80_FR_52391 80 FR 52224 - Designation of Official Names and Proper Names for Certain Biological Products

80 FR 52224 - Designation of Official Names and Proper Names for Certain Biological Products

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 167 (August 28, 2015)

Page Range52224-52231
FR Document2015-21382

The Food and Drug Administration (FDA) is proposing a regulation to designate official names and proper names for certain biological products. These products are filgrastim-sndz (Biologics License Application (BLA) 125553), filgrastim (BLA 103353), tbo- filgrastim (BLA 125294), pegfilgrastim (BLA 125031), epoetin alfa (BLA 103234), and infliximab (BLA 103772). The official names and proper names of these products would include distinguishing suffixes composed of four lowercase letters and would be designated as filgrastim-bflm (BLA 125553), filgrastim-jcwp (BLA 103353), filgrastim-vkzt (BLA 125294), pegfilgrastim-ljfd (BLA 125031), epoetin alfa-cgkn (BLA 103234), and infliximab-hjmt (BLA 103772). Although FDA is continuing to consider the appropriate naming convention for biological products, including how such a convention would be applied retrospectively to currently licensed products, FDA is proposing to take action with respect to these six products because of the need to encourage routine usage of designated suffixes in ordering, prescribing, dispensing, recordkeeping, and pharmacovigilance practices for the biological products subject to this rulemaking, and to avoid inaccurate perceptions of the safety and effectiveness of biological products based on their licensure pathway.

Federal Register, Volume 80 Issue 167 (Friday, August 28, 2015)
[Federal Register Volume 80, Number 167 (Friday, August 28, 2015)]
[Proposed Rules]
[Pages 52224-52231]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-21382]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

21 CFR Part 299

[Docket No. FDA-2015-N-0648]
RIN 0910-AH25


Designation of Official Names and Proper Names for Certain 
Biological Products

AGENCY: Food and Drug Administration, HHS.

ACTION: Proposed rule.

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SUMMARY: The Food and Drug Administration (FDA) is proposing a 
regulation to designate official names and proper names for certain 
biological products. These products are filgrastim-sndz (Biologics 
License Application (BLA) 125553), filgrastim (BLA 103353), tbo-
filgrastim (BLA 125294), pegfilgrastim (BLA 125031), epoetin alfa (BLA 
103234), and infliximab (BLA 103772). The official names and proper 
names of these products would include distinguishing suffixes composed 
of four lowercase letters and would be designated as filgrastim-bflm 
(BLA 125553), filgrastim-jcwp (BLA 103353), filgrastim-vkzt (BLA 
125294), pegfilgrastim-ljfd (BLA 125031), epoetin alfa-cgkn (BLA 
103234), and infliximab-hjmt (BLA 103772). Although FDA is continuing 
to consider the appropriate naming convention for biological products, 
including how such a convention would be applied retrospectively to 
currently licensed products, FDA is proposing to take action with 
respect to these six products because of the need to encourage routine 
usage of designated suffixes in ordering, prescribing, dispensing, 
recordkeeping, and pharmacovigilance practices for the biological 
products subject to this rulemaking, and to avoid inaccurate 
perceptions of the safety and effectiveness of biological products 
based on their licensure pathway.

DATES: Submit either electronic or written comments on the proposed 
rule by November 12, 2015. See section IV of this document for the 
proposed effective date of any final rule that may publish based on 
this proposal.

ADDRESSES: You may submit comments by any of the following methods.

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments.

Written Submissions

    Submit written submissions in the following ways:
     Mail/Hand delivery/Courier (for paper submissions): 
Division of Dockets Management (HFA-305), Food and Drug Administration, 
5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
    Instructions: All submissions received must include the Docket No. 
FDA-2015-N-0648 for this rulemaking. All comments received may be 
posted without change to http://www.regulations.gov, including any 
personal information provided. For additional information on submitting 
comments, see the ``Comments'' heading in section VIII of the 
SUPPLEMENTARY INFORMATION section of this document.
    Docket: For access to the docket to read background documents or 
comments received, go to http://www.regulations.gov and insert the 
docket number, found in brackets in the heading of this document, into 
the ``Search'' box and follow the prompts and/or go to the Division of 
Dockets Management, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: Sandra Benton, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 51, Rm. 6340, Silver Spring, MD 20993-0002, 301-
796-2500.

SUPPLEMENTARY INFORMATION: 

[[Page 52225]]

I. Background

    With the passage of the Biologics Price Competition and Innovation 
Act of 2009 (BPCI Act), which established an abbreviated licensure 
pathway for products demonstrated to be biosimilar to or 
interchangeable with an FDA-licensed reference product, a growing 
number of biological products will be entering the marketplace.
    Section 351(k) of the Public Health Service Act (the PHS Act) (42 
U.S.C. 262(k)), added by the BPCI Act, sets forth the requirements for 
an application for a proposed biosimilar product and an application or 
a supplement for a proposed interchangeable product. Section 351(i) of 
the PHS Act defines biosimilarity to mean that the biological product 
is highly similar to the reference product notwithstanding minor 
differences in clinically inactive components and that there are no 
clinically meaningful differences between the biological product and 
the reference product in terms of the safety, purity, and potency of 
the product (section 351(i)(2) of the PHS Act). To meet the additional 
standard of interchangeability, an applicant must provide sufficient 
information to demonstrate biosimilarity and also to demonstrate that 
the biological product can be expected to produce the same clinical 
result as the reference product in any given patient and, if the 
biological product is administered more than once to an individual, the 
risk in terms of safety or diminished efficacy of alternating or 
switching between the use of the biological product and the reference 
product is not greater than the risk of using the reference product 
without such alternation or switch (section 351(k)(4) of the PHS Act). 
Interchangeable products may be substituted for the reference product 
by a pharmacist without the intervention of the prescribing health care 
provider (section 351(i)(3) of the PHS Act).
    During FDA's implementation of the BPCI Act, the Agency has opened 
several dockets to solicit comments on issues related to the naming of 
biological products licensed under section 351(k) of the PHS Act.\1\
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    \1\ See, e.g., notices that published in the Federal Register 
``Approval Pathway for Biosimilar and Interchangeable Biological 
Products; Public Hearing; Request for Comments'' (75 FR 61497, 
October 5, 2010) and ``Draft Guidances Relating to the Development 
of Biosimilar Products; Public Hearing; Request for Comments'' (77 
FR 12853, March 2, 2012) and other public dockets established by 
FDA.
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    FDA also has received several citizen petitions directed to the 
nonproprietary naming of biosimilar products. The citizen petition 
submitted by Johnson & Johnson requests that FDA require biosimilar 
products to bear nonproprietary names that are similar to, but not the 
same as, those of their reference products or of other biosimilars (see 
Docket No. FDA-2014-P-0077, available at http://www.regulations.gov). 
The citizen petitions submitted by the Generic Pharmaceutical 
Association and Novartis request that FDA require biosimilar products 
to be identified by the same nonproprietary name as their reference 
products (see Docket Nos. FDA-2013-P-1153 and FDA-2013-P-1398, 
respectively, available at http://www.regulations.gov). Novartis 
supplemented its petition to propose a unique name for all biologics 
and biosimilars, such that if a biosimilar sponsor elected not to use a 
unique proprietary name for its product, FDA should assign a unique 
nonproprietary name composed of the reference product nonproprietary 
name supplemented with a distinguishable suffix linked to the 
biosimilar sponsor so that it can be differentiated from the reference 
product. While FDA is proposing to designate distinguishable 
nonproprietary names for the six biological products that are the 
subject of this rulemaking for the reasons discussed in this document, 
FDA is continuing to consider the issues raised by these citizen 
petitions and the comments submitted to the corresponding public 
dockets with respect to establishing a general naming convention for 
biological products.
    In a separate notice published elsewhere in this issue of the 
Federal Register, FDA announced the availability of a draft guidance 
document entitled ``Nonproprietary Naming of Biological Products'' 
(draft guidance). The draft guidance describes FDA's current thinking 
and requests additional public comment on the Agency's proposal to 
implement a naming convention of a proper name that will include a core 
name and a designated suffix for all biological products within the 
scope of the guidance. For originator products, FDA intends to use a 
core name that is the name adopted by the United States Adopted Names 
(USAN) Council for the drug substance when available. If the biological 
product is a related biological product,\2\ a biosimilar product, or an 
interchangeable product, the core name will be the name of the drug 
substance contained in the relevant previously licensed product. As 
described in the draft guidance, a designated suffix composed of four 
lowercase letters will be added to the core name of each product and 
will be attached with a hyphen. Importantly, use of a shared core name 
would indicate a relationship among products. The placement of the 
identifier as a suffix should result in biological products with the 
same core name being grouped together in electronic databases to help 
health care providers identify these products. The draft guidance 
states that FDA intends to apply the naming convention described in the 
guidance to interchangeable products and is considering comment on two 
alternative approaches: A unique suffix that distinguishes an 
interchangeable product from other products sharing the same core name, 
or a suffix shared with the reference product.
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    \2\ A ``related biological product'' is described in the 
guidance as a biological product submitted in a BLA under section 
351(a) of the PHS Act (i.e., a ``stand-alone'' BLA) for which there 
is a previously licensed biological product submitted in a different 
section 351(a) BLA that contains a drug substance for which certain 
nomenclature conventions (e.g., USAN Guiding Principles) would be 
expected to provide for use of the same drug substance name. An 
``originator biological product'' is defined as a biological product 
submitted in a BLA under section 351(a) of the PHS Act (i.e., a 
``stand-alone'' BLA) for which there is no previously licensed 
biological product submitted under section 351(a) that is a related 
biological product. FDA uses these definitions for purposes of this 
notice.
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    While the draft guidance describes a naming convention in which the 
designated suffixes would be devoid of meaning, the notice of 
availability for the draft guidance invites comment not only on that 
naming convention but also on the benefits and challenges of alternate 
approaches, including meaningful suffixes such as a suffix derived from 
the name of the license holder.
    The draft guidance describes FDA's rationale for the proposed 
naming convention and requests public comment on FDA's intention to 
apply this convention to biological products previously licensed and 
newly licensed under section 351(a) or section 351(k) of the PHS Act. 
The draft guidance explains that FDA is continuing to consider the most 
effective regulatory approach to implement the naming convention for 
previously licensed biological products, and FDA encourages interested 
parties to submit comments on biological product naming issues to the 
public docket established for the draft guidance (Docket No. FDA-2013-
D-1543, available at http://www.regulations.gov).
    For the reasons described in the following section, FDA believes it 
is necessary at this time to designate official names and proper names 
for the

[[Page 52226]]

six biological products described in this proposed rule.

II. Description of the Proposed Rule

    This proposed rule would designate the official names and the 
proper names of six biological products that fall under one of the 
following categories: (1) A reference product for an approved or 
publicly disclosed section 351(k) application (i.e., filgrastim (BLA 
103353), pegfilgrastim (BLA 125031), infliximab (BLA 103772), and 
epoetin alfa (BLA 103234)); (2) a related biological product to one of 
these reference products (i.e., tbo-filgrastim (BLA 125294)); or (3) a 
biosimilar product (i.e., filgrastim-sndz (BLA 125553)).\3\
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    \3\ FDA recognizes that a limited number of previously licensed 
biological products share the same proper name. As described in the 
draft guidance, FDA intends to apply the naming convention to 
biological products previously licensed under section 351(a) of the 
PHS Act, and is continuing to consider the most effective regulatory 
approach. In the meantime, FDA is proposing to assign distinguishing 
identifiers to biological products that are referenced by approved 
or publicly disclosed section 351(k) applications and any related 
biological products to those reference products.
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    Section 508 of the Federal Food, Drug, and Cosmetic Act (the FD&C 
Act) (21 U.S.C. 358), which applies to biological products pursuant to 
section 351(j) of the PHS Act, provides FDA with authority to designate 
official names for drugs if it determines that such action is necessary 
or desirable in the interest of usefulness and simplicity. Section 508 
further specifies that any official name designated under that section 
shall be the only official name of that drug used in any official 
compendium published after such name has been prescribed or for any 
other purpose of this chapter. Under Sec.  299.4(e) (21 CFR 299.4(e)), 
FDA will publish official names under the provisions of section 508 of 
the FD&C Act when the Agency determines, among other bases, that the 
USAN or other official or common or usual name is unduly complex or is 
not useful for any other reason.
    For biological products licensed under the PHS Act, FDA designates 
the proper name in the license for use upon each package of the 
biological product (see section 351(a)(1)(B)(i) of the PHS Act and 21 
CFR 600.3(k)). The proper name of a biological product reflects certain 
scientific characteristics of the product, such as chemical structure 
and pharmacological properties. Among other things, the proper name of 
a biological product helps health care providers identify the product's 
drug substance and distinguish biological products from one another. 
Although FDA typically designates the proper name of a product upon its 
licensure, FDA also has the authority to designate proper names for 
biological products through regulation (see, e.g., designation of 
proper names for various products in 21 CFR part 640).

