80_FR_22603 80 FR 22526 - Clinical Trial Endpoints for the Approval of Non-Small Cell Lung Cancer Drugs and Biologics; Guidance for Industry; Availability

80 FR 22526 - Clinical Trial Endpoints for the Approval of Non-Small Cell Lung Cancer Drugs and Biologics; Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 77 (April 22, 2015)

Page Range22526-22527
FR Document2015-09303

The Food and Drug Administration (FDA or Agency) is announcing the availability of a guidance for industry entitled ``Clinical Trial Endpoints for the Approval of Non-Small Cell Lung Cancer Drugs and Biologics.'' This guidance provides recommendations to applicants on endpoints for cancer clinical trials submitted to FDA to support effectiveness claims in new drug applications, biologics license applications, or supplemental applications for the treatment of non- small cell lung cancer. This guidance focuses on endpoints specifically for lung cancer trials to support drug approval or labeling claims. This guidance should speed the development and improve the quality of protocols submitted to FDA to support anticancer effectiveness claims. This guidance finalizes the draft guidance issued on June 17, 2011.

Federal Register, Volume 80 Issue 77 (Wednesday, April 22, 2015)
[Federal Register Volume 80, Number 77 (Wednesday, April 22, 2015)]
[Notices]
[Pages 22526-22527]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-09303]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2011-D-0432]


Clinical Trial Endpoints for the Approval of Non-Small Cell Lung 
Cancer Drugs and Biologics; Guidance for Industry; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
the availability of a guidance for industry entitled ``Clinical Trial 
Endpoints for the Approval of Non-Small Cell Lung Cancer Drugs and 
Biologics.'' This guidance provides recommendations to applicants on 
endpoints for cancer clinical trials submitted to FDA to support 
effectiveness claims in new drug applications, biologics license 
applications, or supplemental applications for the treatment of non-
small cell lung cancer. This guidance focuses on endpoints specifically 
for lung cancer trials to support drug approval or labeling claims. 
This guidance should speed the development and improve the quality of 
protocols submitted to FDA to support anticancer effectiveness claims. 
This guidance finalizes the draft guidance issued on June 17, 2011.

DATES: Submit either electronic or written comments on Agency guidances 
at any time.

ADDRESSES: Submit written requests for single copies of this guidance 
to the Division of Drug Information, Center for Drug Evaluation and 
Research, Food and Drug Administration, 10001 New Hampshire Ave., 
Hillandale Building, 4th Floor, Silver Spring, MD 20993-0002; or Office 
of Communication, Outreach, and Development, Center for Biologics 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 71, rm. 3128, Silver Spring, MD 20993-0002. Send 
one self-addressed adhesive label to assist that office in processing 
your requests. See the SUPPLEMENTARY INFORMATION section for electronic 
access to the guidance document.
    Submit electronic comments on the guidance to http://www.regulations.gov. Submit written comments to the Division of Dockets 
Management (HFA-305), Food and Drug Administration, 5630 Fishers Lane, 
rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: Rajeshwari Sridhara, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 21, rm. 3512, Silver Spring, MD 20993-0002, 301-
796-1759; or Stephen Ripley, Center for Biologics Evaluation and 
Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 
71, rm. 7301, Silver Spring, MD 20993-0002, 240-402-7911.

SUPPLEMENTARY INFORMATION: 

I. Background

    FDA is announcing the availability of a guidance for industry 
entitled ``Clinical Trial Endpoints for the Approval of Non-Small Cell 
Lung Cancer Drugs and Biologics.'' FDA is developing guidance on 
oncology endpoints through a process that includes public workshops of 
oncology experts and discussions before FDA's Oncologic Drugs Advisory 
Committee. This guidance provides background information and general 
principles. The endpoints discussed in this guidance are for drugs to 
treat patients with existing non-small cell lung cancer. This guidance 
does not address endpoints for drugs to prevent or decrease the 
incidence of cancer.
    This guidance finalizes the draft guidance for industry entitled 
``Clinical Trial Endpoints for the Approval of Non-Small Cell Lung 
Cancer Drugs and Biologics'' issued June 17, 2011 (76 FR 35450). 
Comments received from industry, professional societies, and consumer 
groups on the draft guidance have been taken into consideration by FDA 
in finalizing this guidance and some of the changes are summarized 
here. Sections II.A. and III. have been clarified based on the comments 
received and FDA's current thinking and practice regarding the 
magnitude of treatment effect based on progression-free survival. 
Appendices C and D have also been clarified based on the comments 
received and FDA's view on primary and sensitivity analyses of 
progression-free survival. The language in the guidance has been 
simplified to be concise.
    This guidance is being issued consistent with FDA's good guidance 
practices regulation (21 CFR 10.115). The guidance represents the 
current thinking of FDA on clinical trial endpoints for the approval of 
non-small cell lung cancer drugs and biologics. It does not establish 
any rights for any person and is not binding on FDA or the public. You 
can use an alternative approach if it satisfies the requirements of the 
applicable statutes and regulations.

