81_FR_69726 81 FR 69532 - Public Meeting on Pre-Market Evaluation of Abuse-Deterrent Properties of Opioid Drug Products

81 FR 69532 - Public Meeting on Pre-Market Evaluation of Abuse-Deterrent Properties of Opioid Drug Products

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 194 (October 6, 2016)

Page Range69532-69535
FR Document2016-24234

The Food and Drug Administration (FDA) is announcing a public meeting to discuss scientific and technical issues relating to formulation development and pre-market evaluation of opioid drug products with abuse-deterrent properties. The meeting is intended to give FDA the opportunity to discuss, and seek public input from stakeholders on, the approach to testing FDA recommended in its draft guidance ``General Principles for Evaluating the Abuse Deterrence of Generic Solid Oral Opioid Drug Products.'' The meeting will also provide an opportunity to discuss FDA's efforts to develop standardized in vitro testing methodologies for evaluating the abuse deterrence of opioid drug products. FDA is seeking input from all stakeholders, including patients, health care providers, health care payers, the pharmaceutical industry, patient advocates, academics, researchers, and other government entities. FDA may hold one or more additional meetings in the future to discuss the risk-benefit paradigm for opioid drug products to ensure that FDA is appropriately considering the full public health impact of prescription opioid drug products and the post-market impact (``real world effects'') of abuse-deterrent opioid drug products.

Federal Register, Volume 81 Issue 194 (Thursday, October 6, 2016)
[Federal Register Volume 81, Number 194 (Thursday, October 6, 2016)]
[Notices]
[Pages 69532-69535]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-24234]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2016-N-2896]


Public Meeting on Pre-Market Evaluation of Abuse-Deterrent 
Properties of Opioid Drug Products

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of public meeting; request for comments.

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SUMMARY: The Food and Drug Administration (FDA) is announcing a public 
meeting to discuss scientific and technical issues relating to 
formulation development and pre-market evaluation of opioid drug 
products with abuse-deterrent properties. The meeting is intended to 
give FDA the opportunity to discuss, and seek public input from 
stakeholders on, the approach to testing FDA recommended in its draft 
guidance ``General Principles for Evaluating the Abuse Deterrence of 
Generic Solid Oral Opioid Drug Products.'' The meeting will also 
provide an opportunity to discuss FDA's efforts to develop standardized 
in vitro testing methodologies for evaluating the abuse deterrence of 
opioid drug products. FDA is seeking input from all stakeholders, 
including patients, health care providers, health care payers, the 
pharmaceutical industry, patient advocates, academics, researchers, and 
other government entities.
    FDA may hold one or more additional meetings in the future to 
discuss the risk-benefit paradigm for opioid drug products to ensure 
that FDA is appropriately considering the full public health impact of 
prescription opioid drug products and the post-market impact (``real 
world effects'') of abuse-deterrent opioid drug products.

DATES: The public meeting will be held on October 31, 2016, from 8:30 
a.m. to 4:30 p.m. and November 1, 2016, from 8:30 a.m. to 4 p.m. The 
meeting may be extended or end early depending on the level of public 
participation. Individuals seeking to attend or to present at the 
meeting must register by October 17, 2016. Please register here for the 
meeting: http://www.cvent.com/d/wvq0sm/4W. Electronic or written 
comments regarding scientific and technical issues relating to 
formulation development and pre-market evaluation of abuse-deterrent 
properties of opioid drug products will be accepted until December 1, 
2016.

ADDRESSES: The public meeting will be held at College Park Marriott 
Hotel and Conference Center, 3501 University Blvd. East, Hyattsville, 
MD 20783.
    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-2016-N-2896 for ``Public Meeting on Pre-Market Evaluation of Abuse-
Deterrent Properties of Opioid Drug Products.'' Received comments will 
be placed in the docket and, except for those submitted as 
``Confidential Submissions,'' publicly viewable at http://www.regulations.gov or at the Division of Dockets Management between 9 
a.m. and 4 p.m., Monday through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on http://www.regulations.gov. 
Submit both copies to the Division of Dockets Management. If you do not 
wish your name and contact information to be made publicly available, 
you can provide this information on the cover sheet and not in the body 
of your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: http://www.fda.gov/regulatoryinformation/dockets/default.htm.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to http://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Division of Dockets Management, 5630 Fishers 
Lane, Rm. 1061, Rockville, MD 20852.
    FDA will post the agenda approximately 3 days before the public 
meeting at: http://www.fda.gov/Drugs/NewsEvents/ucm509853.htm. FDA will 
also post a link to the live Webcast of this public meeting on the day 
of the public meeting.

FOR FURTHER INFORMATION CONTACT: Michelle Eby, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 51, Rm. 6184, Silver Spring, MD 20993, 301-796-
4714, [email protected].

[[Page 69533]]


SUPPLEMENTARY INFORMATION:

I. Background

    Prescription opioid analgesics are an important component of modern 
pain management. Prescription opioid analgesic products such as 
oxycodone, hydrocodone, and morphine, are widely prescribed for the 
treatment of pain, and certain opioid drug products are also used in 
opioid dependence treatment programs. When used properly, opioid drug 
products can provide significant benefits for patients. Unfortunately, 
misuse and abuse of opioid drug products is a serious public health 
problem.
    When misused or abused, opioid drug products can cause serious 
harm, including addiction, overdose, and death. According to the 
Centers for Disease Control and Prevention (CDC), prescription opioid 
drug products were involved in over 14,000 deaths in 2014.\1\ FDA is 
determined to help defeat this epidemic through an adaptive, science-
based approach.
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    \1\ Wide-Ranging Online Data for Epidemiologic Research 
(WONDER), National Center for Health Statistics; available at http://wonder.cdc.gov.
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    In February 2016, FDA announced a comprehensive action plan to take 
concrete steps toward reducing the impact of opioid abuse on families 
and communities.\2\ As part of this plan, FDA strongly supports the 
development of, and transition to use of, opioid drug products with 
meaningful abuse-deterrent formulations. FDA has taken and is 
continuing to take steps to incentivize and support the development of 
opioid drug products with progressively better abuse-deterrent 
properties. These steps include working with individual sponsors on 
promising abuse-deterrent technologies, publishing guidance on the 
evaluation and labeling of abuse-deterrent drug products, and 
conducting and supporting research in developing appropriate pre-market 
testing methodologies for evaluating the abuse deterrence of both 
innovator and generic drugs.
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    \2\ http://www.fda.gov/NewsEvents/Newsroom/FactSheets/ucm484714.htm.
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    FDA believes abuse-deterrent technologies can and will improve 
substantially and can make a real impact in the fight against 
prescription opioid abuse. FDA hopes that as the market transitions to 
abuse-deterrent formulations, abuse rates will decrease and the most 
significant consequences of that abuse (addiction, overdose, and death) 
will diminish. To that end, fostering the development, marketing, and 
iterative improvement of abuse-deterrent formulations of opioid drug 
products, including generic opioid drug products, is a top priority. It 
is important that generic versions of opioids that reference approved 
opioids whose labeling describes abuse-deterrent properties are 
available to help ensure widespread access to safe and effective 
analgesics for patients who need them and to accelerate the prescribing 
of abuse-deterrent opioids. Such generic opioids should be no less 
abuse-deterrent than the opioids they reference; otherwise opioid 
abusers could preferentially seek out and abuse easier-to-abuse 
generics.
    FDA's work to date to support the development, marketing, and 
iterative improvement of abuse-deterrent formulations includes:
     Holding a public meeting in October 2014 to discuss the 
``Development and Regulation of Abuse-Deterrent Formulations of Opioid 
Medications;''
     Issuing a final guidance in April 2015 on the ``Abuse-
Deterrent Opioids--Evaluation and Labeling.'' This guidance explains 
FDA's current thinking about the studies, both pre- and post-marketing, 
that should be conducted to demonstrate that a given formulation for 
which a new drug application (NDA) is submitted has abuse-deterrent 
properties. It also makes recommendations about how those studies 
should be performed and evaluated and what information about a 
product's abuse-deterrent properties should be included in labeling;
     To date, approving seven opioid analgesic drug products 
with labeling describing abuse-deterrent properties \3\ consistent with 
the final guidance on evaluation and labeling of abuse-deterrent 
opioids;
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    \3\ A list of opioid medications with FDA-approved labeling 
describing abuse-deterrent properties can be found at http://www.fda.gov/NewsEvents/Newsroom/FactSheets/ucm514939.htm.
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     Seeking guidance from outside experts in the fields of 
pain management and drug abuse. For example, FDA has asked the National 
Academies of Sciences, Engineering, and Medicine to help develop a 
framework for opioid drug product review, approval, and monitoring that 
balances individual needs for pain control with the risk of addiction, 
as well as the broader public health consequences of opioid drug 
product misuse and abuse;
     Conducting or supporting research on opioid drug product 
formulations designed to deter abuse. This includes development of in 
vitro testing methodologies to assess purportedly abuse-deterrent 
formulations; and
     Issuing a draft guidance on the ``General Principles for 
Evaluating Abuse Deterrence of Generic Solid Oral Opioid Drug 
Products.''
    In the notice of availability for the draft guidance on evaluating 
abuse deterrence of generic opioid drug products, FDA announced its 
intent to hold a public meeting following the close of the comment 
period to discuss further the pre-market evaluation of the abuse 
deterrence of generic opioid drug products and related issues, as 
appropriate. FDA is opening a docket and holding this public meeting to 
further discuss pre-market evaluation of the abuse deterrence of 
generic opioid drug products and the development of standardized in 
vitro testing methodologies for evaluating the abuse deterrence of 
opioid drug products.
    Day 1 of this meeting will focus on scientific and technical issues 
related to the pre-market evaluation of the abuse deterrence of generic 
opioid drug products. It is important to have a viable pathway for 
approval of generic abuse-deterrent opioid drug products to further 
FDA's goal to transition to abuse-deterrent formulations as FDA looks 
forward to a future in which all or substantially all opioid 
medications are less susceptible to abuse than the formulations on the 
market today. The availability of generic versions of opioid drug 
products that reference listed drugs whose labeling describes abuse-
deterrent properties can help to ensure access to safe and effective, 
and affordable, opioid analgesics for patients who need them.
    Day 2 will focus on FDA's efforts to develop standardized in vitro 
testing methodologies for evaluating the abuse deterrence of opioid 
drug products. In vitro testing should, to the greatest extent 
possible, provide information sufficient to fully characterize a drug 
product's abuse-deterrent properties, including the degree of effort 
required to bypass or defeat those properties. In vitro studies should 
assess each potential route of abuse (including ingestion, injection, 
insufflation, and smoking) starting with simple and gentle mechanical 
and chemical manipulations progressing to complex and more destructive 
manipulations until a drug product's abuse-deterrent properties are 
defeated or compromised. To be sufficiently comprehensive, in vitro 
testing should address both the mechanisms by which abusers can be 
expected to attempt to deliberately overcome the abuse-deterrent 
properties of the product as well as the ways that patients may alter 
the formulation (intentionally or unintentionally) that

[[Page 69534]]

change the rate or amount of drug released.

A. Day 1: FDA's Evaluation of Generic Abuse-Deterrent Opioids

    Section 505(j) of the Federal Food, Drug, and Cosmetic Act (21 
U.S.C. 355(j)) (FD&C Act) permits any person to submit to the FDA an 
abbreviated new drug application (ANDA) to seek approval to market a 
generic version of a previously approved drug product. To obtain 
approval, an ANDA applicant is not required to provide independent 
evidence of the safety and effectiveness of the proposed generic drug. 
Instead, the applicant relies on FDA's finding that a previously 
approved drug product, i.e, the reference listed drug (RLD), is safe 
and effective, and must demonstrate, among other things, that the 
proposed generic drug is the ``same'' as the RLD in certain ways and is 
bioequivalent.
    For FDA to approve an ANDA, the Agency must find, among other 
things, that the generic drug product has the same active 
ingredient(s), dosage form, route of administration, strength, 
conditions of use, and, with limited exceptions, labeling as the RLD, 
is bioequivalent to its RLD, that the methods used in, or the 
facilities and controls used for, the manufacture, processing, and 
packing of the drug are adequate to assure and preserve its identity, 
strength, quality, and purity, and that the inactive ingredients and 
composition of the generic drug are not unsafe under the conditions of 
use prescribed, recommended, or suggested in the labeling. See section 
505(j)(2)(A) and (j)(4) of the FD&C Act.
    FDA classifies as ``therapeutically equivalent'' those products 
that meet the following general criteria: (1) They are approved as safe 
and effective; (2) they are pharmaceutical equivalents in that they 
contain identical amounts of the same active ingredient(s) with the 
same route of administration and dosage form and meet compendial or 
other applicable standards of strength, quality, purity, and identity; 
(3) they are bioequivalent; (4) they are adequately labeled; and (5) 
they are manufactured in compliance with current good manufacturing 
practices regulations. See FDA's ``Approved Drug Products with 
Therapeutic Equivalence Evaluations'' (the Orange Book), Preface. FDA 
believes that a product classified as therapeutically equivalent can be 
substituted with the full expectation that the substituted product will 
produce the same clinical effect and safety profile as the reference 
product.
    If the RLD's labeling describes properties that are expected to 
deter misuse or abuse then the potential ANDA applicant should evaluate 
its proposed generic drug product in comparative in vitro studies and, 
in some cases, in relevant pharmacokinetic or other studies to show 
that it is no less abuse-deterrent than the RLD with respect to all 
potential routes of abuse.\4\
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    \4\ FDA's current thinking regarding the labeling of opioids is 
described in FDA's guidance for industry on ``Abuse-Deterrent 
Opioids--Evaluation and Labeling'' (April 2015). Any data relating 
to abuse-deterrent properties would be included in the DRUG ABUSE 
AND DEPENDENCE section of product labeling, 9.2 Abuse.
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    It is important that generic versions of opioid drug products 
referencing opioid drug products with FDA-approved labeling describing 
abuse-deterrent properties are available to help ensure availability of 
analgesics for patients who need them. FDA is interested in supporting 
the submission of ANDAs for which the RLD is an opioid drug product 
whose labeling describes abuse-deterrent properties and ensuring that 
generic opioid drug products are no less abuse-deterrent than the RLD 
in its efforts to combat the opioid epidemic.
    Topics for discussion during the open public comment period on Day 
1 and by the panel:
     Based on any testing you have attempted to perform or 
performed in accordance with the March 2016 draft guidance, are there 
any aspects of the guidance that need clarification or improvement?
     Are there any characteristics of the currently approved 
abuse-deterrent RLDs for which issuance of product specific guidance, 
beyond what is described in FDA's March 2016 draft guidance, would 
facilitate development of abuse-deterrent generic opioid drug products?
     Are there approaches or technologies for evaluating the 
abuse deterrence of generic opioid drug products that were not included 
in the March 2016 draft guidance that should be?
     What additional actions could FDA take to encourage the 
submission of ANDAs that reference an opioid drug product whose 
labeling describes abuse-deterrent properties?
     Are there potential consequences of the development and 
introduction of abuse-deterrent opioid drug products that warrant 
further consideration?

