83_FR_11260 83 FR 11210 - M7(R1): Assessment and Control of Deoxyribonucleic Acid Reactive (Mutagenic) Impurities in Pharmaceuticals To Limit Potential Carcinogenic Risk; Guidance for Industry; Availability

83 FR 11210 - M7(R1): Assessment and Control of Deoxyribonucleic Acid Reactive (Mutagenic) Impurities in Pharmaceuticals To Limit Potential Carcinogenic Risk; Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 50 (March 14, 2018)

Page Range11210-11212
FR Document2018-05118

The Food and Drug Administration (FDA or Agency) is announcing the availability of a guidance entitled ``M7(R1): Assessment and Control of Deoxyribonucleic Acid (DNA) Reactive (Mutagenic) Impurities in Pharmaceuticals to Limit Potential Carcinogenic Risk.'' This guidance updates and replaces the May 2015 guidance for industry ``M7 Assessment and Control of DNA Reactive (Mutagenic) Impurities in Pharmaceuticals to Limit Potential Carcinogenic Risk.'' This guidance finalizes the draft guidance ``M7(R1) Addendum to ICH M7: Assessment and Control of DNA Reactive (Mutagenic) Impurities in Pharmaceuticals to Limit Potential Carcinogenic Risk,'' issued September 28, 2015 (80 FR 58261). The guidance was prepared under the auspices of the International Council for Harmonisation (ICH), formerly the International Conference on Harmonisation. This M7(R1) document provides guidance on acceptable intakes (AIs), or permissible daily exposures (PDEs), derived for some chemicals that are considered to be mutagens and carcinogens and, are also commonly used in the synthesis of pharmaceuticals or are, useful examples to illustrate the principles for deriving compound-specific intakes described in ICH M7. This document is intended to provide guidance for new drug substances and new drug products during their clinical development and subsequent applications for marketing.

Federal Register, Volume 83 Issue 50 (Wednesday, March 14, 2018)
[Federal Register Volume 83, Number 50 (Wednesday, March 14, 2018)]
[Notices]
[Pages 11210-11212]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-05118]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2018-D-0740]


M7(R1): Assessment and Control of Deoxyribonucleic Acid Reactive 
(Mutagenic) Impurities in Pharmaceuticals To Limit Potential 
Carcinogenic Risk; 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 guidance entitled ``M7(R1): Assessment and 
Control of Deoxyribonucleic Acid (DNA) Reactive (Mutagenic) Impurities 
in Pharmaceuticals to Limit Potential Carcinogenic Risk.'' This 
guidance updates and replaces the May 2015 guidance for industry ``M7 
Assessment and Control of DNA Reactive (Mutagenic) Impurities in 
Pharmaceuticals to Limit Potential Carcinogenic Risk.'' This guidance 
finalizes the draft guidance ``M7(R1) Addendum to ICH M7: Assessment 
and Control of DNA Reactive (Mutagenic) Impurities in Pharmaceuticals 
to Limit Potential Carcinogenic Risk,'' issued September 28, 2015 (80 
FR 58261).
    The guidance was prepared under the auspices of the International 
Council for Harmonisation (ICH), formerly the International Conference 
on Harmonisation. This M7(R1) document provides guidance on acceptable 
intakes (AIs), or permissible daily exposures (PDEs), derived for some 
chemicals that are considered to be mutagens and carcinogens and, are 
also commonly used in the synthesis of pharmaceuticals or are, useful 
examples to illustrate the principles for deriving compound-specific 
intakes described in ICH M7. This document is intended to provide 
guidance for new drug substances and new drug products during their 
clinical development and subsequent applications for marketing.

DATES: The announcement of the guidance is published in the Federal 
Register on March 14, 2018.

