80_FR_50168 80 FR 50009 - Uncomplicated Gonorrhea: Developing Drugs for Treatment; Guidance for Industry; Availability

80 FR 50009 - Uncomplicated Gonorrhea: Developing Drugs for Treatment; Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 159 (August 18, 2015)

Page Range50009-50010
FR Document2015-20306

The Food and Drug Administration (FDA or Agency) is announcing the availability of a guidance for industry entitled ``Uncomplicated Gonorrhea: Developing Drugs for Treatment.'' The purpose of this guidance is to assist sponsors in the clinical development of drugs for the treatment of uncomplicated gonorrhea. This guidance finalizes the draft guidance of the same name issued on June 19, 2014.

Federal Register, Volume 80 Issue 159 (Tuesday, August 18, 2015)
[Federal Register Volume 80, Number 159 (Tuesday, August 18, 2015)]
[Notices]
[Pages 50009-50010]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-20306]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2014-D-0640]


Uncomplicated Gonorrhea: Developing Drugs for Treatment; 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 guidance for industry entitled ``Uncomplicated 
Gonorrhea: Developing Drugs for Treatment.'' The purpose of this 
guidance is to assist sponsors in the clinical development of drugs for 
the treatment of uncomplicated gonorrhea. This guidance finalizes the 
draft guidance of the same name issued on June 19, 2014.

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

ADDRESSES: Submit written requests for single copies of this 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 guidance document.
    Submit electronic comments on the guidance to http://www.regulations.gov. Submit written comments to the Division of Dockets 
Management (HFA-305), Food and Drug Administration, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: Maria Allende or Joseph Toerner, 
Center for Drug Evaluation and Research, Food and Drug Administration, 
10903 New Hampshire Ave., Bldg. 22, Rm. 6244, Silver Spring, MD 20993-
0002, 301-796-1400.

SUPPLEMENTARY INFORMATION: 

I. Background

    FDA is announcing the availability of a guidance for industry 
entitled ``Uncomplicated Gonorrhea: Developing Drugs for Treatment.'' 
The purpose of this guidance is to assist sponsors in the development 
of drugs for the treatment of uncomplicated gonorrhea.
    This guidance describes approaches for trial designs for the 
evaluation of new drugs for the treatment of uncomplicated gonorrhea. 
The guidance focuses on the noninferiority trial design and describes 
an efficacy endpoint for which there is a well-defined treatment 
effect. The guidance also provides the justification for the 
noninferiority margin. After careful consideration of comments received 
in response to the draft guidance issued on June 19, 2014 (79 FR 
35172), we added a brief discussion of the potential for pregnant women 
to be included in specific populations for drug development. In 
addition, this guidance

[[Page 50010]]

reflects recent developments in scientific information that pertain to 
drugs being developed for the treatment of uncomplicated gonorrhea.
    Issuance of this guidance fulfills a portion of the requirements of 
Title VIII, section 804, of the Food and Drug Administration Safety and 
Innovation Act (Pub. L. 112-144), which requires FDA to review and, as 
appropriate, revise not fewer than three guidance documents per year 
for the conduct of clinical trials with respect to antibacterial and 
antifungal drugs.
    This guidance is being issued consistent with FDA's good guidance 
practices regulation (21 CFR 10.115). The guidance represents the 
current thinking of FDA on developing drugs for the treatment of 
uncomplicated gonorrhea. 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 parts 312 and 314 have 
been approved under OMB control numbers 0910-0014 and 0910-0001, 
respectively.

III. Comments

    Interested persons may submit either electronic comments regarding 
this document to http://www.regulations.gov or written comments to the 
Division of Dockets Management (see ADDRESSES). It is only necessary to 
send one set of comments. Identify comments with the docket number 
found in brackets in the heading of this document. Received comments 
may be seen in the Division of Dockets Management between 9 a.m. and 4 
p.m., Monday through Friday and will be posted to the docket at http://www.regulations.gov.

IV. Electronic Access

    Persons with access to the Internet may obtain the document at 
either http://www.fda.gov/Drugs/GuidanceCompliance/RegulatoryInformation/Guidances/default.htm or http://www.regulations.gov.

