82_FR_18220 82 FR 18148 - Pharmacy Compounding Advisory Committee; Notice of Meeting; Establishment of a Public Docket; Request for Comments

82 FR 18148 - Pharmacy Compounding Advisory Committee; Notice of Meeting; Establishment of a Public Docket; Request for Comments

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 82, Issue 72 (April 17, 2017)

Page Range18148-18150
FR Document2017-07667

The Food and Drug Administration (FDA) announces a forthcoming public advisory committee meeting of the Pharmacy Compounding Advisory Committee (PCAC). The general function of the committee is to provide advice on scientific, technical, and medical issues concerning drug compounding under the Federal Food, Drug, and Cosmetic Act (the FD&C Act), and, as required, any other product for which FDA has regulatory responsibility, and to make appropriate recommendations to the Agency. The meeting will be open to the public.

Federal Register, Volume 82 Issue 72 (Monday, April 17, 2017)
[Federal Register Volume 82, Number 72 (Monday, April 17, 2017)]
[Notices]
[Pages 18148-18150]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-07667]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2017-N-1847]


Pharmacy Compounding Advisory Committee; Notice of Meeting; 
Establishment of a Public Docket; Request for Comments

AGENCY: Food and Drug Administration, HHS.

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

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

SUMMARY: The Food and Drug Administration (FDA) announces a forthcoming 
public advisory committee meeting of the Pharmacy Compounding Advisory 
Committee (PCAC). The general function of the committee is to provide 
advice on scientific, technical, and medical issues concerning drug 
compounding under the Federal Food, Drug, and Cosmetic Act (the FD&C 
Act), and, as required, any other product for which FDA has regulatory 
responsibility, and to make appropriate recommendations to the Agency. 
The meeting will be open to the public.

DATES: The meeting will be held on May 8, 2017, from 8:30 a.m. to 4:30 
p.m. and May 9, 2017, from 8:30 a.m. to 12 noon.
    FDA is establishing a docket for public comment on this meeting. 
The docket number is FDA-2017-N-1847. The docket will close on May 5, 
2017. Comments received on or before April 24, 2017, will be provided 
to the committee. Comments received after that date will be taken into 
consideration by the Agency.

ADDRESSES: FDA White Oak Campus, 10903 New Hampshire Ave., Bldg. 31 
Conference Center, the Great Room (Rm. 1503), Silver Spring, MD 20993-
0002. Answers to commonly asked questions, including information 
regarding special accommodations due to a disability, visitor parking, 
and transportation may be accessed at: http://www.fda.gov/AdvisoryCommittees/AboutAdvisoryCommittees/ucm408555.htm. You may 
submit comments as follows:

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to https://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 https://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-2017-N-1847 for ``Pharmacy Compounding Advisory Committee; Notice 
of Meeting; Establishment of a Public Docket; Request for Comments.'' 
Received comments will be placed in the docket and, except for those 
submitted as ``Confidential Submissions,'' publicly viewable at https://www.regulations.gov or at the Division of Dockets Management between 9 
a.m. and 4 p.m., Monday through Friday.

[[Page 18149]]

     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 https://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: https://www.thefederalregister.org/fdsys/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to https://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: Cindy Hong, Center for Drug Evaluation 
and Research, Food and Drug Administration, 10903 New Hampshire Ave., 
Bldg. 31, Rm. 2417, Silver Spring, MD 20993-0002, 301-796-9001, FAX: 
301-847-8533, email: [email protected], or FDA Advisory Committee 
Information Line, 1-800-741-8138 (301-443-0572 in the Washington, DC 
area). A notice in the Federal Register about last minute modifications 
that impact a previously announced advisory committee meeting cannot 
always be published quickly enough to provide timely notice. Therefore, 
you should always check the Agency's Web site at http://www.fda.gov/AdvisoryCommittees/default.htm and scroll down to the appropriate 
advisory committee meeting link, or call the advisory committee 
information line to learn about possible modifications before coming to 
the meeting.

