80_FR_57189 80 FR 57007 - Establishment of the Patient Engagement Advisory Committee; Establishment of a Public Docket; Request for Comments

80 FR 57007 - Establishment of the Patient Engagement Advisory Committee; Establishment of a Public Docket; Request for Comments

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 182 (September 21, 2015)

Page Range57007-57008
FR Document2015-23521

The Food and Drug Administration (FDA or Agency) is announcing the establishment of the Patient Engagement Advisory Committee (the Committee). The Committee will provide advice to the Commissioner of Food and Drugs (the Commissioner) or designee, on complex issues relating to medical devices, regulation of devices, and their use by patients. The Committee may consider topics such as Agency guidance and policies, clinical trial or registry design, patient preference study design, benefit-risk determinations, device labeling, unmet clinical needs, available alternatives, patient reported outcomes and device- related quality of life or health status issues, and other patient- related topics. The Agency is also announcing the establishment of a public docket for comments on the potential topics.

Federal Register, Volume 80 Issue 182 (Monday, September 21, 2015)
[Federal Register Volume 80, Number 182 (Monday, September 21, 2015)]
[Notices]
[Pages 57007-57008]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-23521]



[[Page 57007]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2015-N-3166]


Establishment of the Patient Engagement Advisory Committee; 
Establishment of a Public Docket; Request for Comments

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice; establishment of public docket; request for comments.

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

SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
the establishment of the Patient Engagement Advisory Committee (the 
Committee). The Committee will provide advice to the Commissioner of 
Food and Drugs (the Commissioner) or designee, on complex issues 
relating to medical devices, regulation of devices, and their use by 
patients. The Committee may consider topics such as Agency guidance and 
policies, clinical trial or registry design, patient preference study 
design, benefit-risk determinations, device labeling, unmet clinical 
needs, available alternatives, patient reported outcomes and device-
related quality of life or health status issues, and other patient-
related topics. The Agency is also announcing the establishment of a 
public docket for comments on the potential topics.

DATES: Comments received by November 20, 2015, will be provided to the 
Agency.

ADDRESSES: Submit electronic comments to http://www.regulations.gov. 
Submit written comments to the Division of Dockets Management (HFA-
305), Food and Drug Administration, 5630 Fishers Lane, Rm. 1061, 
Rockville, MD 20852. Comments are to be identified with the docket 
number found in brackets in the heading of this document.

FOR FURTHER INFORMATION CONTACT: Letise Williams, Center for Devices 
and Radiological Health, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 66, Rm. 5441, 301-796-8398, FAX: 301-847-8510.

SUPPLEMENTARY INFORMATION:

I. Background

    The Committee will provide advice to the Commissioner or designee, 
on complex issues relating to medical devices, the regulation of 
devices, and their use by patients. The Committee may consider topics 
such as: Agency guidance and policies, clinical trial or registry 
design, patient preference study design, benefit-risk determinations, 
device labeling, unmet clinical needs, available alternatives, patient 
reported outcomes and device-related quality of life or health status 
issues, and other patient-related topics. The Committee will provide 
relevant skills and perspectives, in order to improve communication of 
benefits, risks, clinical outcomes, and increase integration of patient 
perspectives into the regulatory process for medical devices. It will 
perform its duties by discussing and providing advice and 
recommendation in ways such as: Identifying new approaches, promoting 
innovation, recognizing unforeseen risks or barriers, and identifying 
unintended consequences that could result from FDA policy.

A. Composition of the Committee

    The Committee will consist of a core of nine voting members, 
including the Chair. Members and the Chair are selected by the 
Commissioner or designee from experts who are knowledgeable in areas 
such as clinical research, primary care patient experience, and health 
care needs of patient groups in the United States. Selected Committee 
members may also be experienced in the work of patient and health 
professional organizations; methodologies for eliciting patient 
preferences; and strategies for communicating benefits, risks and 
clinical outcomes to patients and research subjects. Members will be 
invited to serve for overlapping terms of up to 4 years. Almost all 
non-Federal members of this committee serve as Special Government 
Employees. The voting members may include one consumer representative 
who is a technically qualified member, selected by the Commissioner or 
designee, identified with consumer interests, and is recommended by 
either a consortium of consumer oriented organizations or other 
interested persons.
    The Commissioner or designee will also have the authority to select 
from a group of individuals nominated by industry to serve temporarily 
as non-voting members who are identified with industry interests. The 
number of temporary non-voting members selected for a particular 
meeting will depend on the meeting topic.

