80_FR_81589 80 FR 81340 - Establishment of a Public Docket; Clinical Trial Designs in Emerging Infectious Diseases

80 FR 81340 - Establishment of a Public Docket; Clinical Trial Designs in Emerging Infectious Diseases

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 80, Issue 249 (December 29, 2015)

Page Range81340-81341
FR Document2015-32724

The Food and Drug Administration (FDA) is establishing a public docket to receive input on clinical trial designs in emerging infectious diseases. Interested parties are invited to submit comments, supported by research and data, regarding clinical trial designs.

Federal Register, Volume 80 Issue 249 (Tuesday, December 29, 2015)
[Federal Register Volume 80, Number 249 (Tuesday, December 29, 2015)]
[Notices]
[Pages 81340-81341]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-32724]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2015-N-4170]


Establishment of a Public Docket; Clinical Trial Designs in 
Emerging Infectious Diseases

AGENCY: Food and Drug Administration, HHS.

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

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

SUMMARY: The Food and Drug Administration (FDA) is establishing a 
public docket to receive input on clinical trial designs in emerging 
infectious diseases. Interested parties are invited to submit comments, 
supported by research and data, regarding clinical trial designs.

DATES: Submit either electronic or written comments on the collection 
of information by January 28, 2016.

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 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-2015-N-4170 for ``Clinical Trial Designs in Emerging Infectious 
Diseases.'' 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

[[Page 81341]]

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.

SUPPLEMENTARY INFORMATION: FDA held a workshop on ``Clinical Trial 
Designs in Emerging Infectious Diseases'' in partnership with the 
National Institute of Allergy and Infectious Diseases, the HHS Office 
of the Assistant Secretary for Preparedness and Response, and the 
Centers for Disease Control and Prevention as a step in collecting 
information. The objectives of the workshop were to: (1) Discuss the 
deployment of investigational products in the context of emerging 
infectious diseases, drawing on the lessons learned in the Ebola virus 
epidemic; (2) explore the strengths and weaknesses of different 
clinical trial designs for establishing the safety and efficacy of 
investigational products for the treatment and/or prevention of life-
threatening emerging infectious diseases (EID) in resource-limited 
settings from scientific, ethical, and operational perspectives; (3) 
identify areas of consensus and areas needing further discussion, with 
the goal of formulating acceptable options for the deployment of 
investigational products in clinical trials for future EIDs; and (4) 
discuss planning and other factors that can impact on the ability to 
establish clinical trials in a timely fashion to evaluate 
investigational therapies. The meeting agenda, transcripts, and web 
cast recordings are available on the FDA Web site at http://www.fda.gov/emergencypreparedness/counterterrorism/medicalcountermeasures/aboutmcmi/ucm466153.htm. The meeting agenda and 
transcripts will also be available in the docket.
    FDA is opening this docket to provide an avenue for the public to 
submit additional information that may be relevant to the design and 
conduct of clinical trials for establishing the safety and efficacy of 
investigational products for the treatment and/or prevention of life-
threatening emerging infectious diseases. Individuals submitting 
comments are specifically invited to address the scientific, ethical, 
and practical considerations that should be taken into account when 
designing and implementing clinical trials for future emerging 
infectious diseases in resource-limited settings.

    Dated: December 23, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-32724 Filed 12-28-15; 8:45 am]
 BILLING CODE 4164-01-P



                                                    81340                      Federal Register / Vol. 80, No. 249 / Tuesday, December 29, 2015 / Notices

                                                    that would be used to make product-                     Guidances/default.htm or http://                      Written/Paper Submissions
                                                    specific BE recommendations available                   www.regulations.gov.                                     Submit written/paper submissions as
                                                    to the public on FDA’s Web site at                        Dated: December 23, 2015.                           follows:
                                                    http://www.fda.gov/Drugs/Guidance                       Leslie Kux,                                              • Mail/Hand delivery/Courier (for
                                                    ComplianceRegulatoryInformation/                        Associate Commissioner for Policy.                    written/paper submissions): Division of
                                                    Guidances/default.htm.                                                                                        Dockets Management (HFA–305), Food
                                                                                                            [FR Doc. 2015–32723 Filed 12–28–15; 8:45 am]
                                                       As described in that guidance, FDA                                                                         and Drug Administration, 5630 Fishers
                                                                                                            BILLING CODE 4164–01–P
                                                    adopted this process to develop and                                                                           Lane, rm. 1061, Rockville, MD 20852.
                                                    disseminate product-specific BE                                                                                  • For written/paper comments
                                                    recommendations and to provide a                        DEPARTMENT OF HEALTH AND                              submitted to the Division of Dockets
                                                    meaningful opportunity for the public to                HUMAN SERVICES                                        Management, FDA will post your
                                                    consider and comment on those                                                                                 comment, as well as any attachments,
                                                    recommendations. This notice                            Food and Drug Administration                          except for information submitted,
                                                    announces the availability of draft BE                                                                        marked and identified, as confidential,
                                                                                                            [Docket No. FDA–2015–N–4170]
                                                    recommendations for paliperidone                                                                              if submitted as detailed in
                                                    palmitate extended-release injectable                   Establishment of a Public Docket;                     ‘‘Instructions.’’
                                                    suspension. FDA initially approved new                  Clinical Trial Designs in Emerging                       Instructions: All submissions received
                                                    drug application 022264 for INVEGA                      Infectious Diseases                                   must include the Docket No. FDA–
                                                    SUSTENNA (paliperidone palmitate)                                                                             2015–N–4170 for ‘‘Clinical Trial Designs
                                                    extended-release injectable suspension.                 AGENCY:    Food and Drug Administration,              in Emerging Infectious Diseases.’’
                                                    There are no approved ANDAs for this                    HHS.                                                  Received comments will be placed in
                                                    product. In August 2011, we issued a                    ACTION: Notice; establishment of docket;              the docket and, except for those
                                                    draft guidance for industry on BE                       request for comments.                                 submitted as ‘‘Confidential
                                                    recommendations for paliperidone                                                                              Submissions,’’ publicly viewable at
                                                    palmitate extended-release injectable                   SUMMARY:    The Food and Drug
                                                                                                            Administration (FDA) is establishing a                http://www.regulations.gov or at the
                                                    suspension, which we subsequently                                                                             Division of Dockets Management
                                                    revised in December 2013. We are now                    public docket to receive input on
                                                                                                            clinical trial designs in emerging                    between 9 a.m. and 4 p.m., Monday
                                                    issuing a further revised draft guidance                                                                      through Friday.
                                                                                                            infectious diseases. Interested parties
                                                    for industry on BE recommendations for
                                                                                                            are invited to submit comments,                          • Confidential Submissions—To
                                                    generic paliperidone palmitate                                                                                submit a comment with confidential
                                                                                                            supported by research and data,
                                                    extended-release injectable suspension                                                                        information that you do not wish to be
                                                                                                            regarding clinical trial designs.
                                                    (‘‘Draft Guidance on Paliperidone                                                                             made publicly available, submit your
                                                    Palmitate’’).                                           DATES: Submit either electronic or
                                                                                                                                                                  comments only as a written/paper
                                                       In May 2013, Janssen Research and                    written comments on the collection of
                                                                                                            information by January 28, 2016.                      submission. You should submit two
                                                    Development, LLC, manufacturer of the                                                                         copies total. One copy will include the
                                                    reference listed drug, INVEGA                           ADDRESSES: You may submit comments
                                                                                                                                                                  information you claim to be confidential
                                                    SUSTENNA, submitted a citizen                           as follows:                                           with a heading or cover note that states
                                                    petition requesting that FDA require                    Electronic Submissions                                ‘‘THIS DOCUMENT CONTAINS
                                                    that any ANDA referencing INVEGA                                                                              CONFIDENTIAL INFORMATION.’’ The
                                                                                                              Submit electronic comments in the
                                                    SUSTENNA extended-release injectable                                                                          Agency will review this copy, including
                                                                                                            following way:
                                                    suspension meet certain conditions                        • Federal eRulemaking Portal: http://               the claimed confidential information, in
                                                    related to demonstrating BE (Docket No.                 www.regulations.gov. Follow the                       its consideration of comments. The
                                                    FDA–2013–P–0608). FDA is reviewing                      instructions for submitting comments.                 second copy, which will have the
                                                    the issues raised in the petition. FDA                  Comments submitted electronically,                    claimed confidential information
                                                    will consider any comments on the                       including attachments, to http://                     redacted/blacked out, will be available
                                                    Draft Guidance on Paliperidone                          www.regulations.gov will be posted to                 for public viewing and posted on http://
                                                    Palmitate in responding to the petition.                the docket unchanged. Because your                    www.regulations.gov. Submit both
                                                       This draft guidance is being issued                  comment will be made public, you are                  copies to the Division of Dockets
                                                    consistent with FDA’s good guidance                     solely responsible for ensuring that your             Management. If you do not wish your
                                                    practices regulation (21 CFR 10.115).                   comment does not include any                          name and contact information to be
                                                    The draft guidance, when finalized, will                confidential information that you or a                made publicly available, you can
                                                    represent the Agency’s current thinking                 third party may not wish to be posted,                provide this information on the cover
                                                    on the design of BE studies to support                  such as medical information, your or                  sheet and not in the body of your
                                                    ANDAs for paliperidone palmitate                        anyone else’s Social Security number, or              comments and you must identify this
                                                    extended-release injectable suspension.                 confidential business information, such               information as ‘‘confidential.’’ Any
                                                    It does not create or confer any rights for             as a manufacturing process. Please note               information marked as ‘‘confidential’’
                                                    or on any person and do not operate to                  that if you include your name, contact                will not be disclosed except in
                                                    bind FDA or the public. You can use an                  information, or other information that                accordance with 21 CFR 10.20 and other
                                                    alternative approach if it satisfies the                identifies you in the body of your                    applicable disclosure law. For more
                                                    requirements of the applicable statutes                                                                       information about FDA’s posting of
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                                                                            comments, that information will be
                                                    and regulations.                                        posted on http://www.regulations.gov.                 comments to public dockets, see 80 FR
                                                                                                              • If you want to submit a comment                   56469, September 18, 2015, or access
                                                                                                            with confidential information that you                the information at: http://www.fda.gov/
                                                    II. Electronic Access
                                                                                                            do not wish to be made available to the               regulatoryinformation/dockets/
                                                      Persons with access to the Internet                   public, submit the comment as a                       default.htm.
                                                    may obtain the document at either                       written/paper submission and in the                      Docket: For access to the docket to
                                                    http://www.fda.gov/Drugs/Guidance                       manner detailed (see ‘‘Written/Paper                  read background documents or the
                                                    ComplianceRegulatoryInformation/                        Submissions’’ and ‘‘Instructions’’).                  electronic and written/paper comments


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                                                                               Federal Register / Vol. 80, No. 249 / Tuesday, December 29, 2015 / Notices                                           81341

                                                    received, go to http://                                   Dated: December 23, 2015.                           Section RQ–20, Functions
                                                    www.regulations.gov and insert the                      Leslie Kux,
                                                                                                                                                                    Delete the functional statement for the
                                                    docket number, found in brackets in the                 Associate Commissioner for Policy.                    Bureau of Health Workforce (RQ) and
                                                    heading of this document, into the                      [FR Doc. 2015–32724 Filed 12–28–15; 8:45 am]          replace in its entirety.
                                                    ‘‘Search’’ box and follow the prompts                   BILLING CODE 4164–01–P                                  This notice reflects organizational
                                                    and/or go to the Division of Dockets                                                                          changes in Bureau of Health Workforce
                                                    Management, 5630 Fishers Lane, rm.                                                                            (RQ). Specifically, this notice: (1)
                                                    1061, Rockville, MD 20852.                              DEPARTMENT OF HEALTH AND                              Abolish the Office of Workforce
                                                                                                            HUMAN SERVICES                                        Development and Analysis; (RQA); (2)
                                                    SUPPLEMENTARY INFORMATION:       FDA held
                                                    a workshop on ‘‘Clinical Trial Designs                  Health Resources and Services                         abolishes the Office of Health Careers
                                                    in Emerging Infectious Diseases’’ in                    Administration                                        (RQB); and (3) updates the functional
                                                    partnership with the National Institute                                                                       statement for the Bureau of Health
                                                    of Allergy and Infectious Diseases, the                 Statement of Organization, Functions                  Workforce (RQ).
                                                    HHS Office of the Assistant Secretary                   and Delegations of Authority                          Bureau of Health Workforce (RQ)
                                                    for Preparedness and Response, and the                    This notice amends Part R of the                      The Bureau of Health Workforce
                                                    Centers for Disease Control and                         Statement of Organization, Functions                  (BHW) improves the health of the
                                                    Prevention as a step in collecting                      and Delegations of Authority of the                   nation’s underserved communities and
                                                    information. The objectives of the                      Department of Health and Human                        vulnerable populations by developing,
                                                    workshop were to: (1) Discuss the                       Services (HHS), Health Resources and                  implementing, evaluating, and refining
                                                    deployment of investigational products                  Services Administration (HRSA) (60 FR                 programs that strengthen the nation’s
                                                    in the context of emerging infectious                   56605, as amended November 6, 1995;                   health care workforce. BHW programs
                                                    diseases, drawing on the lessons learned                as last amended at 80 FR 66545–66546                  support a diverse, culturally competent
                                                    in the Ebola virus epidemic; (2) explore                dated October 29, 2015).                              workforce by addressing components
                                                    the strengths and weaknesses of                           This notice reflects organizational                 including: Education and training;
                                                    different clinical trial designs for                    changes in the Health Resources and                   recruitment and retention; financial
                                                    establishing the safety and efficacy of                 Services Administration (HRSA),                       support for students, faculty, and
                                                    investigational products for the                        Bureau of Health Workforce (RQ).                      practitioners; supporting institutions;
                                                    treatment and/or prevention of life-                    Specifically, this notice: (1) Abolishes              data analysis; and evaluation and
                                                    threatening emerging infectious diseases                the Office of Workforce Development                   coordination of health workforce
                                                    (EID) in resource-limited settings from                 and Analysis (RQA); (2) abolishes the                 activities. These efforts support
                                                    scientific, ethical, and operational                    Office of Health Careers (RQB); and (3)               development of a skilled health
                                                    perspectives; (3) identify areas of                     updates the functional statement for the              workforce serving in areas of the nation
                                                    consensus and areas needing further                     Bureau of Health Workforce (RQ).                      with the greatest need.
                                                    discussion, with the goal of formulating                Chapter RQ—Bureau of Health                           Office of the Associate Administrator
                                                    acceptable options for the deployment                   Workforce                                             (RQ)
                                                    of investigational products in clinical
                                                    trials for future EIDs; and (4) discuss                 Section RQ–10, Organization                             The Office of the Associate
                                                    planning and other factors that can                       Delete the organizational structure for             Administrator provides overall
                                                    impact on the ability to establish                      the Bureau of Health Workforce (RQ)                   leadership, direction, coordination, and
                                                    clinical trials in a timely fashion to                  and replace in its entirety.                          planning in support of the BHW’s
                                                    evaluate investigational therapies. The                   The Bureau of Health Workforce is                   programs designed to help meet the
                                                    meeting agenda, transcripts, and web                    headed by the Associate Administrator,                health professions workforce needs of
                                                    cast recordings are available on the FDA                who reports directly to the                           the nation and improve the health of the
                                                    Web site at http://www.fda.gov/                         Administrator, Health Resources and                   nation’s underserved communities and
                                                    emergencypreparedness/                                  Services Administration.                              vulnerable populations. The office
                                                    counterterrorism/                                         1. Office of the Associate                          guides and directs the bureau’s
                                                    medicalcountermeasures/aboutmcmi/                       Administrator (RQ);                                   workforce analysis efforts and provides
                                                                                                              2. Division of Policy and Shortage                  guidance and support for advisory
                                                    ucm466153.htm. The meeting agenda
                                                                                                            Designation (RQ1);                                    councils. Additionally, the office
                                                    and transcripts will also be available in                 3. Division of Business Operations
                                                    the docket.                                                                                                   provides direction by coordinating the
                                                                                                            (RQ2);                                                recruitment, education, training, and
                                                       FDA is opening this docket to provide                  4. Division of External Affairs (RQ3);              retention of diverse health professionals
                                                    an avenue for the public to submit                        5. National Center for Health                       in the healthcare system and supporting
                                                    additional information that may be                      Workforce Analysis (RQ4);                             communities’ efforts to build more
                                                    relevant to the design and conduct of                     6. Division of Medicine and Dentistry
                                                                                                                                                                  integrated and sustainable systems of
                                                    clinical trials for establishing the safety             (RQ5);
                                                                                                              7. Division of Nursing and Public                   care. Specifically: (1) Directs and
                                                    and efficacy of investigational products                                                                      provides policy guidance for workforce
                                                    for the treatment and/or prevention of                  Health (RQ6);
                                                                                                              8. Division of Practitioner Data Bank               recruitment, student and faculty
                                                    life-threatening emerging infectious                                                                          assistance, training, and placement of
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                                                                            (RQ7);
                                                    diseases. Individuals submitting                          9. Division of Participant Support and              health professionals to serve in
                                                    comments are specifically invited to                    Compliance (RQ8);                                     underserved areas; (2) directs the
                                                    address the scientific, ethical, and                      10. Division of Health Careers and                  bureau’s health professions workforce
                                                    practical considerations that should be                 Financial Support (RQ9);                              data collection and analysis efforts in
                                                    taken into account when designing and                     11. Division of National Health                     support of BHW’s programs, and
                                                    implementing clinical trials for future                 Service Corps (RQC); and                              provides oversight for the evaluation of
                                                    emerging infectious diseases in                           12. Division of Regional Operations                 grantee performance and program
                                                    resource-limited settings.                              (RQD).                                                outcomes; (3) guides and supports work


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Document Created: 2015-12-29 10:14:56
Document Modified: 2015-12-29 10:14:56
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice; establishment of docket; request for comments.
DatesSubmit either electronic or written comments on the collection of information by January 28, 2016.
FR Citation80 FR 81340 

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