80_FR_58680 80 FR 58492 - E6(R2) Good Clinical Practice; International Conference on Harmonisation; Draft Guidance for Industry; Availability

80 FR 58492 - E6(R2) Good Clinical Practice; International Conference on Harmonisation; Draft Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 188 (September 29, 2015)

Page Range58492-58493
FR Document2015-24623

The Food and Drug Administration (FDA or Agency) is announcing the availability of a draft guidance entitled ``E6(R2) Good Clinical Practice.'' The draft guidance was prepared under the auspices of the International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH). The draft guidance amends the guidance entitled ``E6 Good Clinical Practice: Consolidated Guidance'' (E6(R1)) to encourage implementation of improved and more efficient approaches to clinical trial design, conduct, oversight, recording, and reporting, and also updates standards regarding electronic records and essential documents. The draft guidance is intended to improve clinical trial quality and efficiency while maintaining human subject protection. FDA is making this draft guidance available for comment on the sections that are additions to ICH E6(R1) and marked as ``ADDENDUM.''

Federal Register, Volume 80 Issue 188 (Tuesday, September 29, 2015)
[Federal Register Volume 80, Number 188 (Tuesday, September 29, 2015)]
[Notices]
[Pages 58492-58493]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-24623]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2015-D-3327]


E6(R2) Good Clinical Practice; International Conference on 
Harmonisation; Draft Guidance for Industry; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
the availability of a draft guidance entitled ``E6(R2) Good Clinical 
Practice.'' The draft guidance was prepared under the auspices of the 
International Conference on Harmonisation of Technical Requirements for 
Registration of Pharmaceuticals for Human Use (ICH). The draft guidance 
amends the guidance entitled ``E6 Good Clinical Practice: Consolidated 
Guidance'' (E6(R1)) to encourage implementation of improved and more 
efficient approaches to clinical trial design, conduct, oversight, 
recording, and reporting, and also updates standards regarding 
electronic records and essential documents. The draft guidance is 
intended to improve clinical trial quality and efficiency while 
maintaining human subject protection. FDA is making this draft guidance 
available for comment on the sections that are additions to ICH E6(R1) 
and marked as ``ADDENDUM.''

DATES: Although you can comment on any guidance at any time (see 21 CFR 
10.115(g)(5)), to ensure that the Agency considers your comment on the 
sections of this draft guidance marked as

[[Page 58493]]

``ADDENDUM'' before it begins work on the final version of the 
guidance, submit either electronic or written comments on the 
``ADDENDUM'' sections of the draft guidance by November 30, 2015.

ADDRESSES: Submit written requests for single copies of the draft 
guidance to the Division of Drug Information (HFD-240), Center for Drug 
Evaluation and Research (CDER), Food and Drug Administration, 10001 New 
Hampshire Ave., Hillandale Building, 4th Floor, Silver Spring, MD 
20993-0002, or the Office of Communication, Outreach, and Development, 
Center for Biologics Evaluation and Research (CBER), Food and Drug 
Administration, 10903 New Hampshire Ave., Bldg. 71, Rm. 3128, Silver 
Spring, MD 20993-0002. Send one self-addressed adhesive label to assist 
the office in processing your requests. The draft guidance may also be 
obtained by mail by calling CBER at 1-800-835-4709 or 240-402-7800. See 
the SUPPLEMENTARY INFORMATION section for electronic access to the 
draft guidance document.
    Submit electronic comments on the draft guidance to http://www.regulations.gov. Submit written comments to the Division of Dockets 
Management (HFA-305), Food and Drug Administration, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: Regarding the guidance: Dianne 
Paraoan, Center for Drug Evaluation and Research, Food and Drug 
Administration, 10903 New Hampshire Ave., Bldg. 51, Rm. 3326, Silver 
Spring, MD 20993-0002, 301-796-2500; or Stephen Ripley, Center for 
Biologics Evaluation and Research, Food and Drug Administration, 10903 
New Hampshire Ave., Bldg. 71, Rm. 7301, Silver Spring, MD 20993-0002, 
240-402-7911.
    Regarding the ICH: Michelle Limoli, Center for Drug Evaluation and 
Research, International Programs, Food and Drug Administration, 10903 
New Hampshire Ave., Bldg. 71, rm. 7208, Silver Spring, MD 20993-0002, 
301-796-8377.

