83_FR_55944 83 FR 55728 - Hypertension: Developing Fixed-Combination Drug Products for Treatment; Guidance for Industry; Availability

83 FR 55728 - Hypertension: Developing Fixed-Combination Drug Products for Treatment; Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 216 (November 7, 2018)

Page Range55728-55729
FR Document2018-24315

The Food and Drug Administration (FDA or Agency) is announcing the availability of a final guidance for industry entitled ``Hypertension: Developing Fixed-Combination Drug Products for Treatment.'' The purpose of this guidance is to assist sponsors in the clinical development of fixed-combination drug products for the treatment of hypertension. The guidance focuses on development of two- drug combinations of previously approved drug products. This guidance incorporates the comments received for and finalizes the draft guidance for industry entitled ``Hypertension: Developing Fixed-Dose Combination Drugs for Treatment'' issued on January 26, 2018.

Federal Register, Volume 83 Issue 216 (Wednesday, November 7, 2018)
[Federal Register Volume 83, Number 216 (Wednesday, November 7, 2018)]
[Notices]
[Pages 55728-55729]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-24315]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2018-D-3860]


Hypertension: Developing Fixed-Combination Drug Products for 
Treatment; Guidance for Industry; Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of availability.

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

SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
the availability of a final guidance for industry entitled 
``Hypertension: Developing Fixed-Combination Drug Products for 
Treatment.'' The purpose of this guidance is to assist sponsors in the 
clinical development of fixed-combination drug products for the 
treatment of hypertension. The guidance focuses on development of two-
drug combinations of previously approved drug products. This guidance 
incorporates the comments received for and finalizes the draft guidance 
for industry entitled ``Hypertension: Developing Fixed-Dose Combination 
Drugs for Treatment'' issued on January 26, 2018.

DATES: The announcement of the guidance is published in the Federal 
Register on November 7, 2018.

ADDRESSES: You may submit either electronic or written comments on 
Agency guidances at any time as follows:

Electronic Submissions

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

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Dockets 
Management Staff, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2018-D-3860 for ``Hypertension: Developing Fixed-Combination Drug 
Products for Treatment.'' Received comments will be placed in the 
docket and, except for those submitted as ``Confidential Submissions,'' 
publicly viewable at https://www.regulations.gov or at the Dockets 
Management Staff between 9 a.m. and 4 p.m., Monday through Friday.
    Confidential Submissions--To submit a comment with confidential 
information that you do not wish to be made publicly available, submit 
your comments only as a written/paper submission. You should submit two 
copies total. One copy will include the information you claim to be 
confidential with a heading or cover note that states ``THIS DOCUMENT 
CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will review this copy, 
including the claimed confidential information, in its consideration of 
comments. The second copy, which will have the claimed confidential 
information redacted/blacked out, will be available for public viewing 
and posted on https://www.regulations.gov. Submit both copies to the 
Dockets Management Staff. If you do not wish your name and contact 
information to be made publicly available, you can provide this 
information on the cover sheet and not in the body of your comments and 
you must identify this information as ``confidential.'' Any information 
marked as ``confidential'' will not be disclosed except in accordance 
with 21 CFR 10.20 and other applicable disclosure law. For more 
information about FDA's posting of comments to public dockets, see 80 
FR 56469, September 18, 2015, or access the information at: https://www.thefederalregister.org/fdsys/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852.
    You may submit comments on any guidance at any time (see 21 CFR 
10.115(g)(5)).
    Submit written requests for single copies of this guidance to the 
Division of Drug Information, Center for Drug Evaluation and Research, 
Food and Drug Administration, 10001 New Hampshire Ave., Hillandale 
Building, 4th Floor, Silver Spring, MD 20993-0002. Send one self-
addressed adhesive label to assist that office in processing your 
requests. See the SUPPLEMENTARY INFORMATION section for electronic 
access to the guidance document.

FOR FURTHER INFORMATION CONTACT: Naomi Lowy, Center for Drug Evaluation 
and Research, Food and Drug Administration, 10903 New Hampshire Ave. 
Bldg. 22, Rm. 4204, Silver Spring, MD 20993-0002, 301-796-0692.

