KEY FINDING
With a much greater emphasis on utilization of risk-based and fit-for-purpose tools and approaches, improved quality is seen as a positive impact of ICH E6 (R3). Challenges are also expected, including increased site burden and greater effort required to be inspection-ready. Further, some extension of timelines is anticipated, especially where guidance is expected to have impact on start-up. There is a shared sentiment that increased investment of time at the front-end of clinical trials will ultimately yield efficiencies over time as “new norms” are established.