A. Basis for the Designation of Distinguishable Names for Certain 
Biological Products

1. Safe Use
    Biological products generally consist of large, complex molecules 
and can raise unique safety concerns related to immunogenicity. FDA 
believes that the nonproprietary naming convention for the biological 
products described in this proposed rule should help prevent 
inadvertent substitution, which may lead to unintended switching or 
alternating of biological products that have not been determined by FDA 
to be interchangeable with each other. FDA believes this naming 
convention will help to facilitate safe use and protect the safety of 
patients.
    Inadvertent switching between biological products that have not 
been shown to be interchangeable may affect immune response. For 
example, in some instances, immune responses to therapeutic proteins 
may pose safety and efficacy issues (Ref. 1). For example, immune 
responses can lead to significant clinical consequences, such as pure 
red cell aplasia; inhibition of the efficacy of therapeutics; and 
reactions, including serum sickness and anaphylaxis (Ref. 1). 
Individual patients can vary in their immune responses to protein 
products, and these differences can be caused by the same genetic 
components that have an impact on sensitivity to small changes in 
structure (Ref. 2). Thus, switching or alternating of biological 
products not determined by FDA to be interchangeable may raise unique 
safety concerns related to immunogenicity.
    If originator biological products, related biological products, and 
biosimilar products share the same proper name, a patient could receive 
a product different from what was intended to be prescribed, leading to 
medication errors. For example, this could occur if a biosimilar 
product were licensed for fewer than all of the indications and routes 
of administration for which its reference product is licensed, or is 
packaged in a different delivery system (e.g., a pre-filled syringe 
instead of a vial) than approved for its reference product, which may 
lead to confusion and dosing errors. A related biological product also 
may be licensed for different indications than an originator biological 
product and may have different dosage forms or strengths than an 
originator biological product. Confusion may also arise among health 
care providers who, based on their experience with small-molecule drugs 
and generic versions of those drugs, may incorrectly assume the use of 
the same proper name to mean that the biological products are 
interchangeable.
    Thus, FDA has determined that designation of a proper name 
containing a distinguishing identifier for these six biological 
products is the best mechanism to facilitate their safe use. FDA 
believes that incorporating a distinguishing suffix into the 
nonproprietary names of these six biological products will increase the 
likelihood that the intended biological product will be prescribed and 
will not be inadvertently substituted at the dispensing or product 
administration level. Specifically, FDA believes that incorporation of 
these suffixes into the nonproprietary product names listed in 
prescribing, ordering, and dispensing systems will assist prescribers 
in selecting the specific intended product, pharmacists in dispensing 
the correct product, and health care providers in administering the 
correct product.
    Health care providers and information technology specialists who 
program electronic databases can consult the Purple Book (Lists of 
Licensed Biological Products with Reference Product Exclusivity and 
Biosimilarity or Interchangeability Evaluations), an online resource 
that lists all FDA-licensed biological products by their nonproprietary 
name and clearly identifies products that have been approved as 
biosimilar to or interchangeable with a particular reference product.
2. Pharmacovigilance
    The Agency considers appropriate pharmacovigilance fundamentally 
important for all biological products. Although safety of drug and 
biological products is rigorously assessed prior to approval, safety 
issues that are specific to a manufacturer may arise after approval 
with any marketed product. Therefore, a robust pharmacovigilance 
program is essential to help ensure patient safety. To ensure continued 
safety of a biological product, appropriate pharmacovigilance 
necessitates that FDA be able to track adverse events to a specific 
manufacturer (and, as appropriate, site or lot for a particular 
biological product), and that surveillance systems be able to detect 
safety signals throughout the lifecycle of a product, so that the 
Agency and the manufacturer

[[Page 52227]]

can act swiftly and in a targeted manner to identify and address a 
problem.
    Pharmacovigilance systems, both active and passive, vary in their 
use of identifiers to differentiate among biological products; these 
identifiers may include the brand (proprietary) name, proper 
(nonproprietary) name, manufacturer, national drug code (NDC) number, 
lot number, and billing codes. Successful use of active 
pharmacovigilance systems (such as FDA's Sentinel system) for adverse 
event tracking relies on the standardized coding systems for capturing 
drug information in administrative and health care claims and billing 
records. These coding systems may vary based on the setting in which a 
drug is dispensed. Many therapeutic biological products are 
administered in settings, such as physician offices, clinics, or 
hospitals, where the administrative and billing data do not routinely 
include product identifiers such as brand name, manufacturer, NDC 
number, or lot number (Refs. 3 and 4). Thus, active pharmacovigilance 
systems that use administrative and billing data currently have limited 
ability to track biological products that share the same nonproprietary 
name to the manufacturer.
    Similarly, in many passive pharmacovigilance systems, proprietary 
names and NDC numbers are often not included in adverse event reports 
(Refs. 5 and 6). FDA uses the FDA Adverse Event Reporting System, a 
``passive'' surveillance system that compiles mandatory adverse event 
reports from manufacturers and voluntary reports submitted directly to 
FDA by health care professionals and patients. FDA requires 
manufacturers and others with mandatory reporting obligations to submit 
an adverse event report to FDA when a minimum of four elements 
(identifiable patient, identifiable reporter, suspect product, and an 
event or fatal outcome) are present, even if other required elements, 
such as NDC numbers, are not available. It is well known that many 
reports lack key information and that the information identifying 
products in spontaneous reports can be unreliable (Ref. 6). Proprietary 
names, even when included, may not reliably identify products in 
spontaneous adverse event reports since misattribution can occur with 
adverse event reporting. Furthermore, because national health care 
systems, health care professional organizations, and patient safety 
organizations recommend the use of nonproprietary names for prescribing 
and listing of drug products, the nonproprietary name may be the name 
used by some reporters to identify the drug products in the adverse 
event reports (Refs. 7 and 8). In addition, although NDC numbers can be 
used to identify manufacturer-specific information about a product, 
they are infrequently provided in spontaneous adverse event reports, 
and may not be available to the reporter at the time of reporting, or 
during followup with the reporter. As a result, the use of distinct 
proprietary names or NDC numbers is currently insufficient to address 
all concerns regarding pharmacovigilance. Distinguishable 
nonproprietary names for the biological products in this rulemaking 
would provide another critical tool in uniquely identifying these 
biological products. Use of such names for the biological products in 
this rulemaking would preserve the ability to detect both product-
specific safety signals and class effects, and would facilitate prompt 
evaluation of safety signals in passive and active postmarketing 
surveillance systems.
    Although FDA believes the use of distinguishable nonproprietary 
names for originator biological products, related biological products, 
and biosimilar products could improve pharmacovigilance, FDA is 
interested in comments addressing whether any potential alternative 
approaches such as increased use of NDC numbers and/or other tracking 
information would also improve pharmacovigilance of these products.
3. Additional Benefits of Consistent Naming Convention for These 
Biological Products
    FDA believes that it is important to initiate and encourage routine 
usage of designated suffixes in ordering, prescribing, dispensing, 
recordkeeping, and pharmacovigilance practices for these six biological 
products. The designated suffix would provide a consistent, readily 
available, and recognizable mechanism for health care professionals 
(including providers and pharmacists) and patients to correctly 
identify these biological products, regardless of their licensure 
pathway. The consistent use of a designated suffix for these biological 
products would remove ambiguity about the identity of the intended 
biological product. If a core name was used without such identifier, it 
may be unclear whether the originator product, a related biological 
product, or a biosimilar product was intended to be ordered, 
prescribed, dispensed, administered, or reported.
    This naming convention would have the added benefit of avoiding 
inaccurate perceptions of the safety and effectiveness of biological 
products based on their licensure pathway. The safety and effectiveness 
of biological products is rigorously assessed before approval. A number 
of comments have expressed concern that requiring distinguishable 
proper names only for biosimilar products would adversely affect health 
care provider and patient use of these new products (Ref. 9). FDA 
shares the concern that such an approach could lead to inaccurate and 
scientifically unfounded assertions of inferiority or clinically 
meaningful differences of an approved biosimilar product for its 
approved indications. FDA anticipates that use of proper names with 
designated suffixes for these originator biological products, related 
biological products, and biosimilar products, irrespective of their 
licensure pathway, would help avoid any inaccurate perceptions of the 
safety and effectiveness of biological products based on licensure 
pathway and thus address concerns raised by the comments.

B. Designation of Official Names and Proper Names for Certain 
Biological Products

    We are proposing to add subpart B on Designated Names and proposed 
Sec.  299.20 (21 CFR 299.20) to designate the official names and proper 
names of certain biological products. The six biological products 
included in proposed Sec.  299.20 have been selected because they fall 
under one of the following categories: (1) Reference product for an 
approved or publicly disclosed section 351(k) application (i.e., 
filgrastim (BLA 103353), epoetin alfa (BLA 103234), infliximab (BLA 
103772), and pegfilgrastim (BLA 125031)); (2) related biological 
product to one of these reference products (i.e., tbo-filgrastim (BLA 
125294)); or (3) biosimilar product (i.e., filgrastim-sndz (BLA 
125553)).
    We are proposing to designate the official name of ``filgrastim-
jcwp'' for the biological product licensed under BLA 103353, held by 
Amgen, Inc. (Amgen) and to change the proper name designated in the 
license from ``filgrastim'' to ``filgrastim-jcwp.'' Filgrastim, 
marketed as NEUPOGEN, is the reference product for ZARXIO (filgrastim-
sndz), a biosimilar product recently licensed under section 351(k) of 
the PHS Act.
    We also are proposing to designate the official name of 
``filgrastim-vkzt'' for the biological product licensed under BLA 
125294, held by Sicor Biotech, UAB, and to change the proper name 
designated in the license from ``tbo-filgrastim'' to ``filgrastim-
vkzt.'' Tbo-filgrastim, marketed as GRANIX, is a related biological 
product. FDA has

[[Page 52228]]

determined that the current names of filgrastim and tbo-filgrastim are 
not useful within the meaning of section 508 of the FD&C Act. Although 
these products are distinguished from each other and from filgrastim-
sndz, FDA believes that the addition of a distinguishing suffix to both 
names, and the elimination of the prefix from tbo-filgrastim, would 
avoid confusion regarding these products' relationships to one another 
and to filgrastim-sndz. The placement of the identifier as a suffix 
should result in an originator product, a related biological product, 
and a biosimilar product being grouped together in electronic 
databases, yet remaining distinguishable, which should help health care 
providers identify these products. Also, assignment of suffixes to all 
filgrastim products would help avoid a potential inaccurate perception 
that filgrastim-sndz, or any other biosimilar product that may be 
licensed in the future, differs in a clinically meaningful way from its 
reference product or is inferior for its approved conditions of use.
    In addition, we are proposing to designate the official name of 
``filgrastim-bflm'' for the biological product licensed under BLA 
125553, held by Sandoz, Inc., and to change the proper name designated 
in the license from ``filgrastim-sndz'' to ``filgrastim-bflm.'' 
Filgrastim-sndz, marketed as ZARXIO, is a biosimilar product recently 
licensed under section 351(k) of the PHS Act, and the distinguishing 
suffix designated at the time of licensure was derived from the name of 
the license holder. In light of FDA's current proposal to designate 
official names and proper names for five other biological products that 
would include distinguishing suffixes devoid of meaning, in the 
interest of usefulness and simplicity the name ``filgrastim-bflm'' 
should be designated as the official name and the proper name and 
codified with the names designated for filgrastim and tbo-filgrastim in 
proposed Sec.  299.20.
    We are proposing to designate the official names and change the 
proper names for three other reference products for section 351(k) 
applications that have been publicly disclosed. These reference 
products are epoetin alfa (BLA 103234), infliximab (BLA 103772), and 
pegfilgrastim (BLA 125031). We are proposing to designate the official 
name of ``epoetin alfa-cgkn'' for the biological product licensed under 
BLA 103234, held by Amgen and marketed as EPOGEN and PROCRIT, and to 
change the proper name designated in the license from ``epoetin alfa'' 
to ``epoetin alfa-cgkn.'' We also are proposing to designate the 
official name of ``infliximab-hjmt'' for the biological product 
licensed under BLA 103772, held by Janssen Biotech, Inc. and marketed 
as REMICADE, and to change the proper name designated in the license 
from ``infliximab'' to ``infliximab-hjmt.'' Finally, we are proposing 
to designate the official name of ``pegfilgrastim-ljfd'' for the 
biological product licensed under BLA 125031, held by Amgen and 
marketed as NEULASTA, and to change the proper name designated in the 
license from ``pegfilgrastim'' to ``pegfilgrastim-ljfd.''
    FDA has determined that the current names of ``epoetin alfa,'' 
``infliximab,'' and ``pegfilgrastim'' are not useful within the meaning 
of section 508 of the FD&C Act. Considerations similar to those 
described for filgrastim and tbo-filgrastim warrant the designation of 
official names and proper names that include distinguishing suffixes 
for pegfilgrastim, epoetin alfa, and infliximab. These products are the 
reference products for publicly disclosed applications under section 
351(k) of the PHS Act (Ref. 10). FDA believes that it is important to 
initiate and encourage routine usage of designated suffixes in 
ordering, prescribing, dispensing, recordkeeping, and pharmacovigilance 
practices for these products. Also, in the event that a biosimilar 
product is approved that relies upon one of these products as a 
reference product, assignment of designated suffixes to the reference 
products would help avoid potential inaccurate perceptions that any 
biosimilar product with a proper name that features a distinguishing 
suffix differs in a clinically meaningful way or is inferior for its 
approved conditions of use. Accordingly, in the interest of usefulness 
and simplicity, FDA is proposing to designate official names with 
designated suffixes that would also be designated as the proper names 
for these products.
    The official names and proper names in proposed Sec.  299.20 
include designated suffixes composed of four lowercase letters. The 
official names and proper names, if finalized, will appear on all 
labeling and marketing materials for these products where the product's 
proper name or drug substance name is provided.
    In addition, FDA also has determined that the following alternative 
names that include distinguishing suffixes devoid of meaning may be 
acceptable for these products: epoetin alfa-mkdv, filgrastim-gknh, 
filgrastim-kbhj, filgrastim-zbdt, infliximab-djfg, and pegfilgrastim-
vjbk.
    FDA is also considering an alternative nonproprietary naming format 
for biological products in which the suffix attached to the core name 
would be derived from the name of the license holder listed on the 
license. Under this alternative naming format, the official names and 
proper names for the six products that are the subject of this proposed 
rule could be as follows:

