82_FR_29205 82 FR 29083 - Supplemental Evidence and Data Request on Drug Therapy for Early Rheumatoid Arthritis in Adults-An Update

82 FR 29083 - Supplemental Evidence and Data Request on Drug Therapy for Early Rheumatoid Arthritis in Adults-An Update

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality

Federal Register Volume 82, Issue 122 (June 27, 2017)

Page Range29083-29085
FR Document2017-13395

The Agency for Healthcare Research and Quality (AHRQ) is seeking scientific information submissions from the public. Scientific information is being solicited to inform our review of Drug Therapy for Early Rheumatoid Arthritis in Adults--An Update, which is currently being conducted by the AHRQ's Evidence-based Practice Centers (EPC) Program. Access to published and unpublished pertinent scientific information will improve the quality of this review.

Federal Register, Volume 82 Issue 122 (Tuesday, June 27, 2017)
[Federal Register Volume 82, Number 122 (Tuesday, June 27, 2017)]
[Notices]
[Pages 29083-29085]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-13395]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Healthcare Research and Quality


Supplemental Evidence and Data Request on Drug Therapy for Early 
Rheumatoid Arthritis in Adults--An Update

AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS.

ACTION: Request for supplemental evidence and data submissions.

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

SUMMARY: The Agency for Healthcare Research and Quality (AHRQ) is 
seeking scientific information submissions from the public. Scientific 
information is being solicited to inform our review of Drug Therapy for 
Early Rheumatoid Arthritis in Adults--An Update, which is currently 
being conducted by the AHRQ's Evidence-based Practice Centers (EPC) 
Program. Access to published and unpublished pertinent scientific 
information will improve the quality of this review.

DATES: Submission Deadline on or before July 27, 2017.

ADDRESSES: Email submissions: src.org">SEADS@epc-src.org.
    Print submissions:
    Mailing Address: Portland VA Research Foundation, Scientific 
Resource Center, ATTN: Scientific Information Packet Coordinator, P.O. 
Box 69539, Portland, OR 97239.
    Shipping Address (FedEx, UPS, etc.): Portland VA Research 
Foundation, Scientific Resource Center, ATTN: Scientific Information 
Packet Coordinator, 3710 SW U.S. Veterans Hospital Road, Mail Code: R&D 
71, Portland, OR 97239.

FOR FURTHER INFORMATION CONTACT: Ryan McKenna, Telephone: 503-220-8262 
ext. 51723 or Email: src.org">SEADS@epc-src.org.

SUPPLEMENTARY INFORMATION: AHRQ is conducting this systematic review 
pursuant to Section 902(a) of the Public Health Service Act, 42 U.S.C. 
299a(a). The Agency for Healthcare Research and Quality has 
commissioned the Evidence-based Practice Centers (EPC) Program to 
complete a review of the evidence for Drug Therapy for Early Rheumatoid 
Arthritis in Adults--An Update.
    The EPC Program is dedicated to identifying as many studies as 
possible that are relevant to the questions for each of its reviews. In 
order to do so, we are supplementing the usual manual and electronic 
database searches of the literature by requesting information from the 
public (e.g., details of studies conducted). We are looking for studies 
that report on Drug Therapy for Early Rheumatoid Arthritis in Adults--
An Update, including those that describe adverse events. The entire 
research protocol, including the key questions, is also available 
online at: https://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=2475.
    This is to notify the public that the EPC Program would find the 
following information on Drug Therapy for Early Rheumatoid Arthritis in 
Adults--An Update helpful:
    [ssquf] A list of completed studies that your organization has 
sponsored for this indication. In the list, please indicate whether 
results are available on ClinicalTrials.gov along with the 
ClinicalTrials.gov trial number.
    [ssquf] For completed studies that do not have results on 
ClinicalTrials.gov,

