CANADA
Regulatory and Ethical Procedures
Sponsors must conduct all clinical trials in accordance with the principles of Good Clinical Practice.

Approval for the conduct of a clinical trial must be obtained from the national regulatory authority Therapeutic Products Directorate (TPD), which is responsible for drugs and medical devices. For this purpose, the sponsor must submit a Clinical Trial Application (CTA) to Health Canada prior to initiation of the clinical trial (Phases I to III and comparative bioavailability trials). The CTA will be reviewed, and the sponsor will be notified within 30 days if the application is deficient. For comparative bioavailability trials and Phase I trials in healthy adult volunteers the targeted review time is 7 days.

Health Canada invites sponsors to request a pre-CTA consultation meeting, which provides an opportunity for the sponsor to present relevant information on the trial and for Health Canada to give guidance on the acceptability of the proposed trial.

Sponsors are not required to file a CTA for Phase IV clinical trials.
Health Care System
Canada's health care system is publicly funded and provides comprehensive health care services for medically necessary inpatient and outpatient care. The physicians, who operate as private practitioners, receive compensation for their services from the government.
Authorities
Therapeutic Products Directorate (TPD)