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[June 2025] ICH Q1 Stability Guidelines Overhaul, FDA Retires QSIT for ISO 13485 Inspections + Medical Device Warning Letter Analysis

We break down ICH's landmark draft revision consolidating stability guidelines into a single harmonized document, examine FDA's transition from QSIT to ISO 13485:2016-based inspections under QMSR.

Originally published June 2025.

Welcome to Insider issue #38.

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This month brings two major regulatory developments that signal the direction of global harmonization in pharma and medical devices.

ICH has released a sweeping draft revision of its stability guidance that consolidates years of fragmented documents into a single, science-driven framework. Meanwhile, the FDA has formally retired its Quality System Inspection Technique (QSIT) in favor of ISO 13485:2016-aligned inspections, a shift that will reshape how medical device manufacturers prepare for and undergo regulatory scrutiny.

Our MedTech section features a detailed analysis of a warning letter issued to Noah Medical, an emerging device manufacturer whose CAPA, complaint handling, and MDR deficiencies illustrate the challenges smaller firms face in building robust quality systems while racing to bring innovative products to market.

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