83_FR_22363 83 FR 22270 - Pediatric HIV Infection: Drug Development for Treatment; Draft Guidance for Industry; Availability

83 FR 22270 - Pediatric HIV Infection: Drug Development for Treatment; Draft Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 93 (May 14, 2018)

Page Range22270-22271
FR Document2018-10187

The Food and Drug Administration (FDA or Agency) is announcing the availability of a draft guidance for industry entitled ``Pediatric HIV Infection: Drug Development for Treatment.'' This guidance provides general recommendations on the development of drug products for the treatment of human immunodeficiency virus (HIV) infection in pediatric patients (birth to younger than 17 years of age).

Federal Register, Volume 83 Issue 93 (Monday, May 14, 2018)
[Federal Register Volume 83, Number 93 (Monday, May 14, 2018)]
[Notices]
[Pages 22270-22271]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-10187]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2018-D-1638]


Pediatric HIV Infection: Drug Development for Treatment; Draft 
Guidance for Industry; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of availability.

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

SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
the availability of a draft guidance for industry entitled ``Pediatric 
HIV Infection: Drug Development for Treatment.'' This guidance provides 
general recommendations on the development of drug products for the 
treatment of human immunodeficiency virus (HIV) infection in pediatric 
patients (birth to younger than 17 years of age).

DATES: Submit either electronic or written comments on the draft 
guidance by July 13, 2018 to ensure that the Agency considers your 
comment on this draft guidance before it begins work on the final 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-1638 for ``Pediatric HIV Infection: Drug Development for 
Treatment; Draft Guidance for Industry; Availability.'' Received 
comments will be placed in the docket and, except for those submitted 
as ``Confidential Submissions,'' publicly viewable at https://www.regulations.gov or at the Dockets Management Staff between 9 a.m. 
and 4 p.m., Monday through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on 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 to the 
Office of Communication, Outreach and Development, Center for Biologics 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Building 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: Yodit Belew, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 22, Rm. 6322, Silver Spring,

[[Page 22271]]

MD 20993-0002, 301-796-1500; 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 ``Pediatric HIV Infection: Drug Development for Treatment.'' 
This draft guidance provides general recommendations on the development 
of products for the treatment of human immunodeficiency virus (HIV) 
infection in pediatric patients (birth to younger than 17 years of 
age), including recommendations on when sponsors should initiate 
pediatric formulation development and begin pediatric studies to 
evaluate antiretroviral drug products for the treatment of HIV 
infection.
    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 drug 
development for treatment of pediatric HIV infection. It does not 
establish any rights for any person and is not binding on FDA or the 
public. You can use an alternative approach if it satisfies the 
requirements of the applicable statutes and regulations. This guidance 
is not subject to Executive Order 12866.

II. Electronic Access

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

    Dated: May 7, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-10187 Filed 5-11-18; 8:45 am]
BILLING CODE 4164-01-P



                                             22270                           Federal Register / Vol. 83, No. 93 / Monday, May 14, 2018 / Notices

                                                Estimated Total Annual Burden                        ADDRESSES: You may submit comments                    copies total. One copy will include the
                                             Hours: 5,211.                                           on any guidance at any time as follows:               information you claim to be confidential
                                                Additional Information: Copies of the                                                                      with a heading or cover note that states
                                                                                                     Electronic Submissions
                                             proposed collection may be obtained by                                                                        ‘‘THIS DOCUMENT CONTAINS
                                             writing to the Administration for                         Submit electronic comments in the                   CONFIDENTIAL INFORMATION.’’ The
                                             Children and Families, Office of                        following way:                                        Agency will review this copy, including
                                             Planning, Research and Evaluation, 330                    • Federal eRulemaking Portal:                       the claimed confidential information, in
                                             C Street SW, Washington, DC 20201,                      https://www.regulations.gov. Follow the               its consideration of comments. The
                                             Attn: OPRE Reports Clearance Officer.                   instructions for submitting comments.                 second copy, which will have the
                                             All requests should be identified by the                Comments submitted electronically,                    claimed confidential information
                                             title of the information collection. Email              including attachments, to https://                    redacted/blacked out, will be available
                                             address: OPREinfocollection@                            www.regulations.gov will be posted to                 for public viewing and posted on
                                             acf.hhs.gov.                                            the docket unchanged. Because your                    https://www.regulations.gov. Submit
                                                OMB Comment: OMB is required to                      comment will be made public, you are                  both copies to the Dockets Management
                                             make a decision concerning the                          solely responsible for ensuring that your             Staff. If you do not wish your name and
                                             collection of information between 30                    comment does not include any                          contact information to be made publicly
                                             and 60 days after publication of this                   confidential information that you or a                available, you can provide this
                                             document in the Federal Register.                       third party may not wish to be posted,                information on the cover sheet and not
                                             Therefore, a comment is best assured of                 such as medical information, your or                  in the body of your comments and you
                                             having its full effect if OMB receives it               anyone else’s Social Security number, or              must identify this information as
                                             within 30 days of publication.                          confidential business information, such               ‘‘confidential.’’ Any information marked
                                                Written comments and                                 as a manufacturing process. Please note               as ‘‘confidential’’ will not be disclosed
                                             recommendations for the proposed                        that if you include your name, contact                except in accordance with 21 CFR 10.20
                                             information collection should be sent                   information, or other information that                and other applicable disclosure law. For
                                             directly to the following: Office of                    identifies you in the body of your                    more information about FDA’s posting
                                             Management and Budget, Paperwork                        comments, that information will be                    of comments to public dockets, see 80
                                             Reduction Project, Email: OIRA_                         posted on https://www.regulations.gov.                FR 56469, September 18, 2015, or access
                                             SUBMISSION@OMB.EOP.GOV, Attn:                             • If you want to submit a comment                   the information at: https://www.gpo.gov/
                                             Desk Officer for the Administration for                 with confidential information that you                fdsys/pkg/FR-2015-09-18/pdf/2015-
                                             Children and Families.                                  do not wish to be made available to the               23389.pdf.
                                                                                                     public, submit the comment as a                          Docket: For access to the docket to
                                             Mary B. Jones,                                          written/paper submission and in the                   read background documents or the
                                             ACF/OPRE Certifying Officer.                            manner detailed (see ‘‘Written/Paper                  electronic and written/paper comments
                                             [FR Doc. 2018–10169 Filed 5–11–18; 8:45 am]             Submissions’’ and ‘‘Instructions’’).                  received, go to https://
                                             BILLING CODE 4184–77–P                                                                                        www.regulations.gov and insert the
                                                                                                     Written/Paper Submissions
                                                                                                                                                           docket number, found in brackets in the
                                                                                                       Submit written/paper submissions as
                                                                                                                                                           heading of this document, into the
                                             DEPARTMENT OF HEALTH AND                                follows:
                                                                                                       • Mail/Hand delivery/Courier (for                   ‘‘Search’’ box and follow the prompts
                                             HUMAN SERVICES
                                                                                                     written/paper submissions): Dockets                   and/or go to the Dockets Management
                                             Food and Drug Administration                            Management Staff (HFA–305), Food and                  Staff, 5630 Fishers Lane, Rm. 1061,
                                                                                                     Drug Administration, 5630 Fishers                     Rockville, MD 20852.
                                             [Docket No. FDA–2018–D–1638]                                                                                     You may submit comments on any
                                                                                                     Lane, Rm. 1061, Rockville, MD 20852.
                                                                                                       • For written/paper comments                        guidance at any time (see 21 CFR
                                             Pediatric HIV Infection: Drug                                                                                 10.115(g)(5)).
                                             Development for Treatment; Draft                        submitted to the Dockets Management
                                                                                                     Staff, FDA will post your comment, as                    Submit written requests for single
                                             Guidance for Industry; Availability                                                                           copies of the draft guidance to the
                                                                                                     well as any attachments, except for
                                             AGENCY:    Food and Drug Administration,                information submitted, marked and                     Division of Drug Information, Center for
                                             HHS.                                                    identified, as confidential, if submitted             Drug Evaluation and Research, Food
                                             ACTION:   Notice of availability.                       as detailed in ‘‘Instructions.’’                      and Drug Administration, 10001 New
                                                                                                       Instructions: All submissions received              Hampshire Ave., Hillandale Building,
                                             SUMMARY:   The Food and Drug                            must include the Docket No. FDA–                      4th Floor, Silver Spring, MD 20993–
                                             Administration (FDA or Agency) is                       2018–D–1638 for ‘‘Pediatric HIV                       0002; or to the Office of
                                             announcing the availability of a draft                  Infection: Drug Development for                       Communication, Outreach and
                                             guidance for industry entitled ‘‘Pediatric              Treatment; Draft Guidance for Industry;               Development, Center for Biologics
                                             HIV Infection: Drug Development for                     Availability.’’ Received comments will                Evaluation and Research, Food and
                                             Treatment.’’ This guidance provides                     be placed in the docket and, except for               Drug Administration, 10903 New
                                             general recommendations on the                          those submitted as ‘‘Confidential                     Hampshire Ave., Building 71, Rm. 3128,
                                             development of drug products for the                    Submissions,’’ publicly viewable at                   Silver Spring, MD 20993–0002. Send
                                             treatment of human immunodeficiency                     https://www.regulations.gov or at the                 one self-addressed adhesive label to
                                             virus (HIV) infection in pediatric                      Dockets Management Staff between 9                    assist that office in processing your
                                             patients (birth to younger than 17 years                a.m. and 4 p.m., Monday through                       requests. See the SUPPLEMENTARY
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                                             of age).                                                Friday.                                               INFORMATION section for electronic
                                             DATES: Submit either electronic or                        • Confidential Submissions—To                       access to the draft guidance document.
                                             written comments on the draft guidance                  submit a comment with confidential                    FOR FURTHER INFORMATION CONTACT:
                                             by July 13, 2018 to ensure that the                     information that you do not wish to be                Yodit Belew, Center for Drug Evaluation
                                             Agency considers your comment on this                   made publicly available, submit your                  and Research, Food and Drug
                                             draft guidance before it begins work on                 comments only as a written/paper                      Administration, 10903 New Hampshire
                                             the final version of the guidance.                      submission. You should submit two                     Ave., Bldg. 22, Rm. 6322, Silver Spring,


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                                                                             Federal Register / Vol. 83, No. 93 / Monday, May 14, 2018 / Notices                                             22271

                                             MD 20993–0002, 301–796–1500; or                         ACTION:   Request for nominations.                       The Secretary of HHS will consider
                                             Stephen Ripley, Center for Biologics                                                                          nominations of all qualified individuals
                                             Evaluation and Research, Food and                       SUMMARY:   HRSA is seeking nominations                within the areas of subject matter
                                             Drug Administration, 10903 New                          of qualified candidates for consideration             expertise noted above. In making such
                                             Hampshire Ave., Bldg. 71, Rm. 7301,                     for appointment as members of the                     appointments, the Secretary shall
                                             Silver Spring, MD 20993–0002, 240–                      Council on Graduate Medical Education                 ensure a broad geographic
                                             402–7911.                                               (COGME). COGME provides advice and                    representation of members and a
                                                                                                     recommendations to the Secretary of                   balance between urban and rural
                                             SUPPLEMENTARY INFORMATION:
                                                                                                     HHS; the Senate Committee on Health,                  educational settings.
                                             I. Background                                           Education, Labor and Pensions; and the                   Professional organizations, employers,
                                                FDA is announcing the availability of                U.S. House of Representatives                         or colleagues may nominate one or more
                                             a draft guidance for industry entitled                  Committee on Energy and Commerce on                   qualified persons for membership.
                                             ‘‘Pediatric HIV Infection: Drug                         matters concerning the supply and                     Individuals selected for appointment to
                                             Development for Treatment.’’ This draft                 distribution of physicians in the United              COGME will be invited to serve for 4
                                             guidance provides general                               States, physician workforce trends,                   years. COGME members are appointed
                                             recommendations on the development                      training issues, financing policies, and              as special government employees and
                                                                                                     other matters of significance related to              receive a stipend and reimbursement for
                                             of products for the treatment of human
                                                                                                     physician workforce and graduate                      per diem and travel expenses incurred
                                             immunodeficiency virus (HIV) infection
                                                                                                     medical education.                                    for attending meetings and/or
                                             in pediatric patients (birth to younger
                                                                                                     DATES: The agency will accept                         conducting other business on behalf of
                                             than 17 years of age), including
                                                                                                     nominations on a continuous basis.                    COGME, as authorized by section 5
                                             recommendations on when sponsors
                                                                                                                                                           U.S.C. 5703 for persons employed
                                             should initiate pediatric formulation                   ADDRESSES: Nomination packages may                    intermittently in government service.
                                             development and begin pediatric                         be mailed to Advisory Council                            To evaluate possible conflicts of
                                             studies to evaluate antiretroviral drug                 Operations, Bureau of Health                          interest, individuals selected for
                                             products for the treatment of HIV                       Workforce, HRSA, Room 11W45C, 5600                    consideration for appointment will be
                                             infection.                                              Fishers Lane, Rockville, Maryland                     required to provide detailed information
                                                This draft guidance is being issued                  20857 or submitted electronically by                  regarding their financial holdings,
                                             consistent with FDA’s good guidance                     email to: BHWAdvisoryCouncilFRN@                      consultancies, and research grants or
                                             practices regulation (21 CFR 10.115).                   hrsa.gov.                                             contracts. The selected candidates must
                                             The draft guidance, when finalized, will                                                                      fill out the U.S. Office of Government
                                                                                                     FOR FURTHER INFORMATION CONTACT:
                                             represent the current thinking of FDA                                                                         Ethics (OGE) Confidential Financial
                                             on drug development for treatment of                    Kennita R. Carter, MD, Designated
                                                                                                     Federal Official, COGME at 301–945–                   Disclosure Report, OGE Form 450.
                                             pediatric HIV infection. It does not                                                                          Disclosure of this information is
                                             establish any rights for any person and                 3505 or email at kcarter@hrsa.gov. A
                                                                                                     copy of the current COGME charter,                    necessary to determine if the selected
                                             is not binding on FDA or the public.                                                                          candidate is involved in any activity
                                             You can use an alternative approach if                  membership, and reports can be
                                                                                                     obtained by accessing the COGME                       that may pose a potential conflict with
                                             it satisfies the requirements of the                                                                          their official duties as a member of the
                                             applicable statutes and regulations. This               website https://www.hrsa.gov/advisory
                                                                                                     committees/bhpradvisory/cogme/.                       Committee.
                                             guidance is not subject to Executive                                                                             A nomination package should include
                                             Order 12866.                                            SUPPLEMENTARY INFORMATION: COGME                      the following information for each
                                                                                                     encourages entities providing graduate                nominee: (1) A letter of nomination
                                             II. Electronic Access                                   medical education to conduct activities               from an employer, a colleague, or a
                                               Persons with access to the internet                   to voluntarily achieve the                            professional organization stating the
                                             may obtain the draft guidance at either                 recommendations of COGME; develops,                   name, affiliation, and contact
                                             https://www.fda.gov/Drugs/Guidance                      publishes, and implements performance                 information for the nominee, the basis
                                             ComplianceRegulatoryInformation/                        measures and longitudinal evaluations;                for the nomination (i.e., what specific
                                             Guidances/default.htm, https://                         and recommends appropriation levels                   attributes, perspectives, and/or skills
                                             www.fda.gov/BiologicsBloodVaccines/                     for certain Public Health Service Act                 does the individual possess that would
                                             GuidanceComplianceRegulatory                            (PHSA) Title VII programs. Meetings                   benefit the workings of COGME), and
                                             Information/Guidances/default.htm, or                   take place twice a year.                              the nominee’s field(s) of expertise; (2) a
                                             https://www.regulations.gov.                              Nominations: HRSA is requesting                     letter of interest from the nominee
                                               Dated: May 7, 2018.                                   nominations for voting members of                     stating the reasons they would like to
                                             Leslie Kux,
                                                                                                     COGME to include representatives of                   serve on COGME; (3) a biographical
                                                                                                     practicing primary care physicians,                   sketch of the nominee, including a copy
                                             Associate Commissioner for Policy.
                                                                                                     national and specialty physician                      of his/her curriculum vitae and his/her
                                             [FR Doc. 2018–10187 Filed 5–11–18; 8:45 am]
                                                                                                     organizations, foreign medical                        contact information (address, daytime
                                             BILLING CODE 4164–01–P                                  graduates, medical student and house                  telephone number, and email address);
                                                                                                     staff associations, schools of allopathic             and (4) the name, address, daytime
                                                                                                     and osteopathic medicine, public and                  telephone number, and email address
                                             DEPARTMENT OF HEALTH AND                                private teaching hospitals, and                       where the person nominating the
                                             HUMAN SERVICES                                          representatives of health insurers,                   individual can be contacted.
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                                             Solicitation of Nominations for                         business, and labor. Additionally, HRSA                  HRSA will collect and retain
                                             Membership To Serve on the Council                      encourages nominations of medical                     nomination packages to create a pool of
                                             on Graduate Medical Education                           students, residents, and/or fellows.                  possible future COGME voting
                                                                                                     Members receive appointments based                    members. When a vacancy occurs,
                                             AGENCY: Health Resources and Services                   on their competence, interest, and                    HRSA may review nomination packages
                                             Administration (HRSA), Department of                    knowledge of the mission of the                       from the appropriate category and may
                                             Health and Human Services (HHS).                        profession involved.                                  contact nominees at that time.


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Document Created: 2018-05-12 01:10:53
Document Modified: 2018-05-12 01:10:53
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 July 13, 2018 to ensure that the Agency considers your comment on this draft guidance before it begins work on the final version of the guidance.
ContactYodit Belew, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 22, Rm. 6322, Silver Spring, MD 20993-0002, 301-796-1500; 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 22270 

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