i

DiaD:' No: 25038 I F. No 12-117(13-DC (Phasu-II/III) Tele No.Oll-23236965

Date. 12.08.2016 Government of India Fax.No.Oll-23236973

Directorate General of Health Services Central Drugs Standard Control Organization

FDA Bhawan, New Delhi - 110002 (India) New Drugs Division

Dated: 2.'1-0 L -:2d f:f-To M j s Cadila Pharmaceu ticals Ltd.,

1389, Trasad Road, Dholka New Delhi-110001 --...........

Subject: Permission for conducting clinical study entitled, "Prospective, randomized, double blinded, parallel group, multicentric, comparative clinical study to compare efficacy and safety of oral CPL-2009-0031 of Cadila Pharmaceutical Limited, India against innovator Sitagliptin in patients with Uncontrolled .Type-Il Diabetes Mellitus (T2DM)" - regarding.

CT NOC No. CT/ND/39/2017

Reference: Your application no. CPLjRAj 11-01-0816 dated iTQ8.20 16 0tUP~­subject mentioned above.

Sir,

This Directorate. has no objection to your conducting the subject mentioned clinical trial as per the provisions of Drugs & Cosmetics Rules under supervision of the following investigators and as per the Study No: CRSC16002,' Version No: OS, Dated 20.03.2017 submitted to this Directorate.

Investigator and Trial site Ethics Committee Name and Registration Number

S.No

1. Ethics Committee, Apollo Hospitals Apollo Hospital International Dr. Ramesh Goyal

International Limited, Bhat, GIDC limited, Plot-1A, Bhat, GIDC Estate, Gandhinagar - 382 428, Estate, Gandhinagar-302 428, Gujarat, India. Gujarat, India ECR/30/Inst/GJ/2013

2. Institutional Ethics Committee (IEC)Dr. Abhay Kumar Sahoo

Institute of Medical Sciences (IMS) &Institute of medical Science

Sum Hospital, SCO'A University, K8,and SUM Hospital, Kalinga

Kalinga Nagar, Bhubaneswar-Nagar, Bhubneshwar-751003

751003, Odisha, India.Odisha, India

ECR/627/Inst/OR/2014 Dr. Navneet Shah3. Institutional Ethics Committee, Sterling Hospital, sterling Sterling Hospital, 8 th Floor, sterling Hospital Road, Memnagar, Hospital Road, Memnagar, Ahmedabad-3800 52 Gujarat, Ahmedabad 380052, Gujarat. India ECR/582/Inst/GJ/2014

4. Ethics Committee. NRS medicalDr. Pranab Kumar college and hospital. 138, A.J.CNRS medical College and Bose Road, Kolkata-700014.hospital, 138,A.J.C Bose ECR/609/Inst/WB/2014Road, Kolkata-700 014

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5. Dr. Bhaskar B Harshe Poona Hospital and Research Centre, 27 , Sadashiv Peth, Pune-411 030, India

Dr. Surendra Kumar6. S.P medical College and PBM Ho spital, Bikaner, Rajasthan­334003

7 . Dr. Shrikant V Deshpande Ashirwad Hospital & Research Centre, Maratha se c tion , Near J ijamata Udyan Ulhasnagar­421004 Mumbai

lEC of Poona Hospital and Research Centre. Poona Hospital andResearch Centre. 27, Sadashiv Peth, Pune-411 030. India. ECRj24/InstjMahaj2013 Institutional Ethics Committee.S.P. Medical College a n d Hospital. Bikaner. Rajasthan. ECRj27 jSP /InstjRajj2013

Ashirwad Ethics Committee, Ashirwad hospital and research center, Maratha Sec tion . Near Jijamata Udyan. Ulhasnagar­421004. Mumbai. ECRj247jInstjMHj2013

8 . Dr. Deepak Khandelwal In stitu tional Eth ics Committee, Maharaj a Agrasen Hospital , Maharaj a Agrasen Hospital, West Punjab Bagh, New Delhi- Punjabi Bagh. New Delhi-110026. 110026 ECRj745jInstjDLj2015

Kindly note that the clinical trial permission is subject to the following conditions:­

a) Clin ical trial shall be conducted in compliance with the a p proved protocol s , require ments of Sc hedu le Y, Good Clinical "Practice Guidelines is su ed by this Directorate and other applicable regulations .

b) Approval of Institu tional Ethics Committee duly registered with CD SCO (under Rule 12200 of Drugs & Cosmetics Rules) should be obtained and submitted to this Directorate before initiation of the study.

c ) Clinical trials shall be re gistered at Clinical tri al s Registry of India before enrolling the first patient for the study.

d) Annual status re port of each clinical trial, as to whether it is ongoing, co m ple te d or terminated, shall be submitted to the Licensing Authority , a n d in case of termination of any clinical tri al the detailed reasons for the same shall be communicated to the said Licensing Au thority.

e) Any report of se riou s adverse eve n t occurrin g during clinical trial study to the su bject, after due analys is, shall be forwarded within fourteen days of its occurrence a s per Appendix Xl a nd in compliance with the procedures prescribed in Sc he du le Y. .

n In case of an injury or death during the study to the subjects, the applica n t shall provide complete m edical management a n d compensation in the case of trial related injury or de ath in accorda nce with rule 122 DAB a n d the procedures pre scribed under Schedule Y, and the details of compensation provided in such cases s hall be intimated to the Licensing Authority within thirty days of the receipt of the order of the said au thor ity .

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F . No. 12-117/ 13-DC (Phase II/III) CT NOC No: CT/ND/39/2017

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g) The premises of Sponsor including their employees, subsidiaries and branches, their agents, contractors and sub-contractors and clinical trial study sites shall be open to inspection by the officers authorized by the Central Drugs Standard Control Organization, who may be accompanied by an officer of the State Drug Control Authority concerned, to verify compliance to the requirements of Schedule Y, Good Clinical Practices guidelines for conduct of clinical trial in India and other applicable regulations.

h) The Sponsor including their employees, subsidiaries and branches, their" agents , contractors and sub-contractors and clinical trial study sites and the Investigator shall allow officers authorized by the Central Drugs Standard Control Organization, who may be accompanied by an officer of the State Drug Control Authority concerned, to enter with or without prior notice, any premises of Sponsor including their employees, subsidiaries and branches, their agents, contractors and sub-contractors and clinical trial sites to inspect, search and seize any record, data, document, books, investigational drugs, etc . related to clinical trial and provide adequate replies to any queries raised by the inspecting au thority in relation to the conduct of clinical trial.

i) Clinical trial shall be conducted only at those sites which are institutes/hospitals having adequate emergency facilities and duly registered Institutional Ethics committees.

j) The sponsor shall ensure that the number of clinical trials an investigator can undertake should be commensurate with the nature of the trial, facility available with the Investigator etc .

k) The details of payment/hononirium/financial support/fees paid by the Sponsor to the Investigator(s) for conducting the study shall be made available to this directorate before initiation of each of the trial sites.

I) In addition to the requirement of obtaining written info rmed consen t , an audio~video recording of the informed consent process in case of vulnerable subjects in clinical trial of New Chemical Entity or New Molecular Entity including procedure of providing information to -the subject and his u nde rs tan d in g on such consent. shall be maintained by the investigator for record; provided that in case of clinical trial of anti-HIV and anti-leprosy drugs. only audio recording of the informed consent process of individual su bject including the procedure of providing information to the subject and his understanding on such consent shall be maintained by the investigator for record, as per Government of India. Gazette Notification vide G. S. R. no . 61.l(EI dated 31.07 .2015.

m) The bulk drug to be used in manufacturing of finished formulation intended to be used in the clinical trial and clinical trial batches of finished formulation shall be manufactured under GMP conditions using validated procedures and shall have ongoing stability programme.

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n) If the clinical trial batches are different from that of the primary batches for which data have been submitted, stability reports for clinical trial batches are to be submitted as per Appendix IX of schedule Y of drugs and Cosmetics Rules for Dru& substances and formule;ttion along with Clinical study Report. ­

0) It may kindly be noted that merely granting permission to conduct clinical trials with the drug does not conveyor imply that based on the clinical trial data generated with the drug, permission to market this drug in the country will automatically be granted to you.

p) Firm shall conduct repeat dose toxicity study in non-rodent species equivalent to exposure time' of the Phase II clinical trial and female reproduction and developmental toxicity studies as per Appendix-III of Schedule Y and submit report to DCG(I) office before initiation of Phase-If clinical trial.

Yours faithfully,

. . (Dr. G~Slngh) Drugs C,?ntroller General (India)

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