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Annex 22 and AI Governance for GMP

Human Review, Model Monitoring, and Change Control

  • Date
    16 September 2026
  • 11.00 AM Eastern Time (US/Canada)
    03.00 PM GMT

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This webinar explores the practical implications of Annex 22 and AI governance for GMP environments, with emphasis on risk-based oversight and accountability. It considers AI use cases in quality, manufacturing, laboratory, and support processes and examines Human-in-the-Loop and Human-on-the-Loop approaches, model monitoring, drift, performance thresholds, escalation, periodic review, and change control. 

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  • Faculty
    Milan Kučera
  • Duration
    90 Minutes
  • Course ID
    TF1333
  • Live Q&A +
    Post-live Continued Learning
  • Presentation Handout
    & Templates
  • Assessment
    & Certification Included

 

Why take this course?

The introduction of AI into GMP operations creates new governance questions that cannot be addressed by traditional software validation alone. Organizations need to understand how AI functionality should be governed across its lifecycle, how human review should be designed, how model performance should be monitored, and how changes to models, data, prompts, algorithms, or surrounding infrastructure should be controlled.  


AI can introduce behavior that changes over time or depends on data, model versions, configuration, prompts, or external services. Consequently, an AI-enabled GxP process requires controls that extend beyond initial qualification and validation.  


This webinar helps participants translate AI governance principles into practical GMP controls. It focuses on the questions inspectors and quality organizations are likely to ask: Who is accountable for an AI-supported decision? What must a human reviewer actually verify? How do we know that model performance remains acceptable? What constitutes a significant change? When should a model be re-evaluated or revalidated? Participants will leave with a structured approach for defining governance, monitoring, review, change control, and evidence requirements appropriate to the intended use and risk of the AI system. 

Learning Objectives
  • Understand the practical GMP implications of Annex 22 and AI governance concepts.
  • Define appropriate Human-in-the-Loop and Human-on-the-Loop controls for AI-assisted GxP processes. 
  • Establish model monitoring approaches for performance, degradation, and relevant forms of drift. 
  • Identify AI lifecycle changes that require assessment, testing, approval, or revalidation.
  • Define accountability, escalation, review, and documentation requirements for AI-supported decisions. 
  • Develop a risk-based AI governance framework that can support inspection readiness. 

Key Areas Covered

  • AI in GMP: why traditional validation and change control may need to evolve 
  • Annex 22: governance expectations and practical interpretation 
  • AI lifecycle and responsibility model 
  • Human-in-the-Loop versus Human-on-the-Loop: when and how to apply them 
  • Model monitoring, performance indicators, thresholds, and escalation 
  • Data drift, model drift, concept drift, and other sources of performance change
  • AI change control: models, data, prompts, algorithms, infrastructure, and vendors 
  • Periodic review, revalidation, and continued process verification 

Who Must Attend

  • Quality Assurance Departments
  • GMP Quality professionals
  • CSV / CSA Professionals
  • AI Governance and Digital Quality professionals
  • Manufacturing and Laboratory Systems Owners
  • Process Owners using AI-supported GxP processes
  • IT Quality, Data Science, and AI/ML professionals working in regulated environments
  • Quality Risk Management and Compliance professionals
Milan Kučera
COURSE DIRECTOR

Milan Kučera

Milan Kučera is a senior validation and GxP technology professional focused on computerized systems, laboratory systems, data integrity, cloud environments, and emerging technologies in regulated organizations. His work combines practical validation and compliance expertise with a strong focus on risk-based approaches, quality strategy, and inspection readiness. He has a particular interest in the application of modern technologies, including cloud computing and AI, within regulated GxP environments, with emphasis on governance, data integrity, validation strategy, lifecycle management, and effective human oversight. His approach is to translate complex regulatory and technological expectations into practical controls, evidence, and implementation strategies that can be applied by Quality, IT, validation, and business teams.

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Commonly Asked Questions About This Subject

The following questions address practical regulatory, compliance, validation, quality, operational, and inspection-related considerations commonly associated with this subject.

What should happen when an AI system continues to meet overall performance targets but begins failing more often in one specific GMP scenario? 

The localized deterioration should be investigated even if aggregate performance remains acceptable. Overall accuracy can conceal declining performance in the exact subset of cases that carries the greatest quality or operational risk. 


This can occur when input characteristics change, a manufacturing process evolves, new product types are introduced, or the system encounters conditions that were poorly represented during its original evaluation. A dashboard showing stable average performance may therefore provide false reassurance. 


The investigation should determine when the pattern began, which inputs or operating conditions are associated with it, and whether previous AI-supported decisions need review. The existing monitoring metric may also require refinement if it was unable to expose the problem early enough. 


A predefined threshold remains useful, but crossing a threshold should not be the only reason to act. Repeated errors concentrated in a meaningful GMP scenario can justify escalation before the broader metric formally fails. 

How should a company handle an AI system that technically passes validation but produces outputs that human reviewers frequently correct or reject? 

Frequent correction or rejection is evidence that the validated performance may not represent actual operational performance. The pattern should be evaluated rather than treated as proof that human oversight is successfully controlling the system. 


The first useful question is where disagreement occurs. If reviewers repeatedly intervene for the same product, data condition, decision type, or failure mode, the pattern may expose an intended-use limitation, inadequate acceptance criteria, changing input characteristics, or a weakness that was not adequately challenged during validation. 


Override records become valuable lifecycle evidence in this situation. They can show whether performance remains suitable for the approved use and whether additional testing, tighter operating boundaries, model adjustment, or revalidation should be considered. 


An inspection concern develops when extensive human correction is occurring but formal monitoring still reports satisfactory AI performance. The governance record should reflect how the system actually behaves in GMP operations, including the work humans perform to make its outputs acceptable. 

When should a change to prompts, reference data, or surrounding infrastructure be treated as seriously as a model change? 

A change deserves deeper assessment when it can materially alter the AI system's GMP-relevant output, regardless of whether the underlying model version changed. Focusing change control primarily on the model can miss significant behavioral changes introduced elsewhere in the operating environment. 


A revised prompt can alter how information is interpreted or presented. Updated reference data can change the basis for recommendations. A modified interface can change what information reaches the model. Vendor or infrastructure changes can affect availability, processing, or system behavior. 


The impact assessment should therefore start with potential effect on the approved use and expected performance. If the change can influence a critical output or decision, evidence may be needed to demonstrate that existing validation remains applicable. 


This becomes difficult to defend when the change record says "no model change" and closes the assessment. Inspectors are likely to care about whether regulated behavior changed, not merely which technical component was modified.

What is the strongest evidence that human oversight of an AI-supported GMP process remains effective after months or years of routine use? 

Evidence of meaningful intervention carries more weight than evidence that every required review was completed. Over time, familiarity with consistently acceptable AI outputs can turn an initially rigorous review into a predictable approval step. 


Useful evidence includes rejected or corrected outputs, requests for additional information, escalations, documented disagreements, identified limitations, and cases where reviewers reached a different conclusion. Review patterns can also reveal warning signs such as rapidly shortening review times, near-universal acceptance, or substantial differences between reviewers performing the same task. 


Low intervention rates are not automatically problematic. They do, however, deserve examination when the process depends on human oversight as a significant control. 


Periodic review should therefore look beyond completion records and ask whether reviewers continue to detect meaningful problems when they occur. A procedure requiring human approval demonstrates that oversight was designed. Actual decision history provides stronger evidence that the oversight continues to function. 

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