FDA and U.S. Regulatory References — sources and applicability
| Reference | Source / Status | GxP Area / Standard / Lifecycle | QA Description and Validation Relevance |
|---|---|---|---|
| Computer Software Assurance for Production and Quality Management System SoftwareChecked 16 Oct 2026: Final FDA guidance, 3 February 2026; applies to medical device production and quality management system software. | U.S. Food and Drug Administration United States Regulatory guidance / non-binding agency guidance Guidance 2026-02-03 |
Medical device production / quality management systems 21 CFR Part 820 (QMSR) Development, deployment, maintenance |
Read scope and validation notesFDA final guidance offering a risk-based framework for computer software assurance (CSA) in production and quality management systems. It describes steps to identify intended use, determine appropriate assurance activities based on risk, and generate objective evidence to meet regulatory requirements GxP validation relevance: Provides non-binding recommendations for validating automation software used in manufacturing and quality systems; emphasises focusing assurance activities on high-risk functions and reducing unnecessary testing. Key controls: Risk-based assurance, objective evidence, documentation of intended use, scaled testing based on impact and risk. Scope note: this is guidance for device production and quality management system software; it is not a blanket replacement for drug GMP computerized system validation. |
| FDA — Artificial Intelligence for Drug DevelopmentChecked 16 Oct 2026: Official program page located; resource page, not an authorization or a GMP requirement. | U.S. Food and Drug Administration United States Regulator program / policy resource Policy resource 2025-03-25 |
Drug development / regulatory submissions Not specified (guidance refers to draft regulatory approach). Development, Regulatory submission |
Read scope and validation notesFDA CDER page notes increasing use of AI/ML across the drug lifecycle. It references a January 2025 draft guidance on using AI to support regulatory decision-making and outlines FDA initiatives to provide transparent frameworks for safe and effective use of AI in drug development GxP validation relevance: Highlights FDA’s recognition of AI’s role in drug development and points sponsors to draft guidances and programs addressing AI model credibility, risk assessment, and regulatory submission expectations. Key controls: Risk-based credibility assessment for AI models, transparency and explainability, adherence to draft guidance for AI in regulatory decision-making. |
| Using Artificial Intelligence and Machine Learning to Support Regulatory Decision-Making for Drug and Biological ProductsLink responded 16 Oct 2026. Current document version and detailed summary not fully verified. | U.S. Food and Drug Administration United States Regulatory guidance / non-binding agency guidance Draft guidance 2025-01-16 |
Drug development / regulatory submissions Not specified (draft guidance). Development, Submission |
Read scope and validation notesDraft guidance provides recommendations on using AI-generated data or models to support regulatory decision‑making for drugs and biological products. It outlines a risk‑based credibility assessment framework with steps such as defining the question of interest, context of use, assessing model risk, and evaluating credibility evidence GxP validation relevance: Establishes expectations for sponsors who use AI to generate evidence supporting submissions, ensuring AI models are credible, transparent, and appropriate for regulatory decisions. Key controls: Risk-based credibility assessment, documentation of model development and validation, defined context of use, transparency of data sources, performance metrics. |
| Marketing Submission Recommendations for a Predetermined Change Control Plan for Artificial Intelligence-Enabled Device Software FunctionsChecked 16 Oct 2026: FDA source located; stated status/date checked. Confirm applicability before use. | FDA Final guidance August 2025 |
Medical devices (SaMD / AIaMD) PCCP concept under 21 CFR 820 and device premarket pathways Development, Deployment, Post-market |
Read scope and validation notesRecommendations for planned AI-enabled device modifications, the methodology for developing, validating, and implementing them, and impact assessment within a PCCP reviewed as part of a marketing submission. |
| Artificial Intelligence/Machine Learning Software as a Medical Device Action PlanLink responded 16 Oct 2026. Current document version and detailed summary not fully verified. | U.S. Food and Drug Administration United States Regulator program / policy resource Action plan 2021-01-12 |
Medical devices Not specified (policy plan) All lifecycle phases |
