83_FR_44443 83 FR 44274 - Complex Innovative Designs Pilot Meeting Program

83 FR 44274 - Complex Innovative Designs Pilot Meeting Program

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 169 (August 30, 2018)

Page Range44274-44277
FR Document2018-18801

The sixth iteration of the Prescription Drug User Fee Act (PDUFA VI), incorporated as part of the FDA Reauthorization Act of 2017 (FDARA), highlights the goal of facilitating and advancing the use of complex adaptive, Bayesian, and other novel clinical trial designs. The Food and Drug Administration (FDA or Agency) is announcing a pilot meeting program that affords sponsors who are selected the opportunity to meet with Agency staff to discuss the use of complex innovative trial design (CID) approaches in medical product development. Meetings under the pilot program will be conducted by FDA's Center for Drug Evaluation and Research (CDER) or Center for Biologics Evaluation and Research (CBER) during fiscal years 2018 to 2022. This pilot meeting program fulfills FDA's commitment under PDUFA VI. For each sponsor whose meeting request is granted as part of the pilot, FDA will grant two meetings between the sponsor and CDER or CBER that will provide an opportunity for medical product developers and FDA to discuss regulatory approaches for CID. To promote innovation in this area, trial designs developed through the pilot meeting program may be presented by FDA (e.g., in a guidance or public workshop) as case studies, including trial designs for drugs that have not yet been approved by FDA.

Federal Register, Volume 83 Issue 169 (Thursday, August 30, 2018)
[Federal Register Volume 83, Number 169 (Thursday, August 30, 2018)]
[Notices]
[Pages 44274-44277]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-18801]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2018-N-0049]


Complex Innovative Designs Pilot Meeting Program

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The sixth iteration of the Prescription Drug User Fee Act 
(PDUFA VI), incorporated as part of the FDA Reauthorization Act of 2017 
(FDARA), highlights the goal of facilitating and advancing the use of 
complex adaptive, Bayesian, and other novel clinical trial designs. The 
Food and Drug Administration (FDA or Agency) is announcing a pilot 
meeting program that affords sponsors who are selected the opportunity 
to meet with Agency staff to discuss the use of complex innovative 
trial design (CID) approaches in medical product development. Meetings 
under the pilot program will be conducted by FDA's Center for Drug 
Evaluation and Research (CDER) or Center for Biologics Evaluation and 
Research (CBER) during fiscal years 2018 to 2022. This pilot meeting 
program fulfills FDA's commitment under PDUFA VI. For each sponsor 
whose meeting request is granted as part of the pilot, FDA will grant 
two meetings between the sponsor and CDER or CBER that will provide an 
opportunity for medical product developers and FDA to discuss 
regulatory approaches for CID. To promote innovation in this area, 
trial designs developed through the pilot meeting program may be 
presented by FDA (e.g., in a guidance or public workshop) as case 
studies, including

[[Page 44275]]

trial designs for drugs that have not yet been approved by FDA.

DATES: The CID pilot meeting program will proceed from the date of this 
notice through September 30, 2022. Sponsors may submit meeting requests 
for the pilot program through June 30, 2022. Comments about this pilot 
meeting program can be submitted until October 1, 2018. Please note 
that late, untimely filed comments will not be considered.

ADDRESSES: You may submit comments about the CID pilot meetings program 
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-N-0049 for ``Complex Innovative Designs Pilot Meeting 
Program.'' 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.

FOR FURTHER INFORMATION CONTACT:
    CDER: Scott Goldie, Center for Drug Evaluation and Research, Food 
and Drug Administration, 10903 New Hampshire Ave., Bldg. 21, Rm 3557, 
Silver Spring, MD 20993-0002, 301-796-2055, [email protected], 
with the subject line ``CID Pilot Meeting Program for CDER.''
    CBER: Christopher Egelebo, Center for Biologics Evaluation and 
Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 
71, Rm 1043, Silver Spring, MD 20993-0002, 240-402-8625, 
[email protected], with the subject line ``CID Pilot 
Meeting Program for CBER.''

SUPPLEMENTARY INFORMATION:

I. Background

    In connection with the sixth iteration of PDUFA, FDA committed to 
conduct a pilot program for highly innovative trial designs for which 
analytically derived properties (e.g., Type I error) may not be 
feasible, and simulations are necessary to determine trial operating 
characteristics. The Agency also committed to issue a Federal Register 
Notice announcing the pilot program, clarifying pilot program 
eligibility, and describing the proposal submission and selection 
process (see PDUFA Reauthorization Performance Goals and Procedures 
Fiscal Years 2018 Through 2022, section I.J.4.b. (https://www.fda.gov/downloads/ForIndustry/UserFees/PrescriptionDrugUserFee/UCM511438.pdf)).
    FDA is announcing this pilot meeting program to satisfy the above-
mentioned commitments. The goal of the early meeting discussions 
granted under this pilot program is to provide advice on how a proposed 
CID approach can be used in a specific drug development program and to 
promote innovation by allowing FDA to publicly present the trial 
designs considered through the pilot program, including trial designs 
for drugs that have not yet been approved by FDA. FDA has committed to 
accepting up to two meeting requests quarterly each fiscal year.
    Meeting requests may be submitted on a rolling basis; however, only 
those requests received by the quarterly closing date, which will be 
the last day of each quarter of the fiscal year (i.e., December 31, 
March 31, June 30, September 30), will be considered for selection in 
the following quarter. Within 45 days after the quarterly closing date, 
FDA will review the submissions, select up to four meeting requests 
each quarter, two primary and two alternates to proceed to disclosure 
discussions, and notify sponsors of their status. If FDA and the 
sponsor of a meeting request selected as primary are unable to reach an 
agreement on the elements for public disclosure, the Agency will 
proceed with an alternate submission. When disclosure discussions are 
complete, FDA will grant up to two meetings per quarter under the 
pilot.
    The meetings granted will include an initial and followup meeting 
on the same CID and medical product within the span of approximately 
120 days. Being granted a meeting as part of the pilot meeting program 
does not mean that the proposed CID is appropriate for

