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Quality reference

MISEV2023 and Supplier Documentation

Reviewed by ExaVeyra Sciences editorial team · Updated 29 August 2026

MISEV is the most cited document in this field and one of the least read. Suppliers reference it, marketing invokes it, and it is regularly described as something a preparation can comply with, which is not what it is or what it was written to do.

It is worth knowing what it is, because the difference changes what you can ask for and what an answer is worth.

What MISEV is, and what asking for it gets you

MISEV stands for Minimal Information for Studies of Extracellular Vesicles. It is a position statement from the International Society for Extracellular Vesicles telling researchers what to report when they publish, so that one group’s results can be compared with another’s.

That is its whole purpose. It sets no acceptance criteria, defines no pass mark, and describes no product. A preparation cannot be MISEV compliant in the way a device can be ISO certified.

How the 2023 edition changed what to ask for

MISEV2018 was already the reference edition when most current supplier documentation was designed. MISEV2023 replaced it with guidance that is broader in scope and more explicitly graded, distinguishing what is expected from what depends on the study.

The practical consequence is counterintuitive. A newer standard that says "it depends" more often is harder to wave at a supplier, because fewer of its recommendations are unconditional.

Three questions carry most of the weight

Rather than sending a supplier the standard, ask the three things it exists to make answerable. Each one is a question about method, and each has a wrong answer that is easy to spot.

AskA useful answer looks likeA weak answer looks like
What was the source material, and how was it prepared?A named cell type, culture conditions, and the separation method with its version."Proprietary process." The method does not have to be disclosed in full, but its class does.
Which markers were measured, and on what proportion of particles?Named proteins with the assay used, reported as a measured value.A logo-style list of markers with no method and no number attached.
How was particle concentration determined?A named instrument and method, because counts are not comparable across methods.A single particle count with no method. See the particle counting page.

Where a reporting standard ends and your judgement begins

A complete characterisation package tells you the preparation was measured and how. It does not tell you the preparation is good, and it cannot, because MISEV sets no thresholds to be good against.

That is the right way round. Judging suitability is the prescriber’s call on a named patient, and no reporting standard substitutes for it.

Where this sits against regulation

MISEV carries no regulatory force in the United States. It is a scientific consensus document, and citing it neither creates nor discharges any obligation under 21 CFR Part 1271 or anywhere else.

That separation is worth holding onto, because the two get blended in marketing. A supplier meeting a reporting standard has told you about their documentation. What is permitted, and for whom, is a different question answered by a different body of text.

How to get a characterisation package

A supplier who reports against a standard has the package already assembled, because it exists for their own quality system rather than for your request. Asking during pricing is the point at which it costs them nothing to send.

For ExaVeyra material, characterisation data is released alongside lot-specific certificates once a practice completes NPI verification. That single step opens pricing, the formulary and the document set together.

Sources

  1. 21 CFR Part 1271, human cells, tissues, and cellular and tissue-based products (accessed 29 August 2026)

Scientific literature

Each source carries the kind of study it was and, where the study enrolled people, how many. Study design decides what a result can establish, so it is stated rather than left to be inferred. Each line also says what that source is carrying on this page.

  1. Welsh JA, Goberdhan DCI, O’Driscoll L, et al. Minimal information for studies of extracellular vesicles (MISEV2023): from basic to advanced approaches. Journal of Extracellular Vesicles, 2024. doi:10.1002/jev2.12404 PMID:38326288Consensus statementLandmarkSource 1 supports: The current edition of the reporting standard. Cited as the primary text this page describes, so a reader can check the framing rather than take it from a summary.
  2. Théry C, Witwer KW, Aikawa E, et al. Minimal information for studies of extracellular vesicles 2018 (MISEV2018): a position statement of the International Society for Extracellular Vesicles and update of the MISEV2014 guidelines. Journal of Extracellular Vesicles, 2018. doi:10.1080/20013078.2018.1535750 PMID:30637094Consensus statementLandmarkSource 2 supports: The prior edition, and the one most supplier documentation was designed against. Cited because a package built to 2018 is not out of date so much as built to a different framing, which is the distinction the page draws.

Common questions

Can a product be certified as MISEV compliant?
No. MISEV is a reporting standard for scientific studies, published by the International Society for Extracellular Vesicles. There is no certifying body, no audit, and no mark. A supplier can report against it, and that is worth asking for, but there is nothing to be certified as.
Should we require MISEV2023 rather than MISEV2018?
Requiring an edition is less useful than requiring the content. MISEV2023 is broader and more explicitly conditional, so much of it does not resolve to a fixed requirement. Ask for the source material, the separation method, the markers with their assays, and the particle counting method, which both editions are built around.
Does citing MISEV help with a state documentation requirement?
Indirectly. Tennessee Public Chapter 1016, effective 1 July 2026, asks for particle counts, a lot-specific sterility report and a certificate of analysis. A supplier who reports against MISEV will generally hold the particle count data, but the statute asks for specific documents rather than adherence to a scientific standard.
What does MISEV say about how many markers should be measured?
It frames marker reporting in categories rather than as a fixed count, which is why "we test three markers" is a weaker answer than it sounds. What matters is which categories are represented and whether a measured value is attached to each, not the total.

These statements have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure, or prevent any disease. There are no FDA-approved exosome products. Biomolecular signaling vesicle products distributed by ExaVeyra Sciences are supplied for topical aesthetic treatments in clinics and for medical, molecular biology, and biochemistry research applications, and are not tissue products as defined by FDA guidelines.

This guide summarizes publicly available federal regulation for licensed practitioner education. It is for informational purposes only, it is not legal advice, medical advice, or regulatory guidance, and it does not establish that any particular product or practice is compliant. Regulation changes, and state requirements frequently differ from the federal floor. Consult a healthcare attorney licensed in your jurisdiction and your own state boards before acting on anything here.