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Health Canada Implements ICH Pharmaceutical Guidelines

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Summary

Health Canada is implementing new International Council for Harmonisation (ICH) guidelines for pharmaceuticals, including M13A and Q12/Q14. These implemented ICH guidelines will take precedence over existing Health Canada guidance documents where discrepancies exist, potentially leading to amendments or withdrawals of current guidance.

What changed

Health Canada has announced the implementation of several International Council for Harmonisation (ICH) guidelines, including M13A (Bioequivalence for Immediate-Release Solid Oral Dosage Forms) and Q12/Q14 (Pharmaceutical Product Lifecycle Management and Analytical Procedure Development). These implemented guidelines will take precedence over existing Health Canada guidance documents where inconsistencies are found. This initiative is part of Canada's commitment to international harmonisation in pharmaceutical regulation.

Pharmaceutical manufacturers and related entities must be aware that these new ICH guidelines will supersede conflicting Health Canada guidance. Health Canada will publish explanatory notices and may amend or withdraw existing guidance documents to align with the ICH standards. Companies should review their current practices and documentation to ensure compliance with the newly implemented ICH guidelines, particularly concerning bioequivalence and product lifecycle management. Specific implementation dates are noted as December 27, 2025, for M13A and January 12, 2026, for Q12/Q14.

What to do next

  1. Review implemented ICH guidelines M13A, Q12, and Q14 for impact on current practices.
  2. Identify and address any discrepancies between existing Health Canada guidance and the new ICH guidelines.
  3. Monitor for forthcoming explanatory notices from Health Canada regarding amendments or withdrawals of existing guidance documents.

Source document (simplified)

International Council for Harmonisation (ICH)

Guidelines: (Efficacy, Multidisciplinary, Quality, Safety)

On this page:

Information on ICH guidelines implemented by Health Canada

The tables below outline the International Council for Harmonisation of Technical Requirements of Pharmaceuticals for Human Use (ICH) guideline(s) implemented by Health Canada. These guidelines have been developed by the appropriate ICH Expert Working Groups and have been subject to consultation by the regulatory parties, in accordance with the ICH Process. The ICH Assembly has endorsed the final draft and recommended its implementation by the membership of ICH.

In implementing these ICH guidelines, Health Canada endorses the principles and practices described therein. Please note that the ICH website is only available in English. If you would like to request a copy of the French version of the document, please contact the HPFB ICH inbox.

It is recognized that the scope and subject matter of current Health Canada guidance documents may not be entirely consistent with those of the ICH guidelines that are being introduced as part of our commitment to international harmonisation and the ICH Process. In such circumstances, Health Canada-implemented ICH guidelines take precedence.

Health Canada is committed to eliminating such discrepancies and will publish explanatory notices for stakeholders, where applicable. This will result in the amendment or, depending on the extent of revisions required, withdrawal of some Health Canada guidance documents.

Should you have any questions or comments regarding the contents of the ICH guidelines, please contact:

Health Canada - ICH Coordinator
E-mail: ich@hc-sc.gc.ca

Recently finalised ICH guidelines

This table lists ICH guidelines that have recently been finalised at ICH and are either pending implementation or have been implemented by Health Canada in the last 12 months