Read scope and validation notesThe AI/ML SaMD Action Plan outlines a five-part strategy: update the regulatory framework via draft PCCP guidance, harmonise Good Machine Learning Practice principles, support transparency for AI-enabled devices, advance regulatory science methodologies including bias mitigation, and pilot real-world performance evaluation GxP validation relevance: Provides context for FDA’s evolving regulatory approach to AI-enabled medical devices and frames future guidance and policies. Key controls: Development of PCCP, harmonisation of GMLP, transparency initiatives, regulatory science research, real-world performance pilots. |
| Transparency for Machine Learning-Enabled Medical Devices: Guiding PrinciplesChecked 16 Oct 2026: FDA source located; stated status/date checked. Confirm applicability before use. | FDA Guiding principles June 2024 |
Medical devices, Clinical decision support Not applicable (guiding principles) All lifecycle phases |
Read scope and validation notesJoint FDA, Health Canada, and MHRA principles addressing what information about a machine learning-enabled device should be communicated, to whom, why, where, when, and how. These are guiding principles, not a standalone GMP validation requirement. |
| Part 11, Electronic Records; Electronic Signatures — Scope and ApplicationLink responded 16 Oct 2026. Current document version and detailed summary not fully verified. | U.S. Food and Drug Administration United States Regulatory guidance / non-binding agency guidance Guidance 2003-08 (day not stated) |
GMP manufacturing, Clinical trials, Pharmacovigilance 21 CFR Part 11 All lifecycle phases |
Read scope and validation notesThis guidance clarifies the scope and application of 21 CFR Part 11. FDA explains that it will interpret Part 11 narrowly and exercise enforcement discretion while re-examining the regulation. Part 11 applies to electronic records used to satisfy predicate rule requirements, but FDA will not enforce validation, audit trail, and record retention requirements of Part 11 for some records during this re-examination Underlying predicate rules still apply GxP validation relevance: Establishes expectations for electronic records and signatures in GxP environments, impacting validation of AI systems that generate or manage regulated records. Key controls: Ensure compliance with predicate rules, narrow interpretation of Part 11, risk-based enforcement discretion, continued adherence to underlying GMP/GCP regulations. |
| Good Machine Learning Practice for Medical Device Development: Guiding PrinciplesLink responded 16 Oct 2026. Current document version and detailed summary not fully verified. | U.S. Food and Drug Administration International International harmonization Guiding principles summary 2025-01-17 |
Medical devices IMDRF GMLP All lifecycle phases |
Read scope and validation notesFDA’s Good Machine Learning Practice (GMLP) page summarises the IMDRF final document identifying 10 guiding principles to support development of safe, effective and high‑quality AI/ML medical devices. It emphasises a risk‑based total product lifecycle approach and international harmonisation across regulators GxP validation relevance: Provides a succinct overview of global consensus principles for AI medical devices, highlighting the importance of harmonised practices in design, development, validation and post-market monitoring. Key controls: Ten GMLP principles including data quality, transparency, human oversight, risk management, performance monitoring, and lifecycle management. |
| Artificial Intelligence-Enabled Device Software Functions: Lifecycle Management and Marketing Submission RecommendationsChecked 16 Oct 2026: FDA source located; stated status/date checked. Confirm applicability before use. | FDA Draft guidance — not for implementation January 2025 |
Medical devices FDA Device Regulations Development, Submission |
Read scope and validation notesDraft recommendations for lifecycle management and marketing submissions for AI-enabled device software functions. The draft addresses development, risk management, and evidence supporting safety and effectiveness. Do not present the draft as final guidance. |
| HSA and Korea MFDS Guiding Principles for Clinical Trials of Machine Learning-enabled Medical DevicesChecked 16 Oct 2026: Current PDF reached through HSA’s Digital Health page; revision history identifies First Release, 11 December 2024, R1.0. | HSA / MFDS Guiding principles 11 December 2024 — First Release R1.0 |
Clinical trials / GCP HSA–MFDS Guiding Principles Clinical evaluation |
Read scope and validation notesJoint HSA/MFDS principles for conducting clinical trials of machine learning-enabled medical devices. Confirm the document date and applicable national clinical-trial requirements before use. |
