PV Bulletin

Modification of Certain Terminology in Title 21; Reopening of the Comment Period

The FDA is reopening the comment period for a proposed rule modifying terminology throughout Title 21 of the CFR to replace 'gender' with 'sex'.

Primary source: View printed version (PDF)

PV Impact Brief

Urgency: HighConfidence: high

What changed

The FDA is reopening the comment period for public input on the proposed rule for an additional 60 days, ending on October 2, 2026.

Why it matters

This change is significant as it alters the regulatory definitions for demographic data in multiple regulations, thus impacting how data is reported and collected in the context of human and veterinary drugs, biologics, and devices.

Action needed

MAHs and sponsors must review and potentially update internal SOPs and reporting forms that currently reference 'gender' to ensure compliance with the updated terminology and definitions.

Relevant for
Regulatory Intelligence LeadQPPV
Processes impacted
ICSRCountry Compliance
Owner

Regulatory Intelligence Lead

Review cadence

Review before 2026-10-02.

Policy change details

Document type
Consultation
Policy status
consultation
Publication date
2026-08-03
Consultation deadline
2026-10-02
Policy change
FDA is reopening the comment period for a proposed rule published in May 2026 that modifies terminology throughout Title 21 of the Code of Federal Regulations (CFR). The proposed change involves replacing the term 'gender' with 'sex' (or deleting references to gender) to align with Executive Order 14168. This affects a wide range of regulations, including those governing safety reporting and clinical trial data collections where patient demographics are defined.

Key changes

Global replacement of 'gender' with 'sex' in Title 21 CFR sections, affecting regulatory definitions for demographic data in human and veterinary drug, biologic, and device regulations.

Affected workflows

ICSRCountry Compliance

Responsible groups

Regulatory AffairsPV OperationsIT Systems

Document identifiers

FDA-2026-N-1234

PV impact

MAHs and sponsors should monitor this rule for impacts on official reporting forms and database fields. While E2B(R3) already uses 'sex', alignment of US national regulations may require updates to SOPs or internal forms that currently reference 'gender' based on previous CFR wording. Regulatory affairs teams should review the affected sections to ensure compliance with the updated biological terminology.

View regulator source

Source document details

Exact policy details

Comment Period Reopening
60 days
Applies to: Public comments on the proposed rule
FDA is reopening the comment period for an additional 60 days, until October 2, 2026. · p. 1 · High · Source
Submission Deadline
October 2, 2026
Applies to: Deadline for submitting comments
Submit either electronic or written comments on the proposed rule by October 2, 2026. · p. 1 · High · Source
Executive Order Compliance
E.O. 14168
Applies to: Modification of terminology in Title 21 of the CFR
to comply with Executive Order (E.O.) 14168, issued on January 20, 2025. · p. 1 · High · Source

Extracted documents

Evidence and confidence

Confidence: highSource updated: Aug 3, 2026

Full briefing

Practical implication

MAHs and sponsors must review and potentially update internal SOPs and reporting forms that currently reference 'gender' to ensure compliance with the updated terminology and definitions.

The FDA announced it is reopening the comment period for a proposed rule aimed at modifying terminology in Title 21 of the CFR, specifically to replace instances of the term 'gender' with 'sex' or remove the term entirely. This update aligns with Executive Order 14168 and impacts regulations regarding patient demographics, particularly in safety reporting and clinical trial data collection. Stakeholders have until October 2, 2026, to submit comments.

What changed: The FDA is reopening the comment period for public input on the proposed rule for an additional 60 days, ending on October 2, 2026.

Why it matters: This change is significant as it alters the regulatory definitions for demographic data in multiple regulations, thus impacting how data is reported and collected in the context of human and veterinary drugs, biologics, and devices.

Practical implication: MAHs and sponsors must review and potentially update internal SOPs and reporting forms that currently reference 'gender' to ensure compliance with the updated terminology and definitions.

View original source

Published from the Firecrawl policy change extraction pipeline.

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