Connected Intelligence

AI in clinical trials: Connected Intelligence, built on one connected record.

Generic AI assistants answer from one system. AQ reads one connected record across every module, so its answers, flags and drafts cover the whole trial, and a named person decides.

9Modules read together
1Study record
CTMS
eTMF
eISF
Pharmacy
QMS
CAPA
Digital DoA
eSource
Labs
Reading records · 3 modulesThe same protocol deviation type recorded at three of five sites in eight weeks Quality lead
6 yearsIn daily use in NHS research since 2020
150+Studies on AQ eISF at University Hospitals of Liverpool GroupCase study
300+People on AQ QMS and CAPA at Royal Free LondonCase study
DSPTNHS Data Security and Protection Toolkit: Standards Met, 2026
The contribution

Assess the wider impact of study changes.

Revised procedures, protocol amendments and storage excursions affect related activities. AQ identifies those connections and assembles the information needed to plan a coordinated response.

1 · TriggerSOP-014 moves to v3
2 · Records readQMS · Digital DoA
3 · ProposalStaff whose live tasks reference v3
4 · DecisionQuality lead
Example 01 · QMS to Digital DoA

A procedure is revised.

01SOP-014 moves to version 3 in AQ QMS.
02AQ identifies the staff whose current delegated tasks reference the procedure and assigns the new version to them.
03It lists who has yet to complete it. Assignment on version change is a configured rule; the link to delegated tasks is what AQ adds.
The decision stays withQuality leadDecides which assignments to act on first Awaiting review
SOP-014 moves to v3Illustrative
SOP-014Version 3 · effective 1 Oct
Learning assignmentConfigured rule · 48 staff
Delegated tasksReference SOP-014
48 assigned staff
31 completed v36 outstanding11 outstanding with a live delegated task
11 of the 17 outstanding hold tasks that reference the procedure, 7 performed this week.Quality lead
1 · TriggerFridge 2 outside range
2 · Records readPharmacy · CAPA
3 · ProposalCorrective action with stock attached
4 · DecisionTrial pharmacist
Example 02 · AQ Pharmacy to AQ CAPA

A temperature excursion is recorded.

01A reading outside range enters AQ Pharmacy from the monitoring record for that storage location.
02AQ identifies the consignments held there and the studies they are allocated to.
03It proposes a corrective action with the affected stock attached. Whether it blocks a phase change is a study configuration.
The decision stays withTrial pharmacistDecides whether to hold the stock and raise the action Awaiting review
Fridge 2 outside rangeIllustrative
Fridge 2 · St. Adeline’s · last 24 h11.4 °C · excursion
8 °C2 °C
C-0912Allocated · BREEZE-2
C-0917Allocated · HARBOUR-1
Corrective actionProposed
Affected stock attached · 2 consignments · 2 studies
Hold the stock · raise the actionTrial pharmacist
1 · TriggerAmendment 3 approved
2 · Records readDigital DoA · CTMS · eISF · Pharmacy
3 · ProposalImpact summary across four modules
4 · DecisionStudy manager
Example 03 · Across four modules

A protocol amendment is approved.

01Protocol amendment 3 is approved and BREEZE-2 moves to version 4.0.
02AQ produces an impact summary: delegated tasks whose training changes, scheduled visits affected, documents requiring a new version, and stock allocated under the previous protocol.
03The summary is proposed work; nothing is actioned until the study manager decides what and in what order.
The decision stays withStudy managerDecides what is actioned and in what order Awaiting review
Amendment 3 approvedIllustrative
Protocol amendment 3 · BREEZE-2 v4.0Approved 6 Oct · visit window · consent wordingApproved
Impact summary
6Digital DoAdelegated tasks · training changes
14CTMSscheduled visits affected
9eISF · eTMFdocuments need a new version
2Pharmacyconsignments allocated under v3.2
Proposed work · order and scope to be decidedStudy manager

Each draws on records held in several modules. A tool scoped to one of them produces one part of the answer.

