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Impulses

Articles from practice

Every two weeks a piece on process applications and medical software. Evidenced, with sources, without marketing promises.

Process applicationsOctober 08, 2026· 5 min read

ICH E6(R3) makes software part of the clinical trial

The revised guideline on good clinical practice has applied in the EU since July 2025, and its Annex 2 follows on 15 January 2027. It no longer treats computerised systems as a side issue but as part of the data responsibility of sponsor and trial site. This article sets out what E6(R3) requires of software in clinical trials, what Annex 2 adds for wearables, apps and data from routine care, and how to align the effort with the risk.

Process applicationsSeptember 28, 2026· 3 min read

GxP-compliant software without the overhead: risk-based validation

In regulated environments, software must be validated — and many teams experience this as a mountain of paperwork that slows every small change. It need not be so. The risk-based approach has been the state of the guidelines for years: effort where the risk sits, and restraint where there is none. This article shows what validation really requires and how GAMP 5 and EU GMP Annex 11 support the lean route.