The International Conference on Harmonisation (ICH) brings together regulatory authorities and the pharmaceutical industry to discuss drug registration. ICH has evolved to address increasingly global drug development. It consists of quality, safety, efficacy, and multidisciplinary guidelines. The quality guidelines cover topics like stability testing, impurities, good manufacturing practices, pharmaceutical development, quality risk management, and more. Adoption of these guidelines promotes harmonization and innovation in drug development and manufacturing on a global scale.