In use

Understand what needs attention across sites.

Outstanding requirements and emerging issues appear alongside source records, assigned reviewers and current status, providing the context needed to assess priorities and coordinate follow-up.

BREEZE-2 · 5 sites · Items needing attention4 openIllustrative
4Open items
2Awaiting review
2Reviewed
9Modules read
Items by site
Riverside Trust3
St. Adeline’s2
Northgate1
Harbour View0
Ellesmere1
Raised in the last 8 weeks
W1W8
Act nowThis monthReview
3 OctThree sites

The same protocol deviation type has been recorded at three of five sites in eight weeks

Records considered
Deviation recordsCorrective actionsSOP-022

Individually each was closed locally. Together they suggest the procedure rather than the site is the cause.

—Quality leadNot yet assigned to a personAwaiting review
7 OctRiverside Trust

Two required documents are outstanding against the Start-up milestone at Riverside Trust

Records considered
Expected-document listCurrent versionsMilestone plan

The milestone cannot be marked complete, and the study is scheduled to move to Conduct this month.

PNSite file ownerPriya NairReviewed
1 OctAll sites

SOP-014 version 3 is outstanding for 17 of 48 assigned staff

Records considered
Version historyLearning assignmentsDelegated tasks

Eleven of the seventeen hold delegated tasks that reference it.

HMQuality leadHannah MossReviewed
9 OctSt. Adeline’s

A storage excursion at St. Adeline’s affects consignments allocated to two studies

Records considered
Monitoring recordPharmacy inventoryStudy allocation

The consignments are held pending assessment.

—Trial pharmacistNot yet assigned to a personAwaiting review

Illustrative, fictional data.

Why the first item matters · deviations by site, last 8 weeksIllustrative
W1W2W3W4W5W6W7W8Local view Riverside TrustClosed locallySt. Adeline’sClosed locallyNorthgateClosed locallyHarbour ViewNoneEllesmereNone
SOP-022 · consent processReferenced by all four deviations
Read togetherThe procedure, not the site, is suggested as the causeQuality lead

No single site’s record contains the pattern. It appears only when the deviations, the corrective actions and the procedure are read together.

Deviation recordsCorrective actionsShared procedure
Nine capabilities

Which clinical trial platforms use AI for compliance and inspection readiness?

AQ Platform uses AI to maintain inspection readiness all the time, instead of in the fortnight before an inspection. The site file, delegation log, training record, pharmacy ledger and quality system sit on one record, so Connected Intelligence can answer the question an inspector actually asks: was every task done by a trained, delegated person on the current protocol?

Reads the record
Produces proposals
Answers and assembles
Document intelligence · BREEZE-2Illustrative

Document intelligence.

AQ reads a document on arrival and proposes its classification and the expected-document entry it satisfies, with the version and signature requirements for that entry. The site file owner confirms or corrects the placement.

Classification is proposed rather than searched for.
Reyes_CV_signed_2026.pdfArrived 09:14 · 2 pages · uploaded by R. OkaforNew
Proposed placement
ClassificationCurriculum vitae
Expected entryeISF 02.03 · Investigator CV
Versionv2 · supersedes 14 Mar 2025
SignatureDated · applied
ConfidenceHigh · 3 fields read
Site file ownerAssigned reviewerConfirmCorrect
Readiness monitoring · BREEZE-2Illustrative

Readiness monitoring.

AQ compares the record against the requirements for a defined event — site activation, a monitoring visit or an inspection — and lists what is outstanding for that event.

Outstanding items appear as they fall due rather than at a review.
Site activation · Riverside TrustRequirements for the event · 97 of 9 met
Delegation log signed by PIFell due 4 OctOutstanding
Pharmacy set-up form approvedFell due 9 OctOutstanding
Protocol training · 6 staffCompleted 1 OctMet
Study managerAssigned reviewerAwaiting review
Workflow assistance · BREEZE-2Illustrative

Workflow assistance.