[[Page 44276]]

regulatory decision making. Likewise, being denied a meeting as part of 
the pilot meeting program does not mean that the proposed CID is 
unacceptable for regulatory decision making. Sponsors who do not 
participate in the pilot program may seek Agency interaction on their 
clinical development plan through existing channels (e.g., Type C 
meeting requests, Critical Path Innovation Meetings).
    The listed eligibility factors and procedures outlined in this 
Federal Register notice reflect the current thinking at the time of 
publication. Processes may be revised as this pilot program evolves and 
will be communicated on the CID Pilot Meeting Program website: https://www.fda.gov/Drugs/DevelopmentApprovalProcess/DevelopmentResources/UCM617212.htm.

II. Eligibility and Selection for Participation in the CID Pilot 
Meeting Program

    To be eligible for the CID Pilot Meeting Program:
     The sponsor must have a pre-IND or IND number for the 
medical product(s) included in the CID proposal with the intent of 
implementing the CID in the pilot program application.
     The proposed CID is intended to provide substantial 
evidence of effectiveness to support regulatory approval of the medical 
product.
     The trial is not a first in human study, and there is 
sufficient clinical information available to inform the proposed CID.
     The sponsor and FDA are able to reach agreement on the 
trial design information to be publicly disclosed.
    Recognizing that the FDA will learn both from the number and types 
of submissions received, FDA welcomes submissions related to any 
eligible CID. However, given that the Agency expects to grant up to two 
meeting requests per quarter as part of the pilot program, the Agency 
currently intends to select requests based on the following:
     Innovative features of the trial design, particularly if 
the innovation may provide advantages over alternative approaches. 
Initial priority will be given to trial designs for which analytically 
derived properties (e.g., type I error) may not be feasible and 
simulations are necessary to determine operating characteristics.
     Therapeutic need (i.e., therapies being developed for use 
in disease areas where there are no or limited treatments).

III. Procedures and Submission Information

A. General Information

    The CID pilot meeting program will be jointly administered by the 
following centers:
     CDER: CDER's Office of Biostatistics, in the Office of 
Translational Sciences, which is the point of contact for all 
communications for CDER products.
     CBER: CBER's Office of Biostatistics and Epidemiology, 
which is the point of contact for all communications for CBER products.

B. How To Submit a Meeting Request and Meeting Package

    Meeting requests should be submitted electronically to the relevant 
application (i.e., pre-IND, IND) with ``CID Pilot Program Meeting 
Request for CDER'' (CDER applications) or ``CID Pilot Program Meeting 
Request for CBER'' (CBER applications) in the subject line. Information 
about providing regulatory submissions in electronic format is 
available at: https://www.fda.gov/Drugs/DevelopmentApprovalProcess/FormsSubmissionRequirements/%20ElectronicSubmissions/ucm153574.htm.

C. Content and Format of the Meeting Request

    Include the following information in the meeting request (25 pages 
or less):
    1. Product name.
    2. Application number.
    3. Proposed indication(s) or context of product development.
    4. A background section that includes a brief history of the 
development program and the status of product development.
    5. Trial objectives.
    6. Brief rationale for the choice of the proposed CID.
    7. Description of study design, including study schema with 
treatment arms, randomization strategy, and endpoints.
    8. Key features of the statistical analysis plan including, but not 
limited to, the analyses, models, analysis population, approach to 
handle missing data, and decision criteria. These should include 
aspects of the design that may be modified and the corresponding rules 
for decisions, if adaptive.
    9. Simulation plan, including the set of parameter configurations 
that will be used for the scenarios to be simulated and preliminary 
evaluation and discussion of design operating characteristics. 
Preliminary simulation results of the operating characteristics (e.g., 
type 1 error, power, etc.) should include several hypothetical, 
plausible scenarios.
    10. Elements of the study design that the sponsor considers non-
disclosable, along with a rationale for exclusion.
    11. A list of issues for discussion with the Agency about the 
specific CID proposed approach for the applicable drug development 
program and a summarized list of next steps in the regulatory decision 
making process along with any supporting data relevant to the 
discussion.

D. Content and Format of the Meeting Information Package

    Sponsors whose meeting requests are granted as part of the pilot 
program should submit a meeting information package electronically with 
``CID Pilot Program Meeting Package for CDER'' (CDER applications) or 
``CID Pilot Program Meeting Package for CBER'' (CBER applications) in 
the subject line no later than 30 days before the initial meeting and 
no later than 90 days before the followup meeting.
    The initial meeting package should include the following 
information:
    1. Product name.
    2. Application number.
    3. Proposed agenda, including estimated times needed for discussion 
of each agenda item.
    4. List of questions for discussion along with a brief summary of 
each question that explains the need or context for the question.
    5. Detailed description of the statistical methodology including, 
but not limited to, the analyses, models, analysis population, approach 
to handle missing data, and decision criteria.
    6. Detailed simulation report that includes the following:
    a. Example trials in which a small number of hypothetical trials 
are described with different conclusions.
    b. Description of the set of parameter configurations used for the 
simulation scenarios, including a justification of the adequacy of the 
choices.
    c. Simulation results detailing the simulated type I error 
probability and power under various scenarios.
    d. Simulation code that is readable, adequately commented on, and 
includes the random seeds. The code should preferably be written in 
widely-used programming languages such as R or SAS to facilitate the 
simulation review.
    7. Overall conclusions including a brief summary of the simulated 
operating characteristics based on design features and analyses and a 
discussion of the utility of the CID given the simulation results.
    The followup meeting package should include the following 
information:
    1. Product name.
    2. Application number.

