83_FR_25123 83 FR 25018 - Q12 Technical and Regulatory Considerations for Pharmaceutical Product Lifecycle Management; International Council for Harmonisation; Draft Guidance for Industry; Availability

83 FR 25018 - Q12 Technical and Regulatory Considerations for Pharmaceutical Product Lifecycle Management; International Council for Harmonisation; Draft Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 105 (May 31, 2018)

Page Range25018-25020
FR Document2018-11641

The Food and Drug Administration (FDA or Agency) is announcing the availability of a guidance entitled ``Q12 Technical and Regulatory Considerations for Pharmaceutical Product Lifecycle Management; International Council for Harmonisation.'' The draft guidance was prepared under the auspices of the International Council for Harmonisation (ICH), formerly the International Conference on Harmonisation. The draft guidance, which consists of a Core Guideline and an Annex, provides a framework to facilitate the management of post-approval chemistry, manufacturing, and controls changes for new and marketed pharmaceutical drug substances and drug products, including marketed chemical and biotechnological/biological products.

Federal Register, Volume 83 Issue 105 (Thursday, May 31, 2018)
[Federal Register Volume 83, Number 105 (Thursday, May 31, 2018)]
[Notices]
[Pages 25018-25020]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-11641]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2018-D-1609]


Q12 Technical and Regulatory Considerations for Pharmaceutical 
Product Lifecycle Management; International Council for Harmonisation; 
Draft Guidance for Industry; Availability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 guidance entitled ``Q12 Technical and Regulatory 
Considerations for Pharmaceutical Product Lifecycle Management; 
International Council for Harmonisation.'' The draft guidance was 
prepared under the auspices of the International Council for 
Harmonisation (ICH), formerly the International Conference on 
Harmonisation. The draft guidance, which consists of a Core Guideline 
and an Annex, provides a framework to facilitate the management of 
post-approval chemistry, manufacturing, and controls changes for new 
and marketed pharmaceutical drug substances and drug products, 
including marketed chemical and biotechnological/biological products.

DATES: Submit either electronic or written comments on the draft 
guidance by December 15, 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-

[[Page 25019]]

2018-D-1609 for ``Q12 Technical and Regulatory Considerations for 
Pharmaceutical Product Lifecycle Management; 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 office between 9 a.m. and 4 p.m., Monday through 
Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on https://www.regulations.gov. 
Submit both copies to the Dockets Management Staff. If you do not wish 
your name and contact information to be made publicly available, you 
can provide this information on the cover sheet and not in the body of 
your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: https://www.thefederalregister.org/fdsys/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852.
    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, or the Office of 
Communication, Outreach and Development, Center for Biologics 
Evaluation and Research (CBER), Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 71, Rm. 3128, Silver Spring, MD 20993-0002. Send 
one self-addressed adhesive label to assist that office in processing 
your requests. The guidance may also be obtained by mail by calling 
CBER at 1-800-835-4709 or 240-402-8010. See the SUPPLEMENTARY 
INFORMATION section for electronic access to the guidance document.

FOR FURTHER INFORMATION CONTACT: Regarding the guidance: Mahesh 
Ramanadham, Center for Drug Evaluation and Research, Food and Drug 
Administration, 10903 New Hampshire Ave., Silver Spring, MD 20993-0002, 
301-796-3272; or Ingrid Markovic, Center for Biologics Evaluation and 
Research (HFM-17), Food and Drug Administration, 10903 New Hampshire 
Ave., Silver Spring, MD 20993-0002, 240-402-8115.
    Regarding the ICH: Amanda Roache, Center for Drug Evaluation and 
Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 
51, Rm. 1176, Silver Spring, MD 20993-0002, 301-796-4548.