SUPPLEMENTARY INFORMATION:

I. Background

    In recent years, many important initiatives have been undertaken by 
regulatory authorities and industry associations to promote 
international harmonization of regulatory requirements. FDA has 
participated in many meetings designed to enhance harmonization and is 
committed to seeking scientifically based harmonized technical 
procedures for pharmaceutical development. One of the goals of 
harmonization is to identify and then reduce differences in technical 
requirements for drug development among regulatory agencies.
    ICH was organized to provide an opportunity for tripartite 
harmonization initiatives to be developed with input from both 
regulatory and industry representatives. FDA also seeks input from 
consumer representatives and others. ICH is concerned with 
harmonization of technical requirements for the registration of 
pharmaceutical products among three regions: The European Union, Japan, 
and North America. The eight ICH sponsors are the European Commission; 
the European Federation of Pharmaceutical Industries Associations; the 
Japanese Ministry of Health, Labour, and Welfare; the Japanese 
Pharmaceutical Manufacturers Association; CDER and CBER, FDA; the 
Pharmaceutical Research and Manufacturers of America; Health Canada; 
and Swissmedic. The ICH Secretariat, which coordinates the preparation 
of documentation, is provided by the International Federation of 
Pharmaceutical Manufacturers Associations (IFPMA).
    The ICH Steering Committee includes representatives from each of 
the ICH sponsors and the IFPMA, as well as observers from the World 
Health Organization.
    In June 2015, the ICH Steering Committee agreed that a draft 
guidance entitled ``Good Clinical Practice E6(R2)'' should be made 
available for public comment. The draft guidance is the product of the 
ICH E6 Expert Working Group of the ICH. Comments about this draft will 
be considered by FDA and the ICH E6 Expert Working Group.
    The draft guidance provides guidance on approaches to clinical 
trial design, conduct, oversight, recording, and reporting as well as 
updated standards regarding electronic records and essential documents. 
The additions to ICH E6(R1) are intended to encourage implementation of 
the described approaches and processes to improve clinical trial 
quality and efficiency while maintaining human subject protection. 
Evolutions in technology and risk management processes offer new 
opportunities to increase clinical trial efficiency, in part by 
focusing on trial activities essential to ensuring human subject 
protection and the reliability of trial results. For example, the draft 
guidance recommends sponsors implement a system to manage quality 
throughout clinical trials and recommends sponsors develop a 
systematic, prioritized, risk-based approach to monitoring clinical 
trials. The draft guidance provides additional detail regarding 
recommendations for use of electronic trial data handling and remote 
electronic trial data systems.
    This draft guidance includes additions to ICH E6(R1) that are 
identified as ``ADDENDUM'' and are marked with vertical lines on both 
sides of the text. FDA is making the draft guidance available for 
comment on the ``ADDENDUM'' text added to ICH E6(R1).
    This draft guidance is being issued consistent with FDA's good 
guidance practices regulation (21 CFR 10.115). The draft guidance, when 
finalized, will represent the current thinking of FDA on E6(R2) Good 
Clinical Practice. It does not establish any rights for any person and 
is not binding on FDA or the public. You can use an alternative 
approach if it satisfies the requirements of the applicable statutes 
and regulations.

