83_FR_15225 83 FR 15157 - Atopic Dermatitis: Timing of Pediatric Studies During Development of Systemic Drugs; Draft Guidance for Industry; Availability

83 FR 15157 - Atopic Dermatitis: Timing of Pediatric Studies During Development of Systemic Drugs; Draft Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 68 (April 9, 2018)

Page Range15157-15158
FR Document2018-07150

The Food and Drug Administration (FDA or Agency) is announcing the availability of a draft guidance for industry entitled ``Atopic Dermatitis: Timing of Pediatric Studies During Development of Systemic Drugs.'' This draft guidance addresses FDA's current thinking about the relevant age groups to study and how early in the drug development pediatric patients should be incorporated during development of systemic drugs for atopic dermatitis (AD).

Federal Register, Volume 83 Issue 68 (Monday, April 9, 2018)
[Federal Register Volume 83, Number 68 (Monday, April 9, 2018)]
[Notices]
[Pages 15157-15158]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-07150]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2018-D-1175]


Atopic Dermatitis: Timing of Pediatric Studies During Development 
of Systemic Drugs; Draft Guidance for Industry; Availability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the availability of a draft guidance for industry entitled ``Atopic 
Dermatitis: Timing of Pediatric Studies During Development of Systemic 
Drugs.'' This draft guidance addresses FDA's current thinking about the 
relevant age groups to study and how early in the drug development 
pediatric patients should be incorporated during development of 
systemic drugs for atopic dermatitis (AD).

DATES: Submit either electronic or written comments on the draft 
guidance by June 8, 2018 to ensure that the Agency considers your 
comment on this draft guidance before it begins work on the final 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-2018-D-1175 for ``Atopic Dermatitis: Timing of Pediatric Studies 
During

[[Page 15158]]

Development of Systemic Drugs; Draft Guidance for Industry; 
Availability.'' Received comments will be placed in the docket and, 
except for those submitted as ``Confidential Submissions,'' publicly 
viewable at https://www.regulations.gov or at the Dockets Management 
Staff between 9 a.m. and 4 p.m., Monday through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on 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.
    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, or Office 
of Communication, Outreach, and Development, Center for Biologics 
Evaluation and Research, 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. See the SUPPLEMENTARY INFORMATION section for electronic 
access to the draft guidance document.

FOR FURTHER INFORMATION CONTACT: Dawn Williams, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 22, Rm. 5168, Silver Spring, MD 20993-0002, 301-
796-5376; or Stephen Ripley, Center for Biologics Evaluation and 
Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 
71, Rm. 7301, Silver Spring, MD 20993-0002, 240-402-7911.

SUPPLEMENTARY INFORMATION:

I. Background

    FDA is announcing the availability of a draft guidance for industry 
entitled ``Atopic Dermatitis: Timing of Pediatric Studies During 
Development of Systemic Drugs.'' This draft guidance addresses FDA's 
current thinking about the relevant age groups to study and how early 
in the drug development pediatric patients should be incorporated 
during development of systemic drugs for AD.
    This draft guidance is being issued consistent with FDA's good 
guidance practices regulation (21 CFR 10.115). The draft guidance, when 
finalized, will represent the current thinking of FDA on the timing of 
pediatric studies during development of systemic drugs for atopic 
dermatitis. 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 https://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/default.htm, https://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/default.htm, or https://www.regulations.gov.

