Every successful clinical trial starts long before the first participant is enrolled. Site Selection and Activation is one of the most important, yet often overlooked, stages of clinical research. From identifying the r...
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Italy’s new serialisation framework: navigating the transition to a hybrid model
Italy’s revised serialisation framework represents a significant evolution in pharmaceutical traceability. The hybrid model introduces complexity but also aligns Italy more closely with European standards while preserving its strong national safeguards.
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Navigating the EU Packaging & Packaging Waste Regulation (PPWR): Implications for pharmaceutical labelling and beyond
The European Union’s Packaging & Packaging Waste Regulation (PPWR) represents one of the most significant regulatory shifts in decades for companies placing products on the EU market. With applicability from 12 August 2026, this regulation introduces far-reaching changes to packaging design, labelling and lifecycle management, with particular implications for the pharmaceutical sector.
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Real-time clinical trials: a pivotal shift and a global question
While the FDA’s direction is gaining attention, a more important question for sponsors is emerging: how will this approach translate in a global regulatory landscape, where development and approval must extend well beyond the US to achieve commercial success?
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Japan’s clinical trial transformation: Building a global future
Japan is modernising clinical trials to address drug lag and improve access to innovative therapies. In this blog, we explore some of the changes and why they are making Japan a more attractive choice for clinical trials.
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Streamlining the biosimilars playbook
In this blog, we explore two major March 2026 regulatory changes from the European Medical Agency (EMA) and U.S. Food and Drug Administration (FDA) and their potential ramifications.
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A framework for pediatric HRQoL selection: Evaluating the PedsQL™
This article outlines a practical framework for selecting a pediatric HRQoL instrument and applies that framework to the Pediatric Quality of Life Inventory™ (PedsQL™).
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Lessons learned in EU HTA Regulation’s first year
The EU’s Health Technology Assessment Regulation (HTAR) officially launched in January 2025, ushering in a new era of streamlined, harmonised Joint Clinical Assessments and Scientific Consultations across Europe. This article reflects on key learnings from the first year which focused on oncology and ATMPs and explores what to expect as the system expands in 2026 and beyond.
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Mechanism of action in pediatric research
Discover how EMA’s proposed MoA-based PIP requirements mirror the US RACE for Children Act and how sponsors can prepare for pediatric regulatory changes.
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Managing risk for medical devices part 4
This blog looks into the logical basis for the use of comparisons in biological risk estimation. The same basic principle has been used for over 50 years. A comparative approach, presented as guidance in ISO 10993-18:2005, has now been transformed into a key element of ISO 10993-1:2025.
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Managing risk for medical devices part 3
In this series, we review ISO 14971 (Application of risk management to medical devices)—its history, the principles embedded within it and how it relates to other standards and regulation.
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Managing risk for medical devices part 2
In this series, we review ISO 14971 (Application of risk management to medical devices)—its history, the principles embedded within it and how it relates to other standards and regulation. In this edition we discuss ISO 14971: What it is and is not.
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Understanding FDA regulations for AI in SaMD
Despite an increase in AI-enabled medical devices receiving FDA approval there is no distinct regulatory route. Learn about FDA guidance on AI in SaMD.
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Strategies for successful Integrated Summary of Efficacy and Safety (ISS/ISE) submissions
Developing an integrated summary of safety and efficacy (ISS/ISE) can be complex. This blog outlines practical strategies to organise data, plan efficiently and ensure compliant, high-quality submissions.
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Customer advocacy: A strategic imperative for regulatory consultancy excellence
Customer advocacy is key to regulatory consultancy success. In life sciences, trust, transparency, and client-focused partnerships are essential for navigating complexity and driving performance.
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Managing risk for medical devices part 1
In this series, we review ISO 14971 (Application of risk management to medical devices)—its history, the principles embedded within it and how it relates to other standards and regulation. In this edition we discuss which risk management principles are right for medical devices?
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CMC in Drug Development and Life Cycle Management
This blog provides emerging and biotech companies with a significant overview of the considerations for CMC. There are a multitude of complexities and points to consider when creating an asset and product development is at the centre
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Measuring the impact of ICH E9(R1) on UK research protocols
The ICH E9(R1) Addendum, adopted in November 2019, aims to clarify treatment effects in clinical trials. Tim Clark, ICON’s VP of Clinical Sciences, co-authored a study reviewing how UK research protocols apply estimands and how usage has evolved since the addendum’s adoption.
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Rising to the challenge with innovative therapies
Global regulators are streamlining access to innovative therapies—but navigating these pathways takes strategy. From FDA’s Breakthrough to EMA’s PRIME, early planning and expert partnerships make the difference.
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How Project Optimus has impacted oncology-focussed biotech companies
By focussing on dose-optimisation the FDA’s Project Optimus is changing how oncology-focussed biotechs develop their treatments.
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To avoid HTAR bottlenecks NICE and MHRA offer a strategic alternative
This blog explores how drug and medical device developers can engage with the MHRA and NICE as a strategic alternative when access to Joint Scientific Consultations (JSCs) is limited.
