82_FR_18989 82 FR 18912 - Reducing the Risk of Preventable Adverse Drug Events Associated With Hypoglycemia in the Older Population; Public Workshop

82 FR 18912 - Reducing the Risk of Preventable Adverse Drug Events Associated With Hypoglycemia in the Older Population; Public Workshop

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 82, Issue 77 (April 24, 2017)

Page Range18912-18913
FR Document2017-08178

The Food and Drug Administration's (FDA) Center for Drug Evaluation and Research (CDER), Professional Affairs and Stakeholder Engagement Staff (PASES), is announcing a 1-day public workshop entitled ``Reducing the Risk of Preventable Adverse Drug Events Associated with Hypoglycemia in the Older Population.'' The purpose of this workshop is to discuss the importance of individualized glycemic control targets for older patients with diabetes; to reduce the risk of serious hypoglycemia; identify and discuss medication safety efforts, both those that are part of the Safe Use Initiative and those external to FDA, that are of direct relevance and importance to older patients living with the disease; discuss future areas of research which could be explored to reduce the risk of serious hypoglycemia in older diabetic patients; and disseminate the results of this discussion to inform patients, patient advocates, and health care practitioners.

Federal Register, Volume 82 Issue 77 (Monday, April 24, 2017)
[Federal Register Volume 82, Number 77 (Monday, April 24, 2017)]
[Notices]
[Pages 18912-18913]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-08178]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2017-N-0001]


Reducing the Risk of Preventable Adverse Drug Events Associated 
With Hypoglycemia in the Older Population; Public Workshop

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of public workshop.

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

SUMMARY: The Food and Drug Administration's (FDA) Center for Drug 
Evaluation and Research (CDER), Professional Affairs and Stakeholder 
Engagement Staff (PASES), is announcing a 1-day public workshop 
entitled ``Reducing the Risk of Preventable Adverse Drug Events 
Associated with Hypoglycemia in the Older Population.'' The purpose of 
this workshop is to discuss the importance of individualized glycemic 
control targets for older patients with diabetes; to reduce the risk of 
serious hypoglycemia; identify and discuss medication safety efforts, 
both those that are part of the Safe Use Initiative and those external 
to FDA, that are of direct relevance and importance to older patients 
living with the disease; discuss future areas of research which could 
be explored to reduce the risk of serious hypoglycemia in older 
diabetic patients; and disseminate the results of this discussion to 
inform patients, patient advocates, and health care practitioners.

DATES: The public workshop will be held on September 12, 2017, from 9 
a.m. to 4 p.m.

ADDRESSES: The public workshop will be held at FDA White Oak Campus, 
10903 New Hampshire Ave., Bldg. 31 Conference Center, the Great Room 
(Rm. 1503), Silver Spring, MD 20993. Entrance for the public workshop 
participants (non-FDA employees) is through Building 1, where routine 
security check procedures will be performed. For parking and security 
information, please refer to http://www.fda.gov/AboutFDA/WorkingatFDA/BuildingsandFacilities/WhiteOakCampusInformation/ucm241740.htm.

FOR FURTHER INFORMATION CONTACT: Scott Winiecki, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Silver Spring, MD 20993-0002, 240-402-8824, email: 
[email protected].

SUPPLEMENTARY INFORMATION: 

I. Background

    FDA CDER, PASES, is announcing a 1-day public workshop entitled 
``Reducing the Risk of Preventable Adverse Drug Events associated with 
Hypoglycemia in the Older Population.'' The purpose of this workshop is 
to: (1) Discuss the importance of individualized glycemic control 
targets for older patients with diabetes, in order to reduce the risk 
of serious hypoglycemia; (2) identify and discuss medication safety 
efforts, both those that are part of the Safe Use Initiative and those 
external to FDA, that are of direct relevance and importance to older 
patients living with the disease; (3) discuss future areas of research 
which could be explored to reduce the risk of serious hypoglycemia in 
older diabetic patients; and (4) disseminate the results of this 
discussion to inform patients, patient advocates, and health care 
practitioners.

II. Topics for Discussion at the Public Workshop

    The symposium will feature presentations on the scope of 
hypoglycemia-related adverse drug events in the older population, the 
risks and benefits of various degrees of glycemic control, factors 
affecting patient centered care, research into effective diabetes 
management, and the concept and translation of individualized glycemic 
targets to minimize adverse events in practice settings. Presenters 
will represent multidisciplinary backgrounds from government, academia, 
patient safety groups, health care industry, and clinicians. There will 
be opportunities for collaboration between speakers and attendees as 
well as question and answer sessions.

