Thursday, June 25, 2026

Regulatory Reference

eCTD Structure Guide

Common Technical Document (CTD) modules 1–5 as used in electronic submissions (eCTD) to FDA and EMA — folder logic, regional differences, and validation expectations.

CTD vs eCTD

The CTD is the ICH-organized content structure for marketing applications. The eCTD is the electronic implementation: XML backbone, leaf attributes, lifecycle operations (new, replace, delete), and regional validation rules.

NDAs, BLAs, ANDAs, and major supplements are filed in eCTD format for FDA. EMA centralized procedures use eCTD via the Common European Submission Platform (CESP).

Modules 1–5 overview

M1

Module 1 — Regional administrative

Scope: Region-specific forms, labeling, patent/certification (US), application forms (EU)

Examples: FDA forms, SPL labeling, environmental assessment, REMS (US); application form, SmPC, artwork (EU)

M2

Module 2 — Common technical document summaries

Scope: Overviews and summaries across quality, nonclinical, and clinical

Examples: 2.2 QOS, 2.3–2.7 quality/nonclinical/clinical overviews and written summaries

M3

Module 3 — Quality (CMC)

Scope: Drug substance, drug product, facilities, appendices

Examples: 3.2.S API, 3.2.P drug product, 3.2.A appendices, 3.2.R regional info

M4

Module 4 — Nonclinical study reports

Scope: Pharmacology, PK, toxicology study reports and literature

Examples: 4.2.1 primary pharmacodynamics, 4.2.3 toxicology, 4.3 literature references

M5

Module 5 — Clinical study reports

Scope: Clinical efficacy and safety reports, synopses, datasets

Examples: 5.2 study reports, 5.3 literature, ISS/ISE summaries in 2.7

Module 1 — US vs EU

Element FDA (US) EMA (EU)
Application form Form FDA 356h and regional forms EU application form per procedure type
Labeling US Prescribing Information (SPL) SmPC, labeling, mock-ups, specimens
Patents / exclusivity Orange Book certifications, exclusivity claims IP and data exclusivity statements per EU law
Risk management REMS (when required) RMP (Risk Management Plan)

Leaf titles, STF & validation

  • Leaf title — each document node carries a controlled title (e.g. 3.2.P.1 Description) in the eCTD backbone
  • Study Tagging Files (STF) — XML wrappers linking nonclinical and clinical study reports in Modules 4 and 5
  • Technical validation — FDA eCTD validation criteria (file naming, PDF versions, bookmarks, hyperlinks) before submission gateway acceptance
  • Lifecycle — submissions are sequences; supplements append or replace prior leaves with operation attributes

Frequently asked questions

Modules 2–5 follow ICH CTD structure and are largely common across regions. Module 1 is region-specific — FDA and EMA each define their own Module 1 granularity and required forms.
Full study reports and synopses are filed in Module 5. Integrated summaries (ISS/ISE) appear in Module 2.7. Study Tagging Files associate each report with study identifiers for reviewer navigation.

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