82_FR_42730 82 FR 42557 - Self-Collection Devices for Pap Test; Public Workshop; Request for Comments

82 FR 42557 - Self-Collection Devices for Pap Test; Public Workshop; Request for Comments

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 82, Issue 173 (September 8, 2017)

Page Range42557-42559
FR Document2017-19029

The Food and Drug Administration (FDA, the Agency, or we) is announcing the following public workshop entitled ``Self-Collection Devices for Pap Test.'' The purpose of the public workshop is to obtain feedback about the feasibility, benefits, risks, impact on current standard of care, and least burdensome validation approaches for self- collection devices for cervical samples for the purpose of cervical cancer screening by Pap testing. Comments and suggestions generated through this workshop will guide the development of an appropriate least burdensome regulatory framework for the evaluation of cervical sample self-collection devices to be used for cervical cancer screening of patients.

Federal Register, Volume 82 Issue 173 (Friday, September 8, 2017)
[Federal Register Volume 82, Number 173 (Friday, September 8, 2017)]
[Notices]
[Pages 42557-42559]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-19029]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2017-N-4790]


Self-Collection Devices for Pap Test; Public Workshop; Request 
for Comments

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of public workshop; request for comments.

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

SUMMARY: The Food and Drug Administration (FDA, the Agency, or we) is 
announcing the following public workshop entitled ``Self-Collection 
Devices for Pap Test.'' The purpose of the public workshop is to obtain 
feedback about the feasibility, benefits, risks, impact on current 
standard of care, and least burdensome validation approaches for self-
collection devices for cervical samples for the purpose of cervical 
cancer screening by Pap testing. Comments and suggestions generated 
through this workshop will guide the development of an appropriate 
least burdensome regulatory framework for the evaluation of cervical 
sample self-collection devices to be used for cervical cancer screening 
of patients.

DATES: The public workshop will be held on January 11, 2018, from 9 
a.m. to 4 p.m. Submit either electronic or written comments on this 
public workshop by February 14, 2018.

ADDRESSES: The public workshop will be held at FDA's White Oak Campus, 
10903 New Hampshire Ave., Building 31 Conference Center, the Great Room 
(Rm. 1503), Silver Spring, MD 20993-0002. 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 https://www.fda.gov/AboutFDA/WorkingatFDA/BuildingsandFacilities/WhiteOakCampusInformation/ucm241740.htm. See the SUPPLEMENTARY INFORMATION section for 
registration date and information.
    You may submit comments as follows. Please note that late, untimely 
filed comments will not be considered. Electronic comments must be 
submitted on or before February 14, 2018. The https://www.regulations.gov electronic filing system will accept comments until 
midnight Eastern Time at the end of February 14, 2018. Comments 
received by mail/hand delivery/courier (for written/paper submissions) 
will be considered timely if they are postmarked or the delivery 
service acceptance receipt is on or before that date.

Electronic Submissions

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

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Dockets 
Management Staff, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2017-N-4790 for ``Self-Collection Devices for Pap Test.'' Received 
comments, those filed in a timely manner (see ADDRESSES), will be 
placed in the docket and, except for those submitted as ``Confidential 
Submissions,'' publicly viewable at https://www.regulations.gov or at 
the Dockets Management Staff between 9 a.m. and 4 p.m., Monday through 
Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on https://www.regulations.gov. 
Submit both copies to the Dockets Management Staff. If you do not wish 
your name and contact information to be made publicly available, you 
can provide this information on the cover sheet and not in the body of 
your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: https://www.thefederalregister.org/fdsys/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to https://

[[Page 42558]]

www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: Shyam Kalavar (Rm. 5660, 301-796-6807, 
[email protected]) or Cheng Cui (Rm. 5543, 240-402-5028, 
[email protected]), Center for Devices and Radiological Health, 
Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, 
Silver Spring, MD 20993-0002.