B. Day 2: Development of Standardized In Vitro Testing To Evaluate 
Abuse Deterrence

    The Office of Pharmaceutical Quality (OPQ) will discuss its vision 
for standardizing in vitro testing methodologies for evaluating 
purportedly abuse-deterrent formulations of opioid drug products. OPQ 
will also discuss the efforts being made to standardize in vitro 
testing conditions to apply to future products and some of the 
challenges being encountered. OPQ's Office of Testing and Research will 
then provide an update on its testing of abuse-deterrent formulations, 
including approaches being taken to simulate the ways individuals who 
abuse opioids manipulate opioid drug products for purposes of abuse 
(e.g., crushing, heating, dissolving). FDA recognizes that new 
technologies for deterring abuse of oral opioid drug products are 
rapidly evolving and is seeking public input on novel mechanisms and 
approaches being considered so that it may further consider how testing 
could be standardized.
    FDA intends to issue a general guidance describing FDA's 
recommendations for standardized in vitro testing to evaluate purported 
abuse-deterrent properties and considerations for a potential applicant 
as it develops an abuse-deterrent formulation of an opioid drug 
product. Building on the testing FDA has conducted and other available 
information including public input, FDA may recommend common protocols 
that incorporate standard test conditions, specified performance 
standards, control formulations and provide a tiered approach for 
determining when abuse-deterrent properties have been defeated and how 
that information may be used during drug development and for other 
relevant comparative situations. The guidance also may describe 
lifecycle considerations (e.g., the need for testing abuse deterrence 
throughout shelf life to determine if any product changes over time 
affect abuse-deterrence performance) and provide additional guidance on 
evaluating novel technological approaches used to deter abuse of oral 
opioid drug products.
    Topics for discussion during the open public comment period on Day 
2 and by the panel:
     What technical and quantitative issues should FDA consider 
as it develops guidance to recommend standardization of in vitro 
testing to evaluate the abuse deterrence of opioid drug product 
formulations for various routes of abuse, including ingestion, 
insufflation, injection, and smoking? For example, what should FDA 
consider with respect to mechanical manipulations (e.g., equipment, 
amount of effort, and time), chemical manipulations (e.g., solvent 
choice and availability), particle size distribution,

[[Page 69535]]

and volume of solvent used for extraction?
     How can FDA standardize in vitro testing to help 
substantiate appropriate and consistent product manufacture that 
assures abuse deterrence at release and through a drug product's shelf 
life?
     How can performance attributes measured by in vitro 
testing be quantified and linked to their impact on abuse deterrence? 
For example, discuss what amount of time delay in defeating an abuse-
deterrent property should be considered significant and the basis for 
the recommendation.
     How can FDA build flexibility into standardized testing so 
that it may be suitable for application to emerging technologies? Are 
there any specific emerging technologies that might require new types 
of testing?

II. Registration and Accommodations

    Registration: Registration is free and available on a first-come, 
first-served basis. Persons interested in attending this public meeting 
must register by close of business on October 17, 2016.
    If you need special accommodations because of a disability, please 
contact La'Shaune Morant, 240-316-3206, email: [email protected] 
no later than October 12, 2016.
    To register for the public meeting, please visit http://www.cvent.com/d/wvq0sm/4W (FDA has verified the Web address, but FDA is 
not responsible for subsequent changes to the Web site after this 
document publishes in the Federal Register) by October 17, 2016. Those 
without Internet access may register by contacting La'Shaune Morant, 
240-316-3206. Early registration is recommended because facilities are 
limited and, therefore, FDA may limit the number of participants from 
each organization. You will receive confirmation after you have 
registered and been accepted or you will be notified if you are on a 
waiting list. FDA may allow onsite registration if space is available. 
If registration reaches maximum capacity, FDA will post a notice 
closing registration at http://www.fda.gov/Drugs/NewsEvents/ucm509853.htm.
    Streaming Webcast of the Public Meeting: The meeting will also be 
Webcast. Persons interested in viewing the Webcast must register online 
by October 17, 2016. Early registration is recommended because Webcast 
connections may be limited. Organizations are requested to register all 
participants, but to view using one connection per location. A link to 
the live Webcast will be available at http://www.fda.gov/Drugs/NewsEvents/ucm509853.htm on the day of the public meeting. A video 
record of the public meeting will be available at http://www.fda.gov/Drugs/NewsEvents/ucm509853.htm following the meeting. FDA has verified 
the Web site addresses, as of the date this document publishes in the 
Federal Register, but Web sites are subject to change over time.
    Requests for Oral Presentations: If you wish to present at the 
public meeting, you must register and indicate which topic(s) you wish 
to address: approach to testing FDA recommended in its draft guidance 
``General Principles for Evaluating the Abuse Deterrence of Generic 
Solid Oral Opioid Drug Products,'' new technologies for deterring abuse 
of oral opioid drug products, or standardization of in vitro testing 
methodologies for evaluating purportedly abuse-deterrent formulations 
of opioid drug products. This will help FDA organize the presentations. 
FDA will do its best to accommodate requests to make public comments. 
Individuals and organizations with common interests are urged to 
consolidate or coordinate their presentations, and request time for a 
joint presentation. Following the close of the registration, FDA will 
determine the amount of time allotted to each presenter and the 
approximate time each oral presentation is to begin, and will select 
and notify participants by October 24, 2016. All requests to make oral 
presentations must be received by the close of registration, October 
17, 2016. If you are selected, any presentation materials must be 
emailed to Michelle Eby (see FOR FURTHER INFORMATION CONTACT) no later 
than October 27, 2016. No commercial or promotional material will be 
permitted to be presented or distributed at the public meeting.
    FDA is holding this public meeting to obtain information on 
scientific and technical issues relating to formulation development and 
pre-market evaluation of opioid drug products with abuse-deterrent 
properties. In order to permit the widest possible opportunity for 
public comment, FDA is soliciting either electronic or written comments 
on all aspects of the public meeting topics. The deadline for 
submitting comments related to this public meeting is December 1, 2016.
    Accommodations: Attendees are responsible for their own hotel 
accommodations. Attendees making reservations at the College Park 
Marriott Hotel and Conference Center, 3501 University Blvd. East, 
Hyattsville, MD 20783, are eligible for a reduced rate of $231/night, 
not including applicable taxes. To receive the reduced rate, please 
reference ``FDA Opioid Drug Meeting'' if you make your reservation by 
calling 1-800-676-6137, or book your reservation at http://www.marriott.com/meeting-event-hotels/group-corporate-travel/groupCorp.mi?resLinkData=FDA%20Opioid%20Drug%20Meeting%5Ewasum%60FDGFDGA%60231.00%60USD%60false%602%6010/30/16%6011/1/16%6010/12/16&app=resvlink&stop_mobi=yes.
    If you need special accommodations because of a disability, please 
contact La'Shaune Morant, 240-316-3206, [email protected] no 
later than October 12, 2016.

III. Transcript Request

    Transcripts of the meeting will be available for review at the 
Division of Dockets Management (HFA-305), Food and Drug Administration, 
5630 Fishers Lane, Rm. 1061, Rockville, MD 20850, and on the Internet 
at http://www.regulations.gov approximately 30 days after the meeting. 
A transcript will also be available in either hard copy or on CD-ROM, 
after submission of a Freedom of Information request. The Freedom of 
Information office address is available on the Agency's Web site at 
http://www.fda.gov.

    Dated: September 30, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-24234 Filed 10-5-16; 8:45 am]
BILLING CODE 4164-01-P



                                                69532                        Federal Register / Vol. 81, No. 194 / Thursday, October 6, 2016 / Notices

                                                Leroy A. Richardson                                     wvq0sm/4W. Electronic or written                      those submitted as ‘‘Confidential
                                                Chief, Information Collection Review Office,            comments regarding scientific and                     Submissions,’’ publicly viewable at
                                                Office of Scientific Integrity, Office of the           technical issues relating to formulation              http://www.regulations.gov or at the
                                                Associate Director for Science, Office of the           development and pre-market evaluation                 Division of Dockets Management
                                                Director, Centers for Disease Control and               of abuse-deterrent properties of opioid               between 9 a.m. and 4 p.m., Monday
                                                Prevention.                                             drug products will be accepted until                  through Friday.
                                                [FR Doc. 2016–24132 Filed 10–5–16; 8:45 am]             December 1, 2016.                                        • Confidential Submissions—To
                                                BILLING CODE 4163–18–P                                  ADDRESSES: The public meeting will be                 submit a comment with confidential
                                                                                                        held at College Park Marriott Hotel and               information that you do not wish to be
                                                                                                        Conference Center, 3501 University                    made publicly available, submit your
                                                DEPARTMENT OF HEALTH AND                                Blvd. East, Hyattsville, MD 20783.                    comments only as a written/paper
                                                HUMAN SERVICES                                            You may submit comments as                          submission. You should submit two
                                                Food and Drug Administration                            follows:                                              copies total. One copy will include the
                                                                                                                                                              information you claim to be confidential
                                                [Docket No. FDA–2016–N–2896]                            Electronic Submissions
                                                                                                                                                              with a heading or cover note that states
                                                                                                          Submit electronic comments in the                   ‘‘THIS DOCUMENT CONTAINS
                                                Public Meeting on Pre-Market                            following way:                                        CONFIDENTIAL INFORMATION.’’ The
                                                Evaluation of Abuse-Deterrent                             • Federal eRulemaking Portal: http://               Agency will review this copy, including
                                                Properties of Opioid Drug Products                      www.regulations.gov. Follow the                       the claimed confidential information, in
                                                                                                        instructions for submitting comments.                 its consideration of comments. The
                                                AGENCY:    Food and Drug Administration,
                                                                                                        Comments submitted electronically,                    second copy, which will have the
                                                HHS.
                                                                                                        including attachments, to http://                     claimed confidential information
                                                ACTION: Notice of public meeting;                       www.regulations.gov will be posted to
                                                request for comments.                                                                                         redacted/blacked out, will be available
                                                                                                        the docket unchanged. Because your                    for public viewing and posted on http://
                                                SUMMARY:   The Food and Drug                            comment will be made public, you are                  www.regulations.gov. Submit both
                                                Administration (FDA) is announcing a                    solely responsible for ensuring that your             copies to the Division of Dockets
                                                public meeting to discuss scientific and                comment does not include any                          Management. If you do not wish your
                                                technical issues relating to formulation                confidential information that you or a                name and contact information to be
                                                development and pre-market evaluation                   third party may not wish to be posted,                made publicly available, you can
                                                of opioid drug products with abuse-                     such as medical information, your or                  provide this information on the cover
                                                deterrent properties. The meeting is                    anyone else’s Social Security number, or              sheet and not in the body of your
                                                intended to give FDA the opportunity to                 confidential business information, such               comments and you must identify this
                                                discuss, and seek public input from                     as a manufacturing process. Please note               information as ‘‘confidential.’’ Any
                                                stakeholders on, the approach to testing                that if you include your name, contact                information marked as ‘‘confidential’’
                                                FDA recommended in its draft guidance                   information, or other information that                will not be disclosed except in
                                                ‘‘General Principles for Evaluating the                 identifies you in the body of your                    accordance with 21 CFR 10.20 and other
                                                Abuse Deterrence of Generic Solid Oral                  comments, that information will be                    applicable disclosure law. For more
                                                Opioid Drug Products.’’ The meeting                     posted on http://www.regulations.gov.                 information about FDA’s posting of
                                                will also provide an opportunity to                       • If you want to submit a comment                   comments to public dockets, see 80 FR
                                                discuss FDA’s efforts to develop                        with confidential information that you                56469, September 18, 2015, or access
                                                standardized in vitro testing                           do not wish to be made available to the               the information at: http://www.fda.gov/
                                                methodologies for evaluating the abuse                  public, submit the comment as a                       regulatoryinformation/dockets/
                                                deterrence of opioid drug products. FDA                 written/paper submission and in the                   default.htm.
                                                is seeking input from all stakeholders,                 manner detailed (see ‘‘Written/Paper                     Docket: For access to the docket to
                                                including patients, health care                         Submissions’’ and ‘‘Instructions’’).                  read background documents or the
                                                providers, health care payers, the                      Written/Paper Submissions                             electronic and written/paper comments
                                                pharmaceutical industry, patient                           Submit written/paper submissions as                received, go to http://
                                                advocates, academics, researchers, and                  follows:                                              www.regulations.gov and insert the
                                                other government entities.                                 • Mail/Hand delivery/Courier (for                  docket number, found in brackets in the
                                                   FDA may hold one or more additional                  written/paper submissions): Division of               heading of this document, into the
                                                meetings in the future to discuss the                   Dockets Management (HFA–305), Food                    ‘‘Search’’ box and follow the prompts
                                                risk-benefit paradigm for opioid drug                   and Drug Administration, 5630 Fishers                 and/or go to the Division of Dockets
                                                products to ensure that FDA is                          Lane, Rm. 1061, Rockville, MD 20852.                  Management, 5630 Fishers Lane, Rm.
                                                appropriately considering the full                         • For written/paper comments                       1061, Rockville, MD 20852.
                                                public health impact of prescription                    submitted to the Division of Dockets                     FDA will post the agenda
                                                opioid drug products and the post-                      Management, FDA will post your                        approximately 3 days before the public
                                                market impact (‘‘real world effects’’) of               comment, as well as any attachments,                  meeting at: http://www.fda.gov/Drugs/
                                                abuse-deterrent opioid drug products.                   except for information submitted,                     NewsEvents/ucm509853.htm. FDA will
                                                DATES: The public meeting will be held                  marked and identified, as confidential,               also post a link to the live Webcast of
                                                on October 31, 2016, from 8:30 a.m. to                  if submitted as detailed in                           this public meeting on the day of the
                                                4:30 p.m. and November 1, 2016, from                                                                          public meeting.
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                                                                                                        ‘‘Instructions.’’
                                                8:30 a.m. to 4 p.m. The meeting may be                     Instructions: All submissions received             FOR FURTHER INFORMATION CONTACT:
                                                extended or end early depending on the                  must include the Docket No. FDA–                      Michelle Eby, Center for Drug
                                                level of public participation. Individuals              2016–N–2896 for ‘‘Public Meeting on                   Evaluation and Research, Food and
                                                seeking to attend or to present at the                  Pre-Market Evaluation of Abuse-                       Drug Administration, 10903 New
                                                meeting must register by October 17,                    Deterrent Properties of Opioid Drug                   Hampshire Ave., Bldg. 51, Rm. 6184,
                                                2016. Please register here for the                      Products.’’ Received comments will be                 Silver Spring, MD 20993, 301–796–
                                                meeting: http://www.cvent.com/d/                        placed in the docket and, except for                  4714, Michelle.Eby@fda.hhs.gov.


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                                                                             Federal Register / Vol. 81, No. 194 / Thursday, October 6, 2016 / Notices                                          69533

                                                SUPPLEMENTARY INFORMATION:                              products, including generic opioid drug                  • Issuing a draft guidance on the
                                                                                                        products, is a top priority. It is                    ‘‘General Principles for Evaluating
                                                I. Background
                                                                                                        important that generic versions of                    Abuse Deterrence of Generic Solid Oral
                                                   Prescription opioid analgesics are an                opioids that reference approved opioids               Opioid Drug Products.’’
                                                important component of modern pain                      whose labeling describes abuse-                          In the notice of availability for the
                                                management. Prescription opioid                         deterrent properties are available to help            draft guidance on evaluating abuse
                                                analgesic products such as oxycodone,                   ensure widespread access to safe and                  deterrence of generic opioid drug
                                                hydrocodone, and morphine, are widely                   effective analgesics for patients who                 products, FDA announced its intent to
                                                prescribed for the treatment of pain, and               need them and to accelerate the                       hold a public meeting following the
                                                certain opioid drug products are also                   prescribing of abuse-deterrent opioids.               close of the comment period to discuss
                                                used in opioid dependence treatment                     Such generic opioids should be no less                further the pre-market evaluation of the
                                                programs. When used properly, opioid                    abuse-deterrent than the opioids they                 abuse deterrence of generic opioid drug
                                                drug products can provide significant                   reference; otherwise opioid abusers                   products and related issues, as
                                                benefits for patients. Unfortunately,                   could preferentially seek out and abuse               appropriate. FDA is opening a docket
                                                misuse and abuse of opioid drug                         easier-to-abuse generics.                             and holding this public meeting to
                                                products is a serious public health                        FDA’s work to date to support the                  further discuss pre-market evaluation of
                                                problem.                                                development, marketing, and iterative                 the abuse deterrence of generic opioid
                                                   When misused or abused, opioid drug                  improvement of abuse-deterrent                        drug products and the development of
                                                products can cause serious harm,                        formulations includes:                                standardized in vitro testing
                                                including addiction, overdose, and                         • Holding a public meeting in                      methodologies for evaluating the abuse
                                                death. According to the Centers for                     October 2014 to discuss the                           deterrence of opioid drug products.
                                                Disease Control and Prevention (CDC),                   ‘‘Development and Regulation of Abuse-
                                                prescription opioid drug products were                                                                           Day 1 of this meeting will focus on
                                                                                                        Deterrent Formulations of Opioid                      scientific and technical issues related to
                                                involved in over 14,000 deaths in 2014.1                Medications;’’
                                                FDA is determined to help defeat this                                                                         the pre-market evaluation of the abuse
                                                                                                           • Issuing a final guidance in April                deterrence of generic opioid drug
                                                epidemic through an adaptive, science-                  2015 on the ‘‘Abuse-Deterrent Opioids—
                                                based approach.                                                                                               products. It is important to have a viable
                                                                                                        Evaluation and Labeling.’’ This                       pathway for approval of generic abuse-
                                                   In February 2016, FDA announced a
                                                                                                        guidance explains FDA’s current                       deterrent opioid drug products to
                                                comprehensive action plan to take
                                                                                                        thinking about the studies, both pre-                 further FDA’s goal to transition to
                                                concrete steps toward reducing the
                                                                                                        and post-marketing, that should be                    abuse-deterrent formulations as FDA
                                                impact of opioid abuse on families and
                                                                                                        conducted to demonstrate that a given                 looks forward to a future in which all or
                                                communities.2 As part of this plan, FDA
                                                                                                        formulation for which a new drug                      substantially all opioid medications are
                                                strongly supports the development of,
                                                                                                        application (NDA) is submitted has                    less susceptible to abuse than the
                                                and transition to use of, opioid drug
                                                products with meaningful abuse-                         abuse-deterrent properties. It also makes             formulations on the market today. The
                                                deterrent formulations. FDA has taken                   recommendations about how those                       availability of generic versions of opioid
                                                and is continuing to take steps to                      studies should be performed and                       drug products that reference listed drugs
                                                incentivize and support the                             evaluated and what information about a                whose labeling describes abuse-
                                                development of opioid drug products                     product’s abuse-deterrent properties                  deterrent properties can help to ensure
                                                with progressively better abuse-                        should be included in labeling;                       access to safe and effective, and
                                                deterrent properties. These steps                          • To date, approving seven opioid                  affordable, opioid analgesics for patients
                                                include working with individual                         analgesic drug products with labeling                 who need them.
                                                sponsors on promising abuse-deterrent                   describing abuse-deterrent properties 3                  Day 2 will focus on FDA’s efforts to
                                                technologies, publishing guidance on                    consistent with the final guidance on                 develop standardized in vitro testing
                                                the evaluation and labeling of abuse-                   evaluation and labeling of abuse-                     methodologies for evaluating the abuse
                                                deterrent drug products, and conducting                 deterrent opioids;                                    deterrence of opioid drug products. In
                                                and supporting research in developing                      • Seeking guidance from outside                    vitro testing should, to the greatest
                                                appropriate pre-market testing                          experts in the fields of pain                         extent possible, provide information
                                                methodologies for evaluating the abuse                  management and drug abuse. For                        sufficient to fully characterize a drug
                                                deterrence of both innovator and generic                example, FDA has asked the National                   product’s abuse-deterrent properties,
                                                drugs.                                                  Academies of Sciences, Engineering,                   including the degree of effort required to
                                                   FDA believes abuse-deterrent                         and Medicine to help develop a                        bypass or defeat those properties. In
                                                technologies can and will improve                       framework for opioid drug product                     vitro studies should assess each
                                                substantially and can make a real                       review, approval, and monitoring that                 potential route of abuse (including
                                                impact in the fight against prescription                balances individual needs for pain                    ingestion, injection, insufflation, and
                                                opioid abuse. FDA hopes that as the                     control with the risk of addiction, as                smoking) starting with simple and
                                                market transitions to abuse-deterrent                   well as the broader public health                     gentle mechanical and chemical
                                                formulations, abuse rates will decrease                 consequences of opioid drug product                   manipulations progressing to complex
                                                and the most significant consequences                   misuse and abuse;                                     and more destructive manipulations
                                                of that abuse (addiction, overdose, and                    • Conducting or supporting research                until a drug product’s abuse-deterrent
                                                death) will diminish. To that end,                      on opioid drug product formulations                   properties are defeated or compromised.
                                                fostering the development, marketing,                   designed to deter abuse. This includes                To be sufficiently comprehensive, in
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                                                and iterative improvement of abuse-                     development of in vitro testing                       vitro testing should address both the
                                                deterrent formulations of opioid drug                   methodologies to assess purportedly                   mechanisms by which abusers can be
                                                                                                        abuse-deterrent formulations; and                     expected to attempt to deliberately
                                                  1 Wide-Ranging Online Data for Epidemiologic
                                                                                                                                                              overcome the abuse-deterrent properties
                                                Research (WONDER), National Center for Health             3 A list of opioid medications with FDA-approved
                                                Statistics; available at http://wonder.cdc.gov.         labeling describing abuse-deterrent properties can
                                                                                                                                                              of the product as well as the ways that
                                                  2 http://www.fda.gov/NewsEvents/Newsroom/             be found at http://www.fda.gov/NewsEvents/            patients may alter the formulation
                                                FactSheets/ucm484714.htm.                               Newsroom/FactSheets/ucm514939.htm.                    (intentionally or unintentionally) that


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                                                69534                        Federal Register / Vol. 81, No. 194 / Thursday, October 6, 2016 / Notices