II. The Paperwork Reduction Act of 1995

    This guidance refers to previously approved collections of 
information that are subject to review by the Office of Management and 
Budget (OMB) under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-
3520). The collections of information in 21 CFR parts 312, 314, and 601 
have been approved under OMB control numbers 0910-0014, 0910-0001, and 
0910-0338, respectively.

III. Comments

    Interested persons may submit either electronic comments regarding 
this document to http://www.regulations.gov or written comments to the 
Division of Dockets Management (see ADDRESSES). It is only necessary to 
send one set of comments. Identify comments with the docket number 
found in brackets in the heading of this document. Received comments 
may be seen in the Division of Dockets Management between 9 a.m. and 4 
p.m., Monday through Friday, and will be posted to the docket at http://www.regulations.gov.

IV. Electronic Access

    Persons with access to the Internet may obtain the document at 
http://www.fda.gov/Drugs/

[[Page 22527]]

GuidanceComplianceRegulatoryInformation/Guidances/default.htm, http://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/default.htm, or http://www.regulations.gov.

    Dated: April 16, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-09303 Filed 4-21-15; 8:45 am]
BILLING CODE 4164-01-P



                                                    22526                        Federal Register / Vol. 80, No. 77 / Wednesday, April 22, 2015 / Notices

                                                       Testimonies may also be submitted to                 and improve the quality of protocols                  Trial Endpoints for the Approval of
                                                    this email address: Paige.Hausburg@                     submitted to FDA to support anticancer                Non-Small Cell Lung Cancer Drugs and
                                                    acf.hhs.gov. Registration to attend the                 effectiveness claims. This guidance                   Biologics’’ issued June 17, 2011 (76 FR
                                                    consultation can be done using this link:               finalizes the draft guidance issued on                35450). Comments received from
                                                    http://events.constantcontact.com/                      June 17, 2011.                                        industry, professional societies, and
                                                    register/event?llr=vt7m85dab&oeidk                      DATES: Submit either electronic or                    consumer groups on the draft guidance
                                                    =a07eau2syfc09b2fe8f.                                   written comments on Agency guidances                  have been taken into consideration by
                                                       Please register by May 18, 2015, so                  at any time.                                          FDA in finalizing this guidance and
                                                    that OCSE can include everyone                          ADDRESSES: Submit written requests for                some of the changes are summarized
                                                    registered in the building access system                single copies of this guidance to the                 here. Sections II.A. and III. have been
                                                    to assure their entry. OCSE is located in               Division of Drug Information, Center for              clarified based on the comments
                                                    a federal building and the security                     Drug Evaluation and Research, Food                    received and FDA’s current thinking
                                                    protocol requires government                            and Drug Administration, 10001 New                    and practice regarding the magnitude of
                                                    identification.                                         Hampshire Ave., Hillandale Building,                  treatment effect based on progression-
                                                       OCSE understands that resources are                                                                        free survival. Appendices C and D have
                                                                                                            4th Floor, Silver Spring, MD 20993–
                                                    limited and travel may not be possible                                                                        also been clarified based on the
                                                                                                            0002; or Office of Communication,
                                                    for some tribal leaders. In order to                                                                          comments received and FDA’s view on
                                                    engage as many tribal leaders as                        Outreach, and Development, Center for
                                                                                                            Biologics Evaluation and Research,                    primary and sensitivity analyses of
                                                    possible, individuals who are unable to                                                                       progression-free survival. The language
                                                    travel to Washington, DC, can connect                   Food and Drug Administration, 10903
                                                                                                            New Hampshire Ave., Bldg. 71, rm.                     in the guidance has been simplified to
                                                    to the meeting via a conference call. The                                                                     be concise.
                                                    call-in number is 1–866–642–2926,                       3128, Silver Spring, MD 20993–0002.
                                                                                                                                                                     This guidance is being issued
                                                    participant passcode is 1436048. The                    Send one self-addressed adhesive label
                                                                                                                                                                  consistent with FDA’s good guidance
                                                    URL for the webinar is: http://                         to assist that office in processing your
                                                                                                                                                                  practices regulation (21 CFR 10.115).
                                                    hhs.adobeconnect.com/drotribal/. To                     requests. See the SUPPLEMENTARY
                                                                                                                                                                  The guidance represents the current
                                                    join by phone, please register using the                INFORMATION section for electronic
                                                                                                                                                                  thinking of FDA on clinical trial
                                                    link above.                                             access to the guidance document.
                                                                                                               Submit electronic comments on the                  endpoints for the approval of non-small
                                                      Dated: April 16, 2015.                                guidance to http://www.regulations.gov.               cell lung cancer drugs and biologics. It