| Medical Devices; Quality System Regulation Amendments (QMSR Final Rule)Link responded 16 Oct 2026. Current document version and detailed summary not fully verified. | U.S. Food and Drug Administration United States Regulatory law / final rule Final rule 2024-02-02 |
GMP manufacturing / quality systems 21 CFR Part 820 (QMSR); ISO 13485:2016 Development; Manufacturing; Post-market |
Read scope and validation notesThis final rule amends the device CGMP requirements in 21 CFR part 820 by incorporating ISO 13485:2016 and aligning it with FDA-specific provisions. It adds definitions and clarifications to avoid inconsistencies, harmonizes U.S. quality management system requirements with international standards, and reduces duplicative regulatory burdens. The rule emphasises global harmonization, risk-based QMS, and improved patient access. It becomes effective February 2 2026 GxP validation relevance: Provides legally binding requirements for medical device manufacturers’ quality management systems, forming the foundation for validating AI-enabled devices and ensuring their manufacture complies with international standards. Key controls: Risk-based quality management system incorporating ISO 13485, control of records and complaint files, design and development documentation, harmonization with international standards. |
| Medical Devices; Quality Management System Regulation Technical AmendmentsChecked 16 Oct 2026: FDA / U.S. Government Publishing Office source located; stated status/date checked. Confirm applicability before use. | FDA / U.S. Government Publishing Office Final rule — technical amendments 4 December 2025; effective 2 February 2026 |
GMP manufacturing / quality systems 21 CFR Part 820 (QMSR) and related parts Regulatory compliance update |
Read scope and validation notesFDA technical amendments revise references and language in device regulations to conform with the QMSR final rule. Use the current eCFR text for requirements applicable to a specific activity. |
| General Wellness: Policy for Low Risk DevicesLink responded 16 Oct 2026. Current document version and detailed summary not fully verified. | U.S. Food and Drug Administration United States Regulatory guidance / non-binding agency guidance Guidance 2026-01-06 |
Digital health / non‑GxP (wellness) Section 3060 of 21st Century Cures Act; 21 CFR Part 820 (QMSR) not applied Development; regulatory determination |
Read scope and validation notesThis guidance clarifies the FDA’s compliance policy for low‑risk general wellness products that promote a healthy lifestyle. It notes that Section 3060 of the 21st Century Cures Act excludes software intended solely for maintaining or encouraging a healthy lifestyle from the device definition and states that CDRH does not intend to examine or enforce device regulations for such low‑risk products. General wellness products must be intended only for general wellness use and present a low risk to users; examples include exercise equipment, audio/video programs, and wellness apps. The guidance lists types of acceptable claims (weight management, fitness, relaxation, mental acuity, self‑esteem, sleep management, sexual function) GxP validation relevance: Helps developers of AI‑enabled wellness applications determine whether their products qualify for enforcement discretion, reducing unnecessary validation burdens and focusing GxP efforts on higher‑risk medical devices. Key controls: Defines criteria for exclusion from device regulation; clarifies enforcement discretion for general wellness products; emphasises that such products do not need premarket authorization or QMSR compliance if they meet the criteria. |
| Clinical Decision Support Software – Guidance for Industry and FDA StaffLink responded 16 Oct 2026. Current document version and detailed summary not fully verified. | U.S. Food and Drug Administration United States Regulatory guidance / non-binding agency guidance Guidance 2026-01-29 |
Clinical decision support / digital health Section 520(o)(1)(E) of the FD&C Act; 21 CFR Part 820 (QMSR) if classified as device Development; classification; premarket |
Read scope and validation notesThis guidance clarifies the types of clinical decision support (CDS) software functions that are not regulated as medical devices. To be considered non‑device CDS, a software function must meet four criteria: it cannot acquire, process, or analyze medical images or signals; it is intended to display, analyze, or print medical information; it supports or provides recommendations to a health care professional about prevention, diagnosis or treatment; and it provides sufficient information for the professional to independently review the basis for recommendations. If any criterion is not met, the software is considered a device. The guidance provides examples of non‑device CDS and device CDS functions GxP validation relevance: Informs developers of AI/ML‑enabled clinical decision support tools about regulatory scope and classification, helping them determine whether their software falls under device regulation and requires formal validation. Key controls: Ensure that CDS software avoids processing medical images or IVD signals, provides transparent rationale to clinicians, and allows independent review; if regulated as a device, follow QMSR and premarket requirements. |
