IVD Performance Studies · UK MDR 2002 & IVDR

IVD clinical performance studies in the UK that make your evidence UKCA and IVDR ready.

Post-Brexit, Great Britain and the EU are separate regulatory corridors. Eclevar runs in-vitro diagnostic clinical performance studies as a UK legal entity, under ISO 20916, with HRA and REC submissions via IRAS, MHRA notification and NHS access across all four nations, so one protocol supports both UKCA marking and an IVDR Annex XIII Performance Evaluation Report.

UKCA marking MHRA notification HRA / REC via IRAS IVDR Annex XIII ISO 20916
Laboratory scientist reviewing diagnostic assay data during a UK IVD clinical performance study UK legal entity · In-house CRAs

A UK in-country CRO, not a subcontractor network.

One accountable UK team runs your IRAS submission, NHS site set-up and performance study, on the MILO Studio platform that won the Platinum Award at the xShare & EUCROF 2026 Open Call.

Co-funded by the European Union

Horizon Europe · Grant Agreement No. 101136734 · Amsterdam, 2 Feb 2026

4UK nations covered from one submission
2Pathways from one protocol: UKCA + IVDR
7Countries with in-house CRAs
PlatinumxShare EUCROF Award 2026
Social proof

Trusted by global MedTech & IVD manufacturers.

Diagnostics and device leaders choose Eclevar for UK and EU performance evidence. Read all client success stories.

TERUMO Meril NIHON KOHDEN VYGON Coloplast SHOFU ASAHI INTECC RegenLab TERUMO Meril NIHON KOHDEN VYGON Coloplast SHOFU ASAHI INTECC RegenLab
Definition

What is an IVD clinical performance study?

An IVD clinical performance study is a prospective investigation that generates the clinical evidence a diagnostic device needs: proof that it measures what it claims, in the intended population, to the required accuracy.

In-vitro diagnostics are regulated differently from devices. In the UK they fall under UK MDR 2002 (as amended), route to market via UKCA marking, and require an MHRA performance study notification. Study conduct follows ISO 20916, and the evidence must support a performance evaluation built on three pillars: scientific validity, analytical performance and clinical performance, captured to the standard an IVD CRO is built to deliver.

Because Great Britain and the EU are now separate corridors, many manufacturers face duplicate studies. Eclevar avoids that with a single-protocol design that yields evidence for both a UKCA submission and an IVDR (EU) 2017/746 Annex XIII Performance Evaluation Plan and Report, exported from one clean database rather than reconstructed after the fact.

Access to patients runs through the NHS: HRA and REC approval via IRAS, NHS Trust Confirmation of Capacity and Capability, and devolved-nation permissions, all coordinated by our feasibility and site selection and clinical data management teams on MILO Studio.

Dr Mark Da Costa, COO at Eclevar MedTech and former TÜV SÜD Notified Body reviewer
Dr Mark Da Costa COO · Former Notified Body reviewer · Senior Consultant Surgeon Former reviewer at TÜV SÜD
Regulatory leadership

The reviewers who assessed the files now build them.

Eclevar's model brings the regulatory perspective inside the CRO, eliminating the gap between what manufacturers submit and what assessors expect. Dr Mark Da Costa, COO and former TÜV SÜD reviewer, and Dr Nikhil Khadabadi, CMO and also a former TÜV SÜD senior reviewer, lead a team that designs IVD performance evidence exactly the way UKCA assessors and Notified Bodies expect to read it, from the first protocol version.

400+Studies delivered across Europe
Ex NBFormer TÜV SÜD reviewers on the team
100%In-house clinical delivery
Former NB reviewers IVDR Annex XIII ISO 13485 certified
LinkedIn
Compliant with UK MDR 2002 IVDR (EU) 2017/746 ISO 20916 ISO 13485 ICH E6(R3) GCP UK GDPR
Why a UK specialist

A generalist, offshore CRO versus an in-country UK IVD specialist.

Who runs your IRAS submission, and from where, decides how fast you reach NHS patients and whether one study serves both markets. The gap between a generalist offshore CRO and a UK-resident IVD team is structural.

Generalist / offshore

UK access bolted on late.

  • No UK legal entityso no in-house IRAS submission and slow HRA liaison.
  • Single-market protocolforcing a duplicate study for the other corridor.
  • Subcontracted, remote CRAswho cannot reach an NHS site the same week.
  • Pharma or drug-trial habitsthat miss IVD scientific validity and performance pillars.
  • No UK Responsible Personleaving non-UK manufacturers exposed.
Eclevar MedTech

In-country UK entity, ISO 20916.