[[Page 44277]]

    3. Updated background section that includes a brief history of the 
development program and the status of product development and clinical 
data to date, if applicable.
    4. Proposed agenda, including estimated times needed for discussion 
of each agenda item.
    5. List of questions for discussion with a brief summary of each 
question that explains the need or context for the question.
    6. Updated programs/shells for simulations, if applicable.
    7. Summary of new information that is available to support 
discussions.

E. Meeting Summaries

    A meeting summary will be sent to the sponsor within 60 days of 
each meeting.

F. Disclosure

    To promote innovation and to provide better clarity on the 
acceptance of different types of trial designs, trial designs developed 
through the pilot program may be presented by FDA (e.g., in a guidance 
or public workshop) as case studies, including while the drug studied 
in the trial has not yet been approved by FDA. Accordingly, before FDA 
grants the initial meeting under this pilot program, FDA and the 
sponsor must agree on the information that FDA may include in these 
public case studies. The specific information to be disclosed will 
depend on the content of each application, but FDA intends to focus on 
information that is beneficial to advancing the use of CIDs, and those 
elements relevant to the understanding of the CID and its potential use 
in a clinical trial intended to support regulatory approval. Generally, 
the Agency does not anticipate that the case studies will need to 
include information such as molecular structure, the sponsor's name, 
product name, subject-level data, recruitment strategies, adverse 
events, or a complete description of study eligibility criteria. FDA 
does anticipate that the following information will generally need to 
be disclosed to facilitate discussion of the proposed CID: Study 
endpoints to the degree necessary to describe the design (e.g., overall 
survival in the context of a time to event analysis), target 
population, sample size and power determination, null and alternative 
hypotheses, key operating characteristics, assumed rates for 
dichotomous outcomes or mean and variance for continuous outcomes, 
simulation objectives, simulation scenarios, assumptions (e.g., dropout 
rate, rate of enrollment), modeling characteristics, critical study 
design characteristics including any adaptive elements (e.g., decision 
criteria to add/drop a dose, etc.), and, if a Bayesian approach, how 
Bayesian methods are being used for design and/or analysis purposes.
    It is important that sponsors wishing to participate in the pilot 
program identify aspects of the design and analysis that they consider 
non-disclosable and provide a rationale for withholding the 
information. Participation in the pilot program, including any 
agreement on information disclosure, will be voluntary and at the 
discretion of the sponsor. Sponsors that do not wish to make such 
disclosures may seek regulatory input through other existing channels.

IV. Paperwork Reduction Act of 1995

    This notice refers to collections of information that 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 collection 
of information resulting from formal meetings between sponsors or 
applicants and FDA has been approved under OMB control number 0910-
0429. The collection of information in 21 CFR part 312 (investigational 
new drug applications) has been approved under OMB control number 0910-
0014.

    Dated: August 24, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-18801 Filed 8-29-18; 8:45 am]
 BILLING CODE 4164-01-P



