eCTD v4.0 is the ICH M8 version of the electronic Common Technical Document. This guide gives the eCTD 4.0 timeline for FDA, EMA, PMDA and Health Canada as of October 2026, explains what changes from v3.2.2, separates the submission tasks software can automate from the ones it cannot, and ends with a migration checklist. It also shows why the FDA refuses most applications over facilities, not formatting.