80_FR_33383 80 FR 33271 - Considerations for the Design of Early-Phase Clinical Trials of Cellular and Gene Therapy Products; Guidance for Industry; Availability

80 FR 33271 - Considerations for the Design of Early-Phase Clinical Trials of Cellular and Gene Therapy Products; Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 112 (June 11, 2015)

Page Range33271-33272
FR Document2015-14261

The Food and Drug Administration (FDA or Agency) is announcing the availability of a document entitled ``Considerations for the Design of Early-Phase Clinical Trials of Cellular and Gene Therapy Products; Guidance for Industry.'' The guidance document is to assist sponsors and investigators in designing early-phase clinical trials for cellular therapy (CT) and gene therapy (GT) products (referred to collectively as CGT products). The guidance document provides recommendations regarding clinical trials in which the primary objectives are the initial assessments of safety, tolerability, or feasibility of administration of investigational products. The guidance announced in this notice finalizes the draft guidance of the same title dated July 2013.

Federal Register, Volume 80 Issue 112 (Thursday, June 11, 2015)
[Federal Register Volume 80, Number 112 (Thursday, June 11, 2015)]
[Notices]
[Pages 33271-33272]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-14261]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2013-D-0576]


Considerations for the Design of Early-Phase Clinical Trials of 
Cellular and Gene Therapy Products; 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 document entitled ``Considerations for the Design 
of Early-Phase Clinical Trials of Cellular and Gene Therapy Products; 
Guidance for Industry.'' The guidance document is to assist sponsors 
and investigators in designing early-phase clinical trials for cellular 
therapy (CT) and gene therapy (GT) products (referred to collectively 
as CGT products). The guidance document provides recommendations 
regarding clinical trials in which the primary objectives are the 
initial assessments of safety, tolerability, or feasibility of 
administration of investigational products. The guidance announced in 
this notice finalizes the draft guidance of the same title dated July 
2013.

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

ADDRESSES: Submit written requests for single copies of the guidance to 
the Office of Communication, Outreach, and Development, Center for 
Biologics Evaluation and Research (CBER), 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 the office in 
processing your requests. The guidance may also be obtained by mail by 
calling CBER at 1-800-835-4709 or 240-402-7800. 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: Valerie Butler, 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 document entitled 
``Considerations for the Design of Early-Phase Clinical Trials of 
Cellular and Gene Therapy Products; Guidance for Industry.'' The 
guidance document is to assist sponsors and investigators in designing 
early-phase clinical trials for CGT products. The document provides 
recommendations regarding clinical trials in which the primary 
objectives are the initial assessments of safety, tolerability, or 
feasibility of administration of investigational products. The scope of 
the guidance is limited to products for which the Office of Cellular, 
Tissue, and Gene Therapies/Center for Biologics Evaluation and 
Research/FDA has regulatory authority. CGT products within the scope of 
the guidance meet the definition of ``biological product'' in section 
351(i) of the Public Health Service (PHS) Act (42 U.S.C. 262(i)) and 
include CT and GT products that are used as therapeutic vaccines. The 
guidance does not apply to those human cells, tissues, and cellular- 
and tissue-based products (HCT/Ps) regulated solely under section 361 
of the PHS Act (42 U.S.C. 264), or to products regulated as medical 
devices under the Federal Food, Drug, and Cosmetic Act, or to the 
therapeutic biological products for which the Center for Drug 
Evaluation and Research has regulatory responsibility.
    The design of early-phase clinical trials of CGT products often 
differs from the design of clinical trials for other types of 
pharmaceutical products. Differences in trial design are necessitated 
by the distinctive features of these products, and also may reflect 
previous clinical experience. The guidance document describes features 
of CGT products that influence clinical trial design, including product 
characteristics, manufacturing considerations, and preclinical 
considerations, and suggests other documents for additional 
information. Consequently, the guidance document provides 
recommendations with respect to these products as to clinical trial 
design, including early phase trial objectives, choosing a study 
population, using a control group and blinding, dose selection, 
treatment plans, monitoring, and follow-up. Finally, the guidance 
encourages prospective sponsors to meet with FDA review staff regarding 
their investigational new drug application (IND) submission and offers 
references for additional guidance on submitting an IND.
    In the Federal Register of July 2, 2013 (78 FR 39736), FDA 
announced the availability of the draft guidance of the same title 
dated July 2013. FDA requested that comments on the guidance be 
submitted by November 22, 2013. In the Federal Register of November 20, 
2013 (78 FR 69690), FDA extended the comment period for the draft 
guidance to May 9, 2014, to provide interested persons additional time 
to submit comments and to allow for public discussion of the draft 
guidance document at the Cellular, Tissue, and Gene Therapies Advisory 
Committee meeting, which was ultimately held on February 25-26, 2014 
(78 FR 79699, December 31, 2013).
    FDA received a number of comments on the draft guidance and these 
comments were considered as the guidance was finalized. In addition, 
editorial changes were made to improve clarity. The guidance announced 
in this notice finalizes the draft guidance of the same title dated 
July 2013.
    The guidance is being issued consistent with FDA's good guidance 
practices regulation (21 CFR 10.115). The guidance represents FDA's 
current thinking on considerations for the design of early-phase 
clinical trials of cellular and gene therapy products. It does not 
create or confer any rights for or on any person and does not operate 
to bind FDA or the public. An alternative approach may be used if such 
approach satisfies the requirements of the applicable statutes and 
regulations.

