This document should be regarded as a reinforcement of the ICH: E 5 (R1): Ethnic factors in the acceptability of foreign clinical data - Step 5 to be used when deciding whether certain clinical trials conducted in a specific area of the world would be relevant to the EU setting or if there are reasons to perform additional clinical trials within the EU.
Keywords: Extrapolation, ICH E5, global drug development, bridging studies, foreign clinical data, ethnicity, extrinsic factors