                                              44274                       Federal Register / Vol. 83, No. 169 / Thursday, August 30, 2018 / Notices

                                              such as medical information, your or                    in the body of your comments and you                  comment period allows adequate time
                                              anyone else’s Social Security number, or                must identify this information as                     for interested persons to submit
                                              confidential business information, such                 ‘‘confidential.’’ Any information marked              comments to ensure that the Agency can
                                              as a manufacturing process. Please note                 as ‘‘confidential’’ will not be disclosed             consider the comments on this draft
                                              that if you include your name, contact                  except in accordance with 21 CFR 10.20                guidance before it begins work on the
                                              information, or other information that                  and other applicable disclosure law. For              final version of the guidance.
                                              identifies you in the body of your                      more information about FDA’s posting                  II. Electronic Access
                                              comments, that information will be                      of comments to public dockets, see 80
                                              posted on https://www.regulations.gov.                  FR 56469, September 18, 2015, or access                  Persons with access to the internet
                                                • If you want to submit a comment                     the information at: https://www.gpo.gov/              may obtain the draft guidance at either
                                              with confidential information that you                  fdsys/pkg/FR-2015-09-18/pdf/2015-                     https://www.fda.gov/Drugs/Guidance
                                              do not wish to be made available to the                 23389.pdf.                                            ComplianceRegulatoryInformation/
                                              public, submit the comment as a                            Docket: For access to the docket to                Guidances/default.htm or https://
                                              written/paper submission and in the                     read background documents or the                      www.regulations.gov.
                                              manner detailed (see ‘‘Written/Paper                    electronic and written/paper comments                   Dated: August 23, 2018.
                                              Submissions’’ and ‘‘Instructions’’).                    received, go to https://                              Leslie Kux,
                                              Written/Paper Submissions                               www.regulations.gov and insert the                    Associate Commissioner for Policy.
                                                                                                      docket number, found in brackets in the               [FR Doc. 2018–18775 Filed 8–29–18; 8:45 am]
                                                 Submit written/paper submissions as                  heading of this document, into the
                                              follows:                                                                                                      BILLING CODE 4164–01–P
                                                                                                      ‘‘Search’’ box and follow the prompts
                                                 • Mail/Hand Delivery/Courier (for
                                                                                                      and/or go to the Dockets Management
                                              written/paper submissions): Dockets
                                                                                                      Staff, 5630 Fishers Lane, Rm. 1061,                   DEPARTMENT OF HEALTH AND
                                              Management Staff (HFA–305), Food and
                                                                                                      Rockville, MD 20852.                                  HUMAN SERVICES
                                              Drug Administration, 5630 Fishers
                                                                                                         You may submit comments on any
                                              Lane, Rm. 1061, Rockville, MD 20852.
                                                                                                      guidance at any time (see 21 CFR                      Food and Drug Administration
                                                 • For written/paper comments
                                              submitted to the Dockets Management                     10.115(g)(5)).                                        [Docket No. FDA–2018–N–0049]
                                              Staff, FDA will post your comment, as                      Submit written requests for single
                                              well as any attachments, except for                     copies of the draft guidance to the                   Complex Innovative Designs Pilot
                                              information submitted, marked and                       Division of Drug Information, Center for              Meeting Program
                                              identified, as confidential, if submitted               Drug Evaluation and Research, Food
                                                                                                      and Drug Administration, 10001 New                    AGENCY:    Food and Drug Administration,
                                              as detailed in ‘‘Instructions.’’                                                                              HHS.
                                                 Instructions: All submissions received               Hampshire Ave., Hillandale Building,
                                                                                                      4th Floor, Silver Spring, MD 20993–                   ACTION:   Notice.
                                              must include the Docket No. FDA–
                                              2018–D–1041 for ‘‘Development of a                      0002. Send one self-addressed adhesive                SUMMARY:    The sixth iteration of the
                                              Shared System Risk Evaluation and                       label to assist that office in processing             Prescription Drug User Fee Act (PDUFA
                                              Mitigation Strategy; Draft Guidance for                 your requests. See the SUPPLEMENTARY                  VI), incorporated as part of the FDA
                                              Industry.’’ Received comments will be                   INFORMATION section for electronic
                                                                                                                                                            Reauthorization Act of 2017 (FDARA),
                                              placed in the docket and, except for                    access to the draft guidance document.                highlights the goal of facilitating and
                                              those submitted as ‘‘Confidential                       FOR FURTHER INFORMATION CONTACT:                      advancing the use of complex adaptive,
                                              Submissions,’’ publicly viewable at                     Lubna Merchant, Center for Drug                       Bayesian, and other novel clinical trial
                                              https://www.regulations.gov or at the                   Evaluation and Research, Food and                     designs. The Food and Drug
                                              Dockets Management Staff between 9                      Drug Administration, 10903 New                        Administration (FDA or Agency) is
                                              a.m. and 4 p.m., Monday through                         Hampshire Ave., Bldg. 22, Rm. 4418,                   announcing a pilot meeting program
                                              Friday.                                                 Silver Spring, MD 20993–0002, 301–                    that affords sponsors who are selected
                                                 • Confidential Submissions—To                        796–5162, email: Lubna.Merchant@                      the opportunity to meet with Agency
                                              submit a comment with confidential                      fda.hhs.gov; or Stephen Ripley, Center                staff to discuss the use of complex
                                              information that you do not wish to be                  for Biologics Evaluation and Research,                innovative trial design (CID) approaches
                                              made publicly available, submit your                    Food and Drug Administration, 10903                   in medical product development.
                                              comments only as a written/paper                        New Hampshire Ave., Bldg. 71, Rm.                     Meetings under the pilot program will
                                              submission. You should submit two                       7301, Silver Spring, MD 20993–0002,                   be conducted by FDA’s Center for Drug
                                              copies total. One copy will include the                 240–402–7911.                                         Evaluation and Research (CDER) or
                                              information you claim to be confidential                SUPPLEMENTARY INFORMATION:                            Center for Biologics Evaluation and
                                              with a heading or cover note that states                                                                      Research (CBER) during fiscal years
                                              ‘‘THIS DOCUMENT CONTAINS                                I. Background                                         2018 to 2022. This pilot meeting
                                              CONFIDENTIAL INFORMATION.’’ The                            In the Federal Register of June 1, 2018            program fulfills FDA’s commitment
                                              Agency will review this copy, including                 (83 FR 25468), FDA published a notice                 under PDUFA VI. For each sponsor
                                              the claimed confidential information, in                of availability with a 60-day comment                 whose meeting request is granted as part
                                              its consideration of comments. The                      period to request comments on the draft               of the pilot, FDA will grant two
                                              second copy, which will have the                        guidance for industry entitled                        meetings between the sponsor and
                                              claimed confidential information                        ‘‘Development of a Shared System Risk                 CDER or CBER that will provide an
                                              redacted/blacked out, will be available                 Evaluation and Mitigation Strategy.’’                 opportunity for medical product
amozie on DSK3GDR082PROD with NOTICES1




                                              for public viewing and posted on                           The Agency has received a request for              developers and FDA to discuss
                                              https://www.regulations.gov. Submit                     an extension of the comment period for                regulatory approaches for CID. To
                                              both copies to the Dockets Management                   the draft guidance. FDA has considered                promote innovation in this area, trial
                                              Staff. If you do not wish your name and                 the request and is reopening the                      designs developed through the pilot
                                              contact information to be made publicly                 comment period for the draft guidance                 meeting program may be presented by
                                              available, you can provide this                         until September 13, 2018. The Agency                  FDA (e.g., in a guidance or public
                                              information on the cover sheet and not                  believes that a 14-day reopening of the               workshop) as case studies, including


                                         VerDate Sep<11>2014   17:25 Aug 29, 2018   Jkt 244001   PO 00000   Frm 00018   Fmt 4703   Sfmt 4703   E:\FR\FM\30AUN1.SGM   30AUN1


                                                                          Federal Register / Vol. 83, No. 169 / Thursday, August 30, 2018 / Notices                                           44275

