83_FR_61877 83 FR 61646 - Agency Information Collection Activities; Proposed Collection; Comment Request; Oversight of Clinical Investigations: A Risk-Based Approach to Monitoring

83 FR 61646 - Agency Information Collection Activities; Proposed Collection; Comment Request; Oversight of Clinical Investigations: A Risk-Based Approach to Monitoring

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 231 (November 30, 2018)

Page Range61646-61648
FR Document2018-26032

The Food and Drug Administration (FDA or Agency) is announcing an opportunity for public comment on the proposed collection of certain information by the Agency. Under the Paperwork Reduction Act of 1995 (PRA), Federal Agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension of an existing collection of information, and to allow 60 days for public comment in response to the notice. This notice solicits comments on information collection associated with oversight of clinical investigations, a risk-based approach to monitoring.

Federal Register, Volume 83 Issue 231 (Friday, November 30, 2018)
[Federal Register Volume 83, Number 231 (Friday, November 30, 2018)]
[Notices]
[Pages 61646-61648]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-26032]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2011-D-0597]


Agency Information Collection Activities; Proposed Collection; 
Comment Request; Oversight of Clinical Investigations: A Risk-Based 
Approach to Monitoring

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice.

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

SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
an opportunity for public

[[Page 61647]]

comment on the proposed collection of certain information by the 
Agency. Under the Paperwork Reduction Act of 1995 (PRA), Federal 
Agencies are required to publish notice in the Federal Register 
concerning each proposed collection of information, including each 
proposed extension of an existing collection of information, and to 
allow 60 days for public comment in response to the notice. This notice 
solicits comments on information collection associated with oversight 
of clinical investigations, a risk-based approach to monitoring.

DATES: Submit either electronic or written comments on the collection 
of information by January 29, 2019.

ADDRESSES: You may submit comments as follows. Please note that late, 
untimely filed comments will not be considered. Electronic comments 
must be submitted on or before January 29, 2019. The https://www.regulations.gov electronic filing system will accept comments until 
11:59 p.m. Eastern Time at the end of January 29, 2019. Comments 
received by mail/hand delivery/courier (for written/paper submissions) 
will be considered timely if they are postmarked or the delivery 
service acceptance receipt is on or before that date.

Electronic Submissions

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

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Dockets 
Management Staff, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2011-D-0597 for ``Agency Information Collection Activities; 
Proposed Collection; Comment Request; Oversight of Clinical 
Investigations: A Risk-Based Approach to Monitoring.'' Received 
comments, those filed in a timely manner (see ADDRESSES), will be 
placed in the docket and, except for those submitted as ``Confidential 
Submissions,'' publicly viewable at https://www.regulations.gov or at 
the Dockets Management Staff between 9 a.m. and 4 p.m., Monday through 
Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS 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: Domini Bean, Office of Operations, 
Food and Drug Administration, Three White Flint North, 10A-12M, 11601 
Landsdown St., North Bethesda, MD 20852, 301-796-5733, 
[email protected].

SUPPLEMENTARY INFORMATION: Under the PRA (44 U.S.C. 3501-3520), Federal 
Agencies must obtain approval from the Office of Management and Budget 
(OMB) for each collection of information they conduct or sponsor. 
``Collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 
1320.3(c) and includes Agency requests or requirements that members of 
the public submit reports, keep records, or provide information to a 
third party. Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) 
requires Federal Agencies to provide a 60-day notice in the Federal 
Register concerning each proposed collection of information, including 
each proposed extension of an existing collection of information, 
before submitting the collection to OMB for approval. To comply with 
this requirement, FDA is publishing notice of the proposed collection 
of information set forth in this document.
    With respect to the following collection of information, FDA 
invites comments on these topics: (1) Whether the proposed collection 
of information is necessary for the proper performance of FDA's 
functions, including whether the information will have practical 
utility; (2) the accuracy of FDA's estimate of the burden of the 
proposed collection of information, including the validity of the 
methodology and assumptions used; (3) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (4) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques, when 
appropriate, and other forms of information technology.

