The problem this process is built for
Most teams do not fail GCP because they lack SOPs. They fail because evidence is incomplete, late, filed in the wrong place, or inconsistent with the protocol amendment that was in force on the visit date. Manual sampling finds some of that. It does not systematically walk every ICH-GCP E6 expectation against every required artifact for the trials you name.
Before an audit, QA is asked to “make sure we are ready” with a few weeks of calendar and a TMF that grew for years. The first questions an auditor asks — informed consent, investigator qualifications, protocol deviations, monitoring, investigational product, safety reporting — are predictable. The answers are scattered across eTMF, CTMS, EDC, safety, and email.
AI does not replace the quality unit. It makes the first reconciliation fast enough that specialists spend time on significance, CAPA, and the story you will tell in the front room.
What this has to survive
An auditor asks how you know consent, monitoring, and deviations match the protocol in force on the visit date. You should be able to open a clause row, point to the artifact, and explain gaps that are still open — with a person who signed the finding, not a model.