AQ drafts a pre-visit summary of outstanding items, and replies to monitoring queries built from the record’s own history. The responsible person edits and sends.

The draft starts from the record rather than from a blank page.
Pre-visit summary · 21 JanuaryDraft
Eight items are outstanding at Riverside Trust ahead of the monitoring visit on 21 January. Two are overdue: the current CV for Dr Reyes (eISF 02.03) and SOP-014 v3 training for four staff. The remaining six fall due before the visit…
Built from the record’s own history · 8 records cited
EditSend
Study coordinatorAssigned reviewerEdits and sends
Quality signal detection · BREEZE-2Illustrative

Quality signal detection.

AQ flags patterns across protocol deviations, corrective actions, training records and approvals for a quality lead to assess.

Patterns that span sites are visible without compiling them.
Deviations · 5 sites · 8 weeksPattern flagged
RiversideSt. Adeline’sNorthgateHarbour ViewEllesmere
Four deviations, three sites, one procedure: SOP-022. Each was closed locally.
Quality leadAssigned reviewerAwaiting assessment
Amendment impact · BREEZE-2Illustrative

Amendment impact.

AQ produces an impact summary against an approved amendment: training requirements that change, visits affected, documents needing a new version, stock allocated under the previous protocol.

The assessment is produced in one place.
Protocol amendment 3 approvedBREEZE-2 · v4.0 · 6 Oct 2026
6
Delegated taskstraining changes
14
Scheduled visitsaffected
9
Documentsneed new version
2
Pharmacy stockconsignments
Study managerAssigned reviewerAwaiting review
Readiness forecasting · BREEZE-2Illustrative

Readiness forecasting.

AQ projects each site’s position against a scheduled event, from outstanding item counts, their due dates and historical completion rates at that site.

The projection is available while the gap can still be closed.
Monitoring visit · 21 JanuaryProjection from open items, due dates and site completion rates
Riverside Trust58%
St. Adeline’s82%
Northgate96%
Harbour View100%
Ellesmere91%
Riverside Trust projected 58% ready. 11 weeks remain to close the gap.
Study managerAssigned reviewerAwaiting review
Inspection evidence · BREEZE-2Illustrative

Inspection evidence.

AQ retrieves and assembles the records behind a defined request from the site file, delegation log, training records and quality system, for review before anything is shared.

Retrieval is from one record rather than several.
Request: delegation and training evidence for all staff taking consent
Assembled · 4 records
Delegation log · consent · 3 staffDigital DoARetrieved
GCP certificates · 3eISF 02.04Retrieved
SOP-022 training · 3 staffQMS · learningRetrieved
CV · Dr ReyeseISF 02.03 · expiredGap noted
Principal InvestigatorAssigned reviewerReview before sharing
Portfolio questions · BREEZE-2Illustrative

Portfolio questions.

AQ Assist answers across studies and sites inside the asking user’s permissions, for example which sites hold outstanding training against a given procedure.

A cross-study question is answered without compiling each study separately.
Which sites hold outstanding training against SOP-014?
Three sites across two studies, inside your permissions.
BREEZE-2 · Riverside Trust4 staffOutstanding
BREEZE-2 · St. Adeline’s2 staffOutstanding
HARBOUR-1 · Northgate1 staffOutstanding
Learning · SOP-014Delegation log · 2 studies
Quality leadAssigned reviewerAnswered · cited
Drafted corrective actions · BREEZE-2Illustrative

Drafted corrective actions.

Where a pattern has been assessed as requiring action, AQ drafts the corrective action from the deviation records and the procedure they reference. The quality lead supplies the investigation and approves.

The draft starts from the evidence already recorded.
Corrective action · draftDrafted by AQ
ProblemConsent version not current at visit · 3 sites
Evidence linked4 deviations · 4 local actions · SOP-022
Proposed actionRevise SOP-022 §4 version check at visit
InvestigationTo be supplied by the quality lead
Add investigationApprove
Quality leadAssigned reviewerSupplies and approves

Where a check runs on a configured rule rather than a model, AQ describes it as automated. Illustrative, fictional data.