[[Page 29084]]

please provide a summary, including the following elements: Study 
number, study period, design, methodology, indication and diagnosis, 
proper use instructions, inclusion and exclusion criteria, primary and 
secondary outcomes, baseline characteristics, number of patients 
screened/eligible/enrolled/lost to follow-up/withdrawn/analyzed, 
effectiveness/efficacy, and safety results.
    [ssquf] A list of ongoing studies that your organization has 
sponsored for this indication. In the list, please provide the 
ClinicalTrials.gov trial number or, if the trial is not registered, the 
protocol for the study including a study number, the study period, 
design, methodology, indication and diagnosis, proper use instructions, 
inclusion and exclusion criteria, and primary and secondary outcomes.
    [ssquf] Description of whether the above studies constitute ALL 
Phase II and above clinical trials sponsored by your organization for 
this indication and an index outlining the relevant information in each 
submitted file.
    Your contribution will be very beneficial to the EPC Program. 
Materials submitted must be publicly available or able to be made 
public. Materials that are considered confidential; marketing 
materials; study types not included in the review; or information on 
indications not included in the review cannot be used by the EPC 
Program. This is a voluntary request for information, and all costs for 
complying with this request must be borne by the submitter.
    The draft of this review will be posted on AHRQ's EPC Program Web 
site and available for public comment for a period of 4 weeks. If you 
would like to be notified when the draft is posted, please sign up for 
the email list at: https://www.effectivehealthcare.ahrq.gov/index.cfm/join-the-email-list1/.
    The systematic review will answer the following questions. This 
information is provided as background. AHRQ is not requesting that the 
public provide answers to these questions.

The Key Questions

Key Question (KQ) 1

    For patients with early Rheumatoid Arthritis (RA), do drug 
therapies differ in their ability to reduce disease activity, slow or 
limit the progression of radiographic joint damage, or induce 
remission?

KQ 2

    For patients with early RA, do drug therapies differ in their 
ability to improve patient-reported symptoms, functional capacity, or 
quality of life?

KQ 3

    For patients with early RA, do drug therapies differ in harms, 
tolerability, patient adherence, or adverse effects?

KQ 4

    What are the comparative benefits and harms of drug therapies for 
early RA in subgroups of patients based on disease activity, prior 
therapy, demographics (e.g., women in their childbearing years), 
concomitant therapies, and presence of other serious conditions?

Contextual Questions (CQs)

    Contextual questions are not systematically reviewed and use a 
``best evidence'' approach. Information about the contextual questions 
may be included as part of the introduction or discussion section and 
related as appropriate to the Systematic Review.

CQ 1

    Does treatment of early RA improve disease trajectory and disease 
outcomes compared with the trajectory or outcomes of treatment of 
established RA?

CQ 2

    What barriers prevent individuals with early RA from obtaining 
access to indicated drug therapies?

PICOTS (Populations, Interventions, Comparators, Outcomes, Timing, 
Settings)

Populations

Inclusion
I. All KQs: Adult outpatients ages 19 or older with an early RA 
diagnosis, defined as 1 year or less from disease diagnosis; we will 
include studies with mixed populations if >50% of study populations had 
an early RA diagnosis
II. KQ 4 only: Subpopulations by age, sex/gender, race/ethnicity, 
disease activity, prior therapies, concomitant therapies, and other 
serious conditions
Exclusion
    Adolescents and adult patients with disease greater than 1 year 
from diagnosis.

Intervention/Exposure

Inclusion
I. FDA approved
    A. Corticosteroids: Methylprednisolone, prednisone, prednisolone
    B. csDMARDs: Hydroxychloroquine, leflunomide, methotrexate, 
sulfasalazine
    C. TNF biologics: Adalimumab, certolizumab pegol, etanercept, 
golimumab, infliximab
    D. Non-TNF biologics: Abatacept, rituximab, tocilizumab
    E. tsDMARDs: Tofacitinib
    F. Biosimilars: Adalimumab-atto, infliximab-dyyb, infliximab-abda, 
etanercept-szzs
II. Under review by FDA
    A. Non-TNF biologics: Sarilumab, sirukumab
Exclusion
    Anakinra is excluded because, although it is approved for RA, 
clinically it is not used anymore for this population.

