83_FR_3753 83 FR 3735 - Hypertension: Developing Fixed-Dose Combination Drugs for Treatment; Draft Guidance for Industry; Availability

83 FR 3735 - Hypertension: Developing Fixed-Dose Combination Drugs for Treatment; Draft Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 18 (January 26, 2018)

Page Range3735-3736
FR Document2018-01352

The Food and Drug Administration (FDA or Agency) is announcing the availability of a draft guidance for industry entitled ``Hypertension: Developing Fixed-Dose Combination Drugs for Treatment.'' The purpose of this guidance is to assist sponsors in the clinical development of fixed-dose combination drugs for the treatment of hypertension. The guidance focuses on development of two-drug combinations of previously approved drugs.

Federal Register, Volume 83 Issue 18 (Friday, January 26, 2018)
[Federal Register Volume 83, Number 18 (Friday, January 26, 2018)]
[Notices]
[Pages 3735-3736]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-01352]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2017-D-6878]


Hypertension: Developing Fixed-Dose Combination Drugs for 
Treatment; Draft Guidance for Industry; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of availability.

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

SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
the availability of a draft guidance for industry entitled 
``Hypertension: Developing Fixed-Dose Combination Drugs for 
Treatment.'' The purpose of this guidance is to assist sponsors in the 
clinical development of

[[Page 3736]]

fixed-dose combination drugs for the treatment of hypertension. The 
guidance focuses on development of two-drug combinations of previously 
approved drugs.

DATES: Submit either electronic or written comments on the draft 
guidance by March 27, 2018 to ensure that the Agency considers your 
comment on this draft guidance before it begins work on the final 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-2017-D-6878 for ``Hypertension: Developing Fixed-Dose Combination 
Drugs for Treatment; Draft Guidance for Industry.'' Received comments 
will be placed in the docket and, except for those submitted as 
``Confidential Submissions,'' publicly viewable at https://www.regulations.gov or at the Dockets Management Staff between 9 a.m. 
and 4 p.m., Monday through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on https://www.regulations.gov. 
Submit both copies to the Dockets Management Staff. If you do not wish 
your name and contact information to be made publicly available, you 
can provide this information on the cover sheet and not in the body of 
your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: https://www.thefederalregister.org/fdsys/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852.
    You may submit comments on any guidance at any time (see 21 CFR 
10.115(g)(5)).
    Submit written requests for single copies of the draft guidance to 
the Division of Drug Information, Center for Drug Evaluation and 
Research, Food and Drug Administration, 10001 New Hampshire Ave. 
Hillandale Building, 4th Floor, Silver Spring, MD 20993-0002. 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: Naomi Lowy, Center for Drug Evaluation 
and Research, Food and Drug Administration, 10903 New Hampshire Ave. 
Bldg. 22, Rm. 4204, Silver Spring, MD 20993-0002, 301-796-0692.

SUPPLEMENTARY INFORMATION: 

I. Background

    FDA is announcing the availability of a draft guidance for industry 
entitled ``Hypertension: Developing Fixed-Dose Combination Drugs for 
Treatment.'' The purpose of this guidance is to assist sponsors in the 
clinical development of fixed-dose combination drugs for the treatment 
of hypertension. The guidance focuses on development of two-drug 
combinations of previously approved drugs.
    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 developing 
fixed-dose combination drugs for treatment of hypertension. It does not 
establish any rights for any person and is not binding on FDA or the 
public. You can use an alternative approach if it satisfies the 
requirements of the applicable statutes and regulations. This guidance 
is not subject to Executive Order 12866.

II. Electronic Access

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

    Dated: January 19, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-01352 Filed 1-25-18; 8:45 am]
 BILLING CODE 4164-01-P



                                                                                        Federal Register / Vol. 83, No. 18 / Friday, January 26, 2018 / Notices                                                                                              3735