                                                    Donna Bonar,                                            Submit written comments to the                        does not establish any rights for any
                                                    Deputy Commissioner, Office of Child                    Division of Dockets Management (HFA–                  person and is not binding on FDA or the
                                                    Support Enforcement.                                    305), Food and Drug Administration,                   public. You can use an alternative
                                                    [FR Doc. 2015–09351 Filed 4–21–15; 8:45 am]             5630 Fishers Lane, rm. 1061, Rockville,               approach if it satisfies the requirements
                                                    BILLING CODE 4184–41–P                                  MD 20852.                                             of the applicable statutes and
                                                                                                                                                                  regulations.
                                                                                                            FOR FURTHER INFORMATION CONTACT:
                                                                                                            Rajeshwari Sridhara, Center for Drug                  II. The Paperwork Reduction Act of
                                                    DEPARTMENT OF HEALTH AND                                Evaluation and Research, Food and                     1995
                                                    HUMAN SERVICES                                          Drug Administration, 10903 New                           This guidance refers to previously
                                                    Food and Drug Administration                            Hampshire Ave., Bldg. 21, rm. 3512,                   approved collections of information that
                                                                                                            Silver Spring, MD 20993–0002, 301–                    are subject to review by the Office of
                                                    [Docket No. FDA–2011–D–0432]                            796–1759; or Stephen Ripley, Center for               Management and Budget (OMB) under
                                                                                                            Biologics Evaluation and Research,                    the Paperwork Reduction Act of 1995
                                                    Clinical Trial Endpoints for the                        Food and Drug Administration, 10903
                                                    Approval of Non-Small Cell Lung                                                                               (44 U.S.C. 3501–3520). The collections
                                                                                                            New Hampshire Ave., Bldg. 71, rm.                     of information in 21 CFR parts 312, 314,
                                                    Cancer Drugs and Biologics; Guidance                    7301, Silver Spring, MD 20993–0002,
                                                    for Industry; Availability                                                                                    and 601 have been approved under
                                                                                                            240–402–7911.                                         OMB control numbers 0910–0014,
                                                    AGENCY:    Food and Drug Administration,                SUPPLEMENTARY INFORMATION:                            0910–0001, and 0910–0338,
                                                    HHS.                                                                                                          respectively.
                                                                                                            I. Background
                                                    ACTION:   Notice.
                                                                                                               FDA is announcing the availability of              III. Comments
                                                    SUMMARY:   The Food and Drug                            a guidance for industry entitled                         Interested persons may submit either
                                                    Administration (FDA or Agency) is                       ‘‘Clinical Trial Endpoints for the                    electronic comments regarding this
                                                    announcing the availability of a                        Approval of Non-Small Cell Lung                       document to http://www.regulations.gov
                                                    guidance for industry entitled ‘‘Clinical               Cancer Drugs and Biologics.’’ FDA is                  or written comments to the Division of
                                                    Trial Endpoints for the Approval of                     developing guidance on oncology                       Dockets Management (see ADDRESSES).
                                                    Non-Small Cell Lung Cancer Drugs and                    endpoints through a process that                      It is only necessary to send one set of
                                                    Biologics.’’ This guidance provides                     includes public workshops of oncology                 comments. Identify comments with the
                                                    recommendations to applicants on                        experts and discussions before FDA’s                  docket number found in brackets in the
                                                    endpoints for cancer clinical trials                    Oncologic Drugs Advisory Committee.                   heading of this document. Received
                                                    submitted to FDA to support                             This guidance provides background                     comments may be seen in the Division
                                                    effectiveness claims in new drug                        information and general principles. The
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                                                                                                                                  of Dockets Management between 9 a.m.
                                                    applications, biologics license                         endpoints discussed in this guidance                  and 4 p.m., Monday through Friday, and
                                                    applications, or supplemental                           are for drugs to treat patients with                  will be posted to the docket at http://
                                                    applications for the treatment of non-                  existing non-small cell lung cancer. This             www.regulations.gov.
                                                    small cell lung cancer. This guidance                   guidance does not address endpoints for
                                                    focuses on endpoints specifically for                   drugs to prevent or decrease the                      IV. Electronic Access
                                                    lung cancer trials to support drug                      incidence of cancer.                                    Persons with access to the Internet
                                                    approval or labeling claims. This                          This guidance finalizes the draft                  may obtain the document at http://
                                                    guidance should speed the development                   guidance for industry entitled ‘‘Clinical             www.fda.gov/Drugs/