----------------------------------------------------------------------------------------------------------------
             BLA Number and holder                                Official name and proper name
----------------------------------------------------------------------------------------------------------------
103234, Amgen, Inc.............................  epoetin alfa-amgn.
103353, Amgen, Inc.............................  filgrastim-amgn.
125553, Sandoz, Inc............................  filgrastim-sndz.
125294, Sicor Biotech UAB......................  filgrastim-srbt.
103772, Janssen Biotech, Inc...................  infliximab-jnsn.
125031, Amgen, Inc.............................  pegfilgrastim-amgn.
----------------------------------------------------------------------------------------------------------------

    Each of the official names and proper names in proposed Sec.  
299.20 and each the alternative official names and proper names 
discussed previously was rigorously evaluated and determined unlikely 
to be a source of errors. Each of these official names and proper names 
(core name-suffix) would be sufficiently distinct from the 
nonproprietary names of other products. The designated suffixes are 
distinct from other drug substance names, do not look similar to the 
names of other currently marketed products, are sufficiently distinct 
from other suffix designations, and do not include any abbreviations 
commonly used in clinical practice in a manner that may lead the suffix 
to be misinterpreted as another element on the prescription or order.
    While alternative official names and proper names are described in 
this preamble to the proposed rule, the final rule would designate a 
single official name that also would be designated as the proper name 
for each product.

[[Page 52229]]

    FDA invites comment on the proposed official names and proper names 
for these products, including the alternative names listed previously 
and any other proposed names containing suffixes composed of four 
lowercase letters that would accomplish the objectives stated in this 
document. In particular, FDA invites comment on the benefits and 
challenges of designating a distinguishing suffix that is unique to 
each of these six biological products versus designating a 
distinguishing suffix that is shared by each product manufactured by a 
single license holder (i.e., the three biological products manufactured 
by Amgen). FDA also invites comment on whether meaningful suffixes 
(e.g., suffixes derived from the names of the license holders) would be 
expected to be more memorable or useful to health care providers or 
patients than suffixes devoid of meaning, and therefore be more useful 
for facilitating the safe use and appropriate pharmacovigilance of 
these products. FDA further requests comment on whether meaningful 
suffixes derived from the name of the license holder might create 
inappropriate market advantages that would impede biosimilar products' 
acceptance in the market.
    Following approval of a BLA supplement to update product labeling 
with the official name and proper name designated in any final rule, 
FDA would take steps to ensure that its drug listings that interface 
with other databases and systems reflect the newly designated 
nonproprietary name. FDA also would work with other governmental 
organizations and external stakeholders that play a role in national 
drug naming or listings to help ensure that the official name and 
proper name for the product is displayed accurately in drug listing 
systems. We invite comment on the best means of coordinating with 
external stakeholders that play a role in drug naming and listing to 
achieve this objective considering, among other things, any transition 
period before market availability of products labeled with the newly 
designated nonproprietary names.

III. Legal Authority

    Section 508 of the FD&C Act and section 351 of the PHS Act serve as 
the principal legal authorities for this proposed rule. Section 508 of 
the FD&C Act, which applies to biological products pursuant to section 
351(j) of the PHS Act, provides FDA with authority to designate 
official names for drugs if it determines that such action is necessary 
or desirable in the interest of usefulness and simplicity. For the 
reasons described previously, FDA has determined that the interest of 
usefulness and simplicity warrants the designation of official names 
for the products included in this rulemaking. FDA also has authority 
under section 351(a) of the PHS Act to designate the proper name of a 
biological product and may do so through rulemaking. FDA is exercising 
this authority to designate matching proper names for these products.
    Thus, section 508 of FD&C Act and section 351 of the PHS Act, in 
conjunction with FDA's general rulemaking authority in section 701(a) 
of the FD&C Act (21 U.S.C. 371(a)), provide legal authority for this 
proposed rule.

IV. Effective Date

    FDA proposes that any final rule that may be issued based on this 
proposal become effective 90 days after the date of its publication in 
the Federal Register. During the 90-day period after publication of any 
final rule, FDA expects that BLA holders for these six products would 
submit a prior approval supplement to their BLA to update the labeling 
of their product. After approval of the supplement, FDA intends to work 
with sponsors to minimize any manufacturing and distribution 
disruptions related to the implementation of new labeling and any 
related marketing materials. FDA expects that manufacturers will 
implement the new labeling at the time of their next manufacturing run 
and does not intend to object to manufacturers exhausting existing 
inventories of finished product that is not labeled with the official 
names and proper names designated by this rule.

V. Environmental Impact

    The Agency has determined under 21 CFR 25.30(h) and (k) and 
25.31(a) that this action is of a type that does not individually or 
cumulatively have a significant effect on the human environment. 
Therefore, neither an environmental assessment nor an environmental 
impact statement is required.

VI. Economic Analysis of Impacts: Summary

    FDA has examined the impacts of the proposed rule under Executive 
Order 12866, Executive Order 13563, the Regulatory Flexibility Act (5 
U.S.C. 601-612), and the Unfunded Mandates Reform Act of 1995 (Pub. L. 
104-4). Executive Orders 12866 and 13563 direct Agencies to assess all 
costs and benefits of available regulatory alternatives and, when 
regulation is necessary, to select regulatory approaches that maximize 
net benefits (including potential economic, environmental, public 
health and safety, and other advantages; distributive impacts; and 
equity). The Office of Management and Budget (OMB) has determined that 
this proposed rule is a significant regulatory action as defined by 
Executive Order 12866.
    The Regulatory Flexibility Act requires Agencies to analyze 
regulatory options that would minimize any significant impact of a rule 
on small entities. Because the proposed rule imposes one-time 
relabeling costs on one small business, the Agency proposes to certify 
that the final rule will not have a significant economic impact on a 
substantial number of small entities.
    Section 202(a) of the Unfunded Mandates Reform Act of 1995 requires 
that Agencies prepare a written statement, which includes an assessment 
of anticipated costs and benefits, before proposing ``any rule that 
includes any Federal mandate that may result in the expenditure by 
State, local, and tribal governments, in the aggregate, or by the 
private sector, of $100,000,000 or more (adjusted annually for 
inflation) in any one year.'' The current threshold after adjustment 
for inflation is $144 million, using the most current (2014) Implicit 
Price Deflator for the Gross Domestic Product. FDA does not expect this 
proposed rule to result in any 1-year expenditure that would meet or 
exceed this amount.
    We estimate the one-time costs of learning about the rule; 
submitting labeling supplements, forms, and revised marketing materials 
to FDA; changing labeling on affected products; FDA review of labeling 
supplements, forms, and revised marketing materials; and activities to 
educate practitioners about name changes. The one-time costs range from 
$0.78 million to $3.04 million. Over 10 years, the annualized costs 
range from $0.10 million to $0.40 million with a 7 percent discount 
rate, and from $0.09 million to $0.35 million with a 3 percent discount 
rate.
    We expect the rule would have other costs that are not yet included 
in these estimated costs. Additional costs to industry may include 
costs updating prescribing and reimbursement systems to reflect the new 
names and changing marketing materials to reflect the new names.
    We lack data to quantify the benefits of the proposed rule. In the 
event of biosimilar entry, the name changes for certain products that 
would be required by this proposed rule may help mitigate a potential 
competitive disadvantage for

[[Page 52230]]

biosimilar products that receive a nonproprietary name that includes a 
distinguishing suffix. More competition between the biosimilar product 
and the reference product may reduce the price and increase the usage 
of those products. The proposed rule may also encourage the routine use 
of suffixes for these six biological products, which may facilitate 
more accurate prescribing and monitoring of these six biological 
products if biosimilar products enter the market.

                                                              Table 1--Summary of Costs \1\
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                         One-time costs ($ mil)        Total annualized costs over 10    Total annualized costs over 10
                                                   ----------------------------------   years with 3 percent discount     years with 7 percent discount
                  Total benefits                                                                rate ($ mil)                      rate ($ mil)
                                                      Low estimate    High estimate  -------------------------------------------------------------------
                                                                                        Low estimate    High estimate     Low estimate    High estimate
--------------------------------------------------------------------------------------------------------------------------------------------------------
Not estimated.....................................            0.78             3.04             0.09             0.35             0.10             0.40
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ Note: Costs are rounded.

    The Economic Analysis of Impacts of the proposed rule performed in 
accordance with Executive Order 12866, Executive Order 13563, the 
Regulatory Flexibility Act, and the Unfunded Mandates Reform Act is 
available at http://www.regulations.gov under Docket No. FDA-2015-N-
0648 and at http://www.fda.gov/AboutFDA/ReportsManualsForms/Reports/EconomicAnalyses/default.htm (Ref. 11).

VII. Paperwork Reduction Act of 1995

    FDA tentatively concludes that this proposed rule contains no new 
collection of information. The official names and proper names of each 
of these biological products, as designated by the proposed rule, would 
be information originally supplied by the Federal government to the 
recipient for the purpose of disclosure to the public, and the public 
disclosure of such information is not a ``collection of information'' 
within the meaning of the Paperwork Reduction Act of 1995 (the PRA). 
See 5 CFR 1320.3(c)(2). Therefore, clearance by the OMB under the PRA 
(44 U.S.C. 3501-3520) is not required.
    The discussion of effective date in the preamble (section IV) to 
this proposed rule references certain actions that would be taken by 
manufacturers and applicants for the specific approved biological 
products for which this proposed rule would designate official names 
and proper names, in order to comply with existing FDA regulations that 
contain collections of information that are subject to review by OMB 
under the PRA.
    Specifically, prior to the effective date of any final rule based 
on this proposal, a prior approval supplement would be submitted in 
accordance with Sec.  601.12 (21 CFR 601.12) for each of six specific 
BLAs referenced in this rule, to update the labeling of the product 
(which includes the immediate container label and outer container or 
package) with the designated official name and proper name. The 
submission of supplements to approved license applications under Sec.  
601.12 is approved under OMB control number 0910-0338. We estimate that 
this rulemaking would result in the one-time submission of six 
supplements. In conjunction with our previously approved collection of 
information under Sec.  601.12, we estimated that each such supplement 
would incur a burden of 40 hours.
    The discussion of effective date also acknowledges that these 
applicants would revise their labeling, which includes the immediate 
container label and outer container or package, to reflect the newly 
designated official names and proper names. (As noted, disclosing the 
official names and proper names of each of these biological products to 
the public is not a ``collection of information'' within the meaning of 
the PRA. See 5 CFR 1320.3(c)(2).) The design and testing of 
prescription drug labeling required under Sec. Sec.  201.56 and 201.57 
(21 CFR 201.56 and 201.57) (including Sec.  201.56(a)(2)) is approved 
under OMB control number 0910-0572. Concerning the immediate container 
label and outer container or package, in the Federal Register of 
December 18, 2014 (79 FR 75506), we published a proposed rule on the 
electronic distribution of prescribing information for human 
prescription drugs, including biological products. In section VII, 
``Paperwork Reduction Act of 1995,'' we estimated the burden to design 
(including revisions), test, and produce the label for a drug's 
immediate container and outer container or package, as set forth in 21 
CFR part 201 and other sections in subpart A and subpart B.

VIII. 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.

IX. Federalism

    FDA has analyzed this proposed rule in accordance with the 
principles set forth in Executive Order 13132. FDA has determined that 
the proposed rule, if finalized, would not contain policies that would 
have substantial direct effects on the States, on the relationship 
between the National Government and the States, or on the distribution 
of power and responsibilities among the various levels of government. 
Accordingly, the Agency tentatively concludes that the proposed rule 
does not contain policies that have federalism implications as defined 
in the Executive order and, consequently, a federalism summary impact 
statement is not required.