Every module

AI in every module, reading one record.

Each module has its own AI features. All of them read the same connected study record, so a finding in one module reaches the others that depend on it.

Reads with eTMF · Digital DoA

Files each upload and keeps the site file inspection-ready.

  • Proposes the slot for each upload
  • Checks signatures, versions and expiry
  • Writes the readiness summary
Reads with eISF · CTMS

Builds the TMF as the study runs and tracks TMF completeness.

  • Maps to the TMF Reference Model
  • Rolls site documents up to the trial file
  • Scores completeness by milestone
Reads with eISF · Labs

Sees recruitment and milestones before they slip.

  • Forecasts recruitment by site
  • Flags milestones set to slip
  • Drafts monitoring visit reports
Reads with CAPA · CTMS

Watches storage and stock across every study it serves.

  • Spots temperature drift early
  • Drafts the excursion record
  • Explains reconciliation gaps
Reads with CTMS · eISF

Follows each sample from collection to result.

  • Tracks sample stability windows
  • Forecasts collection supply needs
  • Flags results for investigator review
Reads with Digital DoA · CAPA

Keeps procedures and training in step.

  • Drafts SOPs from templates
  • Builds training from each SOP
  • Assesses the impact of a change
Reads with QMS · Pharmacy

Turns deviations into tracked, effective actions.

  • Drafts actions from deviations
  • Proposes root causes
  • Finds the same issue at other sites
Reads with QMS · eISF

Knows who may do each task, and whether they still can.

  • Reads CVs and certificates
  • Forecasts training lapses
  • Finds tasks with no qualified delegate

AQ eSource holds the site’s source forms on the same platform, each released with a recorded reason.

How to evaluate

What to assess in clinical trial AI.

Evaluate the information each feature uses, the task its output supports, the authority required for approval and the evidence retained for subsequent examination.

01

Which information informs the output?

A document-scoped tool

Reads the document it is given

AQ Platform
CTMSeTMFeISFPharmacyQMSCAPADigital DoAeSourceLabs

Nine connected modules on one study record

Nine connected modules on one study record
02

What does the feature produce?

A document-scoped tool
The CV for Dr Reyes appears to have expired in March.
An answer, with no owner and no next step
AQ Platform
Outstanding requirement behind a live delegationProposed
Principal Investigator· assigned reviewer
No regulated record changes without confirmation
A proposed output assigned to a reviewer. No regulated record changes without confirmation
03

Who can approve it?

A permission-based assistant
Access permissionInherits what the user may see
Review responsibility
Approval authority
Study delegation and training
AQ Platform
Access permissionMay see it
Review responsibilityAssigned to review it
Approval authorityMay authorise it
Study delegation and trainingDelegated · training current
All four are held in the same record, so a proposal can be routed against the delegation and training behind the task, not access alone
04

What evidence is retained?

A document-scoped tool
The output
The sources it drew on
The reviewer
The decision, including rejections
AQ Platform
The outputProposal · model and version
The sources it drew onRecords cited
The reviewerNamed, with role
The decision, including rejectionsWith the recorded reason
All four, including where a proposal was rejected
Question 03 · most often answered only in partInheriting a user’s access permissions establishes what they may see. It does not establish the rest. May see itDelegated to do it · not establishedTraining current · not established

Investigator delegation governs activities at site; sponsor and organisational activities follow the organisation’s own roles. A proposal is routed on whichever applies.

Quality risk detection

How does AI-powered quality risk detection work in clinical trials?

In clinical trials, AI-powered quality risk detection means reading deviations, corrective actions, training records and approvals together to find the patterns that come before an inspection finding. It is the operational side of risk-based quality management (RBQM) under ICH E6(R3). AQ Platform does this across the connected study record, because those signals rarely sit in one system.

