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The reference document maintained by the MAH containing all relevant safety information about a product, serving as the basis for national labels and expectedness determination.
When a new adverse reaction is confirmed through signal evaluation, the CCSI is updated first, then variations are submitted to align individual country labels.
ICH E2C(R2), EU GVP Module V
Allowing regional labels to diverge from CCSI without systematic tracking and justification.
How do you maintain your CCSI? How do you ensure alignment between CCSI and regional labels?