82_FR_56472 82 FR 56245 - Weighing the Evidence: Variant Classification and Interpretation in Precision Oncology; Public Workshop

82 FR 56245 - Weighing the Evidence: Variant Classification and Interpretation in Precision Oncology; Public Workshop

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 82, Issue 227 (November 28, 2017)

Page Range56245-56246
FR Document2017-25584

The Food and Drug Administration (FDA) is announcing the following public workshop entitled ``Weighing the Evidence: Variant Classification and Interpretation in Precision Oncology.'' The purpose of the public workshop is to engage stakeholders and solicit input from experts in oncology precision medicine on how to best weigh and evaluate evidence for classification and interpretation of sequencing results for precision oncology.

Federal Register, Volume 82 Issue 227 (Tuesday, November 28, 2017)
[Federal Register Volume 82, Number 227 (Tuesday, November 28, 2017)]
[Notices]
[Pages 56245-56246]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-25584]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

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


Weighing the Evidence: Variant Classification and Interpretation 
in Precision Oncology; Public Workshop

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of public workshop.

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

SUMMARY: The Food and Drug Administration (FDA) is announcing the 
following public workshop entitled

[[Page 56246]]

``Weighing the Evidence: Variant Classification and Interpretation in 
Precision Oncology.'' The purpose of the public workshop is to engage 
stakeholders and solicit input from experts in oncology precision 
medicine on how to best weigh and evaluate evidence for classification 
and interpretation of sequencing results for precision oncology.

DATES: The public workshop will be held on January 29, 2018, from 8:30 
a.m. to 5 p.m. See the SUPPLEMENTARY INFORMATION section for 
registration date and information.

ADDRESSES: The public workshop will be held at FDA's White Oak Campus, 
10903 New Hampshire Ave., Bldg. 31, Rm. 1503 (the Great Room), 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.

FOR FURTHER INFORMATION CONTACT: Hisani Madison, Food and Drug 
Administration, Center for Devices and Radiological Health, 10903 New 
Hampshire Ave., Bldg. 66, Rm. 5547, Silver Spring, MD 20993, 240-402-
6581, [email protected].

SUPPLEMENTARY INFORMATION:

I. Background

    The goal of precision oncology is to use a cancer patient's genetic 
data to help determine which therapeutic(s) might be most effective in 
treating their disease. Next generation sequencing is increasingly 
employed in oncology because the technology can be used to screen a 
large number of mutations simultaneously to optimize and personalize 
patient care. The increasing number of reported mutations may lead to 
uncertainty for clinicians in the interpretation and prioritization of 
the variants with respect to the clinical significance and optimal 
course of action, respectively.
    In January 2017, the Association for Molecular Pathology, the 
American Society of Clinical Oncology, and the College of American 
Pathologists published a joint consensus recommendation for standards 
and guidelines for the interpretation and reporting of sequence 
variants in cancer. However, the implementation of these 
recommendations is not consistently applied across all stakeholders. 
FDA is holding this public workshop to engage stakeholders and solicit 
input from internal and external experts in precision oncology to 
discuss how genetic sequencing data is best implemented in patient 
management so that innovative regulatory strategies can be advanced to 
support the development of safe and effective precision-based drugs and 
devices for marketing.

II. Topics for Discussion

    Topics for discussion at the public workshop include:
     An overview of the state of the science for sequence 
variant classification in oncology and its practical use in treating 
patients;
     The level of evidence required for reporting variants and/
or guiding patient treatment;
     Best practices for the use of public/private databases for 
variant classification and interpretation in oncology; and
     Future directions for data sharing, standardization, and 
establishing consistency in precision oncology.
    The workshop will include a series of brief presentations to 
provide information to frame the main topics and interactive 
discussions via several panel sessions. Following the presentations, 
there will be a moderated discussion where speakers and additional 
panelists may be asked to provide their individual perspectives.

III. Participating in the Public Workshop

    Registration: To register for the public workshop, please visit 
FDA's Medical Devices News & Events--Workshops & Conferences calendar 
at https://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm. (Select this public workshop from the posted events list.) 
Please provide complete contact information for each attendee, 
including name, title, affiliation, address, email, and telephone.
    Registration is free and based on space availability, with priority 
given to early registrants. Persons interested in attending this public 
workshop must register by January 19, 2018, by 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 Peggy Roney, Center for Devices and Radiological Health, Food 
and Drug Administration, 10903 New Hampshire Ave., Bldg. 32, Rm. 5231, 
Silver Spring, MD 20993-0002, 301-796-5671, email: 
[email protected] no later than January 10, 2018.
    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 10, 2018. Organizations are requested 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/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, 
Food and Drug Administration, 5630 Fishers Lane, Rm. 1061, Rockville, 
MD 20852. A link to the transcript will also be available on the 
internet at https://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/default.htm. (Select this public workshop from the 
posted events list.).

    Dated: November 21, 2017.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2017-25584 Filed 11-27-17; 8:45 am]
 BILLING CODE 4164-01-P



                                                                          Federal Register / Vol. 82, No. 227 / Tuesday, November 28, 2017 / Notices                                                56245

                                               for public viewing and posted on                        Although only a portion of a regulatory               206426 was approved on December 19,
                                               https://www.regulations.gov. Submit                     review period may count toward the                    2014.
                                               both copies to the Dockets Management                   actual amount of extension that the                     This determination of the regulatory
                                               Staff. If you do not wish your name and                 Director of USPTO may award (for                      review period establishes the maximum
                                               contact information to be made publicly                 example, half the testing phase must be               potential length of a patent extension.
                                               available, you can provide this                         subtracted as well as any time that may               However, the USPTO applies several
                                               information on the cover sheet and not                  have occurred before the patent was                   statutory limitations in its calculations
                                               in the body of your comments and you                    issued), FDA’s determination of the                   of the actual period for patent extension.
                                               must identify this information as                       length of a regulatory review period for              In its applications for patent extension,
                                               ‘‘confidential.’’ Any information marked                a human drug product will include all                 this applicant seeks 1,824 days of patent
                                               as ‘‘confidential’’ will not be disclosed               of the testing phase and approval phase               term extension.
                                               except in accordance with § 10.20 (21                   as specified in 35 U.S.C. 156(g)(1)(B).               III. Petitions
                                               CFR 10.20) and other applicable                            FDA has approved for marketing the
                                               disclosure law. For more information                    human drug product RAPIVAB                               Anyone with knowledge that any of
                                               about FDA’s posting of comments to                      (peramivir). RAPIVAB is indicated for                 the dates as published are incorrect may
                                               public dockets, see 80 FR 56469,                                                                              submit either electronic or written
                                                                                                       the treatment of acute uncomplicated
                                               September 18, 2015, or access the                                                                             comments and, under 21 CFR 60.24, ask
                                                                                                       influenza in patients 18 years and older
                                               information at: https://www.gpo.gov/                                                                          for a redetermination (see DATES).
                                                                                                       who have been symptomatic for no
                                               fdsys/pkg/FR-2015-09-18/pdf/2015-                                                                             Furthermore, as specified in § 60.30 (21
                                                                                                       more than two days. Subsequent to this
                                               23389.pdf.                                                                                                    CFR 60.30), any interested person may
                                                                                                       approval, the USPTO received patent
                                                  Docket: For access to the docket to                                                                        petition FDA for a determination
                                                                                                       term restoration applications for
                                               read background documents or the                                                                              regarding whether the applicant for
                                                                                                       RAPIVAB (U.S. Patent Nos. 6,503,745
                                               electronic and written/paper comments                                                                         extension acted with due diligence
                                                                                                       and 6,562,861) from BioCryst
                                               received, go to https://                                                                                      during the regulatory review period. To
                                                                                                       Pharmaceuticals, Inc., and the USPTO
                                               www.regulations.gov and insert the                                                                            meet its burden, the petition must
                                                                                                       requested FDA’s assistance in
                                               docket number, found in brackets in the                                                                       comply with all the requirements of
                                                                                                       determining the patents’ eligibility for
                                               heading of this document, into the                                                                            § 60.30, including but not limited to:
                                                                                                       patent term restoration. In a letter dated
                                               ‘‘Search’’ box and follow the prompts                                                                         Must be timely (see DATES), must be
                                                                                                       April 29, 2016, FDA advised the USPTO
                                               and/or go to the Dockets Management                                                                           filed in accordance with § 10.20, must
