80_FR_14191 80 FR 14139 - Cardiovascular and Renal Drugs Advisory Committee; Amendment of Notice

80 FR 14139 - Cardiovascular and Renal Drugs Advisory Committee; Amendment of Notice

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 52 (March 18, 2015)

Page Range14139-14140
FR Document2015-06130

The Food and Drug Administration (FDA) is announcing an amendment to the notice of meeting of the Cardiovascular and Renal Drugs Advisory Committee. This meeting was announced in the Federal Register of February 27, 2015 (80 FR 10700). The amendment is being made to reflect a change in the Agenda portion of the document. There are no other changes.

Federal Register, Volume 80 Issue 52 (Wednesday, March 18, 2015)
[Federal Register Volume 80, Number 52 (Wednesday, March 18, 2015)]
[Notices]
[Pages 14139-14140]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-06130]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2015-N-0001]


Cardiovascular and Renal Drugs Advisory Committee; Amendment of 
Notice

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Food and Drug Administration (FDA) is announcing an 
amendment to the notice of meeting of the Cardiovascular and Renal 
Drugs Advisory Committee. This meeting was

[[Page 14140]]

announced in the Federal Register of February 27, 2015 (80 FR 10700). 
The amendment is being made to reflect a change in the Agenda portion 
of the document. There are no other changes.

FOR FURTHER INFORMATION CONTACT: Kristina Toliver, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 31, Rm. 2417, Silver Spring, MD 20993-0002, 301-
796-9001, FAX: 301-847-8533, [email protected], or FDA Advisory 
Committee Information Line, 1-800-741-8138 (301-443-0572 in the 
Washington, DC area). Please call the Information Line for up-to-date 
information on this meeting.

SUPPLEMENTARY INFORMATION: In the Federal Register of February 27, 
2015, FDA announced that a meeting of the Cardiovascular and Renal 
Drugs Advisory Committee would be held on April 15, 2015. On page 
10700, in the first column, the Agenda portion of the document is 
changed to read as follows:
    The committee will discuss the new drug application (NDA) 204958, 
cangrelor injection, submitted by The Medicines Company, for the 
proposed indication of reduction of thrombotic cardiovascular events in 
patients with coronary artery disease (CAD) undergoing percutaneous 
coronary intervention (PCI)--(PCI refers to the opening of narrowed 
blood vessels supplying the heart muscle by a balloon inserted through 
an artery puncture with or without a stent) who have not received an 
oral P2Y12 inhibitor prior to the PCI procedure and in whom oral 
therapy with P2Y12 inhibitors is not feasible or desirable (P2Y12 is a 
protein involved in blood clotting. Inhibiting this protein is a key 
mechanism of action of cangrelor).
    This notice is issued under the Federal Advisory Committee Act (5 
U.S.C. app. 2) and 21 CFR part 14, relating to the advisory committees.

    Dated: March 12, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-06130 Filed 3-17-15; 8:45 am]
BILLING CODE 4164-01-P



                                                                               Federal Register / Vol. 80, No. 52 / Wednesday, March 18, 2015 / Notices                                              14139