SUPPLEMENTARY INFORMATION: 

I. Background

    FDA is announcing the availability of a guidance for industry 
entitled ``Hypertension: Developing Fixed-Combination Drug Products for 
Treatment.'' The purpose of this

[[Page 55729]]

guidance is to assist sponsors in the clinical development of fixed 
combination drug products for the treatment of hypertension. The 
guidance focuses on development of two-drug combinations of previously 
approved drug products. This guidance incorporates the comments 
received for and finalizes the draft guidance for industry entitled 
``Hypertension: Developing Fixed-Dose Combination Drugs for Treatment'' 
issued on January 26, 2018 (83 FR 3735). All the public comments 
received on the draft guidance have been considered, and the guidance 
was revised as appropriate primarily for editorial changes.
    This guidance is being issued consistent with FDA's good guidance 
practices regulation (21 CFR 10.115). The guidance represents the 
current thinking of FDA on ``Hypertension: Developing Fixed-Combination 
Drug Products for Treatment.'' It does not establish any rights for any 
person and is not binding on FDA or the public. You can use an 
alternative approach if it satisfies the requirements of the applicable 
statutes and regulations. This guidance is not subject to Executive 
Order 12866.

II. Paperwork Reduction Act of 1995

    This guidance refers to previously approved 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 collections of information in 21 CFR part 312 has been 
approved under OMB control number 0910-0014. The collection of 
information in the guidance for industry entitled ``Hypertension 
Indication: Drug Labeling for Cardiovascular Outcome Claims'' 
(available at https://www.fda.gov/ucm/groups/fdagov-public/@fdagov-drugs-gen/documents/document/ucm075072.pdf) has been approved under OMB 
control number 0910-0670.

III. Electronic Access

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

    Dated: November 1, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-24315 Filed 11-6-18; 8:45 am]
 BILLING CODE 4164-01-P



