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    Good Clinical Practice

    International quality standard for designing and conducting clinical trials.

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

    Definition

    GCP is an international ethical and scientific quality standard for clinical investigations. ICH E6(R3) and ISO 14155 (devices) define expectations for protocol, monitoring, data integrity, and subject protection.
    What the regulation says
    Good Clinical Practice, or GCP, is an international ethical and scientific quality standard specifically concerning the design, conduct, performance, monitoring, auditing, recording, analysis, and reporting of clinical trials. The FDA enforces GCP through its Bioresearch Monitoring (BIMO) program to ensure the quality and integrity of data and the protection of human subjects, as outlined in regulations like 21 CFR Parts 50, 56, and 312. For medical devices, ISO 14155:2020 provides specific requirements for good clinical practice.

    What this means in practice

    GCP compliance is verified during sponsor and investigator-site inspections (FDA BIMO, EMA GCP). Findings can invalidate trial data.

    Examples

    • A sponsor implements a robust monitoring plan with regular site visits and source data verification to ensure adherence to the clinical investigation plan and protect patient safety.
    • An investigator ensures all study staff complete GCP training and maintain documentation of their qualifications before participating in the trial.
    • Before commencing a clinical trial, an ethics committee (Institutional Review Board in the US) reviews and approves the protocol, informed consent form, and other study documents, ensuring ethical conduct and subject protection.
    Common pitfalls
    • Failing to adequately document investigational site monitoring visits can lead to questions about data integrity and subject safety.
    • Using an outdated or unapproved version of the clinical investigation plan invalidates trial conduct and data.
    • Not ensuring that all research personnel are qualified and adequately trained for their assigned tasks is a common non-compliance.
    • Inadequate informed consent processes, such as missing signatures or dates, can compromise ethical standards and data validity.
    • Failure to report adverse events promptly and accurately to regulatory authorities and ethics committees is a serious violation of GCP.

    Frequently asked questions

    The primary goal of GCP is to ensure the protection of the rights, safety, and well-being of human subjects while also ensuring the integrity and credibility of clinical trial data.
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    Primary references

    3 sources
    Link health: 3 verified· last checked 2026-06-20
    ICH·1AdvaMed·1AHRMM·1
    1. 1
      ICH E6(R3)
      Verified
      ICHich.org
    2. 2
      AdvaMed Code of Ethics
      Verified
      AdvaMedadvamed.org
    3. 3
      AHRMM - Healthcare Supply Chain
      Verified
      AHRMMahrmm.org

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