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"Fit for Purpose" in Clinical Research

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One trial, one purpose or many stakeholder perspectives? The expression “fit for purpose” appears 14 times in ** ICH GCP ICH E6(R3) . This repetition is not accidental. It signals a deliberate regulatory shift away from rigid, one-size-fits-all compliance toward a more contextual, risk-based understanding of quality, proportionality, and oversight in clinical research. At the same time, the phrase itself is deceptively simple. According to the Cambridge Dictionary , fit for purpose means: “Suitable and good enough to do what it is intended to do.” Fit for Purpose in ICH GCP (R3) Within ICH GCP E6(R3) , fit for purpose is used to describe a wide range of elements, including trial processes, quality management systems, oversight mechanisms, data handling approaches, and supporting technologies. Across all these contexts, the underlying principle is consistent: systems and processes should be appropriate for their intended use , proportionate to risk, and focused on ...