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AI in GxP

Can AI be used in GMP?

Yes. Neither the EU nor the US has a final GMP rule written for AI, so existing rules apply and the company stays responsible. EU draft Annex 22, now being revised, would allow tested static, deterministic models in critical GMP applications and limit generative AI and large language models to non-critical uses checked by qualified people. FDA told a manufacturer in April 2026 that AI output used for CGMP work must be reviewed and cleared by its quality unit.

Illustration of a seal reviewing RUN-214, with its 7.8-hour hold duration circled in red.

1What applies today.

Neither the US nor the EU has a final GMP rule written for AI. What applies is the set of rules that already governs computerised systems and quality decisions. US CGMP allows computers and automated equipment in manufacturing, provided they are routinely checked under a written programme and their input and output are checked for accuracy.¹ The quality control unit approves or rejects every procedure and specification affecting the identity, strength, quality and purity of the drug product.² In the EU, Annex 11 covers every computerised system used in GMP activities, and says that a system replacing a manual operation should cause “no resultant decrease in product quality, process control or quality assurance”.³

Regulators have said how those rules reach AI. EMA’s reflection paper of September 2024 makes it the responsibility of the sponsor, the marketing authorisation applicant or holder, or the manufacturer to ensure that “all algorithms, models, datasets, and data processing pipelines used are fit for purpose”. For AI in manufacturing it asks for quality risk management principles to be followed and, for human medicines, the principles of ICH Q8, Q9 and Q10 to be considered, “awaiting revision of current regulatory requirements and GMP standards”.⁴ Ireland’s HPRA told the May 2026 QP Forum that the company and the people responsible for a GMP activity “are responsible for the decisions made based on the outputs” of an AI model.⁵

2What the EU draft Annex 22 would allow.

The draft Annex 22, consulted on by the European Commission and PIC/S from 7 July to 7 October 2025, is the GMP text written specifically for AI.⁶ It sorts uses by whether they are critical, meaning they have “direct impact on patient safety, product quality or data integrity”, and by the kind of model.⁷

UseDraft Annex 22
Static machine learning model with deterministic output, critical applicationCovered, once tested: approved intended use, acceptance criteria, independent test data, explainability, confidence thresholds, change control and monitoring
Dynamic model that keeps learning in use, critical applicationNot covered, and “should not be used”
Model with probabilistic output, critical applicationNot covered, and “should not be used”
Generative AI or a large language model, critical applicationNot covered, and “should not be used”
Generative AI or a large language model, non-critical applicationMay be used, with qualified and trained personnel responsible for checking that the output is suitable: a human in the loop

The draft is changing. EMA’s report of its expert workshop of 30 June and 1 July 2026, published on 2 October 2026, says consultation comments supported allowing large language models and generative AI in GMP applications, critical or not, and that the drafting group has discussed widening the annex to dynamic, probabilistic and generative models backed by “a fully documented, robust, risk-based control strategy”.⁸⁹ On 6 November 2026 Annex 22 is not in EudraLex Volume 4, so it is not yet part of EU GMP.¹⁰ The detail is in what Annex 22 allows.

3What FDA has said.

FDA has not written AI into the CGMP regulations. Its January 2025 draft guidance sets out a risk-based credibility assessment for AI that produces information or data supporting regulatory decisions on drug safety, effectiveness or quality, including in manufacturing, and is still a draft, not for implementation. It says AI used in manufacturing “must be implemented in accordance with current good manufacturing practice”, and that the quality control unit’s responsibilities in 21 CFR 211.22 and 211.68 apply.¹¹ In January 2026 FDA and EMA added ten guiding principles of good AI practice, which industry and product developers “can consider”.¹² FDA’s 2023 discussion paper on AI in drug manufacturing lists uses such as process design and scale-up, advanced process control, process monitoring and fault detection, vision-based inspection of packaging, labels and vials, and trend monitoring of complaints and deviation reports.¹³

The clearest statement so far is an enforcement one. In a warning letter of 2 April 2026, FDA found that a manufacturer had used AI agents to create drug product specifications, procedures and master production records, cited 21 CFR 211.22(c) for failing to review them, and said that any AI output used for CGMP activities “must be reviewed and cleared by an authorized human representative of your firm’s QU”.¹⁴ What that letter said is set out in FDA’s AI warning letter.

4What inspectors will ask.

HPRA says inspectors may ask at the opening meeting whether AI is used in any GMP system or process, and may change the inspection plan to make time to look at it. A company that says a tool is for “business use only” needs to be sure the system does not fall under GMP.⁵ HPRA names three things that keep AI output accurate: in-depth knowledge of the process the model is part of, review and verification of AI outputs, and training and validation of the systems.⁵

5Where to start.

List every place AI touches GMP work, including drafting tools people use on their own. For each, decide and record whether the use is critical, write down its intended use and who is responsible for checking its output, and keep a record of each review. Draft Annex 22 asks for an intended use approved before testing. Where a person decides on the model’s output and testing has been reduced on that basis, it asks for the person’s responsibility to be written into the intended use and records of the review to be kept, and it puts the model, its system and its process under change control before use.⁷ For a model that makes or informs critical decisions, plan the testing described in how to validate AI for GxP use.

6How it runs in Seal.

Neil, Seal’s AI agent, is built on large language models, and Seal treats it on the terms draft Annex 22 sets for them: Neil is not used in GMP execution. It helps set up and change configuration, such as workflows, limits, required fields and review gates, which your team verifies and releases under change control, so what runs in the work is a configured rule rather than model output. It also gathers evidence and drafts findings for investigations and reviews, which a qualified person assesses. Neil signs, approves and releases nothing, and never sees more than the person asking it.