| Document | Type of Notice | File Number | Additional Notes |
| --- | --- | --- | --- |
| M13A Implementation: Bioequivalence for Immediate-Release Solid Oral Dosage Forms | Notice | 25-102237-854 | This guideline was implemented on December 27, 2025 |
| Q12: Technical and Regulatory Considerations for Pharmaceutical Product Lifecycle Management | Notice | 25-105890 – 674 | Interim implementation January 12, 2026. |
| Q14: Analytical Procedure Development | Notice | 25-105890 – 674 | This guideline was implemented on January 12, 2026 |
| M14: General Principles on Planning, Designing, Analyzing, and Reporting of Non-interventional Studies That Utilize Real-World Data for Safety Assessment of Medicines | Step 4 - Final Guideline | 25-108149 - 635 | This guideline was implemented on January 12, 2026 |
| E2D(R1): Post-Approval Safety Data Management: Definitions and Standards for Expedited Reporting | Step 4 - Final Guideline | 25-108149 - 635 | This guideline was implemented on January 12, 2026 |
| E6(R3): Good Clinical Practice | Notice | 25-105890 – 674 | Implementation targeted April 1, 2026. |
| E11A: Paediatric Extrapolation | Step 4 - Final Guideline | 25-105890 – 674 | This guideline was implemented on October 17, 2025 |
| Q2(R2): Revision to Analytical Validation | Step 4 - Final Guideline | 25-105890 – 674 | This guideline was implemented on October 17, 2025 |
| Q13: Continuous Manufacturing of Drug Substances and Drug Products | Step 4 - Final Guideline | 25-102237-854 | This guideline was implemented on June 27, 2025 |
| Q5A(R2): Viral Safety Evaluation of Biotechnology Products Derived from Cell Lines of Human or Animal Origin | Step 4 - Final Guideline | 25-102237-854 | This guideline was implemented on June 27, 2025 |
| Q3C(R9): Impurities: Residual Solvents | Step 4 - Final Guideline | 25-102237-854 | This guideline was implemented on June 27, 2025 |

Efficacy guidelines

| Documents and Links | Implementation Date | File Number |
| --- | --- | --- |
| E1: The Extent of Population Exposure to Assess Clinical Safety for Drugs Intended for Long-Term Treatment of Non-Life-Threatening Conditions | 1995/06/01 | H42-2/67-7-1995E |
| E2A: Clinical Safety Data Management: Definitions and Standards for Expedited Reporting
E2A: Reminder for Sponsors | 1995/06/01
2012/08/21 | H42-2/67-8-1995E
12-113569-723 |
| E2B(R3): Clinical Safety Data Management: Data Elements for Transmission of Individual Case Safety Reports (ICSRs) | In the process of implementation | H164-33/2018E-PDF |
| E2B(R3): Q&A - Clinical Safety Data Management: Data Elements for Transmission of Individual Case Safety Reports | In the process of implementation | H164-33/2018E-PDF |
| E2C(R2): Guideline - Periodic Benefit-Risk Evaluation Report (PBRER)
E2C(R2): Health Canada Notice | 2010/11/29
2013/04/09 | 10-123674-389
13-105055-393 |
| E2C(R2): Q&A - Periodic Benefit-Risk Evaluation Report | 2013/04/09 | 13-105055-393 |
| E2D(R1): Post-Approval Safety Data Management: Definitions and Standards for Expedited Reporting | 2026/01/12 | 25-108149 - 635 |
| E2E: Pharmacovigilance Planning | 2009/02/16 | 09-103644-626 |
| E2F: Development Safety Update Report
E2F: Check list for Submitting Requested Development Safety Update Reports (DSUR) in Electronic Format | 2012/12/20
N/A | 12-122199-139
N/A |
| E3: Guideline - Structure and Content of Clinical Study Reports | 1997/05/20 | H42-2/67-10-1996E |
| E3: Q&A(R1) - Structure and Content of Clinical Study Reports | 2015/12/18 | 15-113539-305 |
| E4: Dose-Response Information to Support Drug Registration | 1994/10/01 | H42-2/67-4-1994E |
| E5(R1): Guideline - Ethnic Factors in the Acceptability of Foreign Clinical Data | 2015/12/18 | 15-113552-719 |
| E5: Q&A(R1) - Ethnic Factors in the Acceptability of Foreign Clinical Data | 2016/01/04 | 15-113559-530 |
| E6(R3): Good Clinical Practice | 2025/09/15 | 25-105890 – 674 |
| E7: Guideline - Studies in Support of Special Populations: Geriatrics | 1994/10/01 | H42-2/67-1-1994E |
| E7: Q&A - Studies in Support of Special Populations: Geriatrics | 2015/06/16 | 15-107057-839 |
| E8(R1): General Considerations for Clinical Studies | 2022/01/14 | 21-121043-747 |
| E9: Statistical Principles for Clinical Trials | 2003/02/10 | 03-102451-780 |
| E9(R1): Addendum - Statistical Principles for Clinical Trials | 2020/07/21 | 20-109237-45 |
| E10: Choice of Control Groups and Related Issues in Clinical Trials | 2001/06/02 | 11-112316-337 |
| E11(R1): Addendum - Clinical Investigation of Medicinal Products in the Pediatric Population | 2018/04/05 | 18-103371-955 |
| E11A: Paediatric Extrapolation | 2025/10/17 | 25-105890 – 674 |
| E14: Guideline - The Clinical Evaluation of QT/QTc Interval Prolongation and Proarrhythmic Potential for Non-Antiarrhythmic Drugs | 2006/04/05 | 06-106861-656 |
| E14/S7B: Questions & Answers - Clinical and Nonclinical Evaluation of QT/QTc Interval Prolongation and Proarrhythmic Potential | 2022/06/10 | 22-105019-395 |
| E14/S7B: Health Canada Q&A Document Regarding ICH S7B and E14 Guidelines | 2006/11/30 | 06-124711-745 |
| E15: Definitions for Genomic Biomarkers, Pharmacogenomics, Pharmacogenetics, Genomic Data and Sample Coding Categories | 2008/08/13 | 08-119122-123 |
| E16: Biomarkers Related to Drug or Biotechnology Product Development: Context, Structure and Format of Qualification Submissions | 2016/01/08 | 15-113833-472 |
| E17: General Principles for Planning and Design of Multi-Regional Clinical Trials | 2019/04/12 | 19-105427-311 |
| E18: Genomic Sampling and Management of Genomic Data | 2018/04/26 | 18-104323-973 |
| E19: A Selective Approach to Safety Data Collection in Specific Late Stage Pre-approval or Post-approval Clinical Trials | 2023/12/21 | 23-111286-769 |
| E19: Health Canada Notice | 2023/12/21
Updated: 2024/02/27 | 24-100744 - 309 |

