80_FR_49404 80 FR 49246 - Rare Diseases: Common Issues in Drug Development; Draft Guidance for Industry; Availability

80 FR 49246 - Rare Diseases: Common Issues in Drug Development; Draft Guidance for Industry; Availability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 Range49246-49247
FR Document2015-20235

The Food and Drug Administration (FDA or Agency) is announcing the availability of a draft guidance for industry entitled ``Rare Diseases: Common Issues in Drug Development.'' The purpose of this draft guidance is to advance and facilitate the development of drugs and biologics to treat rare diseases. Drug development for rare diseases has many challenges related to the nature of these diseases. This draft guidance is intended to assist sponsors of drug and biological products for treating rare diseases in conducting more efficient and successful development programs.

Federal Register, Volume 80 Issue 158 (Monday, August 17, 2015)
[Federal Register Volume 80, Number 158 (Monday, August 17, 2015)]
[Notices]
[Pages 49246-49247]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-20235]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2015-D-2818]


Rare Diseases: Common Issues in Drug Development; Draft Guidance 
for Industry; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
the availability of a draft guidance for industry entitled ``Rare 
Diseases: Common Issues in Drug Development.'' The purpose of this 
draft guidance is to advance and facilitate the development of drugs 
and biologics to treat rare diseases. Drug development for rare 
diseases has many challenges related to the nature of these diseases. 
This draft guidance is intended to assist sponsors of drug and 
biological products for treating rare diseases in conducting more 
efficient and successful development programs.

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draft guidance before it begins work on the final version of the 
guidance, submit either electronic or written comments on the draft 
guidance by October 16, 2015.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; or Office of Communication, Outreach, and Development, 
Center for Biologics Evaluation and Research, Food and Drug 
Administration, 10903 New Hampshire Ave., Bldg. 71, Rm. 3128, Silver 
Spring, MD 20993-0002. Send one self-addressed adhesive label to assist 
that office in processing your requests. See the SUPPLEMENTARY 
INFORMATION section for electronic access to the 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: Jonathan Goldsmith, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 22, Rm. 6480, Silver Spring, MD 20903-0002, 240-
402-9959; or Stephen Ripley, Center for Biologics Evaluation and 
Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 
71, Rm. 7301, Silver Spring, MD 20993-0002, 240-402-7911.

SUPPLEMENTARY INFORMATION:

I. Background

    FDA is announcing the availability of a draft guidance for industry 
entitled ``Rare Diseases: Common Issues in Drug Development.'' This 
guidance is intended to assist sponsors of drug and biological products 
for treating rare diseases in conducting more efficient and successful 
development programs through a discussion of selected issues commonly 
encountered in rare disease drug development. Although these issues are 
encountered in other drug development programs, they are frequently 
more difficult to address in the context of a rare disease than a 
common disease for which there is greater and more widespread medical 
experience. These issues are also more acute with increasing rarity of 
the disorder. A rare disease is defined by the Orphan Drug Act as a 
disorder or condition that affects less than 200,000 persons in the 
United States; however, most rare diseases affect far fewer persons.
    Most rare disorders are serious conditions with no approved 
treatments, and rare disease patients have considerable unmet medical 
needs. Collectively, rare diseases are highly diverse. FDA is committed 
to helping sponsors of drugs for rare diseases create successful 
programs that address the particular challenges posed by each disease.
    This guidance addresses the following important components of drug 
development:
     Adequate description and understanding of the disease's 
natural history
     Adequate understanding of the pathophysiology of the 
disease and the drug's proposed mechanism of action
     Nonclinical pharmacotoxicology considerations to support 
the proposed clinical investigation(s)
     Standard of evidence to establish safety and effectiveness
     Drug manufacturing considerations during drug development
    Early consideration of these issues allows sponsors to efficiently 
and adequately address them during the course of drug development, from 
drug discovery to confirmatory efficacy and safety studies, and to have 
productive meetings with FDA.
    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 current thinking of FDA on common issues 
in drug development for rare diseases. It does not establish any rights 
for any person and is not binding on FDA or the public. You can use an 
alternative approach if it satisfies the requirements of the applicable 
statutes and regulations.

II. The Paperwork Reduction Act of 1995

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

III. Comments

    Interested persons may submit either electronic comments regarding 
this document to http://www.regulations.gov or written comments to the 
Division of Dockets Management (see ADDRESSES). It is only necessary to 
send one set of comments. Identify comments with the

[[Page 49247]]

docket number found in brackets in the heading of this document. 
Received comments may be seen in the Division of Dockets Management 
between 9 a.m. and 4 p.m., Monday through Friday, and will be posted to 
the docket at http://www.regulations.gov.

IV. Electronic Access

    Persons with access to the Internet may obtain the document at 
http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/default.htm, http://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/default.htm, or http://www.regulations.gov.

    Dated: August 12, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-20235 Filed 8-14-15; 8:45 am]
 BILLING CODE 4164-01-P



                                                  49246                        Federal Register / Vol. 80, No. 158 / Monday, August 17, 2015 / Notices

                                                  III. Comments                                           on the draft guidance by October 16,                     Most rare disorders are serious
                                                     Interested persons may submit either                 2015.                                                 conditions with no approved
                                                  electronic comments regarding this                                                                            treatments, and rare disease patients
                                                                                                          ADDRESSES:    Submit written requests for
                                                  document to http://www.regulations.gov                                                                        have considerable unmet medical needs.
                                                                                                          single copies of the draft guidance to the
                                                  or written comments to the Division of                                                                        Collectively, rare diseases are highly
                                                                                                          Division of Drug Information, Center for
                                                  Dockets Management (see ADDRESSES). It                                                                        diverse. FDA is committed to helping
                                                                                                          Drug Evaluation and Research, Food
                                                  is only necessary to send one set of                                                                          sponsors of drugs for rare diseases
                                                                                                          and Drug Administration, 10001 New
                                                  comments. Identify comments with the                                                                          create successful programs that address
                                                                                                          Hampshire Ave., Hillandale Building,
                                                  docket number found in brackets in the                                                                        the particular challenges posed by each
                                                                                                          4th Floor, Silver Spring, MD 20993–
                                                  heading of this document. Received                                                                            disease.
                                                                                                          0002; or Office of Communication,                        This guidance addresses the following
                                                  comments may be seen in the Division                    Outreach, and Development, Center for
                                                  of Dockets Management between 9 a.m.                                                                          important components of drug
                                                                                                          Biologics Evaluation and Research,                    development:
                                                  and 4 p.m., Monday through Friday, and                  Food and Drug Administration, 10903                      • Adequate description and
                                                  will be posted to the docket at http://                 New Hampshire Ave., Bldg. 71, Rm.                     understanding of the disease’s natural
                                                  www.regulations.gov.                                    3128, Silver Spring, MD 20993–0002.                   history
                                                  IV. Electronic Access                                   Send one self-addressed adhesive label                   • Adequate understanding of the
                                                                                                          to assist that office in processing your              pathophysiology of the disease and the
                                                    Persons with access to the Internet                   requests. See the SUPPLEMENTARY
                                                  may obtain the document at either                                                                             drug’s proposed mechanism of action
                                                                                                          INFORMATION section for electronic                       • Nonclinical pharmacotoxicology
                                                  http://www.fda.gov/Drugs/                               access to the draft guidance document.
                                                  GuidanceCompliance                                                                                            considerations to support the proposed
                                                                                                            Submit electronic comments on the                   clinical investigation(s)
                                                  RegulatoryInformation/Guidances/                        draft guidance to http://                                • Standard of evidence to establish
                                                  default.htm or http://                                  www.regulations.gov. Submit written                   safety and effectiveness
                                                  www.regulations.gov.                                    comments to the Division of Dockets                      • Drug manufacturing considerations
                                                    Dated: August 12, 2015.                               Management (HFA–305), Food and Drug                   during drug development
                                                  Leslie Kux,                                             Administration, 5630 Fishers Lane, Rm.                   Early consideration of these issues
                                                  Associate Commissioner for Policy.                      1061, Rockville, MD 20852.                            allows sponsors to efficiently and
                                                  [FR Doc. 2015–20228 Filed 8–14–15; 8:45 am]             FOR FURTHER INFORMATION CONTACT:                      adequately address them during the
                                                  BILLING CODE 4164–01–P                                  Jonathan Goldsmith, Center for Drug                   course of drug development, from drug
                                                                                                          Evaluation and Research, Food and                     discovery to confirmatory efficacy and
                                                                                                          Drug Administration, 10903 New                        safety studies, and to have productive
                                                  DEPARTMENT OF HEALTH AND                                Hampshire Ave., Bldg. 22, Rm. 6480,                   meetings with FDA.
                                                  HUMAN SERVICES                                          Silver Spring, MD 20903–0002, 240–                       This draft guidance is being issued
                                                                                                          402–9959; or Stephen Ripley, Center for               consistent with FDA’s good guidance
                                                  Food and Drug Administration                            Biologics Evaluation and Research,                    practices regulation (21 CFR 10.115).
                                                  [Docket No. FDA–2015–D–2818]                            Food and Drug Administration, 10903                   The draft guidance, when finalized, will
                                                                                                          New Hampshire Ave., Bldg. 71, Rm.                     represent the current thinking of FDA
                                                  Rare Diseases: Common Issues in                         7301, Silver Spring, MD 20993–0002,                   on common issues in drug development
                                                  Drug Development; Draft Guidance for                    240–402–7911.                                         for rare diseases. It does not establish
                                                  Industry; Availability                                                                                        any rights for any person and is not
                                                                                                          SUPPLEMENTARY INFORMATION:                            binding on FDA or the public. You can
                                                  AGENCY:    Food and Drug Administration,                I. Background                                         use an alternative approach if it satisfies
                                                  HHS.                                                                                                          the requirements of the applicable
                                                  ACTION:   Notice.                                          FDA is announcing the availability of              statutes and regulations.
                                                                                                          a draft guidance for industry entitled
                                                  SUMMARY:    The Food and Drug                           ‘‘Rare Diseases: Common Issues in Drug                II. The Paperwork Reduction Act of
                                                  Administration (FDA or Agency) is                       Development.’’ This guidance is                       1995
                                                  announcing the availability of a draft                  intended to assist sponsors of drug and                  This guidance refers to previously
                                                  guidance for industry entitled ‘‘Rare                   biological products for treating rare                 approved collections of information that
                                                  Diseases: Common Issues in Drug                         diseases in conducting more efficient                 are subject to review by the Office of
                                                  Development.’’ The purpose of this draft                and successful development programs                   Management and Budget (OMB) under
                                                  guidance is to advance and facilitate the               through a discussion of selected issues               the Paperwork Reduction Act of 1995
                                                  development of drugs and biologics to                   commonly encountered in rare disease                  (44 U.S.C. 3501–3520). The collections
                                                  treat rare diseases. Drug development                   drug development. Although these                      of information in 21 CFR part 312 have
                                                  for rare diseases has many challenges                   issues are encountered in other drug                  been approved under OMB control
                                                  related to the nature of these diseases.                development programs, they are                        number 0910–0014, and the collections
                                                  This draft guidance is intended to assist               frequently more difficult to address in               of information in 21 CFR part 314 have
                                                  sponsors of drug and biological                         the context of a rare disease than a                  been approved under OMB control
                                                  products for treating rare diseases in                  common disease for which there is                     number 0910–0001.
                                                  conducting more efficient and                           greater and more widespread medical
                                                  successful development programs.                                                                              III. Comments
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                                                                          experience. These issues are also more
                                                  DATES: Although you can comment on                      acute with increasing rarity of the                      Interested persons may submit either
                                                  any guidance at any time (see 21 CFR                    disorder. A rare disease is defined by                electronic comments regarding this
                                                  10.115(g)(5)), to ensure that the Agency                the Orphan Drug Act as a disorder or                  document to http://www.regulations.gov
                                                  considers your comment on this draft                    condition that affects less than 200,000              or written comments to the Division of
                                                  guidance before it begins work on the                   persons in the United States; however,                Dockets Management (see ADDRESSES). It
                                                  final version of the guidance, submit                   most rare diseases affect far fewer                   is only necessary to send one set of
                                                  either electronic or written comments                   persons.                                              comments. Identify comments with the


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                                                                               Federal Register / Vol. 80, No. 158 / Monday, August 17, 2015 / Notices                                                49247

                                                  docket number found in brackets in the                  Written Submissions                                   requesting comments on the following
                                                  heading of this document. Received                                                                            issues:
                                                                                                             Submit written comments in the
                                                  comments may be seen in the Division                                                                             • Should the final guidance address
                                                                                                          following ways:                                       the issue of FDA-approved animal and
                                                  of Dockets Management between 9 a.m.
                                                                                                             • Mail/Hand delivery/Courier (for                  human drugs that are in shortage or are
                                                  and 4 p.m., Monday through Friday, and
                                                                                                          paper submissions): Division of Dockets               otherwise unavailable (e.g., disruptions
                                                  will be posted to the docket at http://
                                                                                                          Management (HFA–305), Food and Drug                   in the manufacture or supply chain;
                                                  www.regulations.gov.
                                                                                                          Administration, 5630 Fishers Lane, Rm.                business decisions to stop marketing the
                                                  IV. Electronic Access                                   1061, Rockville, MD 20852.                            drug; drug is subject to Agency action
                                                    Persons with access to the Internet                      Instructions: All submissions received             based on safety, effectiveness, or
                                                  may obtain the document at http://                      must include the Docket No. FDA–                      manufacturing concerns)? If so:
                                                  www.fda.gov/Drugs/                                      2015–D–1176. All comments received                       Æ How should these situations be
                                                  GuidanceCompliance                                      may be posted without change to                       addressed in the final guidance?
                                                  RegulatoryInformation/Guidances/                        http://www.regulations.gov, including                    Æ How should the final guidance
                                                  default.htm, http://www.fda.gov/                        any personal information provided. For                define the terms ‘‘shortage’’ and
                                                  BiologicsBloodVaccines/                                 additional information on submitting                  ‘‘unavailable’’?
                                                  GuidanceCompliance                                      comments, see the ‘‘Request for                          Æ What criteria should FDA use to
                                                  RegulatoryInformation/default.htm, or                   Comments’’ heading of the                             determine if an approved animal or
                                                  http://www.regulations.gov.                             SUPPLEMENTARY INFORMATION section of                  human drug is in shortage or otherwise
                                                                                                          this document.                                        unavailable?
                                                    Dated: August 12, 2015.
                                                                                                             Docket: For access to the docket to                   • Do United States Pharmacopeia and
                                                  Leslie Kux,                                             read background documents or                          National Formulary (USP–NF) 1
                                                  Associate Commissioner for Policy.                      comments received, go to http://                      chapters 795 and 797 provide suitable
                                                  [FR Doc. 2015–20235 Filed 8–14–15; 8:45 am]             www.regulations.gov and insert the                    standards for animal drugs compounded
                                                  BILLING CODE 4164–01–P                                  docket number, found in brackets in the               by veterinarians, and if not, what
                                                                                                          heading of this document, into the                    standards of safety, purity, and quality
                                                                                                          ‘‘Search’’ box and follow the prompts                 should apply to animal drugs
                                                  DEPARTMENT OF HEALTH AND                                and/or go to the Division of Dockets                  compounded by veterinarians?
                                                  HUMAN SERVICES                                          Management, 5630 Fishers Lane, Rm.                       • Should licensed veterinarians be
                                                                                                          1061, Rockville, MD 20852.                            able to sell or transfer an animal drug
                                                  Food and Drug Administration                                                                                  compounded from bulk drug substances
                                                                                                          FOR FURTHER INFORMATION CONTACT:
                                                  [Docket No. FDA–2015–D–1176]                                                                                  by a State-licensed pharmacy or an
                                                                                                          Division of Compliance, Center for                    outsourcing facility to owners or
                                                                                                          Veterinary Medicine, Food and Drug                    caretakers of animals under the
                                                  Compounding Animal Drugs From                           Administration (HFV–230), 7519
                                                  Bulk Drug Substances; Draft Guidance                                                                          veterinarian’s care?
                                                                                                          Standish Pl., Rockville, MD 20855, 240–                  • Should the final guidance include a
                                                  for Industry; Extension of Comment                      402–7001, CVMCompliance@
                                                  Period                                                                                                        condition on the amount or percentage
                                                                                                          fda.hhs.gov.                                          of compounded animal drugs that a
                                                  AGENCY:    Food and Drug Administration,                SUPPLEMENTARY INFORMATION:                            pharmacy or outsourcing facility can
                                                  HHS.                                                                                                          ship in interstate commerce? If so, what
                                                  ACTION:   Notice; extension of comment                  I. Background                                         would a reasonable amount be?
                                                  period.                                                    In the Federal Register of May 19,                    • Is additional guidance needed to
                                                                                                          2015, FDA published a document with                   address the repackaging of drugs for
                                                  SUMMARY:   The Food and Drug                            a 90-day comment period for draft GFI                 animal use?
                                                  Administration (FDA) is extending the                   #230 entitled ‘‘Compounding Animal                       Æ How widespread is the practice of
                                                  comment period for the document that                    Drugs from Bulk Drug Substances.’’ The                repackaging drugs for animal use?
                                                  appeared in the Federal Register of May                 draft guidance describes FDA’s policies                  Æ What types of drugs are repackaged
                                                  19, 2015. In the document, FDA                          with regard to compounding animal                     for animal use, and why are they
                                                  requested comments on draft guidance                    drugs from bulk drug substances. When                 repackaged?
                                                  for industry (GFI) #230 entitled                        final, the guidance will reflect FDA’s                   Æ Have problems been identified with
                                                  ‘‘Compounding Animal Drugs from Bulk                    current thinking on the issues addressed              repackaged drugs for animal use?
                                                  Drug Substances.’’ FDA is taking this                                                                            • Is additional guidance needed to
                                                                                                          by the guidance.
                                                  action in response to a request for an                                                                        address the compounding of animal
                                                                                                             FDA has received a request for a 90-
                                                  extension to allow interested persons                                                                         drugs from approved animal or human
                                                                                                          day extension of the comment period.
                                                  additional time to submit comments.                                                                           drugs under section 512(a)(4) or (a)(5) of
                                                                                                          The request conveyed concern that the
                                                  DATES: FDA is extending the comment
                                                                                                                                                                the Federal Food, Drug, and Cosmetic
                                                                                                          current 90-day comment period does
                                                  period on the document published May                                                                          Act (the FD&C Act) (21 U.S.C. 360b(a)(4)
                                                                                                          not allow sufficient time to respond.
                                                  19, 2015 (80 FR 28624). Submit either                                                                         and (a)(5)) and 21 CFR part 530?
                                                                                                          FDA has considered the request and is                    • Is additional guidance needed to
                                                  electronic or written comments on the                   extending the comment period for 90                   address the compounding of animal
                                                  draft guidance by November 16, 2015.                    days, until November 16, 2015. FDA                    drugs from bulk drug substances for
                                                  ADDRESSES: You may submit comments                      believes that a 90-day extension allows               food-producing animals?
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                                                  by any of the following methods.                        adequate time for interested persons to
                                                                                                          submit comments without significantly                   1 Chapters <795> ‘‘Pharmaceutical
                                                  Electronic Submissions                                  delaying further FDA action on this                   Compounding—Nonsterile Preparations’’ and
                                                    Submit electronic comments in the                     guidance document.                                    <797> ‘‘Pharmaceutical Compounding—Sterile
                                                  following way:                                                                                                Preparations’’ can be found in both the USP
                                                    • Federal eRulemaking Portal: http://                 II. Specific Topics for Comment                       Compounding Compendium and the combined
                                                                                                                                                                United States Pharmacopeia and National
                                                  www.regulations.gov. Follow the                           In addition to comments on the draft                Formulary (USP–NF). These compendia are
                                                  instructions for submitting comments.                   guidance as written, we are specifically              available at http://www.usp.org/.



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Document Created: 2015-12-15 11:07:13
Document Modified: 2015-12-15 11:07:13
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.
ContactJonathan Goldsmith, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 22, Rm. 6480, Silver Spring, MD 20903-0002, 240- 402-9959; or Stephen Ripley, Center for Biologics Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 71, Rm. 7301, Silver Spring, MD 20993-0002, 240-402-7911.
FR Citation80 FR 49246 

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