Comparator

Inclusion
I. For head-to-head RCTs, head-to-head nRCTs, and prospective, 
controlled cohort studies (all KQs): Any active intervention listed 
above
II. For additional observational studies of harms (i.e., overall [KQ 3] 
and among subgroups [KQ 4]: Any active intervention listed above or no 
comparator (e.g., postmarketing surveillance study of an active 
intervention with no comparison group)
III. For double-blinded, placebo-controlled trials for network meta-
analysis (all KQs): Placebo
Exclusion
    All other comparisons, including active interventions not listed 
above.

Outcomes

Inclusion
I. KQs 1, 4: Disease activity, radiographic joint damage, remission
II. KQs 2, 4: Functional capacity, quality of life, patient-reported 
symptoms
III. KQs 3, 4: Overall risk of harms, overall discontinuation, 
discontinuation because of adverse effects, risk of serious adverse 
effects, specific adverse effects, patient adherence
Exclusion
    All other outcomes not listed.

Timing

Inclusion
    All KQs: At least 3 months of treatment.
Exclusion
    <3 months treatment.

[[Page 29085]]

Settings

Inclusion
    All KQs: Outpatients.
Exclusion
    Inpatients.

Country Setting

Inclusion
    All KQs: Any geographic area.
Exclusion
    None.

Study Designs

Inclusion
I. For all KQs (i.e., benefits and harms overall [KQs 1, 2, 3] and 
among subgroups [KQ 4]), we will include head-to head RCTs and nRCTs; 
prospective, controlled cohort studies (N >= 100); double-blinded, 
placebo-controlled trials for network meta-analysis; and SRs for 
identification of additional references only.
II. For studies of harms (i.e., overall [KQ 3] and among subgroups [KQ 
4]), we will also include any other observational study (e.g., cohort, 
case-control, large case series, post marketing surveillance) (N >= 
100).
Exclusion
    All other designs not listed.

Publication Language

Inclusion
    All KQs: English.
Exclusion
    Languages other than English.

Sharon B. Arnold,
Deputy Director.
[FR Doc. 2017-13395 Filed 6-26-17; 8:45 am]
 BILLING CODE 4160-90-P



                                                                                 Federal Register / Vol. 82, No. 122 / Tuesday, June 27, 2017 / Notices                                             29083