II. Paperwork Reduction Act of 1995

    This guidance refers to previously approved collections of 
information

[[Page 33272]]

found in FDA regulations. These collections of information 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 part 312 have been approved under OMB control 
number 0910-0014.

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 guidance at 
either http://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/Guidances/default.htm or http://www.regulations.gov.

    Dated: June 5, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-14261 Filed 6-10-15; 8:45 am]
 BILLING CODE 4164-01-P



                                                                                Federal Register / Vol. 80, No. 112 / Thursday, June 11, 2015 / Notices                                            33271

                                                  entitled ‘‘Class II Special Controls                    and Drug Administration, 10903 New                     Differences in trial design are
                                                  Guidance Document: Labeling for                         Hampshire Ave., Bldg. 71, Rm. 3128,                    necessitated by the distinctive features
                                                  Natural Rubber Latex Condoms’’ to                       Silver Spring, MD 20993–0002. Send                     of these products, and also may reflect
                                                  OMB for review and clearance under 44                   one self-addressed adhesive label to                   previous clinical experience. The
                                                  U.S.C. 3507. An Agency may not                          assist the office in processing your                   guidance document describes features of
                                                  conduct or sponsor, and a person is not                 requests. The guidance may also be                     CGT products that influence clinical
                                                  required to respond to, a collection of                 obtained by mail by calling CBER at 1–                 trial design, including product
                                                  information unless it displays a                        800–835–4709 or 240–402–7800. See                      characteristics, manufacturing
                                                  currently valid OMB control number.                     the SUPPLEMENTARY INFORMATION section                  considerations, and preclinical
                                                  OMB has now approved the information                    for electronic access to the guidance                  considerations, and suggests other
                                                  collection and has assigned OMB                         document.                                              documents for additional information.
                                                  control number 0910–0633. The                             Submit electronic comments on the                    Consequently, the guidance document
                                                  approval expires on May 31, 2018. A                     guidance to http://www.regulations.gov.                provides recommendations with respect
                                                  copy of the supporting statement for this               Submit written comments to the                         to these products as to clinical trial
                                                  information collection is available on                  Division of Dockets Management (HFA–                   design, including early phase trial
                                                  the Internet at http://www.reginfo.gov/                 305), Food and Drug Administration,                    objectives, choosing a study population,
                                                  public/do/PRAMain.                                      5630 Fishers Lane, rm. 1061, Rockville,                using a control group and blinding, dose
                                                                                                          MD 20852.                                              selection, treatment plans, monitoring,
                                                    Dated: June 5, 2015.
                                                                                                          FOR FURTHER INFORMATION CONTACT:                       and follow-up. Finally, the guidance
                                                  Leslie Kux,
                                                                                                          Valerie Butler, Center for Biologics                   encourages prospective sponsors to
                                                  Associate Commissioner for Policy.                                                                             meet with FDA review staff regarding
                                                  [FR Doc. 2015–14285 Filed 6–10–15; 8:45 am]
                                                                                                          Evaluation and Research, Food and
                                                                                                          Drug Administration, 10903 New                         their investigational new drug
                                                  BILLING CODE 4164–01–P
                                                                                                          Hampshire Ave., Bldg. 71, Rm. 7301,                    application (IND) submission and offers
                                                                                                          Silver Spring, MD 20993–0002, 240–                     references for additional guidance on
                                                                                                          402–7911.                                              submitting an IND.
                                                  DEPARTMENT OF HEALTH AND                                                                                          In the Federal Register of July 2, 2013
                                                  HUMAN SERVICES                                          SUPPLEMENTARY INFORMATION:                             (78 FR 39736), FDA announced the
                                                                                                          I. Background                                          availability of the draft guidance of the
                                                  Food and Drug Administration                                                                                   same title dated July 2013. FDA
                                                                                                             FDA is announcing the availability of               requested that comments on the
                                                  [Docket No. FDA–2013–D–0576]
                                                                                                          a document entitled ‘‘Considerations for               guidance be submitted by November 22,
                                                  Considerations for the Design of Early-                 the Design of Early-Phase Clinical Trials              2013. In the Federal Register of
                                                  Phase Clinical Trials of Cellular and                   of Cellular and Gene Therapy Products;                 November 20, 2013 (78 FR 69690), FDA
