CRED Managing Variations Effectively
CCDS updating : advice on MHRA website Are the SPC changes related? Yes
No
Consider the nature and extent of supporting data for each individual change
Submit grouped application – without prior approval Appropriate grouped eg Type II grouped for multiple changes
Extensive stand alone data packages eg • s4.1, 4.2 new indication • s4.3 contraindication (unrelated)
Eg series of minor changes to different SPC sections
Submit 2 separate applications
Is the gouping; • published? • previously agreed?
Yes
Contact MHRA (RIS) if you have practical difficulties – we will try to seek a pragmatic solution
No
Seek prior approval (RIS)
Grouping might be feasible
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