B. Topics

    FDA is also soliciting public feedback on potential topics for this 
Committee to discuss and advise the Agency. The following topics may 
include, but are not limited to:
     Where can patients provide input across the medical device 
total product lifecycle? What should be the focus of that input (e.g., 
input on unmet medical needs; input on endpoints of interest for 
particular diseases/conditions; input on feasibility of clinical study 
plans and protocols to reduce barriers to patient participation and 
retention; input on draft patient labeling; postmarket data reported 
directly from patients; input on potential risk communication related 
to products already on the market)? How should the process of 
soliciting patient input for various purposes work?
     How should FDA directly engage patients for input related 
to medical device premarket considerations (e.g., in considering public 
health impact criterion for eligibility for Expedited Access Program)?
     How should FDA engage patients for input related to 
medical device performance once products are available on the market?
     Under what conditions should health care professional or 
patient labeling include information about patient preference studies 
or patient reported outcomes (PROs)?
     How should sponsors present patient preference information 
or PROs in the health care professional and patient labeling?
     How should labeling indicate that only a portion of 
patients in a patient preference study were willing to accept certain 
risks in order to achieve probable benefits?
     How should sponsors and the FDA ensure that patients 
receive and understand patient preference information?
     How can patient preferences be obtained in an unbiased 
manner if the device study has already enrolled and/or been published?
     How do patients view clinical study informed consent 
forms?
    Elsewhere in this issue of the Federal Register, FDA is publishing 
separate documents regarding:
    1. Request for Nominations for Voting Members for the Patient 
Engagement Advisory Committee
    2. Request for Nominations of Individuals and Consumer 
Organizations for the Patient Engagement Advisory Committee
    3. Request for Nominations of Individuals and Industry 
Organizations for the Patient Engagement Advisory Committee
    FDA intends to publish a final rule in the Federal Register, adding 
the Patient Engagement Advisory Committee to 21 CFR part 14.100.

[[Page 57008]]

II. Comments

    FDA is opening a docket for 60 days to provide an opportunity for 
public comment on the potential topics. Interested persons may submit 
either electronic comments regarding the potential topics 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 
Divisions 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.

    Dated: September 15, 2015.
Jill Hartzler Warner,
Associate Commissioner for Special Medical Programs.
[FR Doc. 2015-23521 Filed 9-18-15; 8:45 am]
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                                                                         Federal Register / Vol. 80, No. 182 / Monday, September 21, 2015 / Notices                                           57007