    Dated: August 12, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-20306 Filed 8-17-15; 8:45 am]
 BILLING CODE 4164-01-P



                                                                                 Federal Register / Vol. 80, No. 159 / Tuesday, August 18, 2015 / Notices                                           50009

                                                    sections of the existing ‘‘Non-Clinical                 Center for Devices and Radiological                   SUMMARY:   The Food and Drug
                                                    Engineering Tests and Recommended                       Health guidance documents is available                Administration (FDA or Agency) is
                                                    Labeling for Intravascular Stents and                   at http://www.fda.gov/MedicalDevices/                 announcing the availability of a
                                                    Associated Delivery Systems’’ guidance.                 DeviceRegulationandGuidance/                          guidance for industry entitled
                                                       In the Federal Register on August 30,                GuidanceDocuments/default.htm.                        ‘‘Uncomplicated Gonorrhea: Developing
                                                    2013 (78 FR 53773), FDA announced the                   Guidance documents are also available                 Drugs for Treatment.’’ The purpose of
                                                    availability of the draft guidance                      at http://www.regulations.gov. Persons                this guidance is to assist sponsors in the
                                                    document. Interested persons were                       unable to download an electronic copy                 clinical development of drugs for the
                                                    invited to comment by September 30,                     of ‘‘Select Updates for Non-Clinical                  treatment of uncomplicated gonorrhea.
                                                    2013. Four sets of comments were                        Engineering Tests and Recommended                     This guidance finalizes the draft
                                                    received and, in general, were                          Labeling for Intravascular Stents and                 guidance of the same name issued on
                                                    supportive of the guidance. There were                  Associated Delivery Systems ’’ may                    June 19, 2014.
                                                    multiple comments regarding the need                    send an email request to CDRH-                        DATES: Submit either electronic or
                                                    for clarification of acceptance criteria                Guidance@fda.hhs.gov to receive an                    written comments on Agency guidances
                                                    and the desire for a flow chart to                      electronic copy of the document. Please               at any time.
                                                    visualize the overall testing paradigm                  use the document number 1826 to                       ADDRESSES: Submit written requests for
                                                    described in the guidance update. In                    identify the guidance you are                         single copies of this guidance to the
                                                    response to these comments, FDA                         requesting.                                           Division of Drug Information, Center for
                                                    revised the guidance document to
                                                                                                            IV. Paperwork Reduction Act of 1995                   Drug Evaluation and Research, Food
                                                    include more specific information on
                                                                                                                                                                  and Drug Administration, 10001 New
                                                    acceptance criteria for pitting corrosion                 This draft guidance refers to                       Hampshire Ave., Hillandale Building,
                                                    and surface oxide properties, as well as                previously approved collections of                    4th Floor, Silver Spring, MD 20993–
                                                    a flow chart. General concerns were                     information found in FDA regulations.                 0002. Send one self-addressed adhesive
                                                    noted that the guidance modifications                   These collections of information are
                                                    might be interpreted to be more                                                                               label to assist that office in processing
                                                                                                            subject to review by the Office of                    your requests. See the SUPPLEMENTARY
                                                    burdensome. However, the addition of                    Management and Budget (OMB) under                     INFORMATION section for electronic
                                                    the flowchart is intended to clarify                    the Paperwork Reduction Act of 1995
                                                    when testing beyond pitting corrosion                                                                         access to the guidance document.
                                                                                                            (44 U.S.C. 3501–3520). The collections                   Submit electronic comments on the
                                                    testing should be considered, and based                 of information in 21 CFR part 814 have                guidance to http://www.regulations.gov.
                                                    on prior experience, it is anticipated                  been approved under OMB control                       Submit written comments to the
                                                    that few stents will need further                       number 0910–0231.
                                                    assessment. In addition, there were                                                                           Division of Dockets Management (HFA–
                                                    several comments regarding the lack of                  V. Comments                                           305), Food and Drug Administration,
                                                    utility of post-fatigue pitting corrosion                                                                     5630 Fishers Lane, Rm. 1061, Rockville,
                                                                                                               Interested persons may submit either               MD 20852.
                                                    assessment. In response to these                        electronic comments regarding this
                                                    comments, as well as discussions at the                                                                       FOR FURTHER INFORMATION CONTACT:
                                                                                                            document to http://www.regulations.gov
                                                    March 2012 workshop, FDA has                                                                                  Maria Allende or Joseph Toerner, Center
