The FDA Group's Insider Newsletter

The FDA Group's Insider Newsletter

A Few Quick Tips for Hosting GCP Audits Next Year

Five moves that make GCP audits calmer, faster, and more defensible—especially when you’re scaling programs next year.

The FDA Group's avatar
The FDA Group
Nov 06, 2025
∙ Paid

On the heels of our last audit prep guide, we wanted to shift the focus over to clinical audits for a moment, as we know teams are prepping their 2026 programs now.

Most teams prepare for GCP audits by polishing the protocol, cleaning the TMF, and hoping their SMEs don’t ramble. That’s table stakes. What actually separates smooth audits from stressful ones is how well you frame the study, control the flow of requests, and pre-stage the unglamorous evidence that trips sponsors up—eligibility at randomization, data change control, SAE reconciliation, vendor oversight, and training timing.

We talked to our top GCP auditors to identify the five most-overlooked tactics they suggest to field teams to keep audits predictable and on-message.

Use them as a checklist or hand them to your host lead as a playbook. If you’re planning to bring in outside auditors from The FDA Group next year, these tips will help your team look prepared, calm, and in control from the opening meeting to the close-out.

Still need to schedule your audits? Learn more about our audit and mock inspection services »

5 Simple (But Often Overlooked) Best Practices for Annual Audit Planning

5 Simple (But Often Overlooked) Best Practices for Annual Audit Planning

The FDA Group
·
Oct 31
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1. Frame the study before anyone opens the TMF

Once in a while, an audit day can go sideways in the first hour or two because the auditor is forced to form a sort of “provisional narrative” from the first weak artifact they see.

You can preempt that by giving them a clean, concise “study story” that orients what matters and where it lives. This isn’t salesmanship, it’s risk signaling. When you outline goals, realities on the ground, known hotspots, and how you controlled them, you anchor the audit in facts rather than assumptions. You also earn credibility by naming the warts up front and showing exactly how they were managed.

Think like a pilot’s brief. The auditor should grasp the protocol design, change history, enrollment delta vs. plan, and the specific risks you tracked.

Then, when requests start, your host team can retrieve evidence in seconds because you’ve mapped each hotspot to a location in the TMF or source system. The result is typically fewer fishing expeditions, tighter questions, and less context switching for your SMEs.

Some time ago, we were brought in by a team running a Phase 2 oncology trial that had three mid-study amendments (eligibility, dosing, imaging schedule) and slower-than-planned enrollment. In the opening meeting, the host lead walked through a one-slide timeline of protocol changes, with rationale, enrollment vs. plan, and top risks (eligibility drift at two high-enrolling sites, imaging timing variance, SAE reconciliation).

Each risk was tied to a TMF location and system path. The auditor’s early requests clustered around the declared hotspots. There were no fishing expeditions into unrelated sections, and day 1 closed on time with minimal back-and-forth.

A few action items here and in each section:

  • Draft a 1-page study brief with objectives, key changes, enrollment vs. plan, risk hotspots, top deviations, CAPA highlights, and what’s still open.

  • Map each hotspot to exact TMF sections and artifact IDs. (Include system paths for non-TMF evidence.)

  • Build a one-slide visual timeline of milestones and changes to use in the opening meeting,

  • Decide who delivers the 5–7 minute orientation and rehearse it to time.

2. Run a disciplined “host cell” with one live request log

Audit rooms can unravel a bit when requests flow through email, chat, side conversations, and sticky notes.

A disciplined host cell avoids that by centralizing intake, triage, retrieval, and SME routing. Most teams can do this well by assigning three simple roles:

  1. One person captures and clarifies the request.

  2. Another retrieves the evidence.

  3. And a third owns SME prep and timing.

Everything lands in a single live log that the entire team can see. You avoid duplication, missed asks, and version drift.

Set expectations early here. Give the auditor transparent SLAs for different request types and keep your promises. If a request requires cross-functional work or stitching data across systems, say so. You’re not stalling—you’re controlling risk. The professional move is to confirm the exact wording of the request back to the auditor, agree on priority and SLA, and note any dependencies. Then you deliver the most direct artifact that answers the ask, not a binder dump!

  • Stand up a single request tracker with fields: ID, exact wording, owner, source system, due time, status, artifact/version provided, and follow-ups.

  • Publish SLAs in the opening meeting: e.g., document pulls 15 minutes, system screenshots 30, cross-functional 60.

  • Define a “no artifact without context” rule: each deliverable includes a one-line purpose and where it fits in the process.

  • Stage a dedicated host room with whiteboard status, a runner, and a daily cadence for backlog review.

“A single live request log with clear SLAs changes everything. When I ask for ‘eligibility proof at randomization for Subject 1127,’ I want one artifact ID in 30 minutes, not five PDFs and a promise.”

— Senior GCP Auditor, The FDA Group

3. Pre-stage evidence where audits actually fail

Having run hundreds of clinical audits over the years, we’ve noticed that teams tend to over-prepare protocol, ICF, and monitoring reports while letting gaps hide in operational seams.

A few specific repeat audit friction points our auditors report include:

  • Proving eligibility at the randomization timepoint.

  • Showing data change control with who/what/why/when.

  • Reconciling SAEs across EDC and safety.

  • Demonstrating vendor oversight beyond “slideware.”

  • Actually proving training timing relative to task start.

These are not exotic things! They’re mundane and they fail because no one curates them into clean packets.

We suggest pre-staging “audit-ready bundles” with plain-English callouts.

  • For data changes, include labeled audit trail extracts and a short rationale.

  • For eligibility, build a subject-by-subject matrix that links each criterion to source at the right timepoint.

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