All terms

    Clinical Evaluation Plan

    EU MDR document that defines the scope, methods, and acceptance criteria for the clinical evaluation that will be reported in the Clinical Evaluation Report (CER).

    Reviewed by Christian Espinosa, Founder, Blue Goat CyberLast reviewed June 20, 2026

    Definition

    A Clinical Evaluation Plan (CEP) is a structured planning document required under EU MDR (Annex XIV Part A §1(a)) that defines how the manufacturer will conduct the clinical evaluation of a medical device. The CEP identifies the device and its intended purpose, the equivalence claim (if any), the clinical development stages, the data sources to be evaluated (clinical investigations, literature, post-market data), the acceptance criteria for clinical performance and safety, the benefit-risk methodology, and the plan for ongoing clinical evaluation through PMCF. The CER documents the execution of the CEP.
    What the regulation says
    EU MDR Annex XIV Part A §1(a) requires a CEP. MDCG 2020-13 (Clinical evaluation assessment report template) is what Notified Bodies use to evaluate the CER against the CEP. For legacy devices, MDCG 2020-6 provides guidance on clinical evidence for legacy devices.

    What this means in practice

    Under MDR, the CEP is the upfront commitment that disciplines the entire clinical evaluation process, Notified Bodies review the CEP for adequacy before accepting a CER. A weak or generic CEP is one of the most common causes of MDR clinical evaluation deficiencies. MDCG 2020-13 provides the CER assessment template that Notified Bodies use, and it is essentially scoring CER conformance against the CEP.
    Common pitfalls
    • Writing a generic CEP that doesn't actually scope the clinical evaluation, Notified Bodies will issue major deficiencies.
    • Skipping the equivalence rationale in the CEP and then claiming equivalence in the CER, must be planned upfront.
    • Failing to align the CEP with the PMCF plan, they are intended to form a continuous evidence loop.

    Primary references

    3 sources
    Link health: 3 verified· last checked 2026-06-20
    EUR-Lex·1NIH·1ICH·1
    1. 1
      EU MDR Annex XIV
      Verified
      EUR-Lexeur-lex.europa.eu
    2. 2
      ClinicalTrials.gov
      Verified
      NIHclinicaltrials.gov
    3. 3
      ICH Guidelines
      Verified
      ICHich.org

    Inline markers like [1] jump to the matching reference above.