Evidence map›Paper›PMID 42693362›Full record

ReviewTherapeutic innovation & regulatory science2026

Environmental Risk Assessment in Pharmaceutical Regulation: A Comparative Review of EMA, U.S. FDA and CDSCO Guidelines.

A S Sheena, R S Rajesh, Fairoosa Thaikkat

Abstract readReview
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In one paragraph

Review in Therapeutic innovation & regulatory science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

A S SheenaDepartment of Pharmaceutics (Pharmaceutical Regulatory Affairs), Al Shifa College of Pharmacy, Poonthavanam, Kizhattur, Perintalmanna, Malappuram District, Kerala, 679325, India.
R S RajeshDepartment of Pharmaceutics, Al Shifa College of Pharmacy, Poonthavanam, Kizhattur, Perintalmanna, Malappuram District, Kerala, 679325, India. rjsh.nair2@gmail.com.
Fairoosa ThaikkatDepartment of Pharmaceutics (Pharmaceutical Regulatory Affairs), Al Shifa College of Pharmacy, Poonthavanam, Kizhattur, Perintalmanna, Malappuram District, Kerala, 679325, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Environmental contamination by pharmaceutical residues accumulation in water bodies, risk of ecological disturbance and development of antimicrobial resistance have become a serious global threat. Pharmaceutical active ingredients and metabolites of these substances expelled into the surrounding environment by excretion, industrial wastewater and improper disposal practices result in measurable levels in surface waters and wastewater globally. In response, regulatory authorities incorporated Environmental Risk Assessment (ERA) requirements into the drug licensing system. For human medicinal products, a product-specific, tiered Environmental Risk Assessment (ERA) has been applied by the European Medicines Agency (EMA). NEPA-based environmental review involving applicable categorical exclusions and Environmental Assessments (EAs) has been utilized by the US Food and Drug Administration (FDA), whereas there is no dedicated medicinal-product ERA guideline within the NDCTR framework currently for India's Central Drugs Standard Control Organisation (CDSCO), but have a broader environmental legislation addressing environmental protection. This article mainly compares the scope, methodology, requirements for data, how the data should be reported, and challenges of implementation of the ERA regulatory infrastructure among the EMA, FDA, and CDSCO. To show similarities and differences, comparison tables and flow diagrams are added. Regulatory gaps, mainly in India, and possibilities for harmonised ERA frameworks that can safeguard global health and biodiversity by encouraging regulatory consolidation are discovered by this study.

Indexed as

CDSCOEMAEnvironmental risk assessmentEnvironmental safetyPharmaceuticalsRegulatory affairsU.S. FDA

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.