80_FR_38823 80 FR 38694 - Qualification of Biomarker-Plasma Fibrinogen in Studies Examining Exacerbations and/or All-Cause Mortality for Patients With Chronic Obstructive Pulmonary Disease; Draft Guidance for Industry; Availability

80 FR 38694 - Qualification of Biomarker-Plasma Fibrinogen in Studies Examining Exacerbations and/or All-Cause Mortality for Patients With Chronic Obstructive Pulmonary Disease; Draft Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 129 (July 7, 2015)

Page Range38694-38695
FR Document2015-16563

The Food and Drug Administration (FDA or Agency) is announcing the availability of a draft guidance for industry entitled ``Qualification of Biomarker--Plasma Fibrinogen in Studies Examining Exacerbations and/or All-Cause Mortality in Patients With Chronic Obstructive Pulmonary Disease.'' This draft guidance provides a qualified context of use (COU) for plasma fibrinogen in interventional clinical trials of chronic obstructive pulmonary disease (COPD) subjects at high risk for exacerbations and/or all-cause mortality. This draft guidance also describes the experimental conditions and constraints for which this biomarker is qualified through the Center for Drug Evaluation and Research (CDER) Biomarker Qualification Program. This biomarker can be used by drug developers for the qualified COU in submissions of investigational new drug applications (INDs), new drug applications (NDAs), and biologics license applications (BLAs) without the relevant CDER review group reconsidering and reconfirming the suitability of the biomarker. In the Federal Register of January 7, 2014, FDA announced the availability of a final guidance for industry entitled ``Qualification Process for Drug Development Tools'' that described the process that would be used to qualify drug development tools (DDTs) and to make new DDT qualification recommendations available on FDA's Web site. The qualification recommendations in this draft guidance were developed using the process described in that guidance.

Federal Register, Volume 80 Issue 129 (Tuesday, July 7, 2015)
[Federal Register Volume 80, Number 129 (Tuesday, July 7, 2015)]
[Notices]
[Pages 38694-38695]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-16563]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2015-D-2244


Qualification of Biomarker--Plasma Fibrinogen in Studies 
Examining Exacerbations and/or All-Cause Mortality for Patients With 
Chronic Obstructive Pulmonary Disease; Draft 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 draft guidance for industry entitled 
``Qualification of Biomarker--Plasma Fibrinogen in Studies Examining 
Exacerbations and/or All-Cause Mortality in Patients With Chronic 
Obstructive Pulmonary Disease.'' This draft guidance provides a 
qualified context of use (COU) for plasma fibrinogen in interventional 
clinical trials of chronic obstructive pulmonary disease (COPD) 
subjects at high risk for exacerbations and/or all-cause mortality. 
This draft guidance also describes the experimental conditions

[[Page 38695]]

and constraints for which this biomarker is qualified through the 
Center for Drug Evaluation and Research (CDER) Biomarker Qualification 
Program. This biomarker can be used by drug developers for the 
qualified COU in submissions of investigational new drug applications 
(INDs), new drug applications (NDAs), and biologics license 
applications (BLAs) without the relevant CDER review group 
reconsidering and reconfirming the suitability of the biomarker.
    In the Federal Register of January 7, 2014, FDA announced the 
availability of a final guidance for industry entitled ``Qualification 
Process for Drug Development Tools'' that described the process that 
would be used to qualify drug development tools (DDTs) and to make new 
DDT qualification recommendations available on FDA's Web site. The 
qualification recommendations in this draft guidance were developed 
using the process described in that guidance.

DATES: Although you can comment on any guidance at any time (see 21 CFR 
10.115(g)(5)), to ensure that the Agency considers your comment on this 
draft guidance before it begins work on the final version of the 
guidance, submit either electronic or written comments on the draft 
guidance by September 8, 2015.

ADDRESSES: Submit written requests for single copies of the draft 
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. Send one self-addressed adhesive label to assist that 
office in processing your requests. See the SUPPLEMENTARY INFORMATION 
section for electronic access to the draft guidance document.
    Submit electronic comments on the draft 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: Marianne Noone, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 21, Rm. 4528, Silver Spring, MD 20993-0002, 301-
796-2600.

