The meeting types
Pre-Subs, Submission Issue Requests, Study Risk Determinations, and Informational Meetings — voluntary, fee-free, and the cheapest risk-reduction available.
Free field guide · PDF
The meeting types, the PreSTAR template, and the feedback clock — with the pre-submission practice you need.
Sourced from FDA and verified 2026 publications.
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What's inside
Every figure in this guide traces to a named source — FDA and verified 2026 publications.
Pre-Subs, Submission Issue Requests, Study Risk Determinations, and Informational Meetings — voluntary, fee-free, and the cheapest risk-reduction available.
PreSTAR expanded 1 June 2026 to five new Q-Sub types — plus Human Factors content now inside the nIVD/IVD eSTARs.
Day 0 → 14 → 70–75 → 90 — the formal feedback cadence, the 5-day rule, and the practical ~6-week meeting wait.
This guide is market-access intelligence, not regulatory or legal advice. Q-Sub practice, PreSTAR templates, and review timelines change — professional review is required before business use.
Market Access Strategy Session
A Market Access Strategy Session maps your pre-submission strategy — question design, route confirmation, and PreSTAR readiness.
Professional review is required before business use.
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