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                                                                                 Federal Register / Vol. 80, No. 77 / Wednesday, April 22, 2015 / Notices                                                                             22527

                                                    GuidanceCompliance                                      list of premarket approval applications                                 order approving, denying, or
                                                    RegulatoryInformation/Guidances/                        (PMAs) that have been approved. This                                    withdrawing approval of a PMA will
                                                    default.htm, http://www.fda.gov/                        list is intended to inform the public of                                continue to include a notice of
                                                    BiologicsBloodVaccines/Guidance                         the availability of safety and                                          opportunity to request review of the
                                                    ComplianceRegulatoryInformation/                        effectiveness summaries of approved                                     order under section 515(g) of the FD&C
                                                    default.htm, or http://                                 PMAs through the Internet and the                                       Act. The 30-day period for requesting
                                                    www.regulations.gov.                                    Agency’s Division of Dockets                                            reconsideration of an FDA action under
                                                      Dated: April 16, 2015.                                Management.                                                             § 10.33(b) (21 CFR 10.33(b)) for notices
                                                    Leslie Kux,                                             ADDRESSES:   Submit written requests for                                announcing approval of a PMA begins
                                                    Associate Commissioner for Policy.                      copies of summaries of safety and                                       on the day the notice is placed on the
                                                    [FR Doc. 2015–09303 Filed 4–21–15; 8:45 am]             effectiveness data to the Division of                                   Internet. Section 10.33(b) provides that
                                                    BILLING CODE 4164–01–P                                  Dockets Management (HFA–305), Food                                      FDA may, for good cause, extend this
                                                                                                            and Drug Administration, 5630 Fishers                                   30-day period. Reconsideration of a
                                                                                                            Lane, Rm. 1061, Rockville, MD 20852.                                    denial or withdrawal of approval of a
                                                    DEPARTMENT OF HEALTH AND                                Please cite the appropriate docket                                      PMA may be sought only by the
                                                    HUMAN SERVICES                                          number as listed in table 1 when                                        applicant; in these cases, the 30-day
                                                                                                            submitting a written request. See the                                   period will begin when the applicant is
                                                    Food and Drug Administration                            SUPPLEMENTARY INFORMATION section for                                   notified by FDA in writing of its
                                                    [Docket Nos. FDA–2014–M–1452, FDA–                      electronic access to the summaries of                                   decision.
                                                    2014–M–1596, FDA–2014–M–1597, FDA–                      safety and effectiveness.                                                  The regulations provide that FDA
                                                    2014–M–1599, FDA–2014–M–1735, FDA–
                                                    2014–M–1736, FDA–2014–M–2042, FDA–
                                                                                                            FOR FURTHER INFORMATION CONTACT:                                        publish a quarterly list of available
                                                    2014–M–2246, FDA–2014–M–2248, and                       Nicole Wolanski, Center for Devices and                                 safety and effectiveness summaries of
                                                    FDA–2014–M–2376]                                        Radiological Health, Food and Drug                                      PMA approvals and denials that were
                                                                                                            Administration, 10903 New Hampshire                                     announced during that quarter. The
                                                    Medical Devices; Availability of Safety                 Ave., Bldg. 66, Rm. 1650, Silver Spring,                                following is a list of approved PMAs for
                                                    and Effectiveness Summaries for                         MD 20993–0002, 301–796–6570.                                            which summaries of safety and
                                                    Premarket Approval Applications                         SUPPLEMENTARY INFORMATION:                                              effectiveness were placed on the
                                                    AGENCY:    Food and Drug Administration,                                                                                        Internet from October 1, 2014, through
                                                                                                            I. Background                                                           December 31, 2014. There were no
                                                    HHS.
                                                    ACTION:   Notice.                                         In accordance with sections 515(d)(4)                                 denial actions during this period. The
                                                                                                            and (e)(2) of the Federal Food, Drug, and                               list provides the manufacturer’s name,
                                                    SUMMARY: The Food and Drug                              Cosmetic Act (the FD&C Act) (21 U.S.C.                                  the product’s generic name or the trade
                                                    Administration (FDA) is publishing a                    360e(d)(4) and (e)(2)), notification of an                              name, and the approval date.

