EMA EPAR
CIOMS Forms
ICH Guideline Search
Full-text search across E2A, E2B, E2C, E2D, E2E, E2F, PBRER structure, DSUR content requirements
Regulatory Primitives
Structured extraction of deadlines, definitions, and requirements from FDA, EMA, and PMDA sources
4 Authoritative Sources
ICH.org guidelines, FDA.gov guidance library, EMA EPAR database, CIOMS reports — all indexed live
Data Sources
Connect your AI agent to mcp.nexvigilant.com and query ICH, FDA, and EMA sources in a single natural-language call.