                                                  Gene Therapy Products; Guidance for                     Guidance for Industry.’’ The guidance                  extended the comment period for the
                                                  Industry; Availability                                  document is to assist sponsors and                     draft guidance to May 9, 2014, to
                                                                                                          investigators in designing early-phase                 provide interested persons additional
                                                  AGENCY:    Food and Drug Administration,                clinical trials for CGT products. The                  time to submit comments and to allow
                                                  HHS.                                                    document provides recommendations                      for public discussion of the draft
                                                  ACTION:   Notice.                                       regarding clinical trials in which the                 guidance document at the Cellular,
                                                                                                          primary objectives are the initial                     Tissue, and Gene Therapies Advisory
                                                  SUMMARY:    The Food and Drug                           assessments of safety, tolerability, or
                                                  Administration (FDA or Agency) is                                                                              Committee meeting, which was
                                                                                                          feasibility of administration of                       ultimately held on February 25–26,
                                                  announcing the availability of a                        investigational products. The scope of
                                                  document entitled ‘‘Considerations for                                                                         2014 (78 FR 79699, December 31, 2013).
                                                                                                          the guidance is limited to products for                   FDA received a number of comments
                                                  the Design of Early-Phase Clinical Trials               which the Office of Cellular, Tissue, and
                                                  of Cellular and Gene Therapy Products;                                                                         on the draft guidance and these
                                                                                                          Gene Therapies/Center for Biologics                    comments were considered as the
                                                  Guidance for Industry.’’ The guidance                   Evaluation and Research/FDA has
                                                  document is to assist sponsors and                                                                             guidance was finalized. In addition,
                                                                                                          regulatory authority. CGT products                     editorial changes were made to improve
                                                  investigators in designing early-phase                  within the scope of the guidance meet
                                                  clinical trials for cellular therapy (CT)                                                                      clarity. The guidance announced in this
                                                                                                          the definition of ‘‘biological product’’ in            notice finalizes the draft guidance of the
                                                  and gene therapy (GT) products                          section 351(i) of the Public Health
                                                  (referred to collectively as CGT                                                                               same title dated July 2013.
                                                                                                          Service (PHS) Act (42 U.S.C. 262(i)) and                  The guidance is being issued
                                                  products). The guidance document                        include CT and GT products that are                    consistent with FDA’s good guidance
                                                  provides recommendations regarding                      used as therapeutic vaccines. The                      practices regulation (21 CFR 10.115).
                                                  clinical trials in which the primary                    guidance does not apply to those human                 The guidance represents FDA’s current
                                                  objectives are the initial assessments of               cells, tissues, and cellular- and tissue-              thinking on considerations for the
                                                  safety, tolerability, or feasibility of                 based products (HCT/Ps) regulated                      design of early-phase clinical trials of
                                                  administration of investigational                       solely under section 361 of the PHS Act                cellular and gene therapy products. It
                                                  products. The guidance announced in                     (42 U.S.C. 264), or to products regulated              does not create or confer any rights for
                                                  this notice finalizes the draft guidance                as medical devices under the Federal                   or on any person and does not operate
                                                  of the same title dated July 2013.                      Food, Drug, and Cosmetic Act, or to the                to bind FDA or the public. An
                                                  DATES: Submit either electronic or
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                                                                                                          therapeutic biological products for                    alternative approach may be used if
                                                  written comments on Agency guidances                    which the Center for Drug Evaluation                   such approach satisfies the
                                                  at any time.                                            and Research has regulatory                            requirements of the applicable statutes
                                                  ADDRESSES: Submit written requests for                  responsibility.                                        and regulations.
                                                  single copies of the guidance to the                       The design of early-phase clinical
                                                  Office of Communication, Outreach, and                  trials of CGT products often differs from              II. Paperwork Reduction Act of 1995
                                                  Development, Center for Biologics                       the design of clinical trials for other                   This guidance refers to previously
                                                  Evaluation and Research (CBER), Food                    types of pharmaceutical products.                      approved collections of information