SUPPLEMENTARY INFORMATION: 

I. Background

    In recent years, regulatory authorities and industry associations 
from around the world have participated in many important initiatives 
to promote international harmonization of regulatory requirements under 
the ICH. FDA has participated in several ICH meetings designed to 
enhance harmonization and FDA is committed to seeking scientifically 
based harmonized technical procedures for pharmaceutical development. 
One of the goals of harmonization is to identify and reduce differences 
in technical requirements for drug development among regulatory 
Agencies.
    ICH was established to provide an opportunity for harmonization 
initiatives to be developed with input from both regulatory and 
industry representatives. FDA also seeks input from consumer 
representatives and others. ICH is concerned with harmonization of 
technical requirements for the registration of pharmaceutical products 
for human use among regulators around the world. The six founding 
members of the ICH are the European Commission; the European Federation 
of Pharmaceutical Industries Associations; the FDA; the Japanese 
Ministry of Health, Labour, and Welfare; the Japanese Pharmaceutical 
Manufacturers Association; and the Pharmaceutical Research and 
Manufacturers of America. The Standing Members of the ICH Association 
include Health Canada and Swissmedic. Any party eligible as a Member in 
accordance with the ICH Articles of Association can apply for 
membership in writing to the ICH Secretariat. The ICH Secretariat, 
which coordinates the preparation of documentation, operates as an 
international nonprofit organization and is funded by the Members of 
the ICH Association.
    The ICH Assembly is the overarching body of the Association and 
includes representatives from each of the ICH members and observers. 
The Assembly is responsible for the endorsement of draft guidelines and 
adoption of final guidelines. FDA publishes ICH guidelines as FDA 
guidance.
    In November 2017, the ICH Assembly endorsed the draft guidance 
entitled ``Q12 Technical and Regulatory Considerations for 
Pharmaceutical Product Lifecycle Management'' and agreed that the 
guidance should be made available for public comment. The draft 
guidance is the product of the Q12 Expert Working Group of the ICH. 
Comments about this draft will be considered by FDA and the Q12 Expert 
Working Group.
    The guidance provides guidance on post-approval chemistry, 
manufacturing, and controls changes for new and marketed pharmaceutical 
drug substances and drug products. The guidance describes regulatory 
tools and enablers, along with associated guiding principles, that are 
intended to enhance the management of post-approval changes and 
transparency between industry and regulatory authorities, encouraging 
innovation and continual improvement. The guidance is intended to 
demonstrate how increased product and process knowledge can contribute 
to a reduction in the number of regulatory submissions needed for such 
post-approval changes. Specifically, effective implementation of the 
tools and enablers described in the guideline should enhance industry's 
ability to manage many postapproval changes effectively under the 
firm's Pharmaceutical Quality System with less need for extensive 
regulatory oversight prior to implementation. The extent of operational 
and regulatory flexibility is subject to product and process 
understanding (ICH Q8 and Q11), application of risk management 
principles (ICH Q9), and an effective pharmaceutical quality system 
(ICH Q10).

[[Page 25020]]

    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 ``Q12 
Technical and Regulatory Considerations for Pharmaceutical Product 
Lifecycle Management.'' 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 document at 
https://www.regulations.gov, https://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/default.htm, or 
https://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/Guidances/default.htm.

    Dated: May 24, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-11641 Filed 5-30-18; 8:45 am]
 BILLING CODE 4164-01-P



                                              25018                                         Federal Register / Vol. 83, No. 105 / Thursday, May 31, 2018 / Notices

                                              and 812.150 have been approved under                                                   FDA estimates the burden of this
                                              OMB control number 0910–0078.                                                        collection of information as follows:
                                                                                                                     TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
                                                                                                                                                                                                 Number of                                                   Average
                                                                                                                                                                      Number of                                            Total annual
                                                                         Section of guidance/reporting activity                                                                                responses per                                               burden per                  Total hours
                                                                                                                                                                     respondents                                            responses
                                                                                                                                                                                                 respondent                                                 response

                                              5. Sponsor reporting to FDA on DMC recommendations related to safety ..                                                                   37                           1                        37     0.50 (30 minutes)                         18.5
                                                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                                                 Average
                                                                                                                                                                      Number of                                            Total annual
                                                                     Section of guidance/recordkeeping activity                                                                                  records per                                               burden per                  Total hours
                                                                                                                                                                    recordkeepers                                            records
                                                                                                                                                                                                recordkeeper                                             recordkeeping

                                              4.1. and 6.4 SOPs for DMCs .........................................................................                                     37                            1                       37      8 ...........................              296
                                              4.4.3.2. DMC meeting records .......................................................................                                    370                            1                      370      2 ...........................              740

                                                   Total ........................................................................................................   ........................   ........................   ........................   ...............................          1,036
                                                1 There    are no capital costs or operating and maintenance costs associated with this collection of information.