II. 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.

III. Electronic Access

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

    Dated: September 23, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-24623 Filed 9-28-15; 8:45 am]
 BILLING CODE 4164-01-P



                                                    58492                     Federal Register / Vol. 80, No. 188 / Tuesday, September 29, 2015 / Notices

                                                    discussion here. Specifically, FDA                      comments, FDA is revising its                         and may be seen by interested persons
                                                    received numerous comments regarding                    recommendations related to such                       between 9 a.m. and 4 p.m., Monday
                                                    two categories of requests that FDA                     inquiries. As described in the guidance,              through Friday, and is available
                                                    proposed in the draft guidance to                       if there is a better mechanism for a                  electronically at http://
                                                    exclude from the controlled                             requestor to obtain comment from FDA                  www.regulations.gov.
                                                    correspondence process. First, FDA                      on the subject of the request than                    (FDA has verified the Web site address in
                                                    received comments requesting that the                   through a controlled correspondence,                  this reference section, but we are not
                                                    Agency refrain from excluding requests                  the Agency will direct the requestor to               responsible for any subsequent changes to
                                                    for product-specific guidance on                        such a mechanism, e.g., a pre-                        the Web site after this document publishes in
                                                                                                                                                                  the Federal Register.)
                                                    demonstrating bioequivalence. FDA                       abbreviated new drug application                        1. Generic Drug User Fee Act Program
                                                    declines to revise the guidance in this                 meeting request or the Regulatory                     Performance Goals and Procedures (GDUFA
                                                    fashion. As set out in the draft guidance,              Science Initiative. For requests for                  Commitment Letter) for fiscal years 2013
                                                    the short timeframe contemplated for                    which the controlled correspondence                   through 2017, available at http://www.fda.
                                                    the controlled correspondence                           pathway is the best mechanism, but that               gov/downloads/ForIndustry/UserFees/
                                                    responses is inconsistent with the well-                raise issues for which FDA has not                    GenericDrugUserFees/UCM282505.pdf.
                                                    established process for issuing product-                determined appropriate policy, such                     Dated: September 22, 2015.
                                                    specific recommendations described in                   requests will remain open until such                  Leslie Kux,
                                                    the guidance for industry on                            policy decision is made.                              Associate Commissioner for Policy.
                                                    ‘‘Bioequivalence Recommendations for                       This guidance is being issued
                                                    Specific Products (June 2010)’’, as well                                                                      [FR Doc. 2015–24621 Filed 9–28–15; 8:45 am]
                                                                                                            consistent with FDA’s good guidance
                                                    as with the principles in the GDUFA                     practices regulation (21 CFR 10.115).                 BILLING CODE 4164–01–P
                                                    Commitment Letter regarding the                         The guidance represents the current
                                                    Regulatory Science Initiative. Rather                   thinking of FDA on controlled
                                                    than incorporating such guidance                                                                              DEPARTMENT OF HEALTH AND
                                                                                                            correspondence related to generic drug
                                                    development into the controlled                                                                               HUMAN SERVICES
                                                                                                            development. It does not establish any
                                                    correspondence process, FDA’s Office of                 rights for any person and is not binding              Food and Drug Administration
                                                    Generic Drugs (OGD) is developing a                     on FDA or the public. You can use an
                                                    separate process for product-specific                   alternative approach if it satisfies the              [Docket No. FDA–2015–D–3327]
                                                    guidance development.                                   requirements of the applicable statutes
                                                       This approach is being managed by                    and regulations.                                      E6(R2) Good Clinical Practice;
                                                    the Division of Therapeutic Performance                                                                       International Conference on
                                                    (DTP) within OGD’s Office of Research                   II. Paperwork Reduction Act of 1995                   Harmonisation; Draft Guidance for
                                                    and Standards, involves representatives                    This guidance refers to collections of             Industry; Availability
                                                    from numerous divisions and offices                     information that are subject to review by             AGENCY:    Food and Drug Administration,
                                                    within OGD, and provides for timely                     the Office of Management and Budget                   HHS.
