The “ICH Singapore Meeting” is being held
A meeting of The International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) was held in Singapore from November 15 to 19, 2025.During the meeting, in addition to the Assembly attended by all ICH members and observers, a Management Committee meeting was held to discuss items on the Assembly agenda. Also during this period, the 12 topic-specific working groups responsible for developing ICH guidelines held expert meetings, and through lively discussions, progress was made on drafting guidelines for each topic.As a result, the M11 guideline was finalized and reached Step 4, while the draft technical document for E22 was approved and reached Step 2, marking major milestones for ICH.The year 2025 marks the 35th anniversary of the ICH’s inception (April 1990) and the 10th anniversary of the establishment of the ICH Association as a nonprofit organization (2015).Japan’s Ministry of Health, Labor and Welfare, the Pharmaceuticals and Medical Devices Agency (PMDA), and the JPMA have participated in the development of guidelines since the ICH’s inception and, as founding members, have contributed to the promotion of international harmonization.
Group photo of the Assembly
ICH meetings are generally held in person, and approximately 500 committee members and experts from around the world gathered in Singapore, the host city. Six industry and government organizations from Japan, the U.S., and the EU—all founding members—participated in this meeting. *1 , as well as two Standing Members *2 , and 17 member organizations ※3 , 2 Standing Observers *4 , and 29 observer organizations participated. Twenty-seven representatives from the JPMA—including officials from the Assembly and Management Committee, as well as experts from working groups—traveled to Singapore, the host city, to attend the meeting.
-
*1U.S. Food and Drug Administration (FDA), European Commission/European Medicines Agency (EC/EMA), Ministry of Health, Labor and Welfare/Pharmaceuticals and Medical Devices Agency (MHLW/PMDA), Pharmaceutical Research and Manufacturers of America (PhRMA), European Federation of Pharmaceutical Industries and Associations (EFPIA), Japan Pharmaceutical Manufacturers Association (JPMA)
-
2Health Canada (HC), Swissmedic (SM)
-
*3Argentine National Administration of Medicines, Food, and Medical Technologies (ANMAT); Brazilian Health Regulatory Agency (ANVISA); Federal Commission for Protection against Sanitary Risks (COFEPRIS) Mexico; the Egyptian Drug Authority (EDA); Singapore Health Sciences Authority (HSA); Jordan Food and Drug Authority (JFDA);the Ministry of Food and Drug Safety (MFDS) of South Korea, the Medicines and Healthcare products Regulatory Agency (MHRA) of the United Kingdom, the Nigerian National Agency for Food and Drug Administration and Control (NAFDAC), the National Medical Products Administration (NMPA) of China, the South African Health Products Regulatory Authority (SAHPRA),the Saudi Food and Drug Authority (SFDA), the Taiwan Food and Drug Administration (TFDA), the Turkish Medicines and Medical Devices Agency (TITCK), the Biotechnology Innovation Organization(BIO), the Global Self-Care Federation (GSCF), and the International Generic and Biosimilar Medicines Association (IGBA)
-
*4International Federation of Pharmaceutical Manufacturers & Associations (IFPMA), World Health Organization (WHO)
The following outlines specific points based on the ICH Management Committee and ICH Assembly meetings held at the ICH Singapore Meeting.
1.Admission of new members and observers
Nigerian National Agency for Food and Drug Administration and Control (NAFDAC) and the South African Health Products Regulatory Authority (SAHPRA) applied for promotion to new ICH members. Both applications were approved at the ICH Assembly, granting them membership in the ICH.
In addition, two new organizations—the Directorate General for the Regulation of Medicines, Food, and Sanitary Products of the Dominican Republic (DIGEMAPS) and the Food and Drug Administration of the Republic of the Philippines (Philippine FDA)—applied for observer status with ICH. Both applications were approved at the Assembly, and their membership in ICH was granted.
As a result, the number of members stands at 25 organizations (an increase of 2), and the number of observers remains at 41 (no change), bringing the total number of organizations within ICH to 66 (see reference materials at the end).
2.Trends in ICH Technical Topics
At the ICH Singapore Meeting, working groups for 12 topics convened in conjunction with the Assembly. While each group typically holds regular web conferences, they took this opportunity to engage in intensive discussions during four- or five-day in-person meetings to advance progress on guideline development.
Working Groups That Held Meetings
| Q1 EWG | Stability Testing of Drug Substances and Drug Products |
|---|---|
| Q6(R1) EWG | Revision of the Specifications Guidelines |
| Q9(R1) Training Group | Revision of the “Guideline on Quality Risk Management” |
| E14/S7B IWG
| Questions and Answers on Clinical and Nonclinical Evaluation of QT/QTc Interval Prolongation and Proarrhythmic Potential |
| E21 | Inclusion of pregnant and breastfeeding individuals in clinical trials |
| E23 | Considerations for the Use of Real-World Evidence (RWE) to Inform Regulatory Decision Making with a Focus on Effectiveness of Medicines
|
| S13 EWG | Nonclinical Safety Studies for Oligonucleotide-based Therapeutics |
| M7 Sub-group
| Assessment and Control of DNA Reactive (Mutagenic) Impurities in Pharmaceuticals to Limit Potential Carcinogenic Risk |
| M11 | Clinical electronic Structured Harmonised Protocol (CeSHarP) |
| M13 | Bioequivalence for Immediate-Release Solid Oral Dosage Forms |
| M15 EWG | General Principles on Model-Informed Drug Development |
| M18 EWG | Framework for Determining the Utility of Comparative Efficacy Studies in Biosimilar Development Programs |
During this session, the M11 guideline was approved by the Assembly, reaching Step 4, and the English version of the ICH guideline was finalized. Additionally, the draft technical document for E22 was approved by the Assembly, reaching Step 2.Furthermore, at this Assembly, progress on all active topics was discussed, and topics that had reached major milestones since the ICH Madrid meeting in May 2025 were confirmed. The topics that have reached milestones are summarized below.
Topics that have reached Step 4
| M11 | Clinical electronic Structured Harmonised Protocol:Technical Specification (ICH Assembly, November 2025) |
|---|---|
| E2D (R1) | Post-Approval Safety Data: Definitions and Standards for Management and Reporting of Individual Case Safety Reports (September 2025) |
| M14 | General Principles on Planning, Designing, Analysing, and Reporting of Non-interventional Studies That Utilise Real-World Data for Safety Assessment of Medicines (September 2025) |
-
*Reaching Step 4 means that the draft guideline has been finally agreed upon and adopted by regulatory authority representatives at the ICH Assembly, and that the English version of the guideline has been finalized. Moving forward, regulatory authorities in each region and country will begin the implementation process.
Topics that have reached Step 2
| E22 | General Considerations for Patient Preference Studies (ICH Assembly, November 2025) |
|---|---|
| Q3E | Evaluation and Control of Extractables and Leachables of Pharmaceutical and Biological Products (August 2025) |
| E20 | Adaptive Designs for Clinical Trials (June 2025) |
-
*Reaching Step 2 means that a draft guideline based on technical documents has been approved by regulatory representatives at the ICH Assembly, and that the process will now move to Step 3, where regulatory authorities in each region and country will conduct public comment periods and finalize the guideline based on the results.
3. Developments on Newly Launched Topics
Regarding the following two topics adopted at the ICH Madrid meeting in May 2025, concept papers were approved, and the respective working groups will begin drafting technical documents.
| E23 | Considerations for the Use of Real-World Evidence (RWE) to Inform Regulatory Decision Making with a Focus on Effectiveness of Medicines |
|---|---|
| M18 | Framework for Determining the Utility of Comparative Efficacy Studies in Biosimilar Development Programs |
4. ICH Assembly/Management Committee: Election of Chair and Vice-Chair
As the terms of office for the Chair and Vice-Chair of the ICH Assembly and Management Committee had expired, elections were held during the Singapore meeting. As a result of the election, Daisuke Koga, Director of the International Planning Department at the PMDA, was elected Chair of the ICH Management Committee. This marks the first time a Chair from Japan has been appointed to an ICH position.
| ICH Assembly
| Chair: Gabriela Zenhaeusern (Swissmedic) Vice Chair: Jeffrey Skene (Health Canada) |
|---|---|
| ICH Management Committee | Chair: Daisuke Koga (MHLW/PMDA)
Vice Chair: Theresa Mullin (FDA) |
5. Election of the Chair and Vice Chair of the MedDRA Steering Committee
While ICH develops and continuously maintains MedDRA, elections for the Chair and Vice Chair of the MedDRA Steering Committee were held at this meeting. As a result of the election, Ana Cochino (EC) was elected Chair and Charlotte James (MHRA) was elected Vice Chair.
6. ICH Awards
The “ICH Award” is presented to experts who have demonstrated leadership and made significant contributions to the development of ICH guidelines. For this third edition, five experts were selected based on nominations from various organizations, and the ICH Award ceremony was held during the Assembly.Two recipients from Japan were honored: one from the regulatory authority and one from the industry. The industry recipient was Mr. Masayuki Mishima, a safety expert at the JPMA (formerly a member of the Drug Evaluation Committee), who was recognized for his significant leadership and sustained contributions to the ICH Expert Working Groups.

ICH Project Committee meeting.

Next ICH Meeting
The meeting is scheduled to take place in Rio de Janeiro, Brazil, from May 30 to June 3, 2026.
ICH actively discloses information regarding its activities, including the outcomes of ICH meetings, and makes this information publicly available to foster a deeper understanding not only among stakeholders but also among the general public. The outcomes of this ICH Singapore Meeting, as well as concept papers and work plans for each topic, are available on the ICH website (https://www.ich.org/ )
[Reference: List of ICH Members and Observers (as of November 2025)]
Table 1: Members (25 organizations)
Table 2: Observers (41 organizations)
-
*Shaded areas were added at the ICH Singapore Meeting
(Mariko Kato, Director, International Regulatory Coordination Division)
