Agenda
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GCP - Navigating ICH E6 (R3) revision and regulatory updates: a cultural shift from trial design to execution
Tuesday, June 02 8:00 AM - 5:00 PM
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Session 1: Shifting the mindset: embedding quality and proportionality in clinical trials
Tuesday, June 02 9:00 AM - 10:00 AM
Objectives
- Explain the foundational principles of ICH E6 (R3) and how they build upon the concepts introduced in ICH E8 (R1)
- Describe the cultural and mindset shift needed across organizations to embed quality by design (QbD) and risk-proportionate approaches in the design and conduct of clinical trials
- Demonstrate how QbD and risk-proportionate practices can be applied to ensure clinical trials address important research questions, operate efficiently, and produce reliable data that supports sound decision-making
- Analyze case examples of simple and complex trial designs to distinguish effective from ineffective implementation of QbD and risk-based decision-making
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Session 2: Beyond the checklist: culture, critical thinking, and case examples of risk-based quality management (RBQM) in action
Tuesday, June 02 10:20 AM - 11:30 AM
Objectives
- Describe the purpose and components of RBQM and its alignment with QbD
- Explain how risk assessments drive proactive trial management including expectations for documented risk assessments and their role in trial oversight
- Identify regulatory expectations for RBQM implementation and fostering a culture of transparency
- Apply RBQM principles to real-world scenarios, using case examples
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Session 3: Balancing oversight and burden: fostering a culture of risk proportionate expectations across the clinical trial
Tuesday, June 02 1:15 PM - 2:15 PM
Objectives
- Describe expectations for implementing ICH E6 (R3), including responsibilities of sponsors and investigators
- Explain how risk-proportionate approaches can be applied to oversight, documentation, and operational expectations to support efficiency without compromising quality
- Discuss how to operationalize ICH E6 (R3) and reduce unnecessary complexity and burden at investigator sites, balancing quality expectations with site-specific capabilities and workflows
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Session 4: Applying risk proportionate strategies to innovative clinical trial designs
Tuesday, June 02 2:15 PM - 3:15 PM
Objectives
- Discuss regulatory expectations for clinical trials incorporating decentralized and pragmatic trial elements, emphasizing alignment with ICH E6 (R3) Annex 2
- Explore key considerations for using real-world data (RWD) into clinical trials, focusing on ensuring data quality, meeting regulatory requirements, and supporting effective risk-based quality management
- Discuss risk-based oversight strategies throughout the lifecycle of the clinical trial
- Evaluate case examples to assess data quality, integrity, and effective oversight practices in trials incorporating decentralized elements, pragmatic elements, and real-world data sources
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Session 5: Clinical trial quality at the core: ensuring reliable safety decisions in modern clinical trials
Tuesday, June 02 3:35 PM - 4:30 PM
Objectives
- Discuss the prioritization of trial quality and safety by fostering a shift in organizational mindset
- Explain the critical role of data reliability in safety-related decisions throughout the clinical trial lifecycle
- Identify critical to quality factors related to participant safety and describe quality control expectations
- Analyze case studies illustrating the impact of data errors on participant safety
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GCP - Navigating ICH E6 (R3) revision and regulatory updates: a cultural shift from trial design to execution
Wednesday, June 03 8:00 AM - 12:00 PM
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Session 1: Preparing for change: building a culture of quality through regulatory insights and international partnership
Wednesday, June 03 9:00 AM - 10:05 AM
Objectives
- Summarize recent updates to GCP-related regulations and guidance from FDA, MHRA, and Health Canada, highlighting their impact on clinical trial quality and inspection readiness
- Discuss the global harmonization of GCP regulations and collaborative efforts to support consistent implementation of ICH E6 (R3) and facilitate international trial compliance
- Highlight organizational strategies to prepare for upcoming regulatory changes, including insights from Pharmaceutical Inspection Co-operation Scheme (PIC/S) and the role of intelligence sharing to enhance quality and oversight
- Highlight recent achievements and joint initiatives since the last symposium, reinforcing the value of regulatory collaboration in advancing clinical trial quality
