80_FR_49398 80 FR 49240 - Botanical Drug Development; Draft Guidance for Industry; Availability

80 FR 49240 - Botanical Drug Development; Draft Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 158 (August 17, 2015)

Page Range49240-49242
FR Document2015-20230

The Food and Drug Administration (FDA) is announcing the availability of a draft guidance for industry entitled ``Botanical Drug Development.'' This guidance describes FDA's current thinking on appropriate development plans for botanical drugs to be submitted in new drug applications (NDAs) and specific recommendations on submitting investigational new drug applications (INDs) in support of future NDA submissions for botanical drugs. In addition, this guidance provides general information on the over-the-counter (OTC) drug monograph system for botanical drugs. Although this guidance does not intend to provide recommendations specific to botanical drugs to be marketed under biologics license applications (BLAs), many scientific principles described in this guidance may also apply to these products. This draft guidance revises the guidance for industry entitled ``Botanical Drug Products'' issued in June 2004.

Federal Register, Volume 80 Issue 158 (Monday, August 17, 2015)
[Federal Register Volume 80, Number 158 (Monday, August 17, 2015)]
[Notices]
[Pages 49240-49242]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-20230]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2000-D-0103]


Botanical Drug Development; Draft Guidance for Industry; 
Availability

AGENCY: Food and Drug Administration, HHS.

[[Page 49241]]


ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA) is announcing the 
availability of a draft guidance for industry entitled ``Botanical Drug 
Development.'' This guidance describes FDA's current thinking on 
appropriate development plans for botanical drugs to be submitted in 
new drug applications (NDAs) and specific recommendations on submitting 
investigational new drug applications (INDs) in support of future NDA 
submissions for botanical drugs. In addition, this guidance provides 
general information on the over-the-counter (OTC) drug monograph system 
for botanical drugs. Although this guidance does not intend to provide 
recommendations specific to botanical drugs to be marketed under 
biologics license applications (BLAs), many scientific principles 
described in this guidance may also apply to these products. This draft 
guidance revises the guidance for industry entitled ``Botanical Drug 
Products'' issued in June 2004.

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 October 16, 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: Sau L. Lee, Center for Drug Evaluation 
and Research, Food and Drug Administration, 10903 New Hampshire Ave., 
Bldg. 51, Rm. 4144, Silver Spring, MD 20993-0002, 301-796-2905, 
Sau.Lee@fda.hhs.gov.

SUPPLEMENTARY INFORMATION: 

I. Background

    FDA is announcing the availability of a draft guidance for industry 
entitled ``Botanical Drug Development.'' This guidance describes the 
Center for Drug Evaluation and Research's current thinking on 
appropriate development plans for botanical drugs to be submitted in 
NDAs and specific recommendations on submitting INDs in support of 
future NDA submissions for botanical drugs. In addition, this guidance 
provides general information on the OTC drug monograph system for 
botanical drugs. Although this guidance does not intend to provide 
recommendations specific to botanical drugs to be marketed under BLAs, 
many scientific principles described in this guidance may also apply to 
these products.
    This guidance specifically discusses several areas in which, due to 
the unique nature of botanical drugs, the Agency finds it appropriate 
to apply regulatory policies that differ from those applied to 
nonbotanical drugs, such as synthetic, semi-synthetic, or otherwise 
highly purified or chemically modified drugs, including antibiotics 
derived from microorganisms. Because this guidance focuses on 
considerations unique to botanical drugs, policies and recommendations 
applicable to both botanical and nonbotanical drugs are generally not 
covered in this document.
    This guidance revises the final guidance for industry entitled 
``Botanical Drug Products'' issued in June 2004. The general approach 
to botanical drug development has remained unchanged since that time; 
however, based on improved understanding of botanical drugs and 
experience acquired in the reviews of NDAs and INDs for these drugs, 
specific recommendations have been modified and new sections have been 
added to better address late-phase development and NDA submission for 
botanical drugs.
    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 botanical 
drug development. 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. 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.

