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Clinical Precedent™ — the walkthrough
Clinical Site Intelligence

The FDA inspection record for clinical research.

Clinical Precedent™ turns FDA Bioresearch Monitoring (BIMO) data — clinical investigator, sponsor, CRO and IRB inspections, findings and warning letters — into the vetting check your quality team runs before site selection and during a trial. It also builds an inspection readiness checklist from what FDA has cited organizations like yours for.

See plans Run a free status check See a sample report
Paid subscription: $249 a month or $1,999 a year for one user; team and organization plans available. Already have an account? Sign in
New to this? What clinical investigator vetting covers, and why it belongs in the site-selection file →

Watch the walkthrough · 7 minutes. A narrated tour of the service: what the record shows and how to read it. Captions available.

The record moves 539 inspections in the last 12 months 13 warning letters in the last 12 months 5 debarments in the last 12 months Every source checked daily · last checked 2026-10-13
11,960
clinical-research inspections
6,693
cited findings
195
warning letters
9,029
clinical investigators, sponsors, CROs & IRBs
2008–today
years of FDA records

This release covers drug and biologic clinical research: every clinical investigator, sponsor, CRO and IRB inspection FDA has recorded since 2008, with every finding FDA cited for them.

FDA inspection classification history

How every drug & biologic inspection on record was classified, fiscal year by fiscal year. FY2026* is the most recent year on record, and FDA is still posting inspections for it. Point at (or tap) a year for its numbers.

No action (NAI) Voluntary action (VAI) Serious (OAI)
250 500 750 1,000
FY09 FY2009 · 750 inspections
No action (NAI) 367 (48.9%)
Voluntary action (VAI) 330 (44.0%)
Serious (OAI) 53 (7.1%)
FY10 FY2010 · 652 inspections
No action (NAI) 312 (47.9%)
Voluntary action (VAI) 303 (46.5%)
Serious (OAI) 37 (5.7%)
FY11 FY2011 · 604 inspections
No action (NAI) 319 (52.8%)
Voluntary action (VAI) 247 (40.9%)
Serious (OAI) 38 (6.3%)
FY12 FY2012 · 647 inspections
No action (NAI) 351 (54.3%)
Voluntary action (VAI) 273 (42.2%)
Serious (OAI) 23 (3.6%)
FY13 FY2013 · 618 inspections
No action (NAI) 351 (56.8%)
Voluntary action (VAI) 233 (37.7%)
Serious (OAI) 34 (5.5%)
FY14 FY2014 · 742 inspections
No action (NAI) 439 (59.2%)
Voluntary action (VAI) 282 (38.0%)
Serious (OAI) 21 (2.8%)
FY15 FY2015 · 716 inspections
No action (NAI) 431 (60.2%)
Voluntary action (VAI) 261 (36.5%)
Serious (OAI) 24 (3.4%)
FY16 FY2016 · 671 inspections
No action (NAI) 461 (68.7%)
Voluntary action (VAI) 194 (28.9%)
Serious (OAI) 16 (2.4%)
FY17 FY2017 · 789 inspections
No action (NAI) 548 (69.5%)
Voluntary action (VAI) 230 (29.2%)
Serious (OAI) 11 (1.4%)
FY18 FY2018 · 815 inspections
No action (NAI) 604 (74.1%)
Voluntary action (VAI) 206 (25.3%)
Serious (OAI) 5 (0.6%)
FY19 FY2019 · 735 inspections
No action (NAI) 556 (75.6%)
Voluntary action (VAI) 171 (23.3%)
Serious (OAI) 8 (1.1%)
FY20 FY2020 · 469 inspections
No action (NAI) 372 (79.3%)
Voluntary action (VAI) 92 (19.6%)
Serious (OAI) 5 (1.1%)
FY21 FY2021 · 528 inspections
No action (NAI) 402 (76.1%)
Voluntary action (VAI) 115 (21.8%)
Serious (OAI) 11 (2.1%)
FY22 FY2022 · 562 inspections
No action (NAI) 434 (77.2%)
Voluntary action (VAI) 115 (20.5%)
Serious (OAI) 13 (2.3%)
FY23 FY2023 · 702 inspections
No action (NAI) 543 (77.4%)
Voluntary action (VAI) 138 (19.7%)
Serious (OAI) 21 (3.0%)
FY24 FY2024 · 726 inspections
No action (NAI) 548 (75.5%)
Voluntary action (VAI) 160 (22.0%)
Serious (OAI) 18 (2.5%)
FY25 FY2025 · 680 inspections
No action (NAI) 533 (78.4%)
Voluntary action (VAI) 134 (19.7%)
Serious (OAI) 13 (1.9%)
FY26* FY2026 (still arriving) · 554 inspections
No action (NAI) 439 (79.2%)
Voluntary action (VAI) 115 (20.8%)
Serious (OAI) 0 (0.0%)
The same counts as a table: FDA clinical investigator inspection statistics.

