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MHRA

Country GuidesMhraUnited Kingdom

MHRA clarifies PSUR submission routes for Category 1 vs Category 2

Relevant for
Local Safety OfficerSignal Management LeadRegulatory Intelligence LeadPV Operations Lead+3 more
Action needed

1) Map portfolio to MHRA’s Category 1 vs Category 2/NI MA status referenced in the Windsor Framework PV guidance; 2) Update PSUR submission SOPs/work-instructions and submission trackers to ensure Category 1 PSURs route via the MHRA PSUR portal and Category 2/NI MA PSURs route via the EU PSUR Repository (and confirm when no separate MHRA submission is needed); 3) Re-check related MHRA PV procedure guidance for any additional submission/documentation expectations impacting signals, RMPs and PASS.

Process impact
Signal ValidationLocal Affiliate ComplianceInspection Readiness
SOP impact

8 SOPs may need review

Urgency: HighConfidence: high
Read impact brief
RegulatorsMhraUnited Kingdom

MHRA confirms UK clinical trial safety reporting guidance is effective

Relevant for
Local Safety OfficerRegulatory Intelligence LeadPV Operations LeadPV Quality Lead+2 more
Action needed

Safety lead to: (1) perform a UK-clinical-trial safety reporting gap assessment against MHRA’s effective guidance sections (MedDRA coding; AE/SAE; RSI governance; SUSARs; annual safety reporting; USMs; serious breaches; temporary suspension), (2) update controlled SOPs/WIs and training records to reflect “effective” status as of 28 Apr 2026, and (3) document deviations/gaps and open CAPA where needed for ongoing UK trials and new submissions.

Process impact
Local Affiliate ComplianceICSR SubmissionInspection Readiness
SOP impact

4 SOPs may need review

Urgency: HighConfidence: high
Read impact brief
AI/GxPFdaUnited Kingdom

MHRA updates SaMD/AIaMD guidance, highlighting PCCP and transparency principles

Relevant for
Signal Management LeadRegulatory Intelligence LeadMedical Device Vigilance LeadPV Quality Lead+2 more
Action needed

Ask the safety/device vigilance and PV CSV leads to: (1) confirm whether any marketed/fielded SaMD/AIaMD uses adaptive ML or planned updates that would fit a PCCP-like approach; (2) review current change-control SOPs and technical documentation to ensure change governance and transparency artifacts are captured and retrievable; (3) verify post-market/vigilance processes explicitly account for algorithm updates (e.g., monitoring after updates, escalation criteria).

Process impact
Risk ManagementDevice VigilanceInspection Readiness
SOP impact

5 SOPs may need review

Urgency: HighConfidence: medium
Read impact brief
Country GuidesMhraUnited Kingdom

MHRA hub consolidates GB medical device PMS, MORE reporting and PSUR

Relevant for
Local Safety OfficerRegulatory Intelligence LeadPV Operations LeadMedical Device Vigilance Lead+3 more
Action needed

Safety/Device Vigilance owner to: (1) confirm SOPs and training link to MHRA’s “Medical devices: post-market surveillance” collection as the live index; (2) validate operational readiness to submit adverse incident and FSCA-related reports via MHRA’s referenced MORE route; (3) confirm device PSUR process uses MHRA-linked standardised PSUR format and PSUR guidance tied to the Regulations 2024 framework; (4) update internal regulatory intelligence trackers with the 16 June 2025 in-force date cited across MHRA guidance, and monitor related MHRA future regime pages for further updates.

Process impact
Local Affiliate ComplianceDevice VigilanceInspection Readiness
SOP impact

6 SOPs may need review

Urgency: HighConfidence: medium
Read impact brief
AI/GxPEma

MHRA reiterates GxP data integrity spans GVP as Annex 11 evolves

Relevant for
QPPVLocal Safety OfficerSignal Management LeadRegulatory Intelligence Lead+3 more
Action needed

Ema update requires triage for Local Affiliate Compliance, Vendor Oversight, Inspection Readiness; confirm local obligations and document follow-up actions.

Process impact
Local Affiliate ComplianceVendor OversightInspection Readiness
SOP impact

7 SOPs may need review

Urgency: HighConfidence: medium
Read impact brief
Country GuidesMhra

UK MHRA refreshes PV procedures and adds decentralised manufacture UK GVP

Relevant for
Local Safety OfficerSignal Management LeadRegulatory Intelligence LeadPV Operations Lead+4 more
Action needed

Mhra update requires triage for Signal Validation, Risk Management, Local Affiliate Compliance; confirm local obligations and document follow-up actions.

Process impact
Signal ValidationRisk ManagementLocal Affiliate Compliance
SOP impact

9 SOPs may need review

Urgency: HighConfidence: medium
Read impact brief
DevicesMhra

MHRA issues April 2026 Safety Roundup for medicines and devices

Relevant for
Local Safety OfficerSignal Management LeadRegulatory Intelligence LeadMedical Device Vigilance Lead+2 more
Action needed

Mhra update requires triage for Signal Validation, Local Affiliate Compliance, Device Vigilance; confirm local obligations and document follow-up actions.

Process impact
Signal ValidationLocal Affiliate ComplianceDevice Vigilance
SOP impact

5 SOPs may need review

Urgency: MediumConfidence: medium
Read impact brief

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