III. Participating in the Public Workshop

    Registration: To register for the public workshop, please visit the 
following Web site: http://wcms.fda.gov/FDAgov/Drugs/NewsEvents/ucm538666.htm?SSContributor=true. Please provide complete contact 
information for each attendee, including name, title, affiliation, 
address, email, and telephone.
    Registration is free and based on space availability, with priority 
given to early registrants. Persons interested in attending this public 
workshop must register by August 29, 2017, midnight Eastern Time. Early 
registration is recommended because seating is limited; therefore, FDA 
may limit the number of participants from each organization. If time 
and space permit,

[[Page 18913]]

onsite registration on the day of the public workshop will be provided 
beginning at 7:30 a.m.
    For those without Internet access, please contact Scott Winiecki, 
(see FOR FURTHER INFORMATION CONTACT) to register. If you need special 
accommodations due to a disability, please contact Scott Winiecki no 
later than September 1, 2017.
    Transcripts: A transcript of the public workshop will be accessible 
at https://www.regulations.gov approximately 30 days after the 
workshop. It may also be viewed at the Division of Dockets Management 
(HFA-305), Food and Drug Administration, 5630 Fishers Lane, Rm. 1061, 
Rockville, MD 20852.

    Dated: April 18, 2017.
Anna K. Abram,
Deputy Commissioner for Policy, Planning, Legislation, and Analysis.
[FR Doc. 2017-08178 Filed 4-21-17; 8:45 am]
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                                                  18912                          Federal Register / Vol. 82, No. 77 / Monday, April 24, 2017 / Notices

