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sNDA Alignment 101: Module 2.5, CCDS, and Labeling

  Why you are seeing all these documents in an  sNDA   An  sNDA  proposes a  change to an already‑approved product , most often a change to the  label . FDA therefore expects a clear, traceable story that explains:   What is changing   Why it should change  (based on new data)   Where that change is reflected  in the submission   This is why  Module 2.5, CCDS, and US labeling (USPI)  are all developed together.     The roles of each document (plain language)   1. Module 2.5 – The scientific story   What it is:   A high‑level  clinical overview  written for FDA reviewers   Explains the  totality of evidence  ( new studies , ISS, RWE, literature)   Describes  benefit–risk  and why the proposed label change is justified   What it is NOT:   It does  not   contain  final label wording   Think of Module 2.5 as: “Here is the c...