Human Subject Protection; Acceptance of Data From Clinical Studies for Medical Devices

The Food and Drug Administration (FDA) is proposing to amend its regulations on acceptance of data from clinical studies for medical devices. We are proposing to require that clinical studies conducted outside the United States as support for an investigational device exemption (IDE) application, a premarket notification (510(k)) submission, a premarket approval (PMA) application, a product development protocol (PDP) application, or a humanitarian device exemption (HDE) application be conducted in accordance with good clinical practice (GCP), which includes obtaining and documenting the review and approval of the study by an independent ethics committee (IEC) and obtaining and documenting freely given informed consent of study subjects. The proposed rule is intended to update the standards for FDA acceptance of data from clinical studies conducted outside the United States and to help ensure the protection of human subjects and the quality and integrity of data obtained from these studies.  As part of this proposed rule, we are also proposing to amend the IDE and 510(k) regulations to address the requirements for FDA acceptance of data from clinical studies conducted inside the United States.  The proposed amendments are intended to provide consistency in FDA requirements for acceptance of clinical data, whatever the application or submission type.  I agree with FDA’s idea to ensure that clinical studies conducted outside the United States should abide by similar regulations as studies conducted within the confines of US borders.  Additionally, I agree that these studies are to be conducted in accordance with good clinical practice (GCP), to include obtaining and documenting the review and approval of the study by an independent ethics committee (IEC) and obtaining and documenting freely given informed consent of study subjects.  FDA should also be interested in protecting the rights of any subject that is participating within a clinical study.