                                                  these priority populations are                          matters related to AHRQ’s conduct of its               AHRQ’s Evidence-based Practice
                                                  encouraged.                                             mission including providing guidance                   Centers (EPC) Program. Access to
                                                                                                          on (A) priorities for health care research,            published and unpublished pertinent
                                                  Sharon B. Arnold,
                                                                                                          (B) the field of health care research                  scientific information will improve the
                                                  Deputy Director.                                        including training needs and                           quality of this review.
                                                  [FR Doc. 2017–13396 Filed 6–26–17; 8:45 am]             information dissemination on health                    DATES: Submission Deadline on or
                                                  BILLING CODE 4160–90–P                                  care quality and (C) the role of the                   before July 27, 2017.
                                                                                                          Agency in light of private sector activity             ADDRESSES: Email submissions:
                                                                                                          and opportunities for public private                   SEADS@epc-src.org.
                                                  DEPARTMENT OF HEALTH AND                                partnerships. The Council is composed
                                                  HUMAN SERVICES                                                                                                    Print submissions:
                                                                                                          of members of the public, appointed by                    Mailing Address: Portland VA
                                                  Agency for Healthcare Research and                      the Secretary, and Federal ex-officio                  Research Foundation, Scientific
                                                  Quality                                                 members specified in the authorizing                   Resource Center, ATTN: Scientific
                                                                                                          legislation.                                           Information Packet Coordinator, P.O.
                                                  Meeting of the National Advisory                        II. Agenda                                             Box 69539, Portland, OR 97239.
                                                  Council for Healthcare Research and                                                                               Shipping Address (FedEx, UPS, etc.):
                                                  Quality                                                    On Wednesday, July 26, 2017, there                  Portland VA Research Foundation,
                                                                                                          will be a subcommittee meeting for the                 Scientific Resource Center, ATTN:
                                                  AGENCY: Agency for Healthcare Research                  National Healthcare Quality and                        Scientific Information Packet
                                                  and Quality (AHRQ), HHS.                                Disparities Report scheduled to begin at               Coordinator, 3710 SW U.S. Veterans
                                                  ACTION: Notice of public meeting.                       7:30 a.m. This meeting is open to the                  Hospital Road, Mail Code: R&D 71,
                                                                                                          public. The Council meeting will                       Portland, OR 97239.
                                                  SUMMARY:     In accordance with the                     convene at 8:30 a.m., with the call to
                                                                                                                                                                 FOR FURTHER INFORMATION CONTACT:
                                                  Federal Advisory Committee Act, this                    order by the Council Chair and approval
                                                  notice announces a meeting of the                                                                              Ryan McKenna, Telephone: 503–220–
                                                                                                          of previous Council summary notes. The
                                                  National Advisory Council for                                                                                  8262 ext. 51723 or Email: SEADS@epc-
                                                                                                          meeting is open to the public and will
                                                  Healthcare Research and Quality.                                                                               src.org.
                                                                                                          be available via webcast at
                                                                                                                                                                 SUPPLEMENTARY INFORMATION: AHRQ is
                                                  DATES: The meeting will be held on                      www.webconferences.com/ahrq. The
                                                  Wednesday, July 26, 2017, from 8:30                     meeting will begin with an update on                   conducting this systematic review
                                                  a.m. to 2:45 p.m.                                       AHRQ’s current research, programs, and                 pursuant to Section 902(a) of the Public
                                                                                                          initiatives. The agenda will also include              Health Service Act, 42 U.S.C. 299a(a).
                                                  ADDRESSES: The meeting will be held at
                                                                                                          an update on AHRQ’s work in learning                   The Agency for Healthcare Research and
                                                  AHRQ, 5600 Fishers Lane, Rockville,                                                                            Quality has commissioned the
                                                  Maryland, 20857.                                        health care systems and AHRQ’s