ADDRESSES: You may submit either electronic or written comments on 
Agency guidances at any time as follows:

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the

[[Page 11211]]

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-2018-D-0740 for ``M7(R1) Assessment and Control of DNA Reactive 
(Mutagenic) Impurities in Pharmaceuticals To Limit Potential 
Carcinogenic Risk.'' 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 office between 9 a.m. and 4 p.m., Monday through 
Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on https://www.regulations.gov. 
Submit both copies to the Dockets Management Staff. If you do not wish 
your name and contact information to be made publicly available, you 
can provide this information on the cover sheet and not in the body of 
your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: https://www.thefederalregister.org/fdsys/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to https://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.
    Submit written requests for single copies of this 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, or the Office of 
Communication, Outreach and Development, Center for Biologics 
Evaluation and Research (CBER), Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 71, Rm. 3128, Silver Spring, MD 20993-0002. Send 
one self-addressed adhesive label to assist that office in processing 
your requests. The guidance may also be obtained by mail by calling 
CBER at 1-800-835-4709 or 240-402-8010. See the SUPPLEMENTARY 
INFORMATION section for electronic access to the guidance document.

FOR FURTHER INFORMATION CONTACT: Regarding the guidance: Aisar 
Atrakchi, Center for Drug Evaluation and Research, Food and Drug 
Administration, 10903 New Hampshire Ave., Bldg. 22, Rm. 4118, Silver 
Spring, MD 20993-0002, 301-796-1036; or Anne Pilaro, Center for 
Biologics Evaluation and Research (HFM-17), Food and Drug 
Administration, 10903 New Hampshire Ave., Bldg. 71, Rm. 4025, Silver 
Spring, MD 20993-0002, 240-402-8341.
    Regarding the ICH: Amanda Roache, Center for Drug Evaluation and 
Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 
51, Rm. 1176, Silver Spring, MD 20993-0002, 301-796-4548.

SUPPLEMENTARY INFORMATION:

I. Background

    In recent years, regulatory authorities and industry associations 
from around the world have participated in many important initiatives 
to promote international harmonization of regulatory requirements under 
the ICH. FDA has participated in several ICH meetings designed to 
enhance harmonization and FDA is committed to seeking scientifically 
based harmonized technical procedures for pharmaceutical development. 
One of the goals of harmonization is to identify and then reduce 
differences in technical requirements for drug development among 
regulatory agencies.
    ICH was established to provide an opportunity for harmonization 
initiatives to be developed with input from both regulatory and 
industry representatives. FDA also seeks input from consumer 
representatives and others. ICH is concerned with harmonization of 
technical requirements for the registration of pharmaceutical products 
for human use among regulators around the world. The six founding 
members of the ICH are the European Commission; the European Federation 
of Pharmaceutical Industries Associations; the FDA; the Japanese 
Ministry of Health, Labour, and Welfare; the Japanese Pharmaceutical 
Manufacturers Association; and the Pharmaceutical Research and 
Manufacturers of America. The Standing Members of the ICH Association 
include Health Canada and Swissmedic. Any party eligible as a Member in 
accordance with the ICH Articles of Association can apply for 
membership in writing to the ICH Secretariat. The ICH Secretariat, 
which coordinates the preparation of documentation, operates as an 
international nonprofit organization and is funded by the Members of 
the ICH Association.
    The ICH Assembly is the overarching body of the Association and 
includes representatives from each of the ICH members and observers. 
The Assembly is responsible for the endorsement of draft guidelines and 
adoption of final guidelines. FDA publishes ICH guidelines as FDA 
guidance.
    In the Federal Register of September 28, 2015 (80 FR 58261), FDA 
published a notice announcing the availability of a draft guidance 
entitled ``M7(R1)

[[Page 11212]]