                                                                                                       that this human drug product had
                                               Staff, 5630 Fishers Lane, Rm. 1061,                                                                           contain sufficient facts to merit an FDA
                                                                                                       undergone a regulatory review period
                                               Rockville, MD 20852.                                                                                          investigation, and must certify that a
                                                                                                       and that the approval of RAPIVAB
                                                                                                                                                             true and complete copy of the petition
                                               FOR FURTHER INFORMATION CONTACT:                        represented the first permitted
                                                                                                                                                             has been served upon the patent
                                               Beverly Friedman, Office of Regulatory                  commercial marketing or use of the
                                                                                                                                                             applicant. (See H. Rept. 857, part 1, 98th
                                               Policy, Food and Drug Administration,                   product. Thereafter, the USPTO
                                                                                                                                                             Cong., 2d sess., pp. 41–42, 1984.)
                                               10903 New Hampshire Ave., Bldg. 51,                     requested that FDA determine the
                                                                                                                                                             Petitions should be in the format
                                               Rm. 6250, Silver Spring, MD 20993,                      product’s regulatory review period.
                                                                                                                                                             specified in 21 CFR 10.30.
                                               301–796–3600.                                           II. Determination of Regulatory Review                   Submit petitions electronically to
                                               SUPPLEMENTARY INFORMATION:                              Period                                                https://www.regulations.gov at Docket
                                               I. Background                                                                                                 No. FDA–2013–S–0610. Submit written
                                                                                                         FDA has determined that the
                                                                                                                                                             petitions (two copies are required) to the
                                                  The Drug Price Competition and                       applicable regulatory review period for
                                                                                                                                                             Dockets Management Staff (HFA–305),
                                               Patent Term Restoration Act of 1984                     RAPIVAB is 3,287 days. Of this time,
                                                                                                                                                             Food and Drug Administration, 5630
                                               (Pub. L. 98–417) and the Generic                        2,925 days occurred during the testing
                                                                                                                                                             Fishers Lane, Rm. 1061, Rockville, MD
                                               Animal Drug and Patent Term                             phase of the regulatory review period,
                                                                                                                                                             20852.
                                               Restoration Act (Pub. L. 100–670)                       while 362 days occurred during the
                                                                                                       approval phase. These periods of time                   Dated: November 22, 2017.
                                               generally provide that a patent may be
                                               extended for a period of up to 5 years                  were derived from the following dates:                Leslie Kux,
                                               so long as the patented item (human                       1. The date an exemption under                      Associate Commissioner for Policy.
                                               drug product, animal drug product,                      section 505(i) of the Federal Food, Drug,             [FR Doc. 2017–25676 Filed 11–27–17; 8:45 am]
                                               medical device, food additive, or color                 and Cosmetic Act (the FD&C Act) (21                   BILLING CODE 4164–01–P
                                               additive) was subject to regulatory                     U.S.C. 355(i)) became effective:
                                               review by FDA before the item was                       December 21, 2005. FDA has verified
                                               marketed. Under these acts, a product’s                 the BioCryst Pharmaceuticals, Inc.                    DEPARTMENT OF HEALTH AND
                                               regulatory review period forms the basis                claims that December 21, 2005, is the                 HUMAN SERVICES
                                               for determining the amount of extension                 date the investigational new drug
                                                                                                       application (IND) became effective.                   Food and Drug Administration
                                               an applicant may receive.
                                                  A regulatory review period consists of                 2. The date the application was                     [Docket No. FDA–2017–N–0001]
                                               two periods of time: A testing phase and                initially submitted with respect to the
                                               an approval phase. For human drug                       human drug product under section                      Weighing the Evidence: Variant
                                               products, the testing phase begins when                 505(b) of the FD&C Act: December 23,                  Classification and Interpretation in
                                               the exemption to permit the clinical                    2013. FDA has verified the applicant’s                Precision Oncology; Public Workshop
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                                               investigations of the drug becomes                      claims that the new drug application                  AGENCY:   Food and Drug Administration,
                                               effective and runs until the approval                   (NDA) for RAPIVAB (NDA 206426) was                    HHS.
                                               phase begins. The approval phase starts                 initially submitted on December 23,                   ACTION:   Notice of public workshop.
                                               with the initial submission of an                       2013.
                                               application to market the human drug                      3. The date the application was                     SUMMARY:  The Food and Drug
                                               product and continues until FDA grants                  approved: December 19, 2014. FDA has                  Administration (FDA) is announcing the
                                               permission to market the drug product.                  verified the applicant’s claim that NDA               following public workshop entitled


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                                               56246                      Federal Register / Vol. 82, No. 227 / Tuesday, November 28, 2017 / Notices

                                               ‘‘Weighing the Evidence: Variant                        internal and external experts in                         If you need special accommodations
                                               Classification and Interpretation in                    precision oncology to discuss how                     due to a disability, please contact Peggy
                                               Precision Oncology.’’ The purpose of                    genetic sequencing data is best                       Roney, Center for Devices and
                                               the public workshop is to engage                        implemented in patient management so                  Radiological Health, Food and Drug
                                               stakeholders and solicit input from                     that innovative regulatory strategies can             Administration, 10903 New Hampshire
                                               experts in oncology precision medicine                  be advanced to support the                            Ave., Bldg. 32, Rm. 5231, Silver Spring,
                                               on how to best weigh and evaluate                       development of safe and effective                     MD 20993–0002, 301–796–5671, email:
                                               evidence for classification and                         precision-based drugs and devices for                 Peggy.Roney@fda.hhs.gov no later than
                                               interpretation of sequencing results for                marketing.                                            January 10, 2018.
                                               precision oncology.                                                                                              Streaming Webcast of the Public
                                                                                                       II. Topics for Discussion
                                               DATES: The public workshop will be                                                                            Workshop: This public workshop will
                                               held on January 29, 2018, from 8:30 a.m.                  Topics for discussion at the public                 also be webcast. The webcast link will
                                               to 5 p.m. See the SUPPLEMENTARY                         workshop include:                                     be available on the registration Web
                                               INFORMATION section for registration date                 • An overview of the state of the                   page after January 10, 2018.
                                               and information.                                        science for sequence variant                          Organizations are requested to view
                                               ADDRESSES: The public workshop will                     classification in oncology and its                    using one connection per location.
                                               be held at FDA’s White Oak Campus,                      practical use in treating patients;                      If you have never attended a Connect
                                               10903 New Hampshire Ave., Bldg. 31,                       • The level of evidence required for                Pro event before, test your connection at
                                               Rm. 1503 (the Great Room), Silver                       reporting variants and/or guiding                     https://collaboration.fda.gov/common/
                                               Spring, MD 20993–0002. Entrance for                     patient treatment;                                    help/en/support/meeting_test.htm. To
                                               the public workshop participants (non-                    • Best practices for the use of public/             get a quick overview of the Connect Pro
                                               FDA employees) is through Building 1                    private databases for variant                         program, visit https://www.adobe.com/
                                               where routine security check                            classification and interpretation in                  go/connectpro_overview. FDA has
                                               procedures will be performed. For                       oncology; and                                         verified the Web site addresses in this
                                               parking and security information, please                  • Future directions for data sharing,               document, as of the date this document
                                               refer to https://www.fda.gov/AboutFDA/                  standardization, and establishing                     publishes in the Federal Register, but
                                               WorkingatFDA/BuildingsandFacilities/                    consistency in precision oncology.                    Web sites are subject to change over
                                               WhiteOakCampusInformation/                                The workshop will include a series of               time.
                                               ucm241740.htm.                                          brief presentations to provide                           Transcripts: Please be advised that as
                                               FOR FURTHER INFORMATION CONTACT:                        information to frame the main topics                  soon as a transcript of the public
                                               Hisani Madison, Food and Drug                           and interactive discussions via several               workshop is available, it will be
                                               Administration, Center for Devices and                  panel sessions. Following the                         accessible at https://
                                               Radiological Health, 10903 New                          presentations, there will be a moderated              www.regulations.gov. It may be viewed
                                               Hampshire Ave., Bldg. 66, Rm. 5547,                     discussion where speakers and                         at the Dockets Management Staff, Food
                                               Silver Spring, MD 20993, 240–402–                       additional panelists may be asked to                  and Drug Administration, 5630 Fishers
                                               6581, hisani.madison@fda.hhs.gov.                       provide their individual perspectives.                Lane, Rm. 1061, Rockville, MD 20852. A