                                                     TABLE 1—LIST OF SAFETY AND EFFECTIVENESS SUMMARIES FOR APPROVED PMAS MADE AVAILABLE FROM OCTOBER 1,
                                                                                        2014, THROUGH DECEMBER 31, 2014
                                                                 PMA No., Docket No.                                 Applicant                                           Trade name                                          Approval date

                                                    P040037/S060, FDA–2014–M–1452 ...............           W.L. Gore & Associ-                GORE VIABAHN Endoprosthesis, GORE                                         September 19, 2014.
                                                                                                              ates, Inc.                         VIABAHN Endoprosthesis with Heparin.
                                                    P070015/S122, FDA–2014–M–1596 ...............           Abbott Vascular, Inc ...           XIENCE V® and XIENCE nano® Everolimus                                     October 3, 2014.
                                                                                                                                                 Eluting Coronary Stent System.
                                                    P110019/S066, FDA–2014–M–1596 ...............           Abbott Vascular, Inc ...           XIENCE PRIME® and XIENCE PRIME LL                                         October 3, 2014.
                                                                                                                                                 Everlimus Eluting Coronary Stent System.
                                                    P130024, FDA–2014–M–1597 .........................      Lutonix, Inc .................     Lutonix 035 Drug Coated Balloon PTA Cath-                                 October 9, 2014.
                                                                                                                                                 eter.
                                                    P110023/S007, FDA–2014–M–1599 ...............           ev3, Inc .......................   EverFlexTM Self-Expanding Peripheral Stent                                October 10, 2014.
                                                                                                                                                 System.
                                                    P120005/S018, FDA–2014–M–1735 ...............           Dexcom, Inc ...............        Dexcom G4TM PLATINUM Continuous Glu-                                      October 21, 2014.
                                                                                                                                                 cose Monitoring System.
                                                    P130026, FDA–2014–M–1736 .........................      St. Jude Medical ........          TactiCath     Quartz®         Catheter              and                   October 24, 2014.
                                                                                                                                                 TactiSysQuartz® Equipment.
                                                    P120011, FDA–2014–M–2042 .........................      Ideal Implant, Inc ........        IDEAL IMPLANT® Saline-filled Breast Implant                               November 14, 2014.
                                                    P130007, FDA–2014–M–2246 .........................      Animas Corp ..............         Animas Vibe System .......................................                November 25, 2014.
                                                    P140020, FDA–2014–M–2248 .........................      Myriad Genetic Lab-                BRACAnalysis CDxTM ....................................                   December 19, 2014.
                                                                                                              oratories, Inc.
                                                    P020012/S009, FDA–2014–M–2376 ...............           Suneva Medical, Inc ...            Bellafill .............................................................   December 23, 2014.
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Document Created: 2015-12-16 08:27:24
Document Modified: 2015-12-16 08:27:24
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.
DatesSubmit either electronic or written comments on Agency guidances at any time.
ContactRajeshwari Sridhara, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 21, rm. 3512, Silver Spring, MD 20993-0002, 301- 796-1759; or Stephen Ripley, Center for Biologics Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 71, rm. 7301, Silver Spring, MD 20993-0002, 240-402-7911.
FR Citation80 FR 22526 

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