The Renovation of Good Clinical Practice: A Framework for Key Components of ICH E8

Ther Innov Regul Sci. 2024 Mar;58(2):303-310. doi: 10.1007/s43441-023-00561-x. Epub 2023 Dec 1.

Abstract

The International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use's (ICH) renovation of Good Clinical Practice (GCP) represents a philosophical shift in the conduct of clinical research away from a one-size-fits-all application to promoting a proactive, risk-based approach. The aim of this paper is to enhance the understanding of specific topics detailed in ICH E8 based on direct feedback from TransCelerate member companies who identified Quality by Design (QbD), Critical to Quality (CtQ), Fit for Purpose, and Stakeholder Engagement, as most changed and open to interpretation. The TransCelerate framework seeks to highlight and expand each of these central topics to support utilization and implementation of a strong foundation for quality in clinical development.

Keywords: Critical thinking; Critical to quality factors; CtQ; E8; Fit for purpose; Open dialogue; QbD; Quality by design; Stakeholder engagement.