  • UK legal entity with employed staff,in-house IRAS submissions and direct HRA liaison.
  • Single-protocol dual pathway,UKCA and IVDR Annex XIII from one database.
  • UK-resident CRAsreaching NHS sites the same week, not offshore handoffs.
  • IVD-native designfor analytical and clinical performance and scientific validity.
  • UK Responsible Personavailable as one connected service.
Performance study services

The full UK performance study cycle, one team.

From performance evaluation strategy to database lock, every activity is run to ISO 20916 and captured with full traceability for UKCA assessment and Notified Body review.

01

Regulatory strategy & PEP

Classification, performance study route and an IVDR-aligned Performance Evaluation Plan, set with our regulatory affairs and clinical strategy team before the first submission.

02

HRA / REC via IRAS & MHRA

In-house IRAS applications, HRA and REC liaison, and MHRA performance study notification under UK MDR 2002, run in parallel to protect the timeline.

03

NHS site feasibility & set-up

Site feasibility, contracting and Confirmation of Capacity and Capability across the four UK nations, driven by our feasibility and site selection and study initiation teams.

04

Monitoring & data on MILO Studio

Risk-based monitoring and in-house clinical data management on an EDC built for diagnostic accuracy endpoints with ALCOA+ traceability.

05

Dual-pathway evidence: UKCA + IVDR

Single-database exports that support both a UKCA submission and an IVDR (EU) 2017/746 Annex XIII Performance Evaluation Report, with UK data residency.

06

UK Responsible Person & QMS

UK Responsible Person services for non-UK manufacturers, backed by our ISO 13485 quality system for inspection readiness.

Services

End-to-end IVD clinical evidence.

One accountable team covers every stage of the performance study lifecycle, so nothing is lost between a protocol, an NHS site and a UKCA or IVDR submission.

01

Clinical operations: performance studies

Prospective performance studies under ISO 20916, from feasibility and site selection and study initiation through HRA/REC submissions and risk-based monitoring.

02

Medical writing: performance evaluation

Performance Evaluation Plan and Report to IVDR Annex XIII, structured on scientific validity, analytical and clinical performance and reviewed by former Notified Body assessors.

03

Data management: clinical data & EDC

100% in-house clinical data management and EDC: eCRF design, DMP and DVP on MILO Studio, with ALCOA+ scoring and UK data residency.

04

Regulatory: UKCA & IVDR strategy

Regulatory affairs and clinical strategy for UKCA marking and IVDR, with MHRA notification and UK Responsible Person support.

05

Post-market: real world evidence

Post-market performance follow-up and real world evidence to keep performance data current after market entry.

06

Quality: ISO 13485 QMS

Every study run under a quality management system certified to ISO 13485, structured for UKCA assessment and Notified Body review.

Case study · UK IVD performance study

One protocol, two markets served.

An IVD manufacturer needed UK clinical performance data for a UKCA submission but also sold into the EU and faced the prospect of a second, duplicate study for the IVDR. Working as a UK IVD CRO, Eclevar designed a single protocol to ISO 20916 that anticipated both regulations from inception: scientific validity, analytical performance and clinical performance endpoints mapped once, to serve both a UKCA package and an IVDR Annex XIII Performance Evaluation Report.

In-house IRAS submissions and direct HRA liaison moved the study through approval, NHS sites were contracted across more than one UK nation, and data were captured on MILO Studio with ALCOA+ traceability and UK data residency, exported as dual-pathway datasets from one clean database.

Outcome: one study instead of two, a defensible UKCA and IVDR evidence base, and no scramble to retrofit a single-market dataset to the other corridor.

1 protocolDesigned to ISO 20916
2 pathwaysUKCA + IVDR Annex XIII
UK-residentData residency & CRAs
Why Eclevar MedTech

What makes the difference.

NB

Notified Body intelligence

Former Notified Body reviewers from TÜV SÜD. We know what fails IVDR and UKCA assessment and design performance evaluations to avoid it.

UK

UK legal entity, in-country

In-house IRAS submissions, direct HRA liaison and UK-resident CRAs reaching NHS sites the same week, not offshore handoffs.

ML

MILO Studio EDC

Proprietary EDC built for diagnostic accuracy endpoints, with ALCOA+ scoring and dual-pathway exports.

2x

Dual-pathway by design

One protocol to ISO 20916 that serves both a UKCA submission and an IVDR Annex XIII Performance Evaluation Report.

EU

Platinum Award CRO

Platinum Award winner, xShare & EUCROF 2026, recognized for clinical validation and data interoperability.

