Modernizing Good Clinical Practice: Key Insights and Impact of ICH E6(R3) Guideline

  • Akash Aher Clinical Research Professional, Aurangabad, India

Abstract

An updated version of the Good Clinical Practice Guideline, E6(R3), has been made available by the International Council for Harmonization. This guideline places a strong emphasis on a more adaptable, risk-based method of trial supervision. Quality by Design (QbD) adoption, attention to Critical-to-Quality (CtQ) factors, participant safety enhancement, adoption of Digital Health Technologies (DHTs), decentralized trials, elucidation of sponsor, investigator roles and responsibilities are some of the major effects. The implementation of risk-based monitoring, updating SOPs, quality systems, bolstering data governance with technologies like audit trails and metadata are examples of operational impacts. These updates seek to minimize needless burden, safeguard the rights, safety, and well-being of trial participants, promote innovation in trial design and conduct, and assure data reliability.


Conclusion: This review article provides a comprehensive review of the major revisions to the GCP guidelines, offering insights into the E6(R3) framework, its key impacts, and the essential takeaways for modern clinical trial conduct.

Keywords: Good Clinical Practice, ICH E6(R3), Clinical Trial Innovation, Digital Health Technologies, Risk-Based Monitoring, Fit-for-Purpose

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References

1. ICH. E6(R3) Good Clinical Practice Guideline [Internet]. Geneva: ICH; 2025 [cited 2025 Aug 09]. Available from:
https://database.ich.org/sites/default/files/ICH_E6%28R3%29_Step4_FinalGuideline_2025_0106.pdf
2. ICH. E6(R2) Good Clinical Practice Guideline [Internet]. Geneva: ICH; 2016 [cited 2023 Jan 20]. Available from: https://database.ich.org/sites/default/files/E6_R2_Addendum.pdf
3. ICH. E6(R3) Good Clinical Practice Guideline Draft Version [Internet]. Geneva: ICH; 2023 [cited 2025 Jan 02]. Available from:
https://database.ich.org/sites/default/files/ICH_E6%28R3%29_DraftGuideline_2023_0519.pdf
4. ICH. E6(R3) Presentation on Good Clinical Practice [Internet]. Genva: ICH; 2025 [cited 2025 Aug 09]. Available from:
https://database.ich.org/sites/default/files/ICH_E6%28R3%29_Step%204_Presentation_2025_0123.pdf
5. ICH. E8(R1) General Considerations for Clinical Studies Guideline [Internet]. Geneva: ICH; 2022 [cited 2025 Aug 09]. Available from:
https://database.ich.org/sites/default/files/ICH_E8-R1_Guideline_Step4_2021_1006.pdf
6. Bhatt A. The revamped Good Clinical Practice E6(R3) guideline: Profound changes in principles and Practice!. Perspectives in Clinical Research [Internet]. India: Medknow; 2023 [cited 2025 Aug 09]. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10679570/
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How to Cite
1.
Aher A. Modernizing Good Clinical Practice: Key Insights and Impact of ICH E6(R3) Guideline. Int J Drug Reg Affairs [Internet]. 2025Sep.17 [cited 2025Nov.11];13(3):85-4. Available from: https://www.ijdra.com/index.php/journal/article/view/793