The validation and AI assurance guide sets out what to keep for an AI-assisted decision (the request, the source records and versions, the output and the reviewer’s decision), how a change of model is assessed, and how AI can be switched off for the organisation. Each of Neil’s 52 jobs shows the records Neil works from, the draft it prepares and the review a person makes before anything changes.

References

  1. 121 CFR 211.68, Automatic, mechanical, and electronic equipment, eCFR. https://www.ecfr.gov/current/title-21/section-211.68 (read 6 November 2026)
  2. 221 CFR 211.22, Responsibilities of quality control unit, eCFR. https://www.ecfr.gov/current/title-21/section-211.22 (read 6 November 2026)
  3. 3EudraLex Volume 4, Annex 11: Computerised Systems, revision 1, European Commission, January 2011. https://health.ec.europa.eu/system/files/2016-11/annex11_01-2011_en_0.pdf (read 6 November 2026)
  4. 4Reflection paper on the use of Artificial Intelligence (AI) in the medicinal product lifecycle, EMA/CHMP/CVMP/83833/2023, European Medicines Agency, 9 September 2024. https://www.ema.europa.eu/en/documents/scientific-guideline/reflection-paper-use-artificial-intelligence-ai-medicinal-product-lifecycle_en.pdf (read 6 November 2026)
  5. 5Question and Answers, Richard O’Sullivan, GMP Inspector, HPRA, QP Forum, Trinity College Dublin, 12 May 2026. https://www.tcd.ie/media/tcd/pharmacy/images/qp-forums/qp-forum-2026/presentations/9.3-HPRA-QA.pdf (read 6 November 2026)
  6. 6Stakeholders’ Consultation on EudraLex Volume 4, Good Manufacturing Practice Guidelines: Chapter 4, Annex 11 and New Annex 22, European Commission, July 2025. https://health.ec.europa.eu/consultations/stakeholders-consultation-eudralex-volume-4-good-manufacturing-practice-guidelines-chapter-4-annex_en (read 6 November 2026)
  7. 7EudraLex Volume 4, Annex 22: Artificial Intelligence, draft for consultation, European Commission and PIC/S, July 2025. https://picscheme.org/docview/9715 (read 6 November 2026)
  8. 8Multistakeholder workshop on expert contributions to artificial intelligence guidance development (Annex 22), report, EMA/156789/2026, European Medicines Agency, 2026. https://www.ema.europa.eu/en/documents/report/report-multistakeholder-workshop-expert-contributions-artificial-intelligence-guidance-development-annex-22_en.pdf (read 6 November 2026)
  9. 9Good manufacturing practice: Multistakeholder workshop on expert contributions to artificial intelligence guidance development (Annex 22), event page with the report first published 2 October 2026, European Medicines Agency. https://www.ema.europa.eu/en/events/good-manufacturing-practice-multistakeholder-workshop-expert-contributions-artificial-intelligence-guidance-development-annex-22 (read 6 November 2026)
  10. 10EudraLex Volume 4, Good Manufacturing Practice guidelines, European Commission. https://health.ec.europa.eu/medicinal-products/eudralex/eudralex-volume-4_en (read 6 November 2026)
  11. 11Considerations for the Use of Artificial Intelligence to Support Regulatory Decision-Making for Drug and Biological Products, Draft Guidance for Industry and Other Interested Parties, FDA, January 2025. https://www.fda.gov/media/184830/download (read 6 November 2026)
  12. 12Guiding Principles of Good AI Practice in Drug Development, FDA, January 2026. https://www.fda.gov/about-fda/artificial-intelligence-drug-development/guiding-principles-good-ai-practice-drug-development (read 6 November 2026)
  13. 13Artificial Intelligence in Drug Manufacturing, discussion paper, FDA Center for Drug Evaluation and Research, March 2023. https://www.fda.gov/media/165743/download (read 6 November 2026)
  14. 14Warning Letter 320-26-58, Purolea Cosmetics Lab, MARCS-CMS 722591, FDA, 2 April 2026. https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/warning-letters/purolea-cosmetics-lab-722591-04022026 (read 6 November 2026)

AQuestions and answers

Can we use ChatGPT or another LLM to draft GMP documents?

Yes, if a qualified person checks the draft and the quality unit approves it like any other document. Draft Annex 22 keeps generative AI out of critical GMP applications but allows it in non-critical ones with a human in the loop, and FDA’s April 2026 warning letter says AI output used for CGMP work, such as procedures and specifications, must be reviewed and cleared by the quality unit. Whether a use is critical turns on its direct impact on patient safety, product quality or data integrity, so record that assessment in its intended use.

Does keeping a human in the loop make any AI use acceptable?

No. In draft Annex 22 it is the condition for using generative AI in non-critical work. Where it is the reason a model in critical work was tested less, the operator’s responsibility has to be written into the intended use, the operator’s training and performance monitored, and the reviews recorded. EMA’s 2026 workshop report records that human oversight cannot make up for inadequate validation.

What if we only use AI for business tasks?

Inspectors focus on AI used in GMP processes and systems. HPRA’s advice is that a company saying a tool is for business use only must be sure the system does not in fact fall under GMP.

Is there an FDA regulation on AI in drug manufacturing?

Not one written for AI. The CGMP regulations in 21 CFR parts 210 and 211 apply to AI as to any other tool, and FDA’s AI guidance for drugs is a January 2025 draft. FDA and EMA also published ten Good AI Practice principles in January 2026, which are principles to consider rather than binding requirements.

Will Annex 22 allow LLMs in critical GMP work once it is final?

It is not known yet. Consultation comments asked for it, and the drafting group has discussed allowing dynamic, probabilistic and generative models under a documented risk-based control strategy, but no revised text has been published. Until then, the only published text is the July 2025 draft.

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