GxP Signal of the Week (EMA/FDA/ICH only)

2026 opens with several important regulatory shifts: FDA’s transition to the QMSR for medical devices, a stronger GCP focus on ICH E6(R3) and EMA/FDA joint AI principles.

GCP: ICH E6(R3) and EMA/FDA inspections
  • EMA confirms
    EMA confirms ICH E6 as the key scientific guideline on Good Clinical Practice; the revised ICH E6(R3), with its emphasis on a risk‑based and technology‑neutral approach, is available on EMA’s ICH E6 guideline page.​
  • EMA’s formal
    EMA’s formal GCP inspection framework (coordination, conduct, reporting) is described in the “Good clinical practice (GCP) inspection procedures” section and related INS/GCP documents, which set expectations for applicants and inspectors.
What GCP/QA/Clinical Operations should review this week
  • Process mapping
    Whether internal GCP processes are explicitly mapped to ICH E6(R3) principles, including risk-based oversight, use of digital solutions, and vendor management frameworks
  • Inspection alignment
    How well inspection preparation and conduct procedures align with EMA's GCP inspection procedures and FDA's GCP expectations for clinical trials.
Medical devices: QMSR replacing QS Regulation
31 January 2024
FDA's final rule renames Part 820 as the Quality Management System Regulation (QMSR), incorporating by reference ISO 13485:2016 and ISO 9000:2015 (clause 3), considering them comparable to the current QS Regulation.
2 February 2026
The rule becomes effective. Until this date, the QS Regulation applies; from this date onwards, the QMSR does. FDA states that post-effective-date inspections may review records created before the effective date.
Critical change: 820.180(c) exemption removed
The former 820.180(c) exemption is not carried over: under the QMSR, FDA may review management review reports, internal audit reports, and supplier audit reports. QSIT will be withdrawn, and the new inspection process will be described in a revised "Inspection of Medical Device Manufacturers" Compliance Programme, to be made available on the FDA website by the QMSR effective date.
What device QA/RA should review
Documentation mapping
The mapping between QS Regulation, ISO 13485, QMSR, and internal SOPs/key records, including management review and audit reports.
How to add a menu
Readiness for FDA's new inspection format: which records will be provided and how the QMSR gap analysis will be demonstrated to inspectors.
AI in medicine development: EMA/FDA joint principles

EMA and FDA have published a joint news item, "EMA and FDA set common principles for AI in medicine development", outlining guiding principles for responsible AI use across the medicinal product lifecycle. The communication highlights the need for robust data governance (quality, traceability, validation), lifecycle management of AI/ML models, transparency, and preservation of meaningful human oversight.

  • Data governance
    Quality, traceability, and validation of data used in AI/ML systems
  • Lifecycle management
    Ongoing oversight of AI/ML models throughout their operational life
  • Transparency
    Clear documentation and explainability of AI decision-making processes
  • Human oversight
    Preservation of meaningful human control and review of AI outputs

What QA/Statistics/Clinical Operations should review

01

AI/ML inventory

Whether there is an internal register of AI/ML tools used in GxP processes (clinical, statistical, data analytics) and how it aligns with the EMA/FDA guiding principles.

02

QMS integration

How AI-related risks are integrated into QMS and QRM (processes, SOPs, validation, change control, training), with the ability to reference the EMA/FDA principles where necessary.

Concrete actions for this week
  • GCP alignment
    Align internal processes with ICH E6(R3), EMA GCP inspection procedures, and FDA's GCP/clinical trials section, with explicit references in methodology documents
  • QMSR gap analysis
    Complete or plan a QMSR gap analysis using the FDA QMSR FAQ and final rule as the primary reference set for compliance readiness.
  • AI governance
    Define internal rules for AI use, referencing the official EMA/FDA communication on AI principles in medicine development
Key resources