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                                                  33272                                Federal Register / Vol. 80, No. 112 / Thursday, June 11, 2015 / Notices

                                                  found in FDA regulations. These                                    DEPARTMENT OF HEALTH AND                                           Authority: Section 330 of the Public Health
                                                  collections of information are subject to                          HUMAN SERVICES                                                   Service Act, as amended (42 U.S.C. 254b, as
                                                  review by the Office of Management and                                                                                              amended).
                                                  Budget (OMB) under the Paperwork                                   Health Resources and Services
                                                                                                                     Administration                                                      Justification: Targeting the nation’s
                                                  Reduction Act of 1995 (44 U.S.C. 3501–                                                                                              neediest populations and geographic
                                                  3520). The collections of information in                           Health Center Program                                            areas, the Health Center Program
                                                  21 CFR part 312 have been approved                                                                                                  currently funds nearly 1,300 health
                                                  under OMB control number 0910–0014.                                AGENCY: Health Resources and Services                            centers that operate approximately
                                                                                                                     Administration, HHS.                                             9,000 service delivery sites in every
                                                  III. Comments                                                      ACTION: Notice of class deviation from                           state, the District of Columbia, Puerto
                                                     Interested persons may submit either                            competition requirements for the Health                          Rico, the Virgin Islands, and the Pacific
                                                  electronic comments regarding this                                 Center Program.                                                  Basin. In 2013, more than 21 million
                                                  document to http://www.regulations.gov                             SUMMARY:   In accordance with the                                patients, including medically
                                                  or written comments to the Division of                             Awarding Agency Grants                                           underserved and uninsured patients,
                                                  Dockets Management (see ADDRESSES). It                             Administration Manual (AAGAM)                                    received comprehensive, culturally
                                                  is only necessary to send one set of                               Chapter 2.04.103, the Bureau of Primary                          competent, quality primary health care
                                                  comments. Identify comments with the                               Health Care (BPHC) has been granted a                            services through the Health Center
                                                  docket number found in brackets in the                             class deviation from the exceptions to                           Program awardees. Due to the vast size
                                                  heading of this document. Received                                 maximum competition requirements                                 of the Health Center Program, the active
                                                                                                                     contained in the AAGAM Chapter                                   grants are distributed across eight
                                                  comments may be seen in the Division
                                                                                                                     2.04.104A–5 to provide additional                                budget periods that begin on the first of
                                                  of Dockets Management between 9 a.m.
                                                                                                                     funding without competition to the 115                           the month, November through June.
                                                  and 4 p.m., Monday through Friday, and
                                                  will be posted to the docket at http://                            Health Center Program awardees whose                                BPHC uses the information awardees
                                                  www.regulations.gov.                                               budget period ends October 31, 2015,                             report annually via the Uniform Data
                                                                                                                     for up to 4 months. The extension                                System (UDS) to objectively determine
                                                  IV. Electronic Access                                              allows BPHC to eliminate the November                            the patient and service area
                                                                                                                     1 budget period start date by                                    requirements that new and continuing
                                                    Persons with access to the Internet                              redistributing these grants to established                       applications must address. The
                                                  may obtain the guidance at either                                  starting dates later in the fiscal year,                         requirements are available for applicant
                                                  http://www.fda.gov/                                                thereby allowing awardees comparable                             use in June. The deviation allows BPHC
                                                  BiologicsBloodVaccines/                                            opportunity to prepare and submit                                to redistribute the awardees with
                                                  GuidanceCompliance                                                 applications while allowing BPHC to                              November 1 start dates to budget period
                                                  RegulatoryInformation/Guidances/                                   remain compliant with internal process                           start dates later in the fiscal year, thus
                                                  default.htm or http://                                             timelines.                                                       allowing these awardees comparable
                                                  www.regulations.gov.                                               SUPPLEMENTARY INFORMATION:                                       opportunity to prepare and submit
                                                    Dated: June 5, 2015.                                               Intended Recipient of the Award:                               applications while allowing BPHC to
                                                                                                                     Health Center Program awardees with a                            remain compliant with internal process
                                                  Leslie Kux,
                                                                                                                     project period end date of October 31,                           timelines. By September 15, 2015,
                                                  Associate Commissioner for Policy.                                 2015.                                                            $44,481,501 will be awarded to these
                                                  [FR Doc. 2015–14261 Filed 6–10–15; 8:45 am]                          Amount of Non-Competitive Awards:                              115 awardees to continue approved
                                                  BILLING CODE 4164–01–P                                             $44,481,501.                                                     activities for up to 4 months. Awardees
                                                                                                                       Period of Supplemental Funding:                                will report progress and financial
                                                                                                                     November 1, 2015, to a maximum of                                obligations made during their budget
                                                                                                                     February 28, 2016.                                               period extension through routine
                                                                                                                        CFDA Number: 93.224.                                          reports.

