80_FR_60345 80 FR 60153 - Agency Information Collection Activities; Proposed Collection; Comment Request; Public Health Service Guideline on Infectious Disease Issues in Xenotransplantation

80 FR 60153 - Agency Information Collection Activities; Proposed Collection; Comment Request; Public Health Service Guideline on Infectious Disease Issues in Xenotransplantation

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 192 (October 5, 2015)

Page Range60153-60157
FR Document2015-25155

The Food and Drug Administration (FDA) is announcing an opportunity for public comment on the proposed collection of certain information by the Agency. Under the Paperwork Reduction Act of 1995 (the PRA), Federal Agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension of an existing collection of information, and to allow 60 days for public comment in response to this notice. This notice solicits comments on the collection of information contained in the Public Health Service (PHS) guideline entitled ``PHS Guideline on Infectious Disease Issues in Xenotransplantation'' dated January 19, 2001.

Federal Register, Volume 80 Issue 192 (Monday, October 5, 2015)
[Federal Register Volume 80, Number 192 (Monday, October 5, 2015)]
[Notices]
[Pages 60153-60157]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-25155]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2012-N-0559]


Agency Information Collection Activities; Proposed Collection; 
Comment Request; Public Health Service Guideline on Infectious Disease 
Issues in Xenotransplantation

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA) is announcing an 
opportunity for public comment on the proposed collection of certain 
information by the Agency. Under the Paperwork Reduction Act of 1995 
(the PRA), Federal Agencies are required to publish notice in the 
Federal Register concerning each proposed collection of information, 
including each proposed extension of an existing collection of 
information, and to allow 60 days for public comment in response to 
this notice. This notice solicits comments on the collection of 
information contained in the Public Health Service (PHS) guideline 
entitled ``PHS Guideline on Infectious Disease Issues in 
Xenotransplantation'' dated January 19, 2001.

DATES: Submit either electronic or written comments on the collection 
of information by December 4, 2015.

ADDRESSES: You may submit comments as follows:

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to http://www.regulations.gov 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on http://www.regulations.gov.
     If you want to submit a comment with confidential 
information that you do not wish to be made available to the

[[Page 60154]]

public, submit the comment as a written/paper submission and in the 
manner detailed (see ``Written/Paper Submissions'' and 
``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Division of Dockets Management (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Division of 
Dockets Management, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2012-N-0559 for ``Agency Information Collection Activities; 
Proposed Collection; Comment Request; Public Health Service Guideline 
on Infectious Disease Issues in Xenotransplantation.'' Received 
comments will be placed in the docket and, except for those submitted 
as ``Confidential Submissions,'' publicly viewable at http://www.regulations.gov or at the Division of Dockets Management between 9 
a.m. and 4 p.m., Monday through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION''. The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on http://www.regulations.gov. 
Submit both copies to the Division of Dockets Management. If you do not 
wish your name and contact information to be made publicly available, 
you can provide this information on the cover sheet and not in the body 
of your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: http://www.fda.gov/regulatoryinformation/dockets/default.htm.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper 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: FDA PRA Staff, Office of Operations, 
Food and Drug Administration, 8455 Colesville Rd., COLE-14526, Silver 
Spring, MD 20993-0002, [email protected].

SUPPLEMENTARY INFORMATION: Under the PRA (44 U.S.C. 3501-3520), Federal 
Agencies must obtain approval from the Office of Management and Budget 
(OMB) for each collection of information they conduct or sponsor. 
``Collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 
1320.3(c) and includes Agency requests or requirements that members of 
the public submit reports, keep records, or provide information to a 
third party. Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) 
requires Federal Agencies to provide a 60-day notice in the Federal 
Register concerning each proposed collection of information, including 
each proposed extension of an existing collection of information, 
before submitting the collection to OMB for approval. To comply with 
this requirement, FDA is publishing notice of the proposed collection 
of information set forth in this document.
    With respect to the following collection of information, FDA 
invites comments on: (1) Whether the proposed collection of information 
is necessary for the proper performance of FDA's functions, including 
whether the information will have practical utility; (2) the accuracy 
of FDA's estimate of the burden of the proposed collection of 
information, including the validity of the methodology and assumptions 
used; (3) ways to enhance the quality, utility, and clarity of the 
information to be collected; and (4) ways to minimize the burden of the 
collection of information on respondents, including through the use of 
automated collection techniques when appropriate, and other forms of 
information technology.

PHS Guideline on Infectious Disease Issues in Xenotransplantation

OMB Control Number 0910-0456--Extension

    The statutory authority to collect this information is provided 
under sections 351 and 361 of the PHS Act (42 U.S.C. 262 and 264) and 
the provisions of the Federal Food, Drug, and Cosmetic Act that apply 
to drugs (21 U.S.C. 301 et seq.). The PHS guideline recommends 
procedures to diminish the risk of transmission of infectious agents to 
the xenotransplantation product recipient and to the general public. 
The PHS guideline is intended to address public health issues raised by 
xenotransplantation, through identification of general principles of 
prevention and control of infectious diseases associated with 
xenotransplantation that may pose a hazard to the public health. The 
collection of information described in this guideline is intended to 
provide general guidance on the following topics: (1) The development 
of xenotransplantation clinical protocols; (2) the preparation of 
submissions to FDA; and (3) the conduct of xenotransplantation clinical 
trials. Also, the collection of information will help ensure that the 
sponsor maintains important information in a cross-referenced system 
that links the relevant records of the xenotransplantation product 
recipient, xenotransplantation product, source animal(s), animal 
procurement center, and significant nosocomial exposures. The PHS 
guideline describes an occupational health service program for the 
protection of health care workers involved in xenotransplantation 
procedures, caring for xenotransplantation product recipients, and 
performing associated laboratory testing. The PHS guideline is intended 
to protect the public health and to help ensure the safety of using 
xenotransplantation products in humans by preventing the introduction, 
transmission, and spread of infectious diseases associated with 
xenotransplantation.
    The PHS guideline also recommends that certain specimens and 
records be maintained for 50 years beyond the date of the 
xenotransplantation. These include: (1) Records linking each 
xenotransplantation product recipient with relevant health records of 
the source animal, herd or colony, and the specific organ, tissue, or 
cell type included in or used in the manufacture of the product 
(section 3.2.7.1); (2) aliquots of serum samples from randomly selected 
animal and specific