                                                    posting of product-specific                             (OMB) under the Paperwork Reduction
                                                    recommendations to facilitate generic                                                                         ACTION:   Notice.
                                                                                                            Act of 1995 (44 U.S.C. 3501–3520). The
                                                    drug development. Requests for                          collection of information has been                    SUMMARY:    The Food and Drug
                                                    product-specific guidance development                   approved under OMB control number                     Administration (FDA or Agency) is
                                                    received through the general Generic                    0910–0797.                                            announcing the availability of a draft
                                                    Drugs@fda.hhs.gov email account are
                                                                                                            III. Comments                                         guidance entitled ‘‘E6(R2) Good Clinical
                                                    forwarded directly to DTP for
                                                                                                                                                                  Practice.’’ The draft guidance was
                                                    consideration and tracking.                                Interested persons may submit either               prepared under the auspices of the
                                                    Prioritization of guidance development                  electronic comments regarding this                    International Conference on
                                                    is based on a variety of factors,                       document to http://www.regulations.gov                Harmonisation of Technical
                                                    including public health needs, industry                 or written comments to the Division of                Requirements for Registration of
                                                    demand for generic development,                         Dockets Management (see ADDRESSES). It                Pharmaceuticals for Human Use (ICH).
                                                    anticipated expiration of reference listed              is only necessary to send one set of                  The draft guidance amends the guidance
                                                    drug exclusivity, formulation features                  comments. Identify comments with the
                                                    and predictability of in vivo                                                                                 entitled ‘‘E6 Good Clinical Practice:
                                                                                                            docket number found in brackets in the                Consolidated Guidance’’ (E6(R1)) to
                                                    performance, OGD experience with                        heading of this document. Received
                                                    similar formulations or product types,                                                                        encourage implementation of improved
                                                                                                            comments may be seen in the Division                  and more efficient approaches to
                                                    and the feasibility of different                        of Dockets Management between 9 a.m.
                                                    approaches to demonstrate                                                                                     clinical trial design, conduct, oversight,
                                                                                                            and 4 p.m., Monday through Friday, and                recording, and reporting, and also
                                                    bioequivalence (e.g., pharmacokinetic/                  will be posted to the docket at http://
                                                    pharmacodynamics studies,                                                                                     updates standards regarding electronic
                                                                                                            www.regulations.gov.                                  records and essential documents. The
                                                    comparative clinical endpoint studies,
                                                    and in vitro approaches). FDA                           IV. Electronic Access                                 draft guidance is intended to improve
                                                    anticipates that this targeted                            Persons with access to the Internet                 clinical trial quality and efficiency
                                                    development approach will expedite the                  may obtain the document at either                     while maintaining human subject
                                                                                                                                                                  protection. FDA is making this draft
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    availability of product-specific                        http://www.fda.gov/Drugs/Guidance
                                                    guidances while supporting the                          ComplianceRegulatoryInformation/                      guidance available for comment on the
                                                    important policies of transparency and                  Guidances/default.htm or http://                      sections that are additions to ICH E6(R1)
                                                    maximizing benefit to the public health.                www.regulations.gov.                                  and marked as ‘‘ADDENDUM.’’
                                                       Second, FDA received comments                                                                              DATES: Although you can comment on
                                                    regarding its proposed method of                        V. Reference                                          any guidance at any time (see 21 CFR
                                                    responding to requests related to issues                  The following reference has been                    10.115(g)(5)), to ensure that the Agency
                                                    for which the Agency has not yet                        placed on display in the Division of                  considers your comment on the sections
                                                    determined a policy. Upon review of the                 Dockets Management (see ADDRESSES)                    of this draft guidance marked as


