data integrity GCP - clinical research laboratory with digital sample trail - QFINITY
Good Clinical Practice

Process orientation over technology for its own sake.

We consult across clinical research and development - turning the requirements of the EMA guideline, ICH E6(R3) and Regulation (EU) 536/2014 into processes and quality management systems that hold up.

ICH E6(R3) makes data governance a shared task for sponsor and trial site; the EMA guideline spells out what inspectors expect from computerized systems and electronic data.

Co-authored by QFINITY.

The methodological anchor, the ISPE GAMP Good Practice Guide "Validation and Compliance of Computerized GCP Systems and Data - Good eClinical Practice" (2nd Edition, July 2024), took shape with QFINITY: Frank Henrichmann and Oliver Herrmann as Co-Leads, Jenny Gebhardt and Marcus Schwabedissen on the author team. Oliver Herrmann led the ISPE GAMP R&D and Clinical Systems Special Interest Group (SIG).

ICH E6(R3) EMA guideline Data Governance ALCOA++ Quality by Design Data Acquisition Tools eSource Audit Trail Review
Participant protection and reliable results are achieved together - through process-oriented quality management, practiced data governance and risk-based use of technology.
eClinical technologies

The system landscape of clinical research.

GCP system landscapes are heterogeneous, networked and used around the globe - ICH E6(R3) groups the capture tools as Data Acquisition Tools, from the paper CRF to the wearable - data captured electronically at its origin is eSource. We look at every technology class in its process context, not in isolation.

  • Data Acquisition Tools

    eCRF/EDC (Electronic Data Capture), Clinical Outcome Assessments (COA/ePRO) and other capture tools - the R3 umbrella term for anything that records data and metadata from the data originator.

  • Digital Health Technologies

    Wearables and sensors as regular data sources - metadata is part of the record, and losing it means losing integrity.

  • IRT / RTSM

    Interactive Response Technology and Randomization and Trial Supply Management: randomization, investigational product logistics, emergency unblinding - tested, backed up, available before the first dose.

  • eConsent

    Electronic informed consent, on site or remote - with its own requirements for identity, versioning and evidence.

  • EHR & site source systems

    Electronic Health Records (EHR) and other systems the trial site brings along are assessed for fitness for purpose as early as site selection - data security, user management, audit trails.

  • Safety & pharmacovigilance

    SAE/SUSAR reporting paths from the trial into the safety database - housed primarily on the pharma side, yet inseparable in the GCP context: interfaces, reconciliation, reporting deadlines.

  • CTMS & eTMF

    Trial management and the Trial Master File: the eTMF has to tell the story of the trial, ready for inspection - complete, contemporaneous, with an audit trail.

  • Service providers in the network

    Contract Research Organizations (CROs), laboratories, platform and software vendors - responsibility stays with the sponsor; we assess processes and tools for suitability.

Shared responsibility

Sponsor and trial site carry the data together.

The heart of the new GCP rules: data governance is shared responsibility across the entire data lifecycle. The sponsor never controls the captured data alone - and whoever delegates a task remains accountable for it.

  • Sponsor & trial site

    The sponsor owns the trial's systems and processes, the site owns its source data - and both own integrity across the lifecycle together.

  • No sole control

    At no point does the sponsor hold sole control; the site keeps an independent certified copy including the audit trail - for the full retention period.

  • Service provider oversight

    Delegation does not discharge responsibility: oversight scales with risk and explicitly covers subcontractors - with audit rights and inspection access.

  • Agreements & evidence

    Contracts settle data access, responsibilities and evidence before services start - a provider's evidence counts only after documented assessment.

We set these roles up with you.

As part of our consulting services, QFINITY supports you in defining responsibilities, control points and contract content between sponsor, trial site and service providers - before an inspector asks. And we test them in practice: with vendor and CRO audits, from the eClinical platform to the SaaS/cloud provider.

End-to-end validation

Highly complex platforms, validated with focus.

Rather than documenting every module wholesale, we follow the data flow through the eClinical platform - from capture through the interfaces to analysis. ICH E6(R3) calls for risk-based proportionality; the ISPE GAMP eClinical Good Practice Guide shows how to achieve it in practice - proven methodology, not a regulation: effort scaled by intended use, data criticality and the impact on the protection of trial participants and the reliability of trial results.

  • Data flow and data integrity analysis as the basis of the validation strategy
  • Trial-specific configuration and customization as verification items in their own right
  • Interfaces and data transfers are verified - end to end along the clinical data lifecycle
End-to-end validation of highly complex eClinical platforms in clinical research
In practice.

Two case studies show how such validation plays out: the implementation of an investigator notification system - safety notifications, validated end to end - and the replacement of a drug safety solution with pharmacovigilance and E2B.

Approach

The path to a validated system landscape.

Risk-based and process-oriented - that is how even a highly complex eClinical environment gets validated without burning resources. And stays validated: through operation, migration and decommissioning.

  1. 1

    Process and data flow analysis

    We map the GCP-relevant processes and systems and chart the data flow from source data to analysis - including interfaces and data criticality.

  2. 2

    Provider assessment & agreements

    Assessing and selecting service providers, with agreements in place before services start - data access, audit rights, subcontractors.

  3. 3

    Risk assessment & validation strategy

    Risks to trial participants and data integrity set the scope and depth of validation - scaled to the actual risk, not to blanket documentation.

  4. 4

    End-to-end verification

    Standard functionality, trial-specific configuration and interfaces are verified along the clinical data lifecycle - traceable back to the requirement.

  5. 5

    Operation & reviews

    Change control, periodic review and user/access management maintain the validated state; audit trail review runs as a planned, risk-based activity.

  6. 6

    Migration & decommissioning

    Migration runs as a validated process with reconciliation, archives are read-only, decommissioning ends with a certified copy and a defined recommissioning path in case data must be available in the system again - dynamic data stays dynamically usable.

ALCOA++ in clinical research

What the ten criteria mean in the GCP context.

ALCOA++ is the GxP convention for data integrity: the EMA guideline uses exactly these attributes, and ICH E6(R3) demands them in substance - security and reliability of data come on top as a data governance concern, not as an eleventh criterion.

CriterionGroupIn the GCP context
AttributableALCOAEvery entry can be traced to a person, site and point in time - for device data, to the system or device as data originator.
LegibleALCOAStudy data stays legible throughout the retention period - compression or encryption must be fully reversible.
ContemporaneousALCOAData is captured close to the visit or measurement, not after the fact.
OriginalALCOASource records are preserved - as the first record or a certified copy; dynamic data stays dynamically usable.
AccurateALCOAClinical data is correct, safeguarded by edit checks and source data verification.
Complete+All visits, queries, metadata and the EDC audit trail are present.
Consistent+Records are chronological and free of contradictions across sites and systems.
Enduring+Study data endures in the GCP-compliant archive throughout the retention period.
Available+Data is accessible at any time for monitoring, audit and inspection.
Traceable++Every change to a record can be traced end to end through the audit trail.
The inspectors' benchmark

Clinical data whose integrity you can demonstrate.

The benchmark is clear: the EMA guideline on computerised systems, anchored in EudraLex Vol. 10 and globally harmonized through ICH E6(R3). Inspectors expect direct read-only access to systems, data and audit trails - even after decommissioning. That is exactly the benchmark we assess against - with the methodology QFINITY co-defined in the ISPE GAMP eClinical Good Practice Guide.

EMA guideline (since 09/2023) EudraLex Vol. 10 Annex III ICH E6(R3) PIC/S PI 011 Direct read-only access Certified Copy
Our service

Good Clinical Practice, supported in practice.

Consulting on data governance and data integrity for GCP-relevant systems
Building and improving quality management systems (QMS)
Risk-based validation strategies along the ISPE GAMP eClinical Good Practice Guide
Data flow and data integrity analyses
Consulting on data integrity and governance for Real-World Data / Real-World Evidence (RWD/RWE)
Audit trail review concepts: planned, risk-based, documented
Role and control models: no sole control, certified copies
Service provider oversight: agreements, vendor assessment, tool selection
Vendor and service provider audits: CROs, software vendors, SaaS/cloud providers - including on site
User and access management: least privilege, segregation of duties
eConsent process design
Blinding and unblinding governance
Electronic signatures: concepts along eIDAS and Part 11
Backup and restore testing, IT security requirements
Migration planning and concepts, including reconciliation
Decommissioning and retention strategies
Training, workshops and hands-on support for validation activities
More from the service areas

Data integrity has many contexts.

Your eClinical landscape, validated for inspection readiness.

We build a risk-based end-to-end validation strategy with you along the EMA guideline and ICH E6(R3) - from data flow analysis to inspection-ready verification. It starts with a free intro call on your system landscape - and on where action has the biggest effect on your data integrity.

Book an intro call