[[Page 60155]]

disease investigations (section 3.4.3.1); (3) source animal biological 
specimens designated for PHS use (section 3.7.1); animal health records 
(section 3.7.2), including necropsy results (section 3.6.4); and (4) 
recipients' biological specimens (section 4.1.2). The retention period 
is intended to assist health care practitioners and officials in 
surveillance and in tracking the source of an infection, disease, or 
illness that might emerge in the recipient, the source animal, or the 
animal herd or colony after a xenotransplantation.
    The recommendation for maintaining records for 50 years is based on 
clinical experience with several human viruses that have presented 
problems in human to human transplantation and are therefore thought to 
share certain characteristics with viruses that may pose potential 
risks in xenotransplantation. These characteristics include long 
latency periods and the ability to establish persistent infections. 
Several also share the possibility of transmission among individuals 
through intimate contact with human body fluids. Human immunodeficiency 
virus (HIV) and Human T-lymphotropic virus are human retroviruses. 
Retroviruses contain ribonucleic acid that is reverse-transcribed into 
deoxyribonucleic acid (DNA) using an enzyme provided by the virus and 
the human cell machinery. That viral DNA can then be integrated into 
the human cellular DNA. Both viruses establish persistent infections 
and have long latency periods before the onset of disease; 10 years and 
40 to 60 years, respectively. The human hepatitis viruses are not 
retroviruses, but several share with HIV the characteristic that they 
can be transmitted through body fluids, can establish persistent 
infections, and have long latency periods, e.g., approximately 30 years 
for hepatitis C.
    In addition, the PHS guideline recommends that a record system be 
developed that allows easy, accurate, and rapid linkage of information 
among the specimen archive, the recipient's medical records, and the 
records of the source animal for 50 years. The development of such a 
record system is a one-time burden. Such a system is intended to cross-
reference and locate relevant records of recipients, products, source 
animals, animal procurement centers, and nosocomial exposures.
    Respondents to this collection of information are the sponsors of 
clinical studies of investigational xenotransplantation products under 
investigational new drug applications (INDs) and xenotransplantation 
product procurement centers, referred to as source animal facilities. 
There are an estimated three respondents who are sponsors of INDs that 
include protocols for xenotransplantation in humans and five clinical 
centers doing xenotransplantation procedures. Other respondents for 
this collection of information are an estimated four source animal 
facilities which provide source xenotransplantation product material to 
sponsors for use in human xenotransplantation procedures. These four 
source animal facilities keep medical records of the herds/colonies as 
well as the medical records of the individual source animal(s). The 
burden estimates are based on FDA's records of xenotransplantation-
related INDs and estimates of time required to complete the various 
reporting, recordkeeping, and third-party disclosure tasks described in 
the PHS guideline.
    FDA is requesting an extension of OMB approval for the following 
reporting, recordkeeping, and third-party disclosure recommendations in 
the PHS guideline:

                   Table 1--Reporting Recommendations
------------------------------------------------------------------------
           PHS guideline Section                     Description
------------------------------------------------------------------------
3.2.7.2...................................  Notify sponsor or FDA of new
                                             archive site when the
                                             source animal facility or
                                             sponsor ceases operations.
------------------------------------------------------------------------


                 Table 2--Recordkeeping Recommendations
------------------------------------------------------------------------
           PHS guideline section                     Description
------------------------------------------------------------------------
3.2.7.....................................  Establish records linking
                                             each xenotransplantation
                                             product recipient with
                                             relevant records.
4.3.......................................  Sponsor to maintain cross-
                                             referenced system that
                                             links all relevant records
                                             (recipient, product, source
                                             animal, animal procurement
                                             center, and nosocomial
                                             exposures).
3.4.2.....................................  Document results of
                                             monitoring program used to
                                             detect introduction of
                                             infectious agents which may
                                             not be apparent clinically.
3.4.3.2...................................  Document full necropsy
                                             investigations including
                                             evaluation for infectious
                                             etiologies.
3.5.1.....................................  Justify shortening a source
                                             animal's quarantine period
                                             of 3 weeks prior to
                                             xenotransplantation product
                                             procurement.
3.5.2.....................................  Document absence of
                                             infectious agent in
                                             xenotransplantation product
                                             if its presence elsewhere
                                             in source animal does not
                                             preclude using it.
3.5.4.....................................  Add summary of individual
                                             source animal record to
                                             permanent medical record of
                                             the xenotransplantation
                                             product recipient.
3.6.4.....................................  Document complete necropsy
                                             results on source animals
                                             (50-year record retention).
3.7.......................................  Link xenotransplantation
                                             product recipients to
                                             individual source animal
                                             records and archived
                                             biologic specimens.
4.2.3.2...................................  Record baseline sera of
                                             xenotransplantation health
                                             care workers and specific
                                             nosocomial exposure.
4.2.3.3 and 4.3.2.........................  Keep a log of health care
                                             workers' significant
                                             nosocomial exposure(s).
4.3.1.....................................  Document each xenotransplant
                                             procedure.
5.2.......................................  Document location and nature
                                             of archived PHS specimens
                                             in health care records of
                                             xenotransplantation product
                                             recipient and source
                                             animal.
------------------------------------------------------------------------


                   Table 3--Disclosure Recommendations
------------------------------------------------------------------------
           PHS Guideline Section                     Description
------------------------------------------------------------------------
3.2.7.2...................................  Notify sponsor or FDA of new
                                             archive site when the
                                             source animal facility or
                                             sponsor ceases operations.
3.4.......................................  Standard operating
                                             procedures (SOPs) of source
                                             animal facility should be
                                             available to review bodies.
3.5.1.....................................  Include increased infectious
                                             risk in informed consent if
                                             source animal quarantine
                                             period of 3 weeks is
                                             shortened.
3.5.4.....................................  Sponsor to make linked
                                             records described in
                                             section 3.2.7 available for
                                             review.
3.5.5.....................................  Source animal facility to
                                             notify clinical center when
                                             infectious agent is
                                             identified in source animal
                                             or herd after
                                             xenotransplantation product
                                             procurement.
------------------------------------------------------------------------


[[Page 60156]]

    FDA estimates the burden for this collection of information as 
follows:

                                                     Table 4--Estimated Annual Reporting Burden \1\
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                Number of
           PHS guideline section               Number of      responses per     Total annual          Average burden per response          Total hours
                                              respondents       respondent       responses
--------------------------------------------------------------------------------------------------------------------------------------------------------
3.2.7.2 \2\...............................                1                1                1  0.50 (30 minutes).......................             0.50
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection information.
\2\ FDA is using 1 animal facility or sponsor for estimation purposes.