                                                  when appropriate, and other forms of                     mitigation strategies, and support real-              data collection effort and makes the
                                                  information technology.                                  time decision-making by the                           specific data request. After the initial
                                                                                                           Department of Health and Human                        call, one or more additional follow-up
                                                  Emergency Shortages Data Collection
                                                                                                           Services during actual emergencies or                 calls and/or electronic mail
                                                  System—Section 903(d)(2) of the
                                                                                                           emergency preparedness exercises.                     correspondence may be required to
                                                  Federal Food, Drug, and Cosmetic Act
                                                                                                             FDA developed ‘‘The Emergency                       verify/validate data sent from the
                                                  (OMB Control Number 0910–0491)—
                                                                                                           Medical Device Shortages Program                      manufacturer, confirm receipt, and/or
                                                  (Extension)
                                                                                                           Survey’’ in 2002 to support the                       request additional detail. Although the
                                                     Under section 903(d)(2) of the Federal                acquisition of such data from medical                 regulatory officer is the agent who the
                                                  Food, Drug, and Cosmetic Act (the                        device manufacturers. In 2004, CDRH                   EST member initially contacts,
                                                  FD&C Act) (21 U.S.C. 393(d)(2)), the                     changed the process for the data                      regulatory officers may designate an
                                                  Commissioner of Food and Drugs is                        collection, and the electronic database               alternate representative within their
                                                  authorized to implement general powers                   in which the data were stored was                     organization to correspond subsequently
                                                  (including conducting research) to carry                 formally renamed the ‘‘Emergency                      with the CDRH EST member who is
                                                  out effectively the mission of FDA.                      Shortages Data Collection System’’                    collecting or verifying/validating the
                                                  Subsequent to the events of September                    (ESDCS). Recognizing that some of the                 data.
                                                  11, 2001, and as part of broader                         data collected may be commercially                       Because of the dynamic nature of the
                                                  counterterrorism and emergency                           confidential, access to the ESDCS is                  medical device industry, particularly
                                                  preparedness activities, FDA’s Center                    restricted to members of the CDRH                     with respect to specific product lines,
                                                  for Devices and Radiological Health                      Emergency Shortage Team (EST) and                     manufacturing capabilities, and raw
                                                  (CDRH) began developing operational                      senior management with a need-to-                     material/subcomponent sourcing, it is
                                                  plans and interventions that would                       know. At this time, the need-to-know                  necessary to update the data in the
                                                  enable CDRH to anticipate and respond                    senior management personnel are                       ESDCS at regular intervals. The EST
                                                  to medical device shortages that might                   limited to two senior managers. Further,              makes such updates on a regular basis,
                                                  arise in the context of Federally                        the data are used by this defined group               but makes efforts to limit the frequency
                                                  declared disasters/emergencies or                        only for decision making and planning                 of outreach to a specific manufacturer to
                                                  regulatory actions. In particular, CDRH                  in the context of a Federally declared                no more than every 4 months.
                                                  identified the need to acquire and                       disaster/emergency, an official                          The ESDCS will only include those
                                                  maintain detailed data on domestic                       emergency preparedness exercise, or a                 medical devices for which there will
                                                  inventory, manufacturing capabilities,                   potential public health risk posed by                 likely be high demand during a specific
                                                  distribution plans, and raw material                     non-disaster-related device shortage.                 emergency/disaster, or for which there
                                                  constraints for medical devices that                       The data procurement process                        are sufficiently small numbers of
                                                  would be in high demand, and/or would                    consists of an initial scripted telephone             manufacturers such that disruption of
                                                  be vulnerable to shortages in specific                   call to a regulatory officer at a registered          manufacture or loss of one or more of
                                                  disaster/emergency situations or                         manufacturer of one or more key                       these manufacturers would create a
                                                  following specific regulatory actions.                   medical devices tracked in the ESDCS.                 shortage.
                                                  Such data could support prospective                      In this initial call, the EST member                     FDA estimates the burden of this
                                                  risk assessment, help inform risk                        describes the intent and goals of the                 collection of information as follows:

                                                                                                  TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
                                                                                                                                                        Number of                      Average
                                                                                                                                         Number of       responses   Total annual    burden per
                                                                            Activity/FD&C act section                                                                                             Total hours
                                                                                                                                        respondents         per       responses       response
                                                                                                                                                        respondent                     (hours)

                                                  Emergency Shortages Data Collection System (903(d)(2)) ....................              125               3             375          0.5          188
                                                     1 There   are no capital costs or operating and maintenance costs associated with this collection of information.


                                                     FDA based the burden estimates in                     request will not exceed 30 minutes per                DEPARTMENT OF HEALTH AND
                                                  table 1 of this document on past                         request cycle.                                        HUMAN SERVICES
                                                  experience with direct contact with the                    Dated: March 12, 2015.
                                                  medical device manufacturers and                                                                               Food and Drug Administration
                                                                                                           Leslie Kux,
                                                  anticipated changes in the medical
                                                  device manufacturing patterns for the                    Associate Commissioner for Policy.                    [Docket No. FDA–2015–N–0001]
                                                  specific devices being monitored. FDA                    [FR Doc. 2015–06118 Filed 3–17–15; 8:45 am]
                                                  estimates that approximately 125                         BILLING CODE 4164–01–P
                                                                                                                                                                 Cardiovascular and Renal Drugs
                                                  manufacturers would be contacted by                                                                            Advisory Committee; Amendment of
                                                                                                                                                                 Notice
                                                  telephone and/or electronic mail 3 times
                                                  per year either to obtain primary data or                                                                      AGENCY:   Food and Drug Administration,
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                                                  to verify/validate data. Because the                                                                           HHS.
                                                  requested data represent data elements                                                                         ACTION:   Notice.
                                                  that are monitored or tracked by
                                                  manufacturers as part of routine                                                                               SUMMARY:  The Food and Drug
                                                  inventory management activities, it is                                                                         Administration (FDA) is announcing an
                                                  anticipated that for most manufacturers,                                                                       amendment to the notice of meeting of
                                                  the estimated time required of                                                                                 the Cardiovascular and Renal Drugs
                                                  manufacturers to complete the data                                                                             Advisory Committee. This meeting was