                                                                                                     TABLE 3—ESTIMATED ANNUAL THIRD-PARTY DISCLOSURE BURDEN 1
                                                                                                                                                                                                 Number of                                                  Average
                                                                                                                                                                      Number of                  disclosures               Total annual
                                                                        Section of guidance/disclosure activity                                                                                                                                            burden per                  Total hours
                                                                                                                                                                     respondents                per respond-               disclosures                     disclosure
                                                                                                                                                                                                     ent

                                              4.4.1.2. Sponsor notification to the DMC regarding waivers .........................                                                      1                            1                        1      0.25 (15 minutes)                         0.25
                                              4.4.3.2. DMC reports of meeting minutes to the sponsor .............................                                                    370                            2                      740      1 ...........................             740

                                                   Total ........................................................................................................   ........................   ........................   ........................   ...............................         740.25
                                                1 There    are no capital costs or operating and maintenance costs associated with this collection of information.



                                                Based on a review of the information                                               prepared under the auspices of the                                                     confidential information that you or a
                                              collection since our last request for                                                International Council for Harmonisation                                                third party may not wish to be posted,
                                              OMB approval, we have made no                                                        (ICH), formerly the International                                                      such as medical information, your or
                                              adjustments to our burden estimate.                                                  Conference on Harmonisation. The draft                                                 anyone else’s Social Security number, or
                                                Dated: May 24, 2018.                                                               guidance, which consists of a Core                                                     confidential business information, such
                                              Leslie Kux,                                                                          Guideline and an Annex, provides a                                                     as a manufacturing process. Please note
                                              Associate Commissioner for Policy.
                                                                                                                                   framework to facilitate the management                                                 that if you include your name, contact
                                                                                                                                   of post-approval chemistry,                                                            information, or other information that
                                              [FR Doc. 2018–11647 Filed 5–30–18; 8:45 am]
                                                                                                                                   manufacturing, and controls changes for                                                identifies you in the body of your
                                              BILLING CODE 4164–01–P
                                                                                                                                   new and marketed pharmaceutical drug                                                   comments, that information will be
                                                                                                                                   substances and drug products, including                                                posted on https://www.regulations.gov.
                                                                                                                                   marketed chemical and                                                                    • If you want to submit a comment
                                              DEPARTMENT OF HEALTH AND
                                                                                                                                   biotechnological/biological products.                                                  with confidential information that you
                                              HUMAN SERVICES
                                                                                                                                   DATES: Submit either electronic or                                                     do not wish to be made available to the
                                              Food and Drug Administration                                                         written comments on the draft guidance                                                 public, submit the comment as a
                                                                                                                                   by December 15, 2018, to ensure that the                                               written/paper submission and in the
                                              [Docket No. FDA–2018–D–1609]                                                                                                                                                manner detailed (see ‘‘Written/Paper
                                                                                                                                   Agency considers your comment on this
                                                                                                                                   draft guidance before it begins work on                                                Submissions’’ and ‘‘Instructions’’).
                                              Q12 Technical and Regulatory
                                              Considerations for Pharmaceutical                                                    the final version of the guidance.                                                     Written/Paper Submissions
                                              Product Lifecycle Management;                                                        ADDRESSES: You may submit comments                                                       Submit written/paper submissions as
                                              International Council for                                                            on any guidance at any time as follows:                                                follows:
                                              Harmonisation; Draft Guidance for                                                                                                                                             • Mail/Hand delivery/Courier (for
                                              Industry; Availability                                                               Electronic Submissions
                                                                                                                                                                                                                          written/paper submissions): Dockets
                                              AGENCY:        Food and Drug Administration,                                           Submit electronic comments in the                                                    Management Staff (HFA–305), Food and
                                              HHS.                                                                                 following way:                                                                         Drug Administration, 5630 Fishers
                                              ACTION:       Notice of availability.                                                  • Federal eRulemaking Portal:                                                        Lane, Rm. 1061, Rockville, MD 20852.
                                                                                                                                   https://www.regulations.gov. Follow the                                                  • For written/paper comments
                                              SUMMARY:  The Food and Drug                                                          instructions for submitting comments.                                                  submitted to the Dockets Management
amozie on DSK3GDR082PROD with NOTICES1




                                              Administration (FDA or Agency) is                                                    Comments submitted electronically,                                                     Staff, FDA will post your comment, as
                                              announcing the availability of a                                                     including attachments, to https://                                                     well as any attachments, except for
                                              guidance entitled ‘‘Q12 Technical and                                                www.regulations.gov will be posted to                                                  information submitted, marked and
                                              Regulatory Considerations for                                                        the docket unchanged. Because your                                                     identified, as confidential, if submitted
                                              Pharmaceutical Product Lifecycle                                                     comment will be made public, you are                                                   as detailed in ‘‘Instructions.’’
                                              Management; International Council for                                                solely responsible for ensuring that your                                                Instructions: All submissions received
                                              Harmonisation.’’ The draft guidance was                                              comment does not include any                                                           must include the Docket No. FDA–


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                                                                            Federal Register / Vol. 83, No. 105 / Thursday, May 31, 2018 / Notices                                          25019

                                              2018–D–1609 for ‘‘Q12 Technical and                     0002, or the Office of Communication,                 Manufacturers Association; and the
                                              Regulatory Considerations for                           Outreach and Development, Center for                  Pharmaceutical Research and
                                              Pharmaceutical Product Lifecycle                        Biologics Evaluation and Research                     Manufacturers of America. The
                                              Management; Draft Guidance for                          (CBER), Food and Drug Administration,                 Standing Members of the ICH
                                              Industry; Availability.’’ Received                      10903 New Hampshire Ave., Bldg. 71,                   Association include Health Canada and
                                              comments will be placed in the docket                   Rm. 3128, Silver Spring, MD 20993–                    Swissmedic. Any party eligible as a
                                              and, except for those submitted as                      0002. Send one self-addressed adhesive                Member in accordance with the ICH
                                              ‘‘Confidential Submissions,’’ publicly                  label to assist that office in processing             Articles of Association can apply for
                                              viewable at https://www.regulations.gov                 your requests. The guidance may also be               membership in writing to the ICH
                                              or at the Dockets Management Staff                      obtained by mail by calling CBER at                   Secretariat. The ICH Secretariat, which
                                              office between 9 a.m. and 4 p.m.,                       1–800–835–4709 or 240–402–8010. See                   coordinates the preparation of
                                              Monday through Friday.                                  the SUPPLEMENTARY INFORMATION section                 documentation, operates as an
                                                 • Confidential Submissions—To                        for electronic access to the guidance                 international nonprofit organization and
                                              submit a comment with confidential                      document.                                             is funded by the Members of the ICH
                                              information that you do not wish to be                                                                        Association.
                                                                                                      FOR FURTHER INFORMATION CONTACT:
                                              made publicly available, submit your                                                                             The ICH Assembly is the overarching
                                              comments only as a written/paper                        Regarding the guidance: Mahesh
                                                                                                      Ramanadham, Center for Drug                           body of the Association and includes
                                              submission. You should submit two                                                                             representatives from each of the ICH
                                              copies total. One copy will include the                 Evaluation and Research, Food and
                                                                                                      Drug Administration, 10903 New                        members and observers. The Assembly
                                              information you claim to be confidential                                                                      is responsible for the endorsement of
                                              with a heading or cover note that states                Hampshire Ave., Silver Spring, MD
                                                                                                      20993–0002, 301–796–3272; or Ingrid                   draft guidelines and adoption of final
                                              ‘‘THIS DOCUMENT CONTAINS                                                                                      guidelines. FDA publishes ICH
                                              CONFIDENTIAL INFORMATION.’’ The                         Markovic, Center for Biologics
                                                                                                      Evaluation and Research (HFM–17),                     guidelines as FDA guidance.
                                              Agency will review this copy, including                                                                          In November 2017, the ICH Assembly
                                              the claimed confidential information, in                Food and Drug Administration, 10903
                                                                                                      New Hampshire Ave., Silver Spring, MD                 endorsed the draft guidance entitled
                                              its consideration of comments. The
                                                                                                      20993–0002, 240–402–8115.                             ‘‘Q12 Technical and Regulatory
                                              second copy, which will have the
                                                                                                        Regarding the ICH: Amanda Roache,                   Considerations for Pharmaceutical
                                              claimed confidential information
                                                                                                      Center for Drug Evaluation and                        Product Lifecycle Management’’ and
                                              redacted/blacked out, will be available
                                                                                                      Research, Food and Drug                               agreed that the guidance should be
                                              for public viewing and posted on
                                                                                                      Administration, 10903 New Hampshire                   made available for public comment. The
                                              https://www.regulations.gov. Submit
                                                                                                      Ave., Bldg. 51, Rm. 1176, Silver Spring,              draft guidance is the product of the Q12
                                              both copies to the Dockets Management
                                                                                                      MD 20993–0002, 301–796–4548.                          Expert Working Group of the ICH.
                                              Staff. If you do not wish your name and
                                                                                                      SUPPLEMENTARY INFORMATION:                            Comments about this draft will be
                                              contact information to be made publicly
                                                                                                                                                            considered by FDA and the Q12 Expert
                                              available, you can provide this                         I. Background
                                              information on the cover sheet and not                                                                        Working Group.
                                              in the body of your comments and you                       In recent years, regulatory authorities               The guidance provides guidance on
                                              must identify this information as                       and industry associations from around                 post-approval chemistry,
                                              ‘‘confidential.’’ Any information marked                the world have participated in many                   manufacturing, and controls changes for
                                              as ‘‘confidential’’ will not be disclosed               important initiatives to promote                      new and marketed pharmaceutical drug
                                              except in accordance with 21 CFR 10.20                  international harmonization of                        substances and drug products. The
                                              and other applicable disclosure law. For                regulatory requirements under the ICH.                guidance describes regulatory tools and
                                              more information about FDA’s posting                    FDA has participated in several ICH                   enablers, along with associated guiding
                                              of comments to public dockets, see 80                   meetings designed to enhance                          principles, that are intended to enhance
                                              FR 56469, September 18, 2015, or access                 harmonization and FDA is committed to                 the management of post-approval
                                              the information at: https://www.gpo.gov/                seeking scientifically based harmonized               changes and transparency between
                                              fdsys/pkg/FR-2015-09-18/pdf/2015-                       technical procedures for pharmaceutical               industry and regulatory authorities,
                                              23389.pdf.                                              development. One of the goals of                      encouraging innovation and continual
                                                 Docket: For access to the docket to                  harmonization is to identify and reduce               improvement. The guidance is intended
                                              read background documents or the                        differences in technical requirements for             to demonstrate how increased product
                                              electronic and written/paper comments                   drug development among regulatory                     and process knowledge can contribute
                                              received, go to https://                                Agencies.                                             to a reduction in the number of
                                              www.regulations.gov and insert the                         ICH was established to provide an                  regulatory submissions needed for such
                                              docket number, found in brackets in the                 opportunity for harmonization                         post-approval changes. Specifically,
                                              heading of this document, into the                      initiatives to be developed with input                effective implementation of the tools
                                              ‘‘Search’’ box and follow the prompts                   from both regulatory and industry                     and enablers described in the guideline
                                              and/or go to the Dockets Management                     representatives. FDA also seeks input                 should enhance industry’s ability to
                                              Staff, 5630 Fishers Lane, Rm. 1061,                     from consumer representatives and                     manage many postapproval changes
                                              Rockville, MD 20852.                                    others. ICH is concerned with                         effectively under the firm’s
                                                 You may submit comments on any                       harmonization of technical                            Pharmaceutical Quality System with
                                              guidance at any time (see 21 CFR                        requirements for the registration of                  less need for extensive regulatory
                                              10.115(g)(5)).                                          pharmaceutical products for human use                 oversight prior to implementation. The
amozie on DSK3GDR082PROD with NOTICES1




                                                 Submit written requests for single                   among regulators around the world. The                extent of operational and regulatory
                                              copies of this guidance to the Division                 six founding members of the ICH are the               flexibility is subject to product and
                                              of Drug Information, Center for Drug                    European Commission; the European                     process understanding (ICH Q8 and
                                              Evaluation and Research, Food and                       Federation of Pharmaceutical Industries               Q11), application of risk management
                                              Drug Administration, 10001 New                          Associations; the FDA; the Japanese                   principles (ICH Q9), and an effective
                                              Hampshire Ave., Hillandale Building,                    Ministry of Health, Labour, and Welfare;              pharmaceutical quality system (ICH
                                              4th Floor, Silver Spring, MD 20993–                     the Japanese Pharmaceutical                           Q10).


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                                              25020                         Federal Register / Vol. 83, No. 105 / Thursday, May 31, 2018 / Notices

                                                 This draft guidance is being issued                  among the various federal agencies                    This report provided recommendations
                                              consistent with FDA’s good guidance                     involved in vaccine and immunization                  to the ASH on how to increase Human
                                              practices regulation (21 CFR 10.115).                   activities. The NVPO also supports the                Papillomavirus (HPV) vaccine uptake in
                                              The draft guidance, when finalized, will                National Vaccine Advisory Committee                   young adolescents by reviewing the
                                              represent the current thinking of FDA                   (NVAC). The NVAC advises and makes                    current state of HPV immunization,
                                              on ‘‘Q12 Technical and Regulatory                       recommendations to the ASH in his                     understanding the root cause(s) for the
                                              Considerations for Pharmaceutical                       capacity as the Director of the National              observed relatively low vaccine uptake
                                              Product Lifecycle Management.’’ It does                 Vaccine Program on matters related to                 (both initiation and series completion),
                                              not establish any rights for any person                 vaccine program responsibilities.                     and identifying existing best practices.
                                              and is not binding on FDA or the public.                   The ASH charged the NVAC in                        Since the original NVAC HPV report,
                                              You can use an alternative approach if                  February 2018 to establish a work group               substantial progress led to policy and
                                              it satisfies the requirements of the                    to produce a brief report by June 2018                program changes and advances in
                                              applicable statutes and regulations. This               on recommendations to strengthen the                  research. To build on the substantial
                                              guidance is not subject to Executive                    effectiveness of national, state, and local           progress made toward increasing HPV
                                              Order 12866.                                            efforts to improve Human                              vaccination coverage rates, the ASH
                                                                                                      Papillomavirus (HPV) coverage rates.                  charged the NVAC in February 2018 to
                                              II. Electronic Access
                                                                                                      Through a series of conference calls,                 establish a work group to produce a
                                                 Persons with access to the internet                  electronic communication, and public                  brief report by June 2018 on
                                              may obtain the document at https://                     discussion at the May 3, 2018, NVAC                   recommendations to ‘‘strengthen the
                                              www.regulations.gov, https://                           public meeting, the work group                        effectiveness of national, state, and local
                                              www.fda.gov/Drugs/Guidance                              identified a number of draft                          efforts to improve HPV coverage rates.’’
                                              ComplianceRegulatoryInformation/                        recommendations for consideration by                  The ASH specifically requested the
                                              Guidances/default.htm, or https://                      the NVAC. The work group’s draft                      NVAC to consider the following:
                                              www.fda.gov/BiologicsBloodVaccines/                     report and recommendations will                          (1) Many national organizations are
                                              GuidanceComplianceRegulatory                            inform NVAC deliberations as it                       currently supporting HPV efforts. Are
                                              Information/Guidances/default.htm.                      finalizes recommendations for                         there additional national organizations
                                                Dated: May 24, 2018.                                  transmittal to the ASH.                               that might contribute to increasing HPV
                                              Leslie Kux,                                                On behalf of NVAC, NVPO is                         vaccination coverage?
                                              Associate Commissioner for Policy.                      soliciting public comment on the draft                   (2) At the state level, many states have
                                                                                                      report and draft recommendations from                 formed coalitions to support HPV
                                              [FR Doc. 2018–11641 Filed 5–30–18; 8:45 am]
                                                                                                      a variety of stakeholders, including the              vaccination efforts. Is there general
                                              BILLING CODE 4164–01–P
                                                                                                      general public, for consideration by the              guidance for states that do not yet have
                                                                                                      NVAC as they develop their final                      coalitions?
                                                                                                      recommendations to the ASH. It is                        (3) Integrated health care delivery
                                              DEPARTMENT OF HEALTH AND
                                                                                                      anticipated that the draft report and                 networks can successfully integrate
                                              HUMAN SERVICES
                                                                                                      draft recommendations, as revised with                comprehensive quality improvement
                                              Solicitation of Written Comments on                     consideration given to public comment                 approaches to increase vaccination
                                              the Human Papillomavirus Vaccination                    and stakeholder input, will be presented              coverage rates. How can state
                                              Implementation Work Group Draft                         to the NVAC for adoption in June 2018                 immunization programs and coalitions
                                              Report and Draft Recommendations                        at the quarterly NVAC meeting.                        engage with health systems to work
                                              for Consideration by the National                       DATES: Comments for consideration by
                                                                                                                                                            together on improving HPV vaccination
                                              Vaccine Advisory Committee                              the NVAC should be received no later                  coverage?
                                                                                                                                                               (4) Please specify recommendations
                                              AGENCY:  National Vaccine Program                       than 5:00 p.m. EDT on June 15, 2018.
                                                                                                                                                            on how to meet the needs of providers
                                              Office, Office of the Assistant Secretary               ADDRESSES:
                                                                                                                                                            in rural areas.
                                              for Health, Office of the Secretary,                       (1) The draft report and draft                        The NVAC established the Human
                                              Department of Health and Human                          recommendations are available on the                  Papillomavirus Vaccination
                                              Services.                                               web at http://www.hhs.gov/nvpo/nvac/                  Implementation Work Group in
                                                                                                      index.html.                                           February 2018, a work group tasked to
                                              ACTION: Notice.
                                                                                                         (2) Electronic responses may be sent               engage with a wide-range of
                                              SUMMARY:   The National Vaccine                         to: nvac@hhs.gov.                                     implementation partners from across all
                                              Advisory Committee (NVAC) was                           FOR FURTHER INFORMATION CONTACT:                      sectors (e.g., government, industry,
                                              established in 1987 to comply with Title                Captain Angela Shen, Designated                       health systems, associations, academia,
                                              XXI of the Public Health Service Act. Its               Federal Officer, National Vaccine                     and non-profit) to inform NVAC’s work
                                              purpose is to advise and make                           Program Office, U.S. Department of                    and these recommendations.
                                              recommendations to the Director of the                  Health and Human Services, Room                          The NVAC draft report highlights the
                                              National Vaccine Program on matters                     715H, Hubert H. Humphrey Building,                    progress made toward increasing HPV
                                              related to program responsibilities. The                200 Independence Avenue SW,                           vaccination coverage rates, since the
                                              Assistant Secretary for Health (ASH) has                Washington, DC 20201. Phone: 202–                     2015 NVAC report. The
                                              been designated by the Secretary of                     690–5566; email nvac@hhs.gov.                         recommendations detail how the ASH
                                              Health and Human Services (HHS) as                      SUPPLEMENTARY INFORMATION:                            can support HHS activities to strengthen
                                              the Director of the National Vaccine                                                                          the effectiveness of national, state, and
amozie on DSK3GDR082PROD with NOTICES1




                                              Program. The National Vaccine Program                   I. Background
                                                                                                                                                            local efforts to improve HPV coverage
                                              Office (NVPO) is located within the                        On June 9, 2015, the National Vaccine              rates.
                                              Office of the Assistant Secretary for                   Advisory Committee (NVAC) issued a
                                              Health (OASH), Office of the Secretary,                 report ‘‘Overcoming Barriers to Low                   II. Request for Comment
                                              U.S. Department of Health and Human                     HPV Vaccine Uptake in the United                         NVPO, on behalf of the NVAC HPV
                                              Services (HHS). NVPO provides                           States: Recommendations from the                      Vaccination Implementation Work
                                              leadership and fosters collaboration                    National Vaccine Advisory Committee.’’                Group, requests input on the draft report


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Document Created: 2018-05-31 00:48:27
Document Modified: 2018-05-31 00:48:27
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.
DatesSubmit either electronic or written comments on the draft guidance by December 15, 2018, to ensure that the Agency considers your comment on this draft guidance before it begins work on the final version of the guidance.
ContactRegarding the guidance: Mahesh Ramanadham, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Silver Spring, MD 20993-0002, 301-796-3272; or Ingrid Markovic, Center for Biologics Evaluation and Research (HFM-17), Food and Drug Administration, 10903 New Hampshire Ave., Silver Spring, MD 20993-0002, 240-402-8115.
FR Citation83 FR 25018 

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