| Technology-Enabled Meaningful Patient Outcomes (TEMPO) for Digital Health Devices PilotChecked 16 Oct 2026: FDA source located; stated status/date checked. Confirm applicability before use. | FDA Regulatory pilot program Current program page; reviewed October 2026 |
Digital health / post‑market & clinical use 21 CFR part 812; 21 CFR parts 50 & 56; FD&C Act Real‑world evidence; pilot; premarket; post‑market |
Read scope and validation notesFDA’s TEMPO for Digital Health Devices Pilot is linked to the CMS Innovation Center ACCESS model. It is a specific device pilot program, not a general authorization for AI-enabled GxP systems. |
| Quality Management System Regulation – Frequently Asked QuestionsLink responded 16 Oct 2026. Current document version and detailed summary not fully verified. | U.S. Food and Drug Administration United States Regulatory guidance / FAQ FAQ 2026-02-02 |
GMP manufacturing / quality systems 21 CFR Part 820 (QMSR); ISO 13485:2016 Manufacturing; inspection; compliance |
Read scope and validation notesThis FAQ page explains that the FDA’s final rule issued January 31 2024 incorporates ISO 13485:2016 into 21 CFR part 820 and renames the regulation to the Quality Management System Regulation (QMSR). It clarifies that the QMSR aligns U.S. device QMS requirements with international standards, promotes consistency, and provides safe, effective, high‑quality devices. The QMSR became effective February 2 2026, replacing the Quality System Regulation. The FAQ notes that FDA is updating inspection processes, training staff, and engaging stakeholders. It highlights that under the QMSR, FDA may review management review, quality audits, and supplier audit reports that were previously exempt, and that a new inspection program replaces the Quality System Inspection Technique GxP validation relevance: Provides additional guidance to device manufacturers on implementing the QMSR, preparing for inspections, and understanding new requirements, which is crucial for validating AI‑enabled devices under the updated quality management framework. Key controls: Highlights adoption of ISO 13485, clarifies QMSR implementation and inspection processes, emphasises management review and audit record availability, encourages comparative analysis of existing records to meet QMSR requirements. |
| Cybersecurity in Medical Devices: Quality Management System Considerations and Content of Premarket SubmissionsChecked 16 Oct 2026: FDA source located; stated status/date checked. Confirm applicability before use. | FDA Final guidance February 2026 |
GMP manufacturing / quality systems; design & development; post‑market 21 CFR Part 820 (QMSR); FD&C Act Section 524B; FDA cybersecurity guidance Design; development; verification; validation; post‑market |
Read scope and validation notesRecommendations for cybersecurity design, labeling, and premarket submission evidence for medical devices with cybersecurity risk. Supersedes the June 2025 guidance. This is device guidance; determine its relevance to a pharmaceutical manufacturing system before applying it. |
| Considerations for the Development of Chimeric Antigen Receptor (CAR) T Cell ProductsLink responded 16 Oct 2026. Current document version and detailed summary not fully verified. | U.S. Food and Drug Administration United States Regulatory guidance / non-binding Guidance 2024-01 (day not stated) |
GMP manufacturing; CMC; clinical trials (GCP) 21 CFR 312.23 Design & development; manufacturing; clinical investigation |
Read scope and validation notesThis final FDA guidance clarifies that chimeric antigen receptor (CAR) T cell products are human gene therapy products where T cell specificity is genetically modified to recognize a desired antigen. It provides CAR T‑specific recommendations on chemistry, manufacturing and control (CMC), pharmacology/toxicology and clinical study design. The guidance also covers analytical comparability studies and notes that many recommendations apply to other genetically modified lymphocyte products such as CAR NK cells and T cell receptor‑modified T cells Sponsors are encouraged to communicate with CBER’s Office of Tissues and Advanced Therapies (OTAT) to discuss product‑specific considerations before submitting an IND GxP validation relevance: Although not specific to AI, this guidance outlines regulatory expectations for development of genetically modified cell therapies like CAR T products. It highlights critical quality and clinical considerations that may interact with computational tools and data analysis in product design, manufacturing, and trial management, ensuring such tools align with GxP and regulatory standards. Key controls: Provides detailed CMC and manufacturing control recommendations, pharmacology/toxicology requirements, clinical study design considerations, analytical comparability studies, and encourages early engagement with regulators to address product‑specific issues |
| Human Gene Therapy Products Incorporating Human Genome EditingChecked 16 Oct 2026: FDA final guidance, January 2024; source page located. | U.S. Food and Drug Administration United States Regulatory guidance / non-binding Guidance 2024-01 (day not stated) |
GMP manufacturing; clinical trials (GCP); research & development 21 CFR 312.23 Design & development; manufacturing; clinical investigation |
Read scope and validation notesThis final FDA guidance provides recommendations to sponsors developing human gene therapy products incorporating genome editing. It advises on the information that should be included in an Investigational New Drug (IND) application to assess the safety and quality of investigational genome editing products, including product design, manufacturing and testing, nonclinical safety assessment and clinical trial design The guidance aims to help sponsors address potential off‑target effects and ensure that genome editing therapies meet regulatory standards. GxP validation relevance: Relevant because CRISPR and other genome‑editing therapies rely on complex design, manufacturing and data‑analysis processes. Understanding regulatory expectations ensures that digital tools and AI‑driven workflows used in genome editing research, manufacturing and clinical development comply with GxP quality and traceability requirements. Key controls: Recommends comprehensive documentation of genome editing product design and manufacturing processes, testing protocols, nonclinical safety studies and clinical trial design; emphasises risk management for off‑target effects and encourages early communication with FDA |
| Chemistry, Manufacturing, and Controls Flexibilities for Developing Human Cellular and Gene Therapy Products for a Biologics License ApplicationChecked 16 Oct 2026: FDA source located; stated status/date checked. Confirm applicability before use. | FDA Final guidance May 2026 |
GMP manufacturing; CMC; quality systems 21 CFR Part 601 Manufacturing; BLA submission |
Read scope and validation notesFDA guidance on CMC flexibilities in developing human cellular and gene therapy products for a biologics license application. Flexibility must be considered in the specific product and development context; it is not a blanket waiver of validation requirements. |
| Safety Assessment of Genome Editing in Human Gene Therapy Products Using Next-Generation Sequencing; Draft Guidance for IndustryChecked 16 Oct 2026: FDA source located; stated status/date checked. Confirm applicability before use. | FDA Draft guidance — not for implementation April 2026 |
Preclinical studies; safety evaluation (GLP) Not specified Nonclinical development; preclinical safety evaluation |
Read scope and validation notesDraft recommendations for using next-generation sequencing to assess safety issues associated with genome editing in human gene therapy products. Determine the relevance to the product, editing approach, and development stage. |
| Considerations for the use of the Plausible Mechanism Framework to Develop Individualized Therapies that Target Specific Genetic Conditions with Known Biological Cause; Draft GuidanceChecked 16 Oct 2026: FDA source located; stated status/date checked. Confirm applicability before use. | FDA Draft guidance — not for implementation February 2026 |
Clinical development; regulatory submission Not specified Development and submission |
Read scope and validation notesDraft recommendations for developing individualized therapies for specific genetic conditions with a known biological cause using a plausible mechanism framework. This is a specialized development framework, not a general GMP standard. |
| Expedited Programs for Regenerative Medicine Therapies for Serious Conditions; Draft Guidance for IndustryChecked 16 Oct 2026: FDA source located; stated status/date checked. Confirm applicability before use. | FDA Draft guidance — not for implementation September 2025 |
Clinical development; regulatory submission Section 506(g) of the FD&C Act Development and submission |
Read scope and validation notesDraft guidance on expedited programs for regenerative medicine therapies for serious conditions. A separate February 2019 final guidance also exists; consult the issuer’s current index and the applicable version. |
