AI Innovation Fails Without GxP – and the Smartest QA Leaders Know It

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Guiding Principles for Good AI Practice in Drug Development (FDA & EMA)

Extends AI governance expectations beyond devices into the medicinal product lifecycle.

https://www.ema.europa.eu/en/documents/other/guiding-principles-good-ai-practice-drug-development_en.pdf

Reflection Paper on the Use of Artificial Intelligence in the Medicinal Product Lifecycle

EMA’s core position on AI use in clinical development, pharmacovigilance, manufacturing and regulatory submissions.

https://www.ema.europa.eu/en/documents/scientific-guideline/reflection-paper-use-artificial-intelligence-ai-medicinal-product-lifecycle_en.pdf

EMA–HMA Network Data Steering Group Workplan (2025–2028)

Outlines EMA’s forward-looking AI and data strategy, including experimentation cycles and regulatory science development.

https://www.ema.europa.eu/en/documents/other/network-data-steering-group-workplan-2025-2028_en.pdf

Guiding Principles for Good AI Practice in Drug Development (Joint EMA–FDA)

Signals transatlantic alignment on AI governance in medicines development.

https://www.ema.europa.eu/en/news/ema-fda-set-common-principles-ai-medicine-development-0

 EU Artificial Intelligence Act (Regulation (EU) 2024/1689)

Classifies many medical AI systems as “high-risk” and introduces explicit requirements for data governance, logging, human oversight and lifecycle control that sit alongside MDR/IVDR.

https://eur-lex.europa.eu/eli/reg/2024/1689/oj/eng

 Software and Artificial Intelligence (AI) as a Medical Device

Explains how AI is currently regulated under UK medical device law.

https://www.gov.uk/government/publications/software-and-artificial-intelligence-ai-as-a-medical-device/software-and-artificial-intelligence-ai-as-a-medical-device

Software and AI as a Medical Device Change Programme: Roadmap

Outlines planned UK reforms addressing adaptivity, transparency and AI-specific regulatory challenges.

https://www.gov.uk/government/publications/software-and-ai-as-a-medical-device-change-programme/software-and-ai-as-a-medical-device-change-programme-roadmap

Machine Learning Medical Devices: Transparency Principles

Defines expectations for clear communication of AI system limitations and performance.

https://www.gov.uk/government/publications/machine-learning-medical-devices-transparency-principles

Predetermined Change Control Plans for Machine Learning-Enabled Medical Devices: Guiding Principles

Reinforces lifecycle governance expectations for adaptive systems.

https://www.gov.uk/government/publications/predetermined-change-control-plans-for-machine-learning-enabled-medical-devices-guiding-principles

Impact of AI on the Regulation of Medical Products

MHRA’s broader reflection on regulatory implications of AI across healthcare products.

https://www.gov.uk/government/publications/impact-of-ai-on-the-regulation-of-medical-products

Draft Annex 22 – Artificial Intelligence (GMP Guide)

Introduces GMP-specific requirements for AI selection, validation, monitoring, change control and human oversight.

https://health.ec.europa.eu/document/download/5f38a92d-bb8e-4264-8898-ea076e926db6_en?filename=mp_vol4_chap4_annex22_consultation_guideline_en.pdf

Revised Annex 11 – Computerised Systems (Draft Update)

Strengthens lifecycle management and data integrity expectations for computerised systems, including AI-enabled systems.

https://health.ec.europa.eu/consultations/stakeholders-consultation-eudralex-volume-4-good-manufacturing-practice-guidelines-chapter-4-annex_en

Revised Chapter 4 – Documentation (Draft Update)

Why it matters: Reinforces documentation and data governance requirements relevant to AI-enabled workflows.

https://health.ec.europa.eu/document/download/fa336a6e-753b-46fc-b53b-9178bacd8878_en?filename=mp_vol4_chap4_consultation_guideline_en.pdf

Artificial Intelligence and Machine Learning (AI/ML) in Software as a Medical Device (SaMD)

Central index for FDA’s approach to AI/ML-enabled medical devices, including discussion papers, action plans and lifecycle expectations.

https://www.fda.gov/medical-devices/software-medical-device-samd/artificial-intelligence-software-medical-device

Proposed Regulatory Framework for Modifications to AI/ML-Based SaMD (2019 Discussion Paper)

Introduced the concept of a “Predetermined Change Control Plan” (PCCP) for adaptive AI systems. This is foundational to FDA’s lifecycle thinking.

https://www.fda.gov/files/medical%20devices/published/US-FDA-Artificial-Intelligence-and-Machine-Learning-Discussion-Paper.pdf

AI/ML-Based SaMD Action Plan (2021)

Sets out FDA’s strategic direction for AI oversight, including GMLP, transparency, real-world performance monitoring and regulatory science.

https://www.fda.gov/media/145022/download

Marketing Submission Recommendations for a Predetermined Change Control Plan (PCCP) for AI-Enabled Device Software Functions

Provides specific expectations on how manufacturers can manage post-market learning and updates in AI systems.

https://www.fda.gov/regulatory-information/search-fda-guidance-documents/marketing-submission-recommendations-predetermined-change-control-plan-artificial-intelligence

Good Machine Learning Practice (GMLP) for Medical Device Development: Guiding Principles

Defines baseline expectations for dataset representativeness, separation of training/testing, performance evaluation and lifecycle control.

https://www.fda.gov/medical-devices/software-medical-device-samd/good-machine-learning-practice-medical-device-development-guiding-principles

Transparency for Machine Learning-Enabled Medical Devices: Guiding Principles

Clarifies expectations around communicating AI limitations, intended use and performance to users.

https://www.fda.gov/medical-devices/software-medical-device-samd/transparency-machine-learning-enabled-medical-devices-guiding-principles

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