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Schedule Z of the Drugs & Cosmetics Act for ASU Drugs

  • Schedule Z outlines regulatory requirements for conducting clinical trials on Ayurvedic, Siddha, and Unani (ASU) medicines to ensure their safety, efficacy, and therapeutic value through systematic research.

Purpose and Scope

  • Introduced to promote scientifically validated clinical studies on ASU drugs.

  • Ensures standardized protocols for evaluating safety, efficacy, and therapeutic benefits.

Key Guidelines Under Schedule Z

A) Clinical Trial Protocols

  • Must follow scientifically accepted methodologies and ethical standards.

  • Protocols should define objectives, patient selection criteria, dosage, study duration, outcome measures, and evaluation criteria.

B) Ethical Clearance

  • Trials must be reviewed and approved by Institutional Ethics Committees (IEC) registered with the Ministry of AYUSH or other competent authorities.

C) Informed Consent

  • Written informed consent is mandatory for all participants.

  • Participants must be informed about the trial objectives, potential benefits, risks, and procedures.

D) Clinical Trial Phases (for ASU drugs)

  • Schedule Z classifies trials into four phases, similar to modern medicine trials:

1) Phase I (Safety Assessment)

  • Tests safety, tolerability, and dosage in a small group of healthy volunteers.

2) Phase II (Exploratory/Preliminary Efficacy)

  • Evaluates therapeutic efficacy, optimal dosage, and preliminary safety in patients.

3) Phase III (Confirmatory Trials)

  • Conducted on a larger patient population to confirm safety and effectiveness.

4) Phase IV (Post-Marketing Surveillance)

  • Monitors long-term effects, rare adverse reactions, and real-world effectiveness.

E) Documentation and Reporting

  • Detailed documentation of trial procedures, observations, results, and adverse reactions.

  • Clinical trial data must be submitted to regulatory authorities for approval and registration


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