83 FR 40057 - Patient-Focused Drug Development Guidance: Methods To Identify What Is Important to Patients and Select, Develop, or Modify Fit-for-Purpose Clinical Outcome Assessments; Public Workshop; Request for Comments

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 156 (August 13, 2018)

The Food and Drug Administration (FDA) is announcing a 2-day public workshop to convene a discussion on methodological approaches that may be used to identify what is most important to patients and caregivers with respect to burden of disease, burden of treatment, and the benefits and risks in the management of the patient's disease, and best practices for selecting, developing, or modifying fit-for-purpose clinical outcome assessments (COAs) to measure the patient experience in clinical trials. This workshop will inform development of patient- focused drug development guidance as required by the 21st Century Cures Act (Cures Act) and as part of commitments made by FDA under the sixth authorization of the Prescription Drug User Fee Act (PDUFA VI). FDA will publish discussion documents approximately 1 month before the workshop date. FDA is interested in seeking information and comments on the approaches proposed in the discussion documents. FDA is also interested in input on examples, which could be illustrated in the draft guidance, where the approaches proposed in the discussion document have been successfully applied.

[Federal Register Volume 83, Number 156 (Monday, August 13, 2018)]
[Notices]
[Pages 40057-40059]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-17272]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2018-N-2455]


Patient-Focused Drug Development Guidance: Methods To Identify 
What Is Important to Patients and Select, Develop, or Modify Fit-for-
Purpose Clinical Outcome Assessments; Public Workshop; Request for 
Comments

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of public workshop; request for comments.

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SUMMARY: The Food and Drug Administration (FDA) is announcing a 2-day 
public workshop to convene a discussion on methodological approaches 
that may be used to identify what is most important to patients and 
caregivers with respect to burden of disease, burden of treatment, and 
the benefits and risks in the management of the patient's disease, and 
best practices for selecting, developing, or modifying fit-for-purpose 
clinical outcome assessments (COAs) to measure the patient experience 
in clinical trials. This workshop will inform development of patient-
focused drug development guidance as required by the 21st Century Cures 
Act (Cures Act) and as part of commitments made by FDA under the sixth 
authorization of the Prescription Drug User Fee Act (PDUFA VI). FDA 
will publish discussion documents approximately 1 month before the 
workshop date. FDA is interested in seeking information and comments on 
the approaches proposed in the discussion documents. FDA is also 
interested in input on examples, which could be illustrated in the 
draft guidance, where the approaches proposed in the discussion 
document have been successfully applied.

DATES: The public workshop will be held on October 15 and 16, 2018, 
from 9 a.m. to 5 p.m. Submit either electronic or written comments on 
this public workshop by December 14, 2018. See the SUPPLEMENTARY 
INFORMATION section for registration date and information.

ADDRESSES: The public workshop will be held at FDA's 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. 
Workshop updates, agenda, and discussion documents will be made 
available at: https://www.fda.gov/Drugs/NewsEvents/ucm607276.htm prior 
to the workshop.
    You may submit comments as follows. Please note that late, untimely 
filed comments will not be considered. Electronic comments must be 
submitted on or before December 14, 2018. The https://www.regulations.gov electronic filing system will accept comments until 
midnight Eastern Time at the end of December 14, 2018. Comments 
received by mail/hand delivery/courier (for written/paper submissions) 
will be considered timely if they are postmarked or the delivery 
service acceptance receipt is on or before that date.

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-N-2455 for ``Patient-Focused Drug Development Guidance: 
Methods to Identify What is Important to Patients and Select, Develop 
or Modify Fit-for-Purpose Clinical Outcome Assessments; Public 
Workshop; Request for Comments.'' Received comments, those filed in a 
timely manner (see ADDRESSES), 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

[[Page 40058]]

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.

FOR FURTHER INFORMATION CONTACT: Meghana Chalasani, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 51, Rm. 1146, Silver Spring, MD 20993-0002, 240-
402-6525, Fax: 301-847-8443, [email protected].

SUPPLEMENTARY INFORMATION: 

I. Background

    This public workshop is intended to support FDA implementation of 
requirements for guidance development under section 3002 of the Cures 
Act (Pub. L. 114-255) and to meet a performance goal included in the 
sixth authorization of PDUFA VI. Section 3002 of Title III Subtitle A 
of the Cures Act directs FDA to develop patient-focused drug 
development guidance to address a number of areas including 
methodological approaches that may be used to develop and identify what 
is most important to patients with respect to burden of disease, burden 
of treatment, and the benefits and risks in the management of the 
patient's disease; and approaches to identifying and developing methods 
to measure impacts to patients that will help facilitate collection of 
patient experience data in clinical trials.
    In addition, FDA committed to meet certain performance goals under 
PDUFA VI. This reauthorization, part of the FDA Reauthorization Act of 
2017 signed by the President on August 18, 2017, includes a number of 
performance goals and procedures that are documented in the PDUFA VI 
Commitment Letter, which is available at https://www.fda.gov/downloads/ForIndustry/UserFees/PrescriptionDrugUserFee/UCM511438.pdf. These goal 
commitments were developed in consultation with patient and consumer 
advocates, healthcare professionals, and other public stakeholders, as 
part of negotiations with regulated industry. Section J.1 of the 
commitment letter, ``Enhancing the Incorporation of the Patient's Voice 
in Drug Development and Decision-Making,'' (https://www.fda.gov/downloads/ForIndustry/UserFees/PrescriptionDrugUserFee/UCM511438.pdf) 
outlines work, including the development of a series of guidance 
documents and associated public workshops to facilitate the advancement 
and use of systematic approaches to collect and utilize robust and 
meaningful patient and caregiver input that can more consistently 
inform drug development, and, as appropriate, regulatory decision 
making.
    Prior to the issuance of each guidance, as part of the development, 
FDA will conduct a public workshop to gather input from the wider 
community of patients, patient advocates, academic researchers, expert 
practitioners, drug developers, and other stakeholders.

II. Purpose and Scope of Meeting

    FDA is announcing a 2-day public workshop to convene a discussion 
on: (1) Methodological approaches that may be used to develop and 
identify what is most important to patients and caregivers with respect 
to burden of disease, burden of treatment, and the benefits and risks 
in the management of the patient's disease and (2) best practices for 
selecting, developing, or modifying fit-for-purpose COAs to measure the 
patient experience in clinical trials. The purpose of this public 
workshop is to obtain feedback from stakeholders on: (1) Methods to 
identify what is important to patients; (2) best practices for 
eliciting information on which aspects of disease symptoms, signs, 
impacts, and other issues are important and meaningful to patients; (3) 
measuring symptoms, signs, impacts and other issues of a disease or 
condition in a meaningful way; and (4) selecting, developing, or 
modifying fit-for-purpose COAs to measure the patient experience in 
clinical trials. FDA is seeking information and comments from a broad 
range of stakeholders, including patients, patient advocates, academic 
and medical researchers, expert practitioners, drug developers, and 
other interested persons. FDA will publish discussion documents 
outlining the topic areas that will be addressed in the draft 
guidances. These documents will be published approximately 1 month 
before the workshop date on the website at: https://www.fda.gov/Drugs/NewsEvents/ucm607276.htm. FDA is interested in seeking information and 
comments on the approaches and considerations proposed in the 
discussion documents. FDA is also interested in seeking information and 
comments on additional examples, which could be included in guidance, 
where the approaches proposed in the discussion document have been 
successfully applied. After this public workshop, FDA will take into 
consideration the stakeholder input from the workshop and the public 
docket and publish draft guidance(s).

III. Participating in the Public Workshop

    Registration: Interested parties are encouraged to register early. 
To register electronically, please visit: https://pfddmethods.eventbrite.com. Registration for in-person attendance will 
close on October 10, 2018. Registration for the webcast will remain 
open until the day of the meeting. Persons without access to the 
internet can call 240-402-6525 to register. If you are unable to attend 
the meeting in person, you can register to view a live webcast of the 
meeting. You will be asked to indicate in your registration if you plan 
to attend in person or via the webcast. Seating will be limited, so 
early registration is recommended. Registration is free and will be on 
a first-come, first-served basis. However, FDA may limit the number of 
participants from each organization based on space limitations. 
Registrants will receive confirmation once they have been accepted. 
Onsite registration on the day of the meeting will be based on space 
availability.
    If you need special accommodations because of a disability, please 
contact Meghana Chalasani (see FOR FURTHER INFORMATION CONTACT) at 
least 7 days before the meeting.
    Request for Oral Presentations: There will be time allotted during 
the workshop for open public comment. Sign-up for this session will be 
on a first-come, first-served basis on the day of the workshop. 
Individuals and

[[Page 40059]]

organizations with common interests are urged to consolidate or 
coordinate, and request time for a joint presentation. No commercial or 
promotional material will be permitted to be presented or distributed 
at the public workshop.
    Transcripts: As soon as a transcript is available, FDA will post it 
at https://www.fda.gov/Drugs/NewsEvents/ucm607276.htm.

    Dated: August 8, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-17272 Filed 8-10-18; 8:45 am]
 BILLING CODE 4164-01-P