Multidisciplinary guidelines

| Documents and Links | Implementation Date | File Number |
| --- | --- | --- |
| M1: MedDRA (Medical Dictionary for Regulatory Activities)

Health Canada MedDRA webpage | 2008/01/01 | N/A |
| M2: Electronic Standards for the Transfer of Regulatory Information (ESTRI) | N/A | N/A |
| M3(R2): Guideline - Guidance on Nonclinical Safety Studies for the Conduct of Human Clinical Trials and Marketing Authorization for Pharmaceuticals | 2016/01/21 | 15-113976-375 |
| M3(R2): Q&A(R2) - Guidance on Nonclinical Safety Studies for the Conduct of Human Clinical Trials and Marketing Authorization for Pharmaceuticals | 2016/01/21 | 15-113993-89 |
| M4: Common Technical Document (CTD)

Health Canada CTD webpage | 2012/06/23 | 12-110850-902 |
| M7(R1): Assessment and Control of DNA Reactive (Mutagenic) Impurities in Pharmaceuticals to Limit Potential Carcinogenic Risk | 2018/01/19 | 18-100716-962 |
| M7(R2): Assessment and Control of DNA Reactive (Mutagenic) Impurities in Pharmaceuticals to Limit Potential Carcinogenic Risk | 2023/09/29 | 23-105639-669 |
| M7(R2): Questions & Answers - Assessment and Control of DNA Reactive (Mutagenic) Impurities in Pharmaceuticals to Limit Potential Carcinogenic Risk | 2023/09/29 | 23-105639-669 |
| M8: Electronic Common Technical Document (eCTD) - v4.0

Health Canada eCTD webpage | N/A | In the process of implementation |
| M9: Guideline - Biopharmaceutics Classification System-based Biowaivers | 2020/08/26 | 20-109235-116 |
| M9: Q&A - Biopharmaceutics Classification System-based Biowaivers | 2020/08/26 | 20-109235-116 |
| M9: Evaluation Template | N/A | N/A |
| M10: Bioanalytical Method Validation and Study Sample Analysis | 2023/01/20 | 22-108195-929 |
| M10: Questions & Answers - Bioanalytical Method Validation and Study Sample Analysis | 2023/01/20 | 22-108195-929 |
| M12: Drug Interaction Studies