Addendum to ICH M7; Assessment and Control of DNA Reactive (Mutagenic) 
Impurities in Pharmaceuticals to Limit Potential Carcinogenic Risk,'' 
available at https://www.thefederalregister.org/fdsys/pkg/FR-2015-09-18/pdf/2015-23389.pdf. The notice gave interested persons an opportunity to submit 
comments by November 27, 2015.
    After consideration of the comments received and revisions to the 
guideline, a final draft of the guideline was submitted to the ICH 
Assembly and endorsed by the regulatory Agencies in June 2017.
    This final guidance provides guidance on acceptable intake limits 
derived for some chemicals that are considered to be mutagenic 
carcinogens and are also commonly used in the synthesis of 
pharmaceuticals or are useful examples to illustrate the principles for 
deriving compound-specific intakes described in the ICH M7 guidance. 
This guidance is intended to provide guidance for new drug substances 
and new drug products during their clinical development and subsequent 
applications for marketing. The default method from ICH M7 of linear 
extrapolation from the cancer potency estimate, TD50 is used 
as the primary method to derive the acceptable intakes for carcinogens 
with likely mutagenic mode of action. After consideration of the 
comments received, hydroxylamine monograph was deleted from the final 
guidance. Relevant editorial changes were also made to improve clarity 
and to incorporate the ICH M7(R1) Addendum guidance.
    This guidance is being issued consistent with FDA's good guidance 
practices regulation (21 CFR 10.115). The guidance represents the 
current thinking of FDA on ``M7: Assessment and Control of DNA Reactive 
(Mutagenic) Impurities in Pharmaceuticals to Limit Potential 
Carcinogenic Risk.'' 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 guidance at 
https://www.regulations.gov, https://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/default.htm, or 
https://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/Guidances/default.htm.

    Dated: March 8, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-05118 Filed 3-13-18; 8:45 am]
BILLING CODE 4164-01-P