                                                                                                          EvidenceNOW initiative, and will focus                 Evidence-based Practice Centers (EPC)
                                                  FOR FURTHER INFORMATION CONTACT:                                                                               Program to complete a review of the
                                                  Jaime Zimmerman, Designated                             on the use of AHRQ data and analytics
                                                                                                          to answer emerging policy questions.                   evidence for Drug Therapy for Early
                                                  Management Official, at the Agency for                                                                         Rheumatoid Arthritis in Adults—An
                                                  Healthcare Research and Quality, 5600                   The final agenda will be available on the
                                                                                                          AHRQ Web site at www.AHRQ.gov no                       Update.
                                                  Fishers Lane, Mail Stop 06E37A,                                                                                   The EPC Program is dedicated to
                                                  Rockville, Maryland 20857, (301) 427–                   later than Wednesday, July 19, 2017.
                                                                                                                                                                 identifying as many studies as possible
                                                  1456. For press-related information,                    Sharon B. Arnold,                                      that are relevant to the questions for
                                                  please contact Alison Hunt at (301) 427–                Deputy Director.                                       each of its reviews. In order to do so, we
                                                  1244 or Alison.Hunt@ahrq.hhs.gov.                       [FR Doc. 2017–13393 Filed 6–26–17; 8:45 am]            are supplementing the usual manual
                                                     If sign language interpretation or other             BILLING CODE 4160–90–P                                 and electronic database searches of the
                                                  reasonable accommodation for a                                                                                 literature by requesting information
                                                  disability is needed, please contact the                                                                       from the public (e.g., details of studies
                                                  Food and Drug Administration (FDA)                      DEPARTMENT OF HEALTH AND                               conducted). We are looking for studies
                                                  Office of Equal Employment                              HUMAN SERVICES                                         that report on Drug Therapy for Early
                                                  Opportunity and Diversity Management                                                                           Rheumatoid Arthritis in Adults—An
                                                  on (301) 827–4840, no later than                        Agency for Healthcare Research and                     Update, including those that describe
                                                  Wednesday, July 19, 2017. The agenda,                   Quality                                                adverse events. The entire research
                                                  roster, and minutes will be available                                                                          protocol, including the key questions, is
                                                  from Ms. Bonnie Campbell, Committee                     Supplemental Evidence and Data                         also available online at: https://effective
                                                  Management Officer, Agency for                          Request on Drug Therapy for Early                      healthcare.ahrq.gov/search-for-guides-
                                                  Healthcare Research and Quality, 5600                   Rheumatoid Arthritis in Adults—An                      reviews-and-reports/?pageaction=
                                                  Fishers Lane, Rockville, Maryland                       Update                                                 displayproduct&productID=2475.
                                                  20857. Ms. Campbell’s phone number is                   AGENCY:  Agency for Healthcare Research                   This is to notify the public that the
                                                  (301) 427–1554.                                         and Quality (AHRQ), HHS.                               EPC Program would find the following
                                                  SUPPLEMENTARY INFORMATION:                              ACTION: Request for supplemental                       information on Drug Therapy for Early
                                                                                                          evidence and data submissions.                         Rheumatoid Arthritis in Adults—An
                                                  I. Purpose
                                                                                                                                                                 Update helpful:
                                                    The National Advisory Council for                     SUMMARY:    The Agency for Healthcare                     D A list of completed studies that
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                                                  Healthcare Research and Quality is                      Research and Quality (AHRQ) is seeking                 your organization has sponsored for this
                                                  authorized by Section 941 of the Public                 scientific information submissions from                indication. In the list, please indicate
                                                  Health Service Act, 42 U.S.C. 299c. In                  the public. Scientific information is                  whether results are available on
                                                  accordance with its statutory mandate,                  being solicited to inform our review of                ClinicalTrials.gov along with the
                                                  the Council is to advise the Secretary of               Drug Therapy for Early Rheumatoid                      ClinicalTrials.gov trial number.
                                                  the Department of Health and Human                      Arthritis in Adults—An Update, which                      D For completed studies that do not
                                                  Services and the Director of AHRQ on                    is currently being conducted by the                    have results on ClinicalTrials.gov,


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                                                  29084                          Federal Register / Vol. 82, No. 122 / Tuesday, June 27, 2017 / Notices

                                                  please provide a summary, including                     KQ 3                                                      C. TNF biologics: Adalimumab,
                                                  the following elements: Study number,                     For patients with early RA, do drug                       certolizumab pegol, etanercept,
                                                  study period, design, methodology,                      therapies differ in harms, tolerability,                    golimumab, infliximab
                                                  indication and diagnosis, proper use                    patient adherence, or adverse effects?                    D. Non-TNF biologics: Abatacept,
                                                  instructions, inclusion and exclusion                                                                               rituximab, tocilizumab
                                                  criteria, primary and secondary                         KQ 4                                                      E. tsDMARDs: Tofacitinib
                                                  outcomes, baseline characteristics,                        What are the comparative benefits and                  F. Biosimilars: Adalimumab-atto,
                                                  number of patients screened/eligible/                   harms of drug therapies for early RA in                     infliximab-dyyb, infliximab-abda,
                                                  enrolled/lost to follow-up/withdrawn/                   subgroups of patients based on disease                      etanercept-szzs
                                                  analyzed, effectiveness/efficacy, and                   activity, prior therapy, demographics
                                                  safety results.                                                                                                II. Under review by FDA
                                                                                                          (e.g., women in their childbearing
                                                     D A list of ongoing studies that your                                                                          A. Non-TNF biologics: Sarilumab,
                                                                                                          years), concomitant therapies, and
                                                  organization has sponsored for this                                                                                 sirukumab
                                                                                                          presence of other serious conditions?
                                                  indication. In the list, please provide the
                                                                                                                                                                 Exclusion
                                                  ClinicalTrials.gov trial number or, if the              Contextual Questions (CQs)
                                                  trial is not registered, the protocol for                 Contextual questions are not                            Anakinra is excluded because,
                                                  the study including a study number, the                 systematically reviewed and use a ‘‘best               although it is approved for RA,
                                                  study period, design, methodology,                      evidence’’ approach. Information about                 clinically it is not used anymore for this
                                                  indication and diagnosis, proper use                    the contextual questions may be                        population.
                                                  instructions, inclusion and exclusion
                                                                                                          included as part of the introduction or                Comparator
                                                  criteria, and primary and secondary
                                                                                                          discussion section and related as
                                                  outcomes.                                                                                                      Inclusion
                                                     D Description of whether the above                   appropriate to the Systematic Review.
                                                  studies constitute ALL Phase II and                     CQ 1                                                   I. For head-to-head RCTs, head-to-head
                                                  above clinical trials sponsored by your                                                                              nRCTs, and prospective, controlled
                                                                                                            Does treatment of early RA improve                         cohort studies (all KQs): Any active
                                                  organization for this indication and an
                                                                                                          disease trajectory and disease outcomes                      intervention listed above
                                                  index outlining the relevant information
                                                                                                          compared with the trajectory or                        II. For additional observational studies
                                                  in each submitted file.
                                                     Your contribution will be very                       outcomes of treatment of established                         of harms (i.e., overall [KQ 3] and
                                                  beneficial to the EPC Program. Materials                RA?                                                          among subgroups [KQ 4]: Any
                                                  submitted must be publicly available or                 CQ 2                                                         active intervention listed above or
                                                  able to be made public. Materials that                                                                               no comparator (e.g., postmarketing
                                                                                                            What barriers prevent individuals
                                                  are considered confidential; marketing                                                                               surveillance study of an active
                                                                                                          with early RA from obtaining access to
                                                  materials; study types not included in                                                                               intervention with no comparison
                                                                                                          indicated drug therapies?
                                                  the review; or information on                                                                                        group)
                                                  indications not included in the review                  PICOTS (Populations, Interventions,                    III. For double-blinded, placebo-
                                                  cannot be used by the EPC Program.                      Comparators, Outcomes, Timing,                               controlled trials for network meta-
                                                  This is a voluntary request for                         Settings)                                                    analysis (all KQs): Placebo
                                                  information, and all costs for complying
                                                  with this request must be borne by the                  Populations                                            Exclusion
                                                  submitter.                                              Inclusion                                                All other comparisons, including
                                                     The draft of this review will be posted                                                                     active interventions not listed above.
                                                  on AHRQ’s EPC Program Web site and                      I. All KQs: Adult outpatients ages 19 or
                                                  available for public comment for a                           older with an early RA diagnosis,                 Outcomes
                                                  period of 4 weeks. If you would like to                      defined as 1 year or less from
                                                                                                               disease diagnosis; we will include                Inclusion
                                                  be notified when the draft is posted,
                                                  please sign up for the email list at:                        studies with mixed populations if                 I. KQs 1, 4: Disease activity,
                                                  https://www.effectivehealthcare.ahrq.                        >50% of study populations had an                        radiographic joint damage,
                                                  gov/index.cfm/join-the-email-list1/.                         early RA diagnosis                                      remission
                                                     The systematic review will answer the                II. KQ 4 only: Subpopulations by age,
                                                                                                                                                                 II. KQs 2, 4: Functional capacity, quality
                                                  following questions. This information is                     sex/gender, race/ethnicity, disease
                                                                                                                                                                       of life, patient-reported symptoms
                                                  provided as background. AHRQ is not                          activity, prior therapies,
                                                                                                               concomitant therapies, and other                  III. KQs 3, 4: Overall risk of harms,
                                                  requesting that the public provide                                                                                   overall discontinuation,
                                                  answers to these questions.                                  serious conditions
                                                                                                                                                                       discontinuation because of adverse
                                                  The Key Questions                                       Exclusion                                                    effects, risk of serious adverse
                                                                                                            Adolescents and adult patients with                        effects, specific adverse effects,
                                                  Key Question (KQ) 1
                                                                                                          disease greater than 1 year from                             patient adherence
                                                    For patients with early Rheumatoid                    diagnosis.
                                                  Arthritis (RA), do drug therapies differ                                                                       Exclusion
                                                  in their ability to reduce disease                      Intervention/Exposure                                    All other outcomes not listed.
                                                  activity, slow or limit the progression of              Inclusion
                                                  radiographic joint damage, or induce                                                                           Timing
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                                                  remission?                                              I. FDA approved                                        Inclusion
                                                                                                             A. Corticosteroids:
                                                  KQ 2                                                         Methylprednisolone, prednisone,                      All KQs: At least 3 months of
                                                    For patients with early RA, do drug                        prednisolone                                      treatment.
                                                  therapies differ in their ability to                       B. csDMARDs: Hydroxychloroquine,                    Exclusion
                                                  improve patient-reported symptoms,                           leflunomide, methotrexate,
                                                  functional capacity, or quality of life?                     sulfasalazine                                       <3 months treatment.


