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    Clinical & TrialsClinical EvidenceFIH

    First-in-Human Study

    First clinical use of a device or therapy in humans, often outside the U.S. before a U.S. EFS.

    Reviewed by Christian Espinosa, Founder, Blue Goat CyberLast reviewed May 5, 2026

    Definition

    FIH studies generate the earliest human safety and feasibility data and frequently inform IDE submissions. Many FIH studies are conducted under EU CIPs or in OUS jurisdictions like Australia, Latin America, or New Zealand.

    What this means in practice

    Choice of FIH geography is a strategic decision balancing cost, IRB/EC speed, follow-up reliability, and FDA's view of the resulting evidence.

    Primary references

    3 sources
    Link health: 3 verified· last checked 2026-05-09
    ICH·2ISO·1
    1. 1
      ICH E11A FIH
      Verified
      ICHich.org
    2. 2
      ICH Guidelines
      Verified
      ICHich.org
    3. 3
      ISO 14155 Standard Page
      Verified
      ISOiso.org

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