SUPPLEMENTARY INFORMATION: 

I. Background

    FDA is announcing the availability of a draft guidance for industry 
entitled ``Qualification of Biomarker--Plasma Fibrinogen in Studies 
Examining Exacerbations and/or All-Cause Mortality for Chronic 
Obstructive Pulmonary Disease.'' This draft guidance provides 
qualification recommendations for the use of plasma fibrinogen, 
measured at baseline, as a prognostic biomarker to enrich clinical 
trial populations of COPD subjects at high risk for exacerbations and/
or all-cause mortality for inclusion in interventional clinical trials. 
This biomarker should be considered with other subject demographic and 
clinical characteristics, including a prior history of COPD 
exacerbations, as an enrichment factor in these trials.
    Specifically, this draft guidance provides the COU for which this 
biomarker is qualified through the CDER Biomarker Qualification 
Program. Qualification of this biomarker for this specific COU 
represents the conclusion that analytically valid measurements of the 
biomarker can be relied on to have a specific use and interpretable 
meaning. This biomarker can be used by drug developers for the 
qualified COU in submission of IND applications, NDAs, and BLAs without 
the relevant CDER review group reconsidering and reconfirming the 
suitability of the biomarker. ``Qualification'' means that the use of 
this biomarker in the specific COU is not limited to a single, specific 
drug development program. Making the qualification recommendations 
widely known and available for use by drug developers will contribute 
to drug innovation, thus supporting public health.
    As stated previously, in the Federal Register of January 7, 2014 
(79 FR 831), FDA announced the availability of a final guidance for 
industry entitled ``Qualification Process for Drug Development Tools'' 
that described the process that would be used to qualify DDTs and to 
make new DDT qualification recommendations available on FDA's Web site 
at http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/default.htm. The current draft guidance is an attachment to 
that final guidance.
    CDER has initiated this formal qualification process to work with 
developers of these biomarker DDTs to guide them as they refine and 
evaluate DDTs for use in the regulatory context. Once qualified, DDTs 
will be publicly available for use in any drug development program for 
the qualified COU. As described in the January 2014 guidance, biomarker 
DDTs should be developed and reviewed using this process. For more 
information on FDA's DDTs Qualification Programs, refer to the 
following Web site: http://www.fda.gov/Drugs/DevelopmentApprovalProcess/DrugDevelopmentToolsQualificationProgram/default.htm.
    This draft guidance is being issued consistent with FDA's good 
guidance practices regulation (21 CFR 10.115). The draft guidance, when 
finalized, will represent the Agency's current thinking on the use of 
plasma fibrinogen as an enrichment biomarker in interventional clinical 
trials of COPD patients. 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 contains an information collection that is 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 information collection 
has been approved under the OMB control numbers 0910-0001 and 0910-
0014. The information requested in this guidance is currently submitted 
to FDA to support medical product effectiveness (see 21 CFR 312.30, 21 
CFR 314.50(d)(5), and 21 CFR 314.126(b)(6)).

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 
either http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/default.htm or http://www.regulations.gov.

    Dated: June 30, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-16563 Filed 7-6-15; 8:45 am]
BILLING CODE 4164-01-P