                                                                                                            or written comments to the Division of
                                                    removed the suggestion to consider                                                                            for Drug Evaluation and Research, Food
                                                                                                            Dockets Management (see ADDRESSES). It
                                                    post-fatigue pitting corrosion testing                                                                        and Drug Administration, 10903 New
                                                                                                            is only necessary to send one set of
                                                    when damage to samples is noted due                                                                           Hampshire Ave., Bldg. 22, Rm. 6244,
                                                                                                            comments. Identify comments with the
                                                    to fatigue testing. There was also a                                                                          Silver Spring, MD 20993–0002, 301–
                                                                                                            docket number found in brackets in the
                                                    comment that the 60-day suggested                                                                             796–1400.
                                                                                                            heading of this document. Received
                                                    duration for nickel release may be                      comments may be seen in the Division                  SUPPLEMENTARY INFORMATION:
                                                    unnecessarily long and burdensome,                      of Dockets Management between 9 a.m.                  I. Background
                                                    and in response, FDA has reduced the                    and 4 p.m., Monday through Friday, and
                                                    minimum duration to 30 days if the                                                                               FDA is announcing the availability of
                                                                                                            will be posted to the docket at http://
                                                    release rate falls below a predetermined                                                                      a guidance for industry entitled
                                                                                                            www.regulations.gov.
                                                    level based on toxicological risk                                                                             ‘‘Uncomplicated Gonorrhea: Developing
                                                                                                              Dated: August 12, 2015.                             Drugs for Treatment.’’ The purpose of
                                                    assessment.
                                                                                                            Leslie Kux,                                           this guidance is to assist sponsors in the
                                                    II. Significance of Guidance                            Associate Commissioner for Policy.                    development of drugs for the treatment
                                                       This guidance is being issued                        [FR Doc. 2015–20308 Filed 8–17–15; 8:45 am]           of uncomplicated gonorrhea.
                                                    consistent with FDA’s good guidance                     BILLING CODE 4164–01–P
                                                                                                                                                                     This guidance describes approaches
                                                    practices regulation (21 CFR 10.115).                                                                         for trial designs for the evaluation of
                                                    The guidance represents the current                                                                           new drugs for the treatment of
                                                    thinking of FDA on certain non-clinical                 DEPARTMENT OF HEALTH AND                              uncomplicated gonorrhea. The guidance
                                                    testing for coronary and peripheral                     HUMAN SERVICES                                        focuses on the noninferiority trial
                                                    stents. It does not establish any rights                                                                      design and describes an efficacy
                                                    for any person and is not binding on                    Food and Drug Administration                          endpoint for which there is a well-
                                                    FDA or the public. You can use an                                                                             defined treatment effect. The guidance
                                                                                                            [Docket No. FDA–2014–D–0640]                          also provides the justification for the
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    alternative approach if it satisfies the
                                                    requirements of the applicable statute                                                                        noninferiority margin. After careful
                                                                                                            Uncomplicated Gonorrhea: Developing                   consideration of comments received in
                                                    and regulations.
                                                                                                            Drugs for Treatment; Guidance for                     response to the draft guidance issued on
                                                    III. Electronic Access                                  Industry; Availability                                June 19, 2014 (79 FR 35172), we added
                                                       Persons interested in obtaining a copy               AGENCY:    Food and Drug Administration,              a brief discussion of the potential for
                                                    of the guidance may do so by                            HHS.                                                  pregnant women to be included in
                                                    downloading an electronic copy from                                                                           specific populations for drug
                                                                                                            ACTION:   Notice.
                                                    the Internet. A search capability for all                                                                     development. In addition, this guidance


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                                                    50010                        Federal Register / Vol. 80, No. 159 / Tuesday, August 18, 2015 / Notices