Oversight of Clinical Investigations: A Risk-Based Approach to 
Monitoring--21 CFR Parts 312 and 812

OMB Control Number 0910-0733--Extension

    This information collection supports reporting and recordkeeping 
found in Agency guidance. Under parts 312 and 812 (21 CFR parts 312 and 
812), sponsors are required to provide

[[Page 61648]]

appropriate oversight of their clinical investigations to ensure 
adequate protection of the rights, welfare, and safety of human 
subjects and to ensure the quality and integrity of the resulting data 
submitted to FDA. As part of this oversight, sponsors of clinical 
investigations are required to monitor the conduct and progress of 
their clinical investigations. The regulations do not specify how 
sponsors are to conduct monitoring of clinical investigations and are, 
therefore, compatible with a range of approaches to monitoring.
    Accordingly, we developed the guidance document entitled, 
``Guidance for Industry--Oversight of Clinical Investigations: A Risk-
Based Approach to Monitoring.'' The guidance is intended to assist 
sponsors of clinical investigations in developing strategies for risk-
based monitoring and plans for clinical investigations of human drug 
and biological products, medical devices, and combinations thereof. The 
guidance describes strategies for monitoring activities performed by 
sponsors or by contract research organizations (CROs) that focus on the 
conduct, oversight, and reporting of findings of an investigation by 
clinical investigators. The guidance also recommends strategies that 
reflect a risk-based approach to monitoring that focuses on critical 
study parameters and relies on a combination of monitoring activities 
to oversee a study effectively. Finally, the guidance specifically 
encourages greater reliance on centralized monitoring methods where 
appropriate.
    Information collections for reports and records associated with 
clinical investigations under parts 312 and 812 are currently approved 
under OMB control numbers 0910-0014 and 0910-0078 respectively. These 
reporting and recordkeeping provisions cover general elements. The 
guidance discusses other elements sponsors and investigators should 
consider and include in developing a monitoring plan. As explained in 
the guidance, documentation of monitoring should include sufficient 
detail to allow verification that the monitoring plan was followed. The 
plan should provide adequate information to those involved with 
monitoring to effectively carry out their duties. All sponsor and CRO 
personnel who may be involved with monitoring (including those who 
review appropriate action, determine appropriate action, or both) 
regarding potential issues identified through monitoring should review 
the monitoring plan.
    We estimate the burden of this collection of information as 
follows:

                               Table 1--Estimated Annual Recordkeeping Burden \1\
----------------------------------------------------------------------------------------------------------------
                                                     Number of                        Average
            Activity                 Number of      records per    Total Annual     burden per      Total hours
                                   recordkeepers   recordkeeper       Records      recordkeeping
----------------------------------------------------------------------------------------------------------------
Documentation included in                     88             1.5             132               4             528
 comprehensive monitoring plan..
----------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of
  information.

    Based on a review of the information collection, we have made no 
adjustments to our burden estimate. We estimate 88 sponsors will 
develop 132 comprehensive monitoring plans in accordance with the 
guidance. We believe the associated burden for each plan is 
approximately 4 hours and includes the time necessary to develop, and 
amend as appropriate, the monitoring plan.

    Dated: November 26, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-26032 Filed 11-29-18; 8:45 am]
 BILLING CODE 4164-01-P



