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Q12026

PiVily Quarterly Report

Governance became visible in the tools

Common AI principles, a unified FDA adverse-event platform and more actionable real-world data quality guidance made governance concrete.

Period
January–March 2026
Edition
Retrospective edition
Source review
11 August 2026
Reading time
8 min

The quarter in one reading

Q1 2026 connected high-level principles to the systems and evidence environments in which safety decisions are made. The quarter rewarded organisations that could make accountability visible at the point of use.

This retrospective edition was reconstructed from official materials and completed on 11 August 2026. It describes the quarter; it does not imply contemporaneous publication.

Material signals

What moved—and why it mattered.

01AI principles

EMA and FDA established a shared direction for good AI practice.

Source fact

In January 2026, EMA and FDA published ten common principles for AI use in evidence generation and monitoring across the medicines lifecycle, including safety monitoring.

EMA / FDA: Common principles for AI in medicine development EMA / HMA: Artificial intelligence in medicines regulation

PiVily interpretation

Principles such as clear context of use, multidisciplinary expertise, data governance, performance assessment and lifecycle management move the discussion beyond a generic 'human in the loop.'

Leadership question

Can the organisation name the qualified decision-maker, intervention point, evidence and override authority for each material use?

02Safety infrastructure

FDA began consolidating adverse-event access through AEMS.

Source fact

FDA launched the Adverse Event Monitoring System in March 2026, beginning a transition from multiple legacy systems toward a unified platform, more timely publication, APIs and broader analytics.

FDA: FDA Adverse Event Monitoring System launch

PiVily interpretation

Better access expands surveillance and public scrutiny. It does not convert spontaneous reports into incidence estimates or causal evidence.

Leadership question

Are scientific and communications teams prepared to explain what more accessible safety data can—and cannot—support?

03RWD quality

Real-world data quality guidance became more actionable.

Source fact

EMA published the application of its medicines-regulation Data Quality Framework to real-world data in March 2026, including recommendations on relevance, reliability, systems and processes, and data-quality metrics.

EMA: Data Quality Framework: application to real-world data

PiVily interpretation

Data quality is not a generic property of a database. It must be assessed in relation to a research question and the processes that produced the data.

Leadership question

Does the evidence record connect the research question to data relevance, reliability and the controls underpinning the source?

04Population-specific PV

EU guidance sharpened expectations for pregnancy and breastfeeding.

Source fact

EMA's final GVP considerations for pregnant and breastfeeding women and children exposed in utero or via breastmilk became legally effective in February 2026.

EMA: Good pharmacovigilance practices

PiVily interpretation

Population-specific PV requires connected evidence plans, follow-up, analysis, communication and risk management—not an isolated data-collection activity.

Leadership question

Are population-specific responsibilities integrated across case management, aggregate evaluation, studies, risk management and communication?

Next-quarter watch

Questions to carry forward.

  1. How common AI principles translate into use-case controls
  2. The operational and interpretive consequences of the AEMS transition
  3. Whether RWD quality assessments become consistent across functions and partners

Method & source register

Trace the reading back to the record.

PiVily selects developments for system-level relevance to human pharmacovigilance. Facts are attributed to official publishers; interpretation is editorial. This is not an exhaustive jurisdictional change log or organisation-specific advice.

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