                                               DEPARTMENT OF HEALTH AND                                registry design, patient preference study                • Where can patients provide input
                                               HUMAN SERVICES                                          design, benefit-risk determinations,                  across the medical device total product
                                                                                                       device labeling, unmet clinical needs,                lifecycle? What should be the focus of
                                               Food and Drug Administration                            available alternatives, patient reported              that input (e.g., input on unmet medical
                                               [Docket No. FDA–2015–N–3166]                            outcomes and device-related quality of                needs; input on endpoints of interest for
                                                                                                       life or health status issues, and other               particular diseases/conditions; input on
                                               Establishment of the Patient                            patient-related topics. The Committee                 feasibility of clinical study plans and
                                               Engagement Advisory Committee;                          will provide relevant skills and                      protocols to reduce barriers to patient
                                               Establishment of a Public Docket;                       perspectives, in order to improve                     participation and retention; input on
                                               Request for Comments                                    communication of benefits, risks,                     draft patient labeling; postmarket data
                                                                                                       clinical outcomes, and increase                       reported directly from patients; input on
                                               AGENCY:    Food and Drug Administration,                integration of patient perspectives into              potential risk communication related to
                                               HHS.                                                    the regulatory process for medical                    products already on the market)? How
                                               ACTION: Notice; establishment of public                 devices. It will perform its duties by                should the process of soliciting patient
                                               docket; request for comments.                           discussing and providing advice and                   input for various purposes work?
                                               SUMMARY:   The Food and Drug
                                                                                                       recommendation in ways such as:                          • How should FDA directly engage
                                                                                                       Identifying new approaches, promoting                 patients for input related to medical
                                               Administration (FDA or Agency) is
                                                                                                       innovation, recognizing unforeseen risks              device premarket considerations (e.g., in
                                               announcing the establishment of the
                                                                                                       or barriers, and identifying unintended               considering public health impact
                                               Patient Engagement Advisory
                                                                                                       consequences that could result from                   criterion for eligibility for Expedited
                                               Committee (the Committee). The
                                                                                                       FDA policy.                                           Access Program)?
                                               Committee will provide advice to the
                                               Commissioner of Food and Drugs (the                     A. Composition of the Committee                          • How should FDA engage patients
                                               Commissioner) or designee, on complex                                                                         for input related to medical device
                                                                                                          The Committee will consist of a core               performance once products are available
                                               issues relating to medical devices,
                                                                                                       of nine voting members, including the                 on the market?
                                               regulation of devices, and their use by
                                                                                                       Chair. Members and the Chair are                         • Under what conditions should
                                               patients. The Committee may consider
                                                                                                       selected by the Commissioner or                       health care professional or patient
                                               topics such as Agency guidance and
                                                                                                       designee from experts who are                         labeling include information about
                                               policies, clinical trial or registry design,
                                                                                                       knowledgeable in areas such as clinical               patient preference studies or patient
                                               patient preference study design, benefit-
                                                                                                       research, primary care patient                        reported outcomes (PROs)?
                                               risk determinations, device labeling,
                                                                                                       experience, and health care needs of                     • How should sponsors present
                                               unmet clinical needs, available
                                                                                                       patient groups in the United States.                  patient preference information or PROs
                                               alternatives, patient reported outcomes
                                                                                                       Selected Committee members may also                   in the health care professional and
                                               and device-related quality of life or
                                                                                                       be experienced in the work of patient                 patient labeling?
                                               health status issues, and other patient-
                                                                                                       and health professional organizations;                   • How should labeling indicate that
                                               related topics. The Agency is also
                                                                                                       methodologies for eliciting patient                   only a portion of patients in a patient
                                               announcing the establishment of a
                                                                                                       preferences; and strategies for                       preference study were willing to accept
                                               public docket for comments on the
                                                                                                       communicating benefits, risks and                     certain risks in order to achieve
                                               potential topics.
                                                                                                       clinical outcomes to patients and                     probable benefits?
                                               DATES: Comments received by                             research subjects. Members will be
                                               November 20, 2015, will be provided to                                                                           • How should sponsors and the FDA
                                                                                                       invited to serve for overlapping terms of
                                               the Agency.                                                                                                   ensure that patients receive and
                                                                                                       up to 4 years. Almost all non-Federal
                                               ADDRESSES: Submit electronic                                                                                  understand patient preference
                                                                                                       members of this committee serve as
                                               comments to http://                                                                                           information?
                                                                                                       Special Government Employees. The
                                               www.regulations.gov. Submit written                     voting members may include one                           • How can patient preferences be
                                               comments to the Division of Dockets                     consumer representative who is a                      obtained in an unbiased manner if the
                                               Management (HFA–305), Food and Drug                     technically qualified member, selected                device study has already enrolled and/
                                               Administration, 5630 Fishers Lane, Rm.                  by the Commissioner or designee,                      or been published?
                                               1061, Rockville, MD 20852. Comments                     identified with consumer interests, and                  • How do patients view clinical study
                                               are to be identified with the docket                    is recommended by either a consortium                 informed consent forms?
                                               number found in brackets in the                         of consumer oriented organizations or                    Elsewhere in this issue of the Federal
                                               heading of this document.                               other interested persons.                             Register, FDA is publishing separate
                                               FOR FURTHER INFORMATION CONTACT:                           The Commissioner or designee will                  documents regarding:
                                               Letise Williams, Center for Devices and                 also have the authority to select from a                 1. Request for Nominations for Voting
                                               Radiological Health, Food and Drug                      group of individuals nominated by                     Members for the Patient Engagement
                                               Administration, 10903 New Hampshire                     industry to serve temporarily as non-                 Advisory Committee
                                               Ave., Bldg. 66, Rm. 5441, 301–796–                      voting members who are identified with                   2. Request for Nominations of
                                               8398, FAX: 301–847–8510.                                industry interests. The number of                     Individuals and Consumer
                                               SUPPLEMENTARY INFORMATION:                              temporary non-voting members selected                 Organizations for the Patient
                                                                                                       for a particular meeting will depend on               Engagement Advisory Committee
                                               I. Background                                           the meeting topic.                                       3. Request for Nominations of
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                                                 The Committee will provide advice to                                                                        Individuals and Industry Organizations
                                                                                                       B. Topics                                             for the Patient Engagement Advisory
                                               the Commissioner or designee, on
                                               complex issues relating to medical                        FDA is also soliciting public feedback              Committee
                                               devices, the regulation of devices, and                 on potential topics for this Committee to                FDA intends to publish a final rule in
                                               their use by patients. The Committee                    discuss and advise the Agency. The                    the Federal Register, adding the Patient
                                               may consider topics such as: Agency                     following topics may include, but are                 Engagement Advisory Committee to 21
                                               guidance and policies, clinical trial or                not limited to:                                       CFR part 14.100.