What you get with a subscription

Vet a clinical investigator or site The FDA inspection history with classifications, findings by problem area, and warning letters — benchmarked against the rest of the dataset. An optional AI assistant answers questions about the record, with links to what it cites. Compare finalists Two or three candidate clinical investigators or sites, their classifications and findings in one table. Disqualified and debarred FDA’s disqualification proceedings (NIDPOE letters and how each was resolved) and debarred individuals — the proceedings and actions that can end a clinical investigator’s eligibility. Search findings Paste language from your own audit findings, or any keyword, and see the matching findings on record. Findings by problem area Findings and warning letters classified by problem theme — pull everything on a concept, like coercion or oversight, even when the record words it differently. Findings by regulation See what FDA is citing — which regulations draw findings, for which kind of organization, and whether each is rising or falling. BIMO readiness checklist Built from what FDA has cited organizations like yours for, printable, with a link to each regulation. Recent enforcement Recent warning letters and serious (OAI) inspections, plus how often — and how fast — OAI escalates to a warning letter. GCP guide How serious findings are, how to interpret results, and how to weigh a clinical investigator’s record. Watchlist Keep a list of the clinical investigators, sites, CROs and IRBs you work with and see new FDA activity on any of them.

Want to see the output first? Open the sample vet report — the dated, audit-ready snapshot a subscriber files.

API and MCP access. Screen names from your own systems, or connect your AI assistant to the record over MCP. Available to enterprise customers on request, along with organization-wide subscriptions: support@clinicalprecedent.com.

Free guides

The FDA record behind clinical research, explained

Plain-language guides for sponsor, CRO and quality teams — no account needed. New to this? Start with what clinical investigator vetting covers.

Vetting and selecting a clinical investigator

  • What is clinical investigator vetting? The due-diligence check on a clinical investigator’s FDA record
  • Clinical investigator selection What 21 CFR 312.53 and ICH E6 require, and how sponsors do it
  • Clinical investigator inspection history What it contains, and how a sponsor reads one
  • Form 1572 due diligence What to check before a clinical investigator signs
  • The site qualification visit What it covers, and the one thing it cannot confirm
  • Sponsor responsibilities for clinical investigators The duties under 21 CFR 312.50–312.56

Inspections and what they produce

  • Good Clinical Practice (GCP) basics Each principle, and the regulation FDA enforces it with
  • Inside a BIMO inspection Who FDA inspects, and what the inspector examines
  • What happens after a BIMO inspection The sequence, how long it takes, and who is told
  • Form FDA 483 for clinical investigators The inspector’s observations, and what a 483 is not
  • Clinical investigator deficiencies What FDA cites most often, and the regulation behind each
  • OAI, VAI and NAI, explained The classifications, and what usually follows an OAI
  • Warning letters to clinical investigators What one cites, and what a sponsor does about it
  • FDA’s clinical investigator inspection lists What the CDER and CBER lists contain, and leave out

Status and enforcement

  • Debarment vs. disqualification Two different mechanisms, routinely confused
  • NIDPOE letters, explained How FDA opens disqualification proceedings
  • NOOH letters, explained The second step: the Notice of Opportunity for Hearing

By the numbers

  • FDA clinical investigator inspection statistics Inspections by year and classification, and the most cited regulations

All guides, with a fuller description of each →  ·  News and announcements →

Plans

Every plan is the full product

The differences are seats and how you pay. Individual plans start immediately by card; teams and organizations can be invoiced against a purchase order.

Individual $249a month or $1,999 a year One named user. Every vetting tool, every warning letter and status document, watchlist alerts, printable reports and the optional AI assistant. Cancel any time — access runs to the end of the period you’ve paid for. Start now
Team $7,500a year up to five named users Everything in Individual, for up to five people; the purchaser administers the seats. Card, bank debit or invoice. Talk to us
Organization Talk to us six or more users Priced by seats and term, invoiced against your purchase order on net-30 terms. SSO, API and MCP access available. Request a quote

Prices in US dollars; taxes are added at checkout where required. Full details, the invoice form and the billing questions: see plans.

Who is behind this

Built and run by an engineering firm

We built Clinical Precedent because the inspection history behind a clinical site is public but scattered, and sponsors need it connected, curated, and current in one place. Its founders are a pharmaceutical industry professional with more than 40 years of experience and a senior software engineer, and it is a division of Elite Tech Media LLC, an Illinois software and simulation engineering firm established in 2008. More about who we are →

  • The FDA record, assembled. Built from FDA Bioresearch Monitoring data, cross-referenced by FEI number and name. Every source is checked daily, and the record is updated whenever new FDA information is available.
  • Not affiliated with FDA. Clinical Precedent is an independent product. It is not endorsed by, or connected to, the U.S. Food and Drug Administration.
  • The record, not a verdict. It reports what FDA recorded; it does not rank clinical investigators, make recommendations or provide regulatory advice.
  • A person answers. support@clinicalprecedent.com, usually within a business day.

