81_FR_26889 81 FR 26803 - Natural History Studies for Rare Disease Product Development: Orphan Products Research Project Grant (R01)

81 FR 26803 - Natural History Studies for Rare Disease Product Development: Orphan Products Research Project Grant (R01)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 86 (May 4, 2016)

Page Range26803-26804
FR Document2016-10398

The Food and Drug Administration (FDA) is announcing the availability of grant funds for the support of FDA's Office of Orphan Products Development (OOPD) Natural History Grants Program. The goal of the Orphan Products Natural History Grants Program is to support studies that advance rare disease medical product development through characterization of the natural history of rare diseases/conditions, identification of genotypic and phenotypic subpopulations, and development and/or validation of clinical outcome measures, biomarkers and/or companion diagnostics. The ultimate goal of these natural history studies is to support clinical development of products for use in rare diseases or conditions where no current therapy exists or where the proposed product will be superior to the existing therapy. FDA provides grants for natural history studies that will either assist or substantially contribute to market approval of these products. Applicants must include in the application's Background and Significance section documentation to support that the estimated prevalence of the orphan disease or condition in the United States is less than 200,000 (or in the case of a vaccine or diagnostic, information to support that the product will be administered to fewer than 200,000 people in the United States per year), and an explanation of how the proposed study will either help support product approval or provide essential data needed for product development.

Federal Register, Volume 81 Issue 86 (Wednesday, May 4, 2016)
[Federal Register Volume 81, Number 86 (Wednesday, May 4, 2016)]
[Notices]
[Pages 26803-26804]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-10398]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2016-N-0012]


Natural History Studies for Rare Disease Product Development: 
Orphan Products Research Project Grant (R01)

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA) is announcing the 
availability of grant funds for the support of FDA's Office of Orphan 
Products Development (OOPD) Natural History Grants Program. The goal of 
the Orphan Products Natural History Grants Program is to support 
studies that advance rare disease medical product development through 
characterization of the natural history of rare diseases/conditions, 
identification of genotypic and phenotypic subpopulations, and 
development and/or validation of clinical outcome measures, biomarkers 
and/or companion diagnostics. The ultimate goal of these natural 
history studies is to support clinical development of products for use 
in rare diseases or conditions where no current therapy exists or where 
the proposed product will be superior to the existing therapy. FDA 
provides grants for natural history studies that will either assist or 
substantially contribute to market approval of these products. 
Applicants must include in the application's Background and 
Significance section documentation to support that the estimated 
prevalence of the orphan disease or condition in the United States is 
less than 200,000 (or in the case of a vaccine or diagnostic, 
information to support that the product will be administered to fewer 
than 200,000 people in the United States per year), and an explanation 
of how the proposed study will either help support product approval or 
provide essential data needed for product development.

DATES: Important dates are as follows:
    1. The application due dates are October 14, 2016 and October 15, 
2018.
    2. The anticipated start dates are March 2017 and March 2019.
    3. The opening dates are August 15, 2016 and August 15, 2018.
    4. The expiration date is October 16, 2018.

ADDRESSES: Submit electronic applications to: http://www.grants.gov. 
For more information, see section III of the SUPPLEMENTARY INFORMATION 
section of this notice.

FOR FURTHER INFORMATION AND ADDITIONAL REQUIREMENTS CONTACT: Katherine 
Needleman, Office of Orphan Products Development, Food and Drug 
Administration, 10903 New Hampshire Ave., Bldg. 32, Rm. 5295, Silver 
Spring, MD 20993-0002, 301-796-8660, email: 
[email protected]; or Daniel Lukash, Office of 
Acquisitions and Grant Services, 5630 Fishers Lane, Rockville, MD 
20857, 240-402-7596, email: [email protected].
    For more information on this funding opportunity announcement (FOA) 
and to obtain detailed requirements, please refer to the full FOA 
located at http://grants.nih.gov/grants/guide (select the ``Request for 
Applications'' link), http://www.grants.gov (see ``For Applicants'' 
section), and http://www.fda.gov/orphan.

[[Page 26804]]


SUPPLEMENTARY INFORMATION:

I. Funding Opportunity Description

RFA-FD-16-043

93.103

A. Background

    The OOPD was created to identify and promote the development of 
orphan products. Orphan products are drugs, biologics, medical devices, 
and medical foods that are indicated for a rare disease or condition. 
The term ``rare disease or condition'' is defined in section 528 of the 
Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360ee). FDA generally 
considers drugs, devices, and medical foods potentially eligible for 
grants under the OOPD grant program if they are indicated for a disease 
or condition that has a prevalence, not incidence, of fewer than 
200,000 people in the United States. Diagnostics and vaccines are 
considered potentially eligible for such grants only if the U.S. 
population to whom they will be administered is fewer than 200,000 
people in the United States per year.
    The natural history of a disease is the natural course of a disease 
from the time immediately prior to its inception, progressing through 
its pre-symptomatic phase and different clinical stages to the point 
where the disease has ended without external intervention. Natural 
history studies track the course of disease over time, identifying 
demographic, genetic, environmental, and other variables that correlate 
with its development and outcomes in the absence of treatment. Thorough 
understanding of disease natural history is the foundation upon which a 
clinical development program for drugs, biologics, medical foods or 
medical devices is built.
    Rare diseases, as defined in the United States Orphan Drug Act 
(ODA) (Pub. L. 97-414), are diseases or conditions with a prevalence of 
fewer than 200,000 persons in the United States. Though individually 
rare, together there are approximately 30 million Americans affected by 
7,000 known rare diseases. Unlike common diseases, there is little 
existing knowledge on the natural history of most rare diseases, which 
makes natural history studies of particular importance for rare 
diseases product development. In January 2014, the FDA organized a 
Public Workshop on Complex Issues in Developing Drugs for Rare 
Diseases. During the workshop, the lack of natural history studies was 
reconfirmed by all stakeholders (patients, industry, researchers and 
the FDA) as one of the most common and urgent issues that hinder 
treatment development for rare diseases. The need for natural history 
studies was also emphasized in the recently published (August 17, 2015) 
draft FDA Guidance for Industry, ``Rare Diseases: Common Issues in Drug 
Development,'' available at http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM458485.pdf.

B. Research Objectives

    The objective of FDA's Orphan Products Natural History Grants 
Program is to support studies that characterize the natural history of 
rare diseases/conditions, identify genotypic and phenotypic 
subpopulations, and develop and/or validate clinical outcome measures, 
biomarkers and/or companion diagnostics. The ultimate goal of these 
natural history studies is to support clinical development of products 
for use in serious rare diseases or conditions where no current therapy 
exists or where the proposed product will be superior to the existing 
therapy. FDA provides grants for natural history studies that will 
either assist or substantially contribute to market approval of these 
products. Applicants must include in the application's Background and 
Significance section documentation to support that the estimated 
prevalence of the orphan disease or condition in the United States is 
less than 200,000 (or in the case of a vaccine or diagnostic, 
information to support that the product will be administered to fewer 
than 200,000 people in the United States per year), and an explanation 
of how the proposed study will either help support product approval or 
provide essential data needed for product development.

C. Eligibility Information

    The grants are available to any foreign or domestic, public or 
private, for-profit or nonprofit entity (including State and local 
units of government). Federal Agencies may not apply.

II. Award Information/Funds Available

A. Award Amount

    Of the estimated FY 2017 funding ($17.7 million), approximately $2 
million will fund 2 to 5 new awards, subject to availability of funds. 
Prospective Natural History Studies are eligible for grants of up to 
$400,000 per year for up to 5 years. Retrospective Natural History 
Studies or Surveys are eligible for grants of up to $150,000 per year 
for up to 2 years. Please note that the dollar limitation will apply to 
total costs (direct plus indirect). Budgets for each year of requested 
support may not exceed the $150,000 or $400,000 total cost limit, 
whichever is applicable.

B. Length of Support

    The length of support will depend on the nature of the study. For 
those studies with an expected duration of more than 1 year, all future 
years of noncompetitive continuation of support will depend on the 
following factors: (1) Performance during the preceding year; (2) 
compliance with regulatory requirements as applicable; and (3) 
availability of Federal funds.

III. Electronic Application, Registration, and Submission

    Only electronic applications will be accepted. To submit an 
electronic application in response to this FOA, applicants should first 
review the full announcement located at http://grants.nih.gov/grants/guide. For all electronically submitted applications, the following 
steps are required.

 Step 1: Obtain a Dun and Bradstreet (DUNS) Number
 Step 2: Register With System for Award Management (SAM) 
(formerly Central Contractor Registration (CCR))
 Step 3: Obtain Username & Password on Grants.gov
 Step 4: Authorized Organization Representative (AOR) 
Authorization
 Step 5: Track AOR Status
 Step 6: Register With Electronic Research Administration (eRA) 
Commons

    Steps 1 through 5, in detail, can be found at http://www07.grants.gov/applicants/organization_registration.jsp. Step 6, in 
detail, can be found at https://commons.era.nih.gov/commons/registration/registrationInstructions.jsp. After you have followed 
these steps, submit electronic applications to: http://www.grants.gov.

    Dated: April 28, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-10398 Filed 5-3-16; 8:45 am]
 BILLING CODE 4164-01-P



                                                                                  Federal Register / Vol. 81, No. 86 / Wednesday, May 4, 2016 / Notices                                             26803

                                                    the 1976 amendments (May 28, 1976)                      510(k) is necessary to provide                        Program is to support studies that
                                                    (generally referred to as preamendments                 reasonable assurance of the safety and                advance rare disease medical product
                                                    devices) have been classified by FDA                    effectiveness of a class II device. These             development through characterization
                                                    under the procedures set forth in section               factors are discussed in the guidance the             of the natural history of rare diseases/
                                                    513(c) and (d) of the FD&C Act through                  Agency issued on February 19, 1998,                   conditions, identification of genotypic
                                                    the issuance of classification regulations              entitled ‘‘Procedures for Class II Device             and phenotypic subpopulations, and
                                                    into one of these three regulatory                      Exemptions from Premarket                             development and/or validation of
                                                    classes. Devices introduced into                        Notification, Guidance for Industry and               clinical outcome measures, biomarkers
                                                    interstate commerce for the first time on               CDRH Staff’’ (Ref. 1).                                and/or companion diagnostics. The
                                                    or after May 28, 1976 (generally referred                                                                     ultimate goal of these natural history
                                                                                                            III. Proposed Class II Device
                                                    to as postamendments devices), are                                                                            studies is to support clinical
                                                                                                            Exemptions
                                                    classified through the premarket                                                                              development of products for use in rare
                                                    notification process under section                         FDA has received the following                     diseases or conditions where no current
                                                    510(k) of the FD&C Act (21 U.S.C.                       petition requesting an exemption from                 therapy exists or where the proposed
                                                    360(k)). Section 510(k) of the FD&C Act                 premarket notification for a class II                 product will be superior to the existing
                                                    and the implementing regulations, 21                    device: Martin O’Connor, Germaine                     therapy. FDA provides grants for natural
                                                    CFR part 807, require persons who                       Laboratories, Inc., 11030 Wye Dr., San                history studies that will either assist or
                                                    intend to market a new device to submit                 Antonio, TX 78217, for its Method,                    substantially contribute to market
                                                    a premarket notification (510(k))                       Metallic Reduction, Glucose (urinary,                 approval of these products. Applicants
                                                    containing information that allows FDA                  non-quantitative) classified under 21                 must include in the application’s
                                                    to determine whether the new device is                  CFR 862.1340.                                         Background and Significance section
                                                    ‘‘substantially equivalent’’ within the                 IV. Reference                                         documentation to support that the
                                                    meaning of section 513(i) of the FD&C                                                                         estimated prevalence of the orphan
                                                    Act to a legally marketed device that                      The following reference is on display
                                                                                                                                                                  disease or condition in the United States
                                                    does not require premarket approval.                    in the Division of Dockets Management
                                                                                                                                                                  is less than 200,000 (or in the case of a
                                                       On November 21, 1997, the President                  (see ADDRESSES) and is available for
                                                                                                                                                                  vaccine or diagnostic, information to
                                                    signed into law FDAMA (Pub. L. 105–                     viewing by interested persons between
                                                                                                                                                                  support that the product will be
                                                    115). Section 206 of FDAMA, in part,                    9 a.m. and 4 p.m., Monday through
                                                                                                                                                                  administered to fewer than 200,000
                                                    added a new section, 510(m), to the                     Friday; it is also available electronically
                                                                                                                                                                  people in the United States per year),
                                                    FD&C Act. Section 510(m)(1) of the                      at http://www.regulations.gov. FDA has
                                                                                                                                                                  and an explanation of how the proposed
                                                    FD&C Act requires FDA, within 60 days                   verified the Web site address, as of the
                                                                                                                                                                  study will either help support product
                                                    after enactment of FDAMA, to publish                    date this document publishes in the
                                                                                                                                                                  approval or provide essential data
                                                    in the Federal Register a list of each                  Federal Register, but Web sites are
                                                                                                                                                                  needed for product development.
                                                    type of class II device that does not                   subject to change over time.
                                                                                                                                                                  DATES: Important dates are as follows:
                                                    require a report under section 510(k) of                  1. ‘‘Procedures for Class II Device                    1. The application due dates are
                                                    the FD&C Act to provide reasonable                      Exemptions from Premarket Notification,
                                                                                                                                                                  October 14, 2016 and October 15, 2018.
                                                    assurance of safety and effectiveness.                  Guidance for Industry and CDRH Staff,’’
                                                                                                            February 1998, (http://www.fda.gov/
                                                                                                                                                                     2. The anticipated start dates are
                                                    Section 510(m) of the FD&C Act further
                                                                                                            downloads/MedicalDevices/Device                       March 2017 and March 2019.
                                                    provides that a 510(k) will no longer be
                                                                                                            RegulationandGuidance/Guidance                           3. The opening dates are August 15,
                                                    required for these devices upon the date
                                                                                                            Documents/UCM080199.pdf).                             2016 and August 15, 2018.
                                                    of publication of the list in the Federal                                                                        4. The expiration date is October 16,
                                                    Register. FDA published that list in the                  Dated: April 26, 2016.                              2018.
                                                    Federal Register of January 21, 1998 (63                Leslie Kux,                                           ADDRESSES: Submit electronic
                                                    FR 3142).                                               Associate Commissioner for Policy.
                                                       Section 510(m)(2) of the FD&C Act                                                                          applications to: http://www.grants.gov.
                                                    provides that 1 day after date of                       [FR Doc. 2016–10388 Filed 5–3–16; 8:45 am]            For more information, see section III of
                                                    publication of the list under section                   BILLING CODE 4164–01–P                                the SUPPLEMENTARY INFORMATION section
                                                    510(m)(1), FDA may exempt a device on                                                                         of this notice.
                                                    its own initiative or upon petition of an                                                                     FOR FURTHER INFORMATION AND
                                                                                                            DEPARTMENT OF HEALTH AND                              ADDITIONAL REQUIREMENTS CONTACT:
                                                    interested person if FDA determines
                                                                                                            HUMAN SERVICES                                        Katherine Needleman, Office of Orphan
                                                    that a 510(k) is not necessary to provide
                                                    reasonable assurance of the safety and                                                                        Products Development, Food and Drug
                                                                                                            Food and Drug Administration
                                                    effectiveness of the device. This section                                                                     Administration, 10903 New Hampshire
                                                    requires FDA to publish in the Federal                  [Docket No. FDA–2016–N–0012]                          Ave., Bldg. 32, Rm. 5295, Silver Spring,
                                                    Register a notice of intent to exempt a                                                                       MD 20993–0002, 301–796–8660, email:
                                                                                                            Natural History Studies for Rare                      katherine.needleman@fda.hhs.gov; or
                                                    device, or of the petition, and to provide
                                                                                                            Disease Product Development: Orphan                   Daniel Lukash, Office of Acquisitions
                                                    a 30-day comment period. Within 120
                                                                                                            Products Research Project Grant (R01)                 and Grant Services, 5630 Fishers Lane,
                                                    days of publication of this document,
                                                    FDA must publish in the Federal                         AGENCY:    Food and Drug Administration,              Rockville, MD 20857, 240–402–7596,
                                                    Register its final determination                        HHS.                                                  email: daniel.lukash@fda.hhs.gov.
                                                                                                                                                                     For more information on this funding
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    regarding the exemption of the device                   ACTION:   Notice.
                                                    that was the subject of the notice. If FDA                                                                    opportunity announcement (FOA) and
                                                    fails to respond to a petition under this               SUMMARY:   The Food and Drug                          to obtain detailed requirements, please
                                                    section within 180 days of receiving it,                Administration (FDA) is announcing the                refer to the full FOA located at http://
                                                    the petition shall be deemed granted.                   availability of grant funds for the                   grants.nih.gov/grants/guide (select the
                                                                                                            support of FDA’s Office of Orphan                     ‘‘Request for Applications’’ link),
                                                    II. Criteria for Exemption                              Products Development (OOPD) Natural                   http://www.grants.gov (see ‘‘For
                                                       There are a number of factors FDA                    History Grants Program. The goal of the               Applicants’’ section), and http://
                                                    may consider to determine whether a                     Orphan Products Natural History Grants                www.fda.gov/orphan.


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                                                    26804                         Federal Register / Vol. 81, No. 86 / Wednesday, May 4, 2016 / Notices

                                                    SUPPLEMENTARY INFORMATION:                              diseases. The need for natural history                exceed the $150,000 or $400,000 total
                                                                                                            studies was also emphasized in the                    cost limit, whichever is applicable.
                                                    I. Funding Opportunity Description
                                                                                                            recently published (August 17, 2015)
                                                    RFA–FD–16–043                                                                                                 B. Length of Support
                                                                                                            draft FDA Guidance for Industry, ‘‘Rare
                                                    93.103                                                  Diseases: Common Issues in Drug                         The length of support will depend on
                                                                                                            Development,’’ available at http://                   the nature of the study. For those
                                                    A. Background
                                                                                                            www.fda.gov/downloads/Drugs/                          studies with an expected duration of
                                                       The OOPD was created to identify and                 GuidanceComplianceRegulatory                          more than 1 year, all future years of
                                                    promote the development of orphan                       Information/Guidances/                                noncompetitive continuation of support
                                                    products. Orphan products are drugs,                    UCM458485.pdf.                                        will depend on the following factors: (1)
                                                    biologics, medical devices, and medical                                                                       Performance during the preceding year;
                                                    foods that are indicated for a rare                     B. Research Objectives                                (2) compliance with regulatory
                                                    disease or condition. The term ‘‘rare                      The objective of FDA’s Orphan                      requirements as applicable; and (3)
                                                    disease or condition’’ is defined in                    Products Natural History Grants                       availability of Federal funds.
                                                    section 528 of the Federal Food, Drug,                  Program is to support studies that
                                                    and Cosmetic Act (21 U.S.C. 360ee).                                                                           III. Electronic Application,
                                                                                                            characterize the natural history of rare
                                                    FDA generally considers drugs, devices,                                                                       Registration, and Submission
                                                                                                            diseases/conditions, identify genotypic
                                                    and medical foods potentially eligible                  and phenotypic subpopulations, and                      Only electronic applications will be
                                                    for grants under the OOPD grant                         develop and/or validate clinical                      accepted. To submit an electronic
                                                    program if they are indicated for a                     outcome measures, biomarkers and/or                   application in response to this FOA,
                                                    disease or condition that has a                         companion diagnostics. The ultimate                   applicants should first review the full
                                                    prevalence, not incidence, of fewer than                goal of these natural history studies is              announcement located at http://
                                                    200,000 people in the United States.                    to support clinical development of                    grants.nih.gov/grants/guide. For all
                                                    Diagnostics and vaccines are considered                 products for use in serious rare diseases             electronically submitted applications,
                                                    potentially eligible for such grants only               or conditions where no current therapy                the following steps are required.
                                                    if the U.S. population to whom they will                exists or where the proposed product                  • Step 1: Obtain a Dun and Bradstreet
                                                    be administered is fewer than 200,000                   will be superior to the existing therapy.               (DUNS) Number
                                                    people in the United States per year.                   FDA provides grants for natural history               • Step 2: Register With System for
                                                       The natural history of a disease is the                                                                      Award Management (SAM) (formerly
                                                                                                            studies that will either assist or
                                                    natural course of a disease from the time                                                                       Central Contractor Registration (CCR))
                                                                                                            substantially contribute to market
                                                    immediately prior to its inception,                                                                           • Step 3: Obtain Username & Password
                                                                                                            approval of these products. Applicants
                                                    progressing through its pre-symptomatic                                                                         on Grants.gov
                                                                                                            must include in the application’s
                                                    phase and different clinical stages to the                                                                    • Step 4: Authorized Organization
                                                                                                            Background and Significance section
                                                    point where the disease has ended                                                                               Representative (AOR) Authorization
                                                                                                            documentation to support that the
                                                    without external intervention. Natural                                                                        • Step 5: Track AOR Status
                                                                                                            estimated prevalence of the orphan
                                                    history studies track the course of                                                                           • Step 6: Register With Electronic
                                                                                                            disease or condition in the United States
                                                    disease over time, identifying                                                                                  Research Administration (eRA)
                                                                                                            is less than 200,000 (or in the case of a
                                                    demographic, genetic, environmental,                                                                            Commons
                                                    and other variables that correlate with                 vaccine or diagnostic, information to
                                                    its development and outcomes in the                     support that the product will be                        Steps 1 through 5, in detail, can be
                                                    absence of treatment. Thorough                          administered to fewer than 200,000                    found at http://www07.grants.gov/
                                                    understanding of disease natural history                people in the United States per year),                applicants/organization_
                                                    is the foundation upon which a clinical                 and an explanation of how the proposed                registration.jsp. Step 6, in detail, can be
                                                    development program for drugs,                          study will either help support product                found at https://commons.era.nih.gov/
                                                    biologics, medical foods or medical                     approval or provide essential data                    commons/registration/
                                                    devices is built.                                       needed for product development.                       registrationInstructions.jsp. After you
                                                       Rare diseases, as defined in the                     C. Eligibility Information                            have followed these steps, submit
                                                    United States Orphan Drug Act (ODA)                                                                           electronic applications to: http://
                                                    (Pub. L. 97–414), are diseases or                         The grants are available to any foreign             www.grants.gov.
                                                    conditions with a prevalence of fewer                   or domestic, public or private, for-profit
                                                                                                                                                                    Dated: April 28, 2016.
                                                    than 200,000 persons in the United                      or nonprofit entity (including State and
                                                                                                            local units of government). Federal                   Leslie Kux,
                                                    States. Though individually rare,                                                                             Associate Commissioner for Policy.
                                                    together there are approximately 30                     Agencies may not apply.
                                                                                                                                                                  [FR Doc. 2016–10398 Filed 5–3–16; 8:45 am]
                                                    million Americans affected by 7,000                     II. Award Information/Funds Available
                                                                                                                                                                  BILLING CODE 4164–01–P
                                                    known rare diseases. Unlike common
                                                    diseases, there is little existing                      A. Award Amount
                                                    knowledge on the natural history of                        Of the estimated FY 2017 funding                   DEPARTMENT OF HEALTH AND
                                                    most rare diseases, which makes natural                 ($17.7 million), approximately $2                     HUMAN SERVICES
                                                    history studies of particular importance                million will fund 2 to 5 new awards,
                                                    for rare diseases product development.                  subject to availability of funds.                     Food and Drug Administration
                                                    In January 2014, the FDA organized a                    Prospective Natural History Studies are
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    Public Workshop on Complex Issues in                    eligible for grants of up to $400,000 per             [Docket No. FDA–2016–N–0001]
                                                    Developing Drugs for Rare Diseases.                     year for up to 5 years. Retrospective                 Quantitative Assessment of
                                                    During the workshop, the lack of natural                Natural History Studies or Surveys are                Assumptions To Support Extrapolation
                                                    history studies was reconfirmed by all                  eligible for grants of up to $150,000 per             of Efficacy in Pediatrics; Public
                                                    stakeholders (patients, industry,                       year for up to 2 years. Please note that              Workshop
                                                    researchers and the FDA) as one of the                  the dollar limitation will apply to total
                                                    most common and urgent issues that                      costs (direct plus indirect). Budgets for             AGENCY:   Food and Drug Administration,
                                                    hinder treatment development for rare                   each year of requested support may not                HHS.


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Document Created: 2016-05-04 01:23:01
Document Modified: 2016-05-04 01:23:01
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.
DatesImportant dates are as follows:
FR Citation81 FR 26803 

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