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In the EU, a major variation that requires full assessment and approval before implementation. Includes significant CMC, indication, or safety-related changes.
New strength, new therapeutic indication, or significant change in manufacturing process are typically Type II.
Commission Regulation (EC) 1234/2008
Implementing a Type II change before approval. Underestimating data requirements and review time.
Describe your change control process and how it links to variation classification and submission.