                                              38694                            Federal Register / Vol. 80, No. 129 / Tuesday, July 7, 2015 / Notices

                                              Assistance Programs (SHIPs), Area                        patterned after the statutory formula                 Programs, is not applicable to these
                                              Agencies on Aging (AAAs), and Aging                      used for SHIPs and AAAs.                              grant applications.
                                              and Disability Resource Center
                                                                                                       2. Anticipated Total Priority Area                    IV. Submission Information
                                              programs (ADRCs), to inform Medicare
                                                                                                       Funding per Budget Period
                                              beneficiaries about available Federal                                                                          1. Application Kits
                                              and State benefits. ACL seeks plans                         ACL intends to make available, under
                                                                                                       this program announcement, grant                         Application kits/Program Instructions
                                              from states that will describe how the                                                                         are available at www.grantsolutions.gov.
                                              MIPPA funds will be used for                             awards for the three MIPPA priority
                                                                                                       areas. Funding will be distributed                    Instructions for completing the
                                              beneficiary outreach and education over                                                                        application kit will be available on the
                                              the next two years.                                      through a formula as identified in
                                                                                                       statute. The amounts allocated are based              site.
                                                 ACL requests that states submit a two
                                              year state plan with specific project                    upon factors defined in statute and will              2. Submission Dates and Times
                                                                                                       be distributed to each priority area
                                              strategies to expand, extend, or enhance                                                                         To receive consideration, applications
                                                                                                       based on the formula. ACL will fund
                                              the outreach efforts to beneficiaries on                                                                       must be submitted by 11:59 p.m. Eastern
                                                                                                       total project periods of up to two (2)
                                              Medicare Part D and for those with                                                                             time on August 31, 2015, through
                                                                                                       years contingent upon availability of
                                              limited incomes. States should describe                                                                        www.GrantSolutions.gov.
                                                                                                       federal funds.
                                              how the SHIP, AAA, and ADRC efforts                         Priority Area 1—SHIP: $7.5 million in
                                              will be coordinated to provide outreach                                                                        VII. Agency Contacts
                                                                                                       FY 15 and potentially $13 million in FY
                                              to beneficiaries with limited incomes                    16 for state agencies that administer the               Direct inquiries regarding
                                              statewide, for general Medicare Part D                   SHIP Program.                                         programmatic issues to U.S. Department
                                              outreach and assistance to beneficiaries                    Priority Area 2—AAA: $7.5 million in               of Health and Human Services,
                                              in rural areas, and for outreach activities              FY 15 and potentially $7.5 million in                 Administration on Aging, Office of
                                              aimed at Medicare prevention and                         FY 16 for SUAs for Area Agencies on                   Healthcare Information and Counseling,
                                              wellness benefits as well as the                         Aging and for Native American                         Washington, DC 20201, attention:
                                              improvements in the Part D program                       programs. Funding for Native American                 Katherine Glendening or by calling 202–
                                              under the Affordable Care Act as                         Programs ($264,000) is deducted from                  357–3859, or by email
                                              mandated by Section 3306 of the Act.                     Priority 2 and is being allocated through             Katherine.Glendening@acl.hhs.gov.
                                              States that are eligible to apply are                    a separate process.                                     Dated: June 29, 2015.
                                              asked to review previous MIPPA plans                        Priority Area 3—ADRC: $5 million in                Kathy Greenlee,
                                              and update these plans to reflect                        FY 2015 and potentially $5 million in                 Administrator and Administration on Aging.
                                              successes achieved to date and direct                    FY 16 for state agencies that administer              [FR Doc. 2015–16509 Filed 7–6–15; 8:45 am]
                                              their efforts to enhance and expand                      ADRC programs that were established
                                                                                                                                                             BILLING CODE 4154–01–P
                                              their MIPPA outreach activities. State                   prior to March 2014.
                                              agencies may prepare either one
                                              statewide plan or separate plans for                     III. Eligibility Criteria and Other
                                                                                                       Requirements                                          DEPARTMENT OF HEALTH AND
                                              each eligible State agency.
                                                                                                                                                             HUMAN SERVICES
                                              II. Award Information                                    1. Eligible Applicants MIPPA Priority
                                                                                                       Areas 1, 2 and 3                                      Food and Drug Administration
                                              1. Funding Instrument Type                                  Awards made under this                             [Docket No. FDA–2015–D–2244
                                                 These awards will be made in the                      announcement, by statute, will be made
                                              form of grants to State Agencies for each                only to agencies of State Governments.                Qualification of Biomarker—Plasma
                                              MIPPA Priority Area.                                        Priority Area 1: Only existing SHIP                Fibrinogen in Studies Examining
                                                 Priority Area 1—Grants to State                       grant recipients are eligible to apply.               Exacerbations and/or All-Cause
                                                                                                          Priority Area 2: Only State Units on               Mortality for Patients With Chronic
                                              Agencies (the State Unit on Aging or the
                                                                                                       Aging are eligible to apply.                          Obstructive Pulmonary Disease; Draft
                                              State Department of Insurance) that                         Priority Area 3: Only State Agencies
                                              administer the State Health Insurance                                                                          Guidance for Industry; Availability
                                                                                                       that received an ACL and CMS Aging
                                              Assistance Programs to provide                           and Disability Resource Center (ADRC)                 AGENCY:    Food and Drug Administration,
                                              enhanced outreach to eligible Medicare                   grant where the ADRC was established                  HHS.
                                              beneficiaries regarding their benefits                   by March, 2015 are eligible in FY 2015.
                                              and enhanced outreach to individuals                                                                           ACTION:   Notice.
                                                                                                          Eligibility may change if future
                                              who may be eligible for the LIS or for                   funding is available.                                 SUMMARY:    The Food and Drug
                                              the MSP.                                                                                                       Administration (FDA or Agency) is
                                                 Priority Area 2—Grants to State Units                 2. Cost Sharing or Matching Is Not
                                                                                                                                                             announcing the availability of a draft
                                              on Aging for AAAs to provide enhanced                    Required.
                                                                                                                                                             guidance for industry entitled
                                              outreach to eligible Medicare                            3. DUNS Number                                        ‘‘Qualification of Biomarker—Plasma
                                              beneficiaries regarding their benefits                      All grant applicants must obtain and               Fibrinogen in Studies Examining
                                              and enhanced outreach to individuals                     keep current a D–U–N–S number from                    Exacerbations and/or All-Cause
                                              who may be eligible for the LIS, MSP,                    Dun and Bradstreet. It is a nine-digit                Mortality in Patients With Chronic
                                              Medicare Part D and Part D in rural                      identification number, which provides                 Obstructive Pulmonary Disease.’’ This
                                              areas.                                                   unique identifiers of single business                 draft guidance provides a qualified
tkelley on DSK3SPTVN1PROD with NOTICES