III. The Paperwork Reduction Act of 1995

    This guidance refers to previously approved collections of 
information 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 
guidance explains the circumstances under which FDA regulations require 
approval of an NDA for marketing a botanical drug product and when such 
a product may be marketed under an OTC drug monograph. The regulations 
governing the preparation and submission of an NDA are in part 314 (21 
CFR part 314), and the guidance does not contain any recommendations 
that exceed the requirements of these regulations. FDA has estimated 
the information collection requirements resulting from the preparation 
and submission of an NDA, and OMB has approved the burden under OMB 
control number 0910-0001. FDA anticipates that any NDAs submitted for 
botanical drug products would be included under the burden estimates 
approved by OMB for part 314.
    The regulations on the procedures for classifying OTC drugs as 
generally recognized as safe and effective and not misbranded, and for 
establishing OTC drug monographs, are set forth in Sec.  330.10 (21 CFR 
330.10). FDA believes that any botanical drug products that may be 
eligible for inclusion in an OTC drug monograph under current Sec.  
330.10 have already been or presently are being considered for such 
inclusion.
    The guidance also provides scientific and regulatory guidance to 
sponsors on conducting clinical investigations of botanical drugs. The 
regulations governing the preparation and submission of INDs are in 
part 312 (21 CFR part 312). The guidance does not contain any 
recommendations that exceed the requirements in those regulations. FDA 
has estimated the information collection requirements resulting from 
the preparation and submission of an IND under part 312, and OMB has 
approved the reporting and recordkeeping burden under OMB control 
number 0910-0014.

[[Page 49242]]

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: August 12, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-20230 Filed 8-14-15; 8:45 am]
 BILLING CODE 4164-01-P



