MHRA´s Expectations during GCP Inspections

GCP inspections and how they are conducted has changed due to the increased complexity of trials, the use of electronic systems and the development of technology. However, the aim of a GCP inspection is still to ensure clinical trials are conducted safely and are producing accurate and reliable data. Recently, the MHRA shared their expectations for electronic systems used in clinical trials and what they want to see during GCP inspections.

Exchange of Documents and Access to Electronic Systems & Audit Trails

Regarding the exchange of documents and the access to eSystems the MHRA expects the following:

• If it is decided to work electronically an electronic repository / eRoom is likely to be required.
• When documents / data is made available in an eRoom there needs to be a mechanism in place for notifying the Inspectors that the document is now available.
• Documents should be provided in a way that is efficient and that answers are provided in full.
• Complete and direct access (without delay) will be required to all systems that make up the (e)TMF and potentially any key clinical trial support systems for example an eQMS System.
• Inspectors should be provided with the means to access and review all of the relevant systems.
• Computerized System Validation (CSV): Inspectors will also need to have access to systems that manage CSV systems, for example, helpdesk systems. 
• The access to electronic systems should be read-only, but should not be otherwise limited, this includes access to Audit Trails. Audit Trails may also be requested to be extracted.

For more information please read the MHRA post GCP Inspections: Expectations and the dos and don’ts for hosting on MHRA´s Inspectorate Blog. In addition, the EMA recently issued a "Notice to sponsors on validation and qualification of computerised systems used in clinical trials".