                                                 Priority Area 3—Grants to State Units                 entities. The D–U–N–S number can be                   context of use (COU) for plasma
                                              on Aging that administer the Aging and                   obtained from: https://iupdate.dnb.com/               fibrinogen in interventional clinical
                                              Disability Resource Centers to provide                   iUpdate/viewiUpdateHome.htm.                          trials of chronic obstructive pulmonary
                                              outreach to individuals regarding the                                                                          disease (COPD) subjects at high risk for
                                              benefits available under Medicare Part D                 4. Intergovernmental Review                           exacerbations and/or all-cause
                                              and under the MSP. Funds will be                            Executive Order 12372,                             mortality. This draft guidance also
                                              allocated to ADRCs via a formula                         Intergovernmental Review of Federal                   describes the experimental conditions


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                                                                               Federal Register / Vol. 80, No. 129 / Tuesday, July 7, 2015 / Notices                                                 38695

                                              and constraints for which this                           Exacerbations and/or All-Cause                        www.fda.gov/Drugs/Development
                                              biomarker is qualified through the                       Mortality for Chronic Obstructive                     ApprovalProcess/
                                              Center for Drug Evaluation and Research                  Pulmonary Disease.’’ This draft                       DrugDevelopmentToolsQualification
                                              (CDER) Biomarker Qualification                           guidance provides qualification                       Program/default.htm.
                                              Program. This biomarker can be used by                   recommendations for the use of plasma
                                                                                                                                                                This draft guidance is being issued
                                              drug developers for the qualified COU                    fibrinogen, measured at baseline, as a
                                                                                                                                                             consistent with FDA’s good guidance
                                              in submissions of investigational new                    prognostic biomarker to enrich clinical
                                                                                                       trial populations of COPD subjects at                 practices regulation (21 CFR 10.115).
                                              drug applications (INDs), new drug
                                              applications (NDAs), and biologics                       high risk for exacerbations and/or all-               The draft guidance, when finalized, will
                                              license applications (BLAs) without the                  cause mortality for inclusion in                      represent the Agency’s current thinking
                                              relevant CDER review group                               interventional clinical trials. This                  on the use of plasma fibrinogen as an
                                              reconsidering and reconfirming the                       biomarker should be considered with                   enrichment biomarker in interventional
                                              suitability of the biomarker.                            other subject demographic and clinical                clinical trials of COPD patients. It does
                                                 In the Federal Register of January 7,                 characteristics, including a prior history            not establish any rights for any person
                                              2014, FDA announced the availability of                  of COPD exacerbations, as an                          and is not binding on FDA or the public.
                                              a final guidance for industry entitled                   enrichment factor in these trials.                    You can use an alternative approach if
                                              ‘‘Qualification Process for Drug                            Specifically, this draft guidance                  it satisfies the requirements of the
                                              Development Tools’’ that described the                   provides the COU for which this                       applicable statutes and regulations.
                                              process that would be used to qualify                    biomarker is qualified through the CDER
                                              drug development tools (DDTs) and to                     Biomarker Qualification Program.                      II. The Paperwork Reduction Act of
                                              make new DDT qualification                               Qualification of this biomarker for this              1995
                                              recommendations available on FDA’s                       specific COU represents the conclusion
                                                                                                                                                                This guidance contains an
                                              Web site. The qualification                              that analytically valid measurements of
                                                                                                       the biomarker can be relied on to have                information collection that is subject to
                                              recommendations in this draft guidance                                                                         review by the Office of Management and
                                              were developed using the process                         a specific use and interpretable
                                                                                                       meaning. This biomarker can be used by                Budget (OMB) under the Paperwork
                                              described in that guidance.
                                                                                                       drug developers for the qualified COU                 Reduction Act of 1995 (44 U.S.C. 3501–
                                              DATES: Although you can comment on
                                                                                                       in submission of IND applications,                    3520). The information collection has
                                              any guidance at any time (see 21 CFR                                                                           been approved under the OMB control
                                              10.115(g)(5)), to ensure that the Agency                 NDAs, and BLAs without the relevant
                                                                                                       CDER review group reconsidering and                   numbers 0910–0001 and 0910–0014.
                                              considers your comment on this draft
