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Regulatory-Ready AI: Quality, Validation and Governance for a Human-Led Future
Governance and change control that keep humans accountable
Jay Gandecha, Senior Director, Regulatory Affairs, IQVIA
Brian Healey, Global Head of Drug Development & Regulatory Strategy, IQVIA
Mar 04, 2026

Global expectations for artificial intelligence (AI) in the life sciences ecosystem are rising. Authorities want clarity on reliability, traceability and explainability for any system used in safety, real-world evidence or regulatory workflows. At the same time, internal stakeholders expect consistent quality and transparent oversight. The path forward is not mysterious. It combines human judgment, practical explainability and documented quality systems that regulators recognize. This is how organizations make AI regulatory world evidence or regulatory workflows. At the same time, internal stakeholders expect consistent quality and transparent oversight. The path forward is not mysterious. It combines human judgment, practical explainability and documented quality systems that regulators recognize. This is how organizations make AI regulatory ready without losing scientific integrity.


Reliability and traceability as first principles

Any method that touches safety or contributes to regulatory content must demonstrate that data is reliable and traceable. Teams should be able to show where data originated, how it was transformed and how outputs were produced. Traceability is not only for audits. It protects day-to-day decision making by allowing experts to check the logic behind results and confirm that evidence is appropriate to the use day decision making by allowing experts to check the logic behind results and confirm that evidence is appropriate to the use case.

Concrete practices that help:

  • Maintain clear data lineage and transformation records.
  • Record which inputs produce which outputs in representative scenarios.
  • Use versioning to connect decisions to specific model states or configurations.

These controls support repeatability and reduce uncertainty when reviewers encounter unexpected outputs.


Explainability that aligns with scientific reasoning

Explainability should match how scientific reviewers already evaluate evidence. Rather than focusing on internal mechanics, define explainability as consistent, observable behavior across relevant scenarios. If the same input reliably produces the same class of output, the team can test it, document it and understand where human review remains mandatory. This approach makes explainability operational. It moves from theory to practice.


Validation that reflects real work

Validation should mirror the scenarios that regulatory and safety experts face in daily operations. Strong validation is broad, comparative and ongoing:

  • Use diverse samples that include common, borderline and atypical cases.
  • Compare outputs to SME expectations and capture where experts intervene.
  • Monitor for drift so that behavior remains consistent as data shifts.
  • Document all steps with sufficient detail for internal and external review.

This form of validation is not a one time gate. It is continuous, tied to change control and built to withstand scrutiny.


Quality-by-design applied to AI

Regulatory frameworks are most comfortable with systems that operate like quality programs. Teams can align AI to these expectations by applying familiar elements:

  • Protocols that define purpose, scope and responsible roles.
  • Risk identification and mitigations that specify where human review is required.
  • Monitoring plans that explain what is checked and how often.
  • Change control procedures that govern updates to data sources, prompts or configurations.

These measures make AI feel less novel to reviewers because the structure resembles established practices.


Governance that accelerates trust

Governance is often misunderstood as a drag on innovation. In reality, it accelerates adoption by providing clarity. When teams can point to simple documents that describe training sources, validation results and human-in in the loop checkpoints, it reduces friction. Stakeholders understand how the system is used and how risk is managed.

Elements that help governance succeed:

  • A concise inventory of AI supported use cases with associated controls.
  • A single, accessible record of validation evidence.
  • Clear role definitions for who reviews what and when.
  • A lightweight process for raising issues and resolving them.

When governance is purposeful and concise, it becomes an enabler.


The human-led standard

No matter how consistent a compliance system becomes, final accountability rests with trained professionals. Human reviewers evaluate context, weigh nuance and decide the outcome. This is the human led standard that customers, authorities and internal quality teams expect. It also aligns with a “smart touch” philosophy where technology supports expertise rather than attempting to replace it.


Preparing for evolving expectations

Expectations will continue to evolve as authorities learn from new use cases. Regulatory teams that invest in documentation, validation and human-in the loop processes will adapt quickly. They will also find that the same materials that support regulatory conversations improve internal confidence. People trust what they can see and verify.


The outcome

Regulatory ready AI is built on reliable data, understandable behavior and human oversight. These ideas are familiar. What is new is the discipline to apply them to modern tools. Organizations that do so will meet expectations with less friction and will set a clear standard for responsible innovation guided by smart touch principles.

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