Questions a quality lead asks first

What does it cost?

Individual: $249 a month or $1,999 a year for one named user, by card, with access the moment you pay. Team: $7,500 a year for up to five named users. Organization: six or more users, priced by seats and term and invoiced against a purchase order. Every plan is the full product; the differences are seats and how you pay. See plans.

What is available for free?

The free status check, the sample report, a preview of every tool on sample records, the guides and the inspection statistics. None of them needs an account. The record itself — inspections, findings, warning letters — needs a subscription.

Is there a free trial for the full product?

No. The full product needs a subscription, and the monthly plan is the way to try it. Before you pay you can run the free status check, read the sample report and open a preview of every tool on sample records.

Is there an AI assistant, and do I have to use it?

There is one, and it is optional. On the Vet page, “Ask about this record” answers your questions about a clinical investigator’s or site’s record: it answers only from that record and links the inspections, findings and warning letters it cites, so you can check them before you rely on it, and it does not rate anyone or recommend a decision. The same assistant answers questions about a single warning letter, or another FDA document such as a disqualification document, on that document’s page, quoting the passages it relies on, and about the records side by side on the Compare page, without ranking them. The Ask button at the top of every page is a separate assistant that takes you to the right tool or answers from our guides by quoting them; it does not read the record. Nothing you do is sent to an AI provider unless you ask it a question, and everything else — vetting, screening, search, watchlists and reports — works without it. The Privacy Policy says exactly what is sent.

Is Clinical Precedent affiliated with FDA?

No. It is an independent product built on publicly available FDA data. It is not endorsed by, or connected to, the U.S. Food and Drug Administration, and nothing here is an FDA determination.

Where does the data come from?

From FDA Bioresearch Monitoring records: every clinical investigator, sponsor, CRO and IRB inspection FDA has recorded since 2008 with its classification; every finding FDA cited for it — the findings cited on Form FDA 483s, in FDA’s own wording; warning letters back to 2008, with full text for most of them, including letters that no longer appear on FDA’s website; disqualification proceedings with the NIDPOE and NOOH letters where they are still available; the full debarment list, with the Federal Register order behind every debarment since 1998; and clinical investigator inspection records back to 1977. We assemble and cross-reference them into one record per clinical investigator, site, sponsor, CRO or IRB.

Is this legal or regulatory advice?

No. Clinical Precedent reports the record and is one input to your decision. It does not recommend, rank or certify anyone, and it does not replace your own qualification visit, your history with the site, or qualified regulatory counsel where the stakes are high.

How current is it?

Every source is checked daily, and the record is updated whenever new FDA information is available; the date of the latest check is shown on every page, and every exported report states the date its data is current to. FDA itself classifies an inspection weeks to months after it closes, so the newest records can be that old when they first appear. The dashboard shows the date of the newest record rather than hiding the gap.

Can my whole team use it?

Yes, with a seat for each person. An individual subscription covers one named user, so a team needs a seat per person — or an organization subscription, which covers the whole team with a seat per user and is invoiced against a purchase order on net-30 terms if you need them. Enterprise customers can also add API and MCP access, to screen from their own systems or AI tools. Team and Organization plans, and the invoice form, are on the plans page.

What does it cover, and what doesn't it?

Drug and biologic clinical research: every clinical investigator, sponsor, CRO and IRB inspection FDA has recorded since 2008, with every finding FDA cited for them, and clinical investigator inspection records back to 1977. At this time, it does not cover bioequivalence, GLP, PADE or REMS inspections, device trials or veterinary products; device data is planned for a later version. Non-U.S. regulators are not covered.

Ready to start?

Individual plans start immediately by card — $249 a month or $1,999 a year. Teams and organizations can be invoiced against a purchase order.

See a sample report See plans
Clinical Precedent™ — clinical site intelligence from the FDA record Built from FDA Bioresearch Monitoring data. This release covers CDER and CBER inspections of clinical investigators, sponsors, sponsor-investigators, CROs and IRBs — drug and biologic clinical research. At this time, it does not cover bioequivalence (BEQ), Good Laboratory Practice (GLP), postmarketing adverse drug experience (PADE) or REMS inspections, device trials (CDRH) or veterinary products (CVM). The service reports the record; it does not make recommendations or provide regulatory advice. It does not cover other factors in clinical investigator selection — therapeutic-area expertise, site capabilities, your own history with the clinical investigator, enrollment track record, and your qualification visit. Sources last checked 2026-10-13 — every source is checked daily; updated whenever new FDA information is available. About · Guides · News · Pricing · Contact · Terms of Service · Privacy Policy · support@clinicalprecedent.com Clinical Precedent on YouTube, LinkedIn and X. Clinical Precedent is a division of Elite Tech Media LLC, an Illinois software and simulation engineering firm established in 2008; Clinical Precedent is its registered Illinois assumed name. Clinical Precedent™ and the shield mark are trademarks of Elite Tech Media LLC.