83_FR_35147 83 FR 35005 - Regulatory Perspectives on Otic and Vestibular Toxicity: Challenges in Translating Animal Studies to Human Risk Assessment; Public Workshop

83 FR 35005 - Regulatory Perspectives on Otic and Vestibular Toxicity: Challenges in Translating Animal Studies to Human Risk Assessment; Public Workshop

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 142 (July 24, 2018)

Page Range35005-35006
FR Document2018-15779

The Food and Drug Administration (FDA) is announcing the following public workshop entitled ``Regulatory Perspectives on Otic and Vestibular Toxicity: Challenges in Translating Animal Studies to Human Risk Assessment.'' The purpose of the public workshop is to identify the challenges involved in the translation of toxicities from animal studies to clinical trials, to highlight potential endpoints that can be used in both nonclinical and clinical phases of drug development, and to provide a platform for engaging discussions to improve safety assessments for drugs impacting auditory and vestibular functions. This public workshop will bring together regulatory medical and toxicologist reviewers, veterinary and clinical neurologists, and experts in evaluating auditory and vestibular endpoints.

Federal Register, Volume 83 Issue 142 (Tuesday, July 24, 2018)
[Federal Register Volume 83, Number 142 (Tuesday, July 24, 2018)]
[Notices]
[Pages 35005-35006]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-15779]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2018-N-0001]


Regulatory Perspectives on Otic and Vestibular Toxicity: 
Challenges in Translating Animal Studies to Human Risk Assessment; 
Public Workshop

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of public workshop.

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

SUMMARY: The Food and Drug Administration (FDA) is announcing the 
following public workshop entitled ``Regulatory Perspectives on Otic 
and Vestibular Toxicity: Challenges in Translating Animal Studies to 
Human Risk Assessment.'' The purpose of the public workshop is to 
identify the challenges involved in the translation of toxicities from 
animal studies to clinical trials, to highlight potential endpoints 
that can be used in both nonclinical and clinical phases of drug 
development, and to provide a platform for engaging discussions to 
improve safety assessments for drugs impacting auditory and vestibular 
functions. This public workshop will bring together regulatory medical 
and toxicologist reviewers, veterinary and clinical neurologists, and 
experts in evaluating auditory and vestibular endpoints.

DATES: The public workshop will be held on August 21, 2018, from 9 a.m. 
until 12 p.m. See the SUPPLEMENTARY INFORMATION section for 
registration date and information.

ADDRESSES: FDA White Oak Campus, 10903 New Hampshire Ave., Bldg. 31 
Conference Center, the Great Room (Rm. 1503), Silver Spring, MD 20993. 
Entrance for the public workshop participants (non-FDA employees) is 
through Building 1 where routine security check procedures will be 
performed. For parking and security information, please refer to 
https://www.fda.gov/AboutFDA/WorkingatFDA/BuildingsandFacilities/WhiteOakCampusInformation/ucm241740.htm.

FOR FURTHER INFORMATION CONTACT: Deepa B. Rao, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 22, Rm. 4235, Silver Spring, MD 20993, 240-402-
6544, [email protected] or Christopher D. Toscano, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 22, Rm. 4145, Silver Spring, MD 20993, 301-796-
1122, [email protected].

SUPPLEMENTARY INFORMATION:

I. Background

    Although multiple drugs are known to cause hearing loss, otic and 
vestibular toxicities remain a neglected component in routine drug 
development. In drug safety evaluations, comparative clinical 
assessments for auditory and vestibular systems between animals and 
humans remain largely unexplored. The objective of this public workshop 
is to identify the challenges involved in the translation of toxicities 
from animal toxicology studies to clinical trials, to highlight 
potential endpoints that can be used in nonclinical and clinical phases 
of drug development, and to provide a platform for engaging discussions 
to improve safety assessments for ototoxic drugs. This public workshop 
will bring together regulatory medical and toxicologist reviewers, 
veterinary and clinical neurologists, and experts in evaluating 
auditory and vestibular endpoints.

II. Topics for Discussion at the Public Workshop

    A regulatory perspective of drug development and the occurrence of 
otic and vestibular toxicity will be presented, with a focus on the 
current regulatory recommendations on assessment of the auditory and 
vestibular systems in clinical and nonclinical studies. Relevant 
endpoints of vestibular and auditory function (clinical evaluation, 
non-invasive electrophysiological measurements, and histopathology) 
will be discussed from a clinical and nonclinical perspective. The 
public workshop will end with an open platform discussion between the 
audience and panelists regarding the adequacy of the current evaluation 
and potential future approaches towards improving safety assessments 
for agents impacting auditory and vestibular functions. We support the 
principles of the ``3Rs,'' to reduce, refine, and replace animal use in 
testing when feasible. We encourage sponsors to consult with us if it 
they wish to use a non-animal testing method they believe is suitable, 
adequate, validated, and feasible. We will consider if such an 
alternative method could be assessed for equivalency to an animal test 
method.