SUPPLEMENTARY INFORMATION: 
    Background: Section 503A of the FD&C Act (21 U.S.C. 353a) describes 
the conditions that must be satisfied for human drug products 
compounded by a licensed pharmacist in a State licensed pharmacy or a 
Federal facility, or licensed physician, to be exempt from the 
following three sections of the FD&C Act: (1) Section 501(a)(2)(B) (21 
U.S.C. 351(a)(2)(B)) (concerning current good manufacturing practice 
(CGMP)); (2) section 502(f)(1) (21 U.S.C. 352(f)(1)) (concerning the 
labeling of drugs with adequate directions for use); and (3) section 
505 (21 U.S.C. 355) (concerning the approval of human drug products 
under new drug applications (NDAs) or abbreviated new drug applications 
(ANDAs)).
    The Drug Quality and Security Act added a new section 503B to the 
FD&C Act (21 U.S.C. 353b), which created a new category of compounders 
termed ``outsourcing facilities.'' Under section 503B of the FD&C Act, 
outsourcing facilities are defined, in part, as facilities that meet 
certain conditions described in section 503B, including registration 
with FDA as an outsourcing facility. If these conditions are satisfied, 
a drug product compounded for human use by or under the direct 
supervision of a licensed pharmacist in an outsourcing facility is 
exempt from three sections of the FD&C Act: (1) Section 502(f)(1) 
(concerning the labeling of drugs with adequate directions for use); 
(2) section 505 (concerning the approval of human drug products under 
NDAs or ANDAs); and (3) section 582 (21 U.S.C. 360eee-1) (concerning 
the drug supply chain security requirements). Outsourcing facilities 
are not exempt from CGMP requirements in section 501(a)(2)(B) of the 
FD&C Act.
    One of the conditions that must be satisfied to qualify for the 
exemptions under section 503A of the FD&C Act is that a bulk drug 
substance (active pharmaceutical ingredient) used in a compounded drug 
product must meet one of the following criteria: (1) Complies with the 
standards of an applicable United States Pharmacopoeia (USP) or 
National Formulary monograph, if a monograph exists, and the USP 
chapter on pharmacy compounding; (2) if an applicable monograph does 
not exist, is a component of a drug approved by the Secretary of Health 
and Human Services (the Secretary); or (3) if such a monograph does not 
exist and the drug substance is not a component of a drug approved by 
the Secretary, appears on a list developed by the Secretary through 
regulations issued by the Secretary (the ``503A Bulks List'') (see 
section 503A(b)(1)(A)(i) of the FD&C Act).
    Another condition that must be satisfied to qualify for the 
exemptions under section 503A of the FD&C Act is that the compounded 
drug product is not a drug product identified by the Secretary by 
regulation as a drug product that presents demonstrable difficulties 
for compounding that reasonably demonstrate an adverse effect on the 
safety or effectiveness of that drug product (see section 503A(b)(3)(A) 
of the FD&C Act).
    A condition that must be satisfied to qualify for the exemptions in 
section 503B of the FD&C Act is that the compounded drug is not 
identified (directly or as part of a category of drugs) on a list, 
published by the Secretary by regulation after consulting with the 
PCAC, of drugs or categories of drugs that present demonstrable 
difficulties for compounding that are reasonably likely to lead to an 
adverse effect on the safety or effectiveness of the drug or category 
of drugs, taking into account the risks and benefits to patients, or 
the drug is compounded in accordance with all applicable conditions 
identified on the list as conditions that are necessary to prevent the 
drug or category of drugs from presenting such demonstrable 
difficulties (see section 503B(a)(6)(A) and (B) of the FD&C Act).
    FDA intends to discuss with the committee bulk drug substances 
nominated for inclusion on the 503A Bulks List and drug products 
nominated for inclusion on the list of drug products that present 
demonstrable difficulties for compounding under sections 503A and 503B 
(``Difficult to Compound List'').
    Agenda: The committee will receive updates on certain issues to 
follow up on discussions from previous meetings, including quality 
standards and conditions at certain compounding facilities. In 
addition, the committee intends to discuss six bulk drug substances 
nominated for inclusion on the section 503A Bulks List. FDA will 
discuss the following nominated bulk drug substances: Nicotinamide 
adenine dinucleotide, nicotinamide adenine dinucleotide disodium 
reduced, nettle (Urtica dioica) whole plant, ubiquinol, vanadyl 
sulfate, and artemisinin. The chart below describes which use(s) FDA 
reviewed for each of the six bulk drug substances being discussed at 
this

[[Page 18150]]

advisory committee meeting. The nominators of these substances will be 
invited to make a short presentation supporting the nomination.