                                                    reflects recent developments in                           Dated: August 12, 2015.                             published in the Federal Register or by
                                                    scientific information that pertain to                  Leslie Kux,                                           letter to the person who is the
                                                    drugs being developed for the treatment                 Associate Commissioner for Policy.                    manufacturer or importer of the device,
                                                    of uncomplicated gonorrhea.                             [FR Doc. 2015–20306 Filed 8–17–15; 8:45 am]           indicated should be subject to part 803
                                                                                                                                                                  in order to protect the public health—
                                                       Issuance of this guidance fulfills a                 BILLING CODE 4164–01–P
                                                                                                                                                                  be submitted in accordance with the
                                                    portion of the requirements of Title VIII,
                                                                                                                                                                  criteria established by FDA (section
                                                    section 804, of the Food and Drug                                                                             519(a)(1)(B)(ii) of the FD&C Act).1 The
                                                    Administration Safety and Innovation                    DEPARTMENT OF HEALTH AND
                                                                                                            HUMAN SERVICES                                        criteria must require the reports to be in
                                                    Act (Pub. L. 112–144), which requires                                                                         summary form and made on a quarterly
                                                    FDA to review and, as appropriate,                      Food and Drug Administration                          basis (section 519(a)(1)(B)(ii) of the
                                                    revise not fewer than three guidance                                                                          FD&C Act).
                                                    documents per year for the conduct of                   [Docket No. FDA–2015–N–2918]
                                                                                                                                                                     FDA is considering the development
                                                    clinical trials with respect to                         Pilot Program for Medical Device                      of malfunction reporting criteria for
                                                    antibacterial and antifungal drugs.                     Reporting on Malfunctions                             devices subject to section 519(a)(1)(B)(ii)
                                                       This guidance is being issued                                                                              of the FD&C Act. In the interim, FDA
                                                    consistent with FDA’s good guidance                     AGENCY:    Food and Drug Administration,              clarified that all manufacturers of class
                                                                                                            HHS.                                                  I devices and those class II devices that
                                                    practices regulation (21 CFR 10.115).
                                                                                                            ACTION:   Notice.                                     are not permanently implantable, life
                                                    The guidance represents the current
                                                                                                                                                                  supporting, or life sustaining, must
                                                    thinking of FDA on developing drugs for                 SUMMARY:   The Food and Drug                          continue to report in full compliance
                                                    the treatment of uncomplicated                          Administration (FDA) is soliciting                    with part 803 (76 FR 12743 at 12744,
                                                    gonorrhea. It does not establish any                    nominations for participation in a pilot              March 8, 2011).
                                                    rights for any person and is not binding                program for the submission of medical                    The malfunction reporting
                                                    on FDA or the public. You can use an                    device reports for malfunctions of class              requirements for class III devices and
                                                    alternative approach if it satisfies the                I devices and certain class II devices in             those class II devices that are
                                                    requirements of the applicable statutes                 summary format on a quarterly basis.                  permanently implantable, life
                                                    and regulations.                                        Under the Medical Device Reporting on                 supporting, or life sustaining were not
                                                                                                            Malfunctions pilot program, FDA                       altered by FDAAA. Under the amended
                                                    II. The Paperwork Reduction Act of
                                                                                                            intends to work with manufacturers to                 section 519(a) of the FD&C Act, device
                                                    1995                                                    identify candidates for the pilot program             manufacturers are to continue to submit
                                                      This guidance refers to previously                    and intends to continue to accept                     malfunction reports in accordance with
                                                    approved collections of information that                nominations until candidates for the                  part 803 for all class III devices and for
                                                    are subject to review by the Office of                  pilot program have been selected.                     those class II devices that are
                                                    Management and Budget (OMB) under                       DATES: FDA will begin accepting                       permanently implantable, life
                                                                                                            nominations for participation in the                  supporting, or life sustaining, unless
                                                    the Paperwork Reduction Act of 1995
                                                                                                            voluntary pilot program on September                  FDA grants an exemption or variance
                                                    (44 U.S.C. 3501–3520). The collections
                                                                                                            1, 2015, and intends to continue to                   from, or an alternative to, a requirement
                                                    of information in 21 CFR parts 312 and
                                                                                                            accept nominations until candidates for               under such regulations under § 803.19
                                                    314 have been approved under OMB                                                                              (section 519(a)(1)(B)(i) of the FD&C Act).
                                                    control numbers 0910–0014 and 0910–                     the pilot program have been selected.
                                                                                                            See section II for instructions on how to                In addition, under section 519(a) of
                                                    0001, respectively.                                                                                           the FD&C Act, as amended by FDAAA,
                                                                                                            participate in the voluntary pilot
                                                    III. Comments                                           program.                                              there is no change to the obligation for
                                                                                                                                                                  an importer to submit malfunction
                                                                                                            FOR FURTHER INFORMATION CONTACT:
                                                       Interested persons may submit either                                                                       reports to the manufacturer in
                                                                                                            William C. Maloney, Center for Devices                accordance with part 803 for devices
                                                    electronic comments regarding this
                                                                                                            and Radiological Health, 10903 New                    that it imports into the United States
                                                    document to http://www.regulations.gov
                                                                                                            Hampshire Ave., Bldg. 66, Rm. 3236,                   (section 519(a)(1)(B)(iii) of the FD&C
                                                    or written comments to the Division of
                                                                                                            Silver Spring, MD 20993–0002,                         Act).
                                                    Dockets Management (see ADDRESSES). It                  227pilot@fda.hhs.gov.
                                                    is only necessary to send one set of                                                                             FDA intends to use the information
                                                                                                            SUPPLEMENTARY INFORMATION:                            learned and experiences gained from the
                                                    comments. Identify comments with the
                                                    docket number found in brackets in the                  I. Background                                         pilot program to develop the
                                                    heading of this document. Received                                                                            malfunction reporting criteria for
                                                                                                              The Food and Drug Administration                    devices subject to section 519(a)(1)(B)(ii)
                                                    comments may be seen in the Division                    Amendments Act of 2007 (FDAAA)                        of the FD&C Act.
                                                    of Dockets Management between 9 a.m.                    (Pub. L. 110–85), amended section
                                                    and 4 p.m., Monday through Friday and                   519(a) of the Federal Food, Drug, and                 II. Pilot Program for Medical Device
                                                    will be posted to the docket at http://                 Cosmetic Act (the FD&C Act) (21 U.S.C.                Reporting (MDR) on Malfunctions
                                                    www.regulations.gov.                                    360i(a)), relating to the reporting of                   FDA has developed this pilot program
                                                                                                            device malfunctions to FDA under part                 for manufacturers interested in
                                                    IV. Electronic Access
                                                                                                            803 (21 CFR part 803). Specifically,                  submitting malfunction reports for
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                      Persons with access to the Internet                   FDAAA amended the FD&C Act to                         certain devices in a summary format on
                                                    may obtain the document at either                       require that medical device reports of                a quarterly basis. This notice provides:
                                                    http://www.fda.gov/Drugs/                               malfunctions for class I devices and
                                                    GuidanceCompliance/                                     those class II devices that are not                      1 In light of section 1003(d) of the FD&C Act (21

                                                                                                            permanently implantable, life                         U.S.C. 393(d)) and the Secretary of Health and
                                                    RegulatoryInformation/Guidances/                                                                              Human Services’ (the Secretary’s) delegation to the
                                                    default.htm or http://                                  supporting, or life sustaining—with the               Commissioner of Food and Drugs, statutory
                                                    www.regulations.gov.                                    exception of any type of class I or II                references to ‘‘the Secretary’’ have been changed to
                                                                                                            device which FDA has, by notice,                      ‘‘FDA’’ or the ‘‘Agency’’ in this document.



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Document Created: 2015-12-15 12:05:18
Document Modified: 2015-12-15 12:05:18
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesSubmit either electronic or written comments on Agency guidances at any time.
ContactMaria Allende or Joseph Toerner, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 22, Rm. 6244, Silver Spring, MD 20993- 0002, 301-796-1400.
FR Citation80 FR 50009 

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