Quality signal · CAPA-0231 · closed 30 SepIllustrative
A corrective action closed with its effectiveness check outstandingEffectiveness check due 14 Oct · not recorded
Raised2 AugDeviation
Investigated19 AugRoot cause
Action6 SepImplemented
Closed30 SepBy QA
Check14 OctOutstanding
Supporting records
Action recordPlanned checksDue dates
The reviewer assesses: whether closure was premature, or the check is no longer applicable.
—Quality leadNot yet assigned to a personAwaiting assessment
Quality signal · Dispense IMP · J. Okafor · Riverside TrustIllustrative
A delegated task whose training requirement is unmetSOP-014 v3 training assigned 1 Oct · not complete
DelegatedLiveDispense IMP
RequirementSOP-014Version 3
Assigned1 OctLearning
CompletedNoOutstanding
Performed3×This week
Supporting records
Delegation recordTraining assignmentsRequirement and date
The reviewer assesses: whether the task should pause, the training be reassigned, or the delegation change.
—Quality leadNot yet assigned to a personAwaiting assessment
Quality signal · Last participant in · BREEZE-2Illustrative
A milestone forecast to slip before its due dateDue 31 Jan · forecast 24 Feb at the current rate
MilestoneLPIDue 31 Jan
Recruited112Of 160
Weekly2.5Needs 3.1
Forecast24 Feb24 days late
Driver31%Northgate screen fail
Supporting records
Milestone planRecruitment by siteScreening logs
The reviewer assesses: whether to re-plan the milestone or act on the cause now.
—Study managerNot yet assigned to a personAwaiting assessment
Quality signal · Consent version not current at visit · 3 of 5 sitesIllustrative
A deviation type recurring across sitesEach closed locally · same procedure referenced · 8 weeks
Riverside2Closed locally
St. Adeline’s1Closed locally
Northgate1Closed locally
Harbour View0None
Ellesmere0None
Supporting records
Deviation records · 3 sitesCorrective actions · 4SOP-022 · consent process
The reviewer assesses: whether the procedure is the cause, with the site records supporting the assessment.
—Quality leadNot yet assigned to a personAwaiting assessment
Documentation gaps

How can AI identify documentation gaps in clinical trials?

AI identifies documentation gaps by comparing what a study record holds against what its protocol, milestones and delegations require: the expected-document list for the trial master file (eTMF) and the investigator site file (eISF), current versions and signatures, and the training and delegation behind each task. AQ reports missing documents and gaps in TMF completeness as they arise, while there is time to fix them.

Expected documents

01
eTMF · eISF

What the file should hold at this point in the study.

Expected9Filed7

Versions and signatures

02
eTMF · eISF

Whether the filed version is current and signed.

Current7Signed6

Training

03
QMS · Digital DoA

Whether required training is assigned and complete.

Assigned48Complete31

Delegation

04
Digital DoA

Whether the person is delegated and the delegation is current.

Delegated11Current10
One gap, read against two records · BREEZE-2 · Riverside TrustIllustrative
Site file entry
eISF 02.03 · Investigator CV · Dr Reyes
Filed versionv1 · signed 14 Mar 2024
Expiry14 March 2026
Current versionNone filed
As a filing matterOne outstanding document
Delegation record
Delegation log · Dr Reyes
ActivityTake informed consent
StatusLive · performed this week
Effective from2 February 2026
RequirementCurrent CV · outstanding
Raised against the delegation, not the folder: an outstanding requirement behind an activity still being performed. Principal InvestigatorAwaiting review
DR Dr Reyes · Riverside TrustHolds a live delegation to take informed consent. Her CV in the site file expired on 14 March; no current version is filed. One gap · two readings
Read as a filing matter
One outstanding document

The expired CV is a missing item in eISF 02.03, sitting in a queue of documents to chase.

eISF 02.03Expired 14 MarLow urgency
Read against the live delegation
An outstanding requirement behind an activity still being performed

Consent is being taken this week under a delegation whose supporting requirement has lapsed.