SUPPLEMENTARY INFORMATION:

I. Background

    Cervical cancer is a disease that results from uncontrolled, or 
abnormal, growth of cells in the cervix. Cervical cancer is generally 
considered as a consequence of a long-term infection with human 
papillomavirus (HPV), especially with high-risk strains such as HPV16 
and 18. Through regular screening and early detection, cervical cancer 
can often be prevented. According to the National Cancer Institute, 
routine screening with Pap Test (or Pap smear) and HPV Test in the 
United States has decreased the incidence of cervical cancer, based on 
an estimated 12,820 new cases and 4,210 deaths (0.7 percent of all 
cancer deaths) in 2017 (Ref. 1).
    The standard of care for cervical cancer screening has been well-
established in the United States over the past several decades. 
Automated liquid-based Pap Test has largely replaced conventional Pap 
smear method. Liquid-based cervical specimens can be used for both Pap 
Test and HPV Test. By using specimen collection devices such as a 
cervical broom or cervical spatula and brush combination, cervical 
specimens are collected by healthcare professionals and sent to a 
Clinical Laboratory Improvement Amendments certified laboratory for 
processing for Pap Test and HPV Test. The results of these tests are 
then returned to the ordering clinician who conveys the results to the 
patient and initiates appropriate treatment.
    Despite the established standard of care for cervical cancer 
screening in the United States, gaps in cervical cancer screening 
exist. Barriers to cervical cancer screening may include limited access 
to such services in rural areas, socioeconomic status, etc. As a 
result, in certain populations and geographic areas of the United 
States, cervical cancer incidence and death rate are still high, due in 
large part to limited access to cervical cancer screening (Refs. 2-3).
    The role of self-sampling in overcoming these barriers is unclear. 
Careful evaluation of risks and benefits, and impact to current 
standard of care is needed to better understand issues concerning how 
such devices should be dispensed to end users for self-collection, 
proper use of the device to ensure patient safety, the collection of 
adequate samples for testing, the use of these test results in patient 
care, and the impact on the current regulatory framework. FDA is 
holding this public workshop to solicit input from stakeholders about 
the self-collection of cervical specimens for cancer screening, 
including its feasibility, benefits, risks, current attitudes, and 
impact on current standard of care.

II. Topics for Discussion at the Public Workshop

    This public workshop will consist of both morning and afternoon 
sessions. Each session will include brief presentations followed by an 
interactive panel discussion. The presentations will provide 
information to outline the goals of the workshop and help promote 
interactive discussions. Following the presentations, there will be a 
moderated discussion where speakers and additional panelists will be 
asked to provide their individual perspectives.
    The presentations and discussions will focus on several related 
topics. The morning session will involve scientific considerations, 
focusing on the current status of cervical cancer screening and the 
feasibility, benefits, and risks of self-collection of cervical 
specimens for Pap Test. The afternoon session will involve validation 
and regulatory considerations, focusing on the impact of self-
collection of cervical samples on the current standard of care and the 
regulatory environment for supporting self-collection for Pap Test. A 
detailed agenda will be posted on the following Web site in advance of 
the workshop: https://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm.

III. Participating in the Public Workshop

    Registration: To register for the public workshop, please visit 
FDA's Medical Devices News & Events--Workshops & Conferences calendar 
(https://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm) and select this event from the list of items provided. 
Please provide complete contact information for each attendee, 
including name, title, affiliation, address, email, and telephone 
number.
    Registration is free and based on space availability, with priority 
given to early registrants. Persons interested in attending this public 
workshop must register by January 3, 2018, 4 p.m. Eastern Time. Early 
registration is recommended because seating is limited; therefore, FDA 
may limit the number of participants from each organization. 
Registrants will receive confirmation when they have been accepted. If 
time and space permit, onsite registration on the day of the public 
workshop will be provided beginning at 8 a.m. We will let registrants 
know if registration closes before the day of the public workshop.
    If you need special accommodations due to a disability, please 
contact Susan Monahan, 301-796-5661 or email [email protected], 
no later than December 28, 2017.
    Requests for Oral Presentations: During online registration you may 
indicate if you wish to present during a public comment session or 
participate in a specific session, and which topic(s) you wish to 
address. We will do our best to accommodate requests to make public 
comments. Individuals and organizations with common interests are urged 
to consolidate or coordinate their presentations, and request time for 
a joint presentation, or submit requests for designated representatives 
to participate in the focused sessions. Following the close of 
registration, we will determine the amount of time allotted to each 
presenter and the approximate time each oral presentation is to begin, 
and will select and notify participants prior to the workshop. All 
requests to make oral presentations must be received by the close of 
registration on January 3, 2018, 4 p.m. Eastern Time. If selected for 
presentation, any presentation materials must be emailed to Shyam 
Kalavar and Cheng Cui (see FOR FURTHER INFORMATION CONTACT) in advance 
of the workshop. No commercial or promotional material will be 
permitted to be presented or distributed at the public workshop.
    Streaming webcast of the public workshop: This public workshop will 
also be webcast. The webcast link will be available on the registration 
web page after January 3, 2018. Organizations are requested to register 
all participants, but to view using one connection per location.
    If you have never attended a Connect Pro event before, test your 
connection at https://collaboration.fda.gov/common/help/en/support/meeting_test.htm. To get a quick overview of the Connect Pro program, 
visit https://www.adobe.com/

[[Page 42559]]

go/connectpro_overview. FDA has verified the Web site addresses in this 
document, as of the date this document publishes in the Federal 
Register, but Web sites are subject to change over time.
    Transcripts: Please be advised that as soon as a transcript of the 
public workshop is available, it will be accessible at https://www.regulations.gov. It may be viewed at the Dockets Management Staff 
(see ADDRESSES). A link to the transcript will also be available on the 
Internet at https://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm.

IV. References

    The following references are on display in the Dockets Management 
Staff (see ADDRESSES) and are available for viewing by interested 
persons between 9 a.m. and 4 p.m., Monday through Friday; they are also 
available electronically at https://www.regulations.gov. FDA has 
verified the Web site addresses, as of the date this document publishes 
in the Federal Register, but Web sites are subject to change over time.

1. National Cancer Institute, ``Cancer Stat Facts: Cervix Uteri 
Cancer,'' (http://seer.cancer.gov/statfacts/html/cervix.html).
2. Horner, M.J., S.F. Altekruse, Z. Zou, L. Wideroff, et al. ``U.S. 
Geographic Distribution of Pre-Vaccine Era Cervical Cancer 
Screening, Incidence, Stage, and Mortality.'' Cancer Epidemiology, 
Biomarkers & Prevention. 2011 Jan.; 20(4):591-9. doi: 10.1158/1055-
9965. EPI-10-1183.
3. Freeman, H.W.B. ``Excess Cervical Cancer Mortality: A Marker for 
Low Access to Health Care in Poor Communities.'' Rockville (MD): 
National Cancer Institute, Center to Reduce Cancer Health 
Disparities; 2005.

    Dated: September 1, 2017.
Anna K. Abram,
Deputy Commissioner for Policy, Planning, Legislation, and Analysis.
[FR Doc. 2017-19029 Filed 9-7-17; 8:45 am]
BILLING CODE 4164-01-P



                                                                            Federal Register / Vol. 82, No. 173 / Friday, September 8, 2017 / Notices                                          42557

                                                  Estimated Total Annual Burden                         DATES:  The public workshop will be                   Written/Paper Submissions
                                                Hours: 2,050.                                           held on January 11, 2018, from 9 a.m.                    Submit written/paper submissions as
                                                  Additional Information: Copies of the                 to 4 p.m. Submit either electronic or                 follows:
                                                proposed collection may be obtained by                  written comments on this public                          • Mail/Hand delivery/Courier (for
                                                writing to the Administration for                       workshop by February 14, 2018.                        written/paper submissions): Dockets
                                                Children and Families, Office of                        ADDRESSES: The public workshop will                   Management Staff (HFA–305), Food and
                                                Planning, Research and Evaluation, 330                  be held at FDA’s White Oak Campus,                    Drug Administration, 5630 Fishers
                                                C Street SW., Washington, DC 20201.                     10903 New Hampshire Ave., Building                    Lane, Rm. 1061, Rockville, MD 20852.
                                                Attention Reports Clearance Officer. All                31 Conference Center, the Great Room                     • For written/paper comments
                                                requests should be identified by the title              (Rm. 1503), Silver Spring, MD 20993–                  submitted to the Dockets Management
                                                of the information collection. Email                    0002. Entrance for the public workshop                Staff, FDA will post your comment, as
                                                address: infocollection@acf.hhs.gov.                    participants (non-FDA employees) is                   well as any attachments, except for
                                                  OMB Comment: OMB is required to                       through Building 1 where routine                      information submitted, marked and
                                                make a decision concerning the                          security check procedures will be                     identified, as confidential, if submitted
                                                collection of information between 30                    performed. For parking and security                   as detailed in ‘‘Instructions.’’
                                                and 60 days after publication of this                   information, please refer to https://                    Instructions: All submissions received
                                                document in the Federal Register.                       www.fda.gov/AboutFDA/Working                          must include the Docket No. FDA–
                                                Therefore, a comment is best assured of                 atFDA/BuildingsandFacilities/White                    2017–N–4790 for ‘‘Self-Collection
                                                having its full effect if OMB receives it               OakCampusInformation/                                 Devices for Pap Test.’’ Received
                                                within 30 days of publication. Written                  ucm241740.htm. See the                                comments, those filed in a timely
                                                comments and recommendations for the                    SUPPLEMENTARY INFORMATION section for                 manner (see ADDRESSES), will be placed
                                                proposed information collection should                  registration date and information.                    in the docket and, except for those
                                                be sent directly to the following: Office                  You may submit comments as                         submitted as ‘‘Confidential
                                                of Management and Budget, Paperwork                     follows. Please note that late, untimely              Submissions,’’ publicly viewable at
                                                Reduction Project, Email: OIRA_                         filed comments will not be considered.                https://www.regulations.gov or at the
                                                SUBMISSION@OMB.EOP.GOV, Attn:                           Electronic comments must be submitted                 Dockets Management Staff between 9
                                                Desk Officer for the Administration for                 on or before February 14, 2018. The
                                                                                                                                                              a.m. and 4 p.m., Monday through
                                                Children and Families.                                  https://www.regulations.gov electronic
                                                                                                                                                              Friday.
                                                                                                        filing system will accept comments                       • Confidential Submissions—To
                                                Robert Sargis,                                          until midnight Eastern Time at the end
                                                Reports Clearance Officer.                                                                                    submit a comment with confidential
                                                                                                        of February 14, 2018. Comments
                                                                                                                                                              information that you do not wish to be
                                                [FR Doc. 2017–19061 Filed 9–7–17; 8:45 am]              received by mail/hand delivery/courier
                                                                                                                                                              made publicly available, submit your
                                                BILLING CODE 4184–01–P                                  (for written/paper submissions) will be
                                                                                                                                                              comments only as a written/paper
                                                                                                        considered timely if they are
                                                                                                                                                              submission. You should submit two
                                                                                                        postmarked or the delivery service
                                                DEPARTMENT OF HEALTH AND                                                                                      copies total. One copy will include the
                                                                                                        acceptance receipt is on or before that
                                                HUMAN SERVICES                                                                                                information you claim to be confidential
                                                                                                        date.
                                                                                                                                                              with a heading or cover note that states
                                                Food and Drug Administration                            Electronic Submissions                                ‘‘THIS DOCUMENT CONTAINS
                                                                                                          Submit electronic comments in the                   CONFIDENTIAL INFORMATION.’’ The
                                                [Docket No. FDA–2017–N–4790]                                                                                  Agency will review this copy, including
                                                                                                        following way:
                                                Self-Collection Devices for Pap Test;                     • Federal eRulemaking Portal:                       the claimed confidential information, in
                                                Public Workshop; Request for                            https://www.regulations.gov. Follow the               its consideration of comments. The
                                                Comments                                                instructions for submitting comments.                 second copy, which will have the
                                                                                                        Comments submitted electronically,                    claimed confidential information
                                                AGENCY:    Food and Drug Administration,                including attachments, to https://                    redacted/blacked out, will be available
                                                HHS.                                                    www.regulations.gov will be posted to                 for public viewing and posted on
                                                ACTION: Notice of public workshop;                      the docket unchanged. Because your                    https://www.regulations.gov. Submit
                                                request for comments.                                   comment will be made public, you are                  both copies to the Dockets Management
                                                                                                        solely responsible for ensuring that your             Staff. If you do not wish your name and
                                                SUMMARY:   The Food and Drug                            comment does not include any                          contact information to be made publicly
                                                Administration (FDA, the Agency, or                     confidential information that you or a                available, you can provide this
                                                we) is announcing the following public                  third party may not wish to be posted,                information on the cover sheet and not
                                                workshop entitled ‘‘Self-Collection                     such as medical information, your or                  in the body of your comments and you
                                                Devices for Pap Test.’’ The purpose of                  anyone else’s Social Security number, or              must identify this information as
                                                the public workshop is to obtain                        confidential business information, such               ‘‘confidential.’’ Any information marked
                                                feedback about the feasibility, benefits,               as a manufacturing process. Please note               as ‘‘confidential’’ will not be disclosed
                                                risks, impact on current standard of                    that if you include your name, contact                except in accordance with 21 CFR 10.20
                                                care, and least burdensome validation                   information, or other information that                and other applicable disclosure law. For
                                                approaches for self-collection devices                  identifies you in the body of your                    more information about FDA’s posting
                                                for cervical samples for the purpose of                 comments, that information will be                    of comments to public dockets, see 80
                                                cervical cancer screening by Pap testing.                                                                     FR 56469, September 18, 2015, or access
sradovich on DSK3GMQ082PROD with NOTICES




                                                                                                        posted on https://www.regulations.gov.
                                                Comments and suggestions generated                        • If you want to submit a comment                   the information at: https://www.gpo.gov/
                                                through this workshop will guide the                    with confidential information that you                fdsys/pkg/FR-2015-09-18/pdf/2015-
                                                development of an appropriate least                     do not wish to be made available to the               23389.pdf.
                                                burdensome regulatory framework for                     public, submit the comment as a                          Docket: For access to the docket to
                                                the evaluation of cervical sample self-                 written/paper submission and in the                   read background documents or the
                                                collection devices to be used for cervical              manner detailed (see ‘‘Written/Paper                  electronic and written/paper comments
                                                cancer screening of patients.                           Submissions’’ and ‘‘Instructions’’).                  received, go to https://


                                           VerDate Sep<11>2014   17:18 Sep 07, 2017   Jkt 241001   PO 00000   Frm 00018   Fmt 4703   Sfmt 4703   E:\FR\FM\08SEN1.SGM   08SEN1


                                                42558                       Federal Register / Vol. 82, No. 173 / Friday, September 8, 2017 / Notices

                                                www.regulations.gov and insert the                      high, due in large part to limited access             affiliation, address, email, and
                                                docket number, found in brackets in the                 to cervical cancer screening (Refs. 2–3).             telephone number.
                                                heading of this document, into the                         The role of self-sampling in                          Registration is free and based on
                                                ‘‘Search’’ box and follow the prompts                   overcoming these barriers is unclear.                 space availability, with priority given to
                                                and/or go to the Dockets Management                     Careful evaluation of risks and benefits,             early registrants. Persons interested in
                                                Staff, 5630 Fishers Lane, Rm. 1061,                     and impact to current standard of care                attending this public workshop must
                                                Rockville, MD 20852.                                    is needed to better understand issues                 register by January 3, 2018, 4 p.m.
                                                                                                        concerning how such devices should be                 Eastern Time. Early registration is
                                                FOR FURTHER INFORMATION CONTACT:
                                                                                                        dispensed to end users for self-                      recommended because seating is
                                                Shyam Kalavar (Rm. 5660, 301–796–
                                                                                                        collection, proper use of the device to               limited; therefore, FDA may limit the
                                                6807, Shyam.Kalavar@fda.hhs.gov) or                                                                           number of participants from each
                                                Cheng Cui (Rm. 5543, 240–402–5028,                      ensure patient safety, the collection of
                                                                                                        adequate samples for testing, the use of              organization. Registrants will receive
                                                Cheng.Cui@fda.hhs.gov), Center for                                                                            confirmation when they have been
                                                Devices and Radiological Health, Food                   these test results in patient care, and the
                                                                                                        impact on the current regulatory                      accepted. If time and space permit,
                                                and Drug Administration, 10903 New                                                                            onsite registration on the day of the
                                                Hampshire Ave., Bldg. 66, Silver Spring,                framework. FDA is holding this public
                                                                                                        workshop to solicit input from                        public workshop will be provided
                                                MD 20993–0002.                                                                                                beginning at 8 a.m. We will let
                                                                                                        stakeholders about the self-collection of
                                                SUPPLEMENTARY INFORMATION:                              cervical specimens for cancer screening,              registrants know if registration closes
                                                                                                        including its feasibility, benefits, risks,           before the day of the public workshop.
                                                I. Background                                                                                                    If you need special accommodations
                                                                                                        current attitudes, and impact on current
                                                  Cervical cancer is a disease that                     standard of care.                                     due to a disability, please contact Susan
                                                results from uncontrolled, or abnormal,                                                                       Monahan, 301–796–5661 or email
                                                growth of cells in the cervix. Cervical                 II. Topics for Discussion at the Public               Susan.Monahan@fda.hhs.gov, no later
                                                cancer is generally considered as a                     Workshop                                              than December 28, 2017.
                                                consequence of a long-term infection                                                                             Requests for Oral Presentations:
                                                                                                          This public workshop will consist of                During online registration you may
                                                with human papillomavirus (HPV),                        both morning and afternoon sessions.
                                                especially with high-risk strains such as                                                                     indicate if you wish to present during a
                                                                                                        Each session will include brief                       public comment session or participate
                                                HPV16 and 18. Through regular                           presentations followed by an interactive
                                                screening and early detection, cervical                                                                       in a specific session, and which topic(s)
                                                                                                        panel discussion. The presentations will              you wish to address. We will do our
                                                cancer can often be prevented.                          provide information to outline the goals
                                                According to the National Cancer                                                                              best to accommodate requests to make
                                                                                                        of the workshop and help promote                      public comments. Individuals and
                                                Institute, routine screening with Pap                   interactive discussions. Following the
                                                Test (or Pap smear) and HPV Test in the                                                                       organizations with common interests are
                                                                                                        presentations, there will be a moderated              urged to consolidate or coordinate their
                                                United States has decreased the                         discussion where speakers and
                                                incidence of cervical cancer, based on                                                                        presentations, and request time for a
                                                                                                        additional panelists will be asked to                 joint presentation, or submit requests for
                                                an estimated 12,820 new cases and                       provide their individual perspectives.
                                                4,210 deaths (0.7 percent of all cancer                                                                       designated representatives to participate
                                                                                                          The presentations and discussions                   in the focused sessions. Following the
                                                deaths) in 2017 (Ref. 1).                               will focus on several related topics. The             close of registration, we will determine
                                                  The standard of care for cervical                     morning session will involve scientific               the amount of time allotted to each
                                                cancer screening has been well-                         considerations, focusing on the current               presenter and the approximate time
                                                established in the United States over the               status of cervical cancer screening and               each oral presentation is to begin, and
                                                past several decades. Automated liquid-                 the feasibility, benefits, and risks of self-         will select and notify participants prior
                                                based Pap Test has largely replaced                     collection of cervical specimens for Pap              to the workshop. All requests to make
                                                conventional Pap smear method.                          Test. The afternoon session will involve              oral presentations must be received by
                                                Liquid-based cervical specimens can be                  validation and regulatory                             the close of registration on January 3,
                                                used for both Pap Test and HPV Test. By                 considerations, focusing on the impact                2018, 4 p.m. Eastern Time. If selected
                                                using specimen collection devices such                  of self-collection of cervical samples on             for presentation, any presentation
                                                as a cervical broom or cervical spatula                 the current standard of care and the                  materials must be emailed to Shyam
                                                and brush combination, cervical                         regulatory environment for supporting                 Kalavar and Cheng Cui (see FOR FURTHER
                                                specimens are collected by healthcare                   self-collection for Pap Test. A detailed              INFORMATION CONTACT) in advance of the
                                                professionals and sent to a Clinical                    agenda will be posted on the following                workshop. No commercial or
                                                Laboratory Improvement Amendments                       Web site in advance of the workshop:                  promotional material will be permitted
                                                certified laboratory for processing for                 https://www.fda.gov/MedicalDevices/                   to be presented or distributed at the
                                                Pap Test and HPV Test. The results of                   NewsEvents/WorkshopsConferences/                      public workshop.
                                                these tests are then returned to the                    default.htm.                                             Streaming webcast of the public
                                                ordering clinician who conveys the                                                                            workshop: This public workshop will
                                                results to the patient and initiates                    III. Participating in the Public
                                                                                                        Workshop                                              also be webcast. The webcast link will
                                                appropriate treatment.                                                                                        be available on the registration web page
                                                  Despite the established standard of                     Registration: To register for the public            after January 3, 2018. Organizations are
                                                care for cervical cancer screening in the               workshop, please visit FDA’s Medical                  requested to register all participants, but
                                                United States, gaps in cervical cancer                  Devices News & Events—Workshops &
sradovich on DSK3GMQ082PROD with NOTICES




