ICH E6(R3) - Good Clinical Practice
ICH E6(R3) Good Clinical Practice (GCP) is the international ethical and scientific quality standard for the design, conduct, performance, monitoring, auditing, recording, analysis, and reporting of clinical trials. The R3 revision (adopted 2023) modernizes GCP for technology-enabled clinical trials, introduces a quality-by-design approach, and addresses decentralized trials, electronic data, and risk-proportionate monitoring.
ICH E6(R3) - Good Clinical Practice is a compliance framework from International (ICH) with 9 domains and 9 controls that map to 114 other frameworks. The largest domains are ICH E6 Annex 1 - Electronic Systems (1 controls), ICH E6 Annex 2 - Decentralised Elements (1 controls), ICH E6 Data Mgmt + External Data + Regulatory (1 controls). Every control below carries what it requires and what an assessor expects to see.
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Framework Domains (9)
ICH E6 Annex 1 - Electronic Systems
| Code | Title |
|---|---|
| ICH-E6-Annex1-ElectronicSystems-CSV-eSig-Audit-ALCOA-DataIntegrity | ICH E6(R3) Annex 1 - Computer Systems + Computer System Validation (CSV) + Electronic Signature + Audit Trail + ALCOA+ Data Integrity |
ICH E6 Annex 2 - Decentralised Elements
| Code | Title |
|---|---|
| ICH-E6-Annex2-DecentralisedClinicalTrials-DCT-eConsent-Remote-Wearables | ICH E6(R3) Annex 2 - Decentralised Clinical Trial (DCT) Elements + eConsent + Remote Monitoring + Wearables + Real-World Evidence |
ICH E6 Data Mgmt + External Data + Regulatory
| Code | Title |
|---|---|
| ICH-E6-DataMgmt-ExternalData-EHRs-RealWorldData-Coord-FDA-EMA | ICH E6 Data Management + External Data + EHR + Real-World Data + Coordination FDA + EMA + PMDA + ICH Family |
ICH E6 Essential Documents
| Code | Title |
|---|---|
| ICH-E6-EssentialDocs-TMF-eTMF-ArchiveRetention-ICH-Section8 | ICH E6 Section 8 - Essential Documents + Trial Master File (TMF) + eTMF + Archive + Retention |
ICH E6 IRB/IEC + Informed Consent
| Code | Title |
|---|---|
| ICH-E6-IRB-IEC-EthicsCommittee-InformedConsent-Vulnerable | ICH E6 Section 3 - Institutional Review Board (IRB) + Independent Ethics Committee (IEC) + Informed Consent + Vulnerable Populations |
ICH E6 Investigator
| Code | Title |
|---|---|
| ICH-E6-Investigator-Qualifications-Resources-Communication-SafetyReporting | ICH E6 Section 4 - Investigator + Qualifications + Resources + Communication + Safety Reporting + Source Document Verification |
ICH E6 Protocol + IB + CSR
| Code | Title |
|---|---|
| ICH-E6-Protocol-IB-CSR-ClinicalStudyReport-Authoring | ICH E6 Section 6 + 7 - Protocol + Investigator Brochure (IB) + Clinical Study Report (CSR) + Reporting |
ICH E6 Scope + Principles
| Code | Title |
|---|---|
| ICH-E6-Scope-Principles-R3-2025-Risk-Based-DecentralisedClinical | ICH E6 Good Clinical Practice - Scope + 13 Principles + R3 January 2025 + Risk-Based + Decentralised + Modernisation |
ICH E6 Sponsor + Quality Risk Mgmt
| Code | Title |
|---|---|
| ICH-E6-Sponsor-QualityRiskMgmt-Monitoring-CRO-Vendor | ICH E6 Section 5 - Sponsor + Quality Management System + Risk-Based Monitoring + CRO + Vendor Oversight |
Your Compliance Coverage
If you comply with ICH E6(R3) - Good Clinical Practice, you already cover:
Aged Care Quality Standards 2019 (repealed edition)
56%
5 controls mapped
Compare →FDA Quality Management System Regulation (QMSR)
56%
5 controls mapped
Compare →Florida Digital Bill of Rights (FDBR)
56%
5 controls mapped
Compare →+ 111 more: TEFCA - Trusted Exchange Framework and Common Agreement (44%), GAMP 5 - Good Automated Manufacturing Practice (44%)
See all 114 mapped frameworks ↓Maps to 114 other frameworks
What is ICH E6(R3) - Good Clinical Practice and who does it apply to?
ICH E6(R3) - Good Clinical Practice is a compliance framework from International (ICH) with 9 domains and 9 controls. ICH E6(R3) Good Clinical Practice (GCP) is the international ethical and scientific quality standard for the design, conduct, performance, monitoring, auditing, recording, analysis, and reporting of clinical trials. The R3 revision (adopted 2023) modernizes GCP for technology-enabled clinical trials, introduces a quality-by-design approach, and addresses decentralized trials, electronic data, and risk-proportionate monitoring. It is used by organisations to establish and maintain compliance with industry standards and regulatory requirements.
What does ICH E6(R3) - Good Clinical Practice actually require?
ICH E6(R3) - Good Clinical Practice has 9 controls organised across 9 domains. The largest domains are ICH E6 Annex 1 - Electronic Systems (1 controls), ICH E6 Annex 2 - Decentralised Elements (1 controls), ICH E6 Data Mgmt + External Data + Regulatory (1 controls). Each control defines specific requirements that organisations must implement to achieve compliance.
If I already comply with another framework, how much of ICH E6(R3) - Good Clinical Practice do I already cover?
ICH E6(R3) - Good Clinical Practice maps to 114 other compliance frameworks. The top mapping partners are Aged Care Quality Standards 2019 (repealed edition) (56% coverage), FDA Quality Management System Regulation (QMSR) (56% coverage), Florida Digital Bill of Rights (FDBR) (56% coverage). Use our comparison tool to explore control-level mappings between frameworks.
How do I implement ICH E6(R3) - Good Clinical Practice?
Start your ICH E6(R3) - Good Clinical Practice compliance journey by running a self-assessment on our platform to identify your current compliance posture. Our AI advisory can answer specific questions about ICH E6(R3) - Good Clinical Practice requirements, and cross-framework mapping helps you leverage existing controls from other frameworks you may already comply with. Create a free account to access all 9 controls and track your progress.
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