                                              trial designs for drugs that have not yet               submitted as ‘‘Confidential                           fda.hhs.gov, with the subject line ‘‘CID
                                              been approved by FDA.                                   Submissions,’’ publicly viewable at                   Pilot Meeting Program for CBER.’’
                                              DATES: The CID pilot meeting program                    https://www.regulations.gov or at the                 SUPPLEMENTARY INFORMATION:
                                              will proceed from the date of this notice               Dockets Management Staff between 9
                                                                                                      a.m. and 4 p.m., Monday through                       I. Background
                                              through September 30, 2022. Sponsors
                                              may submit meeting requests for the                     Friday.                                                  In connection with the sixth iteration
                                              pilot program through June 30, 2022.                       • Confidential Submissions—To                      of PDUFA, FDA committed to conduct
                                              Comments about this pilot meeting                       submit a comment with confidential                    a pilot program for highly innovative
                                              program can be submitted until October                  information that you do not wish to be                trial designs for which analytically
                                              1, 2018. Please note that late, untimely                made publicly available, submit your                  derived properties (e.g., Type I error)
                                              filed comments will not be considered.                  comments only as a written/paper                      may not be feasible, and simulations are
                                                                                                      submission. You should submit two                     necessary to determine trial operating
                                              ADDRESSES: You may submit comments
                                                                                                      copies total. One copy will include the               characteristics. The Agency also
                                              about the CID pilot meetings program as                                                                       committed to issue a Federal Register
                                              follows:                                                information you claim to be confidential
                                                                                                      with a heading or cover note that states              Notice announcing the pilot program,
                                              Electronic Submissions                                  ‘‘THIS DOCUMENT CONTAINS                              clarifying pilot program eligibility, and
                                                                                                      CONFIDENTIAL INFORMATION.’’ The                       describing the proposal submission and
                                                Submit electronic comments in the
                                                                                                      Agency will review this copy, including               selection process (see PDUFA
                                              following way:
                                                                                                      the claimed confidential information, in              Reauthorization Performance Goals and
                                                • Federal eRulemaking Portal:
                                                                                                      its consideration of comments. The                    Procedures Fiscal Years 2018 Through
                                              https://www.regulations.gov. Follow the
                                                                                                      second copy, which will have the                      2022, section I.J.4.b. (https://
                                              instructions for submitting comments.                                                                         www.fda.gov/downloads/ForIndustry/
                                              Comments submitted electronically,                      claimed confidential information
                                                                                                      redacted/blacked out, will be available               UserFees/PrescriptionDrugUserFee/
                                              including attachments, to https://                                                                            UCM511438.pdf)).
                                              www.regulations.gov will be posted to                   for public viewing and posted on
                                                                                                      https://www.regulations.gov. Submit                      FDA is announcing this pilot meeting
                                              the docket unchanged. Because your                                                                            program to satisfy the above-mentioned
                                              comment will be made public, you are                    both copies to the Dockets Management
                                                                                                      Staff. If you do not wish your name and               commitments. The goal of the early
                                              solely responsible for ensuring that your                                                                     meeting discussions granted under this
                                              comment does not include any                            contact information to be made publicly
                                                                                                      available, you can provide this                       pilot program is to provide advice on
                                              confidential information that you or a                                                                        how a proposed CID approach can be
                                              third party may not wish to be posted,                  information on the cover sheet and not
                                                                                                      in the body of your comments and you                  used in a specific drug development
                                              such as medical information, your or                                                                          program and to promote innovation by
                                              anyone else’s Social Security number, or                must identify this information as
                                                                                                      ‘‘confidential.’’ Any information marked              allowing FDA to publicly present the
                                              confidential business information, such                                                                       trial designs considered through the
                                              as a manufacturing process. Please note                 as ‘‘confidential’’ will not be disclosed
                                                                                                      except in accordance with 21 CFR 10.20                pilot program, including trial designs
                                              that if you include your name, contact                                                                        for drugs that have not yet been
                                              information, or other information that                  and other applicable disclosure law. For
                                                                                                                                                            approved by FDA. FDA has committed
                                              identifies you in the body of your                      more information about FDA’s posting
                                                                                                                                                            to accepting up to two meeting requests
                                              comments, that information will be                      of comments to public dockets, see 80
                                                                                                                                                            quarterly each fiscal year.
                                              posted on https://www.regulations.gov.                  FR 56469, September 18, 2015, or access                  Meeting requests may be submitted on
                                                • If you want to submit a comment                     the information at: https://www.gpo.gov/              a rolling basis; however, only those
                                              with confidential information that you                  fdsys/pkg/FR-2015-09-18/pdf/2015-                     requests received by the quarterly
                                              do not wish to be made available to the                 23389.pdf.                                            closing date, which will be the last day
                                              public, submit the comment as a                            Docket: For access to the docket to                of each quarter of the fiscal year (i.e.,
                                              written/paper submission and in the                     read background documents or the                      December 31, March 31, June 30,
                                              manner detailed (see ‘‘Written/Paper                    electronic and written/paper comments                 September 30), will be considered for
                                              Submissions’’ and ‘‘Instructions’’).                    received, go to https://                              selection in the following quarter.
                                                                                                      www.regulations.gov and insert the                    Within 45 days after the quarterly
                                              Written/Paper Submissions                               docket number, found in brackets in the               closing date, FDA will review the
                                                Submit written/paper submissions as                   heading of this document, into the                    submissions, select up to four meeting
                                              follows:                                                ‘‘Search’’ box and follow the prompts                 requests each quarter, two primary and
                                                • Mail/Hand Delivery/Courier (for                     and/or go to the Dockets Management                   two alternates to proceed to disclosure
                                              written/paper submissions): Dockets                     Staff, 5630 Fishers Lane, Rm. 1061,                   discussions, and notify sponsors of their
                                              Management Staff (HFA–305), Food and                    Rockville, MD 20852.                                  status. If FDA and the sponsor of a
                                              Drug Administration, 5630 Fishers                       FOR FURTHER INFORMATION CONTACT:                      meeting request selected as primary are
                                              Lane, Rm. 1061, Rockville, MD 20852.                       CDER: Scott Goldie, Center for Drug                unable to reach an agreement on the
                                                • For written/paper comments                          Evaluation and Research, Food and                     elements for public disclosure, the
                                              submitted to the Dockets Management                     Drug Administration, 10903 New                        Agency will proceed with an alternate
                                              Staff, FDA will post your comment, as                   Hampshire Ave., Bldg. 21, Rm 3557,                    submission. When disclosure
                                              well as any attachments, except for                     Silver Spring, MD 20993–0002, 301–                    discussions are complete, FDA will
                                              information submitted, marked and                       796–2055, Scott.Goldie@fda.hhs.gov,                   grant up to two meetings per quarter
                                              identified, as confidential, if submitted               with the subject line ‘‘CID Pilot Meeting             under the pilot.
amozie on DSK3GDR082PROD with NOTICES1