                                               or requirements that members of the                                       when appropriate, and other forms of                                        accompanying labeling bear a logo and
                                               public submit reports, keep records, or                                   information technology.                                                     a radiation disclosure statement. Section
                                               provide information to a third party.                                                                                                                 179.25(e) requires that food processors
                                                                                                                         Irradiation in the Production,
                                               Section 3506(c)(2)(A) of the PRA (44                                                                                                                  who treat food with radiation make and
                                                                                                                         Processing, and Handling of Food
                                               U.S.C. 3506(c)(2)(A)) requires Federal                                                                                                                retain, for 1 year past the expected shelf
                                               Agencies to provide a 60-day notice in                                    OMB Control Number 0910–0186—                                               life of the products up to a maximum of
                                               the Federal Register concerning each                                      Extension                                                                   3 years, specified records relating to the
                                               proposed collection of information,                                                                                                                   irradiation process (e.g., the food
                                               including each proposed extension of an                                      This information collection supports                                     treated, lot identification, scheduled
                                               existing collection of information,                                       FDA regulations. Specifically, under                                        process, etc.). The records required by
                                               before submitting the collection to OMB                                   sections 201(s) and 409 of the Federal                                      § 179.25(e) are used by our inspectors to
                                               for approval. To comply with this                                         Food, Drug, and Cosmetic Act (FD&C                                          assess compliance with the regulation
                                               requirement, FDA is publishing notice                                     Act) (21 U.S.C. 321(s) and 348), food                                       that establishes limits within which
                                               of the proposed collection of                                             irradiation is subject to regulation under                                  radiation may be safely used to treat
                                               information set forth in this document.                                   the food additive premarket approval                                        food. We cannot ensure safe use without
                                                  With respect to the following                                          provisions of the FD&C Act. The                                             a method to assess compliance with the
                                               collection of information, FDA invites                                    regulations providing for uses of                                           dose limits, and there are no practicable
                                               comments on these topics: (1) Whether                                     irradiation in the production,                                              methods for analyzing most foods to
                                               the proposed collection of information                                    processing, and handling of food are                                        determine whether they have been
                                               is necessary for the proper performance                                   found in part 179 (21 CFR part 179). To                                     treated with ionizing radiation and are
                                               of FDA’s functions, including whether                                     ensure safe use of a radiation source,                                      within the limitations set forth in part
                                               the information will have practical                                       § 179.21(b)(1) requires that the label of                                   179. Records inspection is the only way
                                               utility; (2) the accuracy of FDA’s                                        sources bear appropriate and accurate                                       to determine whether firms are
                                               estimate of the burden of the proposed                                    information identifying the source of                                       complying with the regulations for
                                               collection of information, including the                                  radiation and the maximum (or                                               treatment of foods with ionizing
                                               validity of the methodology and                                           minimum and maximum) energy of the                                          radiation.
                                               assumptions used; (3) ways to enhance                                     emitted radiation. Section 179.21(b)(2)
                                               the quality, utility, and clarity of the                                  requires that the label or accompanying                                        Description of respondents:
                                               information to be collected; and (4)                                      labeling bear adequate directions for                                       Respondents to the information
                                               ways to minimize the burden of the                                        installation and use and a statement                                        collection are businesses engaged in the
                                               collection of information on                                              supplied by us that indicates maximum                                       irradiation of food.
                                               respondents, including through the use                                    dose of radiation allowed. Section                                             FDA estimates the burden of this
                                               of automated collection techniques,                                       179.26(c) requires that the label or                                        collection of information as follows:

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

                                               179.25(e), large processors .................................................                                    4                       300                     1,200                             1           1,200
                                               179.25(e), small processors ................................................                                     4                        30                       120                             1             120

                                                    Total ..............................................................................   ........................   ........................   ........................   ........................          1,320
                                                  1 There   are no capital costs or operating and maintenance costs associated with this collection of information.


                                                  Upon review of the information                                         for recordkeeping annually), and four                                       DEPARTMENT OF HEALTH AND
                                               collection we have retained the                                           facilities devoting 10 percent of their                                     HUMAN SERVICES
                                               currently approved burden estimate.                                       business to food irradiation (4 × 30
                                               Our estimate of the recordkeeping                                         hours = 120 hours for recordkeeping                                         Food and Drug Administration
                                               burden under § 179.25(e) is based on                                      annually).                                                                  [Docket No. FDA–2017–D–6878]
                                               our experience regulating the safe use of                                   No burden has been estimated for the
                                               radiation as a direct food additive. The                                  labeling requirements in §§ 179.21(b)(1),                                   Hypertension: Developing Fixed-Dose
                                               number of firms who process food using                                    179.21(b)(2), and 179.26(c) because the                                     Combination Drugs for Treatment;
                                               irradiation is extremely limited. We                                                                                                                  Draft Guidance for Industry;
                                                                                                                         disclosures are supplied by FDA. Under
                                               estimate that there are four irradiation                                                                                                              Availability
                                                                                                                         5 CFR 1320.3(c)(2), the public
                                               plants whose business is devoted                                          disclosure of information originally                                        AGENCY:         Food and Drug Administration,
                                               primarily (i.e., approximately 100                                        supplied by the Federal Government to                                       HHS.
                                               percent) to irradiation of food and other                                 the recipient for the purpose of                                            ACTION:        Notice of availability.
                                               agricultural products. Four other firms                                   disclosure to the public is not subject to
                                               also irradiate small quantities of food.                                  review by the OMB under the PRA.                                            SUMMARY:  The Food and Drug
daltland on DSKBBV9HB2PROD with NOTICES




                                               We estimate that this irradiation                                                                                                                     Administration (FDA or Agency) is
                                               accounts for no more than 10 percent of                                     Dated: January 23, 2018.                                                  announcing the availability of a draft
                                               the business for each of these firms.                                     Leslie Kux,                                                                 guidance for industry entitled
                                               Therefore, the average estimated burden                                   Associate Commissioner for Policy.                                          ‘‘Hypertension: Developing Fixed-Dose
                                               is based on four facilities devoting 100                                  [FR Doc. 2018–01470 Filed 1–25–18; 8:45 am]                                 Combination Drugs for Treatment.’’ The
                                               percent of their business to food                                         BILLING CODE 4164–01–P                                                      purpose of this guidance is to assist
                                               irradiation (4 × 300 hours = 1,200 hours                                                                                                              sponsors in the clinical development of


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                                               3736                           Federal Register / Vol. 83, No. 18 / Friday, January 26, 2018 / Notices

                                               fixed-dose combination drugs for the                    those submitted as ‘‘Confidential                      FOR FURTHER INFORMATION CONTACT:
                                               treatment of hypertension. The guidance                 Submissions,’’ publicly viewable at                    Naomi Lowy, Center for Drug
                                               focuses on development of two-drug                      https://www.regulations.gov or at the                  Evaluation and Research, Food and
                                               combinations of previously approved                     Dockets Management Staff between 9                     Drug Administration, 10903 New
                                               drugs.                                                  a.m. and 4 p.m., Monday through                        Hampshire Ave. Bldg. 22, Rm. 4204,
                                               DATES:  Submit either electronic or                     Friday.                                                Silver Spring, MD 20993–0002, 301–
                                               written comments on the draft guidance                     • Confidential Submissions—To                       796–0692.
                                               by March 27, 2018 to ensure that the                    submit a comment with confidential                     SUPPLEMENTARY INFORMATION:
                                               Agency considers your comment on this                   information that you do not wish to be
                                                                                                       made publicly available, submit your                   I. Background
                                               draft guidance before it begins work on
                                               the final version of the guidance.                      comments only as a written/paper                          FDA is announcing the availability of
                                                                                                       submission. You should submit two                      a draft guidance for industry entitled
                                               ADDRESSES: You may submit comments
                                                                                                       copies total. One copy will include the                ‘‘Hypertension: Developing Fixed-Dose
                                               on any guidance at any time as follows:
                                                                                                       information you claim to be confidential               Combination Drugs for Treatment.’’ The
                                               Electronic Submissions                                  with a heading or cover note that states               purpose of this guidance is to assist
                                                 Submit electronic comments in the                     ‘‘THIS DOCUMENT CONTAINS                               sponsors in the clinical development of
                                               following way:                                          CONFIDENTIAL INFORMATION.’’ The                        fixed-dose combination drugs for the
                                                 • Federal eRulemaking Portal:                         Agency will review this copy, including                treatment of hypertension. The guidance
                                               https://www.regulations.gov. Follow the                 the claimed confidential information, in               focuses on development of two-drug
                                               instructions for submitting comments.                   its consideration of comments. The                     combinations of previously approved
                                               Comments submitted electronically,                      second copy, which will have the                       drugs.
                                               including attachments, to https://                      claimed confidential information                          This draft guidance is being issued
                                               www.regulations.gov will be posted to                   redacted/blacked out, will be available                consistent with FDA’s good guidance
                                               the docket unchanged. Because your                      for public viewing and posted on                       practices regulation (21 CFR 10.115).
                                               comment will be made public, you are                    https://www.regulations.gov. Submit                    The draft guidance, when finalized, will
                                               solely responsible for ensuring that your               both copies to the Dockets Management                  represent the current thinking of FDA
                                               comment does not include any                            Staff. If you do not wish your name and                on developing fixed-dose combination
                                               confidential information that you or a                  contact information to be made publicly                drugs for treatment of hypertension. It
                                               third party may not wish to be posted,                  available, you can provide this                        does not establish any rights for any
                                               such as medical information, your or                    information on the cover sheet and not                 person and is not binding on FDA or the
                                               anyone else’s Social Security number, or                in the body of your comments and you                   public. You can use an alternative
                                               confidential business information, such                 must identify this information as                      approach if it satisfies the requirements
                                               as a manufacturing process. Please note                 ‘‘confidential.’’ Any information marked               of the applicable statutes and
                                               that if you include your name, contact                  as ‘‘confidential’’ will not be disclosed              regulations. This guidance is not subject
                                               information, or other information that                  except in accordance with 21 CFR 10.20                 to Executive Order 12866.
                                               identifies you in the body of your                      and other applicable disclosure law. For
                                                                                                       more information about FDA’s posting                   II. Electronic Access
                                               comments, that information will be
                                               posted on https://www.regulations.gov.                  of comments to public dockets, see 80                    Persons with access to the internet
                                                 • If you want to submit a comment                     FR 56469, September 18, 2015, or access                may obtain the draft guidance at either
                                               with confidential information that you                  the information at: https://www.gpo.gov/               https://www.fda.gov/Drugs/Guidance
                                               do not wish to be made available to the                 fdsys/pkg/FR-2015-09-18/pdf/2015-                      ComplianceRegulatoryInformation/
                                               public, submit the comment as a                         23389.pdf.                                             Guidances/default.htm or https://
                                               written/paper submission and in the                        Docket: For access to the docket to                 www.regulations.gov.
                                               manner detailed (see ‘‘Written/Paper                    read background documents or the                         Dated: January 19, 2018.
                                               Submissions’’ and ‘‘Instructions’’).                    electronic and written/paper comments                  Leslie Kux,
                                                                                                       received, go to https://                               Associate Commissioner for Policy.
                                               Written/Paper Submissions                               www.regulations.gov and insert the
                                                                                                                                                              [FR Doc. 2018–01352 Filed 1–25–18; 8:45 am]
                                                 Submit written/paper submissions as                   docket number, found in brackets in the
                                                                                                                                                              BILLING CODE 4164–01–P
                                               follows:                                                heading of this document, into the
                                                 • Mail/Hand delivery/Courier (for                     ‘‘Search’’ box and follow the prompts
                                               written/paper submissions): Dockets                     and/or go to the Dockets Management                    DEPARTMENT OF HEALTH AND
                                               Management Staff (HFA–305), Food and                    Staff, 5630 Fishers Lane, Rm. 1061,                    HUMAN SERVICES
                                               Drug Administration, 5630 Fishers                       Rockville, MD 20852.
                                               Lane, Rm. 1061, Rockville, MD 20852.                       You may submit comments on any                      Food and Drug Administration
                                                 • For written/paper comments                          guidance at any time (see 21 CFR
                                               submitted to the Dockets Management                     10.115(g)(5)).                                         [Docket No. FDA–2017–N–6903]
                                               Staff, FDA will post your comment, as                      Submit written requests for single
                                                                                                                                                              Advisory Committee; Pharmaceutical
                                               well as any attachments, except for                     copies of the draft guidance to the
                                                                                                                                                              Science and Clinical Pharmacology
                                               information submitted, marked and                       Division of Drug Information, Center for
                                                                                                                                                              Advisory Committee, Renewal
                                               identified, as confidential, if submitted               Drug Evaluation and Research, Food
                                               as detailed in ‘‘Instructions.’’                        and Drug Administration, 10001 New                     AGENCY:   Food and Drug Administration,
daltland on DSKBBV9HB2PROD with NOTICES




                                                 Instructions: All submissions received                Hampshire Ave. Hillandale Building,                    HHS.
                                               must include the Docket No. FDA–                        4th Floor, Silver Spring, MD 20993–                    ACTION:Notice; renewal of advisory
                                               2017–D–6878 for ‘‘Hypertension:                         0002. Send one self-addressed adhesive                 committee.
                                               Developing Fixed-Dose Combination                       label to assist that office in processing
                                               Drugs for Treatment; Draft Guidance for                 your requests. See the SUPPLEMENTARY                   SUMMARY:  The Food and Drug
                                               Industry.’’ Received comments will be                   INFORMATION section for electronic                     Administration (FDA) is announcing the
                                               placed in the docket and, except for                    access to the draft guidance document.                 renewal of the Pharmaceutical Science


                                          VerDate Sep<11>2014   20:14 Jan 25, 2018   Jkt 244001   PO 00000   Frm 00064   Fmt 4703   Sfmt 4703   E:\FR\FM\26JAN1.SGM   26JAN1



Document Created: 2018-10-26 10:05:58
Document Modified: 2018-10-26 10:05:58
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 March 27, 2018 to ensure that the Agency considers your comment on this draft guidance before it begins work on the final version of the guidance.
ContactNaomi Lowy, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave. Bldg. 22, Rm. 4204, Silver Spring, MD 20993-0002, 301-796-0692.
FR Citation83 FR 3735 

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