M12 Questions and Answers | 2024/12/20 | 24-110987-619 |
| M13A: Bioequivalence for Immediate-Release Solid Oral Dosage Forms | 2025/12/27 | 25-102237-854 |
| M14: General Principles on Planning, Designing, Analyzing, and Reporting of Non-interventional Studies That Utilize Real-World Data for Safety Assessment of Medicines | 2026/01/12 | 25-108149 - 635 |

Quality guidelines

| Documents and Links | Implementation Date | File Number |
| --- | --- | --- |
| Q1A(R2): Guideline - Stability Testing of New Drug Substances and Products | 2003/09/25 | 03-118437-914 |
| Q1B: Guideline - Stability Testing: Photostability Testing of New Drug Substances and Products | 1999/02/12 | H42-2/77-1998E |
| Q1C: Guideline - Stability Testing: Requirements for New Dosage Forms | 1999/01/18 | H42-2/78-1998E |
| Q1D: Guideline - Bracketing and Matrixing Designs for Stability Testing of New Drug Substances and Products | 2003/09/25 | 03-118449-498 |
| Q1E: Guideline - Evaluation of Stability Data | 2003/09/25 | 03-118451-122 |
| Q2(R2): Revision to Analytical Validation | 2025/10/17 | 25-105890 – 674 |
| Q3A(R2): Guideline - Impurities in New Drug Substances | 2015/06/05 | 15-106606-354 |
| Q3B(R2): Guideline - Impurities in New Drug Products | 2015/06/15 | 15-106634-508 |
| Q3C(R9): Guideline - Impurities: Guideline for Residual Solvents | 2025/06/27 | 25-102237-854 |
| Q3D(R2): Revision of Q3D(R1) for cutaneous and transdermal products | 2022/08/29 | 22-105313-723 |
| Q4B: Guideline - Evaluation and Recommendation of Pharmacopoeial Texts for Use in the ICH Regions | 2010/09/29 | 10-120634-491 |
| Q4B: Annex 1(R1) - Evaluation and Recommendation of Pharmacopoeial Texts for Use in the ICH Regions on Residue on Ignition/Sulphated Ash General Chapter | 2010/10/13 | 10-121155-764 |
| Q4B: Annex 2(R1) - Evaluation and Recommendation of Pharmacopoeial Texts for Use in the ICH Regions on Test for Extractable Volume of Parenteral Preparations General Chapter | 2010/10/13 | 10-121172-973 |
| Q4B: Annex 3(R1) - Evaluation and Recommendation of Pharmacopoeial Texts for Use in the ICH Regions on Test for Particulate Contamination: Sub-Visible Particles General Chapter | 2010/10/26 | 10-121191-626 |
| Q4B: Annex 4A(R1) - Evaluation and Recommendation of Pharmacopoeial Texts for Use in the ICH Regions on Microbiological Examination of Non-Sterile Products: Microbial Enumeration Tests General Chapter | 2010/10/13 | 10-121518-692 |
| Q4B: Annex 4B(R1) - Evaluation and Recommendation of Pharmacopoeial Texts for Use in the ICH Regions on Microbiological Examination of Non-Sterile Products: Tests for Specified Micro-organisms General Chapter | 2010/10/18 | 10-121745-378 |
| Q4B: Annex 4C(R1) - Evaluation and Recommendation of Pharmacopoeial Texts for Use in the ICH Regions on Microbiological Examination of Non-Sterile Products: Acceptance Criteria for Pharmaceutical Preparations and Substances for Pharmaceutical Use General Chapter | 2010/10/20 | 10-121780-106 |
| Q4B: Annex 5(R1) - Evaluation and Recommendation of Pharmacopoeial Texts for Use in the ICH Regions on Disintegration Test General Chapter | 2010/10/22 | 10-121831-758 |
| Q4B: Annex 6 - Evaluation and Recommendation of Pharmacopoeial Texts for Use in the ICH Regions on Uniformity of Dosage Units General Chapter | 2015/05/29 | 15-106278-499 |
| Q4B: Annex 7(R2) - Evaluation and Recommendation of Pharmacopoeial Texts for Use in the ICH Regions on Dissolution Test General Chapter | 2010/10/22 | 10-121855-881 |
| Q4B: Annex 8(R1) - Evaluation and Recommendation of Pharmacopoeial Texts for Use in the ICH Regions on Sterility Test General Chapter | 2010/10/26 | 10-121878-840 |
| Q4B: Annex 9(R1) - Evaluation and Recommendation of Pharmacopoeial Texts for Use in the ICH Regions on Tablet Friability General Chapter | 2010/10/26 | 10-121949-582 |
| Q4B: Annex 10(R1) - Evaluation and Recommendation of Pharmacopoeial Texts for Use in the ICH Regions on Polyacrylamide Gel Electrophoresis General Chapter | 2010/10/26 | 10-122178-463 |
| Q4B: Annex 11 - Evaluation and Recommendation of Pharmacopoeial Texts for Use in the ICH Regions on Capillary Electrophoresis General Chapter | 2015/05/29 | 15-106291-302 |
| Q4B: Annex 12 – Evaluation and Recommendation of Pharmacopoeial Texts for Use in the ICH Regions on Analytical Sieving General Chapter | 2015/06/03 | 15-106304-540 |
| Q4B: Annex 13 - Evaluation and Recommendation of Pharmacopoeial Texts for Use in the ICH Regions on Bulk Density and Tapped Density of Powders General Chapter | 2015/05/29 | 15-106311-850 |
| Q5A(R2): Viral Safety Evaluation of Biotechnology Products Derived from Cell Lines of Human or Animal Origin | 2025/06/27 | 25-102237-854 |
| Q5A(R1): Guideline - Viral Safety Evaluation of Biotechnology Products Derived from Cell Lines of Human or Animal Origin | 2011/01/05 | H42-2/67-18-2000E |
| Q5B: Guideline - Quality of Biotechnological Products: Analysis of the Expression Construct in Cells used for Production of R-DNA Derived Protein Products | 2001/01/05 | H42-2/67-19-2000E |
| Q5C: Guideline - Quality of Biotechnological Products: Stability Testing of Biotechnological/ Biological Products | 2001/01/05 | H42-2/67-20-2000E |
| Q5D: Guideline - Derivation and Characterisation of Cell Substrates Used for Production of Biotechnological/ Biological Products | 2001/01/05 | H42-2/67-21-2000E |
| Q5E: Guideline - Comparability of Biotechnological/Biological Products Subject to Changes in their Manufacturing Process | 2015/06/15 | 15-107053-353 |
| Q6A: Guideline - Specifications: Test Procedures and Acceptance Criteria for New Drug Substances and New Drug Products: Chemical Substances | 2016/01/29 | 16-100136-12 |
| Q6B: Guideline - Specifications: Test Procedures and Acceptance Criteria for Biotechnological/Biological Products | 2001/12/20 | 01-118655-734 |
| Q7: Guideline - Good Manufacturing Practices Guide for Active Pharmaceutical Ingredients | 2002/12/07 | Guide GUI-0104 |
| Q7: Q&A - Good Manufacturing Practices Guide for Active Pharmaceutical Ingredients | 2016/06/10 | 16-106660-852 |
| Q8(R2): Guideline - Pharmaceutical Development | 2016/02/11 | 16-101390-659 |
| Q9: Guideline - Quality Risk Management | 2016/02/05 | 16-100155-230 |
| Q10: Guideline - Pharmaceutical Quality System | 2016/02/15 | 16-101419-273 |
| Q8, Q9 and Q10: Q&As(R4) | 2016/02/05 | 16-100246-83 |
| Q11: Guideline - Development and Manufacture of Drug Substances (Chemical Entities and Biotechnological/Biological Entities) | 2016/02/12 | 16-100199-626 |
| Q11: Q&A - Development and Manufacture of Drug Substances (Chemical Entities and Biotechnological/Biological Entities) | 2018/04/04 | 18-103369-70 |
| Q12: Technical and Regulatory Considerations for Pharmaceutical Product Lifecycle Management | 2026/01/12 | 25-105890 – 674 |
| Q13: Continuous Manufacturing of Drug Substances and Drug Products | 2025/06/27 | 25-102237-854 |
| Q14: Analytical Procedure Development | 2026/01/12 | 25-105890 – 674 |

Safety guidelines

| Documents and Links | Implementation Date | File Number |
| --- | --- | --- |
| S1: Proposed Change to Guideline - Rodent Carcinogenicity Testing of Pharmaceuticals - Regulatory Notice Document | 2015/12/22 | N/A |
| S1A: Need for Carcinogenicity Studies of Pharmaceuticals | 2002/12/23 | 02-122028-691 |
| S1B: Testing for Carcinogenicity of Pharmaceuticals | 2000/03/24 | H42-2-67-14-1999E |
| S1B(R1): Testing for Carcinogenicity of Pharmaceuticals | 2023/06/20 | 23-102720-154 |
| S1B(R1): Health Canada Notice | 2023/06/20
Revised 2025/01/17 | 24-111353-179 |
| S1C(R2): Dose Selection for Carcinogenicity Studies of Pharmaceuticals | 2016/06/10 | 16-106598-127 |
| S2(R1): Guidance on Genotoxicity Testing and Data Interpretation for Pharmaceuticals Intended for Human Use | 2016/01/21 | 15-114028-981 |
| S3A: Guideline - Note for Guidance on Toxicokinetics: The Assessment of Systemic Exposure in Toxicity Studies | 2002/12/23 | 02-122028-691 |
| S3A: Q&A - Note for Guidance on Toxicokinetics: The Assessment of Systemic Exposure - Focus on Microsampling | 2018/04/26 | 18-104328-485 |
| S3B: Pharmacokinetics: Guidance for Repeated Dose Tissue Distribution Studies | 2002/12/23 | 02-122028-691 |
| S4: Duration of Chronic Toxicity Testing in Animals (Rodent and Non Rodent Toxicity Testing) | 2000/03/24 | H42-2/67-17-1999E |
| S5(R3): Detection of Reproductive and Developmental Toxicity for Human Pharmaceuticals | 2020/08/10 | 20-109240-987 |
| S6(R1): Preclinical Safety Evaluation of Biotechnology-Derived Pharmaceuticals | 2016/01/22 | 15-114041-80 |
| S7A: Safety Pharmacology Studies for Human Pharmaceuticals | 2006/03/31 | 06-104501-828 |
| S7B: The Non-Clinical Evaluation of the Potential for Delayed Ventricular Repolarization (QT Interval Prolongation) by Human Pharmaceuticals | 2006/04/13 | 06-106829-31 |
| S7B/E14: Questions & Answers - Clinical and Nonclinical Evaluation of QT/QTc Interval Prolongation and Proarrhythmic Potential | 2022/06/10 | 22-105019-395 |
| S7B/E14: Health Canada Q&A Document Regarding ICH S7B and E14 Guidelines | 2006/11/30 | 06-124711-745 |
| S8: Immunotoxicity Studies For Human Pharmaceuticals | 2016/01/22 | 15-114056-97 |
| S9: Guideline - Nonclinical Evaluation for Anticancer Pharmaceuticals | 2016/01/22 | 15-114066-970 |
| S9: Q&A - Nonclinical Evaluation for Anticancer Pharmaceuticals | 2018/06/26 | 18-107442-162 |
| S10: Photosafety Evaluation of Pharmaceuticals | 2016/01/22 | 15-114073-949 |
| S11: Nonclinical Safety Testing in Support of Development of Paediatric Medicines | 2020/08/17 | 20-109241-110 |
| S12: Nonclinical Biodistribution Considerations for Gene Therapy Products | 2023/07/21 | 23-105640-963 |

Page details

2026-03-05

Classification

Agency
Various
Instrument
Guidance
Legal weight
Binding
Stage
Final
Change scope
Substantive

Who this affects

Applies to
Drug manufacturers
Geographic scope
National (Canada)

Taxonomy

Primary area
Pharmaceuticals
Operational domain
Compliance
Topics
Drug Safety Drug Quality Regulatory Harmonization

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