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ICH E6(R3) Proactive Quality

Quality by Design (QbD) Training

Design quality into your clinical trials from the start. Learn the proactive approach ICH E6(R3) expects - identifying Critical to Quality factors and building protective systems before problems can occur.

Explore the Framework

Design

Quality Built-In

CtQ

Factor-Focused

Free

Certification Included

The QbD Advantage

  • Prevent problems before they occur through proactive design
  • Reduce costly protocol amendments and deviations
  • Focus resources on what truly matters for quality
  • Build inspection-ready trials from day one
Foundation

What is Quality by Design?

Quality by Design (QbD) is a proactive approach that emphasizes designing quality into clinical trials from the beginning, rather than attempting to test for it at the end. ICH E6(R3) makes this approach fundamental to Good Clinical Practice.

The QbD Philosophy

"Quality should be built into the clinical trial, with the critical to quality factors identified, the risks that might affect those critical factors assessed, and the risks controlled."

— ICH E6(R3) Good Clinical Practice, Section 4.0: Quality Management

Core QbD Principles

Purpose-Driven

Predefined Quality Objectives

Before starting any trial, clearly define what 'quality' means in your specific context. What outcomes are essential for participant safety? What data must be reliable? These objectives guide all downstream decisions.

Prevention-First

Prospective Approach

QbD is fundamentally forward-looking. Rather than reacting to problems after they occur, you anticipate risks during design and build preventive measures into processes from the start.

CtQ-Centered

Critical to Quality Focus

Not everything is equally important. QbD requires identifying Critical to Quality (CtQ) factors - the specific processes and data that are essential to participant protection and reliable results.

Tailored

Fit-for-Purpose Design

Every element of the trial - from CRF design to monitoring intensity - should be purposefully designed to support quality objectives. No 'one-size-fits-all' approaches.

Methodical

Systematic Planning

QbD involves structured, documented planning processes. Risk assessments, quality plans, and design decisions should follow a systematic methodology, not ad hoc choices.

Inherent Quality

Quality Built-In, Not Added

Quality cannot be 'inspected in' after the fact. It must be designed into the trial from conception. Retrofitting quality controls is expensive and often ineffective.

QbD vs. Traditional Quality Approaches

AspectTraditional ApproachQuality by Design
TimingQuality checked at the end
Quality designed at the start
FocusAll data treated equally
Critical to Quality factors prioritized
ApproachReactive problem-solving
Proactive risk prevention
Monitoring100% source data verification
Risk-proportionate, targeted oversight
EfficiencyResource-intensive across all areas
Resources focused where they matter
Implementation

The QbD Implementation Framework

Quality by Design follows a structured process that begins during protocol development and continues throughout the trial. Here's how to implement QbD in your clinical trials.

1

Define Quality Objectives

Begin by clearly defining what 'quality' means for your specific trial. What outcomes are essential for participant safety? What data is critical for regulatory decision-making?

Key Activities

  • Identify trial-specific quality goals
  • Define success criteria for participant protection
  • Establish data reliability requirements
  • Document quality objectives in planning documents

Deliverable

Quality Objectives Document

2

Identify Critical to Quality Factors

Determine the specific processes, activities, and data that are essential to achieving your quality objectives. These Critical to Quality (CtQ) factors will receive the most attention.

Key Activities

  • Map trial processes to quality objectives
  • Identify data critical for primary endpoints
  • Determine safety-critical processes
  • Prioritize factors by importance and risk

Deliverable

CtQ Factor List with Rationale

3

Assess Risks to CtQ Factors

For each Critical to Quality factor, prospectively assess what could go wrong. Consider likelihood, impact, and detectability to prioritize your focus areas.

Key Activities

  • Conduct prospective risk assessments
  • Evaluate risks to each CtQ factor
  • Score and prioritize identified risks
  • Document risk assessment methodology

Deliverable

Risk Assessment Documentation

4

Design Protective Controls

Build quality controls directly into trial design. This includes protocol procedures, CRF design, monitoring strategies, and operational processes - all tailored to protect CtQ factors.

Key Activities

  • Design protocol procedures to protect CtQ factors
  • Create fit-for-purpose data collection tools
  • Plan risk-proportionate monitoring
  • Select vendors with appropriate capabilities

Deliverable

Quality-Integrated Trial Design

5

Implement and Monitor

Execute the designed quality systems and monitor their effectiveness. Use Key Risk Indicators to detect issues early and adapt controls as needed throughout the trial.

Key Activities

  • Train staff on quality-critical procedures
  • Implement centralized monitoring for KRIs
  • Conduct periodic effectiveness reviews
  • Adapt controls based on emerging data

Deliverable

Ongoing Quality Management

Examples of Critical to Quality (CtQ) Factors

CtQ factors vary by trial, but typically fall into these categories. Your trial should identify specific factors based on protocol complexity, population, and endpoints.

Participant Safety

  • Informed consent process integrity
  • Eligibility verification procedures
  • Serious adverse event detection and reporting
  • Investigational product accountability

Data Reliability

  • Primary endpoint data collection
  • Source document accuracy
  • Data entry and verification processes
  • Laboratory sample handling

Regulatory Compliance

  • Protocol adherence for critical procedures
  • Essential document maintenance
  • GCP training documentation
  • IRB/EC approval processes

Master QbD in Our Free Course

Our comprehensive ICH E6(R3) training includes in-depth coverage of Quality by Design alongside RBQM, CtQ factor identification, and practical implementation guidance. Earn your verifiable certificate for free.

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QbD FAQs

Common questions about Quality by Design

Understanding QbD is essential for modern clinical trial quality management. These FAQs cover the fundamentals and practical implementation guidance.

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