80_FR_49400 80 FR 49242 - Disease Natural History Database Development-(U24)

80 FR 49242 - Disease Natural History Database Development-(U24)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

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

Page Range49242-49243
FR Document2015-20130

The Food and Drug Administration (FDA) is announcing the availability of grant funds for the support of Natural History Database Development. The National Organization for Rare Disorders (NORD) is developing an Internet-based data collection tool with promise to further the accumulation of natural history data for many rare diseases. The goal of this grant is to enable NORD to further develop, refine, and disseminate the database tool.

Federal Register, Volume 80 Issue 158 (Monday, August 17, 2015)
[Federal Register Volume 80, Number 158 (Monday, August 17, 2015)]
[Notices]
[Pages 49242-49243]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-20130]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2015-N-0012]


Disease Natural History Database Development--(U24)

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA) is announcing the 
availability of grant funds for the support of Natural History Database 
Development. The National Organization for Rare Disorders (NORD) is 
developing an Internet-based data collection tool with promise to 
further the accumulation of natural history data for many rare 
diseases. The goal of this grant is to enable NORD to further develop, 
refine, and disseminate the database tool.

DATES: Important dates are as follows:
    1. The application due date is September 4, 2015.
    2. The anticipated start date is September 2015.
    3. The opening date is July 2015.
    4. The expiration date is September 5, 2015.

ADDRESSES: Submit electronic applications to: http://www.grants.gov. 
For more information, see section III of the SUPPLEMENTARY INFORMATION 
section of this notice.

FOR FURTHER INFORMATION CONTACT: James Kaiser, Office of Translational 
Sciences, Center for Drug Evaluation and Research, Food and Drug 
Administration, 10903 New Hampshire Ave., Silver Spring, MD 20993, 301-
796-1237, [email protected].
    Vieda Hubbard, Office of Acquisition and Grants Services, Food and 
Drug Administration, 5630 Fishers Lane, Rockville, MD 20857, 240-402-
7588, [email protected].
    For more information on this funding opportunity announcement (FOA) 
and to obtain detailed requirements, please refer to the full FOA 
located at www.grants.gov. Search by Funding Opportunity Number: RFA-
FD-15-038.

SUPPLEMENTARY INFORMATION:

I. Funding Opportunity Description

RFA-FD-15-038
93.103

A. Background

    There are an estimated 7,000 rare diseases, in total affecting 
approximately 30 million Americans. Most of these are serious 
conditions with no approved therapies. Rare diseases constitute an 
enormous unmet medical need.
    Drug development for rare diseases, as well as for common diseases, 
relies on an indepth knowledge of the diseases' natural histories. 
Natural history is the course of the disease in the absence of a 
clinical intervention (that is, treatment under clinical care or 
study). Natural history knowledge makes possible the design of 
successful and efficient drug development programs. This knowledge has 
wide-ranging applications at every stage of drug development, for 
example, insight into the mechanism of disease, which can inform proof-
of-concept studies; development of biomarkers that can expedite 
clinical studies at every stage of drug development; recognition and 
understanding of phenotypes of disease that may respond more (or less) 
to a therapy; and knowledge of the aspects of disease that matter to 
patients, with an impact on developing drugs that have a meaningful 
impact on how a patient feels, functions, or survives. The lack of 
natural history knowledge can result in the failure of drug programs, 
even for drugs with great promise. Unfortunately, the natural history 
of rare diseases is often poorly understood.
    Impediments to the understanding of the natural history of a rare 
disease include the small numbers of patients and the sparse dispersal 
of clinical experience even among the chief clinical referral centers. 
The rare disease community is largely composed of small, diverse groups 
including patient and patient-family support, nonprofit disease groups 
(including umbrella groups), academic researchers, and small- to 
medium-sized biotechnology and pharmaceutical companies. For most rare 
diseases there has been no mechanism to systematically collect rare 
disease knowledge. In addition, it has become increasingly clear that 
it is vitally important to collect more knowledge from living patients 
over time, not simply to collect currently available information. This 
``longitudinal'' information about individual patients is invaluable to 
the design of a drug development program. The rare disease community is 
in need of a means of collecting and analyzing this knowledge: A 
natural history database tool.

B. Research Objectives

    The development of natural history databases will directly further 
FDA's public health mission. We anticipate that the successful 
implementation of a natural history database will have profound and 
far-reaching effects on development of therapies for rare diseases. As 
a basis for solid natural history knowledge of a disease it may help to 
make a clinical development program for a candidate therapy appear 
feasible, and thus a more attractive area to pharmaceutical companies 
for devoting a portion of their drug discovery resources. This too will 
lead to greater numbers of therapies for rare diseases.