                                                                                                       reconfirming the suitability of the                   The information requested in this
                                              guidance before it begins work on the
                                              final version of the guidance, submit                    biomarker. ‘‘Qualification’’ means that               guidance is currently submitted to FDA
                                              either electronic or written comments                    the use of this biomarker in the specific             to support medical product
                                              on the draft guidance by September 8,                    COU is not limited to a single, specific              effectiveness (see 21 CFR 312.30, 21
                                                                                                       drug development program. Making the                  CFR 314.50(d)(5), and 21 CFR
                                              2015.
                                                                                                       qualification recommendations widely                  314.126(b)(6)).
                                              ADDRESSES: Submit written requests for
                                                                                                       known and available for use by drug
                                              single copies of the draft guidance to the               developers will contribute to drug                    III. Comments
                                              Division of Drug Information, Center for                 innovation, thus supporting public
                                              Drug Evaluation and Research, Food                                                                                Interested persons may submit either
                                                                                                       health.
                                              and Drug Administration, 10001 New                          As stated previously, in the Federal               electronic comments regarding this
                                              Hampshire Ave., Hillandale Building,                     Register of January 7, 2014 (79 FR 831),              document to http://www.regulations.gov
                                              4th Floor, Silver Spring, MD 20993–                      FDA announced the availability of a                   or written comments to the Division of
                                              0002. Send one self-addressed adhesive                   final guidance for industry entitled                  Dockets Management (see ADDRESSES).
                                              label to assist that office in processing                ‘‘Qualification Process for Drug                      It is only necessary to send one set of
                                              your requests. See the SUPPLEMENTARY                     Development Tools’’ that described the                comments. Identify comments with the
                                              INFORMATION section for electronic                       process that would be used to qualify                 docket number found in brackets in the
                                              access to the draft guidance document.                   DDTs and to make new DDT                              heading of this document. Received
                                                 Submit electronic comments on the                     qualification recommendations                         comments may be seen in the Division
                                              draft guidance to http://                                available on FDA’s Web site at http://                of Dockets Management between 9 a.m.
                                              www.regulations.gov. Submit written                      www.fda.gov/Drugs/                                    and 4 p.m., Monday through Friday, and
                                              comments to the Division of Dockets                      GuidanceCompliance                                    will be posted to the docket at http://
                                              Management (HFA–305), Food and Drug                      RegulatoryInformation/Guidances/                      www.regulations.gov.
                                              Administration, 5630 Fishers Lane, Rm.                   default.htm. The current draft guidance
                                              1061, Rockville, MD 20852.                               is an attachment to that final guidance.              IV. Electronic Access
                                              FOR FURTHER INFORMATION CONTACT:                            CDER has initiated this formal
                                              Marianne Noone, Center for Drug                          qualification process to work with                      Persons with access to the Internet
                                              Evaluation and Research, Food and                        developers of these biomarker DDTs to                 may obtain the document at either
                                              Drug Administration, 10903 New                           guide them as they refine and evaluate                http://www.fda.gov/Drugs/
                                              Hampshire Ave., Bldg. 21, Rm. 4528,                      DDTs for use in the regulatory context.               GuidanceComplianceRegulatory
                                              Silver Spring, MD 20993–0002, 301–                       Once qualified, DDTs will be publicly                 Information/Guidances/default.htm or
                                              796–2600.                                                available for use in any drug                         http://www.regulations.gov.
tkelley on DSK3SPTVN1PROD with NOTICES




                                              SUPPLEMENTARY INFORMATION:                               development program for the qualified                   Dated: June 30, 2015.
                                                                                                       COU. As described in the January 2014
                                              I. Background                                                                                                  Leslie Kux,
                                                                                                       guidance, biomarker DDTs should be
                                                 FDA is announcing the availability of                 developed and reviewed using this                     Associate Commissioner for Policy.
                                              a draft guidance for industry entitled                   process. For more information on FDA’s                [FR Doc. 2015–16563 Filed 7–6–15; 8:45 am]
                                              ‘‘Qualification of Biomarker—Plasma                      DDTs Qualification Programs, refer to                 BILLING CODE 4164–01–P
                                              Fibrinogen in Studies Examining                          the following Web site: http://


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Document Created: 2015-12-15 13:27:49
Document Modified: 2015-12-15 13:27:49
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.
DatesAlthough you can comment on any guidance at any time (see 21 CFR 10.115(g)(5)), to ensure that the Agency considers your comment on this draft guidance before it begins work on the final version of the guidance, submit either electronic or written comments on the draft guidance by September 8, 2015.
ContactMarianne Noone, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 21, Rm. 4528, Silver Spring, MD 20993-0002, 301- 796-2600.
FR Citation80 FR 38694 

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