X. References

    The following references have been placed on display in the 
Division of Dockets Management (see ADDRESSES) and may be seen by 
interested persons between 9 a.m. and 4 p.m., Monday through Friday. 
(FDA has verified all the Web site addresses in this reference section, 
but FDA is not responsible for any subsequent changes to the Web sites 
after this document publishes in the Federal Register.)

1. FDA, Guidance for Industry, ``Immunogenicity Assessment for 
Therapeutic Protein Products,'' August 2014, available at http://www.fda.gov/downloads/drugs/guidancecomplianceregulatoryinformation/guidances/ucm338856.pdf.
2. Buck D., S. Cepok, S. Hoffmann, et al., ``Influence of the HLA-
DRB1 Genotype on Antibody Development to Interferon Beta in Multiple 
Sclerosis.'' Archives of Neurology, 68(4):480-487, 2011.

[[Page 52231]]

3. Nease, R., S. Miller, and S. G. Frazee, ``2010 Specialty Drug 
Trend Report.'' Express Scripts Specialty Benefit Services (June 
2011).
4. Vora, J. B., ``Evaluation of Medical Specialty Medications: 
Utilization and Management Opportunities,'' Commissioned by CVS 
Caremark (April 8, 2014), available at http://info.cvscaremark.com/insights2014/Singh06-Medical-Specialty-Utilization-and-Management-Opportunities.pdf.
5. Dal Pan, G. J., M. Lindquist, and K. Gelperin, ``Postmarketing 
Spontaneous Pharmacovigilance Reporting Systems,'' Chapter 10, in 
Pharmacoepidemiology, 5th ed., edited by B. L. Strom and S. 
Hennessy. Etobicoke (Canada): John Wiley & Sons; 2012.
6. Getz, K. A., S. Stergiopoulos, and K. I. Kaitin, ``Evaluating the 
Completeness and Accuracy of MedWatch Data,'' American Journal of 
Therapeutics, 21(6):442-446, 2014.
7. American Society of Health-System Pharmacists (ASHP), ``ASHP 
Guidelines on Preventing Medication Errors With Chemotherapy and 
Biotherapy,'' 2014, available at http://www.ashp.org/DocLibrary/BestPractices/MedMisGdlAntineo.aspx.
8. Institute for Safe Medication Practices (ISMP), ``ISMP's 
Guidelines for Standard Order Sets,'' available at http://ismp.org/tools/guidelines/StandardOrderSets.asp.
9. See, e.g., Comments from AARP to Docket Nos. FDA-2011-D-0605, 
FDA-2011-D-0602, and FDA-2011-D-0611 on ``Draft Guidance Documents 
on Biosimilar Product Development,'' available at http://www.regulations.gov.
10. ``Apotex Announces FDA Has Accepted for Filing Its Biosimilar 
Application for Pegfilgrastim'' (December 17, 2014), available at 
http://www.apotex.com/global/about/press/20141217.asp; ``Hospira 
Submits New Biologics License Application to U.S. FDA for Proposed 
Epoetin Alfa Biosimilar,'' PR Newswire (January 12, 2015), available 
at http://www.prnewswire.com/news-releases/hospira-submits-new-biologics-license-application-to-us-fda-for-proposed-epoetin-alfa-biosimilar-300018991.html; ``Celltrion Files for US FDA Approval of 
Remsima[supreg],'' (August 11, 2014), available at http://www.celltrion.com/en/COMPANY/notice_view.asp?idx=456&code=ennews&intNowPage=1&menu_num=&align_year=all.
11. ``Preliminary Regulatory Impact Analysis, Initial Regulatory 
Flexibility Analysis, and Unfunded Mandates Reform Act Analysis for 
Designation of Official Names and Proper Names for Certain 
Biological Products; Proposed Rule,'' available at http://www.fda.gov/AboutFDA/ReportsManualsForms/Reports/EconomicAnalyses/default.htm.

List of Subjects in 21 CFR Part 299

    Drugs.

    Therefore, under the Federal Food, Drug, and Cosmetic Act and the 
Public Health Service Act, and under authority delegated to the 
Commissioner of Food and Drugs, FDA proposes to amend 21 CFR part 299 
as follows:

PART 299--DRUGS; OFFICIAL NAMES AND ESTABLISHED NAMES

0
1. The authority citation for 21 CFR part 299 is revised to read as 
follows:

    Authority: 21 U.S.C. 331, 351, 352, 355, 358, 360b, 371; 42 
U.S.C. 262.

0
2. Add subpart B to Part 299 to read as follows:

Subpart B--Designated Names


Sec.  299.20  Official names and proper names of certain biological 
products.

    (a) The Food and Drug Administration has designated official names 
under section 508 of the Federal Food, Drug, and Cosmetic Act for the 
biological products licensed under section 351 of the Public Health 
Service Act in the biologics license applications provided in the 
following list. The official name shall be the proper name designated 
in the license for use upon each package of the product.

----------------------------------------------------------------------------------------------------------------
   Biologics license application (BLA) number                     Official name and proper name
----------------------------------------------------------------------------------------------------------------
BLA 103234.....................................  epoetin alfa-cgkn.
BLA 103353.....................................  filgrastim-jcwp.
BLA 125553.....................................  filgrastim-bflm.
BLA 125294.....................................  filgrastim-vkzt.
BLA 103772.....................................  infliximab-hjmt.
BLA 125031.....................................  pegfilgrastim-ljfd.
----------------------------------------------------------------------------------------------------------------

    (b) [Reserved]

    Dated: August 25, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-21382 Filed 8-27-15; 8:45 am]
BILLING CODE 4164-01-P



                                               52224                          Federal Register / Vol. 80, No. 167 / Friday, August 28, 2015 / Proposed Rules

                                               airspace divided by 100 (because the                                  (GCD) from the point of entry into U.S.-                              will use the best available flight data to
                                               Oceanic rate is expressed per 100                                     controlled airspace to the point of exit                              calculate the entry and exit points.
                                               nautical miles).                                                      from U.S.-controlled airspace based on                                  (c) The rate for each 100 nautical
                                                  (b) Distance flown through each                                    FAA flight data. Where actual entry and                               miles flown through Enroute or Oceanic
                                               segment of Enroute or Oceanic airspace                                exit points are not available, the FAA                                airspace is:
                                               is based on the great circle distance

                                                                                                                     Time period                                                                                Enroute rate   Oceanic rate

                                               Through September 30, 2015 .................................................................................................................................            56.86          21.63
                                               October 1, 2015 through September 30, 2016 .......................................................................................................                      58.45          23.15
                                               October 1, 2016 through September 30, 2017 .......................................................................................................                      60.07          24.77
                                               October 1, 2017 and beyond ...................................................................................................................................          61.75          26.51



                                                  (d) The formula for the total overflight                           DEPARTMENT OF HEALTH AND                                              DATES:  Submit either electronic or
                                               fee is:                                                               HUMAN SERVICES                                                        written comments on the proposed rule
                                               Rij = E*DEij/100 + O*DOij/100                                                                                                               by November 12, 2015. See section IV of
                                                                                                                     Food and Drug Administration                                          this document for the proposed effective
                                               Where:                                                                                                                                      date of any final rule that may publish
                                               Rij = the total fee charged to aircraft flying                        21 CFR Part 299                                                       based on this proposal.
                                                    between entry point i and exit point j.                                                                                                ADDRESSES: You may submit comments
                                               DEij = total distance flown through each                              [Docket No. FDA–2015–N–0648]
                                                                                                                                                                                           by any of the following methods.
                                                    segment of Enroute airspace between
                                                                                                                     RIN 0910–AH25                                                         Electronic Submissions
                                                    entry point i and exit point j.
                                               DOij = total distance flown through each                              Designation of Official Names and                                       Submit electronic comments in the
                                                    segment of Oceanic airspace between                              Proper Names for Certain Biological                                   following way:
                                                    entry point i and exit point j.                                  Products                                                                • Federal eRulemaking Portal: http://
                                               E and O = the Enroute and Oceanic rates,
                                                                                                                                                                                           www.regulations.gov. Follow the
                                                    respectively, set forth in paragraph (c) of                      AGENCY:       Food and Drug Administration,                           instructions for submitting comments.
                                                    this section.                                                    HHS.
                                                                                                                     ACTION:      Proposed rule.                                           Written Submissions
                                                 (e) The FAA will review the rates
                                               described in this section at least once                                                                                                        Submit written submissions in the
                                                                                                                     SUMMARY:   The Food and Drug                                          following ways:
                                               every 2 years and will adjust them to                                 Administration (FDA) is proposing a
                                               reflect the current costs and volume of                                                                                                        • Mail/Hand delivery/Courier (for
                                                                                                                     regulation to designate official names
                                               the services provided.                                                                                                                      paper submissions): Division of Dockets
                                                                                                                     and proper names for certain biological
                                                                                                                                                                                           Management (HFA–305), Food and Drug
                                                                                                                     products. These products are filgrastim-
                                               § 187.55 Overflight fees billing and                                                                                                        Administration, 5630 Fishers Lane, Rm.
                                                                                                                     sndz (Biologics License Application
                                               payment procedures.                                                                                                                         1061, Rockville, MD 20852.
                                                                                                                     (BLA) 125553), filgrastim (BLA 103353),
                                                                                                                                                                                              Instructions: All submissions received
                                                 (a) The FAA will send an invoice to                                 tbo-filgrastim (BLA 125294),
                                                                                                                                                                                           must include the Docket No. FDA–
                                               each user when fees are owed to the                                   pegfilgrastim (BLA 125031), epoetin alfa
                                                                                                                                                                                           2015–N–0648 for this rulemaking. All
                                               FAA. If the FAA cannot identify the                                   (BLA 103234), and infliximab (BLA
                                                                                                                                                                                           comments received may be posted
                                               user, then an invoice will be sent to the                             103772). The official names and proper
                                                                                                                                                                                           without change to http://
                                               registered owner. Users will be billed at                             names of these products would include
                                                                                                                                                                                           www.regulations.gov, including any
                                               the address of record in the country                                  distinguishing suffixes composed of
                                                                                                                                                                                           personal information provided. For
                                               where the aircraft is registered, unless a                            four lowercase letters and would be
                                                                                                                                                                                           additional information on submitting
                                               billing address is otherwise provided.                                designated as filgrastim-bflm (BLA
                                                                                                                                                                                           comments, see the ‘‘Comments’’ heading
                                                                                                                     125553), filgrastim-jcwp (BLA 103353),
                                                 (b) The FAA will send an invoice if                                                                                                       in section VIII of the SUPPLEMENTARY
                                                                                                                     filgrastim-vkzt (BLA 125294),
                                               the monthly (based on Universal                                                                                                             INFORMATION section of this document.
                                                                                                                     pegfilgrastim-ljfd (BLA 125031), epoetin
                                               Coordinated Time) fees equal or exceed                                                                                                         Docket: For access to the docket to
                                                                                                                     alfa-cgkn (BLA 103234), and infliximab-
                                               $250.                                                                                                                                       read background documents or
                                                                                                                     hjmt (BLA 103772). Although FDA is
                                                                                                                                                                                           comments received, go to http://
                                                 (c) Payment must be made by one of                                  continuing to consider the appropriate
                                                                                                                                                                                           www.regulations.gov and insert the
                                               the methods described in § 187.15(d).                                 naming convention for biological
                                                                                                                                                                                           docket number, found in brackets in the
                                                                                                                     products, including how such a
                                               Appendix B to Part 187—[Removed and                                                                                                         heading of this document, into the
                                                                                                                     convention would be applied
                                               Reserved]                                                                                                                                   ‘‘Search’’ box and follow the prompts
                                                                                                                     retrospectively to currently licensed
                                                                                                                                                                                           and/or go to the Division of Dockets
                                                                                                                     products, FDA is proposing to take
                                               ■ 5. Remove and reserve Appendix B to                                                                                                       Management, 5630 Fishers Lane, Rm.
                                                                                                                     action with respect to these six products
                                               Part 187.                                                                                                                                   1061, Rockville, MD 20852.
                                                                                                                     because of the need to encourage
                                                                                                                                                                                           FOR FURTHER INFORMATION CONTACT:
Lhorne on DSK5TPTVN1PROD with PROPOSALS




                                                 Issued under authority provided by 49                               routine usage of designated suffixes in
                                               U.S.C. 106(f) and 45302, in Washington, DC,                           ordering, prescribing, dispensing,                                    Sandra Benton, Center for Drug
                                               on August 24, 2015.                                                   recordkeeping, and pharmacovigilance                                  Evaluation and Research, Food and
                                               David Rickard,                                                        practices for the biological products                                 Drug Administration, 10903 New
                                                                                                                     subject to this rulemaking, and to avoid                              Hampshire Ave., Bldg. 51, Rm. 6340,
                                               Director, Office of Financial Analysis.
                                                                                                                     inaccurate perceptions of the safety and                              Silver Spring, MD 20993–0002, 301–
                                               [FR Doc. 2015–21293 Filed 8–27–15; 8:45 am]
                                                                                                                     effectiveness of biological products                                  796–2500.
                                               BILLING CODE 4910–13–P
                                                                                                                     based on their licensure pathway.                                     SUPPLEMENTARY INFORMATION:



                                          VerDate Sep<11>2014       12:57 Aug 27, 2015        Jkt 235001     PO 00000       Frm 00019      Fmt 4702      Sfmt 4702     E:\FR\FM\28AUP1.SGM            28AUP1


                                                                       Federal Register / Vol. 80, No. 167 / Friday, August 28, 2015 / Proposed Rules                                                       52225

                                               I. Background                                           citizen petition submitted by Johnson &                 interchangeable product, the core name
                                                  With the passage of the Biologics                    Johnson requests that FDA require                       will be the name of the drug substance
                                               Price Competition and Innovation Act of                 biosimilar products to bear                             contained in the relevant previously
                                               2009 (BPCI Act), which established an                   nonproprietary names that are similar                   licensed product. As described in the
                                               abbreviated licensure pathway for                       to, but not the same as, those of their                 draft guidance, a designated suffix
                                               products demonstrated to be biosimilar                  reference products or of other                          composed of four lowercase letters will
                                               to or interchangeable with an FDA-                      biosimilars (see Docket No. FDA–2014–                   be added to the core name of each
                                               licensed reference product, a growing                   P–0077, available at http://                            product and will be attached with a
                                               number of biological products will be                   www.regulations.gov). The citizen                       hyphen. Importantly, use of a shared
                                               entering the marketplace.                               petitions submitted by the Generic                      core name would indicate a relationship
                                                  Section 351(k) of the Public Health                  Pharmaceutical Association and                          among products. The placement of the
                                               Service Act (the PHS Act) (42 U.S.C.                    Novartis request that FDA require                       identifier as a suffix should result in
                                               262(k)), added by the BPCI Act, sets                    biosimilar products to be identified by                 biological products with the same core
                                               forth the requirements for an                           the same nonproprietary name as their                   name being grouped together in
                                               application for a proposed biosimilar                   reference products (see Docket Nos.                     electronic databases to help health care
                                               product and an application or a                         FDA–2013–P–1153 and FDA–2013–P–                         providers identify these products. The
                                               supplement for a proposed                               1398, respectively, available at http://                draft guidance states that FDA intends
                                               interchangeable product. Section 351(i)                 www.regulations.gov). Novartis                          to apply the naming convention
                                               of the PHS Act defines biosimilarity to                 supplemented its petition to propose a                  described in the guidance to
                                               mean that the biological product is                     unique name for all biologics and                       interchangeable products and is
                                               highly similar to the reference product                 biosimilars, such that if a biosimilar                  considering comment on two alternative
                                               notwithstanding minor differences in                    sponsor elected not to use a unique                     approaches: A unique suffix that
                                               clinically inactive components and that                 proprietary name for its product, FDA                   distinguishes an interchangeable
                                               there are no clinically meaningful                      should assign a unique nonproprietary                   product from other products sharing the
                                               differences between the biological                      name composed of the reference                          same core name, or a suffix shared with
                                               product and the reference product in                    product nonproprietary name                             the reference product.
                                               terms of the safety, purity, and potency                supplemented with a distinguishable                        While the draft guidance describes a
                                               of the product (section 351(i)(2) of the                suffix linked to the biosimilar sponsor                 naming convention in which the
                                               PHS Act). To meet the additional                        so that it can be differentiated from the               designated suffixes would be devoid of
                                               standard of interchangeability, an                      reference product. While FDA is                         meaning, the notice of availability for
                                               applicant must provide sufficient                       proposing to designate distinguishable                  the draft guidance invites comment not
                                               information to demonstrate                              nonproprietary names for the six                        only on that naming convention but also
                                               biosimilarity and also to demonstrate                   biological products that are the subject                on the benefits and challenges of
                                               that the biological product can be                      of this rulemaking for the reasons                      alternate approaches, including
                                               expected to produce the same clinical                   discussed in this document, FDA is                      meaningful suffixes such as a suffix
                                               result as the reference product in any                  continuing to consider the issues raised                derived from the name of the license
                                               given patient and, if the biological                    by these citizen petitions and the                      holder.
                                               product is administered more than once                  comments submitted to the                                  The draft guidance describes FDA’s
                                               to an individual, the risk in terms of                  corresponding public dockets with                       rationale for the proposed naming
                                               safety or diminished efficacy of                        respect to establishing a general naming                convention and requests public
                                               alternating or switching between the use                convention for biological products.                     comment on FDA’s intention to apply
                                                                                                          In a separate notice published                       this convention to biological products
                                               of the biological product and the
                                                                                                       elsewhere in this issue of the Federal                  previously licensed and newly licensed
                                               reference product is not greater than the
                                                                                                       Register, FDA announced the                             under section 351(a) or section 351(k) of
                                               risk of using the reference product
                                                                                                       availability of a draft guidance                        the PHS Act. The draft guidance
                                               without such alternation or switch
                                                                                                       document entitled ‘‘Nonproprietary                      explains that FDA is continuing to
                                               (section 351(k)(4) of the PHS Act).
                                                                                                       Naming of Biological Products’’ (draft                  consider the most effective regulatory
                                               Interchangeable products may be
                                                                                                       guidance). The draft guidance describes                 approach to implement the naming
                                               substituted for the reference product by
                                                                                                       FDA’s current thinking and requests                     convention for previously licensed
                                               a pharmacist without the intervention of
                                                                                                       additional public comment on the                        biological products, and FDA
                                               the prescribing health care provider
                                                                                                       Agency’s proposal to implement a                        encourages interested parties to submit
                                               (section 351(i)(3) of the PHS Act).
                                                  During FDA’s implementation of the                   naming convention of a proper name                      comments on biological product naming
                                               BPCI Act, the Agency has opened                         that will include a core name and a                     issues to the public docket established
                                               several dockets to solicit comments on                  designated suffix for all biological                    for the draft guidance (Docket No. FDA–
                                               issues related to the naming of                         products within the scope of the                        2013–D–1543, available at http://
                                               biological products licensed under                      guidance. For originator products, FDA                  www.regulations.gov).
                                               section 351(k) of the PHS Act.1                         intends to use a core name that is the                     For the reasons described in the
                                                  FDA also has received several citizen                name adopted by the United States                       following section, FDA believes it is
                                               petitions directed to the nonproprietary                Adopted Names (USAN) Council for the                    necessary at this time to designate
                                               naming of biosimilar products. The                      drug substance when available. If the                   official names and proper names for the
                                                                                                       biological product is a related biological
Lhorne on DSK5TPTVN1PROD with PROPOSALS




                                                 1 See, e.g., notices that published in the Federal    product,2 a biosimilar product, or an                   USAN Guiding Principles) would be expected to
                                               Register ‘‘Approval Pathway for Biosimilar and                                                                  provide for use of the same drug substance name.
                                               Interchangeable Biological Products; Public                2 A ‘‘related biological product’’ is described in   An ‘‘originator biological product’’ is defined as a
                                               Hearing; Request for Comments’’ (75 FR 61497,           the guidance as a biological product submitted in       biological product submitted in a BLA under
                                               October 5, 2010) and ‘‘Draft Guidances Relating to      a BLA under section 351(a) of the PHS Act (i.e., a      section 351(a) of the PHS Act (i.e., a ‘‘stand-alone’’
                                               the Development of Biosimilar Products; Public          ‘‘stand-alone’’ BLA) for which there is a previously    BLA) for which there is no previously licensed
                                               Hearing; Request for Comments’’ (77 FR 12853,           licensed biological product submitted in a different    biological product submitted under section 351(a)
                                               March 2, 2012) and other public dockets established     section 351(a) BLA that contains a drug substance       that is a related biological product. FDA uses these
                                               by FDA.                                                 for which certain nomenclature conventions (e.g.,       definitions for purposes of this notice.



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                                               52226                   Federal Register / Vol. 80, No. 167 / Friday, August 28, 2015 / Proposed Rules

                                               six biological products described in this               FDA typically designates the proper                   originator biological product and may
                                               proposed rule.                                          name of a product upon its licensure,                 have different dosage forms or strengths
                                                                                                       FDA also has the authority to designate               than an originator biological product.
                                               II. Description of the Proposed Rule
                                                                                                       proper names for biological products                  Confusion may also arise among health
                                                  This proposed rule would designate                   through regulation (see, e.g., designation            care providers who, based on their
                                               the official names and the proper names                 of proper names for various products in               experience with small-molecule drugs
                                               of six biological products that fall under              21 CFR part 640).                                     and generic versions of those drugs, may
                                               one of the following categories: (1) A                                                                        incorrectly assume the use of the same
                                               reference product for an approved or                    A. Basis for the Designation of                       proper name to mean that the biological
                                               publicly disclosed section 351(k)                       Distinguishable Names for Certain                     products are interchangeable.
                                               application (i.e., filgrastim (BLA                      Biological Products                                      Thus, FDA has determined that
                                               103353), pegfilgrastim (BLA 125031),                    1. Safe Use                                           designation of a proper name containing
                                               infliximab (BLA 103772), and epoetin                                                                          a distinguishing identifier for these six
                                                                                                          Biological products generally consist
                                               alfa (BLA 103234)); (2) a related                                                                             biological products is the best
                                                                                                       of large, complex molecules and can
                                               biological product to one of these                                                                            mechanism to facilitate their safe use.
                                                                                                       raise unique safety concerns related to               FDA believes that incorporating a
                                               reference products (i.e., tbo-filgrastim
                                                                                                       immunogenicity. FDA believes that the                 distinguishing suffix into the
                                               (BLA 125294)); or (3) a biosimilar
                                                                                                       nonproprietary naming convention for                  nonproprietary names of these six
                                               product (i.e., filgrastim-sndz (BLA
                                                                                                       the biological products described in this             biological products will increase the
                                               125553)).3
                                                  Section 508 of the Federal Food, Drug,               proposed rule should help prevent                     likelihood that the intended biological
                                               and Cosmetic Act (the FD&C Act) (21                     inadvertent substitution, which may                   product will be prescribed and will not
                                               U.S.C. 358), which applies to biological                lead to unintended switching or                       be inadvertently substituted at the
                                               products pursuant to section 351(j) of                  alternating of biological products that               dispensing or product administration
                                               the PHS Act, provides FDA with                          have not been determined by FDA to be                 level. Specifically, FDA believes that
                                               authority to designate official names for               interchangeable with each other. FDA                  incorporation of these suffixes into the
                                               drugs if it determines that such action                 believes this naming convention will                  nonproprietary product names listed in
                                               is necessary or desirable in the interest               help to facilitate safe use and protect the           prescribing, ordering, and dispensing
                                               of usefulness and simplicity. Section                   safety of patients.                                   systems will assist prescribers in
                                                                                                          Inadvertent switching between                      selecting the specific intended product,
                                               508 further specifies that any official
                                                                                                       biological products that have not been                pharmacists in dispensing the correct
                                               name designated under that section
                                                                                                       shown to be interchangeable may affect                product, and health care providers in
                                               shall be the only official name of that
                                                                                                       immune response. For example, in some                 administering the correct product.
                                               drug used in any official compendium
                                                                                                       instances, immune responses to                           Health care providers and information
                                               published after such name has been
                                                                                                       therapeutic proteins may pose safety                  technology specialists who program
                                               prescribed or for any other purpose of
                                                                                                       and efficacy issues (Ref. 1). For                     electronic databases can consult the
                                               this chapter. Under § 299.4(e) (21 CFR
                                                                                                       example, immune responses can lead to                 Purple Book (Lists of Licensed
                                               299.4(e)), FDA will publish official
                                                                                                       significant clinical consequences, such               Biological Products with Reference
                                               names under the provisions of section
                                                                                                       as pure red cell aplasia; inhibition of the           Product Exclusivity and Biosimilarity or
                                               508 of the FD&C Act when the Agency
                                                                                                       efficacy of therapeutics; and reactions,              Interchangeability Evaluations), an
                                               determines, among other bases, that the
                                                                                                       including serum sickness and                          online resource that lists all FDA-
                                               USAN or other official or common or
                                                                                                       anaphylaxis (Ref. 1). Individual patients             licensed biological products by their
                                               usual name is unduly complex or is not
                                                                                                       can vary in their immune responses to                 nonproprietary name and clearly
                                               useful for any other reason.
                                                  For biological products licensed                     protein products, and these differences               identifies products that have been
                                               under the PHS Act, FDA designates the                   can be caused by the same genetic                     approved as biosimilar to or
                                               proper name in the license for use upon                 components that have an impact on                     interchangeable with a particular
                                               each package of the biological product                  sensitivity to small changes in structure             reference product.
                                               (see section 351(a)(1)(B)(i) of the PHS                 (Ref. 2). Thus, switching or alternating
                                                                                                       of biological products not determined                 2. Pharmacovigilance
                                               Act and 21 CFR 600.3(k)). The proper
                                               name of a biological product reflects                   by FDA to be interchangeable may raise                   The Agency considers appropriate
                                                                                                       unique safety concerns related to                     pharmacovigilance fundamentally
                                               certain scientific characteristics of the
                                                                                                       immunogenicity.                                       important for all biological products.
                                               product, such as chemical structure and
                                                                                                          If originator biological products,                 Although safety of drug and biological
                                               pharmacological properties. Among
                                                                                                       related biological products, and                      products is rigorously assessed prior to
                                               other things, the proper name of a
                                                                                                       biosimilar products share the same                    approval, safety issues that are specific
                                               biological product helps health care
                                                                                                       proper name, a patient could receive a                to a manufacturer may arise after
                                               providers identify the product’s drug
                                                                                                       product different from what was                       approval with any marketed product.
                                               substance and distinguish biological
                                                                                                       intended to be prescribed, leading to                 Therefore, a robust pharmacovigilance
                                               products from one another. Although
                                                                                                       medication errors. For example, this                  program is essential to help ensure
                                                  3 FDA recognizes that a limited number of            could occur if a biosimilar product were              patient safety. To ensure continued
                                               previously licensed biological products share the       licensed for fewer than all of the                    safety of a biological product,
                                               same proper name. As described in the draft             indications and routes of administration              appropriate pharmacovigilance
Lhorne on DSK5TPTVN1PROD with PROPOSALS