                                                  49240                        Federal Register / Vol. 80, No. 158 / Monday, August 17, 2015 / Notices

                                                  administers or that has the authority to                small size, use this information to                   pertinent personally identifiable
                                                  investigate potential fraud, waste or                   deduce the identity of the beneficiary).              information (encrypted and properly
                                                  abuse in a health benefits program                        Note: Information collected or obtained             transmitted) to be used for retrieval of
                                                  funded in whole or in part by Federal                   under § 1860D–15 (i.e., risk adjustment data          their records (i.e., NPI or Health
                                                  funds, when disclosure is deemed                        used to pay Part D plan sponsors) will be             Insurance Claim Number).
                                                  reasonably necessary by CMS to                          used and disclosed only in accordance with
                                                                                                          the statutory limitations under § 1860D–              RECORD ACCESS PROCEDURE:
                                                  prevent, deter, discover, detect,
                                                  investigate, examine, prosecute, sue                    15(f)(2).                                                Individuals seeking access to records
                                                  with respect to, defend against, correct,                                                                     about them in this system should follow
                                                  remedy, or otherwise combat fraud,                      POLICIES AND PRACTICES FOR STORING,                   the same instructions indicated under
                                                                                                          RETRIEVING, ACCESSING, RETAINING, AND                 ‘‘Notification Procedure’’ and
                                                  waste or abuse in such programs.
                                                                                                          DISPOSING OF RECORDS IN THE SYSTEMSTORAGE:            reasonably specify the record content
                                                     7. To assist Medicare Advantage
                                                                                                            Archived records will be stored on                  being sought. (These procedures are in
                                                  organizations, Part D Sponsors and
                                                                                                          magnetic tapes. Data that is currently in             accordance with Department regulation
                                                  PACE organizations with improving the
                                                                                                          use is stored in the RAPS database.                   45 CFR 5b.5(a)(2)).
                                                  quality of required risk adjustment data
                                                  obtained from the provider that                         RETRIEVABILITY:                                       CONTESTING RECORD PROCEDURES:
                                                  furnished the item or service. CMS will                   Records will be retrieved by National                  Individuals seeking to contest the
                                                  be analyzing the data received and                      Provider Identifier (NPI), beneficiary                content of information about them in
                                                  advising MA organizations, Part D                       provider name, or beneficiary Health                  this system should follow the same
                                                  Sponsors and PACE organizations of                      Insurance Claim Number.                               instructions indicated under
                                                  trends and data analysis results to help                                                                      ‘‘Notification Procedure.’’ The request
                                                  improve the accuracy and completeness                   SAFEGUARDS:
                                                                                                                                                                should: reasonably identify the record
                                                  of data received from the provider.                       Personnel having access to the system
                                                                                                                                                                and specify the information being
                                                     8. To assist appropriate Federal                     have been trained in the Privacy Act
                                                                                                                                                                contested; state the corrective action
                                                  agencies and CMS contractors and                        and information security requirements.
                                                                                                                                                                sought; and provide the reasons for the
                                                  consultants that have a need to know                    Employees who maintain records in this
                                                                                                                                                                correction, with supporting justification.
                                                  the information for the purpose of                      system are instructed not to release data
                                                                                                                                                                (These procedures are in accordance
                                                  assisting CMS’ efforts to respond to a                  until the intended recipient agrees to
                                                                                                                                                                with Department regulation 45 CFR
                                                  suspected or confirmed breach of the                    implement appropriate management,
                                                                                                                                                                5b.7.)
                                                  security or confidentiality of                          operational, and technical safeguards
                                                  information maintained in this system                   sufficient to protect the confidentiality,            RECORD SOURCE CATEGORIES:
                                                  of records, provided that the                           integrity and availability of the                       RASS processes data extracted from
                                                  information disclosed is relevant and                   information and information systems;                  RAPS and RAS IT systems to calculate