                                              55728                    Federal Register / Vol. 83, No. 216 / Wednesday, November 7, 2018 / Notices

                                              coli. We expect that recordkeeping for                  Electronic Submissions                                ‘‘THIS DOCUMENT CONTAINS
                                              the followup test for E. coli will also                   Submit electronic comments in the                   CONFIDENTIAL INFORMATION.’’ The
                                              take about 5 minutes per test. As shown                 following way:                                        Agency will review this copy, including
                                              in table 1 of this document, we expect                    • Federal eRulemaking Portal:                       the claimed confidential information, in
                                              that three bottlers per year will test                  https://www.regulations.gov. Follow the               its consideration of comments. The
                                              positive for E. coli in source water and                instructions for submitting comments.                 second copy, which will have the
                                              will have to carry out the additional E.                Comments submitted electronically,                    claimed confidential information
                                              coli testing, with a burden of 1 hour.                  including attachments, to https://                    redacted/blacked out, will be available
                                              These bottlers will also have to keep                   www.regulations.gov will be posted to                 for public viewing and posted on
                                              records about rectifying the source                     the docket unchanged. Because your                    https://www.regulations.gov. Submit
                                              contamination, for a burden of 2 hours.                 comment will be made public, you are                  both copies to the Dockets Management
                                              For all expected total coliform testing, E.             solely responsible for ensuring that your             Staff. If you do not wish your name and
                                              coli testing, and source rectification, we              comment does not include any                          contact information to be made publicly
                                              estimate a total burden of 179 hours.                   confidential information that you or a                available, you can provide this
                                                We base our estimate on our                           third party may not wish to be posted,                information on the cover sheet and not
                                              experience with the current CGMP                        such as medical information, your or                  in the body of your comments and you
                                              regulations.                                            anyone else’s Social Security number, or              must identify this information as
                                                                                                      confidential business information, such               ‘‘confidential.’’ Any information marked
                                                Dated: November 1, 2018.
                                                                                                      as a manufacturing process. Please note               as ‘‘confidential’’ will not be disclosed
                                              Leslie Kux,
                                                                                                      that if you include your name, contact                except in accordance with 21 CFR 10.20
                                              Associate Commissioner for Policy.                                                                            and other applicable disclosure law. For
                                              [FR Doc. 2018–24322 Filed 11–6–18; 8:45 am]
                                                                                                      information, or other information that
                                                                                                      identifies you in the body of your                    more information about FDA’s posting
                                              BILLING CODE 4164–01–P
                                                                                                      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
                                                                                                        • If you want to submit a comment                   the information at: https://www.gpo.gov/
                                              DEPARTMENT OF HEALTH AND                                                                                      fdsys/pkg/FR-2015-09-18/pdf/2015-
                                              HUMAN SERVICES                                          with confidential information that you
                                                                                                      do not wish to be made available to the               23389.pdf.
                                                                                                      public, submit the comment as a                          Docket: For access to the docket to
                                              Food and Drug Administration
                                                                                                      written/paper submission and in the                   read background documents or the
                                                                                                      manner detailed (see ‘‘Written/Paper                  electronic and written/paper comments
                                              [Docket No. FDA–2018–D–3860]                                                                                  received, go to https://
                                                                                                      Submissions’’ and ‘‘Instructions’’).
                                                                                                                                                            www.regulations.gov and insert the
                                              Hypertension: Developing Fixed-                         Written/Paper Submissions                             docket number, found in brackets in the
                                              Combination Drug Products for
                                                                                                         Submit written/paper submissions as                heading of this document, into the
                                              Treatment; Guidance for Industry;
                                                                                                      follows:                                              ‘‘Search’’ box and follow the prompts
                                              Availability
                                                                                                         • Mail/Hand delivery/Courier (for                  and/or go to the Dockets Management
                                              AGENCY:    Food and Drug Administration,                written/paper submissions): Dockets                   Staff, 5630 Fishers Lane, Rm. 1061,
                                              HHS.                                                    Management Staff (HFA–305), Food and                  Rockville, MD 20852.
                                                                                                      Drug Administration, 5630 Fishers                        You may submit comments on any
                                              ACTION:   Notice of availability.                                                                             guidance at any time (see 21 CFR
                                                                                                      Lane, Rm. 1061, Rockville, MD 20852.
                                                                                                         • For written/paper comments                       10.115(g)(5)).
                                              SUMMARY:   The Food and Drug                                                                                     Submit written requests for single
                                              Administration (FDA or Agency) is                       submitted to the Dockets Management
                                                                                                      Staff, FDA will post your comment, as                 copies of this guidance to the Division
                                              announcing the availability of a final                                                                        of Drug Information, Center for Drug
                                              guidance for industry entitled                          well as any attachments, except for
                                                                                                      information submitted, marked and                     Evaluation and Research, Food and
                                              ‘‘Hypertension: Developing Fixed-                                                                             Drug Administration, 10001 New
                                              Combination Drug Products for                           identified, as confidential, if submitted
                                                                                                      as detailed in ‘‘Instructions.’’                      Hampshire Ave., Hillandale Building,
                                              Treatment.’’ The purpose of this                                                                              4th Floor, Silver Spring, MD 20993–
                                              guidance is to assist sponsors in the                      Instructions: All submissions received
                                                                                                      must include the Docket No. FDA–                      0002. Send one self-addressed adhesive
                                              clinical development of fixed-                                                                                label to assist that office in processing
                                              combination drug products for the                       2018–D–3860 for ‘‘Hypertension:
                                                                                                      Developing Fixed-Combination Drug                     your requests. See the SUPPLEMENTARY
                                              treatment of hypertension. The guidance                                                                       INFORMATION section for electronic
                                              focuses on development of two-drug                      Products for Treatment.’’ Received
                                                                                                      comments will be placed in the docket                 access to the guidance document.
                                              combinations of previously approved
                                                                                                      and, except for those submitted as                    FOR FURTHER INFORMATION CONTACT:
                                              drug products. This guidance
                                              incorporates the comments received for                  ‘‘Confidential Submissions,’’ publicly                Naomi Lowy, Center for Drug
                                              and finalizes the draft guidance for                    viewable at https://www.regulations.gov               Evaluation and Research, Food and
                                              industry entitled ‘‘Hypertension:                       or at the Dockets Management Staff                    Drug Administration, 10903 New
                                              Developing Fixed-Dose Combination                       between 9 a.m. and 4 p.m., Monday                     Hampshire Ave. Bldg. 22, Rm. 4204,
                                              Drugs for Treatment’’ issued on January                 through Friday.                                       Silver Spring, MD 20993–0002, 301–
                                              26, 2018.                                                  Confidential Submissions—To submit                 796–0692.
                                                                                                      a comment with confidential                           SUPPLEMENTARY INFORMATION:
amozie on DSK3GDR082PROD with NOTICES1




                                              DATES: The announcement of the                          information that you do not wish to be
                                              guidance is published in the Federal                    made publicly available, submit your                  I. Background
                                              Register on November 7, 2018.                           comments only as a written/paper                         FDA is announcing the availability of
                                              ADDRESSES:   You may submit either                      submission. You should submit two                     a guidance for industry entitled
                                              electronic or written comments on                       copies total. One copy will include the               ‘‘Hypertension: Developing Fixed-
                                              Agency guidances at any time as                         information you claim to be confidential              Combination Drug Products for
                                              follows:                                                with a heading or cover note that states              Treatment.’’ The purpose of this