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Session 2: Beyond the findings: regulators driving a culture shift in inspection
Wednesday, June 03 10:25 AM - 11:30 AM
Objectives
- Discuss remote regulatory assessments, including inspection activities and expectations to support effective compliance oversight
- Explore the impact of ICH E6 (R3) and the adoption of risk-proportionality approaches in regulatory inspections
- Discuss the role of sponsor and regulator collaboration in fostering transparency and applying risk-proportionate strategies
- Overview and summary of GCP topics over the 2-day symposium and future perspectives
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BE - Enhancing oversight in bioequivalence trials: sharing insights from regulators on methods of review, case studies, and ensuring data integrity
Wednesday, June 03 12:30 PM - 5:00 PM
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Session 3: Regulatory perspectives and insights on bioequivalence studies
Wednesday, June 03 1:30 PM - 2:30 PM
Objectives
- Highlight how sponsors, applicants and researchers can learn from agency case studies and experience of bioequivalence trials
- Explore case studies that will highlight opportunities to critical thinking to applications prior to submission
- Explore the challenges regulators have following high-profile lapses in data integrity
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Session 4: Inspector perspectives and insights on bioequivalence studies
Wednesday, June 03 2:30 PM - 3:30 PM
Objectives
- Highlight how sponsors, applicants and researchers can learn from inspections of bioequivalence trials
- Analyse case studies that will highlight:
- areas of serious non-compliance
- methods of review to provide sponsors / applicants potential tools when looking at their own studies
- what to consider if faced with data integrity concerns
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GVP - Collaborative views on pharmacovigilance inspections; current and future thinking
Thursday, June 04 8:00 AM - 5:00 PM
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Session 1: Beyond borders: international collaboration in GVP inspections
Thursday, June 04 9:00 AM - 9:50 AM
Objectives
- Representatives from the three regulatory GVP inspection programs will discuss tripartite efforts to collaborate and reduce burden on industry by:
- explaining how agencies collaborate in enhancing information sharing on GVP inspection, regulatory expectations and new technologies
- updating the status of ongoing projects and highlight learnings and outcomes
- exploring ongoing and future involvement in international regulatory projects beyond the tripartite framework
- Representatives from the three regulatory GVP inspection programs will discuss tripartite efforts to collaborate and reduce burden on industry by:
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Session 2: Artificial intelligence (AI) in pharmacovigilance systems: a joint vision from inspectors
Thursday, June 04 9:50 AM - 10:30 AM
Objectives
- A joint panel of regulators from GVP inspection programs will share their insights on the current landscape of AI/machine learning (ML) integration in pharmacovigilance systems. They will also discuss their vision for inspection readiness in the context of evolving AI technologies:
- International collaboration for AI in PV (PICS WG and CIOMS WG)
- Thoughts for inspection approaches for AI/ML PV systems
- Inspection readiness for AI systems
- Potential document requests
- A joint panel of regulators from GVP inspection programs will share their insights on the current landscape of AI/machine learning (ML) integration in pharmacovigilance systems. They will also discuss their vision for inspection readiness in the context of evolving AI technologies:
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Session 3: Regulatory updates and inspection strategies
Thursday, June 04 10:50 AM - 12:10 PM
Objectives
- Receive the latest regulatory updates from each agency
- Discuss collaboratively on inspection formats
- Discuss how organizations can facilitate inspection readiness and a successful inspection
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Session 4: Inspection insights: key metrics and common pitfalls
Thursday, June 04 1:45 PM - 2:45 PM
Objectives
- Review inspection metrics and trends
- Highlight the most frequent inspection findings
- Discuss case studies with recommended corrective and preventive actions
- Identify recurring global deficiencies affecting local compliance
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Session 5: A robust pharmacovigilance system that drives continuous improvement
Thursday, June 04 2:45 PM - 3:45 PM
Objectives
- Discuss robust quality management principles that support the delivery of comprehensive safety data
- Identify best practices in vendor management that ensures accountability and addresses hidden risks early