                                                  necessary for that assistance.                          and to prevent unauthorized access.                   the risk scores used to adjust payments
                                                                                                          Access to records in the RASS will be                 to Medicare Advantage organizations,
                                                     Note: CMS may disclose information from
                                                  this system of records, without the individual
                                                                                                          limited to CMS personnel and                          Part D plan sponsors and PACE plans.
                                                  record subject’s consent, for any of the                contractors through password security,                RAS receives the most current data for
                                                  following purposes referenced directly in the           encryption, firewalls, and secured                    each Medicare Part C and Part D
                                                  Privacy Act: 5 U.S.C. 552a(b)(1), (3)–(8), and          operating system(s).                                  beneficiary from the following sources:
                                                  (12). CMS must also disclose information                                                                      RAPS, Common Medicare Environment
                                                                                                          RETENTION AND DISPOSAL:
                                                  from this system of records, without the                                                                      (CME) also known as Medicare
                                                  individual record subject’s consent, for any               Records (i.e., enrollee diagnosis data
                                                                                                                                                                Beneficiary Database (MBD/CME), and
                                                  of the following purposes referenced directly           files created in RAPS, and Risk
                                                  in the Privacy Act: 5 U.S.C. 552a(b)(2), and                                                                  National Medicare Utilization Database
                                                                                                          Adjustment Factor (RAF) files created in
                                                  (b)(9)–(11).                                                                                                  (NMUD). RAPS receives risk adjustment
                                                                                                          RAS) will be maintained for a period of
                                                                                                                                                                data from MA organizations and other
                                                                                                          up to 10 years after date of creation. Any
                                                                                                                                                                entities defined above.
                                                  ADDITIONAL PROVISIONS AFFECTING ROUTINE USE             such records that are needed longer,
                                                  DISCLOSURES:                                            such as to resolve claims and audit                   SYSTEMS EXEMPTED FROM CERTAIN PROVISIONS
                                                     This system contains Protected Health                exceptions or to prosecute fraud, will be             OF THE ACT:
                                                  Information (PHI) as defined by HHS                     retained until such matters are resolved.               None.
                                                  regulation ‘‘Standards for Privacy of                   Enrollee claims records are currently
                                                                                                          subject to a document preservation                    Celeste Dade-Vinson,
                                                  Individually Identifiable Health
                                                                                                          order and will be preserved indefinitely              Health Insurance Specialist, Centers for
                                                  Information’’ (45 CFR parts 160 and 164,
                                                                                                          pending further notice from the U.S.                  Medicare & Medicaid Services.
                                                  65 FR 82462 (12–28–00), subparts A and
                                                                                                          Department of Justice (DOJ).                          [FR Doc. 2015–20224 Filed 8–14–15; 8:45 am]
                                                  E). Disclosures of PHI authorized by
                                                                                                                                                                BILLING CODE 4120–03–P
                                                  these routine uses may only be made if,                 SYSTEM MANAGER AND ADDRESS:
                                                  and as, permitted or required by the
                                                                                                            Director, Division of Encounter Data
                                                  ‘‘Standards for Privacy of Individually
                                                                                                          and Risk Adjustment Operations,                       DEPARTMENT OF HEALTH AND
                                                  Identifiable Health Information.’’
                                                                                                          Medicare Plan Payment Group, Center                   HUMAN SERVICES
                                                     In addition, our policy will be to                   for Medicare, CMS, 7500 Security
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                  prohibit release even of data that is not               Boulevard, Baltimore, Maryland 21244–                 Food and Drug Administration
                                                  directly identifiable, except if required               1850.
                                                  by law, if we determine there is a                                                                            [Docket No. FDA–2000–D–0103]
                                                  possibility that an individual can be                   NOTIFICATION PROCEDURE:
                                                                                                                                                                Botanical Drug Development; Draft
                                                  identified through implicit deduction                     Individuals (i.e., the beneficiary or               Guidance for Industry; Availability
                                                  based on small cell sizes (instances                    provider) wishing to know if this system
                                                  where the patient population is so small                contains records about them should                    AGENCY:    Food and Drug Administration,
                                                  that individuals could, because of the                  write to the system manager and include               HHS.


