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Electronic Systems, Electronic Records, and Electronic Signatures in Clinical Investigations: Questions and Answers

FinalCenter for Drug Evaluation and Research Office of the Commissioner,Office of Clinical Policy and Programs10/01/2024

Description

This guidance provides information for sponsors, clinical investigators, institutional review boards, contract research organizations, and other interested parties on the use of electronic systems, electronic records, and electronic signatures in clinical investigations of foods, medical products, tobacco products, and new animal drugs.  The guidance provides recommendations regarding the requirements in our regulations, pursuant to which FDA considers electronic systems, electronic records, and electronic signatures to be trustworthy, reliable, and generally equivalent to paper records and handwritten signatures executed on paper.

Scope & Applicability

Product Classes

5
Medical Products

Human drugs and devices including biological products.

Digital Health Technology

Systems using computing platforms, connectivity, software, and sensors; used to record data from participants in clinical investigations

Electronic Data Capture System

System used to create or maintain electronic records

Tobacco Products

The primary product category covered by this guidance.; Validation and Verification of Analytical Testing Methods Used for Tobacco Products

New Animal Drugs

Products subject to clinical investigation guidance.

Stakeholders

10
Sponsors

Assist sponsors in the nonclinical evaluation

Contract Research Organizations

Entities involved in bioresearch monitoring compliance

Data Originator

person, computer system, DHT, or EHR authorized to enter data

System Administrator

Role authorized to change system date/time and receive discrepancy notifications

IT Service Provider

Contracted entity performing validation or providing systems; Entities providing data hosting, cloud computing, or infrastructure

Clinical Investigators

Individuals responsible for monitoring and reporting protocol deviations

Information Technology Service Providers

Entities providing services for electronic systems.

Sponsor

Entity responsible for submitting applications under section 524B

Contract Research Organization

Entity to which obligations may be transferred

Clinical Investigator

Veterinarian responsible for selecting anesthetic regimens and conducting field studies

Regulatory Context

Attributes

5
Audit Trail

Standard component of electronic systems to ensure trustworthiness.

Time Stamp

Component of an audit trail capturing when data was entered or modified

Traceability

Ability to track the history of data

Authenticity

Property of data being genuine

Metadata

Data about data, including audit trails and system logs.

Identified Hazards

Hazards

1
Security Breach

Unauthorized access or malicious software impacting data

Related CFR Sections (16)

Related Warning Letters (10)

  • In Vivo Bioavailability-Bioequivalence Studies – Clinical

    Maria A. Carballosa, M.D.

    2025-12-23
  • CGMP/QSR/Medical Devices/Adulterated

    Envoy Medical Inc.

    2025-12-09
  • Unapproved New Drug/Unlicensed Biological Product/Biologics License Application (BLA)

    Celularity, Inc

    2025-12-09
  • CGMP/QSR/Medical Devices/Adulterated

    Hong Qiangxing Shenzhen Electronics Limited

    2025-11-25
  • Sponsor/Investigator

    Verdure Sciences, Inc.

    2025-11-18
  • CGMP/QSR/Medical Devices/Adulterated

    Contec Medical Systems Co., Ltd.

    2025-10-28
  • CGMP/QSR/Medical Devices/Adulterated/Misbranded

    Royal Philips

    2025-10-28
  • CGMP/QSR/Medical Devices/Adulterated/Misbranded

    Qianjiang Kingphar Medical Material Co Ltd.

    2025-10-28
  • CGMP/QSR/Medical Devices/Adulterated

    LEVO AG

    2025-10-21
  • CGMP/QSR/Medical Devices/Adulterated

    Technological Medical Advancements LLC

    2025-10-07

See Also (8)

Electronic Systems, Electronic Records, and Electronic Signatures in Clinical Investigations: Questions and Answers | Guideline Explorer | BioRegHub