                                                                                                                           TABLE 1—RECIPIENT AWARDEES
                                                                                                                                                                                                 New budget
                                                            Grant No.                                                          Name                                           State                                              Award amount
                                                                                                                                                                                                 period start

                                                  H80CS00001       .......................   CITY OF SPRINGFIELD ...................................................          MA      February ..............................        $333,353
                                                  H80CS00002       .......................   CITY OF MANCHESTER .................................................             NH      March ..................................        224,147
                                                  H80CS00003       .......................   COMMUNITY HEALTHLINK, INC ....................................                   MA      March ..................................        316,608
                                                  H80CS00006       .......................   BOSTON HEALTH CARE FOR THE HOMELESS PRO-                                         MA      January ................................        505,654
                                                                                               GRAM, INC., THE.
                                                  H80CS00007       .......................   CARE FOR THE HOMELESS ..........................................                 NY      January ................................        734,361
                                                  H80CS00008       .......................   MUNICIPALITY OF SAN JUAN ........................................                PR      March ..................................        226,508
                                                  H80CS00009       .......................   CITY OF NEWARK, NEW JERSEY, INC .........................                        NJ      January ................................        411,022
                                                  H80CS00011       .......................   MONTEFIORE MEDICAL CENTER .................................                      NY      January ................................        401,335
                                                  H80CS00013       .......................   UNDER 21, INC ................................................................   NY      March ..................................        209,692
                                                  H80CS00016       .......................   PUBLIC HEALTH MANAGEMENT CORPORATION .......                                     PA      January ................................        710,886
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                                                  H80CS00017       .......................   HEALTH CARE FOR THE HOMELESS, INC ..................                             MD      January ................................        606,970
                                                  H80CS00018       .......................   DAILY PLANET, INC ........................................................       VA      February ..............................         490,501
                                                  H80CS00019       .......................   NORTH BROWARD HOSPITAL DISTRICT .....................                            FL      February ..............................         437,971
                                                  H80CS00020       .......................   BIRMINGHAM HEALTH CARE, INC ................................                     AL      January ................................        713,355
                                                  H80CS00022       .......................   SAINT JOSEPHS MERCY CARE SVCS .........................                          GA      January ................................        614,459
                                                  H80CS00023       .......................   COUNTY OF HAMILTON .................................................             TN      March ..................................        364,024
                                                  H80CS00024       .......................   COUNTY OF PINELLAS ..................................................            FL      March ..................................        193,752
                                                  H80CS00026       .......................   CAMILLUS HEALTH CONCERN, INC .............................                       FL      January ................................        515,685



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Document Created: 2015-12-15 15:07:29
Document Modified: 2015-12-15 15:07:29
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.
ContactValerie Butler, 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 33271 

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