III. Participating in the Public Workshop

    Registration: To register for the public workshop, please visit the 
following website to register: https://www.eventbrite.com/e/fda-public-
workshop-regulatory-perspectives-on-

[[Page 35006]]

otic-vestibular-toxicity-tickets-47223962142. Please provide complete 
contact information for each attendee, including name, title, 
affiliation, address, email, and telephone.
    Registration is free and based on space availability, with priority 
given to early registrants. Persons interested in attending this public 
workshop must register by August 20, 2018, midnight Eastern Time. Early 
registration is recommended because seating is limited; therefore, FDA 
may limit the number of participants from each organization.
    For any participant in need of sign language interpretation, please 
send an email request to [email protected]. For all 
other reasonable accommodations, please contact FDA's Office of Equal 
Employment Opportunity at 301-796-9400.
    Streaming webcast of the public workshop: This public workshop will 
also be webcast at https://collaboration.fda.gov/ovtw/.
    If you have never attended a Connect Pro event before, test your 
connection at https://collaboration.fda.gov/common/help/en/support/meeting_test.htm. To get a quick overview of the Connect Pro program, 
visit https://www.adobe.com/go/connectpro_overview. FDA has verified 
the website addresses in this document, as of the date this document 
publishes in the Federal Register, but websites are subject to change 
over time.
    Transcripts: Please be advised that as soon as a transcript of the 
public workshop is available, it will be accessible at https://www.regulations.gov. It may be viewed at the Dockets Management Staff 
(HFA-305), Food and Drug Administration, 5630 Fishers Lane, Rm. 1061, 
Rockville, MD 20852.

    Dated: July 18, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-15779 Filed 7-23-18; 8:45 am]
BILLING CODE 4164-01-P



                                                                                  Federal Register / Vol. 83, No. 142 / Tuesday, July 24, 2018 / Notices                                            35005

