1What regulators have said about LLMs.
The clearest statement is in the draft Annex 22 on artificial intelligence, which the European Commission and PIC/S published for consultation from 7 July to 7 October 2025.¹ It covers AI models used in “critical applications with direct impact on patient safety, product quality or data integrity”. It is written for static models with deterministic output, which give identical outputs for identical inputs. Models whose output is probabilistic “might not provide identical outputs”, are not covered and “should not be used in critical GMP applications”.²
Then it names LLMs directly: the document “does not apply to Generative AI and Large Language Models (LLM), and such models should not be used in critical GMP applications.” In non-critical applications, “personnel with adequate qualification and training should always be responsible for ensuring that the outputs from such models are suitable for the intended use”, which the draft calls a human-in-the-loop.²
Annex 22 is still a draft. In May 2026 an HPRA GMP inspector told the QP Forum in Dublin that it is “currently in draft status”, under revision after the 2025 consultation, with “further focused stakeholder consultations” scheduled for 2026.³ On 6 November 2026 the EudraLex Volume 4 page lists Annex 11 in its January 2011 revision and no Annex 22.⁴
2What FDA’s April 2026 warning letter said.
On 2 April 2026 FDA’s Center for Drug Evaluation and Research issued Warning Letter 320-26-58 to Purolea Cosmetics Lab. The firm had told investigators that it used AI agents to create drug product specifications, procedures and master production or control records. FDA wrote: “If you use AI as an aid in document creation, you must review the AI generated documents to ensure they were accurate and actually compliant with CGMP”, and cited the failure as a violation of 21 CFR 211.22(c).⁵ That section makes the quality control unit responsible for approving or rejecting all procedures or specifications that affect the identity, strength, quality and purity of the drug product.⁶
The letter also records that the firm had not validated its process before distributing product, and that it said it was unaware of the requirement because the AI agent had never told it. If the firm resumes drug production and uses AI for CGMP work such as procedures and specifications, FDA wrote, “any output or recommendations from an AI agent must be reviewed and cleared by an authorized human representative of your firm’s QU”.⁵
3Why generative models are treated differently.
Among the risks that NIST’s Generative AI Profile lists as unique to or made worse by generative AI is confabulation: “the production of confidently stated but erroneous or false content”, known colloquially as hallucination. It warns that outputs can include confabulated logic or citations that make a wrong answer look justified, and that people can come to over-rely on generated content, which it calls automation bias.⁷ EMA’s reflection paper on AI makes the same point about medicinal product information: generative language models “are prone to include plausible but erroneous or incomplete output”, so quality review must confirm that generated text is factually and syntactically correct before submission.⁸
The draft Annex 22’s testing requirements, with pre-set acceptance criteria, independent test data, explainability and confidence thresholds, are written for static, deterministic models. Large language models sit outside them, which is why the draft keeps them out of critical applications and relies on qualified people for the rest.²
4Where the main sources stand.
| Source | Status | What it says about generative AI |
|---|---|---|
| Draft Annex 22, European Commission and PIC/S | Draft, consulted July to October 2025, under revision in 2026 | Should not be used in critical GMP applications; qualified people are responsible for outputs in non-critical ones.²³ |
| HPRA answers at the QP Forum, May 2026 | An inspector’s answers, not guidance | Testing or confirming outputs is key; the company and its responsible personnel answer for decisions made on AI outputs.³ |
| FDA Warning Letter 320-26-58, April 2026 | Enforcement letter | AI-drafted documents must be reviewed for accuracy and CGMP compliance, and cleared by the quality unit.⁵ |
| EMA reflection paper on AI, September 2024 | Final reflection paper | Generated product information needs close human supervision and quality review.⁸ |
| FDA and EMA guiding principles, January 2026 | Ten principles for industry to consider | AI use follows a risk-based approach, adheres to GxP and has a clear context of use.⁹ |
| NIST AI 600-1, July 2024 | Voluntary framework | Names confabulation and automation bias among generative AI risks.¹⁰⁷ |
5What to settle before staff use a chatbot.
- Whether the use is GMP at all. When a company says an AI tool is for “business use only”, HPRA expects it to “be sure the system in question does not fall under the remit of GMP”. Inspectors may ask at the opening meeting whether AI is used in any GMP system or process.³
- The agreement with the provider. Annex 11 applies to “all forms of computerised systems used as part of a GMP regulated activities”, and where a third party provides a service “for data processing, formal agreements must exist” that state its responsibilities.¹¹
- Controls in proportion to the risk. ICH Q9(R1) says “the level of effort, formality and documentation of the quality risk management process should be commensurate with the level of risk.”¹²
- Training for the people who use it. In the EU, Article 4 of the AI Act, as amended in July 2026, requires providers and deployers of AI systems to “take measures to support the development of AI literacy of their staff”.¹³
6How it runs in Seal.