                                                  meeting, and the background material                    DEPARTMENT OF HEALTH AND                              I. Background
                                                  will be posted on FDA’s Web site after                  HUMAN SERVICES                                           FDA CDER, PASES, is announcing a
                                                  the meeting. Background material is                                                                           1-day public workshop entitled
                                                  available at http://www.fda.gov/                        Food and Drug Administration
                                                                                                                                                                ‘‘Reducing the Risk of Preventable
                                                  AdvisoryCommittees/Calendar/                                                                                  Adverse Drug Events associated with
                                                  default.htm. Scroll down to the                         [Docket No. FDA–2017–N–0001]
                                                                                                                                                                Hypoglycemia in the Older Population.’’
                                                  appropriate advisory committee meeting                                                                        The purpose of this workshop is to: (1)
                                                  link.                                                   Reducing the Risk of Preventable
                                                                                                          Adverse Drug Events Associated With                   Discuss the importance of
                                                     Procedure: Interested persons may                                                                          individualized glycemic control targets
                                                  present data, information, or views,                    Hypoglycemia in the Older Population;
                                                                                                          Public Workshop                                       for older patients with diabetes, in order
                                                  orally or in writing, on issues pending                                                                       to reduce the risk of serious
                                                  before the committee. Written                           AGENCY:    Food and Drug Administration,              hypoglycemia; (2) identify and discuss
                                                  submissions may be made to the contact                  HHS.                                                  medication safety efforts, both those that
                                                  person on or before May 2, 2017. Oral                   ACTION:   Notice of public workshop.                  are part of the Safe Use Initiative and
                                                  presentations from the public will be                                                                         those external to FDA, that are of direct
                                                  scheduled between approximately 4                       SUMMARY:    The Food and Drug                         relevance and importance to older
                                                  p.m. and 5 p.m. Those individuals                       Administration’s (FDA) Center for Drug                patients living with the disease; (3)
                                                  interested in making formal oral                        Evaluation and Research (CDER),                       discuss future areas of research which
                                                  presentations should notify the contact                 Professional Affairs and Stakeholder                  could be explored to reduce the risk of
                                                  person and submit a brief statement of                  Engagement Staff (PASES), is                          serious hypoglycemia in older diabetic
                                                  the general nature of the evidence or                   announcing a 1-day public workshop                    patients; and (4) disseminate the results
                                                  arguments they wish to present, the                     entitled ‘‘Reducing the Risk of                       of this discussion to inform patients,
                                                  names and addresses of proposed                         Preventable Adverse Drug Events                       patient advocates, and health care
                                                  participants, and an indication of the                  Associated with Hypoglycemia in the                   practitioners.
                                                  approximate time requested to make                      Older Population.’’ The purpose of this
                                                  their presentation on or before April 24,               workshop is to discuss the importance                 II. Topics for Discussion at the Public
                                                  2017. Time allotted for each                            of individualized glycemic control                    Workshop
                                                  presentation may be limited. If the                     targets for older patients with diabetes;                The symposium will feature
                                                  number of registrants requesting to                     to reduce the risk of serious                         presentations on the scope of
                                                  speak is greater than can be reasonably                 hypoglycemia; identify and discuss                    hypoglycemia-related adverse drug
                                                  accommodated during the scheduled                       medication safety efforts, both those that            events in the older population, the risks
                                                  open public hearing session, FDA may                    are part of the Safe Use Initiative and               and benefits of various degrees of
                                                  conduct a lottery to determine the                      those external to FDA, that are of direct             glycemic control, factors affecting
                                                  speakers for the scheduled open public                  relevance and importance to older                     patient centered care, research into
                                                  hearing session. The contact person will                patients living with the disease; discuss             effective diabetes management, and the
                                                  notify interested persons regarding their               future areas of research which could be               concept and translation of
                                                  request to speak by April 25, 2017.                     explored to reduce the risk of serious                individualized glycemic targets to
                                                     Persons attending FDA’s advisory                     hypoglycemia in older diabetic patients;              minimize adverse events in practice
                                                  committee meetings are advised that the                 and disseminate the results of this                   settings. Presenters will represent
                                                  Agency is not responsible for providing                 discussion to inform patients, patient                multidisciplinary backgrounds from
                                                  access to electrical outlets.                           advocates, and health care practitioners.             government, academia, patient safety
                                                     FDA welcomes the attendance of the                   DATES: The public workshop will be                    groups, health care industry, and
                                                  public at its advisory committee                        held on September 12, 2017, from 9 a.m.               clinicians. There will be opportunities
                                                  meetings and will make every effort to                  to 4 p.m.                                             for collaboration between speakers and
                                                  accommodate persons with disabilities.                  ADDRESSES: The public workshop will                   attendees as well as question and
                                                  If you require accommodations due to a                  be held at FDA White Oak Campus,                      answer sessions.
                                                  disability, please contact Rakesh                       10903 New Hampshire Ave., Bldg. 31                    III. Participating in the Public
                                                  Raghuwanshi at least 7 days in advance                  Conference Center, the Great Room (Rm.                Workshop
                                                  of the meeting.                                         1503), Silver Spring, MD 20993.
                                                     FDA is committed to the orderly                      Entrance for the public workshop                         Registration: To register for the public
                                                  conduct of its advisory committee                       participants (non-FDA employees) is                   workshop, please visit the following
                                                  meetings. Please visit our Web site at                  through Building 1, where routine                     Web site: http://wcms.fda.gov/FDAgov/
                                                  http://www.fda.gov/                                     security check procedures will be                     Drugs/NewsEvents/
                                                  AdvisoryCommittees/                                     performed. For parking and security                   ucm538666.htm?SSContributor=true.
                                                  AboutAdvisoryCommittees/                                information, please refer to http://                  Please provide complete contact
                                                  ucm111462.htm for procedures on                         www.fda.gov/AboutFDA/                                 information for each attendee, including
                                                  public conduct during advisory                          WorkingatFDA/BuildingsandFacilities/                  name, title, affiliation, address, email,
                                                  committee meetings.                                     WhiteOakCampusInformation/                            and telephone.
                                                     Notice of this meeting is given under                ucm241740.htm.                                           Registration is free and based on
                                                  the Federal Advisory Committee Act (5                                                                         space availability, with priority given to
                                                                                                          FOR FURTHER INFORMATION CONTACT:                      early registrants. Persons interested in
jstallworth on DSK7TPTVN1PROD with NOTICES