In this section
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Digital Disruption
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Digital Disruption: Surveying the industry's evolving landscape
- AI and clinical trials
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Clinical trial data anonymisation and data sharing
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Clinical Trial Tokenisation
- mHealth wearables
- Real World Data
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The triad of trust: Navigating real-world healthcare data integration
- Software as a medical device (SaMD)
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Digital Disruption: Surveying the industry's evolving landscape
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Patient Centricity
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Accelerating clinical development through DHTs
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Agile Clinical Monitoring
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Capturing the voice of the patient in clinical trials
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Charting the Managed Access Program Landscape
- Representation and inclusion in clinical trials
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Exploring the patient perspective from different angles
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Patient safety and pharmacovigilance
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A guide to safety data migrations
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Taking safety reporting to the next level with automation
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Outsourced Pharmacovigilance Affiliate Solution
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The evolution of the Pharmacovigilance System Master File: Benefits, challenges, and opportunities
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Sponsor and CRO pharmacovigilance and safety alliances
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Understanding the Periodic Benefit-Risk Evaluation Report
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A guide to safety data migrations
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Patient voice survey
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Patient Voice Survey - Decentralised and Hybrid Trials
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Reimagining Patient-Centricity with the Internet of Medical Things (IoMT)
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Using longitudinal qualitative research to capture the patient voice
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Prioritising patient-centred research for regulatory approval
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Accelerating clinical development through DHTs
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Regulatory Intelligence
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Accelerating access
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Global regulatory strategies for immunology
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Meeting requirements for Joint Clinical Assessments
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Navigating the regulatory landscape in the US and Japan:
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Preparing for ICH GCP E6(R3) implementation
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An innovative approach to rare disease clinical development
- EU Clinical Trials Regulation
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Using innovative tools and lean writing processes to accelerate regulatory document writing
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Current overview of data sharing within clinical trial transparency
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Global Agency Meetings: A collaborative approach to drug development
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Keeping the end in mind: key considerations for creating plain language summaries
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Navigating orphan drug development from early phase to marketing authorisation
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Procedural and regulatory know-how for China biotechs in the EU
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RACE for Children Act
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Early engagement and regulatory considerations for biotech
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Regulatory Intelligence Newsletter
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Spotlight on regulatory reforms in China
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Demystifying EU CTR, MDR and IVDR
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Transfer of marketing authorisation
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Exploring FDA guidance for modern Data Monitoring Committees
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Streamlining dossier preparation
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Accelerating access
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Therapeutics insights
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Endocrine and Metabolic Disorders
- Cardiovascular
- Cell and Gene Therapies
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Central Nervous System
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Bridging science and clinical operability for neurologic monoclonal antibodies
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A mind for digital therapeutics
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Challenges and opportunities in traumatic brain injury clinical trials
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Early, precise and efficient; the methods and technologies advancing Alzheimer’s and Parkinson’s R&D
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ICON survey report: CNS therapeutic development
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Bridging science and clinical operability for neurologic monoclonal antibodies
- Infectious Diseases
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NASH
- Obesity
- Oncology
- Paediatrics
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Respiratory
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Rare and orphan diseases
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Advanced therapies for rare diseases
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Cross-border enrollment of rare disease patients
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Crossing the finish line: Why effective participation support strategy is critical to trial efficiency and success in rare diseases
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Diversity, equity and inclusion in rare disease clinical trials
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Identify and mitigate risks to rare disease clinical programmes
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Leveraging historical data for use in rare disease trials
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Natural history studies to improve drug development in rare diseases
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Patient Centricity in Orphan Drug Development
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The key to remarkable rare disease registries
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Therapeutic spotlight: Precision medicine considerations in rare diseases
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Advanced therapies for rare diseases
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Endocrine and Metabolic Disorders
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Transforming Trials
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Accelerating biotech innovation from discovery to commercialisation
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Demystifying the Systematic Literature Reviews
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Ensuring the validity of clinical outcomes assessment (COA) data: The value of rater training
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From bottlenecks to breakthroughs
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Linguistic validation of Clinical Outcomes Assessments
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More than monitoring
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Optimising biotech funding
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Adaptive clinical trials
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Best practices to increase engagement with medical and scientific poster content
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Decentralised clinical trials
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Biopharma perspective: the promise of decentralised models and diversity in clinical trials
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Decentralised and Hybrid clinical trials
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Practical considerations in transitioning to hybrid or decentralised clinical trials
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Navigating the regulatory labyrinth of technology in decentralised clinical trials
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Biopharma perspective: the promise of decentralised models and diversity in clinical trials
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eCOA implementation
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Blended solutions insights
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Clinical trials in Japan: An enterprise growth and management strategy
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How investments in supply of CRAs is better than competing with the demand for CRAs
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The evolution of FSP: not just for large pharma
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Embracing a blended operating model
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Observations in outsourcing: Survey results show a blended future
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Clinical trials in Japan: An enterprise growth and management strategy
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Implications of COVID-19 on statistical design and analyses of clinical studies
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Improving pharma R&D efficiency
- Partnership insights
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Transforming the R&D Model to Sustain Growth
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Accelerating biotech innovation from discovery to commercialisation
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Value Based Healthcare
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Building a comparative evidence base using network meta-analysis
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Strategies for commercialising oncology treatments for young adults
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US payers and PROs
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Accelerated early clinical manufacturing
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CMS Part D Price Negotiations: Is your drug on the list?
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Ensuring scientific rigor in external control arms
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Evidence Synthesis: A solution to sparse evidence, heterogeneous studies, and disconnected networks
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Health technology assessment
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Perspectives from US payers
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Medical communications in early phase product development
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Payer Reliance on ICER and Perceptions on Value Based Pricing
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Precision Medicine
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RWE Generation Cross Sectional Studies and Medical Chart Review
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The Role of ICER as an HTA Organisation
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Integrating openness and precision for competitive advantage
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Building a comparative evidence base using network meta-analysis
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