83_FR_35148 83 FR 35006 - Inborn Errors of Metabolism That Use Dietary Management: Considerations for Optimizing and Standardizing Diet in Clinical Trials for Drug Product Development; Draft Guidance for Industry; Availability

83 FR 35006 - Inborn Errors of Metabolism That Use Dietary Management: Considerations for Optimizing and Standardizing Diet in Clinical Trials for Drug Product Development; Draft Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

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

Page Range35006-35007
FR Document2018-15777

The Food and Drug Administration (FDA or Agency) is announcing the availability of a draft guidance for industry entitled ``Inborn Errors of Metabolism That Use Dietary Management: Considerations for Optimizing and Standardizing Diet in Clinical Trials for Drug Product Development.'' This draft guidance describes FDA's current recommendations regarding how to optimize and standardize dietary management in clinical trials for the development of drugs treating inborn errors of metabolism (IEM) for which dietary management is a key component of patients' metabolic control. Optimizing dietary management in these patients before entry into and during the clinical trial(s) is essential to providing an accurate evaluation of the efficacy of new drug products.

Federal Register, Volume 83 Issue 142 (Tuesday, July 24, 2018)
[Federal Register Volume 83, Number 142 (Tuesday, July 24, 2018)]
[Notices]
[Pages 35006-35007]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-15777]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2018-D-2647]


Inborn Errors of Metabolism That Use Dietary Management: 
Considerations for Optimizing and Standardizing Diet in Clinical Trials 
for Drug Product Development; Draft Guidance for Industry; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of availability.

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

SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
the availability of a draft guidance for industry entitled ``Inborn 
Errors of Metabolism That Use Dietary Management: Considerations for 
Optimizing and Standardizing Diet in Clinical Trials for Drug Product 
Development.'' This draft guidance describes FDA's current 
recommendations regarding how to optimize and standardize dietary 
management in clinical trials for the development of drugs treating 
inborn errors of metabolism (IEM) for which dietary management is a key 
component of patients' metabolic control. Optimizing dietary management 
in these patients before entry into and during the clinical trial(s) is 
essential to providing an accurate evaluation of the efficacy of new 
drug products.

DATES: Submit either electronic or written comments on the draft 
guidance by September 24, 2018 to ensure that the Agency considers your 
comment on this draft guidance before it begins work on the final 
version of the guidance.

ADDRESSES: You may submit comments on any guidance at any time as 
follows:

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to https://www.regulations.gov 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on https://www.regulations.gov.
     If you want to submit a comment with confidential 
information that you do not wish to be made available to the public, 
submit the comment as a written/paper submission and in the manner 
detailed (see ``Written/Paper Submissions'' and ``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand Delivery/Courier (for written/paper 
submissions): Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Dockets 
Management Staff, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2018-D-2647 for ``Inborn Errors of Metabolism That Use Dietary 
Management: Considerations for Optimizing and Standardizing Diet in 
Clinical Trials for Drug Product Development; Draft Guidance for 
Industry; Availability.'' Received comments will be placed in the 
docket and, except for those submitted as ``Confidential Submissions,'' 
publicly viewable at https://www.regulations.gov or at the Dockets 
Management Staff between 9 a.m. and 4 p.m., Monday through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on https://www.regulations.gov. 
Submit both copies to the Dockets Management Staff. If you do not wish 
your name and contact information to be made publicly available, you 
can provide this information on the cover sheet and not in the body of 
your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: https://www.thefederalregister.org/fdsys/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to https://www.regulations.gov and insert the

[[Page 35007]]

docket number, found in brackets in the heading of this document, into 
the ``Search'' box and follow the prompts and/or go to the Dockets 
Management Staff, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
    You may submit comments on any guidance at any time (see 21 CFR 
10.115(g)(5)).
    Submit written requests for single copies of the draft guidance to 
the Division of Drug Information, Center for Drug Evaluation and 
Research, Food and Drug Administration, 10001 New Hampshire Ave., 
Hillandale Building, 4th Floor, Silver Spring, MD 20993-0002, or Office 
of Communication, Outreach, and Development, Center for Biologics 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 71, Rm. 3128, Silver Spring, MD 20993-0002. Send 
one self-addressed adhesive label to assist that office in processing 
your requests. See the SUPPLEMENTARY INFORMATION section for electronic 
access to the draft guidance document.

FOR FURTHER INFORMATION CONTACT: Dina Zand, Center for Drug Evaluation 
and Research, Food and Drug Administration, 10903 New Hampshire Ave., 
Bldg. 22, Rm. 5239, Silver Spring, MD 20993, 240-402-2538; or Stephen 
Ripley, Center for Biologics Evaluation and Research, Food and Drug 
Administration, 10903 New Hampshire Ave., Bldg. 71, Rm. 7301, Silver 
Spring, MD 20993-002, 240-402-7911.

