82_FR_60645 82 FR 60402 - Clarification of Orphan Designation of Drugs and Biologics for Pediatric Subpopulations of Common Diseases; Draft Guidance for Industry; Availability

82 FR 60402 - Clarification of Orphan Designation of Drugs and Biologics for Pediatric Subpopulations of Common Diseases; Draft Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 82, Issue 243 (December 20, 2017)

Page Range60402-60403
FR Document2017-27435

The Food and Drug Administration (FDA or Agency) is announcing the availability of a draft guidance for industry entitled ``Clarification of Orphan Designation of Drugs and Biologics for Pediatric Subpopulations of Common Diseases.'' FDA intends to no longer grant orphan drug designation to drugs for pediatric subpopulations of common diseases (i.e., diseases or conditions with an overall prevalence of over 200,000 in the United States), unless the use of the drug in the pediatric subpopulation meets the regulatory criteria for an orphan subset, or unless the disease in the pediatric subpopulation is considered a different disease from the disease in the adult population. This will help resolve an unintended loophole in the Pediatric Research Equity Act (PREA) orphan exemption process where a sponsor holding a pediatric-subpopulation designation can submit a marketing application for use of its drug in the non-orphan adult population of that disease, get a pediatric-subpopulation designation for the pediatric subset of the disease, and, due to this designation, be exempt from conducting the pediatric studies normally required under PREA when seeking approval of the adult indication.

Federal Register, Volume 82 Issue 243 (Wednesday, December 20, 2017)
[Federal Register Volume 82, Number 243 (Wednesday, December 20, 2017)]
[Notices]
[Pages 60402-60403]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-27435]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2017-D-6380]


Clarification of Orphan Designation of Drugs and Biologics for 
Pediatric Subpopulations of Common Diseases; Draft Guidance for 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 
``Clarification of Orphan Designation of Drugs and Biologics for 
Pediatric Subpopulations of Common Diseases.'' FDA intends to no longer 
grant orphan drug designation to drugs for pediatric subpopulations of 
common diseases (i.e., diseases or conditions with an overall 
prevalence of over 200,000 in the United States), unless the use of the 
drug in the pediatric subpopulation meets the regulatory criteria for 
an orphan subset, or unless the disease in the pediatric subpopulation 
is considered a different disease from the disease in the adult 
population. This will help resolve an unintended loophole in the 
Pediatric Research Equity Act (PREA) orphan exemption process where a 
sponsor holding a pediatric-subpopulation designation can submit a 
marketing application for use of its drug in the non-orphan adult 
population of that disease, get a pediatric-subpopulation designation 
for the pediatric subset of the disease, and, due to this designation, 
be exempt from conducting the pediatric studies normally required under 
PREA when seeking approval of the adult indication.

DATES: Submit either electronic or written comments on the draft 
guidance by January 19, 2018 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.
     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-6380 for ``Clarification of Orphan Designation of Drugs and 
Biologics for Pediatric Subpopulations of Common Diseases.'' 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.

[[Page 60403]]

     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-201-09-18/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: Aaron Friedman, Office of Orphan 
Products Development, Food and Drug Administration, 10903 New Hampshire 
Ave., Bldg. 32, Rm. 5295, Silver Spring, MD 20993, 301-796-8660.

SUPPLEMENTARY INFORMATION: 

I. Background

    FDA is announcing the availability of a draft guidance for industry 
entitled ``Clarification of Orphan Designation of Drugs and Biologics 
for Pediatric Subpopulations of Common Diseases.'' FDA intends to no 
longer grant orphan drug designation to drugs for pediatric 
subpopulations of common diseases (i.e., diseases or conditions with an 
overall prevalence of over 200,000 in the United States), unless the 
use of the drug in the pediatric subpopulation meets the regulatory 
criteria for an orphan subset, or unless the disease in the pediatric 
subpopulation is considered a different disease from the disease in the 
adult population. This will help resolve an unintended loophole in the 
PREA orphan exemption process where a sponsor holding a pediatric-
subpopulation designation can submit a marketing application for use of 
its drug in the non-orphan adult population of that disease, get a 
pediatric-subpopulation designation for the pediatric subset of the 
disease, and, due to this designation, be exempt from conducting the 
pediatric studies normally required under PREA when seeking approval of 
the adult indication.
    FDA expects to implement this policy upon publication of the final 
version of this guidance dependent upon comments received. In the 
interim, FDA will refrain from issuing final decisions on requests for 
pediatric-subpopulation designation until the guidance is finalized.
    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 orphan 
designation of drugs and biologics for pediatric subpopulations of 
common diseases. 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. Electronic Access

    Persons with access to the internet may obtain the draft guidance 
at either https://www.fda.gov/Orphan or https://www.regulations.gov.

    Dated: December 14, 2017.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2017-27435 Filed 12-19-17; 8:45 am]
 BILLING CODE 4164-01-P



                                                60402                    Federal Register / Vol. 82, No. 243 / Wednesday, December 20, 2017 / Notices

                                                be sent electronically to                               West Virginia, 26505, (304) 285–5951;                 DATES:  Submit either electronic or
                                                Comments.applications@stls.frb.org:                     mgoldcamp@cdc.gov.                                    written comments on the draft guidance
                                                  1. David Armbrust, Salem, Illinois; to                  The Director, Management Analysis                   by January 19, 2018 to ensure that the
                                                acquire voting shares of Iuka                           and Services Office, has been delegated               Agency considers your comment on this
                                                Bancshares, Inc., Salem, Illinois, and                  the authority to sign Federal Register                draft guidance before it begins work on
                                                thereby indirectly acquire shares of Iuka               notices pertaining to announcements of                the final version of the guidance.
                                                State Bank, Iuka, Illinois.                             meetings and other committee                          ADDRESSES: You may submit comments
                                                  B. Federal Reserve Bank of Kansas                     management activities, for both the                   on any guidance at any time as follows:
                                                City (Dennis Denney, Assistant Vice                     Centers for Disease Control and
                                                President) 1 Memorial Drive, Kansas                                                                           Electronic Submissions
                                                                                                        Prevention and the Agency for Toxic
                                                City, Missouri 64198–0001:                              Substances and Disease Registry.                        Submit electronic comments in the
                                                  1. David Riordan, Abilene, Kansas;                                                                          following way:
                                                Robert Riordan, Solomon, Kansas;
                                                                                                        Elaine L. Baker,                                        • Federal eRulemaking Portal: https://
                                                Dennis Riordan, Salina, Kansas;                         Director, Management Analysis and Services            www.regulations.gov. Follow the
                                                                                                        Office; Centers for Disease Control and               instructions for submitting comments.
                                                Michael Riordan, St. Charles, Missouri;                 Prevention.
                                                and Kirk Berneking, Salina, Kansas; to                                                                        Comments submitted electronically,
                                                                                                        [FR Doc. 2017–27324 Filed 12–19–17; 8:45 am]          including attachments, to https://
                                                retain voting shares of Solomon
                                                Bancshares, Inc., Solomon, Kansas, and                  BILLING CODE 4163–18–P                                www.regulations.gov will be posted to
                                                thereby indirectly retain shares of                                                                           the docket unchanged. Because your
                                                Solomon State Bank, Solomon, Kansas.                                                                          comment will be made public, you are
                                                                                                        DEPARTMENT OF HEALTH AND                              solely responsible for ensuring that your
                                                  Board of Governors of the Federal Reserve             HUMAN SERVICES                                        comment does not include any
                                                System, December 15, 2017.
                                                                                                                                                              confidential information that you or a
                                                Ann E. Misback,                                         Food and Drug Administration
                                                                                                                                                              third party may not wish to be posted,
                                                Secretary of the Board.                                                                                       such as medical information, your or
                                                                                                        [Docket No. FDA–2017–D–6380]
                                                [FR Doc. 2017–27408 Filed 12–19–17; 8:45 am]                                                                  anyone else’s Social Security number, or
                                                BILLING CODE 6210–01–P                                  Clarification of Orphan Designation of                confidential business information, such
                                                                                                        Drugs and Biologics for Pediatric                     as a manufacturing process. Please note
                                                                                                        Subpopulations of Common Diseases;                    that if you include your name, contact
                                                DEPARTMENT OF HEALTH AND                                Draft Guidance for Industry;                          information, or other information that
                                                HUMAN SERVICES                                          Availability                                          identifies you in the body of your
                                                                                                                                                              comments, that information will be
                                                Centers for Disease Control and                         AGENCY:    Food and Drug Administration,              posted on https://www.regulations.gov.
                                                Prevention                                              HHS.                                                    • If you want to submit a comment
                                                                                                        ACTION:   Notice of availability.                     with confidential information that you
                                                Notice of Closed Meeting                                                                                      do not wish to be made available to the
                                                                                                        SUMMARY:    The Food and Drug                         public, submit the comment as a
                                                  In accordance with the Federal                        Administration (FDA or Agency) is
                                                Advisory Committee Act, the Centers for                                                                       written/paper submission and in the
                                                                                                        announcing the availability of a draft                manner detailed (see ‘‘Written/Paper
                                                Disease Control and Prevention (CDC)                    guidance for industry entitled
                                                announces the following meeting.                                                                              Submissions’’ and ‘‘Instructions’’).
                                                                                                        ‘‘Clarification of Orphan Designation of
                                                  The meeting will be closed to the                     Drugs and Biologics for Pediatric                     Written/Paper Submissions
                                                public in accordance with provisions set                Subpopulations of Common Diseases.’’
                                                forth in Section 552b(c)(4) and (6), Title                                                                       Submit written/paper submissions as
                                                                                                        FDA intends to no longer grant orphan                 follows:
                                                5 U.S.C., and the Determination of the                  drug designation to drugs for pediatric                  • Mail/Hand delivery/Courier (for
                                                Director, Management Analysis and                       subpopulations of common diseases                     written/paper submissions): Dockets
                                                Services Office, CDC, pursuant to Public                (i.e., diseases or conditions with an                 Management Staff (HFA–305), Food and
                                                Law 92–463.                                             overall prevalence of over 200,000 in                 Drug Administration, 5630 Fishers
                                                  Name of Committee: Disease,                           the United States), unless the use of the             Lane, Rm. 1061, Rockville, MD 20852.
                                                Disability, and Injury Prevention and                   drug in the pediatric subpopulation                      • For written/paper comments
                                                Control Special Emphasis Panel (SEP)–                   meets the regulatory criteria for an                  submitted to the Dockets Management
                                                PAR15–303, Occupational Safety and                      orphan subset, or unless the disease in               Staff, FDA will post your comment, as
                                                Health Education Research Centers                       the pediatric subpopulation is                        well as any attachments, except for
                                                (ERC).                                                  considered a different disease from the               information submitted, marked and
                                                  Date: February 21–23, 2018.                           disease in the adult population. This                 identified, as confidential, if submitted
                                                  Time: 8:30 a.m.–6:00 p.m., EST.                       will help resolve an unintended                       as detailed in ‘‘Instructions.’’
                                                  Place: The Alexandrian Hotel, 480                     loophole in the Pediatric Research                       Instructions: All submissions received
                                                King Street Alexandria, VA 22314, 703–                  Equity Act (PREA) orphan exemption                    must include the Docket No. FDA–
                                                549–6080.                                               process where a sponsor holding a                     2017–D–6380 for ‘‘Clarification of
                                                  Agenda: The meeting will include the                  pediatric-subpopulation designation can               Orphan Designation of Drugs and
                                                initial review, discussion, and                         submit a marketing application for use                Biologics for Pediatric Subpopulations
                                                evaluation of applications received in                  of its drug in the non-orphan adult                   of Common Diseases.’’ Received
sradovich on DSK3GMQ082PROD with NOTICES




                                                response to PAR15–303, Occupational                     population of that disease, get a                     comments will be placed in the docket
                                                Safety and Health Education Research                    pediatric-subpopulation designation for               and, except for those submitted as
                                                Centers (ERC).                                          the pediatric subset of the disease, and,             ‘‘Confidential Submissions,’’ publicly
                                                FOR FURTHER INFORMATION CONTACT:                        due to this designation, be exempt from               viewable at https://www.regulations.gov
                                                Michael Goldcamp, Ph.D., Scientific                     conducting the pediatric studies                      or at the Dockets Management Staff
                                                Review Officer/CDC, 1095 Willowdale                     normally required under PREA when                     between 9 a.m. and 4 p.m., Monday
                                                Road, Mailstop H1808, Morgantown,                       seeking approval of the adult indication.             through Friday.


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                                                                         Federal Register / Vol. 82, No. 243 / Wednesday, December 20, 2017 / Notices                                             60403

                                                   • Confidential Submissions—To                        SUPPLEMENTARY INFORMATION:                            DEPARTMENT OF HEALTH AND
                                                submit a comment with confidential                                                                            HUMAN SERVICES
                                                information that you do not wish to be                  I. Background
                                                made publicly available, submit your                       FDA is announcing the availability of              Food and Drug Administration
                                                comments only as a written/paper                        a draft guidance for industry entitled                [Docket No. FDA–2017–D–6580]
                                                submission. You should submit two                       ‘‘Clarification of Orphan Designation of
                                                copies total. One copy will include the                 Drugs and Biologics for Pediatric                     Drug Products Labeled as
                                                information you claim to be confidential                Subpopulations of Common Diseases.’’                  Homeopathic; Draft Guidance for Food
                                                with a heading or cover note that states                FDA intends to no longer grant orphan                 and Drug Administration Staff and
                                                ‘‘THIS DOCUMENT CONTAINS                                drug designation to drugs for pediatric               Industry; Availability
                                                CONFIDENTIAL INFORMATION.’’ The                         subpopulations of common diseases
                                                Agency will review this copy, including                 (i.e., diseases or conditions with an                 AGENCY:    Food and Drug Administration,
                                                the claimed confidential information, in                overall prevalence of over 200,000 in                 HHS.
                                                its consideration of comments. The                      the United States), unless the use of the             ACTION:   Notice of availability.
                                                second copy, which will have the                        drug in the pediatric subpopulation
                                                claimed confidential information                        meets the regulatory criteria for an                  SUMMARY:   The Food and Drug
                                                redacted/blacked out, will be available                 orphan subset, or unless the disease in               Administration (FDA or Agency) is
                                                for public viewing and posted on                        the pediatric subpopulation is                        announcing the availability of a draft
                                                https://www.regulations.gov. Submit                     considered a different disease from the               guidance for FDA staff and industry
                                                both copies to the Dockets Management                   disease in the adult population. This                 entitled ‘‘Drug Products Labeled as
                                                Staff. If you do not wish your name and                 will help resolve an unintended                       Homeopathic.’’ This draft guidance
                                                contact information to be made publicly                 loophole in the PREA orphan exemption                 describes how FDA intends to prioritize
                                                available, you can provide this                         process where a sponsor holding a                     enforcement and regulatory action with
                                                information on the cover sheet and not                  pediatric-subpopulation designation can               regard to drug products, including
                                                in the body of your comments and you                    submit a marketing application for use                biological products, labeled as
                                                must identify this information as                       of its drug in the non-orphan adult                   homeopathic and marketed in the
                                                ‘‘confidential.’’ Any information marked                population of that disease, get a                     United States without the required FDA
                                                as ‘‘confidential’’ will not be disclosed               pediatric-subpopulation designation for               approval.
                                                except in accordance with 21 CFR 10.20                  the pediatric subset of the disease, and,             DATES: Submit either electronic or
                                                and other applicable disclosure law. For                due to this designation, be exempt from               written comments on the draft guidance
                                                more information about FDA’s posting                    conducting the pediatric studies                      by March 20, 2018 to ensure that the
                                                of comments to public dockets, see 80                   normally required under PREA when                     Agency considers your comment on this
                                                FR 56469, September 18, 2015, or access                 seeking approval of the adult indication.             draft guidance before it begins work on
                                                the information at: https://www.gpo.gov/                                                                      the final version of the guidance.
                                                fdsys/pkg/FR-201-09-18/pdf/2015-                           FDA expects to implement this policy
                                                                                                        upon publication of the final version of              ADDRESSES: You may submit comments
                                                23389.pdf.                                                                                                    on any guidance at any time as follows:
                                                   Docket: For access to the docket to                  this guidance dependent upon
                                                read background documents or the                        comments received. In the interim, FDA                Electronic Submissions
                                                electronic and written/paper comments                   will refrain from issuing final decisions
                                                                                                        on requests for pediatric-subpopulation                 Submit electronic comments in the
                                                received, go to https://                                                                                      following way:
                                                                                                        designation until the guidance is
                                                www.regulations.gov and insert the
                                                                                                        finalized.                                              • Federal eRulemaking Portal:
                                                docket number, found in brackets in the                                                                       https://www.regulations.gov. Follow the
                                                heading of this document, into the                         This draft guidance is being issued                instructions for submitting comments.
                                                ‘‘Search’’ box and follow the prompts                   consistent with FDA’s good guidance                   Comments submitted electronically,
                                                and/or go to the Dockets Management                     practices regulation (21 CFR 10.115).                 including attachments, to https://
                                                Staff, 5630 Fishers Lane, Rm. 1061,                     The draft guidance, when finalized, will              www.regulations.gov will be posted to
                                                Rockville, MD 20852.                                    represent the current thinking of FDA                 the docket unchanged. Because your
                                                   You may submit comments on any                       on orphan designation of drugs and                    comment will be made public, you are
                                                guidance at any time (see 21 CFR                        biologics for pediatric subpopulations of             solely responsible for ensuring that your
                                                10.115(g)(5)).                                          common diseases. It does not establish                comment does not include any
                                                   Submit written requests for single                   any rights for any person and is not                  confidential information that you or a
                                                copies of the draft guidance to the                     binding on FDA or the public. You can                 third party may not wish to be posted,
                                                Division of Drug Information, Center for                use an alternative approach if it satisfies           such as medical information, your or
                                                Drug Evaluation and Research, Food                      the requirements of the applicable                    anyone else’s Social Security number, or
                                                and Drug Administration, 10001 New                      statutes and regulations. This guidance               confidential business information, such
                                                Hampshire Ave., Hillandale Building,                    is not subject to Executive Order 12866.              as a manufacturing process. Please note
                                                4th Floor, Silver Spring, MD 20993–                                                                           that if you include your name, contact
                                                                                                        II. Electronic Access
                                                0002. Send one self-addressed adhesive                                                                        information, or other information that
                                                label to assist that office in processing                 Persons with access to the internet                 identifies you in the body of your
                                                your requests. See the SUPPLEMENTARY                    may obtain the draft guidance at either               comments, that information will be
                                                INFORMATION section for electronic                      https://www.fda.gov/Orphan or https://                posted on https://www.regulations.gov.
sradovich on DSK3GMQ082PROD with NOTICES




                                                access to the draft guidance document.                  www.regulations.gov.                                    • If you want to submit a comment
                                                FOR FURTHER INFORMATION CONTACT:
                                                                                                          Dated: December 14, 2017.                           with confidential information that you
                                                Aaron Friedman, Office of Orphan                                                                              do not wish to be made available to the
                                                                                                        Leslie Kux,
                                                Products Development, Food and Drug                                                                           public, submit the comment as a
                                                Administration, 10903 New Hampshire                     Associate Commissioner for Policy.                    written/paper submission and in the
                                                Ave., Bldg. 32, Rm. 5295, Silver Spring,                [FR Doc. 2017–27435 Filed 12–19–17; 8:45 am]          manner detailed (see ‘‘Written/Paper
                                                MD 20993, 301–796–8660.                                 BILLING CODE 4164–01–P                                Submissions’’ and ‘‘Instructions’’).


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Document Created: 2018-10-25 10:55:48
Document Modified: 2018-10-25 10:55:48
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 January 19, 2018 to ensure that the Agency considers your comment on this draft guidance before it begins work on the final version of the guidance.
ContactAaron Friedman, Office of Orphan Products Development, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 32, Rm. 5295, Silver Spring, MD 20993, 301-796-8660.
FR Citation82 FR 60402 

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