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Early FDA Alignment

FDA Q-Submission & Pre-Submission Consulting

We determine which uncertainties are worth taking to FDA, frame focused questions and provide enough technical context for FDA feedback to be actionable before major testing or submission decisions are locked.

What This Service Is

The Q-Submission program allows sponsors to seek FDA feedback on specific regulatory or technical questions before a future submission. The value of the interaction depends heavily on the quality of the question, the supporting context and whether FDA feedback can meaningfully influence the program.

When It Is Particularly Valuable

When the regulatory pathway is uncertain
When a novel technology or intended use is involved
When predicate strategy is complex
When the proposed testing method or acceptance criteria are uncertain
When clinical or IVD performance study design requires FDA input
Before committing significant time or budget to a high-risk evidence plan

How We Prepare the Interaction

Identify the decisions that would benefit from FDA feedback
Develop focused questions that FDA can answer meaningfully
Prepare the device, technology and regulatory background
Present proposed testing or evidence strategy
Prepare the briefing package and supporting rationale
Prepare the team for the FDA meeting
Assess FDA feedback and translate it into the submission plan
Our Difference

Targeted, Decisive Questions for Actionable Feedback

We do not send broad questions to FDA. We first decide what uncertainty needs to be resolved and what decision FDA's feedback should enable.

Q-Submission Timeline

  • ~70-75 calendar days to FDA feedback / meeting
  • Written feedback or teleconference / videoconference
  • FDA user fee: $0 (No user fee for Pre-Submissions)

Have Regulatory Questions?

Engage FDA early to validate your testing plan or clinical evidence strategy.

Plan Pre-Submission

Ready to Align with the FDA?

Let our experienced team craft a targeted Q-Submission briefing package that secures definitive answers.