------------------------------------------------------------------------
                  Drug                           Use(s) reviewed
------------------------------------------------------------------------
Nicotinamide adenine dinucleotide......  Reducing fatigue in multiple
                                          sclerosis.
Nicotinamide adenine dinucleotide        Reduce symptoms of fatigue in
 disodium reduced.                        chronic fatigue syndrome.
Nettle (Urtica dioica) whole plant.....  Glycemic control.
Ubiquinol..............................  Glycemic control.
Vanadyl sulfate........................  Diabetes, hypoglycemia,
                                          hyperlipidemia, heart disease,
                                          preventing cancer.
Artemisinin............................  Malaria, protozoal infections
                                          (particularly toxoplasmosis),
                                          helminthic infections, stomach
                                          ulcers, cancer.
------------------------------------------------------------------------

    The committee also intends to discuss oral solid modified release 
drug products that employ coated systems, which were nominated for the 
Difficult to Compound List. The nominators will be invited to make a 
short presentation supporting the nomination.
    FDA intends to make background material available to the public no 
later than 2 business days before the meeting. If FDA is unable to post 
the background material on its Web site prior to the meeting, the 
background material will be made publicly available at the location of 
the advisory committee meeting, and the background material will be 
posted on FDA's Web site after the meeting. Background material is 
available at http://www.fda.gov/AdvisoryCommittees/Calendar/default.htm. Scroll down to the appropriate advisory committee meeting 
link.
    Procedure: Interested persons may present data, information, or 
views, orally or in writing, on issues pending before the committee. 
All electronic and written submissions submitted to the Docket (see the 
Addresses section) on or before April 24, 2017, will be provided to the 
committee. Oral presentations from the public will be scheduled between 
approximately 10:15 a.m. and 10:25 a.m., 11:35 a.m. and 11:45 a.m., 
1:45 p.m. and 1:55 p.m., 2:50 p.m. and 3 p.m., and 4:10 p.m. and 4:20 
p.m. on May 8, 2017, and between approximately 10 a.m. and 10:10 a.m. 
and 11:35 a.m. and 11:50 a.m. on May 9, 2017. Those individuals 
interested in making formal oral presentations should notify the 
contact person and submit a brief statement of the general nature of 
the evidence or arguments they wish to present, the names and addresses 
of proposed participants, and an indication of the approximate time 
requested to make their presentation on or before April 14, 2017. Time 
allotted for each presentation may be limited. If the number of 
registrants requesting to speak is greater than can be reasonably 
accommodated during the scheduled open public hearing session, FDA may 
conduct a lottery to determine the speakers for the scheduled open 
public hearing session. The contact person will notify interested 
persons regarding their request to speak by April 17, 2017.
    Persons attending FDA's advisory committee meetings are advised 
that the Agency is not responsible for providing access to electrical 
outlets.
    FDA welcomes the attendance of the public at its advisory committee 
meetings and will make every effort to accommodate persons with 
disabilities. If you require accommodations due to a disability, please 
contact Cindy Hong at least 7 days in advance of the meeting.
    FDA is committed to the orderly conduct of its advisory committee 
meetings. Please visit our Web site at http://www.fda.gov/AdvisoryCommittees/AboutAdvisoryCommittees/ucm111462.htm for procedures 
on public conduct during advisory committee meetings.
    Notice of this meeting is given under the Federal Advisory 
Committee Act (5 U.S.C. app. 2).

    Dated: April 11, 2017.
Anna K. Abram,
Deputy Commissioner for Policy, Planning, Legislation, and Analysis.
[FR Doc. 2017-07667 Filed 4-14-17; 8:45 am]
 BILLING CODE 4164-01-P



