International Council of Harmonization

EMA Releases Guidelines on Inclusion of Pregnant and Breastfeeding Individuals in Clinical Trials

EMA Releases Guidelines on Inclusion of Pregnant and Breastfeeding Individuals in Clinical Trials

08/11/2025

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On June 4, 2025 the European Medicines Agency (EMA) posted a guideline titled: ICH E21 Guideline on inclusion of pregnant and breastfeeding individuals in clinical trials. Individuals who are pregnant or breastfeeding make up a significant portion of the world’s population, however, the European Union (EU) reports that less than 0.4% of clinical trials currently submitted to the EU include pregnant people and only 0.1% include lactating individuals. This guideline highlights the importance of including these individuals as well as the steps that should be taken in order to ensure their safety during a trial.  

New Draft Guidance on Protocol Deviation Management Part 1/2

New Draft Guidance on Protocol Deviation Management Part 1/2

01/14/2025

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On December 30, 2024, the US Food and Drug Administration (FDA) released the draft guidance for industry titled “Protocol Deviations for Clinical Investigations of Drugs, Biological Products, and Devices” to help trial sponsors, investigators, and institutional review boards (IRB) define, identify, and report protocol deviations.

ICH E6(R3) Annex 2 Draft Version is Now Available!

ICH E6(R3) Annex 2 Draft Version is Now Available!

12/23/2024

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On November 6th, 2024, the International Council of Harmonization (ICH) published the draft version of ICH E6(R3) Annex 2, a long awaited update to the good clinical practice (GCP) section of the ICH Harmonized Guidelines.