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
-
City of Hope Medical CenterNational Cancer Institute (NCI)Not yet recruitingRecurrent Mature T-Cell and NK-Cell Non-Hodgkin Lymphoma | Refractory Mature T-Cell and NK-Cell Non-Hodgkin Lymphoma | Refractory Anaplastic Large Cell Lymphoma | Recurrent Anaplastic Large Cell Lymphoma | Refractory Peripheral T-Cell Lymphoma, Not Otherwise Specified | Recurrent Enteropathy-Associated... and other conditionsUnited States
-
Rochester Institute of TechnologyNational Eye Institute (NEI)Not yet recruitingMonochromatic | L- and S-cone Modulation Only | L- and M-cone Modulation Only | M and S-cone Modulation OnlyUnited States
-
Yonsei UniversityNot yet recruitingPatients With Locally Advanced or Metastatic But Resectable Clear Cell Renal Cell Carcinoma
-
Memorial Sloan Kettering Cancer CenterEli Lilly and Company; AstraZeneca; National Institutes of Health (NIH)Not yet recruitingColorectal Cancer | Adenocarcinoma of the Rectum | Adenocarcinoma of the ColonUnited States
-
Minneapolis Heart Institute FoundationShockwave Medical, Inc.; HeartFlow, Inc.Not yet recruiting
-
Zhejiang Cancer HospitalNot yet recruiting
-
Tulane UniversityEunice Kennedy Shriver National Institute of Child Health and Human Development... and other collaboratorsNot yet recruitingHypertensive Disorder of Pregnancy | Maternal Health CareUnited States
-
University of Health Sciences LahoreNot yet recruitingCannulation of Internal Jugular VeinPakistan
-
Centre Hospitalier Universitaire, AmiensCentral Hospital, Nancy, France; University Hospital, Caen; Clinique de l'Europe... and other collaboratorsRecruitingMusculoskeletal Disorders | ERCP | BiomechanicFrance
-
Changhai HospitalNot yet recruiting
-
Taiho Oncology, Inc.RecruitingB-cell Non Hodgkin LymphomaFrance, Italy, Poland, United States, Australia, Spain
-
Tianjin Medical University Cancer Institute and...RecruitingThymic Epithelial TumorChina
Clinical Research Jobs
-
Brazil - São Paulo - São Paulo
-
Canada - LavalCanada - British Columbia - Vancouver
-
United States - Stilwell
-
China - Guangzhou
-
United States
-
United Kingdom - Harrogate
-
India - Bengaluru
-
United States - North Carolina - Morrisville
-
China