Delegation · livePerformed this weekRaised to the PI
This is why AQ raises it against the delegation rather than against the folder.Principal Investigator
AQ Assist · one chat, every module

One assistant for the trial record and the AQ platform.

AQ Assist answers from the whole study record across every module, cites the records behind each answer, and walks your team through AQ itself.

Live demonstration · five questions
AQ Assist
AI-enabled help for AQ Trials. Live responses in chat.
Guide
New chat
Recent
Riverside · pre-visit itemseISF · Today
Recruitment · screen failureStudy · Today
Help · raise a deviationGuide · Today
Protocol · visit windowseISF · Today
IMP dispensing · delegationPharmacy · Today
HMHannah MossQuality lead
Ask about BREEZE-2Answers come from every module and cite the records used.
What is outstanding before the 21 January visit?How many are recruited?How do I raise a deviation?What does the protocol say about visit windows?
Watch guide videoHow AQ Assist cites the records behind an answer
What is outstanding at Riverside Trust before the monitoring visit on 21 January?
eISF · Today, 10:52
Reading 3 records…

Eight items are outstanding against the visit, two of them overdue. The three below gate the visit; the remaining five are listed in the readiness view.

1Investigator CV · Dr Reyes · current versionOverdue
2SOP-014 v3 training · 4 staffOverdue
3Delegation log · 2 signaturesDue 9 Jan
Records citedCheckable
Investigator CVDr Reyes · eISF 02.03Open record
Learning assignmentsSOP-014 v3Open record
Delegation logRiverside TrustOpen record
Based on 4 records · the record does not hold a training plan for Ellesmere, which is not included.
Follow-up questions
Which of the eight are gated?Draft the pre-visit summary
How many participants are recruited across sites, and what is the screen-failure rate?
Study · Today, 10:52
Reading 3 records…

BREEZE-2 has recruited 112 of 160 participants across four recruiting sites. Screen failure is 19% overall; Northgate is highest at 31%.

1Riverside Trust38 of 50 · 14%
2St. Adeline’s31 of 40 · 16%
3Harbour View24 of 30 · 17%
4Northgate19 of 40 · 31%
Records citedCheckable
Screening logs4 sitesOpen record
EnrolmentBREEZE-2Open record
Recruitment targetsprotocol v4.0Open record
Based on 3 records · Ellesmere has not opened to recruitment, so it is not included.
Follow-up questions
Why is screen failure high at Northgate?Generate the recruitment report
How do I raise a deviation in AQ?
Guide · Today, 10:52
Reading 3 records…

Open CAPA and choose New deviation. AQ fills in the study and site from where you are working and suggests a category from your description. Three steps:

1Choose the study, site and dateStep 1
2Describe what happened · AQ suggests a categoryStep 2
3Submit · routed for reviewStep 3
Records citedCheckable
AQ guideRaising a deviationOpen record
SOP-022Deviation handlingOpen record
Your roleQuality leadOpen record
Based on 3 sources · the steps shown match your role and permissions.
Follow-up questions
Open the deviation formWhat counts as a protocol deviation?
What does the protocol say about visit windows for BREEZE-2?
eISF · Today, 10:52
Reading 3 records…

Protocol v4.0 sets a window of ±3 days for visits 2 to 6 and ±7 days for follow-up visits. Amendment 3 narrowed visit 4 from ±7 to ±3 days.

1Visits 2 to 6±3 days
2Visit 4 · changed by amendment 3Was ±7 days
3Follow-up visits±7 days
Records citedCheckable
Protocolv4.0 · section 6.2Open record
Amendment 3approved 6 OctOpen record
Visit scheduleBREEZE-2Open record
Based on 3 records · quoted from the approved protocol in the eISF; each site’s booked visits are in the CTMS.
Follow-up questions
Which booked visits fall outside the new window?Show what amendment 3 changed
Which staff are delegated to dispense investigational product, and is their training current?
Pharmacy · Today, 10:52
Reading 3 records…

Four staff hold a live delegation to dispense investigational product across the five sites. Training is current for three. One has SOP-014 version 3 outstanding.