SUPPLEMENTARY INFORMATION:

I. Background

    FDA is announcing the availability of a draft guidance for industry 
entitled ``Inborn Errors of Metabolism That Use Dietary Management: 
Considerations for Optimizing and Standardizing Diet in Clinical Trials 
for Drug Product Development.'' This draft guidance describes FDA's 
current recommendations regarding how to optimize and standardize 
dietary management in clinical trials for the development of drugs 
treating IEM for which dietary management is a key component of 
patients' metabolic control. Optimizing dietary management in these 
patients before entry into and during the clinical trial(s) is 
essential to providing an accurate evaluation of the efficacy of new 
drug products.
    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 how sponsors 
can optimize and standardize dietary management for clinical trials in 
the development of drugs for inborn errors of metabolism that use 
dietary 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. Paperwork Reduction Act of 1995

    This draft guidance refers to previously approved collections of 
information found in FDA regulations. These collections of information 
are subject to review by the Office of Management and Budget (OMB) 
under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3520). The 
collections of information in 21 CFR part 312 have been approved under 
OMB control number 0910-0014.

III. Electronic Access

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

    Dated: July 17, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-15777 Filed 7-23-18; 8:45 am]
BILLING CODE 4164-01-P



                                                  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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                                                                                  Federal Register / Vol. 83, No. 142 / Tuesday, July 24, 2018 / Notices                                          35007

                                                  docket number, found in brackets in the                  drugs for inborn errors of metabolism                 recommendations to the Agency. The
                                                  heading of this document, into the                       that use dietary management. It does not              meeting will be open to the public. FDA
                                                  ‘‘Search’’ box and follow the prompts                    establish any rights for any person and               is establishing a docket for public
                                                  and/or go to the Dockets Management                      is not binding on FDA or the public.                  comment on this document.
                                                  Staff, 5630 Fishers Lane, Rm. 1061,                      You can use an alternative approach if                DATES: The meeting will be held on
                                                  Rockville, MD 20852.                                     it satisfies the requirements of the                  September 12, 2018, from 8 a.m. to 4:30
                                                     You may submit comments on any                        applicable statutes and regulations. This             p.m.
                                                  guidance at any time (see 21 CFR                         guidance is not subject to Executive                  ADDRESSES: FDA White Oak Campus,
                                                  10.115(g)(5)).                                           Order 12866.                                          10903 New Hampshire Ave., Bldg. 31
                                                     Submit written requests for single                    II. Paperwork Reduction Act of 1995                   Conference Center, the Great Room (Rm.
                                                  copies of the draft guidance to the                                                                            1503), Silver Spring, MD 20993–0002.
                                                  Division of Drug Information, Center for                    This draft guidance refers to
                                                                                                           previously approved collections of                    Answers to commonly asked questions
                                                  Drug Evaluation and Research, Food                                                                             including information regarding special
                                                  and Drug Administration, 10001 New                       information found in FDA regulations.
                                                                                                           These collections of information are                  accommodations due to a disability,
                                                  Hampshire Ave., Hillandale Building,                                                                           visitor parking, and transportation may
                                                  4th Floor, Silver Spring, MD 20993–                      subject to review by the Office of
                                                                                                           Management and Budget (OMB) under                     be accessed at: https://www.fda.gov/
                                                  0002, or Office of Communication,                                                                              AdvisoryCommittees/
                                                  Outreach, and Development, Center for                    the Paperwork Reduction Act of 1995
                                                                                                           (44 U.S.C. 3501–3520). The collections                AboutAdvisoryCommittees/
                                                  Biologics Evaluation and Research,                                                                             ucm408555.htm.
                                                  Food and Drug Administration, 10903                      of information in 21 CFR part 312 have
                                                                                                           been approved under OMB control                          FDA is establishing a docket for
                                                  New Hampshire Ave., Bldg. 71, Rm.                                                                              public comment on this meeting. The
                                                  3128, Silver Spring, MD 20993–0002.                      number 0910–0014.
                                                                                                                                                                 docket number is FDA–2018–N–2733.
                                                  Send one self-addressed adhesive label                   III. Electronic Access                                The docket will close on September 11,
                                                  to assist that office in processing your                                                                       2018. Submit either electronic or
                                                                                                              Persons with access to the internet
                                                  requests. See the SUPPLEMENTARY                                                                                written comments on this public
                                                                                                           may obtain the draft guidance at either
                                                  INFORMATION section for electronic
                                                                                                           https://www.fda.gov/Drugs/Guidance                    meeting by September 11, 2018. Please
                                                  access to the draft guidance document.                                                                         note that late, untimely filed comments
                                                                                                           ComplianceRegulatoryInformation/
                                                  FOR FURTHER INFORMATION CONTACT: Dina                    Guidances/default.htm, https://                       will not be considered. Electronic
                                                  Zand, Center for Drug Evaluation and                     www.fda.gov/BiologicsBloodVaccines/                   comments must be submitted on or
                                                  Research, Food and Drug                                  GuidanceComplianceRegulatory                          before September 11, 2018. The https://
                                                  Administration, 10903 New Hampshire                      Information/Guidances/default.htm, or                 www.regulations.gov electronic filing
                                                  Ave., Bldg. 22, Rm. 5239, Silver Spring,                 https://www.regulations.gov.                          system will accept comments until
                                                  MD 20993, 240–402–2538; or Stephen                                                                             midnight Eastern Time at the end of
                                                  Ripley, Center for Biologics Evaluation                    Dated: July 17, 2018.
                                                                                                                                                                 September 11, 2018. Comments received
                                                  and Research, Food and Drug                              Leslie Kux,
                                                                                                                                                                 by mail/hand delivery/courier (for
                                                  Administration, 10903 New Hampshire                      Associate Commissioner for Policy.                    written/paper submissions) will be
                                                  Ave., Bldg. 71, Rm. 7301, Silver Spring,                 [FR Doc. 2018–15777 Filed 7–23–18; 8:45 am]           considered timely if they are
                                                  MD 20993–002, 240–402–7911.                              BILLING CODE 4164–01–P                                postmarked or the delivery service
                                                  SUPPLEMENTARY INFORMATION:                                                                                     acceptance receipt is on or before that
                                                                                                                                                                 date.
                                                  I. Background                                            DEPARTMENT OF HEALTH AND                                 Comments received on or before
                                                     FDA is announcing the availability of                 HUMAN SERVICES                                        August 28, 2018, will be provided to the
                                                  a draft guidance for industry entitled                                                                         committee. Comments received after
                                                                                                           Food and Drug Administration
                                                  ‘‘Inborn Errors of Metabolism That Use                                                                         that date will be taken into
                                                  Dietary Management: Considerations for                   [Docket No. FDA–2018–N–2733]                          consideration by FDA.
                                                  Optimizing and Standardizing Diet in                                                                              You may submit comments as
                                                  Clinical Trials for Drug Product                         Pharmacy Compounding Advisory                         follows:
                                                  Development.’’ This draft guidance                       Committee; Notice of Meeting;
                                                  describes FDA’s current                                  Establishment of a Public Docket;                     Electronic Submissions
                                                  recommendations regarding how to                         Request for Comments                                    Submit electronic comments in the
                                                  optimize and standardize dietary                         AGENCY:    Food and Drug Administration,              following way:
                                                  management in clinical trials for the                    HHS.                                                    • Federal eRulemaking Portal:
                                                  development of drugs treating IEM for                    ACTION: Notice; establishment of a                    https://www.regulations.gov. Follow the
                                                  which dietary management is a key                        public docket; request for comments.                  instructions for submitting comments.
                                                  component of patients’ metabolic                                                                               Comments submitted electronically,
                                                  control. Optimizing dietary management                   SUMMARY:   The Food and Drug                          including attachments, to https://
                                                  in these patients before entry into and                  Administration (FDA) announces a                      www.regulations.gov will be posted to
                                                  during the clinical trial(s) is essential to             forthcoming public advisory committee                 the docket unchanged. Because your
                                                  providing an accurate evaluation of the                  meeting of the Pharmacy Compounding                   comment will be made public, you are
                                                  efficacy of new drug products.                           Advisory Committee (PCAC). The                        solely responsible for ensuring that your
                                                     This draft guidance is being issued                   general function of the committee is to               comment does not include any
jstallworth on DSKBBY8HB2PROD with NOTICES




                                                  consistent with FDA’s good guidance                      provide advice on scientific, technical,              confidential information that you or a
                                                  practices regulation (21 CFR 10.115).                    and medical issues concerning drug                    third party may not wish to be posted,
                                                  The draft guidance, when finalized, will                 compounding under the Federal Food,                   such as medical information, your or
                                                  represent the current thinking of FDA                    Drug, and Cosmetic Act (FD&C Act),                    anyone else’s Social Security number, or
                                                  on how sponsors can optimize and                         and, as required, any other product for               confidential business information, such
                                                  standardize dietary management for                       which FDA has regulatory                              as a manufacturing process. Please note
                                                  clinical trials in the development of                    responsibility, and to make appropriate               that if you include your name, contact


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Document Created: 2018-07-24 00:10:20
Document Modified: 2018-07-24 00:10:20
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 September 24, 2018 to ensure that the Agency considers your comment on this draft guidance before it begins work on the final version of the guidance.
ContactDina Zand, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 22, Rm. 5239, Silver Spring, MD 20993, 240-402-2538; or Stephen Ripley, Center for Biologics Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 71, Rm. 7301, Silver Spring, MD 20993-002, 240-402-7911.
FR Citation83 FR 35006 

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