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Clinical & Trials [Regulated Pathways](/ecosystems/regulated-pathways)[Clinical Evidence](/ecosystems/clinical-evidence)[Global Markets](/ecosystems/global-markets)[Startup Lifecycle](/ecosystems/startup-lifecycle)CEP 

# 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 Cyber](/authors/christian-espinosa) Last reviewed June 20, 2026 

## Definition

A Clinical Evaluation Plan (CEP) is a structured planning document required under EU  [MDR](/terms/mdr-reporting) (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](/terms/pmcf). The  [CER](/terms/cer) documents the execution of the CEP. 

What the regulation says

EU  [MDR](/terms/mdr-reporting) Annex XIV Part A §1(a) requires a CEP.  [MDCG](/terms/mdcg) 2020-13 (Clinical evaluation assessment report template) is what Notified Bodies use to evaluate the  [CER](/terms/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](/terms/mdr-reporting), the CEP is the upfront commitment that disciplines the entire clinical evaluation process, Notified Bodies review the CEP for adequacy before accepting a  [CER](/terms/cer). A weak or generic CEP is one of the most common causes of MDR clinical evaluation deficiencies.  [MDCG](/terms/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. 

## Related terms

Grouped by theme 

### Editor's picks

· Hand-selected related concepts 

[

Post-Market

Post-Market Performance Follow-up(PMPF) 

The IVDR counterpart of PMCF: ongoing collection and analysis of performance data after CE certification.





](/terms/pmpf)[

Clinical & Trials

Clinical Evaluation Report(CER) 

Documented assessment of clinical data demonstrating EU MDR conformity for a device.





](/terms/cer)[

Clinical & Trials

Real-World Evidence(RWE) 

Clinical evidence regarding the usage and potential benefits or risks of a device derived from real-world data.





](/terms/real-world-evidence)[

Standards

ISO 14155

Good clinical practice for clinical investigations of medical devices.





](/terms/iso-14155)

### IVDR Essentials

· From this learning path 

[

Regulatory

General Safety and Performance Requirements(GSPRs) 

Annex I requirements under EU MDR/IVDR that every device must demonstrate it meets.

Adjacent lesson 

](/terms/gspr?from=ivdr-essentials)[

Regulatory

CE Mark

Mandatory European conformity mark for medical devices placed on the EU market.





](/terms/ce-mark?from=ivdr-essentials)[

Market Segments

Companion Diagnostic(CDx) 

IVD that identifies patients who will benefit from a specific drug.





](/terms/companion-diagnostic?from=ivdr-essentials)[

Regulatory

EU In Vitro Diagnostic Regulation(IVDR) 

Regulation (EU) 2017/746 governing in vitro diagnostic medical devices in the EU.





](/terms/ivdr?from=ivdr-essentials)

Cited by

Where this term appears across MedTech Terms.

Learning paths (1)

-   [IVDR Essentials](/paths/ivdr-essentials)Lesson 7 of 13 

Ecosystems (4)

-   [Regulated Pathways](/ecosystems/regulated-pathways)
-   [Clinical Evidence](/ecosystems/clinical-evidence)
-   [Global Markets](/ecosystems/global-markets)
-   [Startup Lifecycle](/ecosystems/startup-lifecycle)

## Primary references

3 sources 

Link health:  3 verified · last checked 2026-06-20 

EUR-Lex· 1 NIH· 1 ICH· 1 

1.  [1 
    
    EU MDR Annex XIV
    
    Verified 
    
    EUR-Lex · eur-lex.europa.eu 
    
    
    
    ](https://eur-lex.europa.eu/eli/reg/2017/745/oj)
2.  [2 
    
    ClinicalTrials.gov
    
    Verified 
    
    NIH · clinicaltrials.gov 
    
    
    
    ](https://clinicaltrials.gov/)
3.  [3 
    
    ICH Guidelines
    
    Verified 
    
    ICH · ich.org 
    
    
    
    ](https://www.ich.org/page/ich-guidelines)

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

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On this term

Category

Clinical & Trials

Acronym

CEP

Sources

3

Updated

6/20/2026

[Compare with another term](/compare?a=clinical-evaluation-plan)

Learn in 60 seconds

Card Lesson Quiz

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).

-   · 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. 

Remember this

Watch out: Writing a generic CEP that doesn't actually scope the clinical evaluation, Notified Bodies will issue major deficiencies.

Related terms

-   [Clinical Evaluation Report(CER) ](/terms/cer)
-   [Post-Market Clinical Follow-up(PMCF) ](/terms/pmcf)
-   [Post-Market Performance Follow-up(PMPF) ](/terms/pmpf)
-   [MDR Article 117 ](/terms/mdr-article-117)
-   [Medical Device Coordination Group Guidance(MDCG) ](/terms/mdcg)
-   [ISO 14155 ](/terms/iso-14155)
-   [Real-World Evidence(RWE) ](/terms/real-world-evidence)

You may also need

Auto-suggested from Clinical & Trials and shared keywords.

-   [Post-Market Surveillance Plan (IVDR) ](/terms/ivdr-pms-plan)
-   [Post-Market Performance Follow-Up (IVDR)(PMPF) ](/terms/ivdr-pmpf)
-   [IVDR Performance Evaluation ](/terms/ivdr-performance-evaluation)
-   [Algorithm Change Protocol(ACP) ](/terms/algorithm-change-protocol)
-   [Post-Market Surveillance Plan ](/terms/pms-plan)
-   [Validation Master Plan(VMP) ](/terms/validation-master-plan)

[All Clinical & Trials terms](/terms?cat=Clinical%20%26%20Trials)

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