                               Table 5--Estimated Annual Recordkeeping Burden \1\
----------------------------------------------------------------------------------------------------------------
                                                           Number of                       Average burden
        PHS guideline section             Number of       records per      Total annual         per        Total
                                        recordkeepers     recordkeeper       records       recordkeeping   hours
----------------------------------------------------------------------------------------------------------------
3.2.7 \2\............................                1                1                1               16   16
4.3 \3\..............................                3                1                3         0.75 (45  2.25
                                                                                                 minutes)
3.4.2 \4\............................                3            10.67               32         0.25 (15    8
                                                                                                 minutes)
3.4.3.2 \5\..........................                3             2.67                8         0.25 (15    2
                                                                                                 minutes)
3.5.1 \6\............................                3             0.33                1         0.50 (30  0.50
                                                                                                 minutes)
3.5.2 \6\............................                3             0.33                1         0.25 (15  0.25
                                                                                                 minutes)
3.5.4................................                3                1                3         0.17 (10  0.51
                                                                                                 minutes)
3.6.4 \7\............................                3             2.67                8         0.25 (15    2
                                                                                                 minutes)
3.7 \7\..............................                4                2                8          0.08 (5  0.64
                                                                                                 minutes)
4.2.3.2 \8\..........................                5               25              125         0.17 (10  21.25
                                                                                                 minutes)
4.2.3.2 \6\..........................                5             0.20                1         0.17 (10  0.17
                                                                                                 minutes)
4.2.3.3 and 4.3.2 \6\................                5             0.20                1         0.17 (10  0.17
                                                                                                 minutes)
4.3.1................................                3                1                3         0.25 (15  0.75
                                                                                                 minutes)
5.2 \9\..............................                3                4               12          0.08 (5  0.96
                                                                                                 minutes)
                                      --------------------------------------------------------------------------
    Total............................  ...............  ...............  ...............  ...............  55.45
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection information.
\2\ A one-time burden for new respondents to set up a recordkeeping system linking all relevant records. FDA is
  using one new sponsor for estimation purposes.
\3\ FDA estimates there is minimal recordkeeping burden associated with maintaining the record system.
\4\ Monitoring for sentinel animals (subset representative of herd) plus all source animals. There are
  approximately 6 sentinel animals per herd x 1 herd per facility x 4 facilities = 24 sentinel animals. There
  are approximately 8 source animals per year (see footnote 7 of this table); 24 + 8 = 32 monitoring records to
  document.
\5\ Necropsy for animal deaths of unknown cause estimated to be approximately 2 per year x 1 herd per facility x
  4 facilities = 8.
\6\ Has not occurred in the past 3 years and is expected to continue to be a rare occurrence.
\7\ On average 2 source animals are used for preparing xenotransplantation product material for one recipient.
  The average number of source animals is 2 source animals per recipients x 4 annually = 8 source animals per
  year. (See footnote 5 of table 6.)
\8\ FDA estimates ther are 5 clinical centers doing xenotransplantation procedures x approximately 25 health
  care workers involved per center = 125 health care workers.
\9\ Eight source animal records + 4 recipient records = 12 total records.


                                                 Table 6--Estimated Annual Third-Party Disclosure Burden
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                 Number of
                                                 Number of      disclosures    Total annual
            PHS guideline section               respondents         per         disclosures          Average burden per disclosure          Total hours
                                                                respondent
--------------------------------------------------------------------------------------------------------------------------------------------------------
3.2.7.2 \2\.................................               1               1               1  0.50 (30 minutes).........................            0.50
3.4 \3\.....................................               4            0.25               1  0.08 (5 minutes)..........................            0.08
3.5.1 \4\...................................               4            0.25               1  0.25 (15 minutes).........................            0.25
3.5.4 \5\...................................               4               1               4  0.50 (30 minutes).........................               2
3.5.5 \4\...................................               4            0.25               1  0.25 (15 minutes).........................            0.25
                                             -----------------------------------------------------------------------------------------------------------
    Total...................................  ..............  ..............  ..............  ..........................................            3.08
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of information.
\2\ FDA is using one animal facility or sponsor for estimation purposes.
\3\ FDA's records indicate that an average of 1 IND is expected to be submitted per year.
\4\ To our knowledge, has not occurred in the past 3 years and is expected to continue to be a rare occurrence.
\5\ Based on an estimate of 12 patients treated over a 3-year period, the average number of xenotransplantation product recipients per year is estimated
  to be 4.

    Because of the potential risk for cross-species transmission of 
pathogenic persistent virus, the guideline recommends that health 
records be retained for 50 years. Since these records are medical 
records, the retention of such records for up to 50 years is not 
information subject to the PRA (5 CFR 1320.3(h)(5)). Also, because of 
the limited number of clinical studies with small patient populations, 
the number of records is expected to be insignificant at this time.
    Information collections in this guideline not included in tables 1

[[Page 60157]]

through 6 can be found under existing regulations and approved under 
the OMB control numbers as follows: (1) ``Current Good Manufacturing 
Practice for Finished Pharmaceuticals,'' 21 CFR 211.1 through 211.208, 
approved under OMB control number 0910-0139; (2) ``Investigational New 
Drug Application,'' 21 CFR 312.1 through 312.160, approved under OMB 
control number 0910-0014; and (3) information included in a biologics 
license application, 21 CFR 601.2, approved under OMB control number 
0910-0338. (Although it is possible that a xenotransplantation product 
may not be regulated as a biological product (e.g., it may be regulated 
as a medical device), FDA believes, based on its knowledge and 
experience with xenotransplantation, that any xenotransplantation 
product subject to FDA regulation within the next 3 years will most 
likely be regulated as a biological product.) However, FDA recognized 
that some of the information collections go beyond approved 
collections; assessments for these burdens are included in tables 1 
through 6.
    In table 7, FDA identifies those collections of information 
activities that are already encompassed by existing regulations or are 
consistent with voluntary standards which reflect industry's usual and 
customary business practice.

 Table 7--Collection of Information Required by Current Regulations and
                                Standards
------------------------------------------------------------------------
                                                          21 CFR Section
                                      Description of         (unless
      PHS guideline section            collection of        otherwise
                                   information activity      stated)
------------------------------------------------------------------------
2.2.1............................  Document offsite      312.52.
                                    collaborations.
2.5..............................  Sponsor ensures       312.62(c).
                                    counseling patient
                                    + family + contacts.
3.1.1 and 3.1.6..................  Document well-        312.23(a)(7)(a)
                                    characterized         and 211.84.
                                    health history and
                                    lineage of source
                                    animals.
3.1.8............................  Registration with     42 CFR 71.53.
                                    and import permit
                                    from the Centers
                                    for Disease Control
                                    and Prevention.
3.2.2............................  Document              312.52.
                                    collaboration with
                                    accredited
                                    microbiology labs.
3.2.3............................  Procedures to ensure  9 CFR parts 1,
                                    the humane care of    2, and 3 and
                                    animals.              PHS Policy.\1\
3.2.4............................  Procedures            AAALAC
                                    consistent for        International
                                    accreditation by      Rules of
                                    the Association for   Accreditation
                                    Assessment and        \2\ and NRC
                                    Accreditation of      Guide.\3\
                                    Laboratory Animal
                                    Care International
                                    (AAALAC
                                    International) and
                                    consistent with the
                                    National Research
                                    Council's (NRC)
                                    Guide.
3.2.5, 3.4, and 3.4.1............  Herd health           211.100 and
                                    maintenance and       211.122.
                                    surveillance to be
                                    documented,
                                    available, and in
                                    accordance with
                                    documented
                                    procedures; record
                                    standard veterinary
                                    care.
3.2.6............................  Animal facility SOPs  PHS Policy.\1\
3.3.3............................  Validate assay        211.160(a).
                                    methods.
3.6.1............................  Procurement and       211.100 and
                                    processing of         211.122.
                                    xenografts using
                                    documented aseptic
                                    conditions.
3.6.2............................  Develop, implement,   211.84(d) and
                                    and enforce SOP's     211.122(c).
                                    for procurement and
                                    screening processes.
3.6.4............................  Communicate to FDA    312.32(c).
                                    animal necropsy
                                    findings pertinent
                                    to health of
                                    recipient.
3.7.1............................  PHS specimens to be   312.23(a)(6).
                                    linked to health
                                    records; provide to
                                    FDA justification
                                    for types of
                                    tissues, cells, and
                                    plasma, and
                                    quantities of
                                    plasma and
                                    leukocytes
                                    collected.
4.1.1............................  Surveillance of       312.23(a)(6)(ii
                                    xenotransplant        i)(f) and (g),
                                    recipient; sponsor    and 312.62(b)
                                    ensures               and (c).
                                    documentation of
                                    surveillance
                                    program life-long
                                    (justify >2 yrs.);
                                    investigator case
                                    histories (2 yrs.
                                    after investigation
                                    is discontinued).
4.1.2............................  Sponsor to justify    211.122.
                                    amount and type of
                                    reserve samples.
4.1.2.2..........................  System for prompt     312.57(a).
                                    retrieval of PHS
                                    specimens and
                                    linkage to medical
                                    records (recipient
                                    and source animal).
4.1.2.3..........................  Notify FDA of a       312.32.
                                    clinical episode
                                    potentially
                                    representing a
                                    xenogeneic
                                    infection.
4.2.2.1..........................  Document              312.52.
                                    collaborations
                                    (transfer of
                                    obligation).
4.2.3.1..........................  Develop educational   312.50.
                                    materials (sponsor
                                    provides
                                    investigators with
                                    information needed
                                    to conduct
                                    investigation
                                    properly).
4.3..............................  Sponsor to keep       312.57 and
                                    records of receipt,   312.62(b).
                                    shipment, and
                                    disposition of
                                    investigative drug;
                                    investigator to
                                    keep records of
                                    case histories.
------------------------------------------------------------------------
\1\ The ``Public Health Service Policy on Humane Care and Use of
  Laboratory Animals'' (http://www.grants.nih.gov/grants/olaw/references/phspol.htm).
\2\ AAALAC International Rules of Accreditation (http://www.aaalac.org/accreditation/rules.cfm).
\3\ The NRC's ``Guide for the Care and Use of Laboratory Animals.''


    Dated: September 29, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-25155 Filed 10-2-15; 8:45 am]
 BILLING CODE 4164-01-P



                                                                                Federal Register / Vol. 80, No. 192 / Monday, October 5, 2015 / Notices                                          60153

                                                  several confirmed deaths in the United                  dependence, abuse, and risks to the                   DEPARTMENT OF HEALTH AND
                                                  States. On July 17, 2015, Acetylfentanyl                public health, thereby recommending                   HUMAN SERVICES
                                                  was temporarily placed into Schedule I                  that Methoxetamine not be placed under
                                                  of the CSA for 2 years upon finding that                international control but be kept under               Food and Drug Administration
                                                  it posed an imminent hazard to the                      international surveillance.                           [Docket No. FDA–2012–N–0559]
                                                  public safety. The Attorney General,
                                                  though, may extend this temporary                       IV. Opportunity To Submit Domestic                    Agency Information Collection
                                                  scheduling for up to 1 year.                            Information                                           Activities; Proposed Collection;
                                                     a-Pyrrolidinovalerophenone (a-PVP                                                                          Comment Request; Public Health
                                                  or alpha-PVP) is a synthetic cathinone                    As required by section 201(d)(2)(A) of
                                                                                                                                                                Service Guideline on Infectious
                                                  structurally and pharmacologically                      the CSA (21 U.S.C. 811(d)(2)(A)), FDA,
                                                                                                                                                                Disease Issues in Xenotransplantation
                                                  similar to amphetamine, 3,4-                            on behalf of the Department of Health
                                                  methylenedioxymethamphetamine                           and Human Services (HHS), invites                     AGENCY:    Food and Drug Administration,
                                                  (MDMA); cathinone; and other related                    interested persons to submit comments                 HHS.
                                                  substances. Effects reported by abusers                 regarding the 10 named drugs. Any                     ACTION:   Notice.
                                                  of synthetic cathinone substances                       comments received will be considered
                                                  include euphoria; sense of well-being;                                                                        SUMMARY:   The Food and Drug
                                                                                                          by HHS when it prepares a scientific
                                                  and increased sociability, energy,                                                                            Administration (FDA) is announcing an
                                                                                                          and medical evaluation of these drugs.
                                                  empathy, alertness, and concentration                                                                         opportunity for public comment on the
                                                                                                          HHS will forward a scientific and
                                                  and focus. Abusers also report                                                                                proposed collection of certain
                                                                                                          medical evaluation of these drugs to                  information by the Agency. Under the
                                                  experiencing unwanted effects such as                   WHO, through the Secretary of State, for
                                                  tremor, vomiting, agitation, sweating,                                                                        Paperwork Reduction Act of 1995 (the
                                                                                                          WHO’s consideration in deciding                       PRA), Federal Agencies are required to
                                                  fever, and chest pain. Other adverse or                 whether to recommend international
                                                  toxic effects that have been reported                                                                         publish notice in the Federal Register
                                                                                                          control/decontrol of any of these drugs.              concerning each proposed collection of
                                                  with the abuse of synthetic cathinones                  Such control could limit, among other
                                                  include tachycardia, hypertension,                                                                            information, including each proposed
                                                                                                          things, the manufacture and distribution              extension of an existing collection of
                                                  hyperthermia, mydriasis,
                                                                                                          (import/export) of these drugs and could              information, and to allow 60 days for
                                                  rhabdomyolysis, hyponatremia,
                                                  seizures, altered mental status (e.g.,                  impose certain recordkeeping                          public comment in response to this
                                                  paranoia, hallucinations, or delusions),                requirements on them.                                 notice. This notice solicits comments on
                                                  and even death. On March 7, 2014,                         Although FDA is, through this notice,               the collection of information contained
                                                  alpha-PVP was temporarily placed into                   requesting comments from interested                   in the Public Health Service (PHS)
                                                  Schedule I of the CSA for 2 years upon                  persons which will be considered by                   guideline entitled ‘‘PHS Guideline on
                                                  finding that it posed an imminent                       HHS when it prepares an evaluation of                 Infectious Disease Issues in
                                                  hazard to the public safety. The                        these drugs, HHS will not now make                    Xenotransplantation’’ dated January 19,
                                                  Attorney General, though, may extend                                                                          2001.
                                                                                                          any recommendations to WHO
                                                  this temporary scheduling for up to 1                   regarding whether any of these drugs                  DATES: Submit either electronic or
                                                  year.                                                   should be subjected to international                  written comments on the collection of
                                                     4-Fluoroamphetamine (4–FA) is a                                                                            information by December 4, 2015.
                                                                                                          controls. Instead, HHS will defer such
                                                  psychoactive substance of the                                                                                 ADDRESSES: You may submit comments
                                                                                                          consideration until WHO has made
                                                  phenethylamine and substituted                                                                                as follows:
                                                                                                          official recommendations to the
                                                  amphetamine chemical classes and
                                                  produces stimulant effects. 4–FA is not                 Commission on Narcotic Drugs, which                   Electronic Submissions
                                                  currently controlled in the United States               are expected to be made in early 2016.                  Submit electronic comments in the
                                                  under the CSA.                                          Any HHS position regarding                            following way:
                                                     Para-Methyl-4-methylaminorex (4,4’-                  international control of these drugs will               • Federal eRulemaking Portal: http://
                                                  DMAR) is a derivative of the stimulant                  be preceded by another Federal Register               www.regulations.gov. Follow the
                                                  drug 4-methylaminorex and has been                      notice soliciting public comments, as                 instructions for submitting comments.
                                                  involved in several deaths in the United                required by section 201(d)(2)(B) of the               Comments submitted electronically,
                                                  States. 4,4’-DMAR is not currently                      CSA.                                                  including attachments, to http://
                                                  controlled in the United States under                                                                         www.regulations.gov will be posted to
                                                                                                          V. Electronic Access                                  the docket unchanged. Because your
                                                  the CSA.
                                                     Para-Methoxymethylamphetamine                          Persons with access to the Internet                 comment will be made public, you are
                                                  (PMMA) is a substituted amphetamine                     may obtain the document at either                     solely responsible for ensuring that your
                                                  of the phenethylamine class, as well as                 http://www.fda.gov/Drugs/Guidance                     comment does not include any
                                                  a structural analog of para-                            ComplianceRegulatoryInformation/                      confidential information that you or a
                                                  methoxyamphetamine (PMA) which                                                                                third party may not wish to be posted,
                                                                                                          Guidances/default.htm or http://
                                                  produces effects similar but not                                                                              such as medical information, your or
                                                                                                          www.regulations.gov.
                                                  identical to that of MDMA. PMMA is                                                                            anyone else’s Social Security number, or
                                                  not currently controlled in the United                    Dated: September 29, 2015.                          confidential business information, such
                                                  States under the CSA.                                   Leslie Kux,                                           as a manufacturing process. Please note
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                                                     2-(ethylamino)-2-(3-methoxyphenyl)-                  Associate Commissioner for Policy.                    that if you include your name, contact
                                                  cyclohexanone (Methoxetamine or                         [FR Doc. 2015–25201 Filed 10–2–15; 8:45 am]
                                                                                                                                                                information, or other information that
                                                  MXE) is an arylcyclohexamine and is                                                                           identifies you in the body of your
                                                                                                          BILLING CODE 4164–01–P
                                                  not currently controlled under the CSA                                                                        comments, that information will be
                                                  in the United States. At its 36th                                                                             posted on http://www.regulations.gov.
                                                  meeting, the WHO Expert Committee on                                                                            • If you want to submit a comment
                                                  Drug Dependence noted the                                                                                     with confidential information that you
                                                  insufficiency of data regarding                                                                               do not wish to be made available to the


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                                                  60154                         Federal Register / Vol. 80, No. 192 / Monday, October 5, 2015 / Notices

                                                  public, submit the comment as a                         56469, September 18, 2015, or access                  PHS Guideline on Infectious Disease
                                                  written/paper submission and in the                     the information at: http://www.fda.gov/               Issues in Xenotransplantation
                                                  manner detailed (see ‘‘Written/Paper                    regulatoryinformation/dockets/                        OMB Control Number 0910–0456—
                                                  Submissions’’ and ‘‘Instructions’’).                    default.htm.                                          Extension
                                                  Written/Paper Submissions                                  Docket: For access to the docket to                   The statutory authority to collect this
                                                     Submit written/paper submissions as                  read background documents or the                      information is provided under sections
                                                  follows:                                                electronic and written/paper comments                 351 and 361 of the PHS Act (42 U.S.C.
                                                     • Mail/Hand delivery/Courier (for                    received, go to http://                               262 and 264) and the provisions of the
                                                  written/paper submissions): Division of                 www.regulations.gov and insert the                    Federal Food, Drug, and Cosmetic Act
                                                  Dockets Management (HFA–305), Food                      docket number, found in brackets in the               that apply to drugs (21 U.S.C. 301 et
                                                  and Drug Administration, 5630 Fishers                   heading of this document, into the                    seq.). The PHS guideline recommends
                                                  Lane, Rm. 1061, Rockville, MD 20852.                    ‘‘Search’’ box and follow the prompts                 procedures to diminish the risk of
                                                     • For written/paper comments                         and/or go to the Division of Dockets                  transmission of infectious agents to the
                                                  submitted to the Division of Dockets                    Management, 5630 Fishers Lane, Rm.                    xenotransplantation product recipient
                                                  Management, FDA will post your                          1061, Rockville, MD 20852.                            and to the general public. The PHS
                                                  comment, as well as any attachments,                                                                          guideline is intended to address public
                                                  except for information submitted,                       FOR FURTHER INFORMATION CONTACT:    FDA               health issues raised by
                                                  marked and identified, as confidential,                 PRA Staff, Office of Operations, Food                 xenotransplantation, through
                                                  if submitted as detailed in                             and Drug Administration, 8455                         identification of general principles of
                                                  ‘‘Instructions.’’                                       Colesville Rd., COLE–14526, Silver                    prevention and control of infectious
                                                     Instructions: All submissions received               Spring, MD 20993–0002, PRAStaff@                      diseases associated with
                                                  must include the Docket No. FDA–                        fda.hhs.gov.                                          xenotransplantation that may pose a
                                                  2012–N–0559 for ‘‘Agency Information                                                                          hazard to the public health. The
                                                  Collection Activities; Proposed                         SUPPLEMENTARY INFORMATION:      Under the             collection of information described in
                                                  Collection; Comment Request; Public                     PRA (44 U.S.C. 3501–3520), Federal                    this guideline is intended to provide
                                                  Health Service Guideline on Infectious                  Agencies must obtain approval from the                general guidance on the following
                                                  Disease Issues in Xenotransplantation.’’                Office of Management and Budget                       topics: (1) The development of
                                                  Received comments will be placed in                     (OMB) for each collection of                          xenotransplantation clinical protocols;
                                                  the docket and, except for those                        information they conduct or sponsor.                  (2) the preparation of submissions to
                                                  submitted as ‘‘Confidential                             ‘‘Collection of information’’ is defined              FDA; and (3) the conduct of
                                                  Submissions,’’ publicly viewable at                     in 44 U.S.C. 3502(3) and 5 CFR                        xenotransplantation clinical trials. Also,
                                                  http://www.regulations.gov or at the                    1320.3(c) and includes Agency requests                the collection of information will help
                                                  Division of Dockets Management                          or requirements that members of the                   ensure that the sponsor maintains
                                                  between 9 a.m. and 4 p.m., Monday                       public submit reports, keep records, or               important information in a cross-
                                                  through Friday.                                         provide information to a third party.                 referenced system that links the relevant
                                                     • Confidential Submissions—To                                                                              records of the xenotransplantation
                                                  submit a comment with confidential                      Section 3506(c)(2)(A) of the PRA (44
                                                                                                          U.S.C. 3506(c)(2)(A)) requires Federal                product recipient, xenotransplantation
                                                  information that you do not wish to be                                                                        product, source animal(s), animal
                                                  made publicly available, submit your                    Agencies to provide a 60-day notice in
                                                                                                                                                                procurement center, and significant
                                                  comments only as a written/paper                        the Federal Register concerning each
                                                                                                                                                                nosocomial exposures. The PHS
                                                  submission. You should submit two                       proposed collection of information,                   guideline describes an occupational
                                                  copies total. One copy will include the                 including each proposed extension of an               health service program for the
                                                  information you claim to be confidential                existing collection of information,                   protection of health care workers
                                                  with a heading or cover note that states                before submitting the collection to OMB               involved in xenotransplantation
                                                  ‘‘THIS DOCUMENT CONTAINS                                for approval. To comply with this                     procedures, caring for
                                                  CONFIDENTIAL INFORMATION’’. The                         requirement, FDA is publishing notice                 xenotransplantation product recipients,
                                                  Agency will review this copy, including                 of the proposed collection of                         and performing associated laboratory
                                                  the claimed confidential information, in                information set forth in this document.               testing. The PHS guideline is intended
                                                  its consideration of comments. The                         With respect to the following                      to protect the public health and to help
                                                  second copy, which will have the                        collection of information, FDA invites                ensure the safety of using
                                                  claimed confidential information                        comments on: (1) Whether the proposed                 xenotransplantation products in
                                                  redacted/blacked out, will be available                                                                       humans by preventing the introduction,
                                                                                                          collection of information is necessary
                                                  for public viewing and posted on http://                                                                      transmission, and spread of infectious
                                                                                                          for the proper performance of FDA’s
                                                  www.regulations.gov. Submit both                                                                              diseases associated with
                                                                                                          functions, including whether the
                                                  copies to the Division of Dockets                                                                             xenotransplantation.
                                                  Management. If you do not wish your                     information will have practical utility;                 The PHS guideline also recommends
                                                  name and contact information to be                      (2) the accuracy of FDA’s estimate of the             that certain specimens and records be
                                                  made publicly available, you can                        burden of the proposed collection of                  maintained for 50 years beyond the date
                                                  provide this information on the cover                   information, including the validity of                of the xenotransplantation. These
                                                  sheet and not in the body of your                       the methodology and assumptions used;                 include: (1) Records linking each
                                                                                                          (3) ways to enhance the quality, utility,
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                                                  comments and you must identify this                                                                           xenotransplantation product recipient
                                                  information as ‘‘confidential.’’ Any                    and clarity of the information to be                  with relevant health records of the
                                                  information marked as ‘‘confidential’’                  collected; and (4) ways to minimize the               source animal, herd or colony, and the
                                                  will not be disclosed except in                         burden of the collection of information               specific organ, tissue, or cell type
                                                  accordance with 21 CFR 10.20 and other                  on respondents, including through the                 included in or used in the manufacture
                                                  applicable disclosure law. For more                     use of automated collection techniques                of the product (section 3.2.7.1); (2)
                                                  information about FDA’s posting of                      when appropriate, and other forms of                  aliquots of serum samples from
                                                  comments to public dockets, see 80 FR                   information technology.                               randomly selected animal and specific


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                                                                                          Federal Register / Vol. 80, No. 192 / Monday, October 5, 2015 / Notices                                          60155

                                                  disease investigations (section 3.4.3.1);                         contain ribonucleic acid that is reverse-              studies of investigational
                                                  (3) source animal biological specimens                            transcribed into deoxyribonucleic acid                 xenotransplantation products under
                                                  designated for PHS use (section 3.7.1);                           (DNA) using an enzyme provided by the                  investigational new drug applications
                                                  animal health records (section 3.7.2),                            virus and the human cell machinery.                    (INDs) and xenotransplantation product
                                                  including necropsy results (section                               That viral DNA can then be integrated                  procurement centers, referred to as
                                                  3.6.4); and (4) recipients’ biological                            into the human cellular DNA. Both                      source animal facilities. There are an
                                                  specimens (section 4.1.2). The retention                          viruses establish persistent infections                estimated three respondents who are
                                                  period is intended to assist health care                          and have long latency periods before the               sponsors of INDs that include protocols
                                                  practitioners and officials in                                    onset of disease; 10 years and 40 to 60                for xenotransplantation in humans and
                                                  surveillance and in tracking the source                           years, respectively. The human hepatitis               five clinical centers doing
                                                  of an infection, disease, or illness that                         viruses are not retroviruses, but several              xenotransplantation procedures. Other
                                                  might emerge in the recipient, the                                share with HIV the characteristic that                 respondents for this collection of
                                                  source animal, or the animal herd or                              they can be transmitted through body                   information are an estimated four source
                                                  colony after a xenotransplantation.                               fluids, can establish persistent                       animal facilities which provide source
                                                    The recommendation for maintaining                              infections, and have long latency                      xenotransplantation product material to
                                                  records for 50 years is based on clinical                         periods, e.g., approximately 30 years for              sponsors for use in human
                                                  experience with several human viruses                             hepatitis C.                                           xenotransplantation procedures. These
                                                  that have presented problems in human                                In addition, the PHS guideline                      four source animal facilities keep
                                                  to human transplantation and are                                  recommends that a record system be                     medical records of the herds/colonies as
                                                  therefore thought to share certain                                developed that allows easy, accurate,                  well as the medical records of the
                                                  characteristics with viruses that may                             and rapid linkage of information among                 individual source animal(s). The burden
                                                  pose potential risks in                                           the specimen archive, the recipient’s                  estimates are based on FDA’s records of
                                                  xenotransplantation. These                                        medical records, and the records of the                xenotransplantation-related INDs and
                                                  characteristics include long latency                              source animal for 50 years. The                        estimates of time required to complete
                                                  periods and the ability to establish                              development of such a record system is                 the various reporting, recordkeeping,
                                                  persistent infections. Several also share                         a one-time burden. Such a system is                    and third-party disclosure tasks
                                                  the possibility of transmission among                             intended to cross-reference and locate                 described in the PHS guideline.
                                                  individuals through intimate contact                              relevant records of recipients, products,                 FDA is requesting an extension of
                                                  with human body fluids. Human                                     source animals, animal procurement                     OMB approval for the following
                                                  immunodeficiency virus (HIV) and                                  centers, and nosocomial exposures.                     reporting, recordkeeping, and third-
                                                  Human T-lymphotropic virus are                                       Respondents to this collection of                   party disclosure recommendations in
                                                  human retroviruses. Retroviruses                                  information are the sponsors of clinical               the PHS guideline:

                                                                                                                  TABLE 1—REPORTING RECOMMENDATIONS
                                                      PHS guideline Section                                                                                  Description

                                                  3.2.7.2 .................................     Notify sponsor or FDA of new archive site when the source animal facility or sponsor ceases operations.


                                                                                                               TABLE 2—RECORDKEEPING RECOMMENDATIONS
                                                      PHS guideline section                                                                                  Description

                                                  3.2.7 ....................................    Establish records linking each xenotransplantation product recipient with relevant records.
                                                  4.3 .......................................   Sponsor to maintain cross-referenced system that links all relevant records (recipient, product, source animal, ani-
                                                                                                  mal procurement center, and nosocomial exposures).
                                                  3.4.2 ....................................    Document results of monitoring program used to detect introduction of infectious agents which may not be appar-
                                                                                                  ent clinically.
                                                  3.4.3.2 .................................     Document full necropsy investigations including evaluation for infectious etiologies.
                                                  3.5.1 ....................................    Justify shortening a source animal’s quarantine period of 3 weeks prior to xenotransplantation product procure-
                                                                                                  ment.
                                                  3.5.2 ....................................    Document absence of infectious agent in xenotransplantation product if its presence elsewhere in source animal
                                                                                                  does not preclude using it.
                                                  3.5.4 ....................................    Add summary of individual source animal record to permanent medical record of the xenotransplantation product
                                                                                                  recipient.
                                                  3.6.4 ....................................    Document complete necropsy results on source animals (50-year record retention).
                                                  3.7 .......................................   Link xenotransplantation product recipients to individual source animal records and archived biologic specimens.
                                                  4.2.3.2 .................................     Record baseline sera of xenotransplantation health care workers and specific nosocomial exposure.
                                                  4.2.3.3 and 4.3.2 ................            Keep a log of health care workers’ significant nosocomial exposure(s).
                                                  4.3.1 ....................................    Document each xenotransplant procedure.
                                                  5.2 .......................................   Document location and nature of archived PHS specimens in health care records of xenotransplantation product
                                                                                                  recipient and source animal.


                                                                                                                  TABLE 3—DISCLOSURE RECOMMENDATIONS
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                                                     PHS Guideline Section                                                                                   Description

                                                  3.2.7.2 .................................     Notify sponsor or FDA of new archive site when the source animal facility or sponsor ceases operations.
                                                  3.4 .......................................   Standard operating procedures (SOPs) of source animal facility should be available to review bodies.
                                                  3.5.1 ....................................    Include increased infectious risk in informed consent if source animal quarantine period of 3 weeks is shortened.
                                                  3.5.4 ....................................    Sponsor to make linked records described in section 3.2.7 available for review.
                                                  3.5.5 ....................................    Source animal facility to notify clinical center when infectious agent is identified in source animal or herd after
                                                                                                  xenotransplantation product procurement.



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                                                  60156                                    Federal Register / Vol. 80, No. 192 / Monday, October 5, 2015 / Notices

                                                    FDA estimates the burden for this
                                                  collection of information as follows:

                                                                                                                  TABLE 4—ESTIMATED ANNUAL REPORTING BURDEN 1
                                                                                                                                                               Number of                                                              Average
                                                                                                                                 Number of                                                    Total annual                                                            Total
                                                                    PHS guideline section                                                                    responses per                                                          burden per
                                                                                                                                respondents                                                    responses                                                              hours
                                                                                                                                                               respondent                                                            response

                                                  3.2.7.2 2 ............................................................                              1                             1                             1        0.50 (30 minutes) ......                           0.50
                                                     1 There     are no capital costs or operating and maintenance costs associated with this collection information.
                                                     2 FDA     is using 1 animal facility or sponsor for estimation purposes.

                                                                                                             TABLE 5—ESTIMATED ANNUAL RECORDKEEPING BURDEN 1
                                                                                                                                                                   Number of                                                        Average
                                                                                                                                 Number of                                                    Total annual                                                            Total
                                                                    PHS guideline section                                                                         records per                                                      burden per
                                                                                                                               recordkeepers                                                    records                                                               hours
                                                                                                                                                                 recordkeeper                                                    recordkeeping

                                                  3.2.7 2 ...............................................................                             1                          1                              1          16 ..............................                  16
                                                  4.3 3 ..................................................................                            3                          1                              3          0.75 (45 minutes) ......                         2.25
                                                  3.4.2 4 ...............................................................                             3                      10.67                             32          0.25 (15 minutes) ......                            8
                                                  3.4.3.2 5 ............................................................                              3                       2.67                              8          0.25 (15 minutes) ......                            2
                                                  3.5.1 6 ...............................................................                             3                       0.33                              1          0.50 (30 minutes) ......                         0.50
                                                  3.5.2 6 ...............................................................                             3                       0.33                              1          0.25 (15 minutes) ......                         0.25
                                                  3.5.4 .................................................................                             3                          1                              3          0.17 (10 minutes) ......                         0.51
                                                  3.6.4 7 ...............................................................                             3                       2.67                              8          0.25 (15 minutes) ......                            2
                                                  3.7 7 ..................................................................                            4                          2                              8          0.08 (5 minutes) ........                        0.64
                                                  4.2.3.2 8 ............................................................                              5                         25                            125          0.17 (10 minutes) ......                        21.25
                                                  4.2.3.2 6 ............................................................                              5                       0.20                              1          0.17 (10 minutes) ......                         0.17
                                                  4.2.3.3 and 4.3.2 6 ............................................                                    5                       0.20                              1          0.17 (10 minutes) ......                         0.17
                                                  4.3.1 .................................................................                             3                          1                              3          0.25 (15 minutes) ......                         0.75
                                                  5.2 9 ..................................................................                            3                          4                             12          0.08 (5 minutes) ........                        0.96
                                                        Total ..........................................................      ..........................   ..........................     ..........................       ....................................            55.45
                                                     1 There are no capital costs or operating and maintenance costs associated with this collection information.
                                                     2A one-time burden for new respondents to set up a recordkeeping system linking all relevant records. FDA is using one new sponsor for esti-
                                                  mation purposes.
                                                    3 FDA estimates there is minimal recordkeeping burden associated with maintaining the record system.
                                                    4 Monitoring for sentinel animals (subset representative of herd) plus all source animals. There are approximately 6 sentinel animals per herd ×
                                                  1 herd per facility × 4 facilities = 24 sentinel animals. There are approximately 8 source animals per year (see footnote 7 of this table); 24 + 8 =
                                                  32 monitoring records to document.
                                                    5 Necropsy for animal deaths of unknown cause estimated to be approximately 2 per year × 1 herd per facility × 4 facilities = 8.
                                                    6 Has not occurred in the past 3 years and is expected to continue to be a rare occurrence.
                                                    7 On average 2 source animals are used for preparing xenotransplantation product material for one recipient. The average number of source
                                                  animals is 2 source animals per recipients × 4 annually = 8 source animals per year. (See footnote 5 of table 6.)
                                                    8 FDA estimates ther are 5 clinical centers doing xenotransplantation procedures × approximately 25 health care workers involved per center =
                                                  125 health care workers.
                                                    9 Eight source animal records + 4 recipient records = 12 total records.



                                                                                                     TABLE 6—ESTIMATED ANNUAL THIRD-PARTY DISCLOSURE BURDEN
                                                                                                                                                                     Number of
                                                                                                                                         Number of                   disclosures               Total annual                   Average burden per
                                                                        PHS guideline section                                                                                                                                                                       Total hours
                                                                                                                                        respondents                      per                   disclosures                        disclosure
                                                                                                                                                                     respondent

                                                  3.2.7.2 2 ....................................................................                           1                           1                               1    0.50     (30 minutes) ......                      0.50
                                                  3.4 3 ..........................................................................                         4                        0.25                               1    0.08     (5 minutes) ........                     0.08
                                                  3.5.1 4 .......................................................................                          4                        0.25                               1    0.25     (15 minutes) ......                      0.25
                                                  3.5.4 5 .......................................................................                          4                           1                               4    0.50     (30 minutes) ......                         2
                                                  3.5.5 4 .......................................................................                          4                        0.25                               1    0.25     (15 minutes) ......                      0.25

                                                        Total ..................................................................      ........................     ........................   ........................       ....................................             3.08
                                                     1 Thereare no capital costs or operating and maintenance costs associated with this collection of information.
                                                     2 FDAis using one animal facility or sponsor for estimation purposes.
                                                    3 FDA’s records indicate that an average of 1 IND is expected to be submitted per year.
                                                    4 To our knowledge, has not occurred in the past 3 years and is expected to continue to be a rare occurrence.
                                                    5 Based on an estimate of 12 patients treated over a 3-year period, the average number of xenotransplantation product recipients per year is
                                                  estimated to be 4.
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                                                    Because of the potential risk for cross-                                  records are medical records, the                                                with small patient populations, the
                                                  species transmission of pathogenic                                          retention of such records for up to 50                                          number of records is expected to be
                                                  persistent virus, the guideline                                             years is not information subject to the                                         insignificant at this time.
                                                  recommends that health records be                                           PRA (5 CFR 1320.3(h)(5)). Also, because                                           Information collections in this
                                                  retained for 50 years. Since these                                          of the limited number of clinical studies                                       guideline not included in tables 1


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                                                                                          Federal Register / Vol. 80, No. 192 / Monday, October 5, 2015 / Notices                                                                            60157

                                                  through 6 can be found under existing                                   under OMB control number 0910–0338.                                   collections go beyond approved
                                                  regulations and approved under the                                      (Although it is possible that a                                       collections; assessments for these
                                                  OMB control numbers as follows: (1)                                     xenotransplantation product may not be                                burdens are included in tables 1 through
                                                  ‘‘Current Good Manufacturing Practice                                   regulated as a biological product (e.g., it                           6.
                                                  for Finished Pharmaceuticals,’’ 21 CFR                                  may be regulated as a medical device),
                                                                                                                                                                                                   In table 7, FDA identifies those
                                                  211.1 through 211.208, approved under                                   FDA believes, based on its knowledge
                                                                                                                                                                                                collections of information activities that
                                                  OMB control number 0910–0139; (2)                                       and experience with
                                                  ‘‘Investigational New Drug                                              xenotransplantation, that any                                         are already encompassed by existing
                                                  Application,’’ 21 CFR 312.1 through                                     xenotransplantation product subject to                                regulations or are consistent with
                                                  312.160, approved under OMB control                                     FDA regulation within the next 3 years                                voluntary standards which reflect
                                                  number 0910–0014; and (3) information                                   will most likely be regulated as a                                    industry’s usual and customary business
                                                  included in a biologics license                                         biological product.) However, FDA                                     practice.
                                                  application, 21 CFR 601.2, approved                                     recognized that some of the information

                                                                        TABLE 7—COLLECTION OF INFORMATION REQUIRED BY CURRENT REGULATIONS AND STANDARDS
                                                                                                                                                                                                                            21 CFR Section
                                                      PHS guideline section                                         Description of collection of information activity                                                  (unless otherwise stated)

                                                  2.2.1 ....................................    Document offsite collaborations ....................................................................           312.52.
                                                  2.5 .......................................   Sponsor ensures counseling patient + family + contacts .............................                           312.62(c).
                                                  3.1.1 and 3.1.6 ....................          Document well-characterized health history and lineage of source animals                                       312.23(a)(7)(a) and 211.84.
                                                  3.1.8 ....................................    Registration with and import permit from the Centers for Disease Control                                       42 CFR 71.53.
                                                                                                  and Prevention.
                                                  3.2.2 ....................................    Document collaboration with accredited microbiology labs ..........................                            312.52.
                                                  3.2.3 ....................................    Procedures to ensure the humane care of animals ......................................                         9 CFR parts 1, 2, and 3 and PHS
                                                                                                                                                                                                                 Policy.1
                                                  3.2.4 ....................................    Procedures consistent for accreditation by the Association for Assessment                                      AAALAC International Rules of Ac-
                                                                                                  and Accreditation of Laboratory Animal Care International (AAALAC                                              creditation 2 and NRC Guide.3
                                                                                                  International) and consistent with the National Research Council’s
                                                                                                  (NRC) Guide.
                                                  3.2.5, 3.4, and 3.4.1 ............            Herd health maintenance and surveillance to be documented, available,                                          211.100 and 211.122.
                                                                                                  and in accordance with documented procedures; record standard veteri-
                                                                                                  nary care.
                                                  3.2.6 ....................................    Animal facility SOPs ......................................................................................    PHS Policy.1
                                                  3.3.3 ....................................    Validate assay methods ................................................................................        211.160(a).
                                                  3.6.1 ....................................    Procurement and processing of xenografts using documented aseptic con-                                         211.100 and 211.122.
                                                                                                  ditions.
                                                  3.6.2 ....................................    Develop, implement, and enforce SOP’s for procurement and screening                                            211.84(d) and 211.122(c).
                                                                                                  processes.
                                                  3.6.4 ....................................    Communicate to FDA animal necropsy findings pertinent to health of re-                                         312.32(c).
                                                                                                  cipient.
                                                  3.7.1 ....................................    PHS specimens to be linked to health records; provide to FDA justification                                     312.23(a)(6).
                                                                                                  for types of tissues, cells, and plasma, and quantities of plasma and leu-
                                                                                                  kocytes collected.
                                                  4.1.1 ....................................    Surveillance of xenotransplant recipient; sponsor ensures documentation                                        312.23(a)(6)(iii)(f) and     (g),   and
                                                                                                  of surveillance program life-long (justify >2 yrs.); investigator case his-                                    312.62(b) and (c).
                                                                                                  tories (2 yrs. after investigation is discontinued).
                                                  4.1.2 ....................................    Sponsor to justify amount and type of reserve samples ...............................                          211.122.
                                                  4.1.2.2 .................................     System for prompt retrieval of PHS specimens and linkage to medical                                            312.57(a).
                                                                                                  records (recipient and source animal).
                                                  4.1.2.3 .................................     Notify FDA of a clinical episode potentially representing a xenogeneic in-                                     312.32.
                                                                                                  fection.
                                                  4.2.2.1 .................................     Document collaborations (transfer of obligation) ...........................................                   312.52.
                                                  4.2.3.1 .................................     Develop educational materials (sponsor provides investigators with infor-                                      312.50.
                                                                                                  mation needed to conduct investigation properly).
                                                  4.3 .......................................   Sponsor to keep records of receipt, shipment, and disposition of investiga-                                    312.57 and 312.62(b).
                                                                                                  tive drug; investigator to keep records of case histories.
                                                    1 The ‘‘Public Health Service Policy on Humane Care and Use of Laboratory Animals’’ (http://www.grants.nih.gov/grants/olaw/references/
                                                  phspol.htm).
                                                    2 AAALAC International Rules of Accreditation (http://www.aaalac.org/accreditation/rules.cfm).
                                                    3 The NRC’s ‘‘Guide for the Care and Use of Laboratory Animals.’’




                                                    Dated: September 29, 2015.
                                                  Leslie Kux,
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                  Associate Commissioner for Policy.
                                                  [FR Doc. 2015–25155 Filed 10–2–15; 8:45 am]
                                                  BILLING CODE 4164–01–P




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Document Created: 2015-12-15 08:52:34
Document Modified: 2015-12-15 08:52:34
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesSubmit either electronic or written comments on the collection of information by December 4, 2015.
ContactFDA PRA Staff, Office of Operations, Food and Drug Administration, 8455 Colesville Rd., COLE-14526, Silver Spring, MD 20993-0002, [email protected]
FR Citation80 FR 60153 

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