I have finalised the demo for the ICH-GCP E6 R3 refresher course. Overall, I liked the content and the interface. I also want to thank Whitehall Train...
About
This advanced CPD course provides practical training on ICH GCP E6(R3) Annex 2, adopted in final form on 03 June 2026, and its application to modern clinical trial designs. Across eight modules you will learn how Annex 2 applies to decentralised trial elements, pragmatic approaches, digital health technologies, real-world data, remote activities, home healthcare, external service providers, investigational product management, data governance, participant safety and inspection readiness. Built around the final guideline text, the course combines scenario-based learning, knowledge checks, a 30-question final assessment and ten downloadable implementation tools, including checklists, templates and a responsibility matrix.
This course provides an overview of the new considerations introduced in the ICH E6(R3) Annex 2 Guideline. It is not a formal qualification, and a valid accredited GCP certificate remains required for individuals conducting clinical trial activities.
- CRAs and CTAs
- Clinical Trial and Project Managers
- Clinical Operations
- Sponsor and CRO staff
- Investigator site staff, PIs and Sub-Investigators
- Research Nurses
- QA
- Regulatory Affairs
- Clinical Data Management
- Pharmacovigilance
- Vendor oversight and digital/DCT teams
What you will learn
Apply Annex 2 to decentralised, pragmatic and data-enabled trials
Use Quality by Design and proportionate risk-based approaches
Protect participant safety and rights in remote settings
Select, validate and govern digital health technologies
Course Syllabus
- Course purpose, entry requirements and learning outcomes
- How Annex 2 fits within ICH E6(R3)
- Downloadable implementation toolkit
- Why Annex 2 was introduced and its adoption on 03 June 2026
- Principles, Annex 1 and Annex 2 relationship
- Scope: decentralised elements, pragmatic elements and real-world data
- Proportionate risk-based approach and quality by design
- Hybrid designs, remote visits and telemedicine
- Home healthcare and community-based activities
- Local healthcare provider involvement and usual clinical practice
- Participant burden, accessibility and risk considerations
- Critical-to-quality factors for modern trial models
- Risk identification, prioritisation, control and communication
- Avoiding unnecessary complexity and documenting design decisions
- Practical QbD worksheet and scenario
- Investigator oversight and delegation in decentralised trials
- Remote informed consent and identity verification
- Sponsor protocol, design and oversight obligations
- Responsibility matrix across all trial parties
- Wearables, apps, eCOA/ePRO and telehealth platforms
- Technology selection, usability, validation and verification
- Data security, access controls and audit trails
- Technology failure and contingency planning
- EHRs, registries, claims and patient-generated data
- Fitness for purpose: reliability and relevance
- Sponsor access, consent and permission for RWD
- Provenance, traceability, linkage and quality checks
- Direct-to-participant shipment and local pharmacy involvement
- Temperature control, accountability, returns and destruction
- Safety monitoring across remote sources and escalation pathways
- Emergency unblinding considerations
- Sponsor, CRO and service provider oversight
- Centralised, remote and on-site monitoring strategy
- Essential records and inspection readiness
- CAPA, lessons learned and implementation roadmap
- Course summary and key takeaways
- 30-question final assessment (80% pass mark)
- CPD certification







