83_FR_24229 83 FR 24128 - Anthrax: Developing Drugs for Prophylaxis of Inhalational Anthrax; Guidance for Industry; Availability

83 FR 24128 - Anthrax: Developing Drugs for Prophylaxis of Inhalational Anthrax; Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 101 (May 24, 2018)

Page Range24128-24129
FR Document2018-11117

The Food and Drug Administration (FDA or Agency) is announcing the availability of a guidance for industry entitled ``Anthrax: Developing Drugs for Prophylaxis of Inhalational Anthrax.'' The purpose of this guidance is to assist sponsors in the development of new drugs for the prophylaxis of inhalational anthrax. This guidance finalizes the draft guidance of the same name issued on February 16, 2016.

Federal Register, Volume 83 Issue 101 (Thursday, May 24, 2018)
[Federal Register Volume 83, Number 101 (Thursday, May 24, 2018)]
[Notices]
[Pages 24128-24129]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-11117]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2016-D-0412]


Anthrax: Developing Drugs for Prophylaxis of Inhalational 
Anthrax; 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 for industry entitled ``Anthrax: 
Developing Drugs for Prophylaxis of Inhalational Anthrax.'' The purpose 
of this guidance is to assist sponsors in the development of new drugs 
for the prophylaxis of inhalational anthrax. This guidance finalizes 
the draft guidance of the same name issued on February 16, 2016.

DATES: The announcement of the guidance is published in the Federal 
Register on May 24, 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 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

[[Page 24129]]

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-2016-D-0412 for ``Anthrax: Developing Drugs for Prophylaxis of 
Inhalational Anthrax.'' 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 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. Send one self-
addressed adhesive label to assist that office in processing your 
requests. See the SUPPLEMENTARY INFORMATION section for electronic 
access to the guidance document.

FOR FURTHER INFORMATION CONTACT: Joseph G. Toerner, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 22, Rm. 6244, Silver Spring, MD 20993-0002, 301-
796-1400.

SUPPLEMENTARY INFORMATION:

I. Background

    FDA is announcing the availability of a guidance for industry 
entitled ``Anthrax: Developing Drugs for Prophylaxis of Inhalational 
Anthrax.'' The purpose of this guidance is to assist sponsors in the 
development of new drugs to be administered to people who have or may 
have inhaled Bacillus anthracis spores, but who have not yet manifested 
clinical evidence of disease, to prevent the development of 
inhalational anthrax. This guidance clarifies that drugs for the 
prophylaxis of inhalational anthrax are to be considered for approval 
under the animal rule regulations because human efficacy trials are not 
ethical or feasible (21 CFR part 314, subpart I, for drugs, and 21 CFR 
part 601, subpart H, for biological products).
    This guidance finalizes the draft guidance of the same name issued 
on February 16, 2016 (81 FR 7813). Changes made to the guidance took 
into consideration written and verbal comments received. In addition to 
changes primarily for clarification, the major changes are as follows: 
Clarity in defining specific populations that would receive a drug for 
prophylaxis of inhalational anthrax, for example, first responders who 
anticipate exposure to Bacillus anthracis spores and initiate drug 
therapy immediately before exposure. In addition, the guidance was 
updated to provide consistency with the guidance for industry entitled 
``Product Development Under the Animal Rule'' (available at https://www.fda.gov/ucm/groups/fdagov-public/@fdagov-drugs-gen/documents/document/ucm399217.pdf).
    Issuance of this guidance fulfills a portion of the requirements of 
Title VIII, section 804, of the Food and Drug Administration Safety and 
Innovation Act (Pub. L. 112-144), which requires FDA to review and, as 
appropriate, revise not fewer than three guidance documents per year 
for the conduct of clinical trials with respect to antibacterial and 
antifungal drugs.
    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 prophylaxis of inhalational anthrax. 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. The Paperwork Reduction Act of 1995

    This guidance refers to previously approved collections of 
information that are subject to review by the Office of Management and 
Budget (OMB) under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-
3520). The collections of information in 21 CFR parts 312 and 314 have 
been approved under OMB control numbers 0910-0014 and 0910-0001, 
respectively.

III. Electronic Access

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

    Dated: May 21, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-11117 Filed 5-23-18; 8:45 am]
 BILLING CODE 4164-01-P



                                                24128                                   Federal Register / Vol. 83, No. 101 / Thursday, May 24, 2018 / Notices

                                                                                                             TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
                                                                                                                                                                     Number of
                                                                                                                                         Number of                                            Total annual               Average burden
                                                                       21 CFR section/activity                                                                     responses per                                                                        Total hours
                                                                                                                                        respondents                                            responses                  per response
                                                                                                                                                                     respondent

                                                203.11—Reimportation ...................................................                               1                              1                    1            0.5 (30 minutes)                           1
                                                203.30(a)(1) and (b)—Drug sample requests ................                                        61,961                             12              743,532            0.06 (4 minutes)                      44,612
                                                203.30(a)(3), (a)(4), and (c)—Drug sample receipts ......                                         61,961                             12              743,532            0.06 (4 minutes)                      44,612
                                                203.31(a)(1) and (b)—Drug sample requests ................                                       232,355                            135           31,367,925            0.04 (2.5 minutes)                 1,254,717
                                                203.31(a)(3), (a)(4), and (c)—Drug sample receipts ......                                        232,355                            135           31,367,925            0.03 (2 minutes)                     941,038
                                                203.37(a)—Falsification of records .................................                                  50                              4                  200            0.25 (15 minutes)                         50
                                                203.37(b)—Loss or theft of samples ..............................                                     50                             40                2,000            0.25 (15 minutes)                        500
                                                203.37(c)—Convictions ...................................................                              1                              1                    1            1 ..........................               1
                                                203.37(d)—Contact person ............................................                                 50                              1                   50            0.08 (5 minutes)                           4
                                                203.39(g)—Reconciliation report ....................................                                   1                              1                    1            1 ..........................               1

                                                     Total .........................................................................   ........................   ........................   ........................   .............................      2,285,536
                                                   1 There   are no capital costs or operating and maintenance costs associated with this collection of information.

                                                                                                        TABLE 2—ESTIMATED ANNUAL RECORDKEEPING BURDEN 1
                                                                                                                                                                     Number of
                                                                                                                                         Number of                                            Total annual               Average burden
                                                                      21 CFR Section/Activity                                                                       records per                                                                         Total hours
                                                                                                                                       recordkeepers                                            records                 per recordkeeping
                                                                                                                                                                   recordkeeper

                                                203.23(a) and (b)—Returned drugs ...............................                                    31,676                            5                158,380          0.25 (15 minutes)                    39,595
                                                203.23(c)—Returned drugs documentation ...................                                          31,676                            5                158,380          0.08 (5 minutes)                     12,670
                                                203.30(a)(2) and 203.31(a)(2)—Practitioner verification                                              2,208                          100                220,800          0.5 (30 minutes)                    110,400
                                                203.31(d)(1) and (2)—Inventory record and reconcili-                                                 2,208                            1                  2,208          40 ........................          88,320
                                                  ation report.
                                                203.31(d)(4)—Investigation of discrepancies and losses                                                  442                            1                      442       24 ........................           10,608
                                                203.31(e)—Representatives lists ....................................                                  2,208                            1                    2,208       1 ..........................           2,208
                                                203.34—Administrative systems ....................................                                       90                            1                       90       40 ........................            3,600
                                                203.37(a)—Falsification of drug sample records ...........                                               50                            4                      200       6 ..........................           1,200
                                                203.37(b)—Loss or theft of drug samples ......................                                           50                           40                    2,000       6 ..........................          12,000
                                                203.39(d)—Destroyed or returned drug samples ...........                                                 65                            1                       65       1 ..........................              65
                                                203.39(e)—Donated drug samples ................................                                       3,221                            1                    3,221       0.5 (30 minutes)                       1,611
                                                203.39(f)—Distribution of donated drug samples ...........                                            3,221                            1                    3,221       8 ..........................          25,768
                                                203.39(g)—Drug samples donated to charitable institu-                                                 3,221                            1                    3,221       8 ..........................          25,768
                                                  tions.
                                                203.50(a)—Drug origin statement ..................................                                      125                        100                    12,500        0.17 (10 minutes)                      2,125
                                                203.50(b)—Drug origin statement retention ...................                                           125                        100                    12,500        0.5 (30 minutes)                       6,250
                                                203.50(d)—Authorized distributors of record .................                                           691                          1                       691        2 ..........................           1,382

                                                     Total .........................................................................   ........................   ........................   ........................   .............................       343,570
                                                   1 There   are no capital costs or operating and maintenance costs associated with this collection of information.


                                                  Based on a review of Agency data, we                                    ACTION:      Notice of availability.                                        Electronic Submissions
                                                retain the currently approved burden
                                                estimate for the information collection,                                  SUMMARY:  The Food and Drug                                                   Submit electronic comments in the
                                                as reflected in tables 1 and 2 above.                                     Administration (FDA or Agency) is                                           following way:
                                                  Dated: May 18, 2018.                                                    announcing the availability of a                                              • Federal eRulemaking Portal:
                                                Leslie Kux,                                                               guidance for industry entitled ‘‘Anthrax:                                   https://www.regulations.gov. Follow the
                                                Associate Commissioner for Policy.                                        Developing Drugs for Prophylaxis of                                         instructions for submitting comments.
                                                                                                                          Inhalational Anthrax.’’ The purpose of                                      Comments submitted electronically,
                                                [FR Doc. 2018–11113 Filed 5–23–18; 8:45 am]
                                                                                                                          this guidance is to assist sponsors in the                                  including attachments, to https://
                                                BILLING CODE 4164–01–P
                                                                                                                          development of new drugs for the                                            www.regulations.gov will be posted to
                                                                                                                          prophylaxis of inhalational anthrax.                                        the docket unchanged. Because your
                                                                                                                                                                                                      comment will be made public, you are
                                                DEPARTMENT OF HEALTH AND                                                  This guidance finalizes the draft
                                                HUMAN SERVICES                                                                                                                                        solely responsible for ensuring that your
                                                                                                                          guidance of the same name issued on
                                                                                                                                                                                                      comment does not include any
                                                                                                                          February 16, 2016.
                                                Food and Drug Administration                                                                                                                          confidential information that you or a
                                                                                                                                                                                                      third party may not wish to be posted,
sradovich on DSK3GMQ082PROD with NOTICES




                                                                                                                          DATES: The announcement of the
                                                [Docket No. FDA–2016–D–0412]                                                                                                                          such as medical information, your or
                                                                                                                          guidance is published in the Federal
                                                                                                                          Register on May 24, 2018.                                                   anyone else’s Social Security number, or
                                                Anthrax: Developing Drugs for
                                                                                                                                                                                                      confidential business information, such
                                                Prophylaxis of Inhalational Anthrax;                                      ADDRESSES:   You may submit either                                          as a manufacturing process. Please note
                                                Guidance for Industry; Availability                                       electronic or written comments on                                           that if you include your name, contact
                                                AGENCY:      Food and Drug Administration,                                Agency guidances at any time as                                             information, or other information that
                                                HHS.                                                                      follows:                                                                    identifies you in the body of your


                                           VerDate Sep<11>2014       18:10 May 23, 2018          Jkt 244001       PO 00000       Frm 00048        Fmt 4703        Sfmt 4703      E:\FR\FM\24MYN1.SGM               24MYN1


                                                                              Federal Register / Vol. 83, No. 101 / Thursday, May 24, 2018 / Notices                                                  24129

                                                comments, that information will be                      FR 56469, September 18, 2015, or access               defining specific populations that
                                                posted on https://www.regulations.gov.                  the information at: https://www.gpo.gov/              would receive a drug for prophylaxis of
                                                  • If you want to submit a comment                     fdsys/pkg/FR-2015-09-18/pdf/2015-                     inhalational anthrax, for example, first
                                                with confidential information that you                  23389.pdf.                                            responders who anticipate exposure to
                                                do not wish to be made available to the                    Docket: For access to the docket to                Bacillus anthracis spores and initiate
                                                public, submit the comment as a                         read background documents or the                      drug therapy immediately before
                                                written/paper submission and in the                     electronic and written/paper comments                 exposure. In addition, the guidance was
                                                manner detailed (see ‘‘Written/Paper                    received, go to https://                              updated to provide consistency with the
                                                Submissions’’ and ‘‘Instructions’’).                    www.regulations.gov and insert the                    guidance for industry entitled ‘‘Product
                                                Written/Paper Submissions                               docket number, found in brackets in the               Development Under the Animal Rule’’
                                                                                                        heading of this document, into the                    (available at https://www.fda.gov/ucm/
                                                   Submit written/paper submissions as                  ‘‘Search’’ box and follow the prompts
                                                follows:                                                                                                      groups/fdagov-public/@fdagov-drugs-
                                                                                                        and/or go to the Dockets Management
                                                   • Mail/Hand delivery/Courier (for                    Staff, 5630 Fishers Lane, Rm. 1061,
                                                                                                                                                              gen/documents/document/
                                                written/paper submissions): Dockets                                                                           ucm399217.pdf).
                                                                                                        Rockville, MD 20852.
                                                Management Staff (HFA–305), Food and                       You may submit comments on any                        Issuance of this guidance fulfills a
                                                Drug Administration, 5630 Fishers                       guidance at any time (see 21 CFR                      portion of the requirements of Title VIII,
                                                Lane, Rm. 1061, Rockville, MD 20852.                    10.115(g)(5)).                                        section 804, of the Food and Drug
                                                   • For written/paper comments
                                                                                                           Submit written requests for single                 Administration Safety and Innovation
                                                submitted to the Dockets Management
                                                                                                        copies of this guidance to the Division               Act (Pub. L. 112–144), which requires
                                                Staff, FDA will post your comment, as
                                                                                                        of Drug Information, Center for Drug                  FDA to review and, as appropriate,
                                                well as any attachments, except for
                                                                                                        Evaluation and Research, Food and                     revise not fewer than three guidance
                                                information submitted, marked and
                                                                                                        Drug Administration, 10001 New                        documents per year for the conduct of
                                                identified, as confidential, if submitted
                                                as detailed in ‘‘Instructions.’’                        Hampshire Ave., Hillandale Building,                  clinical trials with respect to
                                                   Instructions: All submissions received               4th Floor, Silver Spring, MD 20993–                   antibacterial and antifungal drugs.
                                                must include the Docket No. FDA–                        0002. Send one self-addressed adhesive
                                                                                                        label to assist that office in processing                This guidance is being issued
                                                2016–D–0412 for ‘‘Anthrax: Developing                                                                         consistent with FDA’s good guidance
                                                Drugs for Prophylaxis of Inhalational                   your requests. See the SUPPLEMENTARY
                                                                                                        INFORMATION section for electronic                    practices regulation (21 CFR 10.115).
                                                Anthrax.’’ Received comments will be                                                                          The guidance represents the current
                                                placed in the docket and, except for                    access to the guidance document.
                                                                                                        FOR FURTHER INFORMATION CONTACT:
                                                                                                                                                              thinking of FDA on prophylaxis of
                                                those submitted as ‘‘Confidential                                                                             inhalational anthrax. It does not
                                                Submissions,’’ publicly viewable at                     Joseph G. Toerner, Center for Drug
                                                                                                        Evaluation and Research, Food and                     establish any rights for any person and
                                                https://www.regulations.gov or at the
                                                                                                        Drug Administration, 10903 New                        is not binding on FDA or the public.
                                                Dockets Management Staff between 9
                                                a.m. and 4 p.m., Monday through                         Hampshire Ave., Bldg. 22, Rm. 6244,                   You can use an alternative approach if
                                                Friday.                                                 Silver Spring, MD 20993–0002, 301–                    it satisfies the requirements of the
                                                   • Confidential Submissions—To                        796–1400.                                             applicable statutes and regulations. This
                                                submit a comment with confidential                      SUPPLEMENTARY INFORMATION:                            guidance is not subject to Executive
                                                information that you do not wish to be                                                                        Order 12866.
                                                made publicly available, submit your                    I. Background
                                                                                                                                                              II. The Paperwork Reduction Act of
                                                comments only as a written/paper                           FDA is announcing the availability of              1995
                                                submission. You should submit two                       a guidance for industry entitled
                                                copies total. One copy will include the                 ‘‘Anthrax: Developing Drugs for                         This guidance refers to previously
                                                information you claim to be confidential                Prophylaxis of Inhalational Anthrax.’’                approved collections of information that
                                                with a heading or cover note that states                The purpose of this guidance is to assist             are subject to review by the Office of
                                                ‘‘THIS DOCUMENT CONTAINS                                sponsors in the development of new                    Management and Budget (OMB) under
                                                CONFIDENTIAL INFORMATION.’’ The                         drugs to be administered to people who                the Paperwork Reduction Act of 1995
                                                Agency will review this copy, including                 have or may have inhaled Bacillus                     (44 U.S.C. 3501–3520). The collections
                                                the claimed confidential information, in                anthracis spores, but who have not yet                of information in 21 CFR parts 312 and
                                                its consideration of comments. The                      manifested clinical evidence of disease,              314 have been approved under OMB
                                                second copy, which will have the                        to prevent the development of
                                                                                                                                                              control numbers 0910–0014 and 0910–
                                                claimed confidential information                        inhalational anthrax. This guidance
                                                                                                                                                              0001, respectively.
                                                redacted/blacked out, will be available                 clarifies that drugs for the prophylaxis
                                                for public viewing and posted on                        of inhalational anthrax are to be                     III. Electronic Access
                                                https://www.regulations.gov. Submit                     considered for approval under the
                                                both copies to the Dockets Management                   animal rule regulations because human                   Persons with access to the internet
                                                Staff. If you do not wish your name and                 efficacy trials are not ethical or feasible           may obtain the guidance at either
                                                contact information to be made publicly                 (21 CFR part 314, subpart I, for drugs,               https://www.fda.gov/Drugs/Guidance
                                                available, you can provide this                         and 21 CFR part 601, subpart H, for                   ComplianceRegulatoryInformation/
                                                information on the cover sheet and not                  biological products).                                 Guidances/default.htm or https://
                                                in the body of your comments and you                       This guidance finalizes the draft                  www.regulations.gov.
sradovich on DSK3GMQ082PROD with NOTICES




                                                must identify this information as                       guidance of the same name issued on                     Dated: May 21, 2018.
                                                ‘‘confidential.’’ Any information marked                February 16, 2016 (81 FR 7813).
                                                                                                                                                              Leslie Kux,
                                                as ‘‘confidential’’ will not be disclosed               Changes made to the guidance took into
                                                except in accordance with 21 CFR 10.20                  consideration written and verbal                      Associate Commissioner for Policy.
                                                and other applicable disclosure law. For                comments received. In addition to                     [FR Doc. 2018–11117 Filed 5–23–18; 8:45 am]
                                                more information about FDA’s posting                    changes primarily for clarification, the              BILLING CODE 4164–01–P
                                                of comments to public dockets, see 80                   major changes are as follows: Clarity in


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Document Created: 2018-05-24 00:05:27
Document Modified: 2018-05-24 00:05:27
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 May 24, 2018.
ContactJoseph G. Toerner, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 22, Rm. 6244, Silver Spring, MD 20993-0002, 301- 796-1400.
FR Citation83 FR 24128 

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