    Dated: April 2, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-07150 Filed 4-6-18; 8:45 am]
BILLING CODE 4164-01-P



                                                                                Federal Register / Vol. 83, No. 68 / Monday, April 9, 2018 / Notices                                           15157

                                                control status of a substance should be                 IV. Opportunity To Submit Domestic                    During Development of Systemic
                                                changed.                                                Information                                           Drugs.’’ This draft guidance addresses
                                                   Cannabis, also known as marijuana,                     As required by paragraph (d)(2)(A) of               FDA’s current thinking about the
                                                refers to the dried leaves, flowers, stems,             the CSA, FDA, on behalf of HHS, invites               relevant age groups to study and how
                                                and seeds from the Cannabis sativa or                   interested persons to submit comments                 early in the drug development pediatric
                                                                                                        regarding the five drug substances. Any               patients should be incorporated during
                                                Cannabis indica plant. It is a complex
                                                                                                        comments received will be considered                  development of systemic drugs for
                                                plant substance containing multiple
                                                                                                        by HHS when it prepares a scientific                  atopic dermatitis (AD).
                                                cannabinoids and other compounds,
                                                                                                        and medical evaluation of these drug                  DATES: Submit either electronic or
                                                including the psychoactive chemical
                                                THC and other structurally similar                      substances, responsive to the WHO                     written comments on the draft guidance
                                                                                                        Questionnaire request for these drug                  by June 8, 2018 to ensure that the
                                                compounds. Cannabinoids are defined
                                                                                                        substances. HHS will forward such                     Agency considers your comment on this
                                                as having activity at cannabinoid 1 and
                                                                                                        evaluation of these drug substances to                draft guidance before it begins work on
                                                2 (CB1 and CB2 respectively) receptors.                                                                       the final version of the guidance.
                                                                                                        WHO, for WHO’s consideration in
                                                Agonists of CB1 receptors are widely
                                                                                                        deciding whether to recommend                         ADDRESSES: You may submit comments
                                                abused and are known to modulate
                                                                                                        international control/decontrol of any of             on any guidance at any time as follows:
                                                motor coordination, memory processing,
                                                                                                        these drug substances. Such control
                                                pain, and inflammation, and have                        could limit, among other things, the                  Electronic Submissions
                                                anxiolytic effects. Marijuana is the most               manufacture and distribution (import/                   Submit electronic comments in the
                                                commonly used illicit drug in the                       export) of these drug substances and                  following way:
                                                United States.                                          could impose certain recordkeeping                      • Federal eRulemaking Portal:
                                                   The principal cannabinoids in the                    requirements on them.                                 https://www.regulations.gov. Follow the
                                                cannabis plant include THC, CBD, and                      Although FDA is, through this notice,               instructions for submitting comments.
                                                cannabinol. FDA has not approved any                    requesting comments from interested                   Comments submitted electronically,
                                                product containing or derived from                      persons, which will be considered by                  including attachments, to https://
                                                botanical marijuana for any indication.                 HHS when it prepares an evaluation of                 www.regulations.gov will be posted to
                                                These substances are controlled in                      these drug substances, HHS will not                   the docket unchanged. Because your
                                                Schedule I under the CSA. Synthetic                     now make any recommendations to                       comment will be made public, you are
                                                THC (dronabinol) is the active                          WHO regarding whether any of these                    solely responsible for ensuring that your
                                                ingredient in two approved drug                         drugs should be subjected to                          comment does not include any
                                                products in the United States,                          international controls. Instead, HHS will             confidential information that you or a
                                                MARINOL capsules (and generics) and                     defer such consideration until WHO has                third party may not wish to be posted,
                                                SYNDROS oral solution. MARINOL is                       made official recommendations to the                  such as medical information, your or
                                                controlled in Schedule III, while                       Commission on Narcotic Drugs, which                   anyone else’s Social Security number, or
                                                SYNDROS is controlled in Schedule II                    are expected to be made in mid-2018.                  confidential business information, such
                                                                                                        Any HHS position regarding                            as a manufacturing process. Please note
                                                under the CSA. Both MARINOL and
                                                                                                        international control of these drug                   that if you include your name, contact
                                                SYNDROS are approved to treat
                                                                                                        substances will be preceded by another                information, or other information that
                                                anorexia associated with weight loss in
                                                                                                        Federal Register notice soliciting public             identifies you in the body of your
                                                patients with acquired
                                                                                                        comments, as required by paragraph                    comments, that information will be
                                                immunodeficiency syndrome (AIDS),                       (d)(2)(B) of the CSA.                                 posted on https://www.regulations.gov.
                                                and nausea and vomiting associated                                                                              • If you want to submit a comment
                                                with cancer chemotherapy in patients                      Dated: April 4, 2018.
                                                                                                        Leslie Kux,                                           with confidential information that you
                                                who have failed to respond adequately                                                                         do not wish to be made available to the
                                                to conventional treatment.                              Associate Commissioner for Policy.
                                                                                                                                                              public, submit the comment as a
                                                                                                        [FR Doc. 2018–07225 Filed 4–6–18; 8:45 am]
                                                   CBD is another cannabinoid identified                                                                      written/paper submission and in the
                                                                                                        BILLING CODE 4164–01–P
                                                in cannabis. CBD has been tested in                                                                           manner detailed (see ‘‘Written/Paper
                                                experimental animal and laboratory                                                                            Submissions’’ and ‘‘Instructions’’).
                                                models of several neurological                          DEPARTMENT OF HEALTH AND                              Written/Paper Submissions
                                                disorders, including those of seizure                   HUMAN SERVICES
                                                and epilepsy. In the United States, CBD-                                                                        Submit written/paper submissions as
                                                containing products are in human                        Food and Drug Administration                          follows:
                                                clinical testing in several therapeutic                                                                         • Mail/Hand delivery/Courier (for
                                                                                                        [Docket No. FDA–2018–D–1175]                          written/paper submissions): Dockets
                                                areas, but no such products have
                                                marketing approval by FDA for any                                                                             Management Staff (HFA–305), Food and
                                                                                                        Atopic Dermatitis: Timing of Pediatric                Drug Administration, 5630 Fishers
                                                medical purposes in the United States.                  Studies During Development of
                                                CBD is controlled as a Schedule I                                                                             Lane, Rm. 1061, Rockville, MD 20852.
                                                                                                        Systemic Drugs; Draft Guidance for                      • For written/paper comments
                                                substance under the CSA. CBD is not                     Industry; Availability                                submitted to the Dockets Management
                                                specifically listed in the schedules of
                                                                                                        AGENCY:    Food and Drug Administration,              Staff, FDA will post your comment, as
                                                the 1961, 1971, or 1988 International
                                                                                                                                                              well as any attachments, except for
sradovich on DSK3GMQ082PROD with NOTICES




                                                Drug Control conventions.                               HHS.
                                                                                                        ACTION:   Notice of availability.                     information submitted, marked and
                                                   At the 39th (2017) meeting of the                                                                          identified, as confidential, if submitted
                                                ECDD, the committee pre-reviewed CBD                    SUMMARY:  The Food and Drug                           as detailed in ‘‘Instructions.’’
                                                and recommended that extracts or                        Administration (FDA or Agency) is                       Instructions: All submissions received
                                                preparations containing almost                          announcing the availability of a draft                must include the Docket No. FDA–
                                                exclusively CBD be subject to critical                  guidance for industry entitled ‘‘Atopic               2018–D–1175 for ‘‘Atopic Dermatitis:
                                                review at the 40th ECDD meeting.                        Dermatitis: Timing of Pediatric Studies               Timing of Pediatric Studies During


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                                                15158                           Federal Register / Vol. 83, No. 68 / Monday, April 9, 2018 / Notices

                                                Development of Systemic Drugs; Draft                    Biologics Evaluation and Research,                    DEPARTMENT OF HEALTH AND
                                                Guidance for Industry; Availability.’’                  Food and Drug Administration, 10903                   HUMAN SERVICES
                                                Received comments will be placed in                     New Hampshire Ave., Bldg. 71, Rm.
                                                the docket and, except for those                        3128, Silver Spring, MD 20993–0002.                   Food and Drug Administration
                                                submitted as ‘‘Confidential                             Send one self-addressed adhesive label                [Docket No. FDA–2014–N–1414]
                                                Submissions,’’ publicly viewable at                     to assist that office in processing your
                                                https://www.regulations.gov or at the                   requests. See the SUPPLEMENTARY                       Agency Information Collection
                                                Dockets Management Staff between 9                      INFORMATION section for electronic                    Activities; Submission for Office of
                                                a.m. and 4 p.m., Monday through                         access to the draft guidance document.                Management and Budget Review;
                                                Friday.                                                                                                       Comment Request; Class II Special
                                                   • Confidential Submissions—To                        FOR FURTHER INFORMATION CONTACT:
                                                                                                                                                              Controls Guidance Document:
                                                submit a comment with confidential                      Dawn Williams, Center for Drug
                                                                                                                                                              Labeling Natural Rubber Latex
                                                information that you do not wish to be                  Evaluation and Research, Food and
                                                                                                                                                              Condoms
                                                made publicly available, submit your                    Drug Administration, 10903 New
                                                comments only as a written/paper                        Hampshire Ave., Bldg. 22, Rm. 5168,                   AGENCY:    Food and Drug Administration,
                                                submission. You should submit two                       Silver Spring, MD 20993–0002, 301–                    HHS.
                                                copies total. One copy will include the                 796–5376; or Stephen Ripley, Center for               ACTION:   Notice.
                                                information you claim to be confidential                Biologics Evaluation and Research,
                                                with a heading or cover note that states                Food and Drug Administration, 10903                   SUMMARY:   The Food and Drug
                                                ‘‘THIS DOCUMENT CONTAINS                                New Hampshire Ave., Bldg. 71, Rm.                     Administration (FDA) is announcing
                                                CONFIDENTIAL INFORMATION.’’ The                         7301, Silver Spring, MD 20993–0002,                   that a proposed collection of
                                                Agency will review this copy, including                 240–402–7911.                                         information has been submitted to the
                                                the claimed confidential information, in                                                                      Office of Management and Budget
                                                                                                        SUPPLEMENTARY INFORMATION:                            (OMB) for review and clearance under
                                                its consideration of comments. The
                                                second copy, which will have the                        I. Background                                         the Paperwork Reduction Act of 1995
                                                claimed confidential information                                                                              (PRA).
                                                redacted/blacked out, will be available                    FDA is announcing the availability of              DATES: Fax written comments on the
                                                for public viewing and posted on                        a draft guidance for industry entitled                collection of information by May 9,
                                                https://www.regulations.gov. Submit                     ‘‘Atopic Dermatitis: Timing of Pediatric              2018.
                                                both copies to the Dockets Management                   Studies During Development of
                                                                                                                                                              ADDRESSES: To ensure that comments on
                                                Staff. If you do not wish your name and                 Systemic Drugs.’’ This draft guidance
                                                contact information to be made publicly                 addresses FDA’s current thinking about                the information collection are received,
                                                available, you can provide this                         the relevant age groups to study and                  OMB recommends that written
                                                information on the cover sheet and not                  how early in the drug development                     comments be faxed to the Office of
                                                in the body of your comments and you                    pediatric patients should be                          Information and Regulatory Affairs,
                                                must identify this information as                       incorporated during development of                    OMB, Attn: FDA Desk Officer, Fax: 202–
                                                ‘‘confidential.’’ Any information marked                systemic drugs for AD.                                395–7285, or emailed to oira_
                                                as ‘‘confidential’’ will not be disclosed                                                                     submission@omb.eop.gov. All
                                                                                                           This draft guidance is being issued                comments should be identified with the
                                                except in accordance with 21 CFR 10.20                  consistent with FDA’s good guidance
                                                and other applicable disclosure law. For                                                                      OMB control number 0910–0633. Also
                                                                                                        practices regulation (21 CFR 10.115).                 include the FDA docket number found
                                                more information about FDA’s posting                    The draft guidance, when finalized, will
                                                of comments to public dockets, see 80                                                                         in brackets in the heading of this
                                                                                                        represent the current thinking of FDA                 document.
                                                FR 56469, September 18, 2015, or access                 on the timing of pediatric studies during
                                                the information at: https://www.gpo.gov/                development of systemic drugs for                     FOR FURTHER INFORMATION CONTACT:
                                                fdsys/pkg/FR-2015-09-18/pdf/2015-                       atopic dermatitis. It does not establish              Amber Sanford, Office of Operations,
                                                23389.pdf.                                              any rights for any person and is not                  Food and Drug Administration, Three
                                                   Docket: For access to the docket to                                                                        White Flint North, 10A–12M, 11601
                                                                                                        binding on FDA or the public. You can
                                                read background documents or the                                                                              Landsdown St., North Bethesda, MD
                                                                                                        use an alternative approach if it satisfies
                                                electronic and written/paper comments                                                                         20852, 301–796–8867, PRAStaff@
                                                                                                        the requirements of the applicable
                                                received, go to https://                                                                                      fda.hhs.gov.
                                                                                                        statutes and regulations. This guidance
                                                www.regulations.gov and insert the
                                                                                                        is not subject to Executive Order 12866.              SUPPLEMENTARY INFORMATION: In
                                                docket number, found in brackets in the
                                                                                                                                                              compliance with 44 U.S.C. 3507, FDA
                                                heading of this document, into the                      II. Electronic Access                                 has submitted the following proposed
                                                ‘‘Search’’ box and follow the prompts
                                                                                                          Persons with access to the internet                 collection of information to OMB for
                                                and/or go to the Dockets Management
                                                                                                        may obtain the draft guidance at https://             review and clearance.
                                                Staff, 5630 Fishers Lane, Rm. 1061,
                                                Rockville, MD 20852.                                    www.fda.gov/Drugs/Guidance                            Class II Special Controls Guidance
                                                   You may submit comments on any                       ComplianceRegulatoryInformation/                      Document: Labeling for Natural Rubber
                                                guidance at any time (see 21 CFR                        Guidances/default.htm, https://                       Latex Condoms—21 CFR 884.5300
                                                10.115(g)(5)).                                          www.fda.gov/BiologicsBloodVaccines/
                                                   Submit written requests for single                   GuidanceComplianceRegulatory                          OMB Control Number 0910–0633—
                                                copies of the draft guidance to the                     Information/default.htm, or https://                  Extension
sradovich on DSK3GMQ082PROD with NOTICES




                                                Division of Drug Information, Center for                www.regulations.gov.                                    Under the Medical Device
                                                Drug Evaluation and Research, Food                        Dated: April 2, 2018.                               Amendments of 1976 (Pub. L. 94–295),
                                                and Drug Administration, 10001 New                                                                            class II devices were defined as those
                                                                                                        Leslie Kux,
                                                Hampshire Ave., Hillandale Building,                                                                          devices for which there was insufficient
                                                4th Floor, Silver Spring, MD 20993–                     Associate Commissioner for Policy.                    information to show that general
                                                0002, or Office of Communication,                       [FR Doc. 2018–07150 Filed 4–6–18; 8:45 am]            controls themselves would provide a
                                                Outreach, and Development, Center for                   BILLING CODE 4164–01–P                                reasonable assurance of safety and


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Document Created: 2018-04-07 02:38:58
Document Modified: 2018-04-07 02:38:58
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 June 8, 2018 to ensure that the Agency considers your comment on this draft guidance before it begins work on the final version of the guidance.
ContactDawn Williams, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 22, Rm. 5168, Silver Spring, MD 20993-0002, 301- 796-5376; or Stephen Ripley, Center for Biologics Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 71, Rm. 7301, Silver Spring, MD 20993-0002, 240-402-7911.
FR Citation83 FR 15157 

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