                                         VerDate Sep<11>2014   17:46 Nov 06, 2018   Jkt 247001   PO 00000   Frm 00041   Fmt 4703   Sfmt 4703   E:\FR\FM\07NON1.SGM   07NON1


                                                                       Federal Register / Vol. 83, No. 216 / Wednesday, November 7, 2018 / Notices                                           55729

                                              guidance is to assist sponsors in the                   DEPARTMENT OF HEALTH AND                              fax to 202–395–6974, Attention: Desk
                                              clinical development of fixed                           HUMAN SERVICES                                        Officer for NIH.
                                              combination drug products for the                                                                             FOR FURTHER INFORMATION CONTACT: To
                                              treatment of hypertension. The guidance                 National Institutes of Health                         request more information on the
                                              focuses on development of two-drug                                                                            proposed project or to obtain a copy of
                                                                                                      National Institute on Aging; Amended
                                              combinations of previously approved                                                                           the data collection plans and
                                                                                                      Notice of Meeting
                                              drug products. This guidance                                                                                  instruments, contact: Rohan Hazra,
                                              incorporates the comments received for                     Notice is hereby given of a change in              M.D., Eunice Kennedy Shriver National
                                              and finalizes the draft guidance for                    the meeting of the National Institute on              Institute of Child Health and Human
                                              industry entitled ‘‘Hypertension:                       Aging Special Emphasis Panel,                         Development (NICHD), National
                                              Developing Fixed-Dose Combination                       November 19, 2018, 8:30 a.m. to                       Institutes of Health, 6710B Rockledge
                                              Drugs for Treatment’’ issued on January                 November 19, 2018, 4:00 p.m., National                Drive, Room 2113, Bethesda, MD 20817,
                                              26, 2018 (83 FR 3735). All the public                   Institute on Aging, Gateway Building,                 or call non-toll-free number (301)–435–
                                              comments received on the draft                          7201 Wisconsin Avenue, Suite 2W200,                   6868 or Email your request, including
                                              guidance have been considered, and the                  Bethesda, MD 20892 which was                          your address to: rohan.hazra@nih.gov.
                                              guidance was revised as appropriate                     published in the Federal Register on                  SUPPLEMENTARY INFORMATION: This
                                              primarily for editorial changes.                        October 30, 2018, 83 FR 54605.                        proposed information collection was
                                                                                                         The meeting notice is amended to                   previously published in the Federal
                                                 This guidance is being issued                        change the meeting location from the                  Register on April 27, 2018, page 18576
                                              consistent with FDA’s good guidance                     National Institute on Aging, Gateway                  (Vol 83) and allowed 60 days for public
                                              practices regulation (21 CFR 10.115).                   Building, 7201 Wisconsin Avenue, Suite                comment. No public comments were
                                              The guidance represents the current                     2W200, Bethesda, MD 20892 to                          received. The purpose of this notice is
                                              thinking of FDA on ‘‘Hypertension:                      Bethesda Marriott, 5151 Pooks Hill                    to allow an additional 30 days for public
                                              Developing Fixed-Combination Drug                       Road, Bethesda, MD 20814. The meeting                 comment.
                                              Products for Treatment.’’ It does not                   is closed to the public.                                 The Eunice Kennedy Shriver National
                                              establish any rights for any person and                   Dated: November 1, 2018.                            Institute of Child Health and Human
                                              is not binding on FDA or the public.                    Melanie J. Pantoja,                                   Development (NICHD), National
                                              You can use an alternative approach if                  Program Analyst, Office of Federal Advisory
                                                                                                                                                            Institutes of Health, may not conduct or
                                              it satisfies the requirements of the                    Committee Policy.                                     sponsor, and the respondent is not
                                              applicable statutes and regulations. This               [FR Doc. 2018–24293 Filed 11–6–18; 8:45 am]
                                                                                                                                                            required to respond to, an information
                                              guidance is not subject to Executive                                                                          collection that has been extended,
                                                                                                      BILLING CODE 4140–01–P
                                              Order 12866.                                                                                                  revised, or implemented on or after
                                                                                                                                                            October 1, 1995, unless it displays a
                                              II. Paperwork Reduction Act of 1995                                                                           currently valid OMB control number.
                                                                                                      DEPARTMENT OF HEALTH AND
                                                                                                      HUMAN SERVICES                                           In compliance with Section
                                                This guidance refers to previously
                                                                                                                                                            3507(a)(1)(D) of the Paperwork
                                              approved collections of information that                                                                      Reduction Act of 1995, the National
                                              are subject to review by the Office of                  National Institutes of Health
                                                                                                                                                            Institutes of Health (NIH) has submitted
                                              Management and Budget (OMB) under                       Submission for OMB Review; 30-day                     to the Office of Management and Budget
                                              the Paperwork Reduction Act of 1995                     Comment Request: Data and Specimen                    (OMB) a request for review and
                                              (44 U.S.C. 3501–3520). The collections                  Hub (DASH) (Eunice Kennedy Shriver                    approval of the information collection
                                              of information in 21 CFR part 312 has                   National Institute of Child Health and                listed below.
                                              been approved under OMB control                         Human Development)                                       Proposed Collection: Data and
                                              number 0910–0014. The collection of                                                                           Specimen Hub (DASH) 0925–0774 exp.
                                              information in the guidance for industry                AGENCY:    National Institutes of Health,             date 6/30/19—REVISION; Eunice
                                              entitled ‘‘Hypertension Indication: Drug                HHS.                                                  Kennedy Shriver National Institute of
                                              Labeling for Cardiovascular Outcome                     ACTION:   Notice.                                     Child Health and Human Development
                                              Claims’’ (available at https://                         SUMMARY:   In compliance with the                     (NICHD), National Institutes of Health
                                              www.fda.gov/ucm/groups/fdagov-                          Paperwork Reduction Act of 1995, the                  (NIH).
                                              public/@fdagov-drugs-gen/documents/                     National Institutes of Health (NIH) has                  Need and Use of Information
                                              document/ucm075072.pdf) has been                        submitted to the Office of Management                 Collection:
                                              approved under OMB control number                                                                                This is a request to revise the
                                                                                                      and Budget (OMB) a request for review
                                              0910–0670.                                                                                                    previously approved submission to add
                                                                                                      and approval of the information
                                                                                                                                                            the collection of additional information
                                              III. Electronic Access                                  collection listed below.
                                                                                                                                                            from Users who will request
                                                                                                      DATES: Comments regarding this                        biospecimens, submit the Institutional
                                                Persons with access to the internet                   information collection are best assured               Certification for data/biospecimen
                                              may obtain the guidance at either                       of having their full effect if received               inventory, and submit DASH data/
                                              https://www.fda.gov/Drugs/Guidance                      within 30-days of the date of this                    biospecimen Annual Progress Report for
                                              ComplianceRegulatoryInformation/                        publication.                                          the NICHD Data and Specimen Hub
                                              Guidances/default.htm or https://                       ADDRESSES:   Written comments and/or                  (DASH). DASH has been established by
amozie on DSK3GDR082PROD with NOTICES1




                                              www.regulations.gov.                                    suggestions regarding the item(s)                     NICHD as a data sharing mechanism for
                                                Dated: November 1, 2018.                              contained in this notice, especially                  biomedical research investigators. It
                                              Leslie Kux,                                             regarding the estimated public burden                 serves as a centralized resource for
                                                                                                      and associated response time, should be               investigators to store and access
                                              Associate Commissioner for Policy.
                                                                                                      directed to the: Office of Management                 deidentified study data and
                                              [FR Doc. 2018–24315 Filed 11–6–18; 8:45 am]
                                                                                                      and Budget, Office of Regulatory Affairs,             biospecimen inventories—a list of
                                              BILLING CODE 4164–01–P                                  OIRA_submission@omb.eop.gov or by                     biospecimens available at the NICHD


                                         VerDate Sep<11>2014   17:46 Nov 06, 2018   Jkt 247001   PO 00000   Frm 00042   Fmt 4703   Sfmt 4703   E:\FR\FM\07NON1.SGM   07NON1



Document Created: 2018-11-07 00:05:00
Document Modified: 2018-11-07 00:05:00
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of availability.
DatesThe announcement of the guidance is published in the Federal Register on November 7, 2018.
ContactNaomi Lowy, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave. Bldg. 22, Rm. 4204, Silver Spring, MD 20993-0002, 301-796-0692.
FR Citation83 FR 55728 

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