ICH E6(R3) Draft Principles Published

5/25/2021

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The International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) released draft ICH E6(R3) Principles. ICH E6 Good Clinical Practice (GCP) guideline is the blueprint for clinical trials ensuring subject safety and data quality and it specifies the processes needed for study conduct and documentation to comply with the guideline and regulatory requirements. The last revision occurred in 2016. Since then, clinical trials are increasingly complex and in electronic formats, requiring updates to the GCP guideline to ensure its agility to meet the challenges of modern clinical trials.

FDA Takes Action on Unreported Study Results; First Notice of Noncompliance

5/18/2021

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The US Food and Drug Administration (FDA) requires sponsors to register and report results to ClinicalTrials.gov (Clinical Trials Registration and Results Information Submission Final Rule). The purpose of listing and reporting in the public database is to increase transparency and increase scientific understanding, thus allowing others to build on knowledge already gained rather than duplicating work that may be unnecessary. If these requirements are not met, the FDA has authority to take enforcement action.

FDA Issues Final Rule: Software as Medical Device Classification Regulation Update Aligns with Cures Act

5/11/2021

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The US Food and Drug Administration (FDA) issued a final rule that changes the classification of some software so that it no longer is regulated as a medical device. The rule was needed to align with updates required by the 21st Century Cures Act (Cures Act). The Cures Act amended the Federal Food, Drug, and Cosmetic Act (FD&C Act) to remove certain software from being classified as a medical device, including software used:

Insufficient Dosing to Vulnerable Population Within a Clinical Trial Leads to FDA Warning Letter

5/05/2021

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New Warning Letter Issued

A warning letter was issued to Dr. Evelyn Lopez-Brignomi, M.D. this March in regards to “objectionable conditions observed during an FDA inspection conducted at her clinical site between June 8 and June 23, 2020.” This study contained pediatric subjects who are a vulnerable population which raises concern about the severity of the violation and their potential impact on subjects’ rights, safety, and welfare.

Overinterpretation of Safety Reporting Regulations Leads to Burdens at Sites, FDA

4/27/2021

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There has been an increase in the complexity of clinical trials over the last decade. Add to that the support for including more diverse populations who may have additional underlying conditions (FDA Guidance document “Enhancing the Diversity of Clinical Trial Populations”), and this leads to an increase in the number of safety events reported.