| Postapproval Methods to Capture Safety and Efficacy Data for Cell and Gene Therapy Products; Draft Guidance for IndustryChecked 16 Oct 2026: FDA source located; stated status/date checked. Confirm applicability before use. | FDA Draft guidance — not for implementation September 2025 |
Post‑market surveillance Not specified Post‑market (pharmacovigilance) |
Read scope and validation notesDraft recommendations for capturing postapproval safety and efficacy data for cell and gene therapy products. Relevant to product lifecycle evidence and postapproval planning, rather than manufacturing system qualification alone. |
| Innovative Designs for Clinical Trials of Cellular and Gene Therapy Products in Small Populations; Draft Guidance for IndustryChecked 16 Oct 2026: FDA source located; stated status/date checked. Confirm applicability before use. | FDA Draft guidance — not for implementation September 2025 |
Clinical development; trial design Not specified Clinical trials (GCP) |
Read scope and validation notesDraft recommendations on clinical trial designs for cellular and gene therapy products in small populations. Statistical and clinical expertise is needed to apply the guidance to a specific development program. |
| Frequently Asked Questions — Developing Potential Cellular and Gene Therapy ProductsChecked 16 Oct 2026: FDA source located; stated status/date checked. Confirm applicability before use. | FDA Final guidance August 2026 |
Product development; regulatory strategy Not specified Development and submission |
Read scope and validation notesFDA answers common questions on development of cellular and gene therapy products across regulatory review, CMC, pharmacology/toxicology, clinical, and clinical pharmacology. The final guidance supersedes the earlier draft status used in this index. |
| Safety Testing of Human Allogeneic Cells Expanded for Use in Cell‑Based Medical Products; Draft GuidanceChecked 16 Oct 2026: FDA source located; stated status/date checked. Confirm applicability before use. | FDA Draft guidance — not for implementation April 2024 |
Preclinical development; manufacturing Gene Therapy CMC guidance (Jan 2020) Development and submission |
Read scope and validation notesDraft recommendations for risk-based cell safety testing to support INDs or BLAs for allogeneic cell-based products. Consider cell expansion, reagents, and the number of individuals exposed to the product. |
| Considerations for the Use of Human‑ and Animal‑Derived Materials in the Manufacture of Cell and Gene Therapy and Tissue‑Engineered Medical Products; Draft GuidanceChecked 16 Oct 2026: FDA source located; stated status/date checked. Confirm applicability before use. | FDA Draft guidance — not for implementation April 2024 — FDA index date |
Manufacturing; CMC CMC guidance for gene therapy and cell therapy products (Jan 2020) Development and submission |
Read scope and validation notesDraft recommendations addressing the use and control of human- and animal-derived materials in manufacturing cell and gene therapy and tissue-engineered products. Use the issuing source and the specific product/material context. |
| Potency Assurance for Cellular and Gene Therapy Products; Draft GuidanceChecked 16 Oct 2026: FDA source located; stated status/date checked. Confirm applicability before use. | FDA Draft guidance — not for implementation December 2023 |
Manufacturing; quality control Not specified Development and manufacturing |
Read scope and validation notesDraft guidance on a science- and risk-based potency assurance strategy using process design, process controls, materials, in-process tests, and potency lot release assays. This item remains a draft. |
| Flexible Requirements for Cell and Gene Therapies to Advance InnovationChecked 16 Oct 2026: FDA source located; stated status/date checked. Confirm applicability before use. | FDA Agency policy information January 2026 |
Development; manufacturing; regulatory submission 21 CFR 210 and 211 Clinical development and submission |
Read scope and validation notesFDA describes CMC flexibility and lifecycle considerations for cell and gene therapies. Apply the stated flexibilities within the product’s development context and applicable regulatory framework; the page is not a replacement for source requirements. |
| FDA Approves First Gene Therapies to Treat Patients with Sickle Cell Disease (Casgevy & Lyfgenia)Checked 16 Oct 2026: FDA source located; stated status/date checked. Confirm applicability before use. | FDA Historical approval announcement 8 December 2023 |
Regulatory approval; post‑market surveillance Not specified Approval and post‑market |
Read scope and validation notesFDA announcement of the initial approvals of Casgevy and Lyfgenia for sickle cell disease. Useful as product-development context; it is not validation guidance or an approval of other products. |