                                              as detailed in ‘‘Instructions.’’                        Program for CDER.’’                                      The meetings granted will include an
                                                Instructions: All submissions received                   CBER: Christopher Egelebo, Center for              initial and followup meeting on the
                                              must include the Docket No. FDA–                        Biologics Evaluation and Research,                    same CID and medical product within
                                              2018–N–0049 for ‘‘Complex Innovative                    Food and Drug Administration, 10903                   the span of approximately 120 days.
                                              Designs Pilot Meeting Program.’’                        New Hampshire Ave., Bldg. 71, Rm                      Being granted a meeting as part of the
                                              Received comments will be placed in                     1043, Silver Spring, MD 20993–0002,                   pilot meeting program does not mean
                                              the docket and, except for those                        240–402–8625, Christopher.Egelebo@                    that the proposed CID is appropriate for


                                         VerDate Sep<11>2014   17:25 Aug 29, 2018   Jkt 244001   PO 00000   Frm 00019   Fmt 4703   Sfmt 4703   E:\FR\FM\30AUN1.SGM   30AUN1


                                              44276                       Federal Register / Vol. 83, No. 169 / Thursday, August 30, 2018 / Notices

                                              regulatory decision making. Likewise,                   III. Procedures and Submission                          10. Elements of the study design that
                                              being denied a meeting as part of the                   Information                                           the sponsor considers non-disclosable,
                                              pilot meeting program does not mean                                                                           along with a rationale for exclusion.
                                                                                                      A. General Information
                                              that the proposed CID is unacceptable                                                                           11. A list of issues for discussion with
                                              for regulatory decision making.                           The CID pilot meeting program will                  the Agency about the specific CID
                                              Sponsors who do not participate in the                  be jointly administered by the following              proposed approach for the applicable
                                              pilot program may seek Agency                           centers:                                              drug development program and a
                                              interaction on their clinical                             • CDER: CDER’s Office of                            summarized list of next steps in the
                                              development plan through existing                       Biostatistics, in the Office of                       regulatory decision making process
                                              channels (e.g., Type C meeting requests,                Translational Sciences, which is the                  along with any supporting data relevant
                                              Critical Path Innovation Meetings).                     point of contact for all communications               to the discussion.
                                                                                                      for CDER products.
                                                The listed eligibility factors and                      • CBER: CBER’s Office of Biostatistics              D. Content and Format of the Meeting
                                              procedures outlined in this Federal                     and Epidemiology, which is the point of               Information Package
                                              Register notice reflect the current                     contact for all communications for                      Sponsors whose meeting requests are
                                              thinking at the time of publication.                    CBER products.                                        granted as part of the pilot program
                                              Processes may be revised as this pilot
                                                                                                      B. How To Submit a Meeting Request                    should submit a meeting information
                                              program evolves and will be
                                                                                                      and Meeting Package                                   package electronically with ‘‘CID Pilot
                                              communicated on the CID Pilot Meeting
                                                                                                                                                            Program Meeting Package for CDER’’
                                              Program website: https://www.fda.gov/                      Meeting requests should be submitted
                                                                                                                                                            (CDER applications) or ‘‘CID Pilot
                                              Drugs/DevelopmentApprovalProcess/                       electronically to the relevant application
                                                                                                                                                            Program Meeting Package for CBER’’
                                              DevelopmentResources/                                   (i.e., pre-IND, IND) with ‘‘CID Pilot
                                                                                                                                                            (CBER applications) in the subject line
                                              UCM617212.htm.                                          Program Meeting Request for CDER’’
                                                                                                                                                            no later than 30 days before the initial
                                                                                                      (CDER applications) or ‘‘CID Pilot
                                              II. Eligibility and Selection for                                                                             meeting and no later than 90 days before
                                                                                                      Program Meeting Request for CBER’’
                                              Participation in the CID Pilot Meeting                                                                        the followup meeting.
                                                                                                      (CBER applications) in the subject line.
                                              Program                                                                                                         The initial meeting package should
                                                                                                      Information about providing regulatory
                                                                                                                                                            include the following information:
                                                 To be eligible for the CID Pilot                     submissions in electronic format is
                                                                                                                                                              1. Product name.
                                              Meeting Program:                                        available at: https://www.fda.gov/Drugs/                2. Application number.
                                                                                                      DevelopmentApprovalProcess/Forms
                                                 • The sponsor must have a pre-IND or                                                                         3. Proposed agenda, including
                                                                                                      SubmissionRequirements/%20                            estimated times needed for discussion
                                              IND number for the medical product(s)
                                                                                                      ElectronicSubmissions/ucm153574.htm.                  of each agenda item.
                                              included in the CID proposal with the
                                              intent of implementing the CID in the                   C. Content and Format of the Meeting                    4. List of questions for discussion
                                              pilot program application.                              Request                                               along with a brief summary of each
                                                 • The proposed CID is intended to                       Include the following information in               question that explains the need or
                                              provide substantial evidence of                         the meeting request (25 pages or less):               context for the question.
                                              effectiveness to support regulatory                        1. Product name.                                     5. Detailed description of the
                                              approval of the medical product.                           2. Application number.                             statistical methodology including, but
                                                                                                         3. Proposed indication(s) or context of            not limited to, the analyses, models,
                                                 • The trial is not a first in human                                                                        analysis population, approach to handle
                                                                                                      product development.
                                              study, and there is sufficient clinical                                                                       missing data, and decision criteria.
                                                                                                         4. A background section that includes
                                              information available to inform the                     a brief history of the development                      6. Detailed simulation report that
                                              proposed CID.                                           program and the status of product                     includes the following:
                                                 • The sponsor and FDA are able to                    development.                                            a. Example trials in which a small
                                              reach agreement on the trial design                        5. Trial objectives.                               number of hypothetical trials are
                                              information to be publicly disclosed.                      6. Brief rationale for the choice of the           described with different conclusions.
                                                 Recognizing that the FDA will learn                  proposed CID.                                           b. Description of the set of parameter
                                              both from the number and types of                          7. Description of study design,                    configurations used for the simulation
                                              submissions received, FDA welcomes                      including study schema with treatment                 scenarios, including a justification of
                                              submissions related to any eligible CID.                arms, randomization strategy, and                     the adequacy of the choices.
                                              However, given that the Agency expects                  endpoints.                                              c. Simulation results detailing the
                                              to grant up to two meeting requests per                    8. Key features of the statistical                 simulated type I error probability and
                                              quarter as part of the pilot program, the               analysis plan including, but not limited              power under various scenarios.
                                              Agency currently intends to select                      to, the analyses, models, analysis                      d. Simulation code that is readable,
                                              requests based on the following:                        population, approach to handle missing                adequately commented on, and includes
                                                                                                      data, and decision criteria. These should             the random seeds. The code should
                                                 • Innovative features of the trial                   include aspects of the design that may                preferably be written in widely-used
                                              design, particularly if the innovation                  be modified and the corresponding rules               programming languages such as R or
                                              may provide advantages over alternative                 for decisions, if adaptive.                           SAS to facilitate the simulation review.
                                              approaches. Initial priority will be given                 9. Simulation plan, including the set                7. Overall conclusions including a
                                              to trial designs for which analytically                 of parameter configurations that will be              brief summary of the simulated
                                              derived properties (e.g., type I error)                 used for the scenarios to be simulated                operating characteristics based on
amozie on DSK3GDR082PROD with NOTICES1




                                              may not be feasible and simulations are                 and preliminary evaluation and                        design features and analyses and a
                                              necessary to determine operating                        discussion of design operating                        discussion of the utility of the CID given
                                              characteristics.                                        characteristics. Preliminary simulation               the simulation results.
                                                 • Therapeutic need (i.e., therapies                  results of the operating characteristics                The followup meeting package should
                                              being developed for use in disease areas                (e.g., type 1 error, power, etc.) should              include the following information:
                                              where there are no or limited                           include several hypothetical, plausible                 1. Product name.
                                              treatments).                                            scenarios.                                              2. Application number.


                                         VerDate Sep<11>2014   17:25 Aug 29, 2018   Jkt 244001   PO 00000   Frm 00020   Fmt 4703   Sfmt 4703   E:\FR\FM\30AUN1.SGM   30AUN1


                                                                          Federal Register / Vol. 83, No. 169 / Thursday, August 30, 2018 / Notices                                                      44277

                                                 3. Updated background section that                   characteristics including any adaptive                bodies that are applying to be directly
                                              includes a brief history of the                         elements (e.g., decision criteria to add/             accredited by FDA.
                                              development program and the status of                   drop a dose, etc.), and, if a Bayesian                DATES: This fee is effective October 1,
                                              product development and clinical data                   approach, how Bayesian methods are                    2018.
                                              to date, if applicable.                                 being used for design and/or analysis                 FOR FURTHER INFORMATION CONTACT:
                                                 4. Proposed agenda, including                        purposes.                                             Donald Prater, Office of Foods and
                                              estimated times needed for discussion                     It is important that sponsors wishing               Veterinary Medicine, Food and Drug
                                              of each agenda item.                                    to participate in the pilot program
                                                 5. List of questions for discussion                                                                        Administration, 10903 New Hampshire
                                                                                                      identify aspects of the design and                    Ave., Bldg. 1, Rm. 3234, Silver Spring,
                                              with a brief summary of each question                   analysis that they consider non-
                                              that explains the need or context for the                                                                     MD 20993, 301–348–3007.
                                                                                                      disclosable and provide a rationale for
                                              question.                                                                                                     SUPPLEMENTARY INFORMATION:
                                                                                                      withholding the information.
                                                 6. Updated programs/shells for                       Participation in the pilot program,                   I. Background
                                              simulations, if applicable.                             including any agreement on information
                                                 7. Summary of new information that                                                                            Section 307 of FSMA, Accreditation
                                                                                                      disclosure, will be voluntary and at the              of Third-Party Auditors, amended the
                                              is available to support discussions.                    discretion of the sponsor. Sponsors that              FD&C Act to create a new provision,
                                              E. Meeting Summaries                                    do not wish to make such disclosures                  section 808, under the same name.
                                                A meeting summary will be sent to                     may seek regulatory input through other               Section 808 of the FD&C Act (21 U.S.C.
                                              the sponsor within 60 days of each                      existing channels.                                    384d) directs FDA to establish a
                                              meeting.                                                IV. Paperwork Reduction Act of 1995                   program for accreditation of third-party
                                                                                                                                                            certification bodies 1 conducting food
                                              F. Disclosure                                             This notice refers to collections of                safety audits and issuing food and
                                                 To promote innovation and to provide                 information that are subject to review by             facility certifications to eligible foreign
                                              better clarity on the acceptance of                     the Office of Management and Budget                   entities (including registered foreign
                                              different types of trial designs, trial                 (OMB) under the Paperwork Reduction                   food facilities) that meet our applicable
                                              designs developed through the pilot                     Act of 1995 (44 U.S.C. 3501–3520). The                requirements. Under this provision, we
                                              program may be presented by FDA (e.g.,                  collection of information resulting from              established a system for FDA to
                                              in a guidance or public workshop) as                    formal meetings between sponsors or                   recognize accreditation bodies to
                                              case studies, including while the drug                  applicants and FDA has been approved                  accredit certification bodies, except for
                                              studied in the trial has not yet been                   under OMB control number 0910–0429.                   limited circumstances in which we may
                                              approved by FDA. Accordingly, before                    The collection of information in 21 CFR               directly accredit certification bodies to
                                              FDA grants the initial meeting under                    part 312 (investigational new drug                    participate in the third-party
                                              this pilot program, FDA and the sponsor                 applications) has been approved under                 certification program.
                                              must agree on the information that FDA                  OMB control number 0910–0014.                            Section 808(c)(8) of the FD&C Act
                                              may include in these public case                          Dated: August 24, 2018.                             directs FDA to establish a
                                              studies. The specific information to be                 Leslie Kux,                                           reimbursement (user fee) program by
                                              disclosed will depend on the content of                 Associate Commissioner for Policy.
                                                                                                                                                            which we assess fees and require
                                              each application, but FDA intends to                                                                          reimbursement for the work FDA
                                                                                                      [FR Doc. 2018–18801 Filed 8–29–18; 8:45 am]
                                              focus on information that is beneficial to                                                                    performs to establish and administer the
                                                                                                      BILLING CODE 4164–01–P
                                              advancing the use of CIDs, and those                                                                          third-party certification program under
                                              elements relevant to the understanding                                                                        section 808 of the FD&C Act. The user
                                              of the CID and its potential use in a                                                                         fee program for the third-party
                                                                                                      DEPARTMENT OF HEALTH AND
                                              clinical trial intended to support                                                                            certification program was established by
                                                                                                      HUMAN SERVICES
                                              regulatory approval. Generally, the                                                                           a final rule entitled ‘‘Amendments to
                                              Agency does not anticipate that the case                Food and Drug Administration                          Accreditation of Third-Party
                                              studies will need to include information                                                                      Certification Bodies To Conduct Food
                                              such as molecular structure, the                        [Docket No. FDA–2016–N–4119]                          Safety Audits and To Issue
                                              sponsor’s name, product name, subject-                                                                        Certifications To Provide for the User
                                                                                                      Food Safety Modernization Act Third-                  Fee Program’’ (81 FR 90186, December
                                              level data, recruitment strategies,
                                                                                                      Party Certification Program User Fee                  14, 2016).
                                              adverse events, or a complete
                                                                                                      Rate for Fiscal Year 2019                                The FSMA FY 2019 third-party
                                              description of study eligibility criteria.
                                              FDA does anticipate that the following                  AGENCY:    Food and Drug Administration,              certification program user fee rate
                                              information will generally need to be                   HHS.                                                  announced in this notice is effective on
                                              disclosed to facilitate discussion of the                                                                     October 1, 2018, and will remain in
                                                                                                      ACTION:   Notice.                                     effect through September 30, 2019.
                                              proposed CID: Study endpoints to the
                                              degree necessary to describe the design                 SUMMARY:    The Food and Drug                         II. Estimating the Average Cost of a
                                              (e.g., overall survival in the context of               Administration (FDA) is announcing the                Supported Direct FDA Work Hour for
                                              a time to event analysis), target                       fiscal year (FY) 2019 annual fee rate for             FY 2019
                                              population, sample size and power                       recognized accreditation bodies and                      In each year, the costs of salary (or
                                              determination, null and alternative                     accredited certification bodies, and the              personnel compensation) and benefits
                                              hypotheses, key operating                               fee rate for accreditation bodies
amozie on DSK3GDR082PROD with NOTICES1




                                              characteristics, assumed rates for                      applying to be recognized in the third-                 1 For the reasons explained in the third-party
                                              dichotomous outcomes or mean and                        party certification program that is                   certification final rule (80 FR 74570 at 74578–
                                              variance for continuous outcomes,                       authorized by the Federal Food, Drug,                 74579, November 27, 2015), and for consistency
                                              simulation objectives, simulation                       and Cosmetic Act (FD&C Act), as                       with the implementing regulations for the third-
                                                                                                                                                            party certification program in 21 CFR parts 1, 11,
                                              scenarios, assumptions (e.g., dropout                   amended by the FDA Food Safety                        and 16, this notice uses the term ‘‘third-party
                                              rate, rate of enrollment), modeling                     Modernization Act (FSMA). We are also                 certification body’’ rather than the term ‘‘third-party
                                              characteristics, critical study design                  announcing the fee rate for certification             auditor’’ used in section 808(a)(3) of the FD&C Act.



                                         VerDate Sep<11>2014   17:25 Aug 29, 2018   Jkt 244001   PO 00000   Frm 00021   Fmt 4703   Sfmt 4703   E:\FR\FM\30AUN1.SGM   30AUN1



Document Created: 2018-08-30 01:21:18
Document Modified: 2018-08-30 01:21:18
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.
DatesThe CID pilot meeting program will proceed from the date of this notice through September 30, 2022. Sponsors may submit meeting requests for the pilot program through June 30, 2022. Comments about this pilot meeting program can be submitted until October 1, 2018. Please note that late, untimely filed comments will not be considered.
ContactCDER: Scott Goldie, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 21, Rm 3557, Silver Spring, MD 20993-0002, 301-796-2055, [email protected], with the subject line ``CID Pilot Meeting Program for CDER.''
FR Citation83 FR 44274 

2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR