82_FR_50044 82 FR 49837 - Pediatric Gastroesophageal Reflux Disease: Developing Drugs for Treatment; Draft Guidance for Industry; Availability

82 FR 49837 - Pediatric Gastroesophageal Reflux Disease: Developing Drugs for Treatment; Draft Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 82, Issue 207 (October 27, 2017)

Page Range49837-49838
FR Document2017-23436

The Food and Drug Administration (FDA or Agency) is announcing the availability of a draft guidance for industry entitled ``Pediatric Gastroesophageal Reflux Disease: Developing Drugs for Treatment.'' The purpose of this draft guidance is to assist sponsors in the clinical development of drugs for the treatment of gastroesophageal reflux disease (GERD) in the pediatric patient population, including guidance on clinical presentation by age and disease, study populations, endpoints, and pharmacometric issues affecting dosing.

Federal Register, Volume 82 Issue 207 (Friday, October 27, 2017)
[Federal Register Volume 82, Number 207 (Friday, October 27, 2017)]
[Notices]
[Pages 49837-49838]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-23436]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2017-D-5912]


Pediatric Gastroesophageal Reflux Disease: Developing Drugs for 
Treatment; Draft Guidance for Industry; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of availability.

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

SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
the availability of a draft guidance for industry entitled ``Pediatric 
Gastroesophageal Reflux Disease: Developing Drugs for Treatment.'' The 
purpose of this draft guidance is to assist sponsors in the clinical 
development of drugs for the treatment of gastroesophageal reflux 
disease (GERD) in the pediatric patient population, including guidance 
on clinical presentation by age and disease, study populations, 
endpoints, and pharmacometric issues affecting dosing.

DATES: Submit either electronic or written comments on the draft 
guidance by December 26, 2017 to ensure that the Agency considers your 
comment on this draft guidance before it begins work on the final 
version of the guidance.

ADDRESSES: You may submit comments on any guidance at any time as 
follows:

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to https://www.regulations.gov 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on https://www.regulations.gov.

[[Page 49838]]

     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-D-5912 for ``Pediatric Gastroesophageal Reflux Disease: 
Developing Drugs for Treatment; Draft Guidance for Industry; 
Availability.'' Received comments will be placed in the docket and, 
except for those submitted as ``Confidential Submissions,'' publicly 
viewable at https://www.regulations.gov or at the 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 http://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://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.
    You may submit comments on any guidance at any time (see 21 CFR 
10.115(g)(5)).
    Submit written requests for single copies of the draft guidance to 
the Division of Drug Information, Center for Drug Evaluation and 
Research, Food and Drug Administration, 10001 New Hampshire Ave., 
Hillandale Building, 4th Floor, Silver Spring, MD 20993-0002. Send one 
self-addressed adhesive label to assist that office in processing your 
requests. See the SUPPLEMENTARY INFORMATION section for electronic 
access to the draft guidance document.

FOR FURTHER INFORMATION CONTACT: Stacy Barley, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 75, Rm. 2642, Silver Spring, MD 20993-0002, 301-
796-2137.

SUPPLEMENTARY INFORMATION: 

I. Background

    FDA is announcing the availability of a draft guidance for industry 
entitled ``Pediatric Gastroesophageal Reflux Disease: Developing Drugs 
for Treatment.'' The purpose of this draft guidance is to assist 
sponsors in the clinical development of drugs for the treatment of GERD 
in the pediatric patient population, including guidance on clinical 
presentation by age and disease, study populations, endpoints, and 
pharmacometric issues affecting dosing.
    This draft guidance is being issued consistent with FDA's good 
guidance practices regulation (21 CFR 10.115). The draft guidance, when 
finalized, will represent the current thinking of FDA on the 
development of drugs for the treatment of GERD in the pediatric patient 
population. It does not establish any rights for any person and is not 
binding on FDA or the public. You can use an alternative approach if it 
satisfies the requirements of the applicable statutes and regulations. 
This guidance is not subject to Executive Order 12866.

II. The Paperwork Reduction Act of 1995

    This guidance refers to previously approved collections of 
information that are subject to review by the Office of Management and 
Budget (OMB) under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-
3520). The collections of information in 21 CFR parts 312 and 314 have 
been approved under OMB control numbers 0910-0014 and 0910-0001, 
respectively. The collections of information in 21 CFR 201.56 and 
201.57 have been approved under OMB control number 0910-0572.

III. Electronic Access

    Persons with access to the internet may obtain the draft guidance 
at either https://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/default.htm or 
https://www.regulations.gov.

    Dated: October 23, 2017.
Anna K. Abram,
Deputy Commissioner for Policy, Planning, Legislation, and Analysis.
[FR Doc. 2017-23436 Filed 10-26-17; 8:45 am]
 BILLING CODE 4164-01-P



                                                                                   Federal Register / Vol. 82, No. 207 / Friday, October 27, 2017 / Notices                                            49837

                                                    the proposed collection of information                   Science-Based Decisions on Products                    scientific disagreement with a written
                                                    is necessary for the proper performance                  Regulated by the Center for Veterinary                 decision by CVM, they may submit a
                                                    of FDA’s functions, including whether                    Medicine’’ (https://www.fda.gov/                       request for a review of that decision by
                                                    the information will have practical                      downloads/AnimalVeterinary/                            following the established procedures
                                                    utility; (2) the accuracy of FDA’s                       GuidanceComplianceEnforcement/                         discussed in the guidance.
                                                    estimate of the burden of the proposed                   GuidanceforIndustry/UCM052393.pdf),                      CVM encourages applicants to begin
                                                    collection of information, including the                 describes the process by which CVM
                                                    validity of the methodology and                                                                                 the resolution of science-based disputes
                                                                                                             formally resolves disputes relating to
                                                    assumptions used; (3) ways to enhance                                                                           with discussions with the review team/
                                                                                                             scientific controversies. A scientific
                                                    the quality, utility, and clarity of the                                                                        group, including the Team Leader or
                                                                                                             controversy involves issues concerning
                                                    information to be collected; and (4)                                                                            Division Director. The Center prefers
                                                                                                             a specific product regulated by CVM
                                                    ways to minimize the burden of the                       related to matters of technical expertise              that differences of opinion regarding
                                                    collection of information on                             and requires specialized education,                    science or science-based policy be
                                                    respondents, including through the use                   training, or experience to be understood               resolved between the review team/group
                                                    of automated collection techniques,                      and resolved. The guidance details                     and the applicant. If the matter is not
                                                    when appropriate, and other forms of                     information on how CVM intends to                      resolved by this preferred method then
                                                    information technology.                                  apply provisions of existing regulations               CVM recommends that the applicant
                                                    Dispute Resolution Procedures for                        regarding internal review of Agency                    follow the procedures in GFI #79.
                                                    Science-Based Decisions on Products                      decisions. In addition, the guidance                     FDA estimates the burden of this
                                                    Regulated by CVM—21 CFR Section                          outlines the established procedures for                collection of information as follows:
                                                    10.75                                                    persons who are sponsors, applicants, or
                                                                                                             manufacturers of animal drugs or other
                                                    OMB Control Number 0910–0566—                            products regulated by CVM that wish to
                                                    Extension                                                submit a request for review of a
                                                      CVM’s Guidance for Industry (GIF)                      scientific dispute. When a sponsor,
                                                    #79, ‘‘Dispute Resolution Procedures for                 applicant, or manufacturer has a

                                                                                                    TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
                                                                                                                                                  Number of                             Average
                                                                                                                                Number of                          Total annual
                                                                             21 CFR section                                                     responses per                         burden per   Total hours
                                                                                                                               respondents                          responses
                                                                                                                                                  respondent                           response

                                                    10.75, Request for review of a scientific dispute ................             1                    4               4                10            40
                                                       1 There   are no capital costs or operating and maintenance costs associated with this collection of information.


                                                      In the next 3 years, CVM anticipates                   DEPARTMENT OF HEALTH AND                               by December 26, 2017 to ensure that the
                                                    receiving one or fewer requests for                      HUMAN SERVICES                                         Agency considers your comment on this
                                                    review of a scientific dispute per year,                                                                        draft guidance before it begins work on
                                                    on average. We base our estimate on                      Food and Drug Administration                           the final version of the guidance.
                                                    CVM’s experience over the past 6 years                   [Docket No. FDA–2017–D–5912]                           ADDRESSES: You may submit comments
                                                    in handling formal appeals for scientific                                                                       on any guidance at any time as follows:
                                                    disputes. The burden of this collection                  Pediatric Gastroesophageal Reflux
                                                    has changed. The number of                               Disease: Developing Drugs for                          Electronic Submissions
                                                    respondents decreased from two to one                    Treatment; Draft Guidance for
                                                                                                                                                                      Submit electronic comments in the
                                                    annually, the number of responses per                    Industry; Availability
                                                                                                                                                                    following way:
                                                    respondent remained at four annually,                    AGENCY:     Food and Drug Administration,                • Federal eRulemaking Portal:
                                                    the hours per response remained at 10                    HHS.                                                   https://www.regulations.gov. Follow the
                                                    annually, and the total number of hours                  ACTION:   Notice of availability.                      instructions for submitting comments.
                                                    decreased from 80 to 40. This decrease                                                                          Comments submitted electronically,
                                                    in the total hours is the result of a                    SUMMARY:   The Food and Drug                           including attachments, to https://www.
                                                    natural fluctuation in the number of                     Administration (FDA or Agency) is                      regulations.gov will be posted to the
                                                    respondents taking advantage of this                     announcing the availability of a draft                 docket unchanged. Because your
                                                    dispute resolution process.                              guidance for industry entitled ‘‘Pediatric             comment will be made public, you are
                                                      Dated: October 24, 2017.
                                                                                                             Gastroesophageal Reflux Disease:                       solely responsible for ensuring that your
                                                                                                             Developing Drugs for Treatment.’’ The                  comment does not include any
                                                    Anna K. Abram,                                           purpose of this draft guidance is to                   confidential information that you or a
                                                    Deputy Commissioner for Policy, Planning,                assist sponsors in the clinical                        third party may not wish to be posted,
                                                    Legislation, and Analysis.                               development of drugs for the treatment
asabaliauskas on DSKBBXCHB2PROD with NOTICES




                                                                                                                                                                    such as medical information, your or
                                                    [FR Doc. 2017–23445 Filed 10–26–17; 8:45 am]             of gastroesophageal reflux disease                     anyone else’s Social Security number, or
                                                    BILLING CODE 4164–01–P                                   (GERD) in the pediatric patient                        confidential business information, such
                                                                                                             population, including guidance on                      as a manufacturing process. Please note
                                                                                                             clinical presentation by age and disease,              that if you include your name, contact
                                                                                                             study populations, endpoints, and                      information, or other information that
                                                                                                             pharmacometric issues affecting dosing.                identifies you in the body of your
                                                                                                             DATES: Submit either electronic or                     comments, that information will be
                                                                                                             written comments on the draft guidance                 posted on https://www.regulations.gov.


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                                                    49838                         Federal Register / Vol. 82, No. 207 / Friday, October 27, 2017 / Notices

                                                      • If you want to submit a comment                     FR 56469, September 18, 2015, or access               II. The Paperwork Reduction Act of
                                                    with confidential information that you                  the information at: https://www.gpo.gov/              1995
                                                    do not wish to be made available to the                 fdsys/pkg/FR-2015-09-18/pdf/2015-                       This guidance refers to previously
                                                    public, submit the comment as a                         23389.pdf.                                            approved collections of information that
                                                    written/paper submission and in the                        Docket: For access to the docket to                are subject to review by the Office of
                                                    manner detailed (see ‘‘Written/Paper                    read background documents or the                      Management and Budget (OMB) under
                                                    Submissions’’ and ‘‘Instructions’’).                    electronic and written/paper comments                 the Paperwork Reduction Act of 1995
                                                    Written/Paper Submissions                               received, go to https://www.                          (44 U.S.C. 3501–3520). The collections
                                                                                                            regulations.gov and insert the docket                 of information in 21 CFR parts 312 and
                                                       Submit written/paper submissions as
                                                                                                            number, found in brackets in the                      314 have been approved under OMB
                                                    follows:
                                                       • Mail/Hand delivery/Courier (for                    heading of this document, into the                    control numbers 0910–0014 and 0910–
                                                    written/paper submissions): Dockets                     ‘‘Search’’ box and follow the prompts                 0001, respectively. The collections of
                                                    Management Staff (HFA–305), Food and                    and/or go to the Dockets Management                   information in 21 CFR 201.56 and
                                                    Drug Administration, 5630 Fishers                       Staff, 5630 Fishers Lane, Rm. 1061,                   201.57 have been approved under OMB
                                                    Lane, Rm. 1061, Rockville, MD 20852.                    Rockville, MD 20852.                                  control number 0910–0572.
                                                       • For written/paper comments                            You may submit comments on any                     III. Electronic Access
                                                    submitted to the Dockets Management                     guidance at any time (see 21 CFR
                                                    Staff, FDA will post your comment, as                   10.115(g)(5)).                                          Persons with access to the internet
                                                    well as any attachments, except for                                                                           may obtain the draft guidance at either
                                                                                                               Submit written requests for single                 https://www.fda.gov/Drugs/Guidance
                                                    information submitted, marked and                       copies of the draft guidance to the
                                                    identified, as confidential, if submitted                                                                     ComplianceRegulatoryInformation/
                                                                                                            Division of Drug Information, Center for              Guidances/default.htm or https://www.
                                                    as detailed in ‘‘Instructions.’’                        Drug Evaluation and Research, Food
                                                       Instructions: All submissions received                                                                     regulations.gov.
                                                                                                            and Drug Administration, 10001 New
                                                    must include the Docket No. FDA–                        Hampshire Ave., Hillandale Building,                    Dated: October 23, 2017.
                                                    2017–D–5912 for ‘‘Pediatric                             4th Floor, Silver Spring, MD 20993–                   Anna K. Abram,
                                                    Gastroesophageal Reflux Disease:
                                                                                                            0002. Send one self-addressed adhesive                Deputy Commissioner for Policy, Planning,
                                                    Developing Drugs for Treatment; Draft                                                                         Legislation, and Analysis.
                                                                                                            label to assist that office in processing
                                                    Guidance for Industry; Availability.’’
                                                                                                            your requests. See the SUPPLEMENTARY                  [FR Doc. 2017–23436 Filed 10–26–17; 8:45 am]
                                                    Received comments will be placed in
                                                                                                            INFORMATION section for electronic                    BILLING CODE 4164–01–P
                                                    the docket and, except for those
                                                                                                            access to the draft guidance document.
                                                    submitted as ‘‘Confidential
                                                    Submissions,’’ publicly viewable at                     FOR FURTHER INFORMATION CONTACT:
                                                                                                                                                                  DEPARTMENT OF HEALTH AND
                                                    https://www.regulations.gov or at the                   Stacy Barley, Center for Drug Evaluation              HUMAN SERVICES
                                                    Dockets Management Staff between 9                      and Research, Food and Drug
                                                    a.m. and 4 p.m., Monday through                         Administration, 10903 New Hampshire                   Food and Drug Administration
                                                    Friday.                                                 Ave., Bldg. 75, Rm. 2642, Silver Spring,
                                                       • Confidential Submissions: To                       MD 20993–0002, 301–796–2137.                          [Docket No. FDA–2017–N–5896]
                                                    submit a comment with confidential
                                                                                                            SUPPLEMENTARY INFORMATION:                            Patient-Focused Drug Development:
                                                    information that you do not wish to be
                                                                                                                                                                  Guidance 1—Collecting
                                                    made publicly available, submit your                    I. Background
                                                                                                                                                                  Comprehensive and Representative
                                                    comments only as a written/paper
                                                                                                               FDA is announcing the availability of              Input; Public Workshop; Request for
                                                    submission. You should submit two
                                                                                                            a draft guidance for industry entitled                Comments
                                                    copies total. One copy will include the
                                                    information you claim to be confidential                ‘‘Pediatric Gastroesophageal Reflux                   AGENCY:    Food and Drug Administration,
                                                    with a heading or cover note that states                Disease: Developing Drugs for                         HHS.
                                                    ‘‘THIS DOCUMENT CONTAINS                                Treatment.’’ The purpose of this draft
                                                                                                            guidance is to assist sponsors in the                 ACTION: Notice of public workshop;
                                                    CONFIDENTIAL INFORMATION.’’ The                                                                               request for comments.
                                                    Agency will review this copy, including                 clinical development of drugs for the
                                                    the claimed confidential information, in                treatment of GERD in the pediatric                    SUMMARY:   The Food and Drug
                                                    its consideration of comments. The                      patient population, including guidance                Administration (FDA) is announcing a
                                                    second copy, which will have the                        on clinical presentation by age and                   public workshop to convene a
                                                    claimed confidential information                        disease, study populations, endpoints,                discussion on methodological
                                                    redacted/blacked out, will be available                 and pharmacometric issues affecting                   approaches that a person seeking to
                                                    for public viewing and posted on http://                dosing.                                               collect patient experience data for
                                                    www.regulations.gov. Submit both                           This draft guidance is being issued                submission to FDA to inform regulatory
                                                    copies to the Dockets Management Staff.                 consistent with FDA’s good guidance                   decision making may use. The methods
                                                    If you do not wish your name and                        practices regulation (21 CFR 10.115).                 and approaches would be considered
                                                    contact information to be made publicly                 The draft guidance, when finalized, will              relevant and objective, and ensure that
                                                    available, you can provide this                         represent the current thinking of FDA                 collected data are accurate and
asabaliauskas on DSKBBXCHB2PROD with NOTICES




                                                    information on the cover sheet and not                  on the development of drugs for the                   representative of the intended
                                                    in the body of your comments and you                    treatment of GERD in the pediatric                    population, including methods to
                                                    must identify this information as                       patient population. It does not establish             collect meaningful patient input
                                                    ‘‘confidential.’’ Any information marked                any rights for any person and is not                  throughout the drug development
                                                    as ‘‘confidential’’ will not be disclosed               binding on FDA or the public. You can                 process and methodological
                                                    except in accordance with 21 CFR 10.20                  use an alternative approach if it satisfies           considerations for data collection,
                                                    and other applicable disclosure law. For                the requirements of the applicable                    reporting, management, and analysis.
                                                    more information about FDA’s posting                    statutes and regulations. This guidance               This workshop will inform development
                                                    of comments to public dockets, see 80                   is not subject to Executive Order 12866.              of patient-focused drug development


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Document Created: 2017-10-27 02:06:41
Document Modified: 2017-10-27 02:06:41
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 availability.
DatesSubmit either electronic or written comments on the draft guidance by December 26, 2017 to ensure that the Agency considers your comment on this draft guidance before it begins work on the final version of the guidance.
ContactStacy Barley, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 75, Rm. 2642, Silver Spring, MD 20993-0002, 301- 796-2137.
FR Citation82 FR 49837 

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