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                                                                                 Federal Register / Vol. 82, No. 122 / Tuesday, June 27, 2017 / Notices                                             29085

                                                  Settings                                                scientific information submissions from                pageaction=displayproduct&
                                                                                                          the public. Scientific information is                  productid=2478.
                                                  Inclusion                                                                                                         This is to notify the public that the
                                                                                                          being solicited to inform our review of
                                                     All KQs: Outpatients.                                Psychological and Pharmacological                      EPC Program would find helpful the
                                                                                                          Treatments for Adults with                             following information on Psychological
                                                  Exclusion
                                                                                                          Posttraumatic Stress Disorder (PTSD): A                and Pharmacological Treatments for
                                                     Inpatients.                                          Systematic Review Update, which is                     Adults with Posttraumatic Stress
                                                  Country Setting                                         currently being conducted by the                       Disorder (PTSD): A Systematic Review
                                                                                                          AHRQ’s Evidence-based Practice                         Update:
                                                  Inclusion                                               Centers (EPC) Program. Access to                          D A list of completed studies that
                                                     All KQs: Any geographic area.                        published and unpublished pertinent                    your organization has sponsored for this
                                                                                                          scientific information will improve the                indication. In the list, please indicate
                                                  Exclusion                                               quality of this review.                                whether results are available on
                                                     None.                                                                                                       ClinicalTrials.gov along with the
                                                                                                          DATES: Submission Deadline on or
                                                                                                                                                                 ClinicalTrials.gov trial number.
                                                  Study Designs                                           before July 27, 2017.                                       D For completed studies that do not
                                                                                                          ADDRESSES:                                             have results on ClinicalTrials.gov,
                                                  Inclusion
                                                                                                             Email submissions: SEADS@epc-                       please provide a summary, including
                                                  I. For all KQs (i.e., benefits and harms                src.org.                                               the following elements: Study number,
                                                       overall [KQs 1, 2, 3] and among                       Print submissions:                                  study period, design, methodology,
                                                       subgroups [KQ 4]), we will include                    Mailing Address: Portland VA                        indication and diagnosis, proper use
                                                       head-to head RCTs and nRCTs;                       Research Foundation, Scientific                        instructions, inclusion and exclusion
                                                       prospective, controlled cohort                     Resource Center, ATTN: Scientific                      criteria, primary and secondary
                                                       studies (N ≥ 100); double-blinded,                 Information Packet Coordinator, P.O.                   outcomes, baseline characteristics,
                                                       placebo-controlled trials for                      Box 69539, Portland, OR 97239.                         number of patients screened/eligible/
                                                       network meta-analysis; and SRs for                    Shipping Address (FedEx, UPS, etc.):                enrolled/lost to follow-up/withdrawn/
                                                       identification of additional                       Portland VA Research Foundation,                       analyzed, effectiveness/efficacy, and
                                                       references only.                                   Scientific Resource Center, ATTN:                      safety results.
                                                  II. For studies of harms (i.e., overall [KQ             Scientific Information Packet                             D A list of ongoing studies that your
                                                       3] and among subgroups [KQ 4]),                    Coordinator, 3710 SW U.S. Veterans                     organization has sponsored for this
                                                       we will also include any other                     Hospital Road, Mail Code: R&D 71,                      indication. In the list, please provide the
                                                       observational study (e.g., cohort,                 Portland, OR 97239.                                    ClinicalTrials.gov trial number or, if the
                                                       case-control, large case series, post                                                                     trial is not registered, the protocol for
                                                                                                          FOR FURTHER INFORMATION CONTACT:
                                                       marketing surveillance) (N ≥ 100).                                                                        the study including a study number, the
                                                                                                          Ryan McKenna, Telephone: 503–220–
                                                  Exclusion                                               8262 ext. 51723 or Email: SEADS@epc-                   study period, design, methodology,
