Evolving GCP Guidelines, Unchanging Principles

The Next Chapter in Clinical Trials and What It Means for You

On June 6, 2023, a milestone in clinical research was marked by the U.S. Food and Drug Administration's announcement of a draft guidance with updated recommendations for good clinical practices (GCPs). This directive finds its roots in the recently updated E6(R3) draft guideline from the International Council for Harmonisation (ICH).

The current draft guidance embodies an enhanced, restructured version of the ICH E6(R2). It ingeniously integrates scientific and ethical guidance, opening doors to diverse methodologies aligned with the variety of clinical trial designs and innovative technologies that represent today's scientific arena.

Delving into the Updates and the Road Ahead

The new draft breaks down into three main sections: Introduction, Principles of ICH GCP, and Annex I. The introduction sets the stage, expanding to include a guideline scope and structure, while the Principles of ICH GCP section outlines 11 core principles mirroring those in E8(R1), Revision of General Considerations for Clinical Studies. Annex 1, in synergy with the overarching principles and objectives of E6(R2), zeroes in on interventional clinical trials that use approved or unapproved investigational products in a controlled environment with prospective data collection. When we consider these sections together, they fully supersede the E6(R2), thus the public unveiling.


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Setting Our Sights on What’s Next: Annex 2

Although Annex 2 is currently absent from the draft, development is well underway. It's designed to offer additional considerations built on the foundation established in Annex 1, elucidating how GCP principles can be adapted across a myriad of trial designs and data sources. These include decentralized elements, pragmatic elements, and real-world data (RWD) sources, which promise to further revolutionize the landscape of clinical trials.

Understanding the Why

With the landscape of clinical research in constant evolution due to innovative trial designs and data sources, a pressing need exists to update regulatory guidelines. FDA’s new draft guidance not only address this need but also uphold the enduring principles of human subject protection and data quality.

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Navigating these guidelines is where RQMIS comes into play. An industry-leading clinical trial and regulatory consulting firm, RQMIS is committed to translating complex regulations into manageable, actionable plans. With the richness of multiple data sources, the introduction of novel trial designs, and the burgeoning use of artificial intelligence, there lies an untapped potential to drastically advance the quality and reach of your clinical trials.

Our vision at RQMIS is to fully recognize and integrate the potential these technologies bring to your trials. Leveraging our expertise with industry best practices, regulatory requirements, and operational efficiency, we can offer strategic advice that's tailored to your company's unique needs during this transition period. Through our intimate understanding of the regulatory landscape, we're able to forecast potential challenges, offering proactive solutions and ensuring that we stay one step ahead in clinical design.

Choosing RQMIS as your clinical trial partner means not only achieving compliance but also leveraging opportunities for strategic growth and enhanced clinical trial practices. By working collaboratively, we can effectively traverse these evolving guidelines, ensuring that your clinical trials continue to uphold the principles of human subject protection and data quality while embracing the innovation and diversity the future of clinical research promises.

As your trusted guide, RQMIS is unwavering in its commitment to steering your company through these evolving regulatory waters, ensuring the journey is one of discovery, growth, and ultimately, success. Contact RQMIS today to begin.

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