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                                                                              Federal Register / Vol. 80, No. 188 / Tuesday, September 29, 2015 / Notices                                                 58493

                                                    ‘‘ADDENDUM’’ before it begins work on                   harmonization is to identify and then                 The draft guidance provides additional
                                                    the final version of the guidance, submit               reduce differences in technical                       detail regarding recommendations for
                                                    either electronic or written comments                   requirements for drug development                     use of electronic trial data handling and
                                                    on the ‘‘ADDENDUM’’ sections of the                     among regulatory agencies.                            remote electronic trial data systems.
                                                    draft guidance by November 30, 2015.                       ICH was organized to provide an                       This draft guidance includes
                                                    ADDRESSES: Submit written requests for                  opportunity for tripartite harmonization              additions to ICH E6(R1) that are
                                                    single copies of the draft guidance to the              initiatives to be developed with input                identified as ‘‘ADDENDUM’’ and are
                                                    Division of Drug Information (HFD–                      from both regulatory and industry                     marked with vertical lines on both sides
                                                    240), Center for Drug Evaluation and                    representatives. FDA also seeks input                 of the text. FDA is making the draft
                                                    Research (CDER), Food and Drug                          from consumer representatives and                     guidance available for comment on the
                                                    Administration, 10001 New Hampshire                     others. ICH is concerned with                         ‘‘ADDENDUM’’ text added to ICH
                                                    Ave., Hillandale Building, 4th Floor,                   harmonization of technical                            E6(R1).
                                                    Silver Spring, MD 20993–0002, or the                    requirements for the registration of                     This draft guidance is being issued
                                                    Office of Communication, Outreach, and                  pharmaceutical products among three                   consistent with FDA’s good guidance
                                                    Development, Center for Biologics                       regions: The European Union, Japan,                   practices regulation (21 CFR 10.115).
                                                    Evaluation and Research (CBER), Food                    and North America. The eight ICH                      The draft guidance, when finalized, will
                                                    and Drug Administration, 10903 New                      sponsors are the European Commission;                 represent the current thinking of FDA
                                                    Hampshire Ave., Bldg. 71, Rm. 3128,                     the European Federation of                            on E6(R2) Good Clinical Practice. It does
                                                    Silver Spring, MD 20993–0002. Send                      Pharmaceutical Industries Associations;               not establish any rights for any person
                                                    one self-addressed adhesive label to                    the Japanese Ministry of Health, Labour,              and is not binding on FDA or the public.
                                                    assist the office in processing your                    and Welfare; the Japanese                             You can use an alternative approach if
                                                    requests. The draft guidance may also be                Pharmaceutical Manufacturers                          it satisfies the requirements of the
                                                    obtained by mail by calling CBER at 1–                  Association; CDER and CBER, FDA; the                  applicable statutes and regulations.
                                                    800–835–4709 or 240–402–7800. See                       Pharmaceutical Research and
                                                                                                            Manufacturers of America; Health                      II. Comments
                                                    the SUPPLEMENTARY INFORMATION section
                                                                                                            Canada; and Swissmedic. The ICH                          Interested persons may submit either
                                                    for electronic access to the draft
                                                                                                            Secretariat, which coordinates the                    electronic comments regarding this
                                                    guidance document.
                                                       Submit electronic comments on the                    preparation of documentation, is                      document to http://www.regulations.gov
                                                                                                            provided by the International                         or written comments to the Division of
                                                    draft guidance to http://
                                                                                                            Federation of Pharmaceutical                          Dockets Management (see ADDRESSES). It
                                                    www.regulations.gov. Submit written
                                                                                                            Manufacturers Associations (IFPMA).                   is only necessary to send one set of
                                                    comments to the Division of Dockets                        The ICH Steering Committee includes
                                                    Management (HFA–305), Food and Drug                                                                           comments. Identify comments with the
                                                                                                            representatives from each of the ICH                  docket number found in brackets in the
                                                    Administration, 5630 Fishers Lane, Rm.                  sponsors and the IFPMA, as well as
                                                    1061, Rockville, MD 20852.                                                                                    heading of this document. Received
                                                                                                            observers from the World Health                       comments may be seen in the Division