                                                  U.S.C. app. 2).                                         Scott Winiecki, Center for Drug                       attending this public workshop must
                                                    Dated: April 18, 2017.                                Evaluation and Research, Food and                     register by August 29, 2017, midnight
                                                  Anna K. Abram,                                          Drug Administration, 10903 New                        Eastern Time. Early registration is
                                                  Deputy Commissioner for Policy, Planning,               Hampshire Ave., Silver Spring, MD                     recommended because seating is
                                                  Legislation, and Analysis.                              20993–0002, 240–402–8824, email:                      limited; therefore, FDA may limit the
                                                  [FR Doc. 2017–08177 Filed 4–21–17; 8:45 am]             CDERSafeUseInitiative@fda.hhs.gov.                    number of participants from each
                                                  BILLING CODE 4164–01–P                                  SUPPLEMENTARY INFORMATION:                            organization. If time and space permit,


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                                                                                 Federal Register / Vol. 82, No. 77 / Monday, April 24, 2017 / Notices                                                  18913

                                                  onsite registration on the day of the                   the drug review process. To support this              Office of Regulatory Affairs District
                                                  public workshop will be provided                        primary goal, CDER has initiated                      Offices in the firms’ respective regions.
                                                  beginning at 7:30 a.m.                                  various training and development                      Firms that want to learn more about this
                                                    For those without Internet access,                    programs to promote high performance                  training opportunity or that are
                                                  please contact Scott Winiecki, (see FOR                 in its regulatory project management                  interested in offering a site tour should
                                                  FURTHER INFORMATION CONTACT) to                         staff. CDER seeks to significantly                    respond by sending a proposed agenda
                                                  register. If you need special                           enhance review efficiency and review                  by email directly to Dan Brum (see
                                                  accommodations due to a disability,                     quality by providing the staff with a                 DATES and FOR FURTHER INFORMATION
                                                  please contact Scott Winiecki no later                  better understanding of the                           CONTACT).
                                                  than September 1, 2017.                                 pharmaceutical industry and its                         Dated: April 17, 2017.
                                                    Transcripts: A transcript of the public               operations. To this end, CDER is
                                                                                                                                                                Anna K. Abram,
                                                  workshop will be accessible at https://                 continuing its training program to give
                                                                                                          regulatory project managers the                       Deputy Commissioner for Policy, Planning,
                                                  www.regulations.gov approximately 30
                                                                                                                                                                Legislation, and Analysis.
                                                  days after the workshop. It may also be                 opportunity to tour pharmaceutical
                                                                                                                                                                [FR Doc. 2017–08183 Filed 4–21–17; 8:45 am]
                                                  viewed at the Division of Dockets                       facilities. The goals are to provide the
                                                                                                          following: (1) Firsthand exposure to                  BILLING CODE 4164–01–P
                                                  Management (HFA–305), Food and Drug
                                                  Administration, 5630 Fishers Lane, Rm.                  industry’s drug development processes
                                                  1061, Rockville, MD 20852.                              and (2) a venue for sharing information
                                                                                                          about project management procedures                   DEPARTMENT OF HEALTH AND
                                                    Dated: April 18, 2017.                                                                                      HUMAN SERVICES
                                                                                                          (but not drug-specific information) with
                                                  Anna K. Abram,
                                                                                                          industry representatives.                             Food and Drug Administration
                                                  Deputy Commissioner for Policy, Planning,
                                                  Legislation, and Analysis.                              II. The Site Tours Program                            [Docket No. FDA–2007–D–0369]
                                                  [FR Doc. 2017–08178 Filed 4–21–17; 8:45 am]                In this program, over a 2- to 3-day
                                                  BILLING CODE 4164–01–P                                  period, small groups (five or less) of                Product-Specific Guidance for
                                                                                                          regulatory project managers, including a              Naloxone Hydrochloride; New Draft
                                                                                                          senior level regulatory project manager,              Guidance for Industry; Availability
                                                  DEPARTMENT OF HEALTH AND                                can observe operations of
                                                  HUMAN SERVICES                                                                                                AGENCY:    Food and Drug Administration,
                                                                                                          pharmaceutical manufacturing and/or
                                                                                                                                                                HHS.
                                                                                                          packaging facilities, pathology/
                                                  Food and Drug Administration                            toxicology laboratories, and regulatory               ACTION:   Notice of availability.
                                                  [Docket No. FDA–2014–N–0179]                            affairs operations. Neither this tour nor             SUMMARY:   The Food and Drug
                                                                                                          any part of the program is intended as                Administration (FDA, the Agency, or
                                                  Training Program for Regulatory                         a mechanism to inspect, assess, judge,                we) is announcing the availability of a
                                                  Project Managers; Information                           or perform a regulatory function, but is
                                                                                                                                                                new draft guidance for industry on