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                                               57008                     Federal Register / Vol. 80, No. 182 / Monday, September 21, 2015 / Notices

                                               II. Comments                                            Room 1581, Bethesda, MD 20892, 301–496–                 Dated: September 15, 2015.
                                                                                                       2116, balabanr@nhlbi.nih.gov.                         David Clary,
                                                 FDA is opening a docket for 60 days                     Information is also available on the
                                               to provide an opportunity for public                                                                          Program Analyst, Office of Federal Advisory
                                                                                                       Institute’s/Center’s home page:                       Committee Policy.
                                               comment on the potential topics.                        www.nhlbi.nih.gov/meetings/index.htm,
                                                                                                                                                             [FR Doc. 2015–23565 Filed 9–18–15; 8:45 am]
                                               Interested persons may submit either                    where an agenda and any additional
                                               electronic comments regarding the                       information for the meeting will be posted            BILLING CODE 4140–01–P

                                               potential topics to http://                             when available.
                                               www.regulations.gov or written                          (Catalogue of Federal Domestic Assistance
                                               comments to the Division of Dockets                     Program Nos. 93.233, National Center for              DEPARTMENT OF HEALTH AND
                                               Management (see ADDRESSES). It is only                  Sleep Disorders Research; 93.837, Heart and           HUMAN SERVICES
                                                                                                       Vascular Diseases Research; 93.838, Lung
                                               necessary to send one set of comments.                                                                        National Institutes of Health
                                                                                                       Diseases Research; 93.839, Blood Diseases
                                               Identify comments with the docket                       and Resources Research, National Institutes
                                               number found in brackets in the                         of Health, HHS)                                       Center for Scientific Review; Notice of
                                               heading of this document. Received                                                                            Closed Meetings
                                                                                                         Dated: September 15, 2015.
                                               comments may be seen in the Divisions
                                               of Dockets Management between 9 a.m.                    Michelle Trout,                                         Pursuant to section 10(d) of the
                                               and 4 p.m., Monday through Friday, and                  Program Analyst, Office of Federal Advisory           Federal Advisory Committee Act, as
                                               will be posted to the docket at http://                 Committee Policy.                                     amended (5 U.S.C. App.), notice is
                                               www.regulations.gov.                                    [FR Doc. 2015–23505 Filed 9–18–15; 8:45 am]           hereby given of the following meetings.
                                                                                                       BILLING CODE 4140–01–P                                  The meetings will be closed to the
                                                  Dated: September 15, 2015.                                                                                 public in accordance with the
                                               Jill Hartzler Warner,                                                                                         provisions set forth in sections
                                               Associate Commissioner for Special Medical              DEPARTMENT OF HEALTH AND                              552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
                                               Programs.                                               HUMAN SERVICES                                        as amended. The grant applications and
                                               [FR Doc. 2015–23521 Filed 9–18–15; 8:45 am]                                                                   the discussions could disclose
                                               BILLING CODE 4164–01–P                                  National Institutes of Health                         confidential trade secrets or commercial
                                                                                                                                                             property such as patentable material,
                                                                                                       National Institute of Allergy and                     and personal information concerning
                                               DEPARTMENT OF HEALTH AND                                Infectious Diseases; Notice of Closed                 individuals associated with the grant
                                               HUMAN SERVICES                                          Meeting                                               applications, the disclosure of which
                                                                                                         Pursuant to section 10(d) of the                    would constitute a clearly unwarranted
                                               National Institutes of Health                                                                                 invasion of personal privacy.
                                                                                                       Federal Advisory Committee Act, as
                                               National Heart, Lung, and Blood                         amended (5 U.S.C. App.), notice is                      Name of Committee: Center for Scientific
                                               Institute; Notice of Closed Meeting                     hereby given of the following meeting.                Review Special Emphasis Panel Member
                                                                                                         The meeting will be closed to the                   Conflict: Cancer Immuno Therapeutics.
                                                 Pursuant to section 10(d) of the                      public in accordance with the                           Date: October 1, 2015.
                                               Federal Advisory Committee Act, as                      provisions set forth in sections                        Time: 2:00 p.m. to 5:00 p.m.