                                                                                                                                                             link to the transcript will also be
                                               SUPPLEMENTARY INFORMATION:                              III. Participating in the Public                      available on the internet at https://
                                               I. Background                                           Workshop                                              www.fda.gov/MedicalDevices/
                                                  The goal of precision oncology is to                    Registration: To register for the public           NewsEvents/WorkshopsConferences/
                                               use a cancer patient’s genetic data to                  workshop, please visit FDA’s Medical                  default.htm. (Select this public
                                               help determine which therapeutic(s)                     Devices News & Events—Workshops &                     workshop from the posted events list.).
                                               might be most effective in treating their               Conferences calendar at https://                        Dated: November 21, 2017.
                                               disease. Next generation sequencing is                  www.fda.gov/MedicalDevices/                           Leslie Kux,
                                               increasingly employed in oncology                       NewsEvents/WorkshopsConferences/                      Associate Commissioner for Policy.
                                               because the technology can be used to                   default.htm. (Select this public
                                                                                                                                                             [FR Doc. 2017–25584 Filed 11–27–17; 8:45 am]
                                               screen a large number of mutations                      workshop from the posted events list.)
                                                                                                                                                             BILLING CODE 4164–01–P
                                               simultaneously to optimize and                          Please provide complete contact
                                               personalize patient care. The increasing                information for each attendee, including
                                               number of reported mutations may lead                   name, title, affiliation, address, email,             DEPARTMENT OF HEALTH AND
                                               to uncertainty for clinicians in the                    and telephone.                                        HUMAN SERVICES
                                               interpretation and prioritization of the                   Registration is free and based on
                                               variants with respect to the clinical                   space availability, with priority given to            Food and Drug Administration
                                               significance and optimal course of                      early registrants. Persons interested in
                                                                                                       attending this public workshop must                   [Docket No. FDA–2016–E–2374]
                                               action, respectively.
                                                  In January 2017, the Association for                 register by January 19, 2018, by 4 p.m.
                                                                                                                                                             Determination of Regulatory Review
                                               Molecular Pathology, the American                       Eastern Time. Early registration is
                                                                                                                                                             Period for Purposes of Patent
                                               Society of Clinical Oncology, and the                   recommended because seating is
                                                                                                                                                             Extension; YONDELIS
                                               College of American Pathologists                        limited; therefore, FDA may limit the
                                               published a joint consensus                             number of participants from each                      AGENCY:   Food and Drug Administration,
                                               recommendation for standards and                        organization. Registrants will receive                HHS.
ethrower on DSK3G9T082PROD with NOTICES




                                               guidelines for the interpretation and                   confirmation when they have been                      ACTION:   Notice.
                                               reporting of sequence variants in cancer.               accepted. If time and space permit,
                                               However, the implementation of these                    onsite registration on the day of the                 SUMMARY:   The Food and Drug
                                               recommendations is not consistently                     public workshop will be provided                      Administration (FDA or the Agency) has
                                               applied across all stakeholders. FDA is                 beginning at 8 a.m. We will let                       determined the regulatory review period
                                               holding this public workshop to engage                  registrants know if registration closes               for YONDELIS and is publishing this
                                               stakeholders and solicit input from                     before the day of the public workshop.                notice of that determination as required


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Document Created: 2017-11-28 01:51:08
Document Modified: 2017-11-28 01:51:08
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.
DatesThe public workshop will be held on January 29, 2018, from 8:30 a.m. to 5 p.m. See the SUPPLEMENTARY INFORMATION section for registration date and information.
ContactHisani Madison, Food and Drug Administration, Center for Devices and Radiological Health, 10903 New Hampshire Ave., Bldg. 66, Rm. 5547, Silver Spring, MD 20993, 240-402- 6581, [email protected]
FR Citation82 FR 56245 

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