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                                                  14140                       Federal Register / Vol. 80, No. 52 / Wednesday, March 18, 2015 / Notices

                                                  announced in the Federal Register of                    DEPARTMENT OF HEALTH AND                              Health Statistics (NCHS), Centers for
                                                  February 27, 2015 (80 FR 10700). The                    HUMAN SERVICES                                        Disease Control and Prevention (CDC).
                                                  amendment is being made to reflect a                                                                          Background and Brief Description
                                                  change in the Agenda portion of the                     Centers for Disease Control and
                                                  document. There are no other changes.                   Prevention                                               Cardiovascular disease is a leading
                                                                                                                                                                cause of death and disability for men
                                                  FOR FURTHER INFORMATION CONTACT:                        [30Day–15–14AI0]                                      and women in the United States, among
                                                  Kristina Toliver, Center for Drug                                                                             the most costly health problems facing
                                                  Evaluation and Research, Food and                       Agency Forms Undergoing Paperwork                     our nation today, and among the most
                                                  Drug Administration, 10903 New                          Reduction Act Review                                  preventable. Risk factors for
                                                  Hampshire Ave., Bldg. 31, Rm. 2417,                                                                           cardiovascular disease include high
                                                                                                             The Centers for Disease Control and                blood pressure and high cholesterol.
                                                  Silver Spring, MD 20993–0002, 301–                      Prevention (CDC) has submitted the
                                                  796–9001, FAX: 301–847–8533,                                                                                  Because over 50% of diabetics have
                                                                                                          following information collection request              high blood pressure, high cholesterol, or
                                                  CRDAC@fda.hhs.gov, or FDA Advisory                      to the Office of Management and Budget
                                                  Committee Information Line, 1–800–                                                                            both conditions, the optimal systems to
                                                                                                          (OMB) for review and approval in                      treat people with hypertension, high
                                                  741–8138 (301–443–0572 in the                           accordance with the Paperwork
                                                  Washington, DC area). Please call the                                                                         cholesterol, or diabetes are interrelated.
                                                                                                          Reduction Act of 1995. The notice for                    In 2005, CDC’s Division for Heart
                                                  Information Line for up-to-date                         the proposed information collection is                Disease and Stroke Prevention (DHDSP)
                                                  information on this meeting.                            published to obtain comments from the                 began developing evaluation indicators
                                                  SUPPLEMENTARY INFORMATION:     In the                   public and affected agencies.                         that reflect evidence-based outcomes
                                                  Federal Register of February 27, 2015,                     Written comments and suggestions                   from policy, systems, and
                                                                                                          from the public and affected agencies                 environmental changes related to heart
                                                  FDA announced that a meeting of the
                                                                                                          concerning the proposed collection of                 disease and stroke prevention. However,
                                                  Cardiovascular and Renal Drugs
                                                                                                          information are encouraged. Your                      many of the indicators for short-term
                                                  Advisory Committee would be held on
                                                                                                          comments should address any of the                    policy and systems changes do not have
                                                  April 15, 2015. On page 10700, in the                   following: (a) Evaluate whether the
                                                  first column, the Agenda portion of the                                                                       readily available data sources. This is
                                                                                                          proposed collection of information is                 particularly true for outcomes related to
                                                  document is changed to read as follows:                 necessary for the proper performance of               health care systems changes.
                                                     The committee will discuss the new                   the functions of the agency, including                   NCHS proposes to conduct a new
                                                  drug application (NDA) 204958,                          whether the information will have                     information collection, the NSPCP. The
                                                  cangrelor injection, submitted by The                   practical utility; (b) Evaluate the                   survey will target primary care
                                                  Medicines Company, for the proposed                     accuracy of the agencies estimate of the              physicians specializing in internal
                                                  indication of reduction of thrombotic                   burden of the proposed collection of                  medicine or family practice.