                                                                                                                                                              to view using one connection per
                                                screening exist. Barriers to cervical                   Conferences calendar (https://                        location.
                                                cancer screening may include limited                    www.fda.gov/MedicalDevices/News                          If you have never attended a Connect
                                                access to such services in rural areas,                 Events/WorkshopsConferences/                          Pro event before, test your connection at
                                                socioeconomic status, etc. As a result, in              default.htm) and select this event from               https://collaboration.fda.gov/common/
                                                certain populations and geographic                      the list of items provided. Please                    help/en/support/meeting_test.htm. To
                                                areas of the United States, cervical                    provide complete contact information                  get a quick overview of the Connect Pro
                                                cancer incidence and death rate are still               for each attendee, including name, title,             program, visit https://www.adobe.com/


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                                                                            Federal Register / Vol. 82, No. 173 / Friday, September 8, 2017 / Notices                                                 42559

                                                go/connectpro_overview. FDA has                           The meeting will be closed to the                   would constitute a clearly unwarranted
                                                verified the Web site addresses in this                 public in accordance with the                         invasion of personal privacy.
                                                document, as of the date this document                  provisions set forth in sections                        Name of Committee: National Cancer
                                                publishes in the Federal Register, but                  552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,            Institute Special Emphasis Panel; Pancreatic
                                                Web sites are subject to change over                    as amended. The contract proposals and                Cancer Detection Consortium (U01).
                                                time.                                                   the discussions could disclose                          Date: November 3, 2017.
                                                   Transcripts: Please be advised that as               confidential trade secrets or commercial                Time: 11:00 a.m. to 2:00 p.m.
                                                soon as a transcript of the public                      property such as patentable material,                   Agenda: To review and evaluate grant
                                                                                                                                                              applications.
                                                workshop is available, it will be                       and personal information concerning                     Place: National Cancer Institute, Shady
                                                accessible at https://                                  individuals associated with the contract              Grove, 9609 Medical Center Drive, Room
                                                www.regulations.gov. It may be viewed                   proposals, the disclosure of which                    7W240, Rockville, MD 20850, (Telephone
                                                at the Dockets Management Staff (see                    would constitute a clearly unwarranted                Conferece Call).
                                                ADDRESSES). A link to the transcript will               invasion of personal privacy.                           Contact Person: Hasan Siddiqui, Ph.D.,
                                                also be available on the Internet at                                                                          Scientific Review Officer, Special Review
                                                                                                          Name of Committee: National Heart, Lung,
                                                https://www.fda.gov/MedicalDevices/                                                                           Branch, Division of Extramural Activities,
                                                                                                        and Blood Institute Special Emphasis Panel;
                                                                                                                                                              National Cancer Institute, NIH, 9609 Medical
                                                NewsEvents/WorkshopsConferences/                        Resources for Clinical Trials.
                                                                                                                                                              Center Drive, Room 7W240, Bethesda, MD
                                                default.htm.                                              Date: September 20, 2017.
                                                                                                                                                              20892–9750, 240–276–5122, hasan.siddiqui@
                                                                                                          Time: 11:00 a.m. to 1:00 p.m.
                                                IV. References                                                                                                nih.gov.
                                                                                                          Agenda: To review and evaluate contract
                                                                                                        proposals.                                              Name of Committee: National Cancer
                                                  The following references are on                                                                             Institute Special Emphasis Panel;
                                                                                                          Place: National Institutes of Health, 6701
                                                display in the Dockets Management                       Rockledge Drive, Room 7200, Bethesda, MD              Cooperative Agreement To Develop Targeted
                                                Staff (see ADDRESSES) and are available                 20892 (Telephone Conference Call).                    Agents Used With Systemic Agents Plus
                                                for viewing by interested persons                         Contact Person: Michael P. Reilly, Ph.D.,           Radiotherapy.
                                                between 9 a.m. and 4 p.m., Monday                       Scientific Review Officer, Office of Scientific         Date: November 17, 2017.
                                                through Friday; they are also available                 Review/DERA, National Heart, Lung, and                  Time: 10:00 a.m. to 2:00 p.m.
                                                                                                        Blood Institute, 6701 Rockledge Drive, Room             Agenda: To review and evaluate grant
                                                electronically at https://                                                                                    applications.
                                                www.regulations.gov. FDA has verified                   7200, Bethesda, MD 20892, 301–827–7975,
                                                                                                        reillymp@nhlbi.nih.gov.                                 Place: National Cancer Institute, Shady
                                                the Web site addresses, as of the date                                                                        Grove, 9609 Medical Center Drive, Room
                                                this document publishes in the Federal                    This notice is being published less than 15         7W640, Rockville, MD 20850, (Telephone
                                                Register, but Web sites are subject to                  days prior to the meeting due to the timing           Conferece Call).
                                                                                                        limitations imposed by the review and                   Contact Person: Saejeong J. Kim, Ph.D.,
                                                change over time.                                       funding cycle.                                        Scientific Review Officer, Resources and
                                                1. National Cancer Institute, ‘‘Cancer Stat             (Catalogue of Federal Domestic Assistance             Training Review Branch, Division of
                                                     Facts: Cervix Uteri Cancer,’’ (http://             Program Nos. 93.233, National Center for              Extramural Activities, National Cancer
                                                     seer.cancer.gov/statfacts/html/                    Sleep Disorders Research; 93.837, Heart and           Institute, NIH, 9609 Medical Center Drive,
                                                     cervix.html).                                      Vascular Diseases Research; 93.838, Lung              Room 7W640, Bethesda, MD 20892–9750,
                                                2. Horner, M.J., S.F. Altekruse, Z. Zou, L.             Diseases Research; 93.839, Blood Diseases             240–276–7684, saejeong.kim@nih.gov.
                                                     Wideroff, et al. ‘‘U.S. Geographic                 and Resources Research, National Institutes           (Catalogue of Federal Domestic Assistance
                                                     Distribution of Pre-Vaccine Era Cervical           of Health, HHS)                                       Program Nos. 93.392, Cancer Construction;
                                                     Cancer Screening, Incidence, Stage, and                                                                  93.393, Cancer Cause and Prevention
                                                     Mortality.’’ Cancer Epidemiology,                    Dated: September 1, 2017.
                                                                                                                                                              Research; 93.394, Cancer Detection and
                                                     Biomarkers & Prevention. 2011 Jan.;                Michelle Trout,
                                                                                                                                                              Diagnosis Research; 93.395, Cancer
                                                     20(4):591–9. doi: 10.1158/1055–9965.               Program Analyst, Office of Federal Advisory           Treatment Research; 93.396, Cancer Biology
                                                     EPI–10–1183.                                       Committee Policy.                                     Research; 93.397, Cancer Centers Support;
                                                3. Freeman, H.W.B. ‘‘Excess Cervical Cancer             [FR Doc. 2017–19027 Filed 9–7–17; 8:45 am]            93.398, Cancer Research Manpower; 93.399,
                                                     Mortality: A Marker for Low Access to                                                                    Cancer Control, National Institutes of Health,
                                                                                                        BILLING CODE 4140–01–P
                                                     Health Care in Poor Communities.’’                                                                       HHS)
                                                     Rockville (MD): National Cancer
                                                     Institute, Center to Reduce Cancer Health                                                                  Dated: September 1, 2017.
                                                     Disparities; 2005.                                 DEPARTMENT OF HEALTH AND                              Melanie J. Pantoja,
                                                                                                        HUMAN SERVICES                                        Program Analyst, Office of Federal Advisory
                                                  Dated: September 1, 2017.
                                                                                                                                                              Committee Policy.
                                                Anna K. Abram,                                          National Institutes of Health
                                                                                                                                                              [FR Doc. 2017–19026 Filed 9–7–17; 8:45 am]
                                                Deputy Commissioner for Policy, Planning,
                                                Legislation, and Analysis.                              National Cancer Institute; Notice of                  BILLING CODE 4140–01–P

                                                [FR Doc. 2017–19029 Filed 9–7–17; 8:45 am]              Closed Meetings
                                                BILLING CODE 4164–01–P                                    Pursuant to section 10(d) of the                    DEPARTMENT OF HEALTH AND
                                                                                                        Federal Advisory Committee Act, as                    HUMAN SERVICES
                                                                                                        amended, notice is hereby given of the
                                                DEPARTMENT OF HEALTH AND                                following meetings.                                   National Institutes of Health
                                                HUMAN SERVICES                                            The meetings will be closed to the
                                                                                                        public in accordance with the                         Proposed Collection; 30-Day Comment
                                                National Institutes of Health                           provisions set forth in sections                      Request; Application To Participate in
                                                                                                        552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,            the National Institutes of Health
sradovich on DSK3GMQ082PROD with NOTICES




                                                National Heart, Lung, and Blood
                                                                                                        as amended. The grant applications and                Technical Assistance Programs:
                                                Institute; Notice of Closed Meeting
                                                                                                        the discussions could disclose                        Commercialization Accelerator
                                                  Pursuant to section 10(d) of the                      confidential trade secrets or commercial              Program (CAP)
                                                Federal Advisory Committee Act, as                      property such as patentable material,                 AGENCY:    National Institutes of Health,
                                                amended, notice is hereby given of a                    and personal information concerning                   HHS.
                                                meeting of the NHLBI Special Emphasis                   individuals associated with the grant
                                                                                                                                                              ACTION:   Notice.
                                                Panel.                                                  applications, the disclosure of which


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Document Created: 2018-10-24 14:09:08
Document Modified: 2018-10-24 14:09:08
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; request for comments.
DatesThe public workshop will be held on January 11, 2018, from 9 a.m. to 4 p.m. Submit either electronic or written comments on this public workshop by February 14, 2018.
ContactShyam Kalavar (Rm. 5660, 301-796-6807, [email protected]) or Cheng Cui (Rm. 5543, 240-402-5028, [email protected]), Center for Devices and Radiological Health, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Silver Spring, MD 20993-0002.
FR Citation82 FR 42557 

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