                                              61646                       Federal Register / Vol. 83, No. 231 / Friday, November 30, 2018 / Notices

                                              its consideration of comments. The                      with the initial submission of an                       This determination of the regulatory
                                              second copy, which will have the                        application to market the human drug                  review period establishes the maximum
                                              claimed confidential information                        product and continues until FDA grants                potential length of a patent extension.
                                              redacted/blacked out, will be available                 permission to market the drug product.                However, the USPTO applies several
                                              for public viewing and posted on                        Although only a portion of a regulatory               statutory limitations in its calculations
                                              https://www.regulations.gov. Submit                     review period may count toward the                    of the actual period for patent extension.
                                              both copies to the Dockets Management                   actual amount of extension that the                   In its application for patent extension,
                                              Staff. If you do not wish your name and                 Director of USPTO may award (for                      this applicant seeks 298 days of patent
                                              contact information to be made publicly                 example, half the testing phase must be               term extension.
                                              available, you can provide this                         subtracted as well as any time that may
                                                                                                                                                            III. Petitions
                                              information on the cover sheet and not                  have occurred before the patent was
                                              in the body of your comments and you                    issued), FDA’s determination of the                      Anyone with knowledge that any of
                                              must identify this information as                       length of a regulatory review period for              the dates as published are incorrect may
                                              ‘‘confidential.’’ Any information marked                a human drug product will include all                 submit either electronic or written
                                              as ‘‘confidential’’ will not be disclosed               of the testing phase and approval phase               comments and, under 21 CFR 60.24, ask
                                              except in accordance with § 10.20 (21                   as specified in 35 U.S.C. 156(g)(1)(B).               for a redetermination (see DATES).
                                              CFR 10.20) and other applicable                            FDA has approved for marketing the                 Furthermore, as specified in § 60.30 (21
                                              disclosure law. For more information                    human drug product, PROVAYBLUE                        CFR 60.30), any interested person may
                                              about FDA’s posting of comments to                      (methylene blue) indicated for the                    petition FDA for a determination
                                              public dockets, see 80 FR 56469,                        treatment of pediatric and adult patients             regarding whether the applicant for
                                              September 18, 2015, or access the                       with acquired methemoglobinemia.                      extension acted with due diligence
                                              information at: https://www.gpo.gov/                    Subsequent to this approval, the USPTO                during the regulatory review period. To
                                              fdsys/pkg/FR-2015-09-18/pdf/2015-                       received a patent term restoration                    meet its burden, the petition must
                                              23389.pdf.                                              application for PROVAYBLUE (U.S.                      comply with all the requirements of
                                                 Docket: For access to the docket to                  Patent No. 8,765,942) from Provepharm                 § 60.30, including but not limited to:
                                              read background documents or the                        S.A.S. and the USPTO requested FDA’s                  Must be timely (see DATES), must be
                                              electronic and written/paper comments                   assistance in determining the patent’s                filed in accordance with § 10.20, must
                                              received, go to https://                                eligibility for patent term restoration. In           contain sufficient facts to merit an FDA
                                              www.regulations.gov and insert the                      a letter dated February 6, 2018, FDA                  investigation, and must certify that a
                                              docket number, found in brackets in the                 advised the USPTO that this human                     true and complete copy of the petition
                                              heading of this document, into the                      drug product had undergone a                          has been served upon the patent
                                              ‘‘Search’’ box and follow the prompts                   regulatory review period and that the                 applicant. (See H. Rept. 857, part 1, 98th
                                              and/or go to the Dockets Management                     approval of PROVAYBLUE represented                    Cong., 2d sess., pp. 41–42, 1984.)
                                              Staff, 5630 Fishers Lane, Rm. 1061,                     the first permitted commercial                        Petitions should be in the format
                                              Rockville, MD 20852.                                    marketing or use of the product.                      specified in 21 CFR 10.30.
                                                                                                      Thereafter, the USPTO requested that                     Submit petitions electronically to
                                              FOR FURTHER INFORMATION CONTACT:                                                                              https://www.regulations.gov at Docket
                                                                                                      FDA determine the product’s regulatory
                                              Beverly Friedman, Office of Regulatory                                                                        No. FDA–2013–S–0610. Submit written
                                                                                                      review period.
                                              Policy, Food and Drug Administration,                                                                         petitions (two copies are required) to the
                                              10903 New Hampshire Ave., Bldg. 51,                     II. Determination of Regulatory Review                Dockets Management Staff (HFA–305),
                                              Rm. 6250, Silver Spring, MD 20993,                      Period                                                Food and Drug Administration, 5630
                                              301–796–3600.                                              FDA has determined that the                        Fishers Lane, Rm. 1061, Rockville, MD
                                              SUPPLEMENTARY INFORMATION:                              applicable regulatory review period for               20852.
                                              I. Background                                           PROVAYBLUE is 415 days. Of this time,                   Dated: November 26, 2018.
                                                                                                      232 days occurred during the testing                  Leslie Kux,
                                                 The Drug Price Competition and                       phase of the regulatory review period,
                                              Patent Term Restoration Act of 1984                                                                           Associate Commissioner for Policy.
                                                                                                      while 183 days occurred during the
                                              (Pub. L. 98–417) and the Generic                                                                              [FR Doc. 2018–26035 Filed 11–29–18; 8:45 am]
                                                                                                      approval phase. These periods of time
                                              Animal Drug and Patent Term                             were derived from the following dates:                BILLING CODE 4164–01–P
                                              Restoration Act (Pub. L. 100–670)                          1. The date an exemption under
                                              generally provide that a patent may be                  section 505(i) of the Federal Food, Drug,
                                              extended for a period of up to 5 years                  and Cosmetic Act (FD&C Act) (21 U.S.C.                DEPARTMENT OF HEALTH AND
                                              so long as the patented item (human                     355(i)) became effective: February 20,                HUMAN SERVICES
                                              drug product, animal drug product,                      2015. FDA has verified the applicant’s                Food and Drug Administration
                                              medical device, food additive, or color                 claim that the date the investigational
                                              additive) was subject to regulatory                     new drug application became effective                 [Docket No. FDA–2011–D–0597]
                                              review by FDA before the item was                       was February 20, 2015.
                                              marketed. Under these acts, a product’s                    2. The date the application was                    Agency Information Collection
                                              regulatory review period forms the basis                initially submitted with respect to the               Activities; Proposed Collection;
                                              for determining the amount of extension                 human drug product under section                      Comment Request; Oversight of
                                              an applicant may receive.                               505(b) of the FD&C Act: October 9, 2015.              Clinical Investigations: A Risk-Based
                                                 A regulatory review period consists of               FDA has verified the applicant’s claim                Approach to Monitoring
amozie on DSK3GDR082PROD with NOTICES1