                                               11210                       Federal Register / Vol. 83, No. 50 / Wednesday, March 14, 2018 / Notices

                                                  2. Besides prescription medical                      will be asked to send PatientFocused@                 DEPARTMENT OF HEALTH AND
                                               treatments, are there other treatments or               fda.hhs.gov a brief summary of                        HUMAN SERVICES
                                               therapies that you currently use to                     responses to the topic questions by
                                               address your OUD? If so, please                         April 2, 2018. Panelists will be notified             Food and Drug Administration
                                               describe. How well do these treatments                  of their selection approximately 7 days               [Docket No. FDA–2018–D–0740]
                                               or therapies help address the effects of                before the public meeting. We will try
                                               OUD that are most bothersome to you?                    to accommodate all patients and patient               M7(R1): Assessment and Control of
                                                  3. Of all treatments, therapies, or                  stakeholders who wish to speak, either                Deoxyribonucleic Acid Reactive
                                               other steps that you have taken to                      through the panel discussion or                       (Mutagenic) Impurities in
                                               address your OUD, what have you                                                                               Pharmaceuticals To Limit Potential
                                                                                                       audience participation; however, the
                                               found to be most effective in helping                                                                         Carcinogenic Risk; Guidance for
                                                                                                       duration of comments may be limited by
                                               you manage your OUD?                                                                                          Industry; Availability
                                                  4. What are the biggest factors that                 time constraints.
                                               you take into account when making                          Open Public Comment: There will be                 AGENCY:   Food and Drug Administration,
                                               decisions about seeking out or using                    time allotted during the meeting for                  HHS.
                                               treatments for OUD?                                     open public comment. Sign-up for this                 ACTION:   Notice of availability.
                                                  5. What specific things would you                    session will be on a first-come, first-
                                               look for in an ideal treatment for OUD?                                                                       SUMMARY:   The Food and Drug
                                                                                                       serve basis on the day of the workshop.               Administration (FDA or Agency) is
                                                  6. If you had the opportunity to                     Individuals and organizations with
                                               consider participating in a clinical trial                                                                    announcing the availability of a
                                                                                                       common interests are urged to                         guidance entitled ‘‘M7(R1): Assessment
                                               studying experimental treatments for                    consolidate or coordinate and request
                                               OUD, what factors would you consider                                                                          and Control of Deoxyribonucleic Acid
                                                                                                       time for a joint presentation. No                     (DNA) Reactive (Mutagenic) Impurities
                                               when deciding whether or not to
                                                                                                       commercial or promotional material                    in Pharmaceuticals to Limit Potential
                                               participate?
                                                                                                       will be permitted to be presented or                  Carcinogenic Risk.’’ This guidance
                                               III. Participating in the Public Meeting                distributed at the public workshop.                   updates and replaces the May 2015
                                                  Registration: To register for the public                Streaming Webcast of the Public                    guidance for industry ‘‘M7 Assessment
                                               meeting, visit https://                                 Meeting: This public meeting will also                and Control of DNA Reactive
                                               www.eventbrite.com/e/public-meeting-                    be webcast. Please register for the                   (Mutagenic) Impurities in
                                               for-patient-focused-drug-development-                   webcast by visiting https://                          Pharmaceuticals to Limit Potential
                                               on-opioid-use-disorder-oud-registration-                www.eventbrite.com/e/public-meeting-                  Carcinogenic Risk.’’ This guidance
                                               42531194949. Please register by April                   for-patient-focused-drug-development-                 finalizes the draft guidance ‘‘M7(R1)
                                               11, 2018. Please provide complete                                                                             Addendum to ICH M7: Assessment and
                                                                                                       on-opioid-use-disorder-oud-registration-
                                               contact information for each attendee,                                                                        Control of DNA Reactive (Mutagenic)
                                                                                                       42531194949.
                                               including name, title, affiliation,                                                                           Impurities in Pharmaceuticals to Limit
                                               address, email, and telephone. Persons                     If you have never attended a Connect               Potential Carcinogenic Risk,’’ issued
                                               without access to the internet can call                 Pro event before, test your connection at             September 28, 2015 (80 FR 58261).
                                               240–402–6525 to register. If you are                    https://collaboration.fda.gov/common/                    The guidance was prepared under the
                                               unable to attend the meeting in person,                 help/en/support/meeting_test.htm. To                  auspices of the International Council for
                                               you can register to view a live webcast                 get a quick overview of the Connect Pro               Harmonisation (ICH), formerly the
                                               of the meeting. You will be asked to                    program, visit https://www.adobe.com/                 International Conference on
                                               indicate in your registration if you plan               go/connectpro_overview. FDA has                       Harmonisation. This M7(R1) document
                                               to attend in person or via the webcast.                 verified the website addresses in this                provides guidance on acceptable intakes
                                                  Registration is free and based on                    document, as of the date this document                (AIs), or permissible daily exposures
                                               space availability, with priority given to              publishes in the Federal Register, but                (PDEs), derived for some chemicals that
                                               early registrants. Persons interested in                websites are subject to change over time.             are considered to be mutagens and
                                               attending this public meeting must                                                                            carcinogens and, are also commonly
                                                                                                          Transcripts: Please be advised that as             used in the synthesis of pharmaceuticals
                                               register by April 11, 2018. Early
                                                                                                       soon as a transcript of the public                    or are, useful examples to illustrate the
                                               registration is recommended because
                                               seating is limited; therefore, FDA may                  meeting is available, it will be accessible           principles for deriving compound-
                                               limit the number of participants from                   at https://www.regulations.gov. It may                specific intakes described in ICH M7.
                                               each organization. Registrants will                     be viewed at the Dockets Management                   This document is intended to provide
                                               receive confirmation when they have                     Staff (see ADDRESSES). A link to the                  guidance for new drug substances and
                                               been accepted. If time and space permit,                transcript will also be available on the              new drug products during their clinical
                                               onsite registration on the day of the                   internet at https://www.fda.gov/For                   development and subsequent
                                               public meeting will be provided                         Industry/UserFees/PrescriptionDrug                    applications for marketing.
                                               beginning at 9 a.m.                                     UserFee/ucm591290.htm.                                DATES: The announcement of the
                                                  If you need special accommodations                     Dated: March 8, 2018.                               guidance is published in the Federal
                                               because of a disability, please contact                                                                       Register on March 14, 2018.
                                                                                                       Leslie Kux,
                                               Meghana Chalasani (see FOR FURTHER                                                                            ADDRESSES: You may submit either
                                               INFORMATION CONTACT) no later than                      Associate Commissioner for Policy.
                                                                                                                                                             electronic or written comments on
                                               April 11, 2018.                                         [FR Doc. 2018–05119 Filed 3–13–18; 8:45 am]
                                                                                                                                                             Agency guidances at any time as
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                                                  Panelist Selection: Patients or patient              BILLING CODE 4164–01–P                                follows:
                                               representatives who are interested in
                                               presenting comments as part of the                                                                            Electronic Submissions
                                               initial panel discussions will be asked                                                                         Submit electronic comments in the
                                               to indicate in their registration which                                                                       following way:
                                               topic(s) they wish to address. These                                                                            • Federal eRulemaking Portal:
                                               patients or patient representatives also                                                                      https://www.regulations.gov. Follow the


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                                                                           Federal Register / Vol. 83, No. 50 / Wednesday, March 14, 2018 / Notices                                            11211

                                               instructions for submitting comments.                   its consideration of comments. The                      Regarding the ICH: Amanda Roache,
                                               Comments submitted electronically,                      second copy, which will have the                      Center for Drug Evaluation and
                                               including attachments, to https://                      claimed confidential information                      Research, Food and Drug
                                               www.regulations.gov will be posted to                   redacted/blacked out, will be available               Administration, 10903 New Hampshire
                                               the docket unchanged. Because your                      for public viewing and posted on                      Ave., Bldg. 51, Rm. 1176, Silver Spring,
                                               comment will be made public, you are                    https://www.regulations.gov. Submit                   MD 20993–0002, 301–796–4548.
                                               solely responsible for ensuring that your               both copies to the Dockets Management                 SUPPLEMENTARY INFORMATION:
                                               comment does not include any                            Staff. If you do not wish your name and
                                               confidential information that you or a                  contact information to be made publicly               I. Background
                                               third party may not wish to be posted,                  available, you can provide this                          In recent years, regulatory authorities
                                               such as medical information, your or                    information on the cover sheet and not                and industry associations from around
                                               anyone else’s Social Security number, or                in the body of your comments and you                  the world have participated in many
                                               confidential business information, such                 must identify this information as                     important initiatives to promote
                                               as a manufacturing process. Please note                 ‘‘confidential.’’ Any information marked              international harmonization of
                                               that if you include your name, contact                  as ‘‘confidential’’ will not be disclosed             regulatory requirements under the ICH.
                                               information, or other information that                  except in accordance with 21 CFR 10.20                FDA has participated in several ICH
                                               identifies you in the body of your                      and other applicable disclosure law. For              meetings designed to enhance
                                               comments, that information will be                      more information about FDA’s posting                  harmonization and FDA is committed to
                                               posted on https://www.regulations.gov.                  of comments to public dockets, see 80                 seeking scientifically based harmonized
                                                 • If you want to submit a comment                     FR 56469, September 18, 2015, or access               technical procedures for pharmaceutical
                                               with confidential information that you                  the information at: https://www.gpo.gov/              development. One of the goals of
                                               do not wish to be made available to the                 fdsys/pkg/FR-2015-09-18/pdf/2015-                     harmonization is to identify and then
                                               public, submit the comment as a                         23389.pdf.                                            reduce differences in technical
                                               written/paper submission and in the                        Docket: For access to the docket to                requirements for drug development
                                               manner detailed (see ‘‘Written/Paper                    read background documents or the                      among regulatory agencies.
                                               Submissions’’ and ‘‘Instructions’’).                    electronic and written/paper comments                    ICH was established to provide an
                                                                                                       received, go to https://                              opportunity for harmonization
                                               Written/Paper Submissions                                                                                     initiatives to be developed with input
                                                                                                       www.regulations.gov and insert the
                                                  Submit written/paper submissions as                  docket number, found in brackets in the               from both regulatory and industry
                                               follows:                                                heading of this document, into the                    representatives. FDA also seeks input
                                                  • Mail/Hand delivery/Courier (for                                                                          from consumer representatives and
                                                                                                       ‘‘Search’’ box and follow the prompts
                                               written/paper submissions): Dockets                                                                           others. ICH is concerned with
                                                                                                       and/or go to the Dockets Management
                                               Management Staff (HFA–305), Food and                                                                          harmonization of technical
                                                                                                       Staff, 5630 Fishers Lane, Rm. 1061,
                                               Drug Administration, 5630 Fishers                                                                             requirements for the registration of
                                                                                                       Rockville, MD 20852.
                                               Lane, Rm. 1061, Rockville, MD 20852.                       Submit written requests for single                 pharmaceutical products for human use
                                                  • For written/paper comments                                                                               among regulators around the world. The
                                                                                                       copies of this guidance to the Division
                                               submitted to the Dockets Management                                                                           six founding members of the ICH are the
                                                                                                       of Drug Information, Center for Drug
                                               Staff, FDA will post your comment, as                                                                         European Commission; the European
                                                                                                       Evaluation and Research, Food and
                                               well as any attachments, except for                                                                           Federation of Pharmaceutical Industries
                                                                                                       Drug Administration, 10001 New
                                               information submitted, marked and                                                                             Associations; the FDA; the Japanese
                                                                                                       Hampshire Ave., Hillandale Building,
                                               identified, as confidential, if submitted                                                                     Ministry of Health, Labour, and Welfare;
                                                                                                       4th Floor, Silver Spring, MD 20993–
                                               as detailed in ‘‘Instructions.’’                                                                              the Japanese Pharmaceutical
                                                  Instructions: All submissions received               0002, or the Office of Communication,
                                                                                                       Outreach and Development, Center for                  Manufacturers Association; and the
                                               must include the Docket No. FDA–                                                                              Pharmaceutical Research and
                                               2018–D–0740 for ‘‘M7(R1) Assessment                     Biologics Evaluation and Research
                                                                                                       (CBER), Food and Drug Administration,                 Manufacturers of America. The
                                               and Control of DNA Reactive                                                                                   Standing Members of the ICH
                                               (Mutagenic) Impurities in                               10903 New Hampshire Ave., Bldg. 71,
                                                                                                       Rm. 3128, Silver Spring, MD 20993–                    Association include Health Canada and
                                               Pharmaceuticals To Limit Potential                                                                            Swissmedic. Any party eligible as a
                                               Carcinogenic Risk.’’ Received comments                  0002. Send one self-addressed adhesive
                                                                                                       label to assist that office in processing             Member in accordance with the ICH
                                               will be placed in the docket and, except                                                                      Articles of Association can apply for
                                               for those submitted as ‘‘Confidential                   your requests. The guidance may also be
                                                                                                                                                             membership in writing to the ICH
                                               Submissions,’’ publicly viewable at                     obtained by mail by calling CBER at 1–
                                                                                                                                                             Secretariat. The ICH Secretariat, which
                                               https://www.regulations.gov or at the                   800–835–4709 or 240–402–8010. See
                                                                                                                                                             coordinates the preparation of
                                               Dockets Management Staff office                         the SUPPLEMENTARY INFORMATION section
                                                                                                                                                             documentation, operates as an
                                               between 9 a.m. and 4 p.m., Monday                       for electronic access to the guidance
                                                                                                                                                             international nonprofit organization and
                                               through Friday.                                         document.
                                                                                                                                                             is funded by the Members of the ICH
                                                  • Confidential Submissions—To                        FOR FURTHER INFORMATION CONTACT:                      Association.
                                               submit a comment with confidential                      Regarding the guidance: Aisar Atrakchi,                  The ICH Assembly is the overarching
                                               information that you do not wish to be                  Center for Drug Evaluation and                        body of the Association and includes
                                               made publicly available, submit your                    Research, Food and Drug                               representatives from each of the ICH
                                               comments only as a written/paper                        Administration, 10903 New Hampshire                   members and observers. The Assembly
                                               submission. You should submit two                       Ave., Bldg. 22, Rm. 4118, Silver Spring,              is responsible for the endorsement of
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                                               copies total. One copy will include the                 MD 20993–0002, 301–796–1036; or                       draft guidelines and adoption of final
                                               information you claim to be confidential                Anne Pilaro, Center for Biologics                     guidelines. FDA publishes ICH
                                               with a heading or cover note that states                Evaluation and Research (HFM–17),                     guidelines as FDA guidance.
                                               ‘‘THIS DOCUMENT CONTAINS                                Food and Drug Administration, 10903                      In the Federal Register of September
                                               CONFIDENTIAL INFORMATION.’’ The                         New Hampshire Ave., Bldg. 71, Rm.                     28, 2015 (80 FR 58261), FDA published
                                               Agency will review this copy, including                 4025, Silver Spring, MD 20993–0002,                   a notice announcing the availability of
                                               the claimed confidential information, in                240–402–8341.                                         a draft guidance entitled ‘‘M7(R1)


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                                               11212                       Federal Register / Vol. 83, No. 50 / Wednesday, March 14, 2018 / Notices

                                               Addendum to ICH M7; Assessment and                        Dated: March 8, 2018.                               Resources and Services Administration,
                                               Control of DNA Reactive (Mutagenic)                     Leslie Kux,                                           at the contact information listed above.
                                               Impurities in Pharmaceuticals to Limit                  Associate Commissioner for Policy.                    SUPPLEMENTARY INFORMATION: The GPE
                                               Potential Carcinogenic Risk,’’ available                [FR Doc. 2018–05118 Filed 3–13–18; 8:45 am]           Program was established in 2002 to
                                               at https://www.gpo.gov/fdsys/pkg/FR-                    BILLING CODE 4164–01–P                                assist American Psychological
                                               2015-09-18/pdf/2015-23389.pdf. The                                                                            Association (APA) accredited doctoral
                                               notice gave interested persons an                                                                             programs and internships in meeting the
                                               opportunity to submit comments by                       DEPARTMENT OF HEALTH AND                              costs to plan, develop, operate, or
                                               November 27, 2015.                                      HUMAN SERVICES                                        maintain graduate psychology education
                                                  After consideration of the comments                                                                        programs to train health service
                                                                                                       Health Resources and Services                         psychologists to work with vulnerable
                                               received and revisions to the guideline,                Administration                                        populations. The purpose of the current
                                               a final draft of the guideline was
                                                                                                                                                             program (Funding Opportunity
                                               submitted to the ICH Assembly and                       Proposed Changes to the Graduate                      Announcement HRSA–16–059) is to
                                               endorsed by the regulatory Agencies in                  Psychology Education Program                          prepare doctoral-level psychologists to
                                               June 2017.                                                                                                    provide behavioral health care,
                                                                                                       AGENCY:  Health Resources and Services
                                                  This final guidance provides guidance                                                                      including mental health and substance
                                                                                                       Administration (HRSA), Department of
                                               on acceptable intake limits derived for                                                                       use disorder prevention and treatment
                                                                                                       Health and Human Services.
                                               some chemicals that are considered to                                                                         services, in settings that provide
                                               be mutagenic carcinogens and are also                   ACTION: Request for Public Comment on                 integrated primary and behavioral
                                               commonly used in the synthesis of                       the Graduate Psychology Education                     health services to underserved and/or
                                               pharmaceuticals or are useful examples                  Program.                                              rural populations. The program is
                                               to illustrate the principles for deriving                                                                     designed to foster an integrated and
                                                                                                       SUMMARY:    The Graduate Psychology
                                               compound-specific intakes described in                                                                        interprofessional approach to address
                                                                                                       Education (GPE) Program is authorized
                                               the ICH M7 guidance. This guidance is                                                                         access to behavioral health care for
                                                                                                       by section 756 of the Public Health                   underserved and/or rural populations.
                                               intended to provide guidance for new                    Service Act and administered by HRSA.
                                               drug substances and new drug products                                                                            Given the value of feedback from
                                                                                                       The program provides financial support                stakeholders, HRSA is seeking
                                               during their clinical development and                   to organizations and institutions that
                                               subsequent applications for marketing.                                                                        comments from interested parties
                                                                                                       train doctoral-level psychologists. This              including current and former grant
                                               The default method from ICH M7 of                       notice seeks public comment to inform
                                               linear extrapolation from the cancer                                                                          recipients, former applicants to the
                                                                                                       and guide policy and planning                         program, doctoral psychology schools
                                               potency estimate, TD50 is used as the                   associated with the GPE Program.                      and programs, and health care delivery
                                               primary method to derive the acceptable
                                                                                                       DATES: Individuals and organizations                  sites that provide behavioral health
                                               intakes for carcinogens with likely
                                                                                                       interested in providing information                   experiential training to students. The
                                               mutagenic mode of action. After                         must submit written comments no later                 purpose is to identify doctoral-level
                                               consideration of the comments received,                 than April 13, 2018. To receive                       health service psychologist training
                                               hydroxylamine monograph was deleted                     consideration, comments must be                       needs, salient issues and challenges in
                                               from the final guidance. Relevant                       received no later than 11:59 p.m.                     the delivery of behavioral health
                                               editorial changes were also made to                     Eastern Time on that date.                            services, including substance use, and
                                               improve clarity and to incorporate the                                                                        to provide individual recommendations
                                                                                                       ADDRESSES: Interested parties should
                                               ICH M7(R1) Addendum guidance.                                                                                 to maximize the reach, capacity and
                                                                                                       submit their comments to Cynthia
                                                  This guidance is being issued                        Harne, Public Health Analyst and                      success of the GPE Program in
                                               consistent with FDA’s good guidance                     Project Officer for the GPE Program,                  addressing Opioid Use Disorder and
                                               practices regulation (21 CFR 10.115).                   Division of Nursing and Public Health,                other behavioral health concerns. This
                                               The guidance represents the current                     Behavioral and Public Health Branch,                  information may be used by HRSA will
                                               thinking of FDA on ‘‘M7: Assessment                     Bureau of Health Workforce, HRSA,                     consider the input as it develops future
                                               and Control of DNA Reactive                             5600 Fishers Lane, Room 11N–90C,                      technical assistance and funding
                                               (Mutagenic) Impurities in                               Rockville, Maryland 20857; phone (301)                opportunities, and strategic planning to
                                               Pharmaceuticals to Limit Potential                      443–7661; fax (301) 443–0791; or email                meet the training demands of the
                                               Carcinogenic Risk.’’ It does not establish              charne@hrsa.gov. Please include the                   behavioral health workforce.
                                               any rights for any person and is not                    title of this notice, ‘‘Request for                   Graduate Psychology Program in FY
                                               binding on FDA or the public. You can                   Comment: GPE Program’’ in the subject                 2019—Proposal for Public Comment
                                               use an alternative approach if it satisfies             line of the email. Response to this
                                               the requirements of the applicable                                                                              HRSA seeks comments on how the
                                                                                                       request is voluntary. Responders are free
                                               statutes and regulations. This guidance                                                                       GPE program (and the students it
                                                                                                       to address any or all of the questions
                                               is not subject to Executive Order 12866.                                                                      supports) can help address the opioid
                                                                                                       listed below. This request is for
                                                                                                                                                             epidemic. In your comments, please
                                               II. Electronic Access                                   information and planning purposes only
                                                                                                                                                             address one or more of the following:
                                                                                                       and should not be construed as a                        1. What do you see as the most
                                                 Persons with access to the internet                   solicitation or as an obligation on the               prevalent behavioral health and public
                                               may obtain the guidance at https://                     part of the federal government. All                   health trends or concerns that should be
daltland on DSKBBV9HB2PROD with NOTICES




                                               www.regulations.gov, https://                           submitted comments will be available to               addressed in developing the
                                               www.fda.gov/Drugs/Guidance                              the public by request in their entirety.              psychologist workforce?
                                               ComplianceRegulatoryInformation/                        FOR FURTHER INFORMATION CONTACT:                        2. What do you see as the role for
                                               Guidances/default.htm, or https://                      Cynthia Harne, Public Health Analyst,                 doctoral-level health psychologists in
                                               www.fda.gov/BiologicsBloodVaccines/                     Division of Nursing and Public Health,                addressing the opioid epidemic?
                                               GuidanceComplianceRegulatory                            Behavioral and Public Health Branch,                    3. What are the didactic and
                                               Information/Guidances/default.htm.                      Bureau of Health Workforce, Health                    experiential training needs in preparing


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Document Created: 2018-03-14 01:06:16
Document Modified: 2018-03-14 01:06:16
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.
DatesThe announcement of the guidance is published in the Federal Register on March 14, 2018.
ContactRegarding the guidance: Aisar Atrakchi, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 22, Rm. 4118, Silver Spring, MD 20993-0002, 301-796-1036; or Anne Pilaro, Center for Biologics Evaluation and Research (HFM-17), Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 71, Rm. 4025, Silver Spring, MD 20993-0002, 240-402-8341.
FR Citation83 FR 11210 

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