ICH E6 (R3) Guideline on good clinical practice (GCP)
International Conference on Harmonisation of technical requirements for registration of pharmaceuticals for human use
GOOD CLINICAL PRACTICE (GCP) E6(R3) Step 5
23 January 2025. Date for coming into effect 23 July 2025
ICH E6(R3) introduces innovative provisions designed to apply across various types and settings of clinical trials, ensuring continued relevance in the face of ongoing technological and methodological advancements. This guideline provides a new language to facilitate innovations in clinical trial design, technology, and operational approaches. It encourages a risk-based and proportionate approach to conducting clinical trials, promoting fit-for-purpose solutions. It fosters transparency through clinical trial registration and result reporting and offers additional guidance to enhance the informed consent process.
The overarching principles and Annex 1, adopted by ICH and CHMP, came into effect on 23 July 2025.
With the public consultation now concluded, the Annex 2 is expected to be finalised later in 2025.
I. INTRODUCTION
II. PRINCIPLES OF ICH GCP
III. ANNEX 1
1. INSTITUTIONAL REVIEW BOARD/INDEPENDENT ETHICS COMMITTEE (IRB/IEC)
2. INVESTIGATOR
3. SPONSOR
4. DATA GOVERNANCE – INVESTIGATOR AND SPONSOR
Appendix A. INVESTIGATOR’S BROCHURE
Appendix B. CLINICAL TRIAL PROTOCOL AND PROTOCOL AMENDMENT(S)
Appendix C. ESSENTIAL RECORDS FOR THE CONDUCT OF A CLINICAL TRIAL
GLOSSARY
© European Medicines Agency, 2025. Reproduction is authorised provided the source is acknowledged.
Official address Domenico Scarlattilaan 6 ● 1083 HS Amsterdam ● The Netherlands
Address for visits and deliveries Refer to www.ema.europa.eu/how-to-find-us
Send a question Go to www.ema.europa.eu/contact Telephone +31 (0)88 781 6000
Clinical Research News
Upcoming Clinical Trials
-
Medical University of South CarolinaNational Institute of Nursing Research (NINR); National Institutes of Health...Not yet recruitingCOPD | Dyspnea | COPD (Chronic Obstructive Pulmonary Disease) | Respiratory Muscle Strength Training
-
Advenchen Pharmaceuticals, LLC.Not yet recruitingBreast Neoplasms | Endometrial Neoplasms | Soft Tissue Sarcoma (STS)United States
-
The University of Hong KongNot yet recruitingUndergraduate Nursing Students
-
Duke UniversityNot yet recruiting
-
BeOne MedicinesGOG Foundation; European Network of Gynaecological Oncological Trial Groups... and other collaboratorsNot yet recruitingFallopian Tube Cancer | Epithelial Ovarian Cancer | Primary Peritoneal Cancer
-
Advenchen Pharmaceuticals, LLC.Not yet recruitingGlioblastoma | Ovarian Neoplasms | Endometrial Neoplasms | Soft Tissue Sarcoma (STS)United States
-
Laboratoires Expanscience S.A.Dermaclaim Lab S.L.Recruiting
-
Gaziantep City HospitalNot yet recruitingBreast Surgery | Mammaplasty | Analgesia Obtained With a Local Wound Infiltration of LidocainTurkey (Türkiye)
-
Academisch Medisch Centrum - Universiteit van Amsterdam...ZonMw: The Netherlands Organisation for Health Research and DevelopmentNot yet recruiting
-
Denise van DiermenNot yet recruitingVirtual Reality | Dentistry | Confidence, Self | Medical Emergency Calls | CompetencyNetherlands
-
Ambros Therapeutics, Inc.Not yet recruitingComplex Regional Pain Syndrome I (CRPS I)
-
Anhui Provincial HospitalNot yet recruitingLocally Advanced Cervical CancerChina
Clinical Research Jobs
-
Singapore - Singapore
-
United States - Ohio - Cincinnati
-
United StatesUnited States - RenoUnited States - ShrewsburyUnited States - Stilwell
-
Bulgaria - SofiaPoland - WarsawGreece - AthensMexico - Mexico CityBrazil - São Paulo - São PauloUnited Kingdom - Maidenhead
-
Poland
-
Romania - Bucharest
-
India - Bengaluru
-
United States - North Carolina - Morrisville
-
China