C. Eligibility Information

    Only the following organization is eligible to apply: The National 
Organization for Rare Disorders. NORD is uniquely qualified to apply 
for this grant as the only applicant. Natural history studies is an 
area of unmet need and there are very few efforts towards building 
these studies. Those efforts that exist are very limited to specific 
diseases (e.g., cystic fibrosis, urea cycle disorders). These 
individual efforts cannot and do not support other patient groups 
starting their own studies. Most efforts are largely focused on patient 
communication and patient reports through Web-based self-reporting and 
are not likely to conform to sufficient scientific rigor to be able to 
support drug development. Although patient registries exist, these are 
not the same thing as natural history studies, and can often be very 
broad and general and cannot be customized to the depth and scope 
needed to support multiple natural history studies in a diverse group 
of rare diseases. The rigor, scope, and flexibility of NORD's platform, 
which comes from approximately 15 years of working with the rare 
disease community on these efforts, is unique and directly suited to 
the needs of FDA.

II. Award Information/Funds Available

A. Award Amount

    FDA/Center for Drug Evaluation and Research intends to fund up to 
$250,000, for fiscal year 2015 in support of this grant program. It is 
anticipated that one award will be made, not to

[[Page 49243]]

exceed $250,000 in total costs (direct plus indirect).

B. Length of Support

    The maximum project period is 1 year.

III. Electronic Application, Registration, and Submission

    Only electronic applications will be accepted. To submit an 
electronic application in response to this FOA, applicants should first 
review the full announcement located at www.grants.gov. Search by 
Funding Opportunity Number: RFA-FD-15-038. For all electronically 
submitted applications, the following steps are required.
     Step 1: Obtain a Dun and Bradstreet (DUNS) Number
     Step 2: Register With System for Award Management (SAM)
     Step 3: Obtain Username & Password
     Step 4: Authorized Organization Representative (AOR) 
Authorization
     Step 5: Track AOR Status
     Step 6: Register With Electronic Research Administration 
(eRA) Commons
    Steps 1 through 5, in detail, can be found at http://www07.grants.gov/applicants/organization_registration.jsp. Step 6, in 
detail, can be found at https://commons.era.nih.gov/commons/registration/registrationInstructions.jsp. After you have followed 
these steps, submit electronic applications to http://www.grants.gov.

    Dated: August 10, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-20130 Filed 8-14-15; 8:45 am]
 BILLING CODE 4164-01-P



                                                  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
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                                                  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


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                                                                               Federal Register / Vol. 80, No. 158 / Monday, August 17, 2015 / Notices                                                          49243

                                                  exceed $250,000 in total costs (direct                  Science and Innovation (M–CERSI) is                   a first-come, first-served basis. The costs
                                                  plus indirect).                                         announcing a public workshop entitled                 of registration for the different
                                                                                                          ‘‘Scientific Inquiry Into How Mobile                  categories of attendees are as follows:
                                                  B. Length of Support
                                                                                                          Health and Social Data Sources May
                                                    The maximum project period is 1                       Inform Medical Product Safety and                                       Category                       Cost
                                                  year.                                                   Efficacy.’’ The purpose of the public
                                                                                                          workshop is to discuss important                      Industry Representatives ....................     $50
                                                  III. Electronic Application,
                                                                                                          scientific questions about using two of               Charitable Nonprofit/Academic ...........          50
                                                  Registration, and Submission
                                                                                                          the most ubiquitous and fastest growing               Government/Students .........................       0
                                                     Only electronic applications will be                 data sources, mobile health data and
                                                  accepted. To submit an electronic                       social computing data, focusing                         Persons interested in attending this
                                                  application in response to this FOA,                    especially on the implications for                    public workshop must register online at
                                                  applicants should first review the full                 product safety.                                       http://go.umd.edu/
                                                  announcement located at
                                                                                                          DATES: The public workshop will be                    mobilesocialanalytics by September 1,
                                                  www.grants.gov. Search by Funding
                                                                                                          held on September 11, 2015, from 12:30                2015. To register, please refer to:
                                                  Opportunity Number: RFA–FD–15–038.
                                                                                                          p.m. to 5:30 p.m.                                     http://www.rhsmith.umd.edu/centers-
                                                  For all electronically submitted
                                                                                                          ADDRESSES: The public workshop will                   excellence/center-health-information-
                                                  applications, the following steps are
                                                  required.                                               be held at the Adele H. Stamp Student                 decision-systems/events/m-cersi-
                                                     • Step 1: Obtain a Dun and Bradstreet                Union, University of Maryland, 1021A                  workshop. Early registration is
                                                  (DUNS) Number                                           Adele H. Stamp Student Union, College                 recommended because space is limited.
                                                     • Step 2: Register With System for                   Park, MD. For additional travel and                   Those without Internet access should
                                                  Award Management (SAM)                                  hotel information, please refer to:                   contact Ann Anonsen to register (see
                                                     • Step 3: Obtain Username &                          http://go.umd.edu/                                    FOR FURTHER INFORMATION CONTACT
                                                  Password                                                mobilesocialanalytics.                                regarding registration).
                                                     • Step 4: Authorized Organization                       Submit electronic comments to
                                                                                                          http://www.regulations.gov. Submit                       Attendees are responsible for their
                                                  Representative (AOR) Authorization
                                                     • Step 5: Track AOR Status                           written comments to the Division of                   own hotel accommodations. If you need
                                                     • Step 6: Register With Electronic                   Dockets Management (HFA–305), Food                    special accommodations due to a
                                                  Research Administration (eRA)                           and Drug Administration, 5630 Fishers                 disability, please contact Ann Anonsen,
                                                  Commons                                                 Lane, Rm. 1061, Rockville, MD 20852.                  at 301–405–0285 or email: aanonsen@
                                                     Steps 1 through 5, in detail, can be                 All comments should be identified with                umd.edu.
                                                  found at http://www07.grants.gov/                       the docket number found in brackets in
                                                                                                                                                                III. Comments
                                                  applicants/organization_                                the heading of this document.
                                                  registration.jsp. Step 6, in detail, can be             FOR FURTHER INFORMATION CONTACT:                        Regardless of attendance at the public
                                                  found at https://commons.era.nih.gov/                   Regarding this notice: Leslie D.                      workshop, interested persons may
                                                  commons/registration/                                   Wheelock, Food and Drug                               submit either electronic comments to
                                                  registrationInstructions.jsp. After you                 Administration, Office of the                         http://www.regulations.gov or written
                                                  have followed these steps, submit                       Commissioner, 10903 New Hampshire                     comments to the Division of Dockets
                                                  electronic applications to http://                      Ave., Bldg. 1, Rm. 4345, Silver Spring,               Management (see ADDRESSES). The
                                                  www.grants.gov.                                         MD 20993, 301–796–8450, FAX: 301–                     deadline for submitting comments
                                                    Dated: August 10, 2015.                               847–8106; email: leslie.wheelock@                     related to this public workshop is
                                                  Leslie Kux,                                             fda.hhs.gov.                                          August 28, 2015. It is only necessary to
                                                                                                             Regarding registration: Ann Anonsen,
                                                  Associate Commissioner for Policy.                                                                            send one set of comments. Identify
                                                                                                          University of Maryland, Fischell Dept.
                                                  [FR Doc. 2015–20130 Filed 8–14–15; 8:45 am]                                                                   comments with the docket number
                                                                                                          of Bioengineering, 2207 Jeong H. Kim
                                                  BILLING CODE 4164–01–P                                                                                        found in brackets in the heading of this
                                                                                                          Bldg., College Park, MD 20742, 301–
                                                                                                          405–0285, FAX: 301–405–9953, email:                   document. Received comments may be
                                                                                                          aanonsen@umd.edu.                                     seen in the Division of Dockets
                                                  DEPARTMENT OF HEALTH AND                                                                                      Management between 9 a.m. and 4 p.m.,
                                                  HUMAN SERVICES                                          SUPPLEMENTARY INFORMATION:
                                                                                                                                                                Monday through Friday, and will be
                                                                                                          I. Background                                         posted to the docket at http://
                                                  Food and Drug Administration
                                                                                                             Mobile health and social computing                 www.regulations.gov.
                                                  [Docket No. FDA–2015–N–2735]                            data sources create unique and hitherto                 Dated: August 10, 2015.
                                                                                                          unavailable opportunities, but there are              Leslie Kux,
                                                  Scientific Inquiry Into How Mobile
                                                                                                          important questions that need to be
                                                  Health and Social Data Sources May                                                                            Associate Commissioner for Policy.
                                                                                                          answered. This workshop will bring
                                                  Inform Medical Product Safety and                                                                             [FR Doc. 2015–20129 Filed 8–14–15; 8:45 am]
                                                                                                          together thought leaders from industry,
                                                  Efficacy; Public Workshop; Request
                                                                                                          academia, and the regulatory                          BILLING CODE 4164–01–P
                                                  for Comments
                                                                                                          communities to reflect on the
                                                  AGENCY:    Food and Drug Administration,                opportunities and challenges that these
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                  HHS.                                                    new data sources create.
                                                  ACTION: Notice of public workshop;                      II. Attendance and Registration
                                                  request for comments.
                                                                                                             There is a registration fee to attend
                                                  SUMMARY:  The Food and Drug                             this public workshop. The registration
                                                  Administration (FDA), in collaboration                  fee is charged to help defray the costs
                                                  with the University of Maryland’s                       for facilities, materials, and food. Seats
                                                  Center of Excellence in Regulatory                      are limited, and registration will be on


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Document Created: 2015-12-15 11:06:50
Document Modified: 2015-12-15 11:06:50
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.
DatesImportant dates are as follows:
ContactJames Kaiser, Office of Translational Sciences, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Silver Spring, MD 20993, 301- 796-1237, [email protected]
FR Citation80 FR 49242 

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