                                                  18148                          Federal Register / Vol. 82, No. 72 / Monday, April 17, 2017 / Notices

                                                  303–S; Section 73.3555(d), Daily                        references in the form to this                        be accessed at: http://www.fda.gov/
                                                  Newspaper Cross-Ownership.                              requirement.                                          AdvisoryCommittees/
                                                    Form Number: FCC Form 303–S.                            We are making the following specific                AboutAdvisoryCommittees/
                                                    Type of Review: Revision of a                         changes to FCC Form 303–S:                            ucm408555.htm. You may submit
                                                  currently approved collection.                            On page 5 of the form, we are                       comments as follows:
                                                    Respondents: Business or other for                    removing item 4 (Violent Programming).
                                                  profit entities; Not for profit institutions;             On page 25 of the instructions, we are              Electronic Submissions
                                                  State, Local or Tribal Governments.                     removing the paragraph titled ‘‘Item 4:                 Submit electronic comments in the
                                                    Number of Respondent and                              Violent Programming.’’                                following way:
                                                  Responses: 4,023 respondents, 4,023                     Federal Communications Commission.                      • Federal eRulemaking Portal:
                                                  responses.                                                                                                    https://www.regulations.gov. Follow the
                                                                                                          Katura Jackson,
                                                    Obligation to Respond: Required to                                                                          instructions for submitting comments.
                                                  obtain benefits—Statutory authority for                 Federal Register Liaison Officer. Office of the
                                                                                                          Secretary.                                            Comments submitted electronically,
                                                  this collection of information is                                                                             including attachments, to https://
                                                  contained in Sections 154(i), 303, 307                  [FR Doc. 2017–07664 Filed 4–14–17; 8:45 am]
                                                                                                                                                                www.regulations.gov will be posted to
                                                  and 308 of the Communications Act of                    BILLING CODE 6712–01–P
                                                                                                                                                                the docket unchanged. Because your
                                                  1934, as amended, and Section 204 of                                                                          comment will be made public, you are
                                                  the Telecommunications Act of 1996.                                                                           solely responsible for ensuring that your
                                                    Estimated Time per Response: 1.25–                    DEPARTMENT OF HEALTH AND
                                                                                                                                                                comment does not include any
                                                  12 hours.                                               HUMAN SERVICES
                                                                                                                                                                confidential information that you or a
                                                    Frequency of Response: Every eight
                                                                                                          Food and Drug Administration                          third party may not wish to be posted,
                                                  year reporting requirement; Third party
                                                                                                                                                                such as medical information, your or
                                                  disclosure requirement.                                 [Docket No. FDA–2017–N–1847]                          anyone else’s Social Security number, or
                                                    Total Annual Burden: 10,797 hours.
                                                    Total Annual Costs: $5,073,271.                                                                             confidential business information, such
                                                                                                          Pharmacy Compounding Advisory                         as a manufacturing process. Please note
                                                    Nature of Response: Required to                       Committee; Notice of Meeting;
                                                  obtain or retain benefits. The statutory                                                                      that if you include your name, contact
                                                                                                          Establishment of a Public Docket;                     information, or other information that
                                                  authority for the collection is contained               Request for Comments
                                                  Sections 154(i), 303, 307 and 308 of the                                                                      identifies you in the body of your
                                                  Communications Act of 1934, as                          AGENCY:    Food and Drug Administration,              comments, that information will be
                                                  amended, and Section 204 of the                         HHS.                                                  posted on https://www.regulations.gov.
                                                  Telecommunications Act of 1996.                         ACTION: Notice; establishment of a                      • If you want to submit a comment
                                                    Nature and Extent of Confidentiality:                 public docket; request for comments.                  with confidential information that you
                                                  There is no need for confidentiality with                                                                     do not wish to be made available to the
                                                  this information collection.                            SUMMARY:   The Food and Drug                          public, submit the comment as a
                                                    Privacy Act Impact Assessment: No                     Administration (FDA) announces a                      written/paper submission and in the
                                                  impact(s).                                              forthcoming public advisory committee                 manner detailed (see ‘‘Written/Paper
                                                    Needs and Uses: FCC Form 303–S is                     meeting of the Pharmacy Compounding                   Submissions’’ and ‘‘Instructions’’).
                                                  used in applying for renewal of license                 Advisory Committee (PCAC). The
                                                                                                          general function of the committee is to               Written/Paper Submissions
                                                  for commercial or noncommercial AM,
                                                  FM, TV, FM translator, TV translator,                   provide advice on scientific, technical,                 Submit written/paper submissions as
                                                  Class A TV, or Low Power TV, and Low                    and medical issues concerning drug                    follows:
                                                  Power FM broadcast station licenses.                    compounding under the Federal Food,                      • Mail/Hand delivery/Courier (for
                                                  Licensees of broadcast stations must                    Drug, and Cosmetic Act (the FD&C Act),                written/paper submissions): Division of
                                                  apply for renewal of their licenses every               and, as required, any other product for               Dockets Management (HFA–305), Food
                                                  eight years. The Commission is revising                 which FDA has regulatory                              and Drug Administration, 5630 Fishers
                                                  this collection to reflect the adoption of              responsibility, and to make appropriate               Lane, Rm. 1061, Rockville, MD 20852.
                                                  a Report and Order (‘‘R&O’’) in MB                      recommendations to the Agency. The                       • For written/paper comments
                                                  Docket No. 16–161, FCC 17–3, In the                     meeting will be open to the public.                   submitted to the Division of Dockets
                                                  Matter of Revisions to Public Inspection                DATES: The meeting will be held on May                Management, FDA will post your
                                                  File Requirements—Broadcaster                           8, 2017, from 8:30 a.m. to 4:30 p.m. and              comment, as well as any attachments,
                                                  Correspondence File and Cable                           May 9, 2017, from 8:30 a.m. to 12 noon.               except for information submitted,
                                                  Principal Headend Location, adopted                        FDA is establishing a docket for                   marked and identified, as confidential,
                                                  and released on January 31, 2017. The                   public comment on this meeting. The                   if submitted as detailed in
                                                  R&O eliminated the requirement that                     docket number is FDA–2017–N–1847.                     ‘‘Instructions.’’
                                                  commercial TV stations retain in their                  The docket will close on May 5, 2017.                    Instructions: All submissions received
                                                  public inspection file copies of letters                Comments received on or before April                  must include the Docket No. FDA–
                                                  and emails from the public. As the                      24, 2017, will be provided to the                     2017–N–1847 for ‘‘Pharmacy
                                                  Commission noted in the R&O, because                    committee. Comments received after                    Compounding Advisory Committee;
                                                  commercial TV licensees will no longer                  that date will be taken into                          Notice of Meeting; Establishment of a
                                                  be required to maintain correspondence                  consideration by the Agency.                          Public Docket; Request for Comments.’’
                                                  under our rules, under the terms of 47                  ADDRESSES: FDA White Oak Campus,                      Received comments will be placed in
mstockstill on DSK30JT082PROD with NOTICES