                                             VerDate Sep<11>2014   16:57 Aug 14, 2015   Jkt 235001   PO 00000   Frm 00043   Fmt 4703   Sfmt 4703   E:\FR\FM\17AUN1.SGM   17AUN1


                                                                               Federal Register / Vol. 80, No. 158 / Monday, August 17, 2015 / Notices                                           49241

                                                  ACTION:   Notice.                                       I. Background                                         Dockets Management (see ADDRESSES). It
                                                                                                             FDA is announcing the availability of              is only necessary to send one set of
                                                  SUMMARY:   The Food and Drug                            a draft guidance for industry entitled                comments. Identify comments with the
                                                  Administration (FDA) is announcing the                  ‘‘Botanical Drug Development.’’ This                  docket number found in brackets in the
                                                  availability of a draft guidance for                    guidance describes the Center for Drug                heading of this document. Received
                                                  industry entitled ‘‘Botanical Drug                      Evaluation and Research’s current                     comments may be seen in the Division
                                                  Development.’’ This guidance describes                  thinking on appropriate development                   of Dockets Management between 9 a.m.
                                                  FDA’s current thinking on appropriate                   plans for botanical drugs to be                       and 4 p.m., Monday through Friday, and
                                                  development plans for botanical drugs                                                                         will be posted to the docket at http://
                                                                                                          submitted in NDAs and specific
                                                  to be submitted in new drug                                                                                   www.regulations.gov.
                                                                                                          recommendations on submitting INDs in
                                                  applications (NDAs) and specific                        support of future NDA submissions for                 III. The Paperwork Reduction Act of
                                                  recommendations on submitting                           botanical drugs. In addition, this                    1995
                                                  investigational new drug applications                   guidance provides general information                    This guidance refers to previously
                                                  (INDs) in support of future NDA                         on the OTC drug monograph system for                  approved collections of information
                                                  submissions for botanical drugs. In                     botanical drugs. Although this guidance               found in FDA regulations. These
                                                  addition, this guidance provides general                does not intend to provide                            collections of information are subject to
                                                  information on the over-the-counter                     recommendations specific to botanical                 review by the Office of Management and
                                                  (OTC) drug monograph system for                         drugs to be marketed under BLAs, many                 Budget (OMB) under the Paperwork
                                                  botanical drugs. Although this guidance                 scientific principles described in this               Reduction Act of 1995 (44 U.S.C. 3501–
                                                  does not intend to provide                              guidance may also apply to these                      3520). The guidance explains the
                                                  recommendations specific to botanical                   products.                                             circumstances under which FDA
                                                  drugs to be marketed under biologics                       This guidance specifically discusses               regulations require approval of an NDA
                                                  license applications (BLAs), many                       several areas in which, due to the                    for marketing a botanical drug product
                                                  scientific principles described in this                 unique nature of botanical drugs, the                 and when such a product may be
                                                  guidance may also apply to these                        Agency finds it appropriate to apply                  marketed under an OTC drug
                                                  products. This draft guidance revises                   regulatory policies that differ from those            monograph. The regulations governing
                                                  the guidance for industry entitled                      applied to nonbotanical drugs, such as                the preparation and submission of an
                                                  ‘‘Botanical Drug Products’’ issued in                   synthetic, semi-synthetic, or otherwise               NDA are in part 314 (21 CFR part 314),
                                                  June 2004.                                              highly purified or chemically modified                and the guidance does not contain any
                                                                                                          drugs, including antibiotics derived                  recommendations that exceed the
                                                  DATES:  Although you can comment on                     from microorganisms. Because this
                                                  any guidance at any time (see 21 CFR                                                                          requirements of these regulations. FDA
                                                                                                          guidance focuses on considerations                    has estimated the information collection
                                                  10.115(g)(5)), to ensure that the Agency                unique to botanical drugs, policies and
                                                  considers your comment on this draft                                                                          requirements resulting from the
                                                                                                          recommendations applicable to both                    preparation and submission of an NDA,
                                                  guidance before it begins work on the                   botanical and nonbotanical drugs are                  and OMB has approved the burden
                                                  final version of the guidance, submit                   generally not covered in this document.               under OMB control number 0910–0001.
                                                  either electronic or written comments                      This guidance revises the final                    FDA anticipates that any NDAs
                                                  on the draft guidance by October 16,                    guidance for industry entitled                        submitted for botanical drug products
                                                  2015.                                                   ‘‘Botanical Drug Products’’ issued in                 would be included under the burden
                                                  ADDRESSES:   Submit written requests for                June 2004. The general approach to                    estimates approved by OMB for part
                                                  single copies of the draft guidance to the              botanical drug development has                        314.
                                                  Division of Drug Information, Center for                remained unchanged since that time;                      The regulations on the procedures for
                                                  Drug Evaluation and Research, Food                      however, based on improved                            classifying OTC drugs as generally
                                                  and Drug Administration, 10001 New                      understanding of botanical drugs and                  recognized as safe and effective and not
                                                  Hampshire Ave., Hillandale Building,                    experience acquired in the reviews of                 misbranded, and for establishing OTC
                                                                                                          NDAs and INDs for these drugs, specific               drug monographs, are set forth in
                                                  4th Floor, Silver Spring, MD 20993–
                                                                                                          recommendations have been modified                    § 330.10 (21 CFR 330.10). FDA believes
                                                  0002. Send one self-addressed adhesive
                                                                                                          and new sections have been added to                   that any botanical drug products that
                                                  label to assist that office in processing
                                                                                                          better address late-phase development                 may be eligible for inclusion in an OTC
                                                  your requests. See the SUPPLEMENTARY
                                                                                                          and NDA submission for botanical                      drug monograph under current § 330.10
                                                  INFORMATION section for electronic
                                                                                                          drugs.                                                have already been or presently are being
                                                  access to the draft guidance document.
                                                                                                             This draft guidance is being issued                considered for such inclusion.
                                                    Submit electronic comments on the                     consistent with FDA’s good guidance                      The guidance also provides scientific
                                                  draft guidance to http://                               practices regulation (21 CFR 10.115).                 and regulatory guidance to sponsors on
                                                  www.regulations.gov. Submit written                     The draft guidance, when finalized, will              conducting clinical investigations of
                                                  comments to the Division of Dockets                     represent the Agency’s current thinking               botanical drugs. The regulations
                                                  Management (HFA–305), Food and Drug                     on botanical drug development. It does                governing the preparation and
                                                  Administration, 5630 Fishers Lane, rm.                  not establish any rights for any person               submission of INDs are in part 312 (21
                                                  1061, Rockville, MD 20852.                              and is not binding on FDA or the public.              CFR part 312). The guidance does not
                                                                                                          You can use an alternative approach if                contain any recommendations that
                                                  FOR FURTHER INFORMATION CONTACT:    Sau
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                                                                          it satisfies the requirements of the                  exceed the requirements in those
                                                  L. Lee, Center for Drug Evaluation and
                                                                                                          applicable statutes and regulations.                  regulations. FDA has estimated the
                                                  Research, Food and Drug
                                                                                                                                                                information collection requirements
                                                  Administration, 10903 New Hampshire                     II. Comments                                          resulting from the preparation and
                                                  Ave., Bldg. 51, Rm. 4144, Silver Spring,
                                                                                                            Interested persons may submit either                submission of an IND under part 312,
                                                  MD 20993–0002, 301–796–2905,
                                                                                                          electronic comments regarding this                    and OMB has approved the reporting
                                                  Sau.Lee@fda.hhs.gov.
                                                                                                          document to http://www.regulations.gov                and recordkeeping burden under OMB
                                                  SUPPLEMENTARY INFORMATION:                              or written comments to the Division of                control number 0910–0014.