                                                                                                          src.org.                                               indication and diagnosis, proper use
                                                     All other designs not listed.                                                                               instructions, inclusion and exclusion
                                                                                                          SUPPLEMENTARY INFORMATION: The                         criteria, and primary and secondary
                                                  Publication Language                                    Agency for Healthcare Research and                     outcomes.
                                                  Inclusion                                               Quality has commissioned the                              D Description of whether the above
                                                                                                          Evidence-based Practice Centers (EPC)                  studies constitute ALL Phase II and
                                                     All KQs: English.
                                                                                                          Program to complete a review of the                    above clinical trials sponsored by your
                                                  Exclusion                                               evidence for Psychological and                         organization for this indication and an
                                                     Languages other than English.                        Pharmacological Treatments for Adults                  index outlining the relevant information
                                                                                                          with Posttraumatic Stress Disorder                     in each submitted file.
                                                  Sharon B. Arnold,                                       (PTSD): A Systematic Review Update.                       Your contribution will be very
                                                  Deputy Director.                                        AHRQ is conducting this systematic                     beneficial to the EPC Program. Materials
                                                  [FR Doc. 2017–13395 Filed 6–26–17; 8:45 am]             review pursuant to Section 902(a) of the               submitted must be publicly available or
                                                  BILLING CODE 4160–90–P                                  Public Health Service Act, 42 U.S.C.                   able to be made public. Materials that
                                                                                                          299a(a).                                               are considered confidential; marketing
                                                                                                             The EPC Program is dedicated to                     materials; study types not included in
                                                  DEPARTMENT OF HEALTH AND                                identifying as many studies as possible                the review; or information on
                                                  HUMAN SERVICES                                          that are relevant to the questions for                 indications not included in the review
                                                                                                          each of its reviews. In order to do so, we             cannot be used by the EPC Program.
                                                  Agency for Healthcare Research and                      are supplementing the usual manual                     This is a voluntary request for
                                                  Quality                                                 and electronic database searches of the                information, and all costs for complying
                                                                                                          literature by requesting information                   with this request must be borne by the
                                                  Supplemental Evidence and Data
                                                                                                          from the public (e.g., details of studies              submitter.
                                                  Request on Psychological and
                                                                                                          conducted). We are looking for studies                    The draft of this review will be posted
                                                  Pharmacological Treatments for Adults
                                                                                                          that report on Psychological and                       on AHRQ’s EPC Program Web site and
                                                  With Posttraumatic Stress Disorder
                                                                                                          Pharmacological Treatments for Adults                  available for public comment for a
                                                  (PTSD): A Systematic Review Update
                                                                                                          with Posttraumatic Stress Disorder                     period of 4 weeks. If you would like to
mstockstill on DSK30JT082PROD with NOTICES




                                                  AGENCY:  Agency for Healthcare Research                 (PTSD): A Systematic Review Update,                    be notified when the draft is posted,
                                                  and Quality (AHRQ), HHS.                                including those that describe adverse                  please sign up for the email list at:
                                                  ACTION: Request for supplemental                        events. The entire research protocol,                  https://www.effectivehealthcare.
                                                  evidence and data submissions.                          including the key questions, is also                   ahrq.gov/index.cfm/join-the-
                                                                                                          available online at: https://                          email-list1/.
                                                  SUMMARY:  The Agency for Healthcare                     effectivehealthcare.ahrq.gov/index.cfm/                   The systematic review will answer the
                                                  Research and Quality (AHRQ) is seeking                  search-for-guides-reviews-and-reports/?                following questions. This information is


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Document Created: 2018-11-14 10:14:31
Document Modified: 2018-11-14 10:14:31
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
ActionRequest for supplemental evidence and data submissions.
DatesSubmission Deadline on or before July 27, 2017.
ContactRyan McKenna, Telephone: 503-220-8262 ext. 51723 or Email: [email protected]
FR Citation82 FR 29083 

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