                                                  Available to Industry                                   meant rather to improve mutual
                                                                                                                                                                generic naloxone hydrochloride nasal
                                                                                                          understanding and to provide an avenue
                                                  AGENCY:    Food and Drug Administration,                                                                      spray entitled ‘‘Draft Guidance on
                                                                                                          for open dialogue. During the Site Tours
                                                  HHS.                                                                                                          Naloxone Hydrochloride.’’ The new
                                                                                                          Program, regulatory project managers
                                                  ACTION:   Notice.                                                                                             draft guidance, when finalized, will
                                                                                                          will also participate in daily workshops
                                                                                                                                                                provide product-specific
                                                  SUMMARY:   The Food and Drug                            with their industry counterparts,
                                                                                                                                                                recommendations on, among other
                                                  Administration’s (FDA’s) Center for                     focusing on selective regulatory issues
                                                                                                                                                                things, the design of bioequivalence
                                                  Drug Evaluation and Research (CDER) is                  important to both CDER staff and
                                                                                                                                                                (BE) studies to support abbreviated new
                                                  announcing the continuation of the                      industry. The primary objective of the
                                                                                                                                                                drug applications (ANDAs) for naloxone
                                                  Regulatory Project Management Site                      daily workshops is to learn about the
                                                                                                                                                                hydrochloride nasal spray.
                                                  Tours and Regulatory Interaction                        team approach to drug development,
                                                                                                          including drug discovery, preclinical                 DATES: Although you can comment on
                                                  Program (the Site Tours Program). The                                                                         any guidance at any time (see 21 CFR
                                                  purpose of this document is to invite                   evaluation, tracking mechanisms, and
                                                                                                          regulatory submission operations. The                 10.115(g)(5)), to ensure that the Agency
                                                  pharmaceutical companies interested in                                                                        considers your comment on this draft
                                                  participating in this program to contact                overall benefit to regulatory project
                                                                                                          managers will be exposure to project                  guidance before it begins work on the
                                                  CDER.                                                                                                         final versions of the guidance, submit
                                                                                                          management, team techniques, and
                                                  DATES: Pharmaceutical companies may                                                                           either electronic or written comments
                                                                                                          processes employed by the
                                                  send proposed agendas to the Agency by                  pharmaceutical industry. By                           on the draft guidances by June 23, 2017.
                                                  June 23, 2017.                                          participating in this program, the                    ADDRESSES: You may submit comments
                                                  FOR FURTHER INFORMATION CONTACT: Dan                    regulatory project manager will grow                  as follows:
                                                  Brum, Center for Drug Evaluation and                    professionally by gaining a better
                                                  Research, Food and Drug                                                                                       Electronic Submissions
                                                                                                          understanding of industry processes and
                                                  Administration, 10903 New Hampshire                     procedures.                                             Submit electronic comments in the
                                                  Ave., Bldg. 22, Rm. 5480, Silver Spring,                                                                      following way:
                                                  MD 20993–0002, 301–796–0578,                            III. Site Selection                                     • Federal eRulemaking Portal:
                                                  dan.brum@fda.hhs.gov.                                      All travel expenses associated with                https://www.regulations.gov. Follow the
jstallworth on DSK7TPTVN1PROD with NOTICES




                                                  SUPPLEMENTARY INFORMATION:                              the Site Tours Program will be the                    instructions for submitting comments.
                                                                                                          responsibility of CDER; therefore,                    Comments submitted electronically,
                                                  I. Background                                           selection will be based on the                        including attachments, to https://
                                                    An important part of CDER’s                           availability of funds and resources for               www.regulations.gov will be posted to
                                                  commitment to make safe and effective                   each fiscal year. Selection will also be              the docket unchanged. Because your
                                                  drugs available to all Americans is                     based on firms having a favorable                     comment will be made public, you are
                                                  optimizing the efficiency and quality of                facility status as determined by FDA’s                solely responsible for ensuring that your


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Document Created: 2017-04-22 00:11:09
Document Modified: 2017-04-22 00:11:09
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of public workshop.
DatesThe public workshop will be held on September 12, 2017, from 9 a.m. to 4 p.m.
ContactScott Winiecki, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Silver Spring, MD 20993-0002, 240-402-8824, email: [email protected]
FR Citation82 FR 18912 

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