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How to implement the new ICH E6(R3) Good Clinical Practice (GCP)

Updated: Feb 15


The new ICH GCP E6(R3) is a significant revision of the previous version. It includes a number of new concepts and approaches that are designed to improve the quality of clinical trials. By following the new guidelines, researchers can help to ensure that their trials are conducted in a safe and ethical manner.


The new ICH GCP E6(R3) is a significant revision of the previous version. It includes a number of new concepts and approaches that are designed to improve the quality of clinical trials. By following the new guidelines, researchers can help to ensure that their trials are conducted in a safe and ethical manner.


Here are some of the key elements of the new guideline:


  • Quality by design: This is a new concept that emphasizes the importance of designing clinical trials to be as high quality as possible. This includes factors such as selecting the right study population, designing the study protocol carefully, and using appropriate methods for data collection and analysis. This is a systematic approach to ensuring the quality of a clinical trial. It involves identifying and addressing potential sources of error or bias throughout the trial process, from the design of the study to the analysis of the data.

  • Risk-based monitoring: This is a new approach to monitoring clinical trials that focuses on identifying and managing risks to the quality of the trial. This includes factors such as the complexity of the trial, the potential for harm to participants, and the risk of bias. This is a more proactive approach to monitoring clinical trials. It involves identifying and assessing the risks to the quality of the trial, and then taking steps to mitigate those risks.

  • Proportionality: This is a new principle that emphasizes the importance of conducting clinical trials in a way that is proportionate to the risks and benefits of the trial. This includes factors such as the size and duration of the trial, the amount of data that is needed, and the resources that are available. This principle recognizes that not all clinical trials are created equal. Some trials are more complex and risky than others. The new guideline emphasizes the importance of conducting trials in a way that is proportionate to the risks and benefits of the trial.

  • Critical to quality factors: This is a new concept that identifies the factors that are most important for ensuring the quality of a clinical trial. These factors should be given special attention during the planning, conduct, and monitoring of the trial. These are the factors that are most important for ensuring the quality of a clinical trial. They include factors such as the training of study staff, the quality of the data, and the independence of the data monitoring committee.

It is important to take the time to review the draft guideline and make the necessary changes to your clinical trial procedures. Here are the steps on how to implement the new ICH Good Clinical Practice (GCP) E6(R3):


  1. Review the draft guideline. The draft guideline is available on the ICH website. Take some time to read through it and familiarize yourself with the new requirements.

  2. Identify any changes that need to be made to your clinical trial procedures. The draft guideline includes a number of changes from the previous version. You will need to identify any changes that need to be made to your clinical trial procedures in order to comply with the new requirements

  3. Update your clinical trial documentation. Once you have identified any changes that need to be made, you will need to update your clinical trial documentation. This includes your informed consent forms, study protocols, and other documents.

  4. Train your staff. It is important to train your staff on the new GCP requirements. This will help to ensure that your clinical trials are conducted in a compliant manner.

  5. Monitor your clinical trials. Once your clinical trials are underway, you will need to monitor them to ensure that they are being conducted in accordance with the new GCP requirements.

By following these steps, you can help to ensure that your clinical trials are conducted in a compliant manner. Here are some additional tips for implementing the new ICH GCP E6(R3):


  • Start early. Don't wait until the last minute to implement the new requirements. Give yourself plenty of time to review the draft guideline, identify any changes that need to be made, and update your documentation.

  • Get help from experts. If you need help implementing the new GCP requirements, there are a number of resources available to you. The ICH website has a list of accredited training providers, and there are also a number of consultants who specialize in GCP compliance.

  • Be patient. Implementing the new GCP requirements will take some time. Be patient and don't be afraid to ask for help if you need it.

The new ICH GCP E6(R3) is a comprehensive guideline that provides detailed guidance on how to conduct clinical trials in a safe and ethical manner. It is an important resource for researchers, sponsors, and regulatory authorities.


Contact  BioBoston Consulting today or visit our  website to learn more about how we can support your organization.

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