                                             VerDate Sep<11>2014   16:57 Aug 14, 2015   Jkt 235001   PO 00000   Frm 00044   Fmt 4703   Sfmt 4703   E:\FR\FM\17AUN1.SGM   17AUN1


                                                  49242                        Federal Register / Vol. 80, No. 158 / Monday, August 17, 2015 / Notices

                                                  IV. Electronic Access                                   to obtain detailed requirements, please               ‘‘longitudinal’’ information about
                                                    Persons with access to the Internet                   refer to the full FOA located at                      individual patients is invaluable to the
                                                  may obtain the document at either                       www.grants.gov. Search by Funding                     design of a drug development program.
                                                  http://www.fda.gov/Drugs/                               Opportunity Number: RFA–FD–15–038.                    The rare disease community is in need
                                                  GuidanceCompliance                                      SUPPLEMENTARY INFORMATION:                            of a means of collecting and analyzing
                                                  RegulatoryInformation/Guidances/                                                                              this knowledge: A natural history
                                                                                                          I. Funding Opportunity Description                    database tool.
                                                  default.htm or http://
                                                  www.regulations.gov.                                    RFA–FD–15–038
                                                                                                          93.103                                                B. Research Objectives
                                                    Dated: August 12, 2015.
                                                                                                          A. Background                                           The development of natural history
                                                  Leslie Kux,
                                                                                                             There are an estimated 7,000 rare                  databases will directly further FDA’s
                                                  Associate Commissioner for Policy.                                                                            public health mission. We anticipate
                                                  [FR Doc. 2015–20230 Filed 8–14–15; 8:45 am]             diseases, in total affecting
                                                                                                          approximately 30 million Americans.                   that the successful implementation of a
                                                  BILLING CODE 4164–01–P
                                                                                                          Most of these are serious conditions                  natural history database will have
                                                                                                          with no approved therapies. Rare                      profound and far-reaching effects on
                                                                                                          diseases constitute an enormous unmet                 development of therapies for rare
                                                  DEPARTMENT OF HEALTH AND                                                                                      diseases. As a basis for solid natural
                                                  HUMAN SERVICES                                          medical need.
                                                                                                             Drug development for rare diseases, as             history knowledge of a disease it may
                                                  Food and Drug Administration                            well as for common diseases, relies on                help to make a clinical development
                                                                                                          an indepth knowledge of the diseases’                 program for a candidate therapy appear
                                                  [Docket No. FDA–2015–N–0012]                            natural histories. Natural history is the             feasible, and thus a more attractive area
                                                                                                          course of the disease in the absence of               to pharmaceutical companies for
                                                  Disease Natural History Database                                                                              devoting a portion of their drug
                                                                                                          a clinical intervention (that is, treatment
                                                  Development—(U24)                                                                                             discovery resources. This too will lead
                                                                                                          under clinical care or study). Natural
                                                  AGENCY:    Food and Drug Administration,                history knowledge makes possible the                  to greater numbers of therapies for rare
                                                  HHS.                                                    design of successful and efficient drug               diseases.
                                                  ACTION:   Notice.                                       development programs. This knowledge                  C. Eligibility Information
                                                                                                          has wide-ranging applications at every
                                                  SUMMARY:    The Food and Drug                           stage of drug development, for example,                  Only the following organization is
                                                  Administration (FDA) is announcing the                  insight into the mechanism of disease,                eligible to apply: The National
                                                  availability of grant funds for the                     which can inform proof-of-concept                     Organization for Rare Disorders. NORD
                                                  support of Natural History Database                     studies; development of biomarkers that               is uniquely qualified to apply for this
                                                  Development. The National                               can expedite clinical studies at every                grant as the only applicant. Natural
                                                  Organization for Rare Disorders (NORD)                  stage of drug development; recognition                history studies is an area of unmet need
                                                  is developing an Internet-based data                    and understanding of phenotypes of                    and there are very few efforts towards
                                                  collection tool with promise to further                 disease that may respond more (or less)               building these studies. Those efforts that
                                                  the accumulation of natural history data                to a therapy; and knowledge of the                    exist are very limited to specific
                                                  for many rare diseases. The goal of this                aspects of disease that matter to                     diseases (e.g., cystic fibrosis, urea cycle
                                                  grant is to enable NORD to further                      patients, with an impact on developing                disorders). These individual efforts
                                                  develop, refine, and disseminate the                    drugs that have a meaningful impact on                cannot and do not support other patient
                                                  database tool.                                          how a patient feels, functions, or                    groups starting their own studies. Most
                                                  DATES: Important dates are as follows:                  survives. The lack of natural history                 efforts are largely focused on patient
                                                     1. The application due date is                       knowledge can result in the failure of                communication and patient reports
                                                  September 4, 2015.                                      drug programs, even for drugs with great              through Web-based self-reporting and
                                                     2. The anticipated start date is                     promise. Unfortunately, the natural                   are not likely to conform to sufficient
                                                  September 2015.                                         history of rare diseases is often poorly              scientific rigor to be able to support
                                                     3. The opening date is July 2015.                    understood.                                           drug development. Although patient
                                                     4. The expiration date is September 5,                  Impediments to the understanding of                registries exist, these are not the same
                                                  2015.                                                   the natural history of a rare disease                 thing as natural history studies, and can
                                                  ADDRESSES: Submit electronic                            include the small numbers of patients                 often be very broad and general and
                                                  applications to: http://www.grants.gov.                 and the sparse dispersal of clinical                  cannot be customized to the depth and
                                                  For more information, see section III of                experience even among the chief                       scope needed to support multiple
                                                  the SUPPLEMENTARY INFORMATION section                   clinical referral centers. The rare disease           natural history studies in a diverse
                                                  of this notice.                                         community is largely composed of                      group of rare diseases. The rigor, scope,
                                                  FOR FURTHER INFORMATION CONTACT:                        small, diverse groups including patient               and flexibility of NORD’s platform,
                                                  James Kaiser, Office of Translational                   and patient-family support, nonprofit                 which comes from approximately 15
                                                  Sciences, Center for Drug Evaluation                    disease groups (including umbrella                    years of working with the rare disease
                                                  and Research, Food and Drug                             groups), academic researchers, and                    community on these efforts, is unique
                                                  Administration, 10903 New Hampshire                     small- to medium-sized biotechnology                  and directly suited to the needs of FDA.
                                                  Ave., Silver Spring, MD 20993, 301–                     and pharmaceutical companies. For
                                                                                                                                                                II. Award Information/Funds Available
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                  796–1237, james.kaiser@fda.hhs.gov.                     most rare diseases there has been no
                                                     Vieda Hubbard, Office of Acquisition                 mechanism to systematically collect rare              A. Award Amount
                                                  and Grants Services, Food and Drug                      disease knowledge. In addition, it has
                                                  Administration, 5630 Fishers Lane,                      become increasingly clear that it is                    FDA/Center for Drug Evaluation and
                                                  Rockville, MD 20857, 240–402–7588,                      vitally important to collect more                     Research intends to fund up to
                                                  Vieda.Hubbard@fda.hhs.gov.                              knowledge from living patients over                   $250,000, for fiscal year 2015 in support
                                                     For more information on this funding                 time, not simply to collect currently                 of this grant program. It is anticipated
                                                  opportunity announcement (FOA) and                      available information. This                           that one award will be made, not to


                                             VerDate Sep<11>2014   16:57 Aug 14, 2015   Jkt 235001   PO 00000   Frm 00045   Fmt 4703   Sfmt 4703   E:\FR\FM\17AUN1.SGM   17AUN1



Document Created: 2015-12-15 11:06:27
Document Modified: 2015-12-15 11:06:27
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 October 16, 2015.
ContactSau L. Lee, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Rm. 4144, Silver Spring, MD 20993-0002, 301-796-2905, [email protected]
FR Citation80 FR 49240 

2024 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR