81_FR_60527 81 FR 60357 - The Sentinel Post-Licensure Rapid Immunization Safety Monitoring Program; Public Workshop

81 FR 60357 - The Sentinel Post-Licensure Rapid Immunization Safety Monitoring Program; Public Workshop

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 170 (September 1, 2016)

Page Range60357-60358
FR Document2016-21046

The Food and Drug Administration (FDA) is announcing a public workshop entitled ``The Sentinel Post-Licensure Rapid Immunization Safety Monitoring (PRISM) Program.'' The purpose of the workshop is to describe the Sentinel Initiative and PRISM program, illustrate how PRISM is used by FDA for regulatory responsibilities (including how it has been integrated into FDA's regulatory review process and case examples), and discuss the future direction of PRISM in terms of expansion and further integration into the regulatory review process.

Federal Register, Volume 81 Issue 170 (Thursday, September 1, 2016)
[Federal Register Volume 81, Number 170 (Thursday, September 1, 2016)]
[Notices]
[Pages 60357-60358]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-21046]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2016-N-0001]


The Sentinel Post-Licensure Rapid Immunization Safety Monitoring 
Program; Public Workshop

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of public workshop.

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

SUMMARY: The Food and Drug Administration (FDA) is announcing a public 
workshop entitled ``The Sentinel Post-Licensure Rapid Immunization 
Safety Monitoring (PRISM) Program.'' The purpose of the workshop is to 
describe the Sentinel Initiative and PRISM program, illustrate how 
PRISM is used by FDA for regulatory responsibilities (including how it 
has been integrated into FDA's regulatory review process and case 
examples), and discuss the future direction of PRISM in terms of 
expansion and further integration into the regulatory review process.

DATES: The public workshop will be held on December 7, 2016, from 8:30 
a.m. to 5 p.m. See the SUPPLEMENTARY INFORMATION section for 
registration date and information.

ADDRESSES: The public workshop will be held at the National Institutes 
of Health, 8600 Rockville Pike, Lister Hill Center Auditorium, Building 
38A, Bethesda, MD 20894.

FOR FURTHER INFORMATION CONTACT: Chris Nguyen, Center for Biologics 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 71, Rm. 4124, Silver Spring, MD 20993-0002; or 
Cynthia Whitmarsh, Center for Biologics Evaluation and Research, Food 
and Drug Administration, 10903 New Hampshire Ave., Bldg. 71, Rm. 4122, 
Silver Spring, MD 20993-0002: For questions, email: 
[email protected] (Subject Line: Sentinel PRISM Workshop).

SUPPLEMENTARY INFORMATION: The Sentinel Initiative is FDA's national 
electronic surveillance system for the post-market safety monitoring of 
medical products. The Sentinel System was implemented as an Active 
Post-Market Risk Identification and Analysis program in response to 
section 905 of the Food and Drug Administration Amendments Act of 2007. 
PRISM was initiated in 2009 as one of several national vaccine safety 
surveillance systems deployed during the H1N1 influenza pandemic. PRISM 
was integrated into the FDA Sentinel Initiative in September 2010. 
PRISM has been used on multiple occasions to evaluate for vaccine-
adverse events, such as the risk of intussusception following rotavirus 
vaccination, and the risk of febrile seizure among children receiving 
the trivalent inactivated influenza vaccine.
    The PRISM distributed database covers more than 171 million 
individuals in a number of data partner organizations. The database is 
enhanced by linkages to State-wide registries and birth registries. 
PRISM is being used to develop broad-based signal detection tools that 
can be used to further evaluate vaccine safety. There are currently 
several active vaccine protocol-based assessments underway. More 
information can be found at: http://www.mini-sentinel.org/assessments/medical_events/default.aspx.
    The workshop will bring together other government agencies, 
academia, industry, and other stakeholder participants involved in 
vaccine development and safety. The goal of the workshop is to present 
and discuss the current capabilities of PRISM. Topics include: (1) The 
available data infrastructure, (2) methods, and (3) tools. In addition, 
a few representative examples of PRISM studies will be presented to 
demonstrate the program's success in safety signal refinement and 
evaluation and informing the regulatory process. There will also be a 
discussion of possible future directions for PRISM.
    Registration: Please visit the following Web site to register for 
the workshop by November 23, 2016, midnight Eastern Standard Time: 
https://www.eventbrite.com/e/the-sentinel-post-licensure-rapid-immunization-safety-monitoring-prism-system-public-workshop-tickets-22494636062. There is no registration fee for the public workshop. 
Early registration is recommended because seating is limited. 
Registrants will receive confirmation once they have been

[[Page 60358]]

accepted. FDA may limit the number of participants from each 
organization based on space limitations. Registration on the day of the 
public meeting will be provided on a space available basis beginning at 
8:30 a.m. Those who are unable to attend the meeting in person can 
register to view a live Web cast of the meeting. You will be asked to 
indicate in your registration if you plan to attend in person or via 
the Web cast. FDA will post the agenda approximately 5 days before the 
workshop at http://www.fda.gov/BiologicsBloodVaccines/NewsEvents/WorkshopsMeetingsConferences/ucm490175.htm.
    If you need special accommodations because of disability, please 
contact Chris Nguyen (see FOR FURTHER INFORMATION CONTACT) at least 7 
days in advance of the meeting.
    Transcripts: Please be advised that as soon as possible after a 
transcript of the public workshop is available, it will be accessible 
at: http://www.fda.gov/BiologicsBloodVaccines/NewsEvents/WorkshopsMeetingsConferences/ucm490175.htm.

    Dated: August 26, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-21046 Filed 8-31-16; 8:45 am]
BILLING CODE 4164-01-P



                                                                              Federal Register / Vol. 81, No. 170 / Thursday, September 1, 2016 / Notices                                            60357

                                                    Drug Administration, 10903 New                          amendment will be made to 21 CFR                      fda.hhs.gov (Subject Line: Sentinel
                                                    Hampshire Ave., Bldg. 31, Rm. 2417,                     14.100.                                               PRISM Workshop).
                                                    Silver Spring, MD 20993–0002, 301–                        This document is issued under the                   SUPPLEMENTARY INFORMATION: The
                                                    796–9001, email: CRDAC@fda.hhs.gov.                     Federal Advisory Committee Act (5                     Sentinel Initiative is FDA’s national
                                                    SUPPLEMENTARY INFORMATION: Pursuant                     U.S.C. app.). For general information                 electronic surveillance system for the
                                                    to 41 CFR 102–3.65 and approval by the                  related to FDA advisory committees,                   post-market safety monitoring of
                                                    Department of Health and Human                          please visit us at http://www.fda.gov/                medical products. The Sentinel System
                                                    Services pursuant to 45 CFR part 11 and                 AdvisoryCommittees/default.htm.                       was implemented as an Active Post-
                                                    by the General Services Administration,                   Dated: August 26, 2016.                             Market Risk Identification and Analysis
                                                    FDA is announcing the renewal of the                    Leslie Kux,                                           program in response to section 905 of
                                                    Cardiovascular and Renal Drugs                          Associate Commissioner for Policy.                    the Food and Drug Administration
                                                    Advisory Committee. The committee is                    [FR Doc. 2016–21041 Filed 8–31–16; 8:45 am]
                                                                                                                                                                  Amendments Act of 2007. PRISM was
                                                    a discretionary Federal advisory                                                                              initiated in 2009 as one of several
                                                                                                            BILLING CODE 4164–01–P
                                                    committee established to provide advice                                                                       national vaccine safety surveillance
                                                    to the Commissioner. The                                                                                      systems deployed during the H1N1
                                                    Cardiovascular and Renal Drugs                          DEPARTMENT OF HEALTH AND                              influenza pandemic. PRISM was
                                                    Advisory Committee advises the                          HUMAN SERVICES                                        integrated into the FDA Sentinel
                                                    Commissioner or designee in                                                                                   Initiative in September 2010. PRISM has
                                                    discharging responsibilities as they                    Food and Drug Administration                          been used on multiple occasions to
                                                    relate to helping to ensure safe and                                                                          evaluate for vaccine-adverse events,
                                                    effective drugs for human use and, as                   [Docket No. FDA–2016–N–0001]                          such as the risk of intussusception
                                                    required, any other product for which                                                                         following rotavirus vaccination, and the
                                                    the Food and Drug Administration has                    The Sentinel Post-Licensure Rapid                     risk of febrile seizure among children
                                                    regulatory responsibility.                              Immunization Safety Monitoring                        receiving the trivalent inactivated
                                                       The Committee reviews and evaluates                  Program; Public Workshop                              influenza vaccine.
                                                    available data concerning the safety and                AGENCY:    Food and Drug Administration,                 The PRISM distributed database
                                                    effectiveness of marketed and                           HHS.                                                  covers more than 171 million
                                                    investigational human drug products for                                                                       individuals in a number of data partner
                                                                                                            ACTION:   Notice of public workshop.
                                                    use in the treatment of cardiovascular                                                                        organizations. The database is enhanced
                                                    and renal disorders and makes                           SUMMARY:   The Food and Drug                          by linkages to State-wide registries and
                                                    appropriate recommendations to the                      Administration (FDA) is announcing a                  birth registries. PRISM is being used to
                                                    Commissioner of Food and Drugs.                         public workshop entitled ‘‘The Sentinel               develop broad-based signal detection
                                                       The Committee shall consist of a core                Post-Licensure Rapid Immunization                     tools that can be used to further evaluate
                                                    of 11 voting members including the                      Safety Monitoring (PRISM) Program.’’                  vaccine safety. There are currently
                                                    Chair. Members and the Chair are                        The purpose of the workshop is to                     several active vaccine protocol-based
                                                    selected by the Commissioner or                         describe the Sentinel Initiative and                  assessments underway. More
                                                    designee from among authorities                         PRISM program, illustrate how PRISM                   information can be found at: http://
                                                    knowledgeable in the fields of                          is used by FDA for regulatory                         www.mini-sentinel.org/assessments/
                                                    cardiology, hypertension, arrhythmia,                   responsibilities (including how it has                medical_events/default.aspx.
                                                    angina, congestive heart failure,                       been integrated into FDA’s regulatory                    The workshop will bring together
                                                    diuresis, and biostatistics. Members will               review process and case examples), and                other government agencies, academia,
                                                    be invited to serve for overlapping terms               discuss the future direction of PRISM in              industry, and other stakeholder
                                                    of up to four years. Almost all non-                    terms of expansion and further                        participants involved in vaccine
                                                    Federal members of this committee                       integration into the regulatory review                development and safety. The goal of the
                                                    serve as Special Government                             process.                                              workshop is to present and discuss the
                                                    Employees. The core of voting members                                                                         current capabilities of PRISM. Topics
                                                    may include one technically qualified                   DATES:  The public workshop will be                   include: (1) The available data
                                                    member, selected by the Commissioner                    held on December 7, 2016, from 8:30                   infrastructure, (2) methods, and (3)
                                                    or designee, who is identified with                     a.m. to 5 p.m. See the SUPPLEMENTARY                  tools. In addition, a few representative
                                                                                                            INFORMATION section for registration date
                                                    consumer interests and is recommended                                                                         examples of PRISM studies will be
                                                    by either a consortium of consumer-                     and information.                                      presented to demonstrate the program’s
                                                    oriented organizations or other                         ADDRESSES: The public workshop will                   success in safety signal refinement and
                                                    interested persons. In addition to the                  be held at the National Institutes of                 evaluation and informing the regulatory
                                                    voting members, the Committee may                       Health, 8600 Rockville Pike, Lister Hill              process. There will also be a discussion
                                                    include one non-voting member who is                    Center Auditorium, Building 38A,                      of possible future directions for PRISM.
                                                    identified with industry interests.                     Bethesda, MD 20894.                                      Registration: Please visit the following
                                                       Further information regarding the                    FOR FURTHER INFORMATION CONTACT:                      Web site to register for the workshop by
                                                    most recent charter and other                           Chris Nguyen, Center for Biologics                    November 23, 2016, midnight Eastern
                                                    information can be found at http://                     Evaluation and Research, Food and                     Standard Time: https://
                                                    www.fda.gov/AdvisoryCommittees/                         Drug Administration, 10903 New                        www.eventbrite.com/e/the-sentinel-post-
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    CommitteesMeetingMaterials/Drugs/                       Hampshire Ave., Bldg. 71, Rm. 4124,                   licensure-rapid-immunization-safety-
                                                    CardiovascularandRenalDrugs                             Silver Spring, MD 20993–0002; or                      monitoring-prism-system-public-
                                                    AdvisoryCommittee/ucm094743.htm or                      Cynthia Whitmarsh, Center for Biologics               workshop-tickets-22494636062. There is
                                                    by contacting the Designated Federal                    Evaluation and Research, Food and                     no registration fee for the public
                                                    Officer (see FOR FURTHER INFORMATION                    Drug Administration, 10903 New                        workshop. Early registration is
                                                    CONTACT). In light of the fact that no                  Hampshire Ave., Bldg. 71, Rm. 4122,                   recommended because seating is
                                                    change has been made to the committee                   Silver Spring, MD 20993–0002: For                     limited. Registrants will receive
                                                    name or description of duties, no                       questions, email: CBERPublicEvents@                   confirmation once they have been


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                                                    60358                     Federal Register / Vol. 81, No. 170 / Thursday, September 1, 2016 / Notices

                                                    accepted. FDA may limit the number of                   Ave., Gaithersburg, MD 20879. The                     and, except for those submitted as
                                                    participants from each organization                     hotel’s telephone number is 301–948–                  ‘‘Confidential Submissions,’’ publicly
                                                    based on space limitations. Registration                8900. Answers to commonly asked                       viewable at http://www.regulations.gov
                                                    on the day of the public meeting will be                questions including information                       or at the Division of Dockets
                                                    provided on a space available basis                     regarding special accommodations due                  Management between 9 a.m. and 4 p.m.,
                                                    beginning at 8:30 a.m. Those who are                    to a disability, visitor parking, and                 Monday through Friday.
                                                    unable to attend the meeting in person                  transportation may be accessed at:                       • Confidential Submissions—To
                                                    can register to view a live Web cast of                 http://www.fda.gov/                                   submit a comment with confidential
                                                    the meeting. You will be asked to                       AdvisoryCommittees/                                   information that you do not wish to be
                                                    indicate in your registration if you plan               AboutAdvisoryCommittees/                              made publicly available, submit your
                                                    to attend in person or via the Web cast.                ucm408555.htm. You may submit                         comments only as a written/paper
                                                    FDA will post the agenda approximately                  comments as follows:                                  submission. You should submit two
                                                    5 days before the workshop at http://                                                                         copies total. One copy will include the
                                                                                                            Electronic Submissions
                                                    www.fda.gov/BiologicsBloodVaccines/                                                                           information you claim to be confidential
                                                    NewsEvents/                                               Submit electronic comments in the                   with a heading or cover note that states
                                                    WorkshopsMeetingsConferences/                           following way:                                        ‘‘THIS DOCUMENT CONTAINS
                                                    ucm490175.htm.                                            • Federal eRulemaking Portal: http://               CONFIDENTIAL INFORMATION.’’ The
                                                      If you need special accommodations                    www.regulations.gov. Follow the                       Agency will review this copy, including
                                                    because of disability, please contact                   instructions for submitting comments.                 the claimed confidential information, in
                                                    Chris Nguyen (see FOR FURTHER                           Comments submitted electronically,                    its consideration of comments. The
                                                    INFORMATION CONTACT) at least 7 days in                 including attachments, to http://                     second copy, which will have the
                                                    advance of the meeting.                                 www.regulations.gov will be posted to                 claimed confidential information
                                                      Transcripts: Please be advised that as                the docket unchanged. Because your                    redacted/blacked out, will be available
                                                    soon as possible after a transcript of the              comment will be made public, you are                  for public viewing and posted on http://
                                                    public workshop is available, it will be                solely responsible for ensuring that your             www.regulations.gov. Submit both
                                                    accessible at: http://www.fda.gov/                      comment does not include any                          copies to the Division of Dockets
                                                    BiologicsBloodVaccines/NewsEvents/                      confidential information that you or a                Management. If you do not wish your
                                                    WorkshopsMeetingsConferences/                           third party may not wish to be posted,                name and contact information to be
                                                    ucm490175.htm.                                          such as medical information, your or                  made publicly available, you can
                                                                                                            anyone else’s Social Security number, or              provide this information on the cover
                                                      Dated: August 26, 2016.
                                                                                                            confidential business information, such               sheet and not in the body of your
                                                    Leslie Kux,
                                                                                                            as a manufacturing process. Please note               comments and you must identify this
                                                    Associate Commissioner for Policy.                      that if you include your name, contact                information as ‘‘confidential.’’ Any
                                                    [FR Doc. 2016–21046 Filed 8–31–16; 8:45 am]             information, or other information that                information marked as ‘‘confidential’’
                                                    BILLING CODE 4164–01–P                                  identifies you in the body of your                    will not be disclosed except in
                                                                                                            comments, that information will be                    accordance with 21 CFR 10.20 and other
                                                                                                            posted on http://www.regulations.gov.                 applicable disclosure law. For more
                                                    DEPARTMENT OF HEALTH AND                                  • If you want to submit a comment                   information about FDA’s posting of
                                                    HUMAN SERVICES                                          with confidential information that you                comments to public dockets, see 80 FR
                                                                                                            do not wish to be made available to the               56469, September 18, 2015, or access
                                                    Food and Drug Administration                            public, submit the comment as a                       the information at: http://www.fda.gov/
                                                    [Docket No. FDA–2016–N–1660]                            written/paper submission and in the                   regulatoryinformation/dockets/
                                                                                                            manner detailed (see ‘‘Written/Paper                  default.htm.
                                                    Microbiology Devices Panel of the                       Submissions’’ and ‘‘Instructions’’).                     Docket: For access to the docket to
                                                    Medical Devices Advisory Committee;
                                                                                                            Written/Paper Submissions                             read background documents or the
                                                    Notice of Meeting; Establishment of a
                                                                                                               Submit written/paper submissions as                electronic and written/paper comments
                                                    Public Docket; Request for Comments
                                                                                                            follows:                                              received, go to http://
                                                    AGENCY:    Food and Drug Administration,                   • Mail/Hand delivery/Courier (for                  www.regulations.gov and insert the
                                                    HHS.                                                    written/paper submissions): Division of               docket number, found in brackets in the
                                                    ACTION: Notice; establishment of a                      Dockets Management (HFA–305), Food                    heading of this document, into the
                                                    public docket; request for comments.                    and Drug Administration, 5630 Fishers                 ‘‘Search’’ box and follow the prompts
                                                                                                            Lane, Rm. 1061, Rockville, MD 20852.                  and/or go to the Division of Dockets
                                                    SUMMARY:   The Food and Drug                               • For written/paper comments                       Management, 5630 Fishers Lane, Rm.
                                                    Administration (FDA) announces a                        submitted to the Division of Dockets                  1061, Rockville, MD 20852.
                                                    forthcoming public advisory committee                   Management, FDA will post your                        FOR FURTHER INFORMATION CONTACT:
                                                    meeting of the Microbiology Devices                     comment, as well as any attachments,                  Aden Asefa, Center for Devices and
                                                    Panel of the Medical Devices Advisory                   except for information submitted,                     Radiological Health, Food and Drug
                                                    Committee. The general function of the                  marked and identified, as confidential,               Administration, 10903 New Hampshire
                                                    committee is to provide advice and                      if submitted as detailed in                           Ave., Bldg. 66, Rm. 2648, Silver Spring,
                                                    recommendations to the Agency on                        ‘‘Instructions.’’                                     MD 20993, aden.asefa@fda.hhs.gov,
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    FDA’s regulatory issues. The meeting                       Instructions: All submissions received             301–796–0400, or FDA Advisory
                                                    will be open to the public. FDA is                      must include the Docket No. FDA–                      Committee Information Line, 1–800–
                                                    establishing a docket for public                        2016–N–1660 for ‘‘Microbiology Devices                741–8138 (301–443–0572 in the
                                                    comment on this document.                               Panel of the Medical Devices Advisory                 Washington, DC area). A notice in the
                                                    DATES: The meeting will be held on                      Committee; Notice of Meeting;                         Federal Register about last minute
                                                    October 5, 2016, from 8 a.m. to 6 p.m.                  Establishment of a Public Docket;                     modifications that impact a previously
                                                    ADDRESSES: Gaithersburg Holiday Inn,                    Request for Comments.’’ Received                      announced advisory committee meeting
                                                    Ballroom, Two Montgomery Village                        comments will be placed in the docket                 cannot always be published quickly


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Document Created: 2018-02-09 11:57:33
Document Modified: 2018-02-09 11:57:33
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 of public workshop.
DatesThe public workshop will be held on December 7, 2016, from 8:30 a.m. to 5 p.m. See the SUPPLEMENTARY INFORMATION section for registration date and information.
ContactChris Nguyen, Center for Biologics Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 71, Rm. 4124, Silver Spring, MD 20993-0002; or Cynthia Whitmarsh, Center for Biologics Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 71, Rm. 4122, Silver Spring, MD 20993-0002: For questions, email: [email protected] (Subject Line: Sentinel PRISM Workshop).
FR Citation81 FR 60357 

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