QA

Audit-ready from day 1

ISO 13485 certified. Every performance study structured for UKCA assessment and Notified Body inspection readiness.

UK & global presence

A London base, in-house CRAs across seven countries.

A UK legal entity with employed CRAs and project leads, not subcontractors, coordinated with our EU and Japan corridors, gives sponsors one accountable team from IRAS submission to IVDR Performance Evaluation Report.

LondonUK entity · UKCA
ParisEU HQ
TokyoPMDA corridor
Pune, IndiaTech & data ops
EnglandScotlandWalesNorthern IrelandFranceGermanyItalySpainSwedenDenmark
Official content

Our content, signed Eclevar.

Whitepapers, client testimonials and publications produced by our teams and partners (BSI, TÜV SÜD, RegenLab).

Whitepaper by BSI and Eclevar on the EU MDR
Whitepaper · BSI × Eclevar

A BSI and Eclevar whitepaper on the EU MDR.

Written with Notified Body BSI: a practical reading of the clinical evidence expectations under EU MDR 2017/745, with lessons that carry across to IVDR performance evaluation and any high risk device program.

PMCF Studies · Regenerative Medicine · 5 EU Countries

A client's live testimonial on Eclevar's capability to run complex trials.

Eclevar manages RegenLab's PMCF program on chronic wound devices. This is a randomized study of 160 patients across 14 sites in 5 EU countries, covering both diabetic foot ulcer (DFU) and venous leg ulcer (VLU) indications. The partnership combines Eclevar's ISO 14155 clinical expertise with the Milo Studio platform to deliver post-market clinical follow-up evidence that supports both Notified Body scrutiny and reimbursement endpoints, from protocol design through to final study report.

« Eclevar, with its tailor-made approach and advanced Milo Studio platform, represents a major strategic asset. »
Antoine Turzi, CEO, RegenLab
160patients · 14 sites
5EU countries
RegenLab video testimonial on the PMCF programme managed by Eclevar
FAQ

Questions sponsors ask about UK IVD studies.

Do IVD clinical performance studies in the UK need MHRA approval?

Most interventional IVD performance studies require MHRA review under UK MDR 2002 (as amended) alongside HRA and REC approval. Studies using genuinely left-over, fully anonymised residual samples can sometimes follow a lighter HRA-only route, but the classification must be confirmed early because it drives the whole submission timeline.

How long does HRA and REC approval take for a UK performance study?

Recent commercial studies have run to a published median of roughly 73 days for combined HRA and HCRW approval, with NHS Trust Confirmation of Capacity and Capability typically adding around 35 days. A clean IRAS application prepared to ISO 20916 is the single biggest lever on that timeline.

Can one study support both UKCA marking and IVDR?

Yes, when the protocol is designed for both regulations from the start. A single-protocol architecture can generate scientific validity, analytical performance and clinical performance evidence that supports a UKCA submission and an IVDR (EU) 2017/746 Annex XIII Performance Evaluation Report from one database. Retrofitting a single-market study to the other pathway rarely works cleanly.

What is a UK Responsible Person and do I need one?

Non-UK IVD manufacturers placing devices on the Great Britain market must appoint a UK Responsible Person who liaises with the MHRA and holds documentation on the manufacturer's behalf. Eclevar can act as your UK Responsible Person and run the performance study as one connected service.

How are studies handled across the four UK nations?

The UK is a four-nation research environment. A study is submitted through IRAS and coordinated across NHS Research Scotland, Health and Care Research Wales and the Northern Ireland HSC R&D Division, with devolved-nation permissions managed in parallel so recruitment is not held up in any one territory.

Which standards govern IVD clinical performance studies?

IVD performance studies are governed by ISO 20916 for study conduct, IVDR (EU) 2017/746 Annex XIII for the performance evaluation and UK MDR 2002 (as amended) for the UKCA route, supported by ISO 13485 quality management, UK GDPR and ICH E6(R3) good clinical practice. Performance evaluation is built on scientific validity, analytical performance and clinical performance.

Why use a UK-based specialist CRO for IVD performance studies?

A UK legal entity with in-country employed staff can make IRAS submissions, liaise directly with the HRA and reach NHS sites the same week, rather than working through subcontractors. A specialist IVD CRO with former Notified Body reviewers designs the performance evaluation the way UKCA assessors and Notified Bodies expect to read it.

Costed, dated proposal within 5 working days

Get UK IVD evidence that serves both markets.

Send us your protocol synopsis and talk to our UK specialists about a single-protocol study built to ISO 20916 for UKCA and IVDR from day one.

Book a scoping call

Reforming Clinical Evaluation of Medical Devices in Europe