81_FR_8760 81 FR 8726 - Agency Information Collection Activities; Proposed Collection; Comment Request; Guidance for Industry on Hypertension Indication: Drug Labeling for Cardiovascular Outcome Claims

81 FR 8726 - Agency Information Collection Activities; Proposed Collection; Comment Request; Guidance for Industry on Hypertension Indication: Drug Labeling for Cardiovascular Outcome Claims

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 34 (February 22, 2016)

Page Range8726-8728
FR Document2016-03543

The Food and Drug Administration (FDA) is announcing an opportunity for public comment on the proposed collection of certain information by the Agency. Under the Paperwork Reduction Act of 1995 (the PRA), Federal Agencies are required to publish notice in the Federal Register concerning each proposed collection of information including each proposed extension of an existing collection of information and to allow 60 days for public comment in response to the notice. This notice solicits comments on the information collection associated with the guidance ``Hypertension Indication: Drug Labeling for Cardiovascular Outcome Claims,'' which is intended to assist applicants in developing labeling for outcome claims for drugs that are indicated to treat hypertension.

Federal Register, Volume 81 Issue 34 (Monday, February 22, 2016)
[Federal Register Volume 81, Number 34 (Monday, February 22, 2016)]
[Notices]
[Pages 8726-8728]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-03543]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2010-N-0117]


Agency Information Collection Activities; Proposed Collection; 
Comment Request; Guidance for Industry on Hypertension Indication: Drug 
Labeling for Cardiovascular Outcome Claims

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA) is announcing an 
opportunity for public comment on the proposed collection of certain 
information by the Agency. Under the Paperwork Reduction Act of 1995 
(the PRA), Federal Agencies are required to publish notice in the 
Federal Register concerning each proposed collection of information 
including each proposed extension of an existing collection of 
information and to allow 60 days for public comment in response to the 
notice. This notice solicits comments on the information collection 
associated with the guidance ``Hypertension Indication: Drug Labeling 
for Cardiovascular Outcome Claims,'' which is intended to assist 
applicants in developing labeling for outcome claims for drugs that are 
indicated to treat hypertension.

DATES: Submit either electronic or written comments on the collection 
of information by April 22, 2016.

ADDRESSES: You may submit comments as follows:

Electronic Submissions

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

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Division of Dockets Management (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Division of 
Dockets Management, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2010-N-0117 for ``Agency Information Collection Activities; 
Proposed Collection; Comment Request; Guidance for Industry on 
Hypertension Indication: Drug Labeling for Cardiovascular Outcome 
Claims.'' 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

[[Page 8727]]

made publicly available, you can provide this information on the cover 
sheet and not in the body of your comments and you must identify this 
information as ``confidential.'' Any information marked as 
``confidential'' will not be disclosed except in accordance with 21 CFR 
10.20 and other applicable disclosure law. For more information about 
FDA's posting of comments to public dockets, see 80 FR 56469, September 
18, 2015, or access the information at: http://www.fda.gov/regulatoryinformation/dockets/default.htm.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to http://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Division of Dockets Management, 5630 Fishers 
Lane, Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: FDA PRA Staff, Office of Operations, 
Food and Drug Administration, 8455 Colesville Rd., COLE-14526, Silver 
Spring, MD 20993-0002, [email protected].

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

Guidance for Industry on Hypertension Indication: Drug Labeling for 
Cardiovascular Outcome Claims; OMB Control Number 0910-0670--Extension

    This guidance is intended to assist applicants in developing 
labeling for outcome claims for drugs that are indicated to treat 
hypertension. With few exceptions, current labeling for 
antihypertensive drugs includes only the information that these drugs 
are indicated to reduce blood pressure; the labeling does not include 
information on the clinical benefits related to cardiovascular outcomes 
expected from such blood pressure reduction. However, blood pressure 
control is well established as beneficial in preventing serious 
cardiovascular events, and inadequate treatment of hypertension is 
acknowledged as a significant public health problem. FDA believes that 
the appropriate use of these drugs can be encouraged by making the 
connection between lower blood pressure and improved cardiovascular 
outcomes more explicit in labeling. The intent of the guidance is to 
provide common labeling for antihypertensive drugs except where 
differences are clearly supported by clinical data. The guidance 
encourages applicants to submit labeling supplements containing the new 
language.
    The guidance contains two provisions that are subject to OMB review 
and approval under the PRA and one provision that would be exempt from 
OMB review:
    1. Section IV.C of the guidance requests that the CLINICAL STUDIES 
section of the Full Prescribing Information of the labeling should 
include a summary of placebo or active-controlled trials showing 
evidence of the specific drug's effectiveness in lowering blood 
pressure. If trials demonstrating cardiovascular outcome benefits 
exist, those trials also should be summarized in this section. Table 1 
in Section V of the guidance contains the specific drugs for which FDA 
has concluded that such trials exist. If there are no cardiovascular 
outcome data to cite, one of the following two paragraphs should 
appear:
    ``There are no trials of [DRUGNAME] or members of the [name of 
pharmacologic class] pharmacologic class demonstrating reductions in 
cardiovascular risk in patients with hypertension,'' or ``There are no 
trials of [DRUGNAME] demonstrating reductions in cardiovascular risk in 
patients with hypertension, but at least one pharmacologically similar 
drug has demonstrated such benefits.''
    In the latter case, the applicant's submission generally should 
refer to table 1 in section V of the guidance. If the applicant 
believes that table 1 is incomplete, it should submit the clinical 
evidence for the additional information to Docket No. FDA-2008-D-0150. 
The labeling submission should reference the submission to the docket. 
FDA estimates that no more than one submission to the docket will be 
made annually from one company, and that each submission will take 
approximately 10 hours to prepare and submit. Concerning the 
recommendations for the CLINICAL STUDIES section of the Full 
Prescribing Information of the labeling, FDA regulations at Sec. Sec.  
201.56 and 201.57 (21 CFR 201.56 and 201.57) require such labeling, and 
the information collection associated with these regulations is 
approved by OMB under OMB control number 0910-0572.
    2. Section VI.B of the guidance requests that the format of 
cardiovascular outcome claim prior approval supplements submitted to 
FDA under the guidance should include the following information:
     A statement that the submission is a cardiovascular 
outcome claim supplement, with reference to the guidance and related 
Docket No. FDA-2008-D-0150.
     Applicable FDA forms (e.g., 356h, 3397).
     Detailed table of contents.
     Revised labeling to:
    [cir] Include draft revised labeling conforming to the requirements 
in Sec. Sec.  201.56 and 201.57 and
    [cir] include marked-up copy of the latest approved labeling, 
showing all additions and deletions, with annotations of where 
supporting data (if applicable) are located in the submission.
    FDA estimates that approximately 1 cardiovascular outcome claim 
supplement will be submitted annually from approximately 1 different 
companies, and that each supplement will take approximately 20 hours to 
prepare and submit. The guidance also recommends that other labeling 
changes (e.g., the addition of adverse event data) should be minimized 
and provided in separate supplements, and that the revision of labeling 
to conform to Sec. Sec.  201.56 and 201.57 may require

[[Page 8728]]

substantial revision to the ADVERSE REACTIONS or other labeling 
sections.
    3. Section VI.C of the guidance states that applicants are 
encouraged to include the following statement in promotional materials 
for the drug.
    ``[DRUGNAME] reduces blood pressure, which reduces the risk of 
fatal and nonfatal cardiovascular events, primarily strokes and 
myocardial infarctions. Control of high blood pressure should be part 
of comprehensive cardiovascular risk management, including, as 
appropriate, lipid control, diabetes management, antithrombotic 
therapy, smoking cessation, exercise, and limited sodium intake. Many 
patients will require more than one drug to achieve blood pressure 
goals.''
    The inclusion of this statement in the promotional materials for 
the drug would be exempt from OMB review based on 5 CFR 1320.3(c)(2), 
which states that the public disclosure of information originally 
supplied by the Federal government to the recipient for the purpose of 
disclosure to the public is not included within the definition of 
collection of information.
    FDA requests public comments on the information collection 
provisions described set forth in the following table:

                                 Table 1--Estimated Annual Reporting Burden \1\
----------------------------------------------------------------------------------------------------------------
                                                     Number of
            Activity                 Number of     responses per   Total annual      Hours per      Total hours
                                    respondents     respondent       responses       response
----------------------------------------------------------------------------------------------------------------
Submission to Docket No. FDA-                  1               1               1              10              10
 2008-D-0150....................
Cardiovascular Outcome Claim                   1               1               1              20              20
 Supplement Submission..........
rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
    Total.......................  ..............  ..............  ..............  ..............              30
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
  information.


    Dated: February 16, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-03543 Filed 2-19-16; 8:45 am]
 BILLING CODE 4164-01-P



                                                  8726                         Federal Register / Vol. 81, No. 34 / Monday, February 22, 2016 / Notices

                                                  time were derived from the following                      Dated: February 16, 2016.                           anyone else’s Social Security number, or
                                                  dates:                                                  Leslie Kux,                                           confidential business information, such
                                                    1. The date an exemption under                        Associate Commissioner for Policy.                    as a manufacturing process. Please note
                                                  section 505(i) of the Federal Food, Drug,               [FR Doc. 2016–03551 Filed 2–19–16; 8:45 am]           that if you include your name, contact
                                                  and Cosmetic Act (the FD&C Act) (21                     BILLING CODE 4164–01–P
                                                                                                                                                                information, or other information that
                                                  U.S.C. 355(i)) became effective:                                                                              identifies you in the body of your
                                                  December 10, 2007. The applicant                                                                              comments, that information will be
                                                                                                          DEPARTMENT OF HEALTH AND                              posted on http://www.regulations.gov.
                                                  claims June 26, 2008, as the date the
                                                                                                          HUMAN SERVICES                                          • If you want to submit a comment
                                                  investigational new drug application                                                                          with confidential information that you
                                                  (IND) became effective. However, FDA                                                                          do not wish to be made available to the
                                                                                                          Food and Drug Administration
                                                  records indicate that the IND effective                                                                       public, submit the comment as a
                                                  date was December 10, 2007, which was                   [Docket No. FDA–2010–N–0117]
                                                                                                                                                                written/paper submission and in the
                                                  30 days after FDA receipt of the first                                                                        manner detailed (see ‘‘Written/Paper
                                                  IND.                                                    Agency Information Collection
                                                                                                          Activities; Proposed Collection;                      Submissions’’ and ‘‘Instructions’’).
                                                    2. The date the application was                       Comment Request; Guidance for                         Written/Paper Submissions
                                                  initially submitted with respect to the                 Industry on Hypertension Indication:
                                                  human drug product under section                                                                                 Submit written/paper submissions as
                                                                                                          Drug Labeling for Cardiovascular                      follows:
                                                  505(b) of the FD&C Act: July 12, 2012.                  Outcome Claims
                                                  FDA has verified the applicant’s claim                                                                           • Mail/Hand delivery/Courier (for
                                                  that the new drug application (NDA) for                 AGENCY:    Food and Drug Administration,              written/paper submissions): Division of
                                                  BREO ELLIPTA (NDA 204275) was                           HHS.                                                  Dockets Management (HFA–305), Food
                                                  initially submitted on July 12, 2012.                                                                         and Drug Administration, 5630 Fishers
                                                                                                          ACTION:   Notice.
                                                                                                                                                                Lane, Rm. 1061, Rockville, MD 20852.
                                                    3. The date the application was
                                                                                                          SUMMARY:   The Food and Drug                             • For written/paper comments
                                                  approved: May 10, 2013. FDA has                                                                               submitted to the Division of Dockets
                                                                                                          Administration (FDA) is announcing an
                                                  verified the applicant’s claim that NDA                                                                       Management, FDA will post your
                                                                                                          opportunity for public comment on the
                                                  204275 was approved on May 10, 2013.                                                                          comment, as well as any attachments,
                                                                                                          proposed collection of certain
                                                    This determination of the regulatory                  information by the Agency. Under the                  except for information submitted,
                                                  review period establishes the maximum                   Paperwork Reduction Act of 1995 (the                  marked and identified, as confidential,
                                                  potential length of a patent extension.                 PRA), Federal Agencies are required to                if submitted as detailed in
                                                  However, the USPTO applies several                      publish notice in the Federal Register                ‘‘Instructions.’’
                                                  statutory limitations in its calculations               concerning each proposed collection of                   Instructions: All submissions received
                                                  of the actual period for patent extension.              information including each proposed                   must include the Docket No. FDA–
                                                  In its application for patent extension,                extension of an existing collection of                2010–N–0117 for ‘‘Agency Information
                                                  this applicant seeks 981 days of patent                 information and to allow 60 days for                  Collection Activities; Proposed
                                                  term extension.                                         public comment in response to the                     Collection; Comment Request; Guidance
                                                                                                          notice. This notice solicits comments on              for Industry on Hypertension Indication:
                                                  III. Petitions                                                                                                Drug Labeling for Cardiovascular
                                                                                                          the information collection associated
                                                                                                          with the guidance ‘‘Hypertension                      Outcome Claims.’’ Received comments
                                                    Anyone with knowledge that any of                                                                           will be placed in the docket and, except
                                                  the dates as published are incorrect may                Indication: Drug Labeling for
                                                                                                          Cardiovascular Outcome Claims,’’                      for those submitted as ‘‘Confidential
                                                  submit either electronic or written                                                                           Submissions,’’ publicly viewable at
                                                  comments and ask for a redetermination                  which is intended to assist applicants in
                                                                                                          developing labeling for outcome claims                http://www.regulations.gov or at the
                                                  (see DATES). Furthermore, any interested                                                                      Division of Dockets Management
                                                  person may petition FDA for a                           for drugs that are indicated to treat
                                                                                                          hypertension.                                         between 9 a.m. and 4 p.m., Monday
                                                  determination regarding whether the                                                                           through Friday.
                                                  applicant for extension acted with due                  DATES:  Submit either electronic or                      • Confidential Submissions—To
                                                  diligence during the regulatory review                  written comments on the collection of                 submit a comment with confidential
                                                  period. To meet its burden, the petition                information by April 22, 2016.                        information that you do not wish to be
                                                  must be timely (see DATES) and contain                  ADDRESSES: You may submit comments                    made publicly available, submit your
                                                  sufficient facts to merit an FDA                        as follows:                                           comments only as a written/paper
                                                  investigation. (See H. Rept. 857, part 1,                                                                     submission. You should submit two
                                                  98th Cong., 2d sess., pp. 41–42, 1984.)                 Electronic Submissions                                copies total. One copy will include the
                                                  Petitions should be in the format                         Submit electronic comments in the                   information you claim to be confidential
                                                  specified in 21 CFR 10.30.                              following way:                                        with a heading or cover note that states
                                                    Submit petitions electronically to                      • Federal eRulemaking Portal: http://               ‘‘THIS DOCUMENT CONTAINS
                                                  http://www.regulations.gov at Docket                    www.regulations.gov. Follow the                       CONFIDENTIAL INFORMATION.’’ The
                                                  No. FDA–2013–S–0610. Submit written                     instructions for submitting comments.                 Agency will review this copy, including
                                                  petitions (two copies are required) to the              Comments submitted electronically,                    the claimed confidential information, in
                                                  Division of Dockets Management (HFA–                    including attachments, to http://                     its consideration of comments. The
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                  305), Food and Drug Administration,                     www.regulations.gov will be posted to                 second copy, which will have the
                                                  5630 Fishers Lane, Rm. 1061, Rockville,                 the docket unchanged. Because your                    claimed confidential information
                                                  MD 20852. Petitions that have not been                  comment will be made public, you are                  redacted/blacked out, will be available
                                                  made publicly available on http://                      solely responsible for ensuring that your             for public viewing and posted on
                                                  www.regulations.gov may be viewed in                    comment does not include any                          http://www.regulations.gov. Submit
                                                  the Division of Dockets Management                      confidential information that you or a                both copies to the Division of Dockets
                                                  between 9 a.m. and 4 p.m., Monday                       third party may not wish to be posted,                Management. If you do not wish your
                                                  through Friday.                                         such as medical information, your or                  name and contact information to be


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                                                                               Federal Register / Vol. 81, No. 34 / Monday, February 22, 2016 / Notices                                             8727

                                                  made publicly available, you can                        the quality, utility, and clarity of the              cardiovascular risk in patients with
                                                  provide this information on the cover                   information to be collected; and (4)                  hypertension,’’ or ‘‘There are no trials of
                                                  sheet and not in the body of your                       ways to minimize the burden of the                    [DRUGNAME] demonstrating
                                                  comments and you must identify this                     collection of information on                          reductions in cardiovascular risk in
                                                  information as ‘‘confidential.’’ Any                    respondents, including through the use                patients with hypertension, but at least
                                                  information marked as ‘‘confidential’’                  of automated collection techniques,                   one pharmacologically similar drug has
                                                  will not be disclosed except in                         when appropriate, and other forms of                  demonstrated such benefits.’’
                                                  accordance with 21 CFR 10.20 and other                  information technology.                                  In the latter case, the applicant’s
                                                  applicable disclosure law. For more                                                                           submission generally should refer to
                                                                                                          Guidance for Industry on Hypertension
                                                  information about FDA’s posting of                                                                            table 1 in section V of the guidance. If
                                                                                                          Indication: Drug Labeling for
                                                  comments to public dockets, see 80 FR                                                                         the applicant believes that table 1 is
                                                                                                          Cardiovascular Outcome Claims; OMB
                                                  56469, September 18, 2015, or access                                                                          incomplete, it should submit the
                                                                                                          Control Number 0910–0670—Extension
                                                  the information at: http://www.fda.gov/                                                                       clinical evidence for the additional
                                                  regulatoryinformation/dockets/                             This guidance is intended to assist                information to Docket No. FDA–2008–
                                                  default.htm.                                            applicants in developing labeling for                 D–0150. The labeling submission
                                                     Docket: For access to the docket to                  outcome claims for drugs that are                     should reference the submission to the
                                                  read background documents or the                        indicated to treat hypertension. With                 docket. FDA estimates that no more
                                                  electronic and written/paper comments                   few exceptions, current labeling for                  than one submission to the docket will
                                                  received, go to http://                                 antihypertensive drugs includes only                  be made annually from one company,
                                                  www.regulations.gov and insert the                      the information that these drugs are                  and that each submission will take
                                                  docket number, found in brackets in the                 indicated to reduce blood pressure; the               approximately 10 hours to prepare and
                                                  heading of this document, into the                      labeling does not include information                 submit. Concerning the
                                                  ‘‘Search’’ box and follow the prompts                   on the clinical benefits related to                   recommendations for the CLINICAL
                                                  and/or go to the Division of Dockets                    cardiovascular outcomes expected from                 STUDIES section of the Full Prescribing
                                                  Management, 5630 Fishers Lane, Rm.                      such blood pressure reduction.                        Information of the labeling, FDA
                                                  1061, Rockville, MD 20852.                              However, blood pressure control is well               regulations at §§ 201.56 and 201.57 (21
                                                  FOR FURTHER INFORMATION CONTACT: FDA
                                                                                                          established as beneficial in preventing
                                                                                                                                                                CFR 201.56 and 201.57) require such
                                                  PRA Staff, Office of Operations, Food                   serious cardiovascular events, and
                                                                                                                                                                labeling, and the information collection
                                                  and Drug Administration, 8455                           inadequate treatment of hypertension is
                                                                                                                                                                associated with these regulations is
                                                  Colesville Rd., COLE–14526, Silver                      acknowledged as a significant public
                                                                                                                                                                approved by OMB under OMB control
                                                  Spring, MD 20993–0002, PRAStaff@                        health problem. FDA believes that the
                                                                                                                                                                number 0910–0572.
                                                  fda.hhs.gov.                                            appropriate use of these drugs can be
                                                                                                                                                                   2. Section VI.B of the guidance
                                                                                                          encouraged by making the connection
                                                  SUPPLEMENTARY INFORMATION: Under the                    between lower blood pressure and                      requests that the format of
                                                  PRA (44 U.S.C. 3501–3520), Federal                      improved cardiovascular outcomes                      cardiovascular outcome claim prior
                                                  Agencies must obtain approval from the                  more explicit in labeling. The intent of              approval supplements submitted to FDA
                                                  Office of Management and Budget                         the guidance is to provide common                     under the guidance should include the
                                                  (OMB) for each collection of                            labeling for antihypertensive drugs                   following information:
                                                  information they conduct or sponsor.                    except where differences are clearly                     • A statement that the submission is
                                                  ‘‘Collection of information’’ is defined                supported by clinical data. The                       a cardiovascular outcome claim
                                                  in 44 U.S.C. 3502(3) and 5 CFR                          guidance encourages applicants to                     supplement, with reference to the
                                                  1320.3(c) and includes Agency requests                  submit labeling supplements containing                guidance and related Docket No. FDA–
                                                  or requirements that members of the                     the new language.                                     2008–D–0150.
                                                  public submit reports, keep records, or                    The guidance contains two provisions                  • Applicable FDA forms (e.g., 356h,
                                                  provide information to a third party.                   that are subject to OMB review and                    3397).
                                                  Section 3506(c)(2)(A) of the PRA (44                    approval under the PRA and one                           • Detailed table of contents.
                                                  U.S.C. 3506(c)(2)(A)) requires Federal                  provision that would be exempt from                      • Revised labeling to:
                                                  Agencies to provide a 60-day notice in                  OMB review:                                              Æ Include draft revised labeling
                                                  the Federal Register concerning each                       1. Section IV.C of the guidance                    conforming to the requirements in
                                                  proposed collection of information,                     requests that the CLINICAL STUDIES                    §§ 201.56 and 201.57 and
                                                  including each proposed extension of an                 section of the Full Prescribing                          Æ include marked-up copy of the
                                                  existing collection of information,                     Information of the labeling should                    latest approved labeling, showing all
                                                  before submitting the collection to OMB                 include a summary of placebo or active-               additions and deletions, with
                                                  for approval. To comply with this                       controlled trials showing evidence of                 annotations of where supporting data (if
                                                  requirement, FDA is publishing notice                   the specific drug’s effectiveness in                  applicable) are located in the
                                                  of the proposed collection of                           lowering blood pressure. If trials                    submission.
                                                  information set forth in this document.                 demonstrating cardiovascular outcome                     FDA estimates that approximately 1
                                                     With respect to the following                        benefits exist, those trials also should be           cardiovascular outcome claim
                                                  collection of information, FDA invites                  summarized in this section. Table 1 in                supplement will be submitted annually
                                                  comments on these topics: (1) Whether                   Section V of the guidance contains the                from approximately 1 different
                                                  the proposed collection of information                  specific drugs for which FDA has                      companies, and that each supplement
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                                                  is necessary for the proper performance                 concluded that such trials exist. If there            will take approximately 20 hours to
                                                  of FDA’s functions, including whether                   are no cardiovascular outcome data to                 prepare and submit. The guidance also
                                                  the information will have practical                     cite, one of the following two                        recommends that other labeling changes
                                                  utility; (2) the accuracy of FDA’s                      paragraphs should appear:                             (e.g., the addition of adverse event data)
                                                  estimate of the burden of the proposed                     ‘‘There are no trials of [DRUGNAME]                should be minimized and provided in
                                                  collection of information, including the                or members of the [name of                            separate supplements, and that the
                                                  validity of the methodology and                         pharmacologic class] pharmacologic                    revision of labeling to conform to
                                                  assumptions used; (3) ways to enhance                   class demonstrating reductions in                     §§ 201.56 and 201.57 may require


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                                                  8728                                  Federal Register / Vol. 81, No. 34 / Monday, February 22, 2016 / Notices

                                                  substantial revision to the ADVERSE                                       comprehensive cardiovascular risk                                           based on 5 CFR 1320.3(c)(2), which
                                                  REACTIONS or other labeling sections.                                     management, including, as appropriate,                                      states that the public disclosure of
                                                    3. Section VI.C of the guidance states                                  lipid control, diabetes management,                                         information originally supplied by the
                                                  that applicants are encouraged to                                         antithrombotic therapy, smoking                                             Federal government to the recipient for
                                                  include the following statement in                                        cessation, exercise, and limited sodium                                     the purpose of disclosure to the public
                                                  promotional materials for the drug.                                       intake. Many patients will require more                                     is not included within the definition of
                                                    ‘‘[DRUGNAME] reduces blood                                              than one drug to achieve blood pressure                                     collection of information.
                                                  pressure, which reduces the risk of fatal
                                                                                                                            goals.’’                                                                       FDA requests public comments on the
                                                  and nonfatal cardiovascular events,
                                                  primarily strokes and myocardial                                             The inclusion of this statement in the                                   information collection provisions
                                                  infarctions. Control of high blood                                        promotional materials for the drug                                          described set forth in the following
                                                  pressure should be part of                                                would be exempt from OMB review                                             table:

                                                                                                               TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
                                                                                                                                                                           Number of
                                                                                                                                                Number of                                            Total annual                 Hours per
                                                                                        Activity                                                                         responses per                                                                    Total hours
                                                                                                                                               respondents                                            responses                   response
                                                                                                                                                                           respondent

                                                  Submission to Docket No. FDA–2008–D–0150 ..................                                                       1                         1                           1                        10               10
                                                  Cardiovascular Outcome Claim Supplement Submission ...                                                            1                         1                           1                        20               20

                                                       Total ..............................................................................   ........................   ........................   ........................   ........................             30
                                                     1 There   are no capital costs or operating and maintenance costs associated with this collection of information.


                                                    Dated: February 16, 2016.                                               (RSV) with an Attenuation and                                               ADDRESSES:   Requests for a copy of the
                                                  Leslie Kux,                                                               Temperature Sensitive Phenotype                                             patent application, inquiries, comments
                                                  Associate Commissioner for Policy.                                        Conferred by an Amino Acid Deletion’’,                                      and other materials relating to the
                                                  [FR Doc. 2016–03543 Filed 2–19–16; 8:45 am]                               U.S. Provisional Patent Application                                         contemplated license should be directed
                                                  BILLING CODE 4164–01–P
                                                                                                                            Number 61/624,010, filed April 13,                                          to: Peter Soukas, Senior Technology
                                                                                                                            2012, PCT Patent Application Number                                         Licensing Specialist, Technology
                                                                                                                            PCT/US2013/030836, filed March 13,                                          Transfer and Intellectual Property
                                                  DEPARTMENT OF HEALTH AND                                                  2013, United States Patent Application                                      Office, National Institute of Allergy and
                                                  HUMAN SERVICES                                                            Number 14/394,226, filed October 13,                                        Infectious Diseases, 5601 Fishers Lane,
                                                                                                                            2014, European Patent Application                                           Suite 6D, Rockville, MD 20852–9804,
                                                  National Institutes of Health                                             Number 13712641.3, filed March 13,                                          Tel: (301) 594–8730 or email: ps193c@
                                                                                                                            2013, (3) E–216–2014/0, Collins et al.,                                     nih.gov.
                                                  Prospective Grant of Exclusive                                            ‘‘Versions of Respiratory Syncytial Virus
                                                  License: Production of Attenuated                                                                                                                     SUPPLEMENTARY INFORMATION:
                                                                                                                            (RSV) Vaccine Candidate LID Delta M2–                                       Respiratory syncytial virus (RSV) is the
                                                  Respiratory Syncytial Virus Vaccines                                      2 with Increased Attenuation’’, U.S.                                        most important cause of viral acute
                                                  AGENCY: National Institutes of Health.                                    Provisional Patent Application Number                                       lower respiratory infection (ALRI) in
                                                                                                                            62/266,199, filed December 11, 2015, (4)                                    infants and children worldwide and is
                                                  ACTION: Notice.                                                           E–241–2014/0, Collins et al., ‘‘Improved                                    responsible for over 30 million new
                                                                                                                            RSV F Protein for Expression from a                                         ALRI episodes worldwide and up to
                                                  SUMMARY:     This is notice, in accordance
                                                                                                                            Heterologous Vector’’, U.S. Provisional                                     199,000 deaths in children under five
                                                  with 35 U.S.C. 209(c)(1) and 37 CFR
                                                                                                                            Patent Application Number 62/105,667,                                       (5) years old. In the United States, the
                                                  404.7(a)(1)(i), that the National Institute
                                                                                                                            filed January 20, 2015, PCT Patent                                          virus infects nearly all children at least
                                                  of Allergy and Infectious Diseases
                                                                                                                            Application Number PCT/US2016/                                              once by the age of two (2) and is the
                                                  (NIAID), National Institutes of Health
                                                                                                                            014154, filed January 20, 2016, and (5)                                     most common cause of bronchiolitis and
                                                  (NIH), Department of Health and Human
                                                                                                                            E–037–2016/0, Collins et al.,                                               infant pneumonia, causing up to
                                                  Services (HHS), is contemplating the
                                                                                                                            ‘‘Attenuated RSV Vaccine Strains in                                         125,000 hospitalizations of children
                                                  grant of a an exclusive license to
                                                                                                                            which the NS1 and/or NS2 Genes have                                         each year. RSV disease burden is less
                                                  practice the following invention as
                                                                                                                            been Shifted to Promoter-Distal                                             understood in the developing world, but
                                                  embodied in the following patent
                                                                                                                            Positions’’, U.S. Provisional Patent                                        available data indicates that the virus
                                                  applications: (1) E–194–1999/0, Collins
                                                                                                                            Application Number 62/266,206, filed                                        causes a significant proportion of
                                                  et al., ‘‘Production of Attenuated
                                                                                                                            December 11, 2015, to Sanofi Pasteur,                                       childhood ALRI in these parts of the
                                                  Respiratory Syncytial Virus Vaccines
                                                                                                                            Inc., having a place of business in                                         world, particularly in the first months of
                                                  Involving Modification of M2 ORF2’’,
                                                                                                                            Swiftwater, Pennsylvania, U.S.A. The                                        life. The drug palivizumab (Synagis) can
                                                  U.S. Provisional Patent Application
                                                                                                                            patent rights in this invention have been                                   help prevent RSV disease in high risk
                                                  Number 60/143,097, filed July 9, 1999,
                                                                                                                            assigned to the United States of                                            infants, but it cannot treat or cure
                                                  PCT Patent Application Number PCT/
                                                                                                                            America.                                                                    already-serious RSV infection. No
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                  US2000/18534, filed July 7, 2000, U.S.
                                                  Patent Application Number 09/611,829                                      DATES: Only written comments and/or                                         vaccine exists today to prevent RSV due
                                                  (now U.S. Patent Number 6,713,066),                                       application for a license which are                                         to an incomplete understanding of the
                                                  and U.S. Patent Application Number 11/                                    received by the National Institute of                                       body’s immune response to the virus,
                                                  011,502 (now U.S. Patent Number                                           Allergy and Infectious Diseases,                                            which has challenged and delayed RSV
                                                  7,485,440), (2) E–135–2010/0, Collins et                                  Technology Transfer and Intellectual                                        vaccine development efforts.
                                                  al., ‘‘Genetically Stable Live Attenuated                                 Property Office on or before March 8,                                          The methods and compositions of this
                                                  Vaccine for Respiratory Syncytial Virus                                   2016. will be considered.                                                   invention provide a means for


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Document Created: 2016-02-19 23:56:46
Document Modified: 2016-02-19 23:56:46
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesSubmit either electronic or written comments on the collection of information by April 22, 2016.
ContactFDA PRA Staff, Office of Operations, Food and Drug Administration, 8455 Colesville Rd., COLE-14526, Silver Spring, MD 20993-0002, [email protected]
FR Citation81 FR 8726 

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