1M. Carter · St. Adeline’sCurrent
2A. Lindqvist · NorthgateCurrent
3S. Byrne · Harbour ViewCurrent
4J. Okafor · Riverside TrustSOP-014 v3 outstanding
Records citedCheckable
Delegation logdispense IMP · 5 sitesOpen record
Learning assignmentsSOP-014 v3Open record
SOP-014version historyOpen record
Based on 3 records · answered inside your permissions, delegation and blinding.
Follow-up questions
Who approved the delegation for J. Okafor?When is the training due?
Ask about BREEZE-2…
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Organisation4 used · 46 left
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One chat across every moduleAnswers inside the user’s permissions, delegation and blindingWalks you through AQ, step by step

Illustrative, fictional data. Interface shown as in AQ Platform.

Review and control

How AQ’s human-in-the-loop AI works.

AI suggestions follow the applicable review and approval process, with supporting sources, reviewer details and decisions retained, including rejected suggestions.

The hand-off, step by stepAQReviewer
AQ reads the record across modulesFlags what is outstanding, expiring or inconsistent, with the records behind each flag.
The reviewer decides what to act onAnd in what order. Nothing is queued for action by AQ.
AQ proposes and draftsA classification, a pre-visit summary, a reply to a monitoring query.
The reviewer confirms, edits and sendsNothing leaves the record unreviewed.
AQ flags patterns across sites and studiesWith the deviations, actions and procedures that support them.
The reviewer assesses whether it is a findingAnd records the reasoning with the decision.
Audit trail · entry 48213 · proposal not acceptedIllustrative
ProposalClassify Reyes_CV_signed_2026.pdf as eISF 02.03 Investigator CV, v2
Model · versionDocument intelligence · model ci-doc · v2.4.1
Records drawn oneISF 02.03 expected-document entry · version history · signature requirement
DecisionRejected
ReviewerPriya Nair · Site file owner
Recorded reasonDocument is a GCP certificate scanned with the CV cover sheet. Refiled to 02.05 manually.
Timestamp7 Oct 2026 · 09:21:48 UTC
Proposal and decision retained together, including where the proposal was not accepted.
Five guardrailsICH-GCP E6(R3)ALCOA+21 CFR Part 11NHS DSPT 2026
01Recommend, not decideA person with authority confirms every change.
02Audit everythingProposal, decision, model and records retained.
03Validated for intended useScoped and measured against known-correct examples.
04Rules remain the controlWhere a rule governs a gate, the rule governs it.
05Data stays under controlCustomer data is never used to train a model.
Guide · AI in GxP systemsIs it safe to use AI in GxP clinical trial systems?Validation, audit trail and the four questions that govern approval, explained for QA and R&D leads. Read the AI governance guide
Questions

Questions about Connected Intelligence.

The AQ Platform and the study record it holds are hosted in Microsoft Azure UK regions. AQ meets the NHS Data Security and Protection Toolkit standard (Standards Met, 2026).

AQ reads protocol deviations, corrective actions, training records and approvals together, and flags patterns for a quality lead to assess, supplying the records behind each flag. This supports risk management under ICH E6(R3).

Document classification, learning assignment on a version change, expected-document checks, and the assembly of records behind a request. Each produces an output a person confirms. Configured rules such as milestone gates continue to operate as rules.

The proposal and the decision are both retained, including where the proposal was not accepted: the model version, its confidence and rationale, the reviewer and their recorded reason.

No. Role permissions, delegation and blinding apply to AQ Assist as they apply to the person asking.

Each feature is scoped to a defined use and measured against known-correct examples before release.

Yes, where the system is validated for its intended use, a named person reviews each output before it becomes a record, and the audit trail shows what the model proposed and who confirmed it. Our guide sets out what the MHRA has published and what to check before relying on an AI feature. Read the AI in GxP guide

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