                                                  U.S.C. Section 308(d) they also will not                10903 New Hampshire Ave., Bldg. 31                    the docket and, except for those
                                                  be required to file a summary of                        Conference Center, the Great Room (Rm.                submitted as ‘‘Confidential
                                                  correspondence received regarding                       1503), Silver Spring, MD 20993–0002.                  Submissions,’’ publicly viewable at
                                                  violent programming with their renewal                  Answers to commonly asked questions,                  https://www.regulations.gov or at the
                                                  application (FCC Form 303–S).                           including information regarding special               Division of Dockets Management
                                                  Consistent with this decision, we are                   accommodations due to a disability,                   between 9 a.m. and 4 p.m., Monday
                                                  revising Form 303–S to remove the                       visitor parking, and transportation may               through Friday.


                                             VerDate Sep<11>2014   17:14 Apr 14, 2017   Jkt 241001   PO 00000   Frm 00050   Fmt 4703   Sfmt 4703   E:\FR\FM\17APN1.SGM   17APN1


                                                                                 Federal Register / Vol. 82, No. 72 / Monday, April 17, 2017 / Notices                                            18149

                                                     • Confidential Submissions—To                        appropriate advisory committee meeting                (the Secretary); or (3) if such a
                                                  submit a comment with confidential                      link, or call the advisory committee                  monograph does not exist and the drug
                                                  information that you do not wish to be                  information line to learn about possible              substance is not a component of a drug
                                                  made publicly available, submit your                    modifications before coming to the                    approved by the Secretary, appears on a
                                                  comments only as a written/paper                        meeting.                                              list developed by the Secretary through
                                                  submission. You should submit two                       SUPPLEMENTARY INFORMATION:
                                                                                                                                                                regulations issued by the Secretary (the
                                                  copies total. One copy will include the                    Background: Section 503A of the                    ‘‘503A Bulks List’’) (see section
                                                  information you claim to be confidential                FD&C Act (21 U.S.C. 353a) describes the               503A(b)(1)(A)(i) of the FD&C Act).
                                                  with a heading or cover note that states                                                                         Another condition that must be
                                                                                                          conditions that must be satisfied for
                                                  ‘‘THIS DOCUMENT CONTAINS                                                                                      satisfied to qualify for the exemptions
                                                                                                          human drug products compounded by a
                                                  CONFIDENTIAL INFORMATION.’’ The                                                                               under section 503A of the FD&C Act is
                                                                                                          licensed pharmacist in a State licensed
                                                  Agency will review this copy, including                                                                       that the compounded drug product is
                                                                                                          pharmacy or a Federal facility, or
                                                  the claimed confidential information, in                                                                      not a drug product identified by the
                                                                                                          licensed physician, to be exempt from
                                                  its consideration of comments. The                                                                            Secretary by regulation as a drug
                                                                                                          the following three sections of the FD&C
                                                  second copy, which will have the                                                                              product that presents demonstrable
                                                                                                          Act: (1) Section 501(a)(2)(B) (21 U.S.C.
                                                  claimed confidential information                                                                              difficulties for compounding that
                                                                                                          351(a)(2)(B)) (concerning current good
                                                  redacted/blacked out, will be available                                                                       reasonably demonstrate an adverse
                                                                                                          manufacturing practice (CGMP)); (2)
                                                  for public viewing and posted on                                                                              effect on the safety or effectiveness of
                                                                                                          section 502(f)(1) (21 U.S.C. 352(f)(1))               that drug product (see section
                                                  https://www.regulations.gov. Submit                     (concerning the labeling of drugs with
                                                  both copies to the Division of Dockets                                                                        503A(b)(3)(A) of the FD&C Act).
                                                                                                          adequate directions for use); and (3)                    A condition that must be satisfied to
                                                  Management. If you do not wish your                     section 505 (21 U.S.C. 355) (concerning
                                                  name and contact information to be                                                                            qualify for the exemptions in section
                                                                                                          the approval of human drug products                   503B of the FD&C Act is that the
                                                  made publicly available, you can                        under new drug applications (NDAs) or
                                                  provide this information on the cover                                                                         compounded drug is not identified
                                                                                                          abbreviated new drug applications                     (directly or as part of a category of
                                                  sheet and not in the body of your                       (ANDAs)).
                                                  comments and you must identify this                                                                           drugs) on a list, published by the
                                                                                                             The Drug Quality and Security Act                  Secretary by regulation after consulting
                                                  information as ‘‘confidential.’’ Any                    added a new section 503B to the FD&C
                                                  information marked as ‘‘confidential’’                                                                        with the PCAC, of drugs or categories of
                                                                                                          Act (21 U.S.C. 353b), which created a                 drugs that present demonstrable
                                                  will not be disclosed except in                         new category of compounders termed
                                                  accordance with 21 CFR 10.20 and other                                                                        difficulties for compounding that are
                                                                                                          ‘‘outsourcing facilities.’’ Under section             reasonably likely to lead to an adverse
                                                  applicable disclosure law. For more                     503B of the FD&C Act, outsourcing                     effect on the safety or effectiveness of
                                                  information about FDA’s posting of                      facilities are defined, in part, as                   the drug or category of drugs, taking into
                                                  comments to public dockets, see 80 FR                   facilities that meet certain conditions               account the risks and benefits to
                                                  56469, September 18, 2015, or access                    described in section 503B, including                  patients, or the drug is compounded in
                                                  the information at: https://www.gpo.gov/                registration with FDA as an outsourcing               accordance with all applicable
                                                  fdsys/pkg/FR-2015-09-18/pdf/2015-                       facility. If these conditions are satisfied,          conditions identified on the list as
                                                  23389.pdf.                                              a drug product compounded for human                   conditions that are necessary to prevent
                                                     Docket: For access to the docket to                  use by or under the direct supervision                the drug or category of drugs from
                                                  read background documents or the                        of a licensed pharmacist in an                        presenting such demonstrable
                                                  electronic and written/paper comments                   outsourcing facility is exempt from                   difficulties (see section 503B(a)(6)(A)
                                                  received, go to https://                                three sections of the FD&C Act: (1)                   and (B) of the FD&C Act).
                                                  www.regulations.gov and insert the                      Section 502(f)(1) (concerning the                        FDA intends to discuss with the
                                                  docket number, found in brackets in the                 labeling of drugs with adequate                       committee bulk drug substances
                                                  heading of this document, into the                      directions for use); (2) section 505                  nominated for inclusion on the 503A
                                                  ‘‘Search’’ box and follow the prompts                   (concerning the approval of human drug                Bulks List and drug products nominated
                                                  and/or go to the Division of Dockets                    products under NDAs or ANDAs); and                    for inclusion on the list of drug products
                                                  Management, 5630 Fishers Lane, Rm.                      (3) section 582 (21 U.S.C. 360eee–1)                  that present demonstrable difficulties
                                                  1061, Rockville, MD 20852.                              (concerning the drug supply chain                     for compounding under sections 503A
                                                  FOR FURTHER INFORMATION CONTACT:                        security requirements). Outsourcing                   and 503B (‘‘Difficult to Compound
                                                  Cindy Hong, Center for Drug Evaluation                  facilities are not exempt from CGMP                   List’’).
                                                  and Research, Food and Drug                             requirements in section 501(a)(2)(B) of                  Agenda: The committee will receive
                                                  Administration, 10903 New Hampshire                     the FD&C Act.                                         updates on certain issues to follow up
                                                  Ave., Bldg. 31, Rm. 2417, Silver Spring,                   One of the conditions that must be                 on discussions from previous meetings,
                                                  MD 20993–0002, 301–796–9001, FAX:                       satisfied to qualify for the exemptions               including quality standards and
                                                  301–847–8533, email: PCAC@                              under section 503A of the FD&C Act is                 conditions at certain compounding
                                                  fda.hhs.gov, or FDA Advisory                            that a bulk drug substance (active                    facilities. In addition, the committee
                                                  Committee Information Line, 1–800–                      pharmaceutical ingredient) used in a                  intends to discuss six bulk drug
                                                  741–8138 (301–443–0572 in the                           compounded drug product must meet                     substances nominated for inclusion on
                                                  Washington, DC area). A notice in the                   one of the following criteria: (1)                    the section 503A Bulks List. FDA will
                                                  Federal Register about last minute                      Complies with the standards of an                     discuss the following nominated bulk
                                                  modifications that impact a previously                  applicable United States Pharmacopoeia                drug substances: Nicotinamide adenine
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                                                  announced advisory committee meeting                    (USP) or National Formulary                           dinucleotide, nicotinamide adenine
                                                  cannot always be published quickly                      monograph, if a monograph exists, and                 dinucleotide disodium reduced, nettle
                                                  enough to provide timely notice.                        the USP chapter on pharmacy                           (Urtica dioica) whole plant, ubiquinol,
                                                  Therefore, you should always check the                  compounding; (2) if an applicable                     vanadyl sulfate, and artemisinin. The
                                                  Agency’s Web site at http://                            monograph does not exist, is a                        chart below describes which use(s) FDA
                                                  www.fda.gov/AdvisoryCommittees/                         component of a drug approved by the                   reviewed for each of the six bulk drug
                                                  default.htm and scroll down to the                      Secretary of Health and Human Services                substances being discussed at this


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                                                  18150                                     Federal Register / Vol. 82, No. 72 / Monday, April 17, 2017 / Notices

                                                  advisory committee meeting. The                                           invited to make a short presentation
                                                  nominators of these substances will be                                    supporting the nomination.

                                                                                            Drug                                                                                    Use(s) reviewed

                                                  Nicotinamide adenine dinucleotide ..........................................                    Reducing fatigue in multiple sclerosis.
                                                  Nicotinamide adenine dinucleotide disodium reduced .............                                Reduce symptoms of fatigue in chronic fatigue syndrome.
                                                  Nettle (Urtica dioica) whole plant .............................................                Glycemic control.
                                                  Ubiquinol ...................................................................................   Glycemic control.
                                                  Vanadyl sulfate .........................................................................       Diabetes, hypoglycemia, hyperlipidemia, heart disease, preventing cancer.
                                                  Artemisinin ................................................................................    Malaria, protozoal infections (particularly toxoplasmosis), helminthic infections,
                                                                                                                                                    stomach ulcers, cancer.



                                                     The committee also intends to discuss                                  speakers for the scheduled open public                    the public; public comment sessions
                                                  oral solid modified release drug                                          hearing session. The contact person will                  will be held during the meeting.
                                                  products that employ coated systems,                                      notify interested persons regarding their                 DATES: The meeting will be held on June
                                                  which were nominated for the Difficult                                    request to speak by April 17, 2017.                       6 and 7, 2017. The meeting times and
                                                  to Compound List. The nominators will                                        Persons attending FDA’s advisory                       agenda will be posted on the NVAC
                                                  be invited to make a short presentation                                   committee meetings are advised that the                   Web site at http://www.hhs.gov/nvpo/
                                                  supporting the nomination.                                                Agency is not responsible for providing                   nvac/meetings/index.html as soon as
                                                     FDA intends to make background                                         access to electrical outlets.                             they become available.
                                                  material available to the public no later                                    FDA welcomes the attendance of the                     ADDRESSES: U.S. Department of Health
                                                  than 2 business days before the meeting.                                  public at its advisory committee                          and Human Services, Hubert H.
                                                  If FDA is unable to post the background                                   meetings and will make every effort to                    Humphrey Building, Great Hall, 200
                                                  material on its Web site prior to the                                     accommodate persons with disabilities.                    Independence Avenue SW.,
                                                  meeting, the background material will                                     If you require accommodations due to a                    Washington, DC 20201.
                                                  be made publicly available at the                                         disability, please contact Cindy Hong at                     Pre-registration is required for
                                                  location of the advisory committee                                        least 7 days in advance of the meeting.                   members of the public who wish to
                                                  meeting, and the background material                                         FDA is committed to the orderly                        attend the meeting and who wish to
                                                  will be posted on FDA’s Web site after                                    conduct of its advisory committee                         participate in the public comment
                                                  the meeting. Background material is                                       meetings. Please visit our Web site at                    session. Individuals who wish to attend
                                                  available at http://www.fda.gov/                                          http://www.fda.gov/                                       the meeting and/or participate in the
                                                  AdvisoryCommittees/Calendar/                                              AdvisoryCommittees/                                       public comment session should register
                                                  default.htm. Scroll down to the                                           AboutAdvisoryCommittees/                                  at http://www.hhs.gov/nvpo/nvac/
                                                  appropriate advisory committee meeting                                    ucm111462.htm for procedures on                           meetings/index.html. Participants may
                                                  link.                                                                     public conduct during advisory                            also register by emailing nvpo@hhs.gov
                                                     Procedure: Interested persons may                                      committee meetings.                                       or by calling (202) 690–5566 and
                                                  present data, information, or views,                                         Notice of this meeting is given under                  providing their name, organization and
                                                  orally or in writing, on issues pending                                   the Federal Advisory Committee Act (5                     email address.
                                                  before the committee. All electronic and                                  U.S.C. app. 2).                                              The meeting can also be accessed
                                                  written submissions submitted to the                                                                                                through a live webcast on both days of
                                                                                                                              Dated: April 11, 2017.
                                                  Docket (see the ADDRESSES section) on                                                                                               the meeting. For more information, visit
                                                  or before April 24, 2017, will be                                         Anna K. Abram,
                                                                                                                            Deputy Commissioner for Policy, Planning,                 http://www.hhs.gov/nvpo/nvac/
                                                  provided to the committee. Oral                                                                                                     meetings/index.html.
                                                  presentations from the public will be                                     Legislation, and Analysis.
                                                                                                                            [FR Doc. 2017–07667 Filed 4–14–17; 8:45 am]               FOR FURTHER INFORMATION CONTACT:
                                                  scheduled between approximately 10:15
                                                  a.m. and 10:25 a.m., 11:35 a.m. and                                       BILLING CODE 4164–01–P                                    National Vaccine Program Office, U.S.
                                                  11:45 a.m., 1:45 p.m. and 1:55 p.m., 2:50                                                                                           Department of Health and Human
                                                  p.m. and 3 p.m., and 4:10 p.m. and 4:20                                                                                             Services, Room 715H, Hubert H.
                                                  p.m. on May 8, 2017, and between                                          DEPARTMENT OF HEALTH AND                                  Humphrey Building, 200 Independence
                                                  approximately 10 a.m. and 10:10 a.m.                                      HUMAN SERVICES                                            Avenue SW., Washington, DC 20201.
                                                  and 11:35 a.m. and 11:50 a.m. on May                                                                                                Phone: (202) 690–5566; email: nvpo@
                                                                                                                            Meeting of the National Vaccine                           hhs.gov.
                                                  9, 2017. Those individuals interested in                                  Advisory Committee
                                                  making formal oral presentations should                                                                                             SUPPLEMENTARY INFORMATION:    Pursuant
                                                  notify the contact person and submit a                                    AGENCY:  Office of the Secretary, Office                  to Section 2101 of the Public Health
                                                  brief statement of the general nature of                                  of the Assistant Secretary for Health,                    Service Act (42 U.S.C. 300aa–1), the
                                                  the evidence or arguments they wish to                                    National Vaccine Program Office,                          Secretary of Health and Human Services
                                                  present, the names and addresses of                                       Department of Health and Human                            was mandated to establish the National
                                                  proposed participants, and an                                             Services.                                                 Vaccine Program to achieve optimal
                                                  indication of the approximate time                                        ACTION: Notice.                                           prevention of human infectious diseases
                                                  requested to make their presentation on                                                                                             through immunization and to achieve
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                                                  or before April 14, 2017. Time allotted                                   SUMMARY:   As stipulated by the Federal                   optimal prevention against adverse
                                                  for each presentation may be limited. If                                  Advisory Committee Act, the                               reactions to vaccines. The NVAC was
                                                  the number of registrants requesting to                                   Department of Health and Human                            established to provide advice and make
                                                  speak is greater than can be reasonably                                   Services is hereby giving notice that a                   recommendations to the Director of the
                                                  accommodated during the scheduled                                         meeting is scheduled to be held for the                   National Vaccine Program on matters
                                                  open public hearing session, FDA may                                      National Vaccine Advisory Committee                       related to the Program’s responsibilities.
                                                  conduct a lottery to determine the                                        (NVAC). The meeting will be open to                       The Assistant Secretary for Health


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Document Created: 2018-08-25 11:26:45
Document Modified: 2018-08-25 11:26:45
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice; establishment of a public docket; request for comments.
DatesThe meeting will be held on May 8, 2017, from 8:30 a.m. to 4:30 p.m. and May 9, 2017, from 8:30 a.m. to 12 noon.
ContactCindy Hong, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 31, Rm. 2417, Silver Spring, MD 20993-0002, 301-796-9001, FAX: 301-847-8533, email: [email protected], or FDA Advisory Committee Information Line, 1-800-741-8138 (301-443-0572 in the Washington, DC area). A notice in the Federal Register about last minute modifications that impact a previously announced advisory committee meeting cannot always be published quickly enough to provide timely notice. Therefore, you should always check the Agency's Web site at http://www.fda.gov/ AdvisoryCommittees/default.htm and scroll down to the appropriate advisory committee meeting link, or call the advisory committee information line to learn about possible modifications before coming to the meeting.
FR Citation82 FR 18148 

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