                                              two periods of time: A testing phase and                that the new drug application (NDA) for               AGENCY:   Food and Drug Administration,
                                              an approval phase. For human drug                       PROVAYBLUE (NDA 204630) was                           HHS.
                                              products, the testing phase begins when                 initially submitted on October 9, 2015.               ACTION:   Notice.
                                              the exemption to permit the clinical                       3. The date the application was
                                              investigations of the drug becomes                      approved: April 8, 2016. FDA has                      SUMMARY: The Food and Drug
                                              effective and runs until the approval                   verified the applicant’s claim that NDA               Administration (FDA or Agency) is
                                              phase begins. The approval phase starts                 204630 was approved on April 8, 2016.                 announcing an opportunity for public


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                                                                          Federal Register / Vol. 83, No. 231 / Friday, November 30, 2018 / Notices                                          61647

                                              comment on the proposed collection of                      • Mail/Hand delivery/Courier (for                  docket number, found in brackets in the
                                              certain information by the Agency.                      written/paper submissions): Dockets                   heading of this document, into the
                                              Under the Paperwork Reduction Act of                    Management Staff (HFA–305), Food and                  ‘‘Search’’ box and follow the prompts
                                              1995 (PRA), Federal Agencies are                        Drug Administration, 5630 Fishers                     and/or go to the Dockets Management
                                              required to publish notice in the                       Lane, Rm. 1061, Rockville, MD 20852.                  Staff, 5630 Fishers Lane, Rm. 1061,
                                              Federal Register concerning each                           • For written/paper comments                       Rockville, MD 20852.
                                              proposed collection of information,                     submitted to the Dockets Management                   FOR FURTHER INFORMATION CONTACT:
                                              including each proposed extension of an                 Staff, FDA will post your comment, as                 Domini Bean, Office of Operations,
                                              existing collection of information, and                 well as any attachments, except for                   Food and Drug Administration, Three
                                              to allow 60 days for public comment in                  information submitted, marked and                     White Flint North, 10A–12M, 11601
                                              response to the notice. This notice                     identified, as confidential, if submitted             Landsdown St., North Bethesda, MD
                                              solicits comments on information                        as detailed in ‘‘Instructions.’’                      20852, 301–796–5733, PRAStaff@
                                              collection associated with oversight of                    Instructions: All submissions received             fda.hhs.gov.
                                              clinical investigations, a risk-based                   must include the Docket No. FDA–
                                                                                                                                                            SUPPLEMENTARY INFORMATION: Under the
                                              approach to monitoring.                                 2011–D–0597 for ‘‘Agency Information
                                                                                                      Collection Activities; Proposed                       PRA (44 U.S.C. 3501–3520), Federal
                                              DATES: Submit either electronic or                                                                            Agencies must obtain approval from the
                                              written comments on the collection of                   Collection; Comment Request; Oversight
                                                                                                      of Clinical Investigations: A Risk-Based              Office of Management and Budget
                                              information by January 29, 2019.                                                                              (OMB) for each collection of
                                              ADDRESSES: You may submit comments
                                                                                                      Approach to Monitoring.’’ Received
                                                                                                      comments, those filed in a timely                     information they conduct or sponsor.
                                              as follows. Please note that late,                                                                            ‘‘Collection of information’’ is defined
                                              untimely filed comments will not be                     manner (see ADDRESSES), will be placed
                                                                                                      in the docket and, except for those                   in 44 U.S.C. 3502(3) and 5 CFR
                                              considered. Electronic comments must                                                                          1320.3(c) and includes Agency requests
                                              be submitted on or before January 29,                   submitted as ‘‘Confidential
                                                                                                      Submissions,’’ publicly viewable at                   or requirements that members of the
                                              2019. The https://www.regulations.gov                                                                         public submit reports, keep records, or
                                              electronic filing system will accept                    https://www.regulations.gov or at the
                                                                                                      Dockets Management Staff between 9                    provide information to a third party.
                                              comments until 11:59 p.m. Eastern Time                                                                        Section 3506(c)(2)(A) of the PRA (44
                                              at the end of January 29, 2019.                         a.m. and 4 p.m., Monday through
                                                                                                      Friday.                                               U.S.C. 3506(c)(2)(A)) requires Federal
                                              Comments received by mail/hand                                                                                Agencies to provide a 60-day notice in
                                                                                                         • Confidential Submissions—To
                                              delivery/courier (for written/paper                                                                           the Federal Register concerning each
                                                                                                      submit a comment with confidential
                                              submissions) will be considered timely                                                                        proposed collection of information,
                                                                                                      information that you do not wish to be
                                              if they are postmarked or the delivery                                                                        including each proposed extension of an
                                                                                                      made publicly available, submit your
                                              service acceptance receipt is on or                                                                           existing collection of information,
                                                                                                      comments only as a written/paper
                                              before that date.                                                                                             before submitting the collection to OMB
                                                                                                      submission. You should submit two
                                              Electronic Submissions                                  copies total. One copy will include the               for approval. To comply with this
                                                                                                      information you claim to be confidential              requirement, FDA is publishing notice
                                                Submit electronic comments in the                                                                           of the proposed collection of
                                              following way:                                          with a heading or cover note that states
                                                                                                                                                            information set forth in this document.
                                                • Federal eRulemaking Portal:                         ‘‘THIS DOCUMENT CONTAINS
                                                                                                                                                               With respect to the following
                                              https://www.regulations.gov. Follow the                 CONFIDENTIAL INFORMATION.’’ The
                                                                                                      Agency will review this copy, including               collection of information, FDA invites
                                              instructions for submitting comments.                                                                         comments on these topics: (1) Whether
                                              Comments submitted electronically,                      the claimed confidential information, in
                                                                                                      its consideration of comments. The                    the proposed collection of information
                                              including attachments, to https://                                                                            is necessary for the proper performance
                                              www.regulations.gov will be posted to                   second copy, which will have the
                                                                                                      claimed confidential information                      of FDA’s functions, including whether
                                              the docket unchanged. Because your                                                                            the information will have practical
                                              comment will be made public, you are                    redacted/blacked out, will be available
                                                                                                      for public viewing and posted on                      utility; (2) the accuracy of FDA’s
                                              solely responsible for ensuring that your                                                                     estimate of the burden of the proposed
                                              comment does not include any                            https://www.regulations.gov. Submit
                                                                                                      both copies to the Dockets Management                 collection of information, including the
                                              confidential information that you or a                                                                        validity of the methodology and
                                              third party may not wish to be posted,                  Staff. If you do not wish your name and
                                                                                                      contact information to be made publicly               assumptions used; (3) ways to enhance
                                              such as medical information, your or                                                                          the quality, utility, and clarity of the
                                              anyone else’s Social Security number, or                available, you can provide this
                                                                                                      information on the cover sheet and not                information to be collected; and (4)
                                              confidential business information, such                                                                       ways to minimize the burden of the
                                              as a manufacturing process. Please note                 in the body of your comments and you
                                                                                                      must identify this information as                     collection of information on
                                              that if you include your name, contact                                                                        respondents, including through the use
                                              information, or other information that                  ‘‘confidential.’’ Any information marked
                                                                                                      as ‘‘confidential’’ will not be disclosed             of automated collection techniques,
                                              identifies you in the body of your                                                                            when appropriate, and other forms of
                                              comments, that information will be                      except in accordance with 21 CFR 10.20
                                                                                                      and other applicable disclosure law. For              information technology.
                                              posted on https://www.regulations.gov.
                                                • If you want to submit a comment                     more information about FDA’s posting                  Oversight of Clinical Investigations: A
                                              with confidential information that you                  of comments to public dockets, see 80                 Risk-Based Approach to Monitoring—
                                              do not wish to be made available to the                 FR 56469, September 18, 2015, or access               21 CFR Parts 312 and 812
                                              public, submit the comment as a                         the information at: https://www.gpo.gov/
amozie on DSK3GDR082PROD with NOTICES1




                                                                                                      fdsys/pkg/FR-2015-09-18/pdf/2015-                     OMB Control Number 0910–0733—
                                              written/paper submission and in the
                                                                                                      23389.pdf.                                            Extension
                                              manner detailed (see ‘‘Written/Paper
                                              Submