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Good clinical practice - Wikipedia

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class="firstHeading mw-first-heading"><span class="mw-page-title-main">Good clinical practice</span></h1> <div id="p-lang-btn" class="vector-dropdown mw-portlet mw-portlet-lang" > <input type="checkbox" id="p-lang-btn-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-p-lang-btn" class="vector-dropdown-checkbox mw-interlanguage-selector" aria-label="Go to an article in another language. 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Practice</a>)</span></div></div> <div id="mw-content-text" class="mw-body-content"><div class="mw-content-ltr mw-parser-output" lang="en" dir="ltr"><div class="shortdescription nomobile noexcerpt noprint searchaux" style="display:none">International quality standard for drug testing and production</div> <p>In <a href="/wiki/Drug_development" title="Drug development">drug development</a> and <a href="/wiki/Pharmaceutical_manufacturing" title="Pharmaceutical manufacturing">production</a>, <b>good clinical practice</b> (<b>GCP</b>) is an international quality standard, which governments can then transpose into regulations for <a href="/wiki/Clinical_trial" title="Clinical trial">clinical trials</a> involving human subjects. GCP follows the <a href="/wiki/International_Council_for_Harmonisation_of_Technical_Requirements_for_Registration_of_Pharmaceuticals_for_Human_Use" class="mw-redirect" title="International Council for Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use">International Council for Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use</a> (ICH), and enforces tight guidelines on <a href="/wiki/Ethical" class="mw-redirect" title="Ethical">ethical</a> aspects of <a href="/wiki/Clinical_research" title="Clinical research">clinical research</a>. </p><p>High standards are required in terms of comprehensive documentation for the clinical <a href="/wiki/Protocol_(science)" title="Protocol (science)">protocol</a>, record keeping, training, and facilities, including computers and software. <a href="/wiki/Quality_assurance" title="Quality assurance">Quality assurance</a> and inspections ensure that these <a href="/wiki/International_standard" title="International standard">standards</a> are achieved. GCP aims to ensure that the studies are scientifically authentic and that the clinical properties of the investigational product are properly documented. </p><p>GCP guidelines<sup id="cite_ref-1" class="reference"><a href="#cite_note-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup> include protection of human rights for the subjects and volunteers in a clinical trial. It also provides assurance of the safety and efficacy of the newly developed compounds. GCP guidelines include standards on how clinical trials should be conducted, define the roles and responsibilities of institutional review boards, clinical research investigators, clinical trial sponsors, and monitors. In the pharmaceutical industry monitors are often called <a href="/wiki/Clinical_research_associate" title="Clinical research associate">clinical research associates</a>. </p><p>A series of unsuccessful and ineffective clinical trials in the past were the main reason for the creation of ICH and GCP guidelines in the US and Europe. These discussions ultimately led to the development of certain regulations and guidelines, which evolved into the code of practice for international consistency of quality research. </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="History">History</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Good_clinical_practice&amp;action=edit&amp;section=1" title="Edit section: History"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>ICH first published the GCP guidelines in 1996 under the "E6" category and was last amended in 2016.<sup id="cite_ref-2" class="reference"><a href="#cite_note-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Legal_and_regulatory_status">Legal and regulatory status</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Good_clinical_practice&amp;action=edit&amp;section=2" title="Edit section: Legal and regulatory status"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li>European Union: In the EU, Good Clinical Practice is backed and regulated by formal legislation contained in the Clinical Trial Regulation (Officially Regulation (EU) No 536/2014 of the European Parliament and of the Council of 16 April 2014 on clinical trials on medicinal products for human use, and repealing Directive 2001/20/EC).<sup id="cite_ref-3" class="reference"><a href="#cite_note-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup> A similar guideline for clinical trials of <a href="/wiki/Medical_device" title="Medical device">medical devices</a> is the international standard <a href="/wiki/ISO_14155" title="ISO 14155">ISO 14155</a>, which is valid in the European Union as a harmonized standard. These standards for clinical trials are sometimes referred to as ICH-GCP or ISO-GCP to differentiate between the two and the lowest grade of recommendation in clinical guidelines.</li> <li>United States: Although ICH GCP guidelines are recommended by the <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a> (FDA),<sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup> they are not statutory in the United States. The <a href="/wiki/National_Institutes_of_Health" title="National Institutes of Health">National Institutes of Health</a> requires NIH-funded clinical investigators and clinical trial staff who are involved in the design, conduct, oversight, or management of clinical trials to be trained in Good Clinical Practice.<sup id="cite_ref-5" class="reference"><a href="#cite_note-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup></li></ul> <div class="mw-heading mw-heading2"><h2 id="ICH_GCP_overview">ICH GCP overview</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Good_clinical_practice&amp;action=edit&amp;section=3" title="Edit section: ICH GCP overview"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li>Glossary</li> <li>Principles of ICH GCP</li> <li>Guidelines for: <ul><li><a href="/wiki/Institutional_review_board" title="Institutional review board">institutional review board</a> (IRB) / independent ethics committee (IEC)</li> <li>investigator</li> <li>trial sponsor (industrial, academic)</li> <li><a href="/wiki/Clinical_trial_protocol" class="mw-redirect" title="Clinical trial protocol">clinical trial protocol</a> and protocol amendments</li> <li><a href="/wiki/Investigator%27s_Brochure" class="mw-redirect" title="Investigator&#39;s Brochure">investigator's brochure</a></li> <li>essential documents</li></ul></li></ul> <div class="mw-heading mw-heading2"><h2 id="Criticism">Criticism</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Good_clinical_practice&amp;action=edit&amp;section=4" title="Edit section: Criticism"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>GCP has been called 'a less morally authoritative document' than the <a href="/wiki/Declaration_of_Helsinki" title="Declaration of Helsinki">Declaration of Helsinki</a>, lacking moral principles and guidance in the following areas:<sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup> </p> <ul><li>Disclosure of conflict of interest</li> <li>Public disclosure of study design</li> <li>Benefit for populations in which research is conducted</li> <li>Reporting of accurate results and publication of negative findings</li> <li>Access to treatment after research has been conducted</li> <li>Restriction of use of placebo in control group where effective alternative treatment is available</li></ul> <p>In the book <i><a href="/wiki/Bad_Pharma" title="Bad Pharma">Bad Pharma</a></i>, <a href="/wiki/Ben_Goldacre" title="Ben Goldacre">Ben Goldacre</a> mentions these criticisms and notes that the GCP rules "aren't terrible... [they are] more focused on procedures, while Helsinki clearly articulates moral principles".<sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">&#91;</span>7<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="See_also">See also</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Good_clinical_practice&amp;action=edit&amp;section=5" title="Edit section: See also"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1184024115">.mw-parser-output .div-col{margin-top:0.3em;column-width:30em}.mw-parser-output .div-col-small{font-size:90%}.mw-parser-output .div-col-rules{column-rule:1px solid #aaa}.mw-parser-output .div-col dl,.mw-parser-output .div-col ol,.mw-parser-output .div-col ul{margin-top:0}.mw-parser-output .div-col li,.mw-parser-output .div-col dd{page-break-inside:avoid;break-inside:avoid-column}</style><div class="div-col" style="column-width: 40em;"> <ul><li><a href="/wiki/GxP" title="GxP">GxP</a>&#160;– Good practice guidelines and regulations</li> <li><a href="/wiki/Good_laboratory_practice" title="Good laboratory practice">Good laboratory practice</a></li> <li><a href="/wiki/Data_monitoring_committees" class="mw-redirect" title="Data monitoring committees">Data monitoring committees</a>&#160;– ethical review organization<span style="display:none" class="category-wikidata-fallback-annotation">Pages displaying wikidata descriptions as a fallback</span></li> <li><a href="/wiki/Directive_2001/20/EC" class="mw-redirect" title="Directive 2001/20/EC">Directive 2001/20/EC</a>&#160;– European Union Directive (EU) 2001/20<span style="display:none" class="category-wikidata-fallback-annotation">Pages displaying wikidata descriptions as a fallback</span></li> <li><a href="/wiki/Drug_development" title="Drug development">Drug development</a>&#160;– Process of bringing a new pharmaceutical drug to the market</li> <li><a href="/wiki/EudraVigilance" title="EudraVigilance">EudraVigilance</a>&#160;– Processing Network<span style="display:none" class="category-wikidata-fallback-annotation">Pages displaying wikidata descriptions as a fallback</span></li> <li><a href="/wiki/European_Forum_for_Good_Clinical_Practice" title="European Forum for Good Clinical Practice">European Forum for Good Clinical Practice</a></li> <li><a href="/wiki/European_Medicines_Agency" title="European Medicines Agency">European Medicines Agency</a>&#160;– Agency of the European Union</li> <li><a href="/wiki/Institutional_review_board" title="Institutional review board">Institutional review board</a>&#160;– Type of committee that applies research ethics</li> <li><a href="/wiki/Inverse_benefit_law" title="Inverse benefit law">Inverse benefit law</a>&#160;– Drug benefit-harm ratio falls with marketing</li> <li><a href="/wiki/Medical_ethics" title="Medical ethics">Medical ethics</a>&#160;– System of moral principles of the practice of medicine</li> <li><a href="/wiki/Pharmaceutical_company" class="mw-redirect" title="Pharmaceutical company">Pharmaceutical company</a>&#160;– Industry involved with discovery, development, production and marketing of drugs<span style="display:none" class="category-annotation-with-redirected-description">Pages displaying short descriptions of redirect targets</span></li> <li><a href="/wiki/Pharmacovigilance" title="Pharmacovigilance">Pharmacovigilance</a>&#160;– Drug safety; subdiscipline of pharmacy relating to prevention of adverse effects of drugs</li></ul> </div> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Good_clinical_practice&amp;action=edit&amp;section=6" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist"> <div class="mw-references-wrap"><ol class="references"> <li id="cite_note-1"><span class="mw-cite-backlink"><b><a href="#cite_ref-1">^</a></b></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.ich.org/page/efficacy-guidelines">"ICH Official web site&#160;: ICH"</a>. <i>www.ich.org</i><span class="reference-accessdate">. Retrieved <span class="nowrap">2021-11-24</span></span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=unknown&amp;rft.jtitle=www.ich.org&amp;rft.atitle=ICH+Official+web+site+%3A+ICH&amp;rft_id=https%3A%2F%2Fwww.ich.org%2Fpage%2Fefficacy-guidelines&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AGood+clinical+practice" class="Z3988"></span></span> </li> <li id="cite_note-2"><span class="mw-cite-backlink"><b><a href="#cite_ref-2">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://web.archive.org/web/20220210103236/https://www.ich.org/page/efficacy-guidelines">"Efficacy Guidelines"</a>. <a href="/wiki/International_Council_for_Harmonisation_of_Technical_Requirements_for_Pharmaceuticals_for_Human_Use" title="International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use">International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use</a> (ICH). Archived from <a rel="nofollow" class="external text" href="https://www.ich.org/page/efficacy-guidelines">the original</a> on 10 February 2022<span class="reference-accessdate">. Retrieved <span class="nowrap">12 September</span> 2024</span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=unknown&amp;rft.btitle=Efficacy+Guidelines&amp;rft.pub=International+Council+for+Harmonisation+of+Technical+Requirements+for+Pharmaceuticals+for+Human+Use+%28ICH%29&amp;rft_id=https%3A%2F%2Fwww.ich.org%2Fpage%2Fefficacy-guidelines&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AGood+clinical+practice" class="Z3988"></span></span> </li> <li id="cite_note-3"><span class="mw-cite-backlink"><b><a href="#cite_ref-3">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://health.ec.europa.eu/medicinal-products/clinical-trials/clinical-trials-directive-200120ec_en">"Clinical trials - Directive 2001/20/EC - European Commission"</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=unknown&amp;rft.btitle=Clinical+trials+-+Directive+2001%2F20%2FEC+-+European+Commission&amp;rft_id=https%3A%2F%2Fhealth.ec.europa.eu%2Fmedicinal-products%2Fclinical-trials%2Fclinical-trials-directive-200120ec_en&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AGood+clinical+practice" class="Z3988"></span></span> </li> <li id="cite_note-4"><span class="mw-cite-backlink"><b><a href="#cite_ref-4">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFCommissioner" class="citation web cs1">Commissioner, Office of the. <a rel="nofollow" class="external text" href="https://www.fda.gov/scienceresearch/specialtopics/runningclinicaltrials/default.htm">"Clinical Trials and Human Subject Protection"</a>. <i>www.fda.gov</i><span class="reference-accessdate">. Retrieved <span class="nowrap">2018-11-01</span></span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=unknown&amp;rft.jtitle=www.fda.gov&amp;rft.atitle=Clinical+Trials+and+Human+Subject+Protection&amp;rft.aulast=Commissioner&amp;rft.aufirst=Office+of+the&amp;rft_id=https%3A%2F%2Fwww.fda.gov%2Fscienceresearch%2Fspecialtopics%2Frunningclinicaltrials%2Fdefault.htm&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AGood+clinical+practice" class="Z3988"></span></span> </li> <li id="cite_note-5"><span class="mw-cite-backlink"><b><a href="#cite_ref-5">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://grants.nih.gov/policy/clinical-trials/good-clinical-training.htm">"Good Clinical Practice Training | grants.nih.gov"</a>. <i>grants.nih.gov</i><span class="reference-accessdate">. Retrieved <span class="nowrap">2020-04-03</span></span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=unknown&amp;rft.jtitle=grants.nih.gov&amp;rft.atitle=Good+Clinical+Practice+Training+%7C+grants.nih.gov&amp;rft_id=https%3A%2F%2Fgrants.nih.gov%2Fpolicy%2Fclinical-trials%2Fgood-clinical-training.htm&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AGood+clinical+practice" class="Z3988"></span></span> </li> <li id="cite_note-6"><span class="mw-cite-backlink"><b><a href="#cite_ref-6">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFKimmelmanWeijerMeslin2009" class="citation journal cs1">Kimmelman, Jonathan; Weijer, Charles; Meslin, Eric M (2009). "Helsinki discords: FDA, ethics, and international drug trials". <i>The Lancet</i>. <b>373</b> (9657): 13–14. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1016%2FS0140-6736%2808%2961936-4">10.1016/S0140-6736(08)61936-4</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/19121708">19121708</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=The+Lancet&amp;rft.atitle=Helsinki+discords%3A+FDA%2C+ethics%2C+and+international+drug+trials&amp;rft.volume=373&amp;rft.issue=9657&amp;rft.pages=13-14&amp;rft.date=2009&amp;rft_id=info%3Adoi%2F10.1016%2FS0140-6736%2808%2961936-4&amp;rft_id=info%3Apmid%2F19121708&amp;rft.aulast=Kimmelman&amp;rft.aufirst=Jonathan&amp;rft.au=Weijer%2C+Charles&amp;rft.au=Meslin%2C+Eric+M&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AGood+clinical+practice" class="Z3988"></span></span> </li> <li id="cite_note-7"><span class="mw-cite-backlink"><b><a href="#cite_ref-7">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFBen_Goldacre2012" class="citation book cs1">Ben Goldacre (2012). <i>Bad Pharma</i>. London: Fourth Estate. <a href="/wiki/OL_(identifier)" class="mw-redirect" title="OL (identifier)">OL</a>&#160;<a rel="nofollow" class="external text" href="https://openlibrary.org/books/OL25682902M">25682902M</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=book&amp;rft.btitle=Bad+Pharma&amp;rft.place=London&amp;rft.pub=Fourth+Estate&amp;rft.date=2012&amp;rft_id=https%3A%2F%2Fopenlibrary.org%2Fbooks%2FOL25682902M%23id-name%3DOL&amp;rft.au=Ben+Goldacre&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AGood+clinical+practice" class="Z3988"></span></span> </li> </ol></div></div> <div class="mw-heading mw-heading2"><h2 id="External_links">External links</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Good_clinical_practice&amp;action=edit&amp;section=7" title="Edit section: External links"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li><a rel="nofollow" class="external text" href="https://www.fda.gov/downloads/Drugs/Guidances/UCM464506.pdf">ICH Topic E 6 (R2)</a></li> <li><a rel="nofollow" class="external text" href="https://www.fda.gov/ScienceResearch/SpecialTopics/RunningClinicalTrials/default.htm">Good Clinical Practice</a> (from U.S. <a href="/wiki/Food_and_Drug_Administration" title="Food and Drug Administration">Food and Drug Administration</a>)</li></ul> <!-- NewPP limit report Parsed by mw‐web.codfw.main‐6b7f745dd4‐m5274 Cached time: 20241125143154 Cache expiry: 2592000 Reduced expiry: false Complications: [vary‐revision‐sha1, show‐toc] CPU time usage: 0.308 seconds Real time usage: 0.469 seconds Preprocessor visited node count: 2339/1000000 Post‐expand include size: 16374/2097152 bytes Template argument size: 1077/2097152 bytes Highest expansion depth: 8/100 Expensive parser function count: 1/500 Unstrip recursion depth: 1/20 Unstrip post‐expand size: 24688/5000000 bytes Lua time usage: 0.214/10.000 seconds Lua memory usage: 15520502/52428800 bytes Number of Wikibase entities loaded: 0/400 --> <!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 448.960 1 -total 55.93% 251.122 12 Template:Annotated_link 25.80% 115.823 1 Template:Reflist 18.83% 84.521 5 Template:Cite_web 13.97% 62.721 1 Template:Short_description 7.38% 33.143 2 Template:Pagetype 4.29% 19.280 4 Template:Main_other 3.82% 17.157 1 Template:SDcat 2.36% 10.614 1 Template:Cite_journal 2.35% 10.554 1 Template:Col_div --> <!-- Saved in parser cache with key enwiki:pcache:idhash:2361772-0!canonical and timestamp 20241125143154 and revision id 1245291420. 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