                                                  cardiovascular events in patients with                  information, including the validity of                Respondents will be drawn from a
                                                  coronary artery disease (CAD)                           the methodology and assumptions used;                 nationally representative sample of
                                                  undergoing percutaneous coronary                        (c) Enhance the quality, utility, and                 physicians. Physicians working in
                                                  intervention (PCI)—(PCI refers to the                   clarity of the information to be                      hospitals, federal facilities, nursing
                                                  opening of narrowed blood vessels                       collected; (d) Minimize the burden of                 homes, rehabilitation centers and
                                                  supplying the heart muscle by a balloon                 the collection of information on those                correctional facilities will not be eligible
                                                  inserted through an artery puncture                     who are to respond, including through                 for the survey. Eligibility will be
                                                                                                          the use of appropriate automated,                     determined by phone.
                                                  with or without a stent) who have not
                                                                                                          electronic, mechanical, or other                         The survey instrument will undergo
                                                  received an oral P2Y12 inhibitor prior to
                                                                                                          technological collection techniques or                cognitive testing before administration.
                                                  the PCI procedure and in whom oral                      other forms of information technology,                   The telephone screener will be
                                                  therapy with P2Y12 inhibitors is not                    e.g., permitting electronic submission of             administered to the individual who
                                                  feasible or desirable (P2Y12 is a protein               responses; and (e) Assess information                 answers the phone at the selected
                                                  involved in blood clotting. Inhibiting                  collection costs.                                     practice. We anticipate that this will
                                                  this protein is a key mechanism of                         To request additional information on               likely be an office assistant or medical
                                                  action of cangrelor).                                   the proposed project or to obtain a copy              secretary. The primary purpose of the
                                                     This notice is issued under the                      of the information collection plan and                screener is to ensure correct contact
                                                  Federal Advisory Committee Act (5                       instruments, call (404) 639–7570 or                   information for the physician, so we
                                                  U.S.C. app. 2) and 21 CFR part 14,                      send an email to omb@cdc.gov. Written                 anticipate that an office assistant or
                                                  relating to the advisory committees.                    comments and/or suggestions regarding                 medical secretary will be able to answer
                                                                                                          the items contained in this notice                    the screener questions in a short amount
                                                    Dated: March 12, 2015.
                                                                                                          should be directed to the Attention:                  of time. We have estimated 10 minutes
                                                  Leslie Kux,                                             CDC Desk Officer, Office of Management                per response.
                                                  Associate Commissioner for Policy.                      and Budget, Washington, DC 20503 or                      Administrators of the mail-based
                                                  [FR Doc. 2015–06130 Filed 3–17–15; 8:45 am]             by fax to (202) 395–5806. Written                     survey will collect information about
                                                  BILLING CODE 4164–01–P                                  comments should be received within 30                 physician practices’ use of evidence-
                                                                                                          days of this notice.                                  based systems, including
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                                                                                                                                                                multidisciplinary team approaches for
                                                                                                          Proposed Project                                      chronic disease treatment, electronic
                                                                                                            National Hospital Ambulatory                        health records (EHR) with features
                                                                                                          Medical Care Survey (NHAMCS)                          appropriate for treating patients with
                                                                                                          Supplement of Primary Care Policies for               chronic disease (e.g., clinical decision
                                                                                                          Managing Patients with High Blood                     supports, patient registries), and patient
                                                                                                          Pressure, High Cholesterol, or Diabetes               follow-up mechanisms. Approximately
                                                                                                          (NSPCP)—New—National Center for                       946 physicians will participate in the


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Document Created: 2018-02-21 09:39:53
Document Modified: 2018-02-21 09:39:53
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
ContactKristina Toliver, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 31, Rm. 2417, Silver Spring, MD 20993-0002, 301- 796-9001, FAX: 301-847-8533, [email protected], or FDA Advisory Committee Information Line, 1-800-741-8138 (301-443-0572 in the Washington, DC area). Please call the Information Line for up-to-date information on this meeting.
FR Citation80 FR 14139 

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