                                                    FOR FURTHER INFORMATION CONTACT:                        Organization.                                         of Dockets Management between 9 a.m.
                                                    Regarding the guidance: Dianne                             In June 2015, the ICH Steering                     and 4 p.m., Monday through Friday, and
                                                    Paraoan, Center for Drug Evaluation and                 Committee agreed that a draft guidance                will be posted to the docket at http://
                                                    Research, Food and Drug                                 entitled ‘‘Good Clinical Practice E6(R2)’’            www.regulations.gov.
                                                    Administration, 10903 New Hampshire                     should be made available for public
                                                    Ave., Bldg. 51, Rm. 3326, Silver Spring,                comment. The draft guidance is the                    III. Electronic Access
                                                    MD 20993–0002, 301–796–2500; or                         product of the ICH E6 Expert Working                     Persons with access to the Internet
                                                    Stephen Ripley, Center for Biologics                    Group of the ICH. Comments about this                 may obtain the document at http://
                                                    Evaluation and Research, Food and                       draft will be considered by FDA and the               www.regulations.gov, http://www.fda.
                                                    Drug Administration, 10903 New                          ICH E6 Expert Working Group.                          gov/Drugs/GuidanceCompliance
                                                    Hampshire Ave., Bldg. 71, Rm. 7301,                        The draft guidance provides guidance               RegulatoryInformation/Guidances/
                                                    Silver Spring, MD 20993–0002, 240–                      on approaches to clinical trial design,               default.htm, or http://www.fda.gov/
                                                    402–7911.                                               conduct, oversight, recording, and                    BiologicsBloodVaccines/Guidance
                                                       Regarding the ICH: Michelle Limoli,                  reporting as well as updated standards                ComplianceRegulatoryInformation/
                                                    Center for Drug Evaluation and                          regarding electronic records and                      Guidances/default.htm.
                                                    Research, International Programs, Food                  essential documents. The additions to
                                                    and Drug Administration, 10903 New                      ICH E6(R1) are intended to encourage                    Dated: September 23, 2015.
                                                    Hampshire Ave., Bldg. 71, rm. 7208,                     implementation of the described                       Leslie Kux,
                                                    Silver Spring, MD 20993–0002, 301–                      approaches and processes to improve                   Associate Commissioner for Policy.
                                                    796–8377.                                               clinical trial quality and efficiency                 [FR Doc. 2015–24623 Filed 9–28–15; 8:45 am]
                                                    SUPPLEMENTARY INFORMATION:                              while maintaining human subject                       BILLING CODE 4164–01–P
                                                                                                            protection. Evolutions in technology
                                                    I. Background                                           and risk management processes offer
                                                       In recent years, many important                      new opportunities to increase clinical                DEPARTMENT OF HEALTH AND
                                                    initiatives have been undertaken by                     trial efficiency, in part by focusing on              HUMAN SERVICES
                                                    regulatory authorities and industry                     trial activities essential to ensuring
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    associations to promote international                   human subject protection and the                      National Institutes of Health
                                                    harmonization of regulatory                             reliability of trial results. For example,
                                                                                                                                                                  Prospective Intent To Grant Start-Up
                                                    requirements. FDA has participated in                   the draft guidance recommends
                                                                                                                                                                  Exclusive Patent License: Real-Time
                                                    many meetings designed to enhance                       sponsors implement a system to manage
                                                                                                                                                                  PCR Point Mutation Assays for
                                                    harmonization and is committed to                       quality throughout clinical trials and
                                                                                                                                                                  Detecting HIV–1 Resistance to Antiviral
                                                    seeking scientifically based harmonized                 recommends sponsors develop a
                                                                                                                                                                  Drugs
                                                    technical procedures for pharmaceutical                 systematic, prioritized, risk-based
                                                    development. One of the goals of                        approach to monitoring clinical trials.               AGENCY:    Public Health Service, HHS.


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Document Created: 2015-12-15 09:46:24
Document Modified: 2015-12-15 09:46:24
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesAlthough you can comment on any guidance at any time (see 21 CFR 10.115(g)(5)), to ensure that the Agency considers your comment on the sections of this draft guidance marked as ``ADDENDUM'' before it begins work on the final version of the guidance, submit either electronic or written comments on the ``ADDENDUM'' sections of the draft guidance by November 30, 2015.
ContactRegarding the guidance: Dianne Paraoan, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Rm. 3326, Silver Spring, MD 20993-0002, 301-796-2500; or Stephen Ripley, Center for Biologics Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 71, Rm. 7301, Silver Spring, MD 20993-0002, 240-402-7911.
FR Citation80 FR 58492 

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