According to ICH E6, what should be implemented when noncompliance is identified?

When noncompliance is identified according to ICH E6 guidelines, it is essential to implement corrective and preventative actions. This approach is central to ensuring that any issues identified during clinical trials are adequately addressed to prevent future occurrences. Corrective actions are focused on rectifying the specific noncompliance that has been identified, while preventative actions aim to mitigate the risk of similar issues arising in the future.

By establishing a process for corrective and preventative actions, organizations can not only address the immediate problem but also strengthen their operational procedures and overall quality system. This alignment with ICH E6 emphasizes the commitment to maintaining the integrity of clinical trials and protecting the rights and safety of participants.

While other choices may seem relevant to issues in clinical trial management, they do not directly focus on addressing noncompliance in the systematic manner that corrective and preventative actions do. For instance, increasing participant compensation or extending trial timelines may not resolve the core issue of noncompliance, while additional training, although potentially beneficial, does not comprehensively address specific compliance failures unless coupled with a plan for correction.