                                               amended (5 U.S.C. App.), notice is                      552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,              Agenda: To review and evaluate grant
                                               hereby given of a meeting of the Board                  as amended. The grant applications and                applications.
                                                                                                                                                               Place: National Institutes of Health, 6701
                                               of Scientific Counselors, NHLBI.                        the discussions could disclose
                                                                                                                                                             Rockledge Drive, Bethesda, MD 20892,
                                                 The meeting will be closed to the                     confidential trade secrets or commercial              (Telephone Conference Call).
                                               public as indicated below in accordance                 property such as patentable material,                   Contact Person: Malaya Chatterjee, Ph.D.,
                                               with the provisions set forth in section                and personal information concerning                   Scientific Review Officer, Center for
                                               552b(c)(6), Title 5 U.S.C., as amended                  individuals associated with the grant                 Scientific Review, National Institutes of
                                               for the review, discussion, and                         applications, the disclosure of which                 Health, 6701 Rockledge Drive, Room 6192,
                                               evaluation of individual intramural                     would constitute a clearly unwarranted                MSC 7804, Bethesda, MD 20892, (301) 806–
                                               programs and projects conducted by the                  invasion of personal privacy.                         2515, chatterm@csr.nih.gov.
                                               NATIONAL HEART, LUNG, AND                                                                                       This notice is being published less than 15
                                                                                                         Name of Committee: National Institute of
                                               BLOOD INSTITUTE, including                                                                                    days prior to the meeting due to the timing
                                                                                                       Allergy and Infectious Diseases Special
                                               consideration of personnel                              Emphasis Panel NIAID Clinical Trial                   limitations imposed by the review and
                                                                                                       Implementation Grant (R01).                           funding cycle.
                                               qualifications and performance, and the
                                               competence of individual investigators,                   Date: October 20, 2015.                               Name of Committee: Center for Scientific
                                                                                                         Time: 1:00 p.m. to 2:30 p.m.                        Review Special Emphasis Panel PAR Panel:
                                               the disclosure of which would                                                                                 Investigations on Primary Immunodeficiency
                                                                                                         Agenda: To review and evaluate grant
                                               constitute a clearly unwarranted                        applications.                                         Diseases.
                                               invasion of personal privacy.                             Place: National Institutes of Health, Room            Date: October 15, 2015.
                                                 Name of Committee: Board of Scientific                3E73, 5601 Fishers Lane, Rockville, MD                  Time: 1:00 p.m. to 4:00 p.m.
                                               Counselors, NHLBI.                                      20892, (Telephone Conference Call).                     Agenda: To review and evaluate grant
                                                 Date: October 27, 2015.                                 Contact Person: Jane K. Battles, Ph.D.,             applications.
                                                 Time: 8:00 a.m. to 5:00 p.m.                          Scientific Review Officer, Scientific Review            Place: National Institutes of Health, 6701
                                                 Agenda: To review and evaluate personal               Program, Division of Extramural Activities,           Rockledge Drive, Bethesda, MD 20892,
                                               qualifications and performance, and                     National Institutes of Health/NIAID, 5601             (Virtual Meeting).
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                                               competence of individual investigators.                 Fishers Lane, Room 3F30B, Rockville, MD                 Contact Person: Jin Huang, Ph.D.,
                                                 Place: National Institutes of Health, Porter          20852, 240–669–5029, battlesja@                       Scientific Review Officer, Center for
                                               Neuroscience Research Center, Building 35A,             mail.nih.gov.                                         Scientific Review, National Institutes of
                                               Convent Drive, Bethesda, MD 20892.                      (Catalogue of Federal Domestic Assistance             Health, 6701 Rockledge Drive, Room 4095G,
                                                 Contact Person: Robert S. Balaban, Ph.D.              Program Nos. 93.855, Allergy, Immunology,             MSC 7812, Bethesda, MD 20892, 301–435–
                                               Scientific Director, National Heart, Lung, and          and Transplantation Research; 93.856,                 1230, jh377p@nih.gov.
                                               Blood Institute, National Institutes of Health,         Microbiology and Infectious Diseases                    Name of Committee: Center for Scientific
                                               Building 10, 10 Center Drive, CRC, 4th Floor,           Research, National Institutes of Health, HHS)         Review Special Emphasis Panel PAR–13–



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Document Created: 2015-12-15 09:39:25
Document Modified: 2015-12-15 09:39:25
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice; establishment of public docket; request for comments.
DatesComments received by November 20, 2015, will be provided to the Agency.
ContactLetise Williams, Center for Devices and Radiological Health, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Rm. 5441, 301-796-8398, FAX: 301-847-8510.
FR Citation80 FR 57007 

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