Neil, Seal’s AI agent, is built on large language models, and Seal treats it on the draft Annex 22’s terms: Neil is not used in GMP execution. It drafts and proposes; it signs, approves and releases nothing. Each finding links to the record, version and field behind it, and Neil names what the records don’t show rather than filling the gap. It sees what you grant it, never more than the person asking. Each of the jobs Neil does shows the records it works from and the review a person makes.
The validation and AI assurance guide covers what is sent to the model and retained, the evidence to keep for an AI-assisted decision and how to assess a change of model. Under Seal’s agreements, customer data is not used to train the underlying models, and AI can be limited or switched off for the organisation.
References
- 1Stakeholders’ 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) - 2Annex 22: Artificial Intelligence, draft for consultation, sections 1 and 4 to 9, European Commission and PIC/S, July 2025. https:/
/ picscheme. org/ docview/ 9715 (read 6 November 2026) - 3Question & Answers, QP Forum, Trinity College Dublin, questions 1 and 2, Richard O’Sullivan, GMP Inspector, Health Products Regulatory Authority (HPRA), 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) - 4EudraLex Volume 4, Good Manufacturing Practice guidelines, European Commission. https:/
/ health. ec. europa. eu/ medicinal- products/ eudralex/ eudralex- volume- 4_ en (read 6 November 2026) - 5Warning Letter 320-26-58 to Purolea Cosmetics Lab, MARCS-CMS 722591, FDA Center for Drug Evaluation and Research, 2 April 2026. https:/
/ www. fda. gov/ inspections- compliance- enforcement- and- criminal- investigations/ warning- letters/ purolea- cosmetics- lab- 722591- 04022026 (read 6 November 2026) - 621 CFR 211.22, Responsibilities of quality control unit, eCFR, current to 4 November 2026. https:/
/ www. ecfr. gov/ current/ title- 21/ chapter- I/ subchapter- C/ part- 211/ subpart- B/ section- 211. 22 (read 6 November 2026) - 7NIST AI 600-1, Artificial Intelligence Risk Management Framework: Generative Artificial Intelligence Profile, sections 2.2 and 2.7, National Institute of Standards and Technology, July 2024. https:/
/ nvlpubs. nist. gov/ nistpubs/ ai/ NIST. AI. 600- 1. pdf (read 6 November 2026) - 8Reflection paper on the use of Artificial Intelligence (AI) in the medicinal product lifecycle, EMA/
CHMP/ CVMP/ 83833/ 2023, European Medicines Agency, adopted 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) - 9Guiding Principles of Good AI Practice in Drug Development, principles 2 to 4, FDA and European Medicines Agency, January 2026. https:/
/ www. fda. gov/ media/ 189581/ download (read 6 November 2026) - 10AI Risk Management Framework, National Institute of Standards and Technology. https:/
/ www. nist. gov/ itl/ ai- risk- management- framework (read 6 November 2026) - 11EudraLex Volume 4, Annex 11: Computerised Systems, principle and sections 1 and 3, European Commission, in operation since 30 June 2011. https:/
/ health. ec. europa. eu/ system/ files/ 2016- 11/ annex11_ 01- 2011_ en_ 0. pdf (read 6 November 2026) - 12ICH Q9(R1), Quality Risk Management, section 3, ICH, Step 4, 18 January 2023. https:/
/ database. ich. org/ sites/ default/ files/ ICH_ Q9%28R1%29_ Guideline_ Step4_ 2023_ 0126_ 0. pdf (read 6 November 2026) - 13Article 4, AI literacy, Regulation (EU) 2024/1689 as amended by the Digital Omnibus on AI, AI Act Service Desk, European Commission, consolidated text as at 27 July 2026. https:/
/ ai- act- service- desk. ec. europa. eu/ en/ ai- act/ article- 4 (read 6 November 2026)
AQuestions and answers
Can staff paste GMP records into a public chatbot?
Not without an assessment. A chatbot that processes GMP data is a computerised system with a service provider behind it, and Annex 11 expects a formal agreement setting out that provider’s responsibilities. If a company says a tool is for business use only, HPRA expects it to be sure the tool really falls outside GMP.
Did FDA object to using AI to write procedures?
No. The warning letter objected to AI output being used without review. FDA told the firm that if it resumed production and used AI for CGMP work, such as procedures and specifications, an authorised member of its quality unit must review and clear the output.
Does an LLM tool used in GMP work need validation?
If it is used as part of GMP-regulated activities, Annex 11 applies, and the extent of validation follows a documented risk assessment. The draft Annex 22’s detailed testing rules are written for static, deterministic models in critical uses. For LLMs in non-critical uses it says its principles may be considered where applicable.
What is an AI hallucination?
NIST calls it confabulation: confidently stated content that is false or erroneous. It can include invented citations or reasoning that make a wrong answer look justified, so a reviewer should check claims against the source records rather than against the model’s own explanation.