                                                  registration is required by clicking the                 DEPARTMENT OF HEALTH AND                              1122, Christopher.Toscano@
                                                  links below.                                             HUMAN SERVICES                                        fda.hhs.gov.
                                                     Web ID: https://                                                                                            SUPPLEMENTARY INFORMATION:
                                                  adobeconnect.cdc.gov/e3pmwd6fhge/                        Food and Drug Administration
                                                  event/registration.html.                                                                                       I. Background
                                                                                                           [Docket No. FDA–2018–N–0001]
                                                     Dial in number: 888–790–3293 (100                                                                              Although multiple drugs are known to
                                                  seats).                                                  Regulatory Perspectives on Otic and                   cause hearing loss, otic and vestibular
                                                     Participant code: 3762458.                            Vestibular Toxicity: Challenges in                    toxicities remain a neglected component
                                                  DATES: The meeting will be held on                       Translating Animal Studies to Human                   in routine drug development. In drug
                                                  August 30, 2018, 2:00 p.m. to 5:00 p.m.,                 Risk Assessment; Public Workshop                      safety evaluations, comparative clinical
                                                  EDT.                                                                                                           assessments for auditory and vestibular
                                                                                                           AGENCY:    Food and Drug Administration,              systems between animals and humans
                                                  ADDRESSES: Web Conference.
                                                                                                           HHS.                                                  remain largely unexplored. The
                                                  FOR FURTHER INFORMATION CONTACT:
                                                                                                           ACTION:   Notice of public workshop.                  objective of this public workshop is to
                                                  Dometa Ouisley, Office of Science and
                                                  Public Health Practice, Centers for                                                                            identify the challenges involved in the
                                                                                                           SUMMARY:    The Food and Drug
                                                  Disease Control and Prevention, 1600                                                                           translation of toxicities from animal
                                                                                                           Administration (FDA) is announcing the
                                                  Clifton Road NE, Mailstop D–44,                                                                                toxicology studies to clinical trials, to
                                                                                                           following public workshop entitled
                                                  Atlanta, Georgia 30333, Telephone:                                                                             highlight potential endpoints that can
                                                                                                           ‘‘Regulatory Perspectives on Otic and
                                                  (404) 639–7450; Fax: (404) 471–8772;                                                                           be used in nonclinical and clinical
                                                                                                           Vestibular Toxicity: Challenges in
                                                  Email: OPHPR.BSC.Questions@cdc.gov.                                                                            phases of drug development, and to
                                                                                                           Translating Animal Studies to Human                   provide a platform for engaging
                                                  SUPPLEMENTARY INFORMATION:                               Risk Assessment.’’ The purpose of the                 discussions to improve safety
                                                     Purpose: This Board is charged with                   public workshop is to identify the                    assessments for ototoxic drugs. This
                                                  providing advice and guidance to the                     challenges involved in the translation of             public workshop will bring together
                                                  Secretary, Department of Health and                      toxicities from animal studies to clinical            regulatory medical and toxicologist
                                                  Human Services (HHS), the Assistant                      trials, to highlight potential endpoints              reviewers, veterinary and clinical
                                                  Secretary for Health (ASH), the Director,                that can be used in both nonclinical and              neurologists, and experts in evaluating
                                                  Centers for Disease Control and                          clinical phases of drug development,                  auditory and vestibular endpoints.
                                                  Prevention (CDC), and the Director,                      and to provide a platform for engaging
                                                  Office of Public Health Preparedness                     discussions to improve safety                         II. Topics for Discussion at the Public
                                                  and Response (OPHPR), concerning                         assessments for drugs impacting                       Workshop
                                                  strategies and goals for the programs                    auditory and vestibular functions. This                  A regulatory perspective of drug
                                                  and research within OPHPR, monitoring                    public workshop will bring together                   development and the occurrence of otic
                                                  the overall strategic direction and focus                regulatory medical and toxicologist                   and vestibular toxicity will be
                                                  of the OPHPR Divisions and Offices,                      reviewers, veterinary and clinical                    presented, with a focus on the current
                                                  and administration and oversight of                      neurologists, and experts in evaluating               regulatory recommendations on
                                                  peer review for OPHPR scientific                         auditory and vestibular endpoints.                    assessment of the auditory and
                                                  programs. For additional information                     DATES: The public workshop will be                    vestibular systems in clinical and
                                                  about the Board, please visit: http://                   held on August 21, 2018, from 9 a.m.                  nonclinical studies. Relevant endpoints
                                                  www.cdc.gov/phpr/science/                                until 12 p.m. See the SUPPLEMENTARY                   of vestibular and auditory function
                                                  counselors.htm.                                          INFORMATION section for registration date             (clinical evaluation, non-invasive
                                                     Matters to be considered: The agenda                  and information.                                      electrophysiological measurements, and
                                                  will include briefings and BSC                           ADDRESSES: FDA White Oak Campus,                      histopathology) will be discussed from
                                                  deliberation on the following topics:                    10903 New Hampshire Ave., Bldg. 31                    a clinical and nonclinical perspective.
                                                  Interval updates from OPHPR Divisions                    Conference Center, the Great Room (Rm.                The public workshop will end with an
                                                  and Offices including responses to                       1503), Silver Spring, MD 20993.                       open platform discussion between the
                                                  issues raised by the Board during the                    Entrance for the public workshop                      audience and panelists regarding the
                                                  May 2018 in-person BSC meeting;                          participants (non-FDA employees) is                   adequacy of the current evaluation and
                                                  updates from the Biological Agent                        through Building 1 where routine                      potential future approaches towards
                                                  Containment working group; and                           security check procedures will be                     improving safety assessments for agents
                                                  proposed agenda items for the October                    performed. For parking and security                   impacting auditory and vestibular
                                                  29–30 2018 in-person BSC meeting.                        information, please refer to https://                 functions. We support the principles of
                                                  Agenda items are subject to change as                    www.fda.gov/AboutFDA/                                 the ‘‘3Rs,’’ to reduce, refine, and replace
                                                  priorities dictate.                                      WorkingatFDA/BuildingsandFacilities/                  animal use in testing when feasible. We
                                                     The Director, Management Analysis                     WhiteOakCampusInformation/                            encourage sponsors to consult with us if
                                                  and Services Office, has been delegated                  ucm241740.htm.                                        it they wish to use a non-animal testing
                                                  the authority to sign Federal Register                                                                         method they believe is suitable,
                                                  notices pertaining to announcements of                   FOR FURTHER INFORMATION CONTACT:                      adequate, validated, and feasible. We
                                                  meetings and other committee                             Deepa B. Rao, Center for Drug                         will consider if such an alternative
                                                  management activities, for both the                      Evaluation and Research, Food and                     method could be assessed for
                                                  Centers for Disease Control and                          Drug Administration, 10903 New                        equivalency to an animal test method.
                                                                                                           Hampshire Ave., Bldg. 22, Rm. 4235,
jstallworth on DSKBBY8HB2PROD with NOTICES




                                                  Prevention and the Agency for Toxic                                                                            III. Participating in the Public
                                                  Substances and Disease Registry.                         Silver Spring, MD 20993, 240–402–
                                                                                                           6544, Deepa.Rao@fda.hhs.gov or                        Workshop
                                                  Sherri A. Berger,                                        Christopher D. Toscano, Center for Drug                  Registration: To register for the public
                                                  Chief Operating Officer, Centers for Disease             Evaluation and Research, Food and                     workshop, please visit the following
                                                  Control and Prevention.                                  Drug Administration, 10903 New                        website to register: https://
                                                  [FR Doc. 2018–15781 Filed 7–23–18; 8:45 am]              Hampshire Ave., Bldg. 22, Rm. 4145,                   www.eventbrite.com/e/fda-public-
                                                  BILLING CODE 4163–19–P                                   Silver Spring, MD 20993, 301–796–                     workshop-regulatory-perspectives-on-


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                                                  35006                           Federal Register / Vol. 83, No. 142 / Tuesday, July 24, 2018 / Notices

                                                  otic-vestibular-toxicity-tickets-                        ACTION:   Notice of availability.                        • Mail/Hand Delivery/Courier (for
                                                  47223962142. Please provide complete                                                                           written/paper submissions): Dockets
                                                  contact information for each attendee,                   SUMMARY:    The Food and Drug                         Management Staff (HFA–305), Food and
                                                  including name, title, affiliation,                      Administration (FDA or Agency) is                     Drug Administration, 5630 Fishers
                                                  address, email, and telephone.                           announcing the availability of a draft                Lane, Rm. 1061, Rockville, MD 20852.
                                                     Registration is free and based on                     guidance for industry entitled ‘‘Inborn                  • For written/paper comments
                                                  space availability, with priority given to               Errors of Metabolism That Use Dietary                 submitted to the Dockets Management
                                                  early registrants. Persons interested in                 Management: Considerations for                        Staff, FDA will post your comment, as
                                                  attending this public workshop must                      Optimizing and Standardizing Diet in                  well as any attachments, except for
                                                  register by August 20, 2018, midnight                    Clinical Trials for Drug Product                      information submitted, marked and
                                                  Eastern Time. Early registration is                      Development.’’ This draft guidance                    identified, as confidential, if submitted
                                                  recommended because seating is                           describes FDA’s current                               as detailed in ‘‘Instructions.’’
                                                  limited; therefore, FDA may limit the                    recommendations regarding how to                         Instructions: All submissions received
                                                  number of participants from each                         optimize and standardize dietary                      must include the Docket No. FDA–
                                                  organization.                                            management in clinical trials for the                 2018–D–2647 for ‘‘Inborn Errors of
                                                     For any participant in need of sign                   development of drugs treating inborn                  Metabolism That Use Dietary
                                                  language interpretation, please send an                  errors of metabolism (IEM) for which                  Management: Considerations for
                                                  email request to Interpreting.Services@                  dietary management is a key component                 Optimizing and Standardizing Diet in
                                                  oc.fda.gov. For all other reasonable                     of patients’ metabolic control.                       Clinical Trials for Drug Product
                                                  accommodations, please contact FDA’s                     Optimizing dietary management in                      Development; Draft Guidance for
                                                  Office of Equal Employment                               these patients before entry into and                  Industry; Availability.’’ Received
                                                  Opportunity at 301–796–9400.                             during the clinical trial(s) is essential to          comments will be placed in the docket
                                                     Streaming webcast of the public                       providing an accurate evaluation of the               and, except for those submitted as
                                                  workshop: This public workshop will                      efficacy of new drug products.                        ‘‘Confidential Submissions,’’ publicly
                                                  also be webcast at https://                              DATES: Submit either electronic or
                                                                                                                                                                 viewable at https://www.regulations.gov
                                                  collaboration.fda.gov/ovtw/.                             written comments on the draft guidance                or at the Dockets Management Staff
                                                     If you have never attended a Connect                  by September 24, 2018 to ensure that                  between 9 a.m. and 4 p.m., Monday
                                                  Pro event before, test your connection at                the Agency considers your comment on                  through Friday.
                                                                                                                                                                    • Confidential Submissions—To
                                                  https://collaboration.fda.gov/common/                    this draft guidance before it begins work
                                                                                                                                                                 submit a comment with confidential
                                                  help/en/support/meeting_test.htm. To                     on the final version of the guidance.
                                                                                                                                                                 information that you do not wish to be
                                                  get a quick overview of the Connect Pro                  ADDRESSES: You may submit comments                    made publicly available, submit your
                                                  program, visit https://www.adobe.com/                    on any guidance at any time as follows:               comments only as a written/paper
                                                  go/connectpro_overview. FDA has
                                                                                                           Electronic Submissions                                submission. You should submit two
                                                  verified the website addresses in this
                                                                                                                                                                 copies total. One copy will include the
                                                  document, as of the date this document                     Submit electronic comments in the                   information you claim to be confidential
                                                  publishes in the Federal Register, but                   following way:                                        with a heading or cover note that states
                                                  websites are subject to change over time.                  • Federal eRulemaking Portal:                       ‘‘THIS DOCUMENT CONTAINS
                                                     Transcripts: Please be advised that as                https://www.regulations.gov. Follow the               CONFIDENTIAL INFORMATION.’’ The
                                                  soon as a transcript of the public                       instructions for submitting comments.                 Agency will review this copy, including
                                                  workshop is available, it will be                        Comments submitted electronically,                    the claimed confidential information, in
                                                  accessible at https://                                   including attachments, to https://                    its consideration of comments. The
                                                  www.regulations.gov. It may be viewed                    www.regulations.gov will be posted to                 second copy, which will have the
                                                  at the Dockets Management Staff (HFA–                    the docket unchanged. Because your                    claimed confidential information
                                                  305), Food and Drug Administration,                      comment will be made public, you are                  redacted/blacked out, will be available
                                                  5630 Fishers Lane, Rm. 1061, Rockville,                  solely responsible for ensuring that your             for public viewing and posted on
                                                  MD 20852.                                                comment does not include any                          https://www.regulations.gov. Submit
                                                    Dated: July 18, 2018.                                  confidential information that you or a                both copies to the Dockets Management
                                                  Leslie Kux,                                              third party may not wish to be posted,                Staff. If you do not wish your name and
                                                  Associate Commissioner for Policy.                       such as medical information, your or                  contact information to be made publicly
                                                  [FR Doc. 2018–15779 Filed 7–23–18; 8:45 am]
                                                                                                           anyone else’s Social Security number, or              available, you can provide this
                                                                                                           confidential business information, such               information on the cover sheet and not
                                                  BILLING CODE 4164–01–P
                                                                                                           as a manufacturing process. Please note               in the body of your comments and you
                                                                                                           that if you include your name, contact                must identify this information as
                                                  DEPARTMENT OF HEALTH AND                                 information, or other information that                ‘‘confidential.’’ Any information marked
                                                  HUMAN SERVICES                                           identifies you in the body of your                    as ‘‘confidential’’ will not be disclosed
                                                                                                           comments, that information will be                    except in accordance with 21 CFR 10.20
                                                  Food and Drug Administration                             posted on https://www.regulations.gov.                and other applicable disclosure law. For
                                                                                                             • If you want to submit a comment                   more information about FDA’s posting
                                                  [Docket No. FDA–2018–D–2647]
                                                                                                           with confidential information that you                of comments to public dockets, see 80
                                                  Inborn Errors of Metabolism That Use                     do not wish to be made available to the               FR 56469, September 18, 2015, or access
jstallworth on DSKBBY8HB2PROD with NOTICES




                                                  Dietary Management: Considerations                       public, submit the comment as a                       the information at: https://www.gpo.gov/
                                                  for Optimizing and Standardizing Diet                    written/paper submission and in the                   fdsys/pkg/FR-2015-09-18/pdf/2015-
                                                  in Clinical Trials for Drug Product                      manner detailed (see ‘‘Written/Paper                  23389.pdf.
                                                  Development; Draft Guidance for                          Submissions’’ and ‘‘Instructions’’).                     Docket: For access to the docket to
                                                  Industry; Availability                                                                                         read background documents or the
                                                                                                           Written/Paper Submissions                             electronic and written/paper comments
                                                  AGENCY:    Food and Drug Administration,                   Submit written/paper submissions as                 received, go to https://
                                                  HHS.                                                     follows:                                              www.regulations.gov and insert the


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Document Created: 2018-07-24 00:10:29
Document Modified: 2018-07-24 00:10:29
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 public workshop.
DatesThe public workshop will be held on August 21, 2018, from 9 a.m. until 12 p.m. See the SUPPLEMENTARY INFORMATION section for registration date and information.
ContactDeepa B. Rao, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 22, Rm. 4235, Silver Spring, MD 20993, 240-402- 6544, [email protected] or Christopher D. Toscano, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 22, Rm. 4145, Silver Spring, MD 20993, 301-796- 1122, [email protected]
FR Citation83 FR 35005 

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