                                               guidance, FDA intends to apply the naming               for which its reference product is                    necessitates that FDA be able to track
                                               convention to biological products previously
                                               licensed under section 351(a) of the PHS Act, and
                                                                                                       licensed, or is packaged in a different               adverse events to a specific
                                               is continuing to consider the most effective            delivery system (e.g., a pre-filled syringe           manufacturer (and, as appropriate, site
                                               regulatory approach. In the meantime, FDA is            instead of a vial) than approved for its              or lot for a particular biological
                                               proposing to assign distinguishing identifiers to       reference product, which may lead to                  product), and that surveillance systems
                                               biological products that are referenced by approved
                                               or publicly disclosed section 351(k) applications
                                                                                                       confusion and dosing errors. A related                be able to detect safety signals
                                               and any related biological products to those            biological product also may be licensed               throughout the lifecycle of a product, so
                                               reference products.                                     for different indications than an                     that the Agency and the manufacturer


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                                                                       Federal Register / Vol. 80, No. 167 / Friday, August 28, 2015 / Proposed Rules                                            52227

                                               can act swiftly and in a targeted manner                drug products in the adverse event                    safety and effectiveness of biological
                                               to identify and address a problem.                      reports (Refs. 7 and 8). In addition,                 products is rigorously assessed before
                                                  Pharmacovigilance systems, both                      although NDC numbers can be used to                   approval. A number of comments have
                                               active and passive, vary in their use of                identify manufacturer-specific                        expressed concern that requiring
                                               identifiers to differentiate among                      information about a product, they are                 distinguishable proper names only for
                                               biological products; these identifiers                  infrequently provided in spontaneous                  biosimilar products would adversely
                                               may include the brand (proprietary)                     adverse event reports, and may not be                 affect health care provider and patient
                                               name, proper (nonproprietary) name,                     available to the reporter at the time of              use of these new products (Ref. 9). FDA
                                               manufacturer, national drug code (NDC)                  reporting, or during followup with the                shares the concern that such an
                                               number, lot number, and billing codes.                  reporter. As a result, the use of distinct            approach could lead to inaccurate and
                                               Successful use of active                                proprietary names or NDC numbers is                   scientifically unfounded assertions of
                                               pharmacovigilance systems (such as                      currently insufficient to address all                 inferiority or clinically meaningful
                                               FDA’s Sentinel system) for adverse                      concerns regarding pharmacovigilance.                 differences of an approved biosimilar
                                               event tracking relies on the standardized               Distinguishable nonproprietary names                  product for its approved indications.
                                               coding systems for capturing drug                       for the biological products in this                   FDA anticipates that use of proper
                                               information in administrative and                       rulemaking would provide another                      names with designated suffixes for these
                                               health care claims and billing records.                 critical tool in uniquely identifying                 originator biological products, related
                                               These coding systems may vary based                     these biological products. Use of such                biological products, and biosimilar
                                               on the setting in which a drug is                       names for the biological products in this             products, irrespective of their licensure
                                               dispensed. Many therapeutic biological                  rulemaking would preserve the ability                 pathway, would help avoid any
                                               products are administered in settings,                  to detect both product-specific safety                inaccurate perceptions of the safety and
                                               such as physician offices, clinics, or                  signals and class effects, and would                  effectiveness of biological products
                                               hospitals, where the administrative and                 facilitate prompt evaluation of safety                based on licensure pathway and thus
                                               billing data do not routinely include                   signals in passive and active                         address concerns raised by the
                                               product identifiers such as brand name,                 postmarketing surveillance systems.                   comments.
                                               manufacturer, NDC number, or lot                           Although FDA believes the use of
                                               number (Refs. 3 and 4). Thus, active                    distinguishable nonproprietary names                  B. Designation of Official Names and
                                               pharmacovigilance systems that use                      for originator biological products,                   Proper Names for Certain Biological
                                               administrative and billing data currently               related biological products, and                      Products
                                               have limited ability to track biological                biosimilar products could improve                        We are proposing to add subpart B on
                                               products that share the same                            pharmacovigilance, FDA is interested in               Designated Names and proposed
                                               nonproprietary name to the                              comments addressing whether any                       § 299.20 (21 CFR 299.20) to designate
                                               manufacturer.                                           potential alternative approaches such as              the official names and proper names of
                                                  Similarly, in many passive                           increased use of NDC numbers and/or                   certain biological products. The six
                                               pharmacovigilance systems, proprietary                  other tracking information would also                 biological products included in
                                               names and NDC numbers are often not                     improve pharmacovigilance of these                    proposed § 299.20 have been selected
                                               included in adverse event reports (Refs.                products.                                             because they fall under one of the
                                               5 and 6). FDA uses the FDA Adverse                                                                            following categories: (1) Reference
                                               Event Reporting System, a ‘‘passive’’                   3. Additional Benefits of Consistent                  product for an approved or publicly
                                               surveillance system that compiles                       Naming Convention for These Biological                disclosed section 351(k) application
                                               mandatory adverse event reports from                    Products                                              (i.e., filgrastim (BLA 103353), epoetin
                                               manufacturers and voluntary reports                        FDA believes that it is important to               alfa (BLA 103234), infliximab (BLA
                                               submitted directly to FDA by health                     initiate and encourage routine usage of               103772), and pegfilgrastim (BLA
                                               care professionals and patients. FDA                    designated suffixes in ordering,                      125031)); (2) related biological product
                                               requires manufacturers and others with                  prescribing, dispensing, recordkeeping,               to one of these reference products (i.e.,
                                               mandatory reporting obligations to                      and pharmacovigilance practices for                   tbo-filgrastim (BLA 125294)); or (3)
                                               submit an adverse event report to FDA                   these six biological products. The                    biosimilar product (i.e., filgrastim-sndz
                                               when a minimum of four elements                         designated suffix would provide a                     (BLA 125553)).
                                               (identifiable patient, identifiable                     consistent, readily available, and                       We are proposing to designate the
                                               reporter, suspect product, and an event                 recognizable mechanism for health care                official name of ‘‘filgrastim-jcwp’’ for
                                               or fatal outcome) are present, even if                  professionals (including providers and                the biological product licensed under
                                               other required elements, such as NDC                    pharmacists) and patients to correctly                BLA 103353, held by Amgen, Inc.
                                               numbers, are not available. It is well                  identify these biological products,                   (Amgen) and to change the proper name
                                               known that many reports lack key                        regardless of their licensure pathway.                designated in the license from
                                               information and that the information                    The consistent use of a designated suffix             ‘‘filgrastim’’ to ‘‘filgrastim-jcwp.’’
                                               identifying products in spontaneous                     for these biological products would                   Filgrastim, marketed as NEUPOGEN, is
                                               reports can be unreliable (Ref. 6).                     remove ambiguity about the identity of                the reference product for ZARXIO
                                               Proprietary names, even when included,                  the intended biological product. If a                 (filgrastim-sndz), a biosimilar product
                                               may not reliably identify products in                   core name was used without such                       recently licensed under section 351(k)
                                               spontaneous adverse event reports since                 identifier, it may be unclear whether the             of the PHS Act.
                                               misattribution can occur with adverse                   originator product, a related biological                 We also are proposing to designate the
Lhorne on DSK5TPTVN1PROD with PROPOSALS




                                               event reporting. Furthermore, because                   product, or a biosimilar product was                  official name of ‘‘filgrastim-vkzt’’ for the
                                               national health care systems, health care               intended to be ordered, prescribed,                   biological product licensed under BLA
                                               professional organizations, and patient                 dispensed, administered, or reported.                 125294, held by Sicor Biotech, UAB,
                                               safety organizations recommend the use                     This naming convention would have                  and to change the proper name
                                               of nonproprietary names for prescribing                 the added benefit of avoiding inaccurate              designated in the license from ‘‘tbo-
                                               and listing of drug products, the                       perceptions of the safety and                         filgrastim’’ to ‘‘filgrastim-vkzt.’’ Tbo-
                                               nonproprietary name may be the name                     effectiveness of biological products                  filgrastim, marketed as GRANIX, is a
                                               used by some reporters to identify the                  based on their licensure pathway. The                 related biological product. FDA has


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                                               52228                         Federal Register / Vol. 80, No. 167 / Friday, August 28, 2015 / Proposed Rules

                                               determined that the current names of                                   official name and the proper name and                                      believes that it is important to initiate
                                               filgrastim and tbo-filgrastim are not                                  codified with the names designated for                                     and encourage routine usage of
                                               useful within the meaning of section                                   filgrastim and tbo-filgrastim in proposed                                  designated suffixes in ordering,
                                               508 of the FD&C Act. Although these                                    § 299.20.                                                                  prescribing, dispensing, recordkeeping,
                                               products are distinguished from each                                      We are proposing to designate the                                       and pharmacovigilance practices for
                                               other and from filgrastim-sndz, FDA                                    official names and change the proper                                       these products. Also, in the event that
                                               believes that the addition of a                                        names for three other reference products                                   a biosimilar product is approved that
                                               distinguishing suffix to both names, and                               for section 351(k) applications that have                                  relies upon one of these products as a
                                               the elimination of the prefix from tbo-                                been publicly disclosed. These reference                                   reference product, assignment of
                                               filgrastim, would avoid confusion                                      products are epoetin alfa (BLA 103234),                                    designated suffixes to the reference
                                               regarding these products’ relationships                                infliximab (BLA 103772), and                                               products would help avoid potential
                                               to one another and to filgrastim-sndz.                                 pegfilgrastim (BLA 125031). We are                                         inaccurate perceptions that any
                                               The placement of the identifier as a                                   proposing to designate the official name                                   biosimilar product with a proper name
                                               suffix should result in an originator                                  of ‘‘epoetin alfa-cgkn’’ for the biological                                that features a distinguishing suffix
                                               product, a related biological product,                                 product licensed under BLA 103234,                                         differs in a clinically meaningful way or
                                               and a biosimilar product being grouped                                 held by Amgen and marketed as                                              is inferior for its approved conditions of
                                               together in electronic databases, yet                                  EPOGEN and PROCRIT, and to change                                          use. Accordingly, in the interest of
                                               remaining distinguishable, which                                       the proper name designated in the                                          usefulness and simplicity, FDA is
                                               should help health care providers                                      license from ‘‘epoetin alfa’’ to ‘‘epoetin                                 proposing to designate official names
                                               identify these products. Also,                                         alfa-cgkn.’’ We also are proposing to                                      with designated suffixes that would also
                                               assignment of suffixes to all filgrastim                               designate the official name of                                             be designated as the proper names for
                                               products would help avoid a potential                                  ‘‘infliximab-hjmt’’ for the biological                                     these products.
                                               inaccurate perception that filgrastim-                                 product licensed under BLA 103772,
                                                                                                                                                                                                    The official names and proper names
                                               sndz, or any other biosimilar product                                  held by Janssen Biotech, Inc. and
                                                                                                                                                                                                 in proposed § 299.20 include designated
                                               that may be licensed in the future,                                    marketed as REMICADE, and to change
                                                                                                                                                                                                 suffixes composed of four lowercase
                                               differs in a clinically meaningful way                                 the proper name designated in the
                                                                                                                                                                                                 letters. The official names and proper
                                               from its reference product or is inferior                              license from ‘‘infliximab’’ to
                                                                                                                                                                                                 names, if finalized, will appear on all
                                               for its approved conditions of use.                                    ‘‘infliximab-hjmt.’’ Finally, we are
                                                  In addition, we are proposing to                                                                                                               labeling and marketing materials for
                                                                                                                      proposing to designate the official name
                                               designate the official name of                                                                                                                    these products where the product’s
                                                                                                                      of ‘‘pegfilgrastim-ljfd’’ for the biological
                                               ‘‘filgrastim-bflm’’ for the biological                                                                                                            proper name or drug substance name is
                                                                                                                      product licensed under BLA 125031,
                                               product licensed under BLA 125553,                                                                                                                provided.
                                                                                                                      held by Amgen and marketed as
                                               held by Sandoz, Inc., and to change the                                NEULASTA, and to change the proper                                            In addition, FDA also has determined
                                               proper name designated in the license                                  name designated in the license from                                        that the following alternative names that
                                               from ‘‘filgrastim-sndz’’ to ‘‘filgrastim-                              ‘‘pegfilgrastim’’ to ‘‘pegfilgrastim-ljfd.’’                               include distinguishing suffixes devoid
                                               bflm.’’ Filgrastim-sndz, marketed as                                      FDA has determined that the current                                     of meaning may be acceptable for these
                                               ZARXIO, is a biosimilar product                                        names of ‘‘epoetin alfa,’’ ‘‘infliximab,’’                                 products: epoetin alfa-mkdv, filgrastim-
                                               recently licensed under section 351(k)                                 and ‘‘pegfilgrastim’’ are not useful                                       gknh, filgrastim-kbhj, filgrastim-zbdt,
                                               of the PHS Act, and the distinguishing                                 within the meaning of section 508 of the                                   infliximab-djfg, and pegfilgrastim-vjbk.
                                               suffix designated at the time of licensure                             FD&C Act. Considerations similar to                                           FDA is also considering an alternative
                                               was derived from the name of the                                       those described for filgrastim and tbo-                                    nonproprietary naming format for
                                               license holder. In light of FDA’s current                              filgrastim warrant the designation of                                      biological products in which the suffix
                                               proposal to designate official names and                               official names and proper names that                                       attached to the core name would be
                                               proper names for five other biological                                 include distinguishing suffixes for                                        derived from the name of the license
                                               products that would include                                            pegfilgrastim, epoetin alfa, and                                           holder listed on the license. Under this
                                               distinguishing suffixes devoid of                                      infliximab. These products are the                                         alternative naming format, the official
                                               meaning, in the interest of usefulness                                 reference products for publicly                                            names and proper names for the six
                                               and simplicity the name ‘‘filgrastim-                                  disclosed applications under section                                       products that are the subject of this
                                               bflm’’ should be designated as the                                     351(k) of the PHS Act (Ref. 10). FDA                                       proposed rule could be as follows:

                                                                                                         BLA Number and holder                                                                                     Official name and proper name

                                               103234,   Amgen, Inc. .......................................................................................................................................    epoetin alfa-amgn.
                                               103353,   Amgen, Inc. .......................................................................................................................................    filgrastim-amgn.
                                               125553,   Sandoz, Inc. ......................................................................................................................................    filgrastim-sndz.
                                               125294,   Sicor Biotech UAB ............................................................................................................................         filgrastim-srbt.
                                               103772,   Janssen Biotech, Inc. .......................................................................................................................          infliximab-jnsn.
                                               125031,   Amgen, Inc. .......................................................................................................................................    pegfilgrastim-amgn.



                                                  Each of the official names and proper                               nonproprietary names of other products.                                    lead the suffix to be misinterpreted as
Lhorne on DSK5TPTVN1PROD with PROPOSALS




                                               names in proposed § 299.20 and each                                    The designated suffixes are distinct                                       another element on the prescription or
                                               the alternative official names and proper                              from other drug substance names, do                                        order.
                                               names discussed previously was                                         not look similar to the names of other                                       While alternative official names and
                                               rigorously evaluated and determined                                    currently marketed products, are                                           proper names are described in this
                                               unlikely to be a source of errors. Each                                sufficiently distinct from other suffix                                    preamble to the proposed rule, the final
                                               of these official names and proper                                     designations, and do not include any                                       rule would designate a single official
                                               names (core name-suffix) would be                                      abbreviations commonly used in                                             name that also would be designated as
                                               sufficiently distinct from the                                         clinical practice in a manner that may                                     the proper name for each product.


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                                                                       Federal Register / Vol. 80, No. 167 / Friday, August 28, 2015 / Proposed Rules                                          52229

                                                  FDA invites comment on the                           reasons described previously, FDA has                 necessary, to select regulatory
                                               proposed official names and proper                      determined that the interest of                       approaches that maximize net benefits
                                               names for these products, including the                 usefulness and simplicity warrants the                (including potential economic,
                                               alternative names listed previously and                 designation of official names for the                 environmental, public health and safety,
                                               any other proposed names containing                     products included in this rulemaking.                 and other advantages; distributive
                                               suffixes composed of four lowercase                     FDA also has authority under section                  impacts; and equity). The Office of
                                               letters that would accomplish the                       351(a) of the PHS Act to designate the                Management and Budget (OMB) has
                                               objectives stated in this document. In                  proper name of a biological product and               determined that this proposed rule is a
                                               particular, FDA invites comment on the                  may do so through rulemaking. FDA is                  significant regulatory action as defined
                                               benefits and challenges of designating a                exercising this authority to designate                by Executive Order 12866.
                                               distinguishing suffix that is unique to                 matching proper names for these                          The Regulatory Flexibility Act
                                               each of these six biological products                   products.                                             requires Agencies to analyze regulatory
                                               versus designating a distinguishing                       Thus, section 508 of FD&C Act and                   options that would minimize any
                                               suffix that is shared by each product                   section 351 of the PHS Act, in                        significant impact of a rule on small
                                               manufactured by a single license holder                 conjunction with FDA’s general                        entities. Because the proposed rule
                                               (i.e., the three biological products                    rulemaking authority in section 701(a)                imposes one-time relabeling costs on
                                               manufactured by Amgen). FDA also                        of the FD&C Act (21 U.S.C. 371(a)),                   one small business, the Agency
                                               invites comment on whether meaningful                   provide legal authority for this proposed             proposes to certify that the final rule
                                               suffixes (e.g., suffixes derived from the               rule.                                                 will not have a significant economic
                                               names of the license holders) would be                                                                        impact on a substantial number of small
                                                                                                       IV. Effective Date                                    entities.
                                               expected to be more memorable or
                                               useful to health care providers or                        FDA proposes that any final rule that                  Section 202(a) of the Unfunded
                                               patients than suffixes devoid of                        may be issued based on this proposal                  Mandates Reform Act of 1995 requires
                                               meaning, and therefore be more useful                   become effective 90 days after the date               that Agencies prepare a written
                                               for facilitating the safe use and                       of its publication in the Federal                     statement, which includes an
                                               appropriate pharmacovigilance of these                  Register. During the 90-day period after              assessment of anticipated costs and
                                               products. FDA further requests                          publication of any final rule, FDA                    benefits, before proposing ‘‘any rule that
                                               comment on whether meaningful                           expects that BLA holders for these six                includes any Federal mandate that may
                                               suffixes derived from the name of the                   products would submit a prior approval                result in the expenditure by State, local,
                                               license holder might create                             supplement to their BLA to update the                 and tribal governments, in the aggregate,
                                               inappropriate market advantages that                    labeling of their product. After approval             or by the private sector, of $100,000,000
                                               would impede biosimilar products’                       of the supplement, FDA intends to work                or more (adjusted annually for inflation)
                                               acceptance in the market.                               with sponsors to minimize any                         in any one year.’’ The current threshold
                                                  Following approval of a BLA                          manufacturing and distribution                        after adjustment for inflation is $144
                                               supplement to update product labeling                   disruptions related to the                            million, using the most current (2014)
                                               with the official name and proper name                  implementation of new labeling and any                Implicit Price Deflator for the Gross
                                               designated in any final rule, FDA would                 related marketing materials. FDA                      Domestic Product. FDA does not expect
                                               take steps to ensure that its drug listings             expects that manufacturers will                       this proposed rule to result in any 1-
                                               that interface with other databases and                 implement the new labeling at the time                year expenditure that would meet or
                                               systems reflect the newly designated                    of their next manufacturing run and                   exceed this amount.
                                               nonproprietary name. FDA also would                     does not intend to object to                             We estimate the one-time costs of
                                               work with other governmental                            manufacturers exhausting existing                     learning about the rule; submitting
                                               organizations and external stakeholders                 inventories of finished product that is               labeling supplements, forms, and
                                               that play a role in national drug naming                not labeled with the official names and               revised marketing materials to FDA;
                                               or listings to help ensure that the official            proper names designated by this rule.                 changing labeling on affected products;
                                               name and proper name for the product                                                                          FDA review of labeling supplements,
                                               is displayed accurately in drug listing                 V. Environmental Impact                               forms, and revised marketing materials;
                                               systems. We invite comment on the best                    The Agency has determined under 21                  and activities to educate practitioners
                                               means of coordinating with external                     CFR 25.30(h) and (k) and 25.31(a) that                about name changes. The one-time costs
                                               stakeholders that play a role in drug                   this action is of a type that does not                range from $0.78 million to $3.04
                                               naming and listing to achieve this                      individually or cumulatively have a                   million. Over 10 years, the annualized
                                               objective considering, among other                      significant effect on the human                       costs range from $0.10 million to $0.40
                                               things, any transition period before                    environment. Therefore, neither an                    million with a 7 percent discount rate,
                                               market availability of products labeled                 environmental assessment nor an                       and from $0.09 million to $0.35 million
                                               with the newly designated                               environmental impact statement is                     with a 3 percent discount rate.
                                               nonproprietary names.                                   required.                                                We expect the rule would have other
                                                                                                                                                             costs that are not yet included in these
                                               III. Legal Authority                                    VI. Economic Analysis of Impacts:                     estimated costs. Additional costs to
                                                  Section 508 of the FD&C Act and                      Summary                                               industry may include costs updating
                                               section 351 of the PHS Act serve as the                    FDA has examined the impacts of the                prescribing and reimbursement systems
                                               principal legal authorities for this                    proposed rule under Executive Order                   to reflect the new names and changing
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                                               proposed rule. Section 508 of the FD&C                  12866, Executive Order 13563, the                     marketing materials to reflect the new
                                               Act, which applies to biological                        Regulatory Flexibility Act (5 U.S.C.                  names.
                                               products pursuant to section 351(j) of                  601–612), and the Unfunded Mandates                      We lack data to quantify the benefits
                                               the PHS Act, provides FDA with                          Reform Act of 1995 (Pub. L. 104–4).                   of the proposed rule. In the event of
                                               authority to designate official names for               Executive Orders 12866 and 13563                      biosimilar entry, the name changes for
                                               drugs if it determines that such action                 direct Agencies to assess all costs and               certain products that would be required
                                               is necessary or desirable in the interest               benefits of available regulatory                      by this proposed rule may help mitigate
                                               of usefulness and simplicity. For the                   alternatives and, when regulation is                  a potential competitive disadvantage for


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                                               52230                         Federal Register / Vol. 80, No. 167 / Friday, August 28, 2015 / Proposed Rules

                                               biosimilar products that receive a                               and increase the usage of those                        and monitoring of these six biological
                                               nonproprietary name that includes a                              products. The proposed rule may also                   products if biosimilar products enter the
                                               distinguishing suffix. More competition                          encourage the routine use of suffixes for              market.
                                               between the biosimilar product and the                           these six biological products, which
                                               reference product may reduce the price                           may facilitate more accurate prescribing

                                                                                                                      TABLE 1—SUMMARY OF COSTS 1
                                                                                                               One-time costs ($ mil)              Total annualized costs over 10         Total annualized costs over 10
                                                                                                                                                   years with 3 percent discount          years with 7 percent discount
                                                                  Total benefits                                                                            rate ($ mil)                           rate ($ mil)
                                                                                                           Low estimate       High estimate
                                                                                                                                                   Low estimate      High estimate        Low estimate     High estimate

                                               Not estimated ...........................................        0.78                3.04                  0.09            0.35                0.10             0.40
                                                  1 Note:   Costs are rounded.


                                                 The Economic Analysis of Impacts of                            name. The submission of supplements                    comments. Identify comments with the
                                               the proposed rule performed in                                   to approved license applications under                 docket number found in brackets in the
                                               accordance with Executive Order 12866,                           § 601.12 is approved under OMB control                 heading of this document. Received
                                               Executive Order 13563, the Regulatory                            number 0910–0338. We estimate that                     comments may be seen in the Division
                                               Flexibility Act, and the Unfunded                                this rulemaking would result in the one-               of Dockets Management between 9 a.m.
                                               Mandates Reform Act is available at                              time submission of six supplements. In                 and 4 p.m., Monday through Friday, and
                                               http://www.regulations.gov under                                 conjunction with our previously                        will be posted to the docket at http://
                                               Docket No. FDA–2015–N–0648 and at                                approved collection of information                     www.regulations.gov.
                                               http://www.fda.gov/AboutFDA/                                     under § 601.12, we estimated that each
                                                                                                                                                                       IX. Federalism
                                               ReportsManualsForms/Reports/                                     such supplement would incur a burden
                                               EconomicAnalyses/default.htm (Ref.                               of 40 hours.                                              FDA has analyzed this proposed rule
                                               11).                                                                The discussion of effective date also               in accordance with the principles set
                                                                                                                acknowledges that these applicants                     forth in Executive Order 13132. FDA
                                               VII. Paperwork Reduction Act of 1995                             would revise their labeling, which                     has determined that the proposed rule,
                                                 FDA tentatively concludes that this                            includes the immediate container label                 if finalized, would not contain policies
                                               proposed rule contains no new                                    and outer container or package, to                     that would have substantial direct
                                               collection of information. The official                          reflect the newly designated official                  effects on the States, on the relationship
                                               names and proper names of each of                                names and proper names. (As noted,                     between the National Government and
                                               these biological products, as designated                         disclosing the official names and proper               the States, or on the distribution of
                                               by the proposed rule, would be                                   names of each of these biological                      power and responsibilities among the
                                               information originally supplied by the                           products to the public is not a                        various levels of government.
                                               Federal government to the recipient for                          ‘‘collection of information’’ within the               Accordingly, the Agency tentatively
                                               the purpose of disclosure to the public,                         meaning of the PRA. See 5 CFR                          concludes that the proposed rule does
                                               and the public disclosure of such                                1320.3(c)(2).) The design and testing of               not contain policies that have
                                               information is not a ‘‘collection of                             prescription drug labeling required                    federalism implications as defined in
                                               information’’ within the meaning of the                          under §§ 201.56 and 201.57 (21 CFR                     the Executive order and, consequently,
                                               Paperwork Reduction Act of 1995 (the                             201.56 and 201.57) (including                          a federalism summary impact statement
                                               PRA). See 5 CFR 1320.3(c)(2). Therefore,                         § 201.56(a)(2)) is approved under OMB                  is not required.
                                               clearance by the OMB under the PRA                               control number 0910–0572. Concerning                   X. References
                                               (44 U.S.C. 3501–3520) is not required.                           the immediate container label and outer
                                                 The discussion of effective date in the                        container or package, in the Federal                      The following references have been
                                               preamble (section IV) to this proposed                           Register of December 18, 2014 (79 FR                   placed on display in the Division of
                                               rule references certain actions that                             75506), we published a proposed rule                   Dockets Management (see ADDRESSES)
                                               would be taken by manufacturers and                              on the electronic distribution of                      and may be seen by interested persons
                                               applicants for the specific approved                             prescribing information for human                      between 9 a.m. and 4 p.m., Monday
                                               biological products for which this                               prescription drugs, including biological               through Friday. (FDA has verified all
                                               proposed rule would designate official                           products. In section VII, ‘‘Paperwork                  the Web site addresses in this reference
                                               names and proper names, in order to                              Reduction Act of 1995,’’ we estimated                  section, but FDA is not responsible for
                                               comply with existing FDA regulations                             the burden to design (including                        any subsequent changes to the Web sites
                                               that contain collections of information                          revisions), test, and produce the label                after this document publishes in the
                                               that are subject to review by OMB under                          for a drug’s immediate container and                   Federal Register.)
                                               the PRA.                                                         outer container or package, as set forth               1. FDA, Guidance for Industry,
                                                 Specifically, prior to the effective date                      in 21 CFR part 201 and other sections                      ‘‘Immunogenicity Assessment for
                                               of any final rule based on this proposal,                        in subpart A and subpart B.                                Therapeutic Protein Products,’’ August
Lhorne on DSK5TPTVN1PROD with PROPOSALS




                                               a prior approval supplement would be                                                                                        2014, available at http://www.fda.gov/
                                               submitted in accordance with § 601.12                            VIII. Comments                                             downloads/drugs/guidancecompliance
                                               (21 CFR 601.12) for each of six specific                            Interested persons may submit either                    regulatoryinformation/guidances/ucm
                                               BLAs referenced in this rule, to update                          electronic comments regarding this                         338856.pdf.
                                                                                                                                                                       2. Buck D., S. Cepok, S. Hoffmann, et al.,
                                               the labeling of the product (which                               document to http://www.regulations.gov                     ‘‘Influence of the HLA–DRB1 Genotype
                                               includes the immediate container label                           or written comments to the Division of                     on Antibody Development to Interferon
                                               and outer container or package) with the                         Dockets Management (see ADDRESSES). It                     Beta in Multiple Sclerosis.’’ Archives of
                                               designated official name and proper                              is only necessary to send one set of                       Neurology, 68(4):480–487, 2011.



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                                                                             Federal Register / Vol. 80, No. 167 / Friday, August 28, 2015 / Proposed Rules                                                                                        52231

                                               3. Nease, R., S. Miller, and S. G. Frazee,                                     0602, and FDA–2011–D–0611 on ‘‘Draft                                         Therefore, under the Federal Food,
                                                    ‘‘2010 Specialty Drug Trend Report.’’                                     Guidance Documents on Biosimilar                                           Drug, and Cosmetic Act and the Public
                                                    Express Scripts Specialty Benefit                                         Product Development,’’ available at                                        Health Service Act, and under authority
                                                    Services (June 2011).                                                     http://www.regulations.gov.
                                               4. Vora, J. B., ‘‘Evaluation of Medical
                                                                                                                                                                                                         delegated to the Commissioner of Food
                                                                                                                         10. ‘‘Apotex Announces FDA Has Accepted
                                                    Specialty Medications: Utilization and                                    for Filing Its Biosimilar Application for                                  and Drugs, FDA proposes to amend 21
                                                    Management Opportunities,’’                                               Pegfilgrastim’’ (December 17, 2014),                                       CFR part 299 as follows:
                                                    Commissioned by CVS Caremark (April                                       available at http://www.apotex.com/
                                                    8, 2014), available at http://                                            global/about/press/20141217.asp;                                           PART 299—DRUGS; OFFICIAL NAMES
                                                    info.cvscaremark.com/insights2014/                                        ‘‘Hospira Submits New Biologics License                                    AND ESTABLISHED NAMES
                                                    Singh06-Medical-Specialty-Utilization-                                    Application to U.S. FDA for Proposed
                                                    and-Management-Opportunities.pdf.                                         Epoetin Alfa Biosimilar,’’ PR Newswire                                     ■ 1. The authority citation for 21 CFR
                                               5. Dal Pan, G. J., M. Lindquist, and K.                                        (January 12, 2015), available at http://
                                                    Gelperin, ‘‘Postmarketing Spontaneous
                                                                                                                                                                                                         part 299 is revised to read as follows:
                                                                                                                              www.prnewswire.com/news-releases/
                                                    Pharmacovigilance Reporting Systems,’’                                    hospira-submits-new-biologics-license-                                       Authority: 21 U.S.C. 331, 351, 352, 355,
                                                    Chapter 10, in Pharmacoepidemiology,                                      application-to-us-fda-for-proposed-                                        358, 360b, 371; 42 U.S.C. 262.
                                                    5th ed., edited by B. L. Strom and S.                                     epoetin-alfa-biosimilar-300018991.html;
                                                    Hennessy. Etobicoke (Canada): John                                        ‘‘Celltrion Files for US FDA Approval of                                   ■ 2. Add subpart B to Part 299 to read
                                                    Wiley & Sons; 2012.                                                       Remsima®,’’ (August 11, 2014), available                                   as follows:
                                               6. Getz, K. A., S. Stergiopoulos, and K. I.                                    at http://www.celltrion.com/en/
                                                    Kaitin, ‘‘Evaluating the Completeness                                     COMPANY/notice_                                                            Subpart B—Designated Names
                                                    and Accuracy of MedWatch Data,’’
                                                                                                                              view.asp?idx=456&code=ennews
                                                    American Journal of Therapeutics,                                                                                                                    § 299.20 Official names and proper names
                                                                                                                              &intNowPage=1&menu_num=&align_
                                                    21(6):442–446, 2014.                                                                                                                                 of certain biological products.
                                                                                                                              year=all.
                                               7. American Society of Health-System
                                                                                                                         11. ‘‘Preliminary Regulatory Impact Analysis,                                     (a) The Food and Drug Administration
                                                    Pharmacists (ASHP), ‘‘ASHP Guidelines
                                                    on Preventing Medication Errors With                                      Initial Regulatory Flexibility Analysis,                                   has designated official names under
                                                    Chemotherapy and Biotherapy,’’ 2014,                                      and Unfunded Mandates Reform Act                                           section 508 of the Federal Food, Drug,
                                                    available at http://www.ashp.org/                                         Analysis for Designation of Official
                                                                                                                                                                                                         and Cosmetic Act for the biological
                                                    DocLibrary/BestPractices/                                                 Names and Proper Names for Certain
                                                                                                                              Biological Products; Proposed Rule,’’                                      products licensed under section 351 of
                                                    MedMisGdlAntineo.aspx.                                                                                                                               the Public Health Service Act in the
                                               8. Institute for Safe Medication Practices                                     available at http://www.fda.gov/About
                                                    (ISMP), ‘‘ISMP’s Guidelines for Standard                                  FDA/ReportsManualsForms/Reports/                                           biologics license applications provided
                                                    Order Sets,’’ available at http://ismp.org/                               EconomicAnalyses/default.htm.                                              in the following list. The official name
                                                    tools/guidelines/StandardOrderSets.asp.                                                                                                              shall be the proper name designated in
                                                                                                                         List of Subjects in 21 CFR Part 299                                             the license for use upon each package of
                                               9. See, e.g., Comments from AARP to Docket
                                                    Nos. FDA–2011–D–0605, FDA–2011–D–                                        Drugs.                                                                      the product.

                                                                                            Biologics license application (BLA) number                                                                                     Official name and proper name

                                               BLA   103234     ....................................................................................................................................................    epoetin alfa-cgkn.
                                               BLA   103353     ....................................................................................................................................................    filgrastim-jcwp.
                                               BLA   125553     ....................................................................................................................................................    filgrastim-bflm.
                                               BLA   125294     ....................................................................................................................................................    filgrastim-vkzt.
                                               BLA   103772     ....................................................................................................................................................    infliximab-hjmt.
                                               BLA   125031     ....................................................................................................................................................    pegfilgrastim-ljfd.



                                                  (b) [Reserved]                                                         SUMMARY:   This document contains                                               Friday between the hours of 8 a.m. and
                                                 Dated: August 25, 2015.                                                 proposed regulations that provide                                               4 p.m. to CC:PA:LPD:PR (REG–103033–
                                               Leslie Kux,
                                                                                                                         guidance regarding the amount of the                                            11), Courier’s Desk, Internal Revenue
                                                                                                                         penalty under section 6707A of the                                              Service, 1111 Constitution Avenue NW.,
                                               Associate Commissioner for Policy.
                                                                                                                         Internal Revenue Code (Code) for failure                                        Washington, DC, or sent electronically
                                               [FR Doc. 2015–21382 Filed 8–27–15; 8:45 am]                               to include on any return or statement                                           via the Federal eRulemaking Portal at
                                               BILLING CODE 4164–01–P                                                    any information required to be disclosed                                        http://www.regulations.gov (indicate
                                                                                                                         under section 6011 with respect to a                                            IRS and REG–103033–11).
                                                                                                                         reportable transaction. The proposed                                            FOR FURTHER INFORMATION CONTACT:
                                               DEPARTMENT OF THE TREASURY                                                regulations are necessary to clarify the                                        Concerning the proposed regulations,
                                                                                                                         amount of the penalty under section                                             Melissa Henkel, (202) 317–6844;
                                               Internal Revenue Service                                                  6707A, as amended by the Small                                                  concerning submissions of comments or
                                                                                                                         Business Jobs Act of 2010. The proposed                                         requests for a public hearing,
                                               26 CFR Part 301                                                           regulations would affect any taxpayer                                           Oluwafunmilayo (Funmi) Taylor, (202)
                                                                                                                         who fails to properly disclose                                                  317–6901 (not toll-free numbers).
                                               [REG–103033–11]                                                           participation in a reportable transaction.                                      SUPPLEMENTARY INFORMATION:
                                                                                                                         DATES: Written or electronic comments
                                                                                                                                                                                                         Background
Lhorne on DSK5TPTVN1PROD with PROPOSALS




                                               RIN 1545–BK62                                                             and requests for a public hearing must
                                                                                                                         be received by November 27, 2015.                                                 This document contains proposed
                                               Reportable Transactions Penalties                                         ADDRESSES: Send submissions to:                                                 amendments to 26 CFR part 301 under
                                               Under Section 6707A                                                       CC:PA:LPD:PR (REG–103033–11), Room                                              section 6707A of the Internal Revenue
                                               AGENCY: Internal Revenue Service (IRS),                                   5205, Internal Revenue Service, P.O.                                            Code. Section 6707A was added to the
                                               Treasury.                                                                 Box 7604, Ben Franklin Station,                                                 Code by section 811(a) of the American
                                                                                                                         Washington, DC 20044. Submissions                                               Jobs Creation Act of 2004 (Pub. L. 108–
                                               ACTION: Notice of proposed rulemaking.
                                                                                                                         may be hand delivered Monday through                                            357, 118 Stat. 1418) and was amended


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Document Created: 2015-12-15 11:04:35
Document Modified: 2015-12-15 11:04:35
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionProposed Rules
ActionProposed rule.
DatesSubmit either electronic or written comments on the proposed rule by November 12, 2015. See section IV of this document for the proposed effective date of any final rule that may publish based on this proposal.
ContactSandra Benton, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Rm. 6340, Silver Spring, MD 20993-0002, 301- 796-2500.
FR Citation80 FR 52224 
RIN Number0910-AH25

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