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EMA’s New Draft Guideline: Non-Inferiority and Equivalence Comparisons in Clinical Trials
The European Medicines Agency (EMA) has released a major draft guideline " Non-Inferiority and Equivalence Comparisons in Clinical Trials " that updates how non-inferiority and equivalence comparisons should be designed, justified, and analysed in confirmatory clinical trials. This draft replaces two earlier documents: Guideline on the choice of the non-inferiority margin (2005), and Points to consider on switching between superiority and non-inferiority (2000). The new gu

Sharan Murugan
Nov 172 min read


UK MHRA Guidance: Modifying Clinical Trial Approvals in the UK
With the 2025 amendments to the Medicines for Human Use (Clinical Trials) Regulations taking effect on 28 April 2026, the UK Medicines and Healthcare products Regulatory Agency (MHRA) has provided comprehensive guidance “ Clinical trials for medicines: modifying a clinical trial approval” for sponsors and investigators which outlines how to manage changes to an approved clinical trial of a medicinal product. Types of Modification Modifications to a clinical trial approval f

Sharan Murugan
Nov 53 min read


USFDA Guidance: Software Assurance, Gene Therapies, and Clinical Designs
On 25 September 2025 , the U.S. Food and Drug Administration (FDA) highlighted four critical updated or reaffirmed guidances spanning...

Sharan Murugan
Oct 53 min read


USFDA Draft Guidance: Radiopharmaceutical Dosage Optimization and Overall Survival Assesment in Oncology Clinical Trials
On 18th August 2025, the U.S. Food and Drug Administration (FDA) recently published two important draft guidance documents that aim to...

Sharan Murugan
Aug 192 min read


ICH -E21 (USFDA) Guidance: Including Pregnant and Breastfeeding Women in Clinical Trials
In May 2025, the FDA, as part of the International Council for Harmonisation (ICH), endorsed and released for consultation the draft E21...

Sharan Murugan
Jul 273 min read


UK MHRA Guidance: How to Notify a Clinical Investigation for a Medical Device & CTR Signed to Law
Before starting any clinical investigation involving a medical device in the UK, it is a legal requirement to notify the Medicines and...

Sharan Murugan
Apr 183 min read


USFDA Guidance: Covariates RCT, Non-Clinical Performance Assessment of Tissue & Efficacy Endpoints
Today (26 May 2023) the United States Food & Drug Administration released multiple guidances related to both drugs/biologics and medical...

Sharan Murugan
May 25, 20232 min read


EMA Interim Guidance: How to Approach the "PPD and CCI" while using CTIS
Last Week (03 May 2023) the European Medicines Agency released an Interim guidance document on "How to Approach the Protection of...

Sharan Murugan
May 7, 20232 min read


EMA Guideline: Computerised Systems & Electronic Data in Clinical Trials
Recently (9 March 2023) the European Medicine agency released a "Guideline on Computerised Systems & Electronic Data in Clinical Trials"...

Sharan Murugan
Mar 11, 20231 min read


SFDA MD Guidance: Requirements for Clinical Trials of Medical Device
Yesterday (26-December-2022) the South African Health Products Regulatory Authority (SAPHRA) released an updated "Requirements for...

Sharan Murugan
Dec 27, 20222 min read


USFDA Guidance: Selective Approach to Safety Data Collection & Dosing Regimens of PD1 & PD-L1
Earlier today USFDA's Center for Drug Evaluation and Research (CDER) & Oncology Center of Excellence released the updated final guidance...

Sharan Murugan
Dec 6, 20221 min read


USFDA Guidance: Multiple Endpoints in Clinical Trials & Gene Therapy for Neurodegenerative Diseases
Earlier on 21 October 2022, the USFDA released two finalized guidances "Multiple Endpoints in Clinical Trials" and "Human Gene Therapy...

Sharan Murugan
Oct 23, 20221 min read


EMA- New Guidance on Complex Clinical Trials
On 2 June, an official Q&A prepared by the European Commission (EC), European Medicines Agency (EMA), and the Heads of Medicines Agencies...

Sharan Murugan
Jun 7, 20221 min read


Guidance for Clinical Trials Conducted under the Clinical Trials Regulation (CTR) in Ireland
On 3-February, 2022 Ireland adopted a new guideline the "EU Clinical Trial Regulation" (Regulation No 536/2014, hereafter ‘CTR’), was...

Sharan Murugan
Feb 6, 20221 min read


UK Guidance on Clinical Trials: How to Apply for Authorization
UK MHRA updated its guidance on How to apply for a clinical trial including eligibility, phases, model IMPDs, costs, and how to make...

Sharan Murugan
Jan 16, 20221 min read


Finland adopts New Act on Clinical Trials Legislation (FIMEA)
The Parliament of Finland has adopted a new Act on Clinical Trials on 8 October 2021. The Parliament also approved amendments to the...

Sharan Murugan
Nov 7, 20211 min read


Clinical Trials Information System (CTIS) to go-live in 6 Months – EMA
The European Commission has confirmed that the entry into application of the Clinical Trials Regulation and hence the go-live date for...

Sharan Murugan
Aug 3, 20211 min read


Clinical trials: Apply for authorisation in UK – MHRA
This is a recently updated guidance that discusses How to apply for a clinical trial including eligibility, phases, model IMPDs, costs,...

Sharan Murugan
Jun 30, 20211 min read


Core Patient-Reported Outcomes in Cancer Clinical Trials - USFDA
This is a DRAFT GUIDANCE distributed for comment purposes only. This guidance provides recommendations to sponsors for the collection of...

Sharan Murugan
Jun 19, 20211 min read
