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September 28, 2026
Creative buffer
Consider a hypothetical emerging biotech with a promising Phase 1 candidate and three people to build the IND: a CMO with clinical trial experience, a head of regulatory affairs who reviewed submissions at a CRO but has not assembled one, and a CMC lead. Nobody on the team has authored a Module 2.6.7 tabulated summary. Every hour spent renaming files or chasing a broken hyperlink is an hour not spent on the starting-dose rationale.
The stakes are concrete. Under 21 CFR 312.40(b), an IND goes into effect 30 days after FDA receives it unless FDA imposes a clinical hold under 21 CFR 312.42. A hold is often triggered by gaps in safety, nonclinical or CMC information, and small teams are more exposed because the eCTD framework assumes familiarity with 21 CFR 312.23, ICH M4 organization and cross-module linking conventions.
This checklist walks through each module, shows where lean teams typically slip, and suggests a writing order that fits a team of three. It is general information, not regulatory advice.
21 CFR 312.23(a) lists the content of an IND. The main items are the cover sheet (Form FDA 1571), a table of contents, an introductory statement and general investigational plan, the Investigator’s Brochure (312.23(a)(5)), clinical protocols (312.23(a)(6)), chemistry, manufacturing and control information (312.23(a)(7)), pharmacology and toxicology information (312.23(a)(8)), and previous human experience (312.23(a)(9)).
In an eCTD submission, that content is organized into CTD modules. FDA requires eCTD format for commercial INDs, while non-commercial research INDs are exempt. Confirm current requirements against [FDA’s eCTD guidance](https://www.fda.gov/drugs/electronic-regulatory-submission-and-review/electronic-common-technical-document-ectd) and the [ICH CTD page](https://www.ich.org/page/ctd) before you plan your build.
Module | What | Where |
1: Administrative | Form FDA 1571, cover letter, Investigator’s | Product named one way on the 1571 and |
2: Summaries | 2.3 Quality Overall Summary, 2.4 Nonclinical | QOS written as a standalone document; |
3: Quality (CMC) | 3.2.S drug substance, 3.2.P drug product | Batch numbers that differ between stability |
4: Nonclinical reports | Full study reports for pharmacology, PK and | Study identifiers in Module 2.6 that do not |
5: Clinical | Phase 1 protocol, case report form, any | Protocol that does not address pre-IND |
Use one product identifier everywhere. If Form FDA 1571 says “ABC-101” and the Investigator’s Brochure says “Compound ABC,” reviewers and validation checks see two different things. The IB should cite each nonclinical study by the same report number and title used in Module 4, and it should reflect any toxicology data generated since your pre-IND meeting. Place each document where FDA’s current eCTD Module 1 headings specify.
Get the section numbers right in the summaries. Toxicology has a written summary in 2.6.6 and a tabulated summary in 2.6.7. Safety pharmacology (ICH S7A and S7B) and genotoxicity (ICH S2(R1)) findings should be traceable to their Module 4 reports. ICH M3(R2) sets out the nonclinical studies expected to support human trials.
The Quality Overall Summary (2.3) has to agree with Module 3. Every specification or stability statement in 2.3.S and 2.3.P should link to the supporting table in 3.2.S or 3.2.P.
Under 21 CFR 312.40(b), an IND goes into effect 30 days after FDA receives it, unless FDA notifies the sponsor of a clinical hold under 21 CFR 312.42.
FDA requires eCTD format for commercial INDs. Non-commercial research INDs are exempt. Check FDA's current eCTD guidance for the latest requirements.
A clinical hold applies to an IND and means the proposed trial cannot begin or continue. A Complete Response Letter applies to an NDA or BLA and states why an application cannot be approved in its current form.
In 3.2.S.4.3 for the drug substance and 3.2.P.5.3 for the drug product. The procedures themselves sit in 3.2.S.4.2 and 3.2.P.5.2.
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