                                                change the rate or amount of drug                       misuse or abuse then the potential                     purportedly abuse-deterrent
                                                released.                                               ANDA applicant should evaluate its                     formulations of opioid drug products.
                                                                                                        proposed generic drug product in                       OPQ will also discuss the efforts being
                                                A. Day 1: FDA’s Evaluation of Generic
                                                                                                        comparative in vitro studies and, in                   made to standardize in vitro testing
                                                Abuse-Deterrent Opioids
                                                                                                        some cases, in relevant pharmacokinetic                conditions to apply to future products
                                                   Section 505(j) of the Federal Food,                  or other studies to show that it is no less            and some of the challenges being
                                                Drug, and Cosmetic Act (21 U.S.C.                       abuse-deterrent than the RLD with                      encountered. OPQ’s Office of Testing
                                                355(j)) (FD&C Act) permits any person                   respect to all potential routes of abuse.4             and Research will then provide an
                                                to submit to the FDA an abbreviated                        It is important that generic versions of            update on its testing of abuse-deterrent
                                                new drug application (ANDA) to seek                     opioid drug products referencing opioid                formulations, including approaches
                                                approval to market a generic version of                 drug products with FDA-approved                        being taken to simulate the ways
                                                a previously approved drug product. To                  labeling describing abuse-deterrent                    individuals who abuse opioids
                                                obtain approval, an ANDA applicant is                   properties are available to help ensure                manipulate opioid drug products for
                                                not required to provide independent                     availability of analgesics for patients                purposes of abuse (e.g., crushing,
                                                evidence of the safety and effectiveness                who need them. FDA is interested in                    heating, dissolving). FDA recognizes
                                                of the proposed generic drug. Instead,                  supporting the submission of ANDAs                     that new technologies for deterring
                                                the applicant relies on FDA’s finding                   for which the RLD is an opioid drug                    abuse of oral opioid drug products are
                                                that a previously approved drug                         product whose labeling describes abuse-                rapidly evolving and is seeking public
                                                product, i.e, the reference listed drug                 deterrent properties and ensuring that                 input on novel mechanisms and
                                                (RLD), is safe and effective, and must                  generic opioid drug products are no less               approaches being considered so that it
                                                demonstrate, among other things, that                   abuse-deterrent than the RLD in its                    may further consider how testing could
                                                the proposed generic drug is the ‘‘same’’               efforts to combat the opioid epidemic.                 be standardized.
                                                as the RLD in certain ways and is                          Topics for discussion during the open                  FDA intends to issue a general
                                                bioequivalent.                                          public comment period on Day 1 and by                  guidance describing FDA’s
                                                   For FDA to approve an ANDA, the                      the panel:                                             recommendations for standardized in
                                                Agency must find, among other things,                      • Based on any testing you have                     vitro testing to evaluate purported
                                                that the generic drug product has the                   attempted to perform or performed in                   abuse-deterrent properties and
                                                same active ingredient(s), dosage form,                 accordance with the March 2016 draft                   considerations for a potential applicant
                                                route of administration, strength,                      guidance, are there any aspects of the                 as it develops an abuse-deterrent
                                                conditions of use, and, with limited                    guidance that need clarification or                    formulation of an opioid drug product.
                                                exceptions, labeling as the RLD, is                     improvement?                                           Building on the testing FDA has
                                                bioequivalent to its RLD, that the                         • Are there any characteristics of the              conducted and other available
                                                methods used in, or the facilities and                  currently approved abuse-deterrent                     information including public input,
                                                controls used for, the manufacture,                     RLDs for which issuance of product                     FDA may recommend common
                                                processing, and packing of the drug are                 specific guidance, beyond what is                      protocols that incorporate standard test
                                                adequate to assure and preserve its                     described in FDA’s March 2016 draft                    conditions, specified performance
                                                identity, strength, quality, and purity,                guidance, would facilitate development                 standards, control formulations and
                                                and that the inactive ingredients and                   of abuse-deterrent generic opioid drug                 provide a tiered approach for
                                                composition of the generic drug are not                 products?                                              determining when abuse-deterrent
                                                unsafe under the conditions of use                         • Are there approaches or                           properties have been defeated and how
                                                prescribed, recommended, or suggested                   technologies for evaluating the abuse                  that information may be used during
                                                in the labeling. See section 505(j)(2)(A)               deterrence of generic opioid drug                      drug development and for other relevant
                                                and (j)(4) of the FD&C Act.                             products that were not included in the                 comparative situations. The guidance
                                                   FDA classifies as ‘‘therapeutically                  March 2016 draft guidance that should                  also may describe lifecycle
                                                equivalent’’ those products that meet                   be?                                                    considerations (e.g., the need for testing
                                                the following general criteria: (1) They                   • What additional actions could FDA                 abuse deterrence throughout shelf life to
                                                are approved as safe and effective; (2)                 take to encourage the submission of                    determine if any product changes over
                                                they are pharmaceutical equivalents in                  ANDAs that reference an opioid drug                    time affect abuse-deterrence
                                                that they contain identical amounts of                  product whose labeling describes abuse-                performance) and provide additional
                                                the same active ingredient(s) with the                  deterrent properties?                                  guidance on evaluating novel
                                                same route of administration and dosage                    • Are there potential consequences of               technological approaches used to deter
                                                form and meet compendial or other                       the development and introduction of                    abuse of oral opioid drug products.
                                                applicable standards of strength,                       abuse-deterrent opioid drug products                      Topics for discussion during the open
                                                quality, purity, and identity; (3) they are             that warrant further consideration?                    public comment period on Day 2 and by
                                                bioequivalent; (4) they are adequately                                                                         the panel:
                                                labeled; and (5) they are manufactured                  B. Day 2: Development of Standardized                     • What technical and quantitative
                                                in compliance with current good                         In Vitro Testing To Evaluate Abuse                     issues should FDA consider as it
                                                manufacturing practices regulations. See                Deterrence                                             develops guidance to recommend
                                                FDA’s ‘‘Approved Drug Products with                       The Office of Pharmaceutical Quality                 standardization of in vitro testing to
                                                Therapeutic Equivalence Evaluations’’                   (OPQ) will discuss its vision for                      evaluate the abuse deterrence of opioid
                                                (the Orange Book), Preface. FDA                         standardizing in vitro testing                         drug product formulations for various
                                                                                                                                                               routes of abuse, including ingestion,
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                                                believes that a product classified as                   methodologies for evaluating
                                                therapeutically equivalent can be                                                                              insufflation, injection, and smoking? For
                                                substituted with the full expectation                     4 FDA’s current thinking regarding the labeling of   example, what should FDA consider
                                                that the substituted product will                       opioids is described in FDA’s guidance for industry    with respect to mechanical
                                                produce the same clinical effect and                    on ‘‘Abuse-Deterrent Opioids—Evaluation and            manipulations (e.g., equipment, amount
                                                                                                        Labeling’’ (April 2015). Any data relating to abuse-
                                                safety profile as the reference product.                deterrent properties would be included in the
                                                                                                                                                               of effort, and time), chemical
                                                   If the RLD’s labeling describes                      DRUG ABUSE AND DEPENDENCE section of                   manipulations (e.g., solvent choice and
                                                properties that are expected to deter                   product labeling, 9.2 Abuse.                           availability), particle size distribution,


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                                                                             Federal Register / Vol. 81, No. 194 / Thursday, October 6, 2016 / Notices                                                69535

                                                and volume of solvent used for                          meeting will be available at http://                  Meeting’’ if you make your reservation
                                                extraction?                                             www.fda.gov/Drugs/NewsEvents/                         by calling 1–800–676–6137, or book
                                                  • How can FDA standardize in vitro                    ucm509853.htm following the meeting.                  your reservation at http://
                                                testing to help substantiate appropriate                FDA has verified the Web site                         www.marriott.com/meeting-event-
                                                and consistent product manufacture that                 addresses, as of the date this document               hotels/group-corporate-travel/
                                                assures abuse deterrence at release and                 publishes in the Federal Register, but                groupCorp.mi?resLinkData
                                                through a drug product’s shelf life?                    Web sites are subject to change over                  =FDA%20Opioid%20Drug%20Meeting
                                                  • How can performance attributes                      time.                                                 %5Ewasum%60FDGFD
                                                measured by in vitro testing be                            Requests for Oral Presentations: If you            GA%60231.00%60USD%60
                                                quantified and linked to their impact on                wish to present at the public meeting,                false%602%6010/30/16%6011/1/
                                                abuse deterrence? For example, discuss                  you must register and indicate which                  16%6010/12/16&app=resvlink&stop_
                                                what amount of time delay in defeating                  topic(s) you wish to address: approach                mobi=yes.
                                                an abuse-deterrent property should be                   to testing FDA recommended in its draft                 If you need special accommodations
                                                considered significant and the basis for                guidance ‘‘General Principles for                     because of a disability, please contact
                                                the recommendation.                                     Evaluating the Abuse Deterrence of                    La’Shaune Morant, 240–316–3206,
                                                  • How can FDA build flexibility into                  Generic Solid Oral Opioid Drug                        lashaune@tepgevents.com no later than
                                                standardized testing so that it may be                  Products,’’ new technologies for                      October 12, 2016.
                                                suitable for application to emerging                    deterring abuse of oral opioid drug
                                                technologies? Are there any specific                                                                          III. Transcript Request
                                                                                                        products, or standardization of in vitro
                                                emerging technologies that might                        testing methodologies for evaluating                     Transcripts of the meeting will be
                                                require new types of testing?                           purportedly abuse-deterrent                           available for review at the Division of
                                                                                                        formulations of opioid drug products.                 Dockets Management (HFA–305), Food
                                                II. Registration and Accommodations                                                                           and Drug Administration, 5630 Fishers
                                                                                                        This will help FDA organize the
                                                   Registration: Registration is free and               presentations. FDA will do its best to                Lane, Rm. 1061, Rockville, MD 20850,
                                                available on a first-come, first-served                 accommodate requests to make public                   and on the Internet at http://
                                                basis. Persons interested in attending                  comments. Individuals and                             www.regulations.gov approximately 30
                                                this public meeting must register by                    organizations with common interests are               days after the meeting. A transcript will
                                                close of business on October 17, 2016.                  urged to consolidate or coordinate their              also be available in either hard copy or
                                                   If you need special accommodations                   presentations, and request time for a                 on CD–ROM, after submission of a
                                                because of a disability, please contact                 joint presentation. Following the close               Freedom of Information request. The
                                                La’Shaune Morant, 240–316–3206,                         of the registration, FDA will determine               Freedom of Information office address is
                                                email: lashaune@tepgevents.com no                       the amount of time allotted to each                   available on the Agency’s Web site at
                                                later than October 12, 2016.                            presenter and the approximate time                    http://www.fda.gov.
                                                   To register for the public meeting,                  each oral presentation is to begin, and                 Dated: September 30, 2016.
                                                please visit http://www.cvent.com/d/                    will select and notify participants by                Leslie Kux,
                                                wvq0sm/4W (FDA has verified the Web                     October 24, 2016. All requests to make
                                                address, but FDA is not responsible for                                                                       Associate Commissioner for Policy.
                                                                                                        oral presentations must be received by
                                                subsequent changes to the Web site after                                                                      [FR Doc. 2016–24234 Filed 10–5–16; 8:45 am]
                                                                                                        the close of registration, October 17,
                                                this document publishes in the Federal                  2016. If you are selected, any                        BILLING CODE 4164–01–P
                                                Register) by October 17, 2016. Those                    presentation materials must be emailed
                                                without Internet access may register by                 to Michelle Eby (see FOR FURTHER
                                                contacting La’Shaune Morant, 240–316–                                                                         DEPARTMENT OF HEALTH AND
                                                                                                        INFORMATION CONTACT) no later than
                                                3206. Early registration is recommended                                                                       HUMAN SERVICES
                                                                                                        October 27, 2016. No commercial or
                                                because facilities are limited and,                     promotional material will be permitted                Food and Drug Administration
                                                therefore, FDA may limit the number of                  to be presented or distributed at the
                                                participants from each organization.                    public meeting.                                       [Docket No. FDA–2015–D–4561]
                                                You will receive confirmation after you                    FDA is holding this public meeting to
                                                have registered and been accepted or                                                                          Head Lice Infestation: Developing
                                                                                                        obtain information on scientific and
                                                you will be notified if you are on a                    technical issues relating to formulation              Drugs for Topical Treatment; Guidance
                                                waiting list. FDA may allow onsite                      development and pre-market evaluation                 for Industry; Availability
                                                registration if space is available. If                  of opioid drug products with abuse-                   AGENCY:    Food and Drug Administration,
                                                registration reaches maximum capacity,                  deterrent properties. In order to permit              HHS.
                                                FDA will post a notice closing                          the widest possible opportunity for                   ACTION:   Notice of availability.
                                                registration at http://www.fda.gov/                     public comment, FDA is soliciting
                                                Drugs/NewsEvents/ucm509853.htm.                         either electronic or written comments                 SUMMARY:   The Food and Drug
                                                   Streaming Webcast of the Public                      on all aspects of the public meeting                  Administration (FDA or Agency) is
                                                Meeting: The meeting will also be                       topics. The deadline for submitting                   announcing the availability of a
                                                Webcast. Persons interested in viewing                  comments related to this public meeting               guidance for industry entitled ‘‘Head
                                                the Webcast must register online by                     is December 1, 2016.                                  Lice Infestation: Developing Drugs for
                                                October 17, 2016. Early registration is                    Accommodations: Attendees are                      Topical Treatment.’’ The purpose of this
                                                recommended because Webcast                             responsible for their own hotel                       guidance is to assist sponsors in the
                                                connections may be limited.                             accommodations. Attendees making                      clinical development of drugs for the
sradovich on DSK3GMQ082PROD with NOTICES




                                                Organizations are requested to register                 reservations at the College Park Marriott             treatment of head lice infestation. This
                                                all participants, but to view using one                 Hotel and Conference Center, 3501                     guidance addresses the Agency’s current
                                                connection per location. A link to the                  University Blvd. East, Hyattsville, MD                thinking regarding the overall
                                                live Webcast will be available at http://               20783, are eligible for a reduced rate of             development program and clinical trial
                                                www.fda.gov/Drugs/NewsEvents/                           $231/night, not including applicable                  designs of drugs to support approval of
                                                ucm509853.htm on the day of the public                  taxes. To receive the reduced rate,                   an indication for topical treatment of
                                                meeting. A video record of the public                   please reference ‘‘FDA Opioid Drug                    head lice infestation. The information


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Document Created: 2016-10-06 02:37:22
Document Modified: 2016-10-06 02:37:22
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 meeting; request for comments.
DatesThe public meeting will be held on October 31, 2016, from 8:30 a.m. to 4:30 p.m. and November 1, 2016, from 8:30 a.m. to 4 p.m. The meeting may be extended or end early depending on the level of public participation. Individuals seeking to attend or to present at the meeting must register by October 17, 2016. Please register here for the meeting: http://www.cvent.com/d/wvq0sm/4W. Electronic or written comments regarding scientific and technical issues relating to formulation development and pre-market evaluation of abuse-deterrent properties of opioid drug products will be accepted until December 1, 2016.
ContactMichelle Eby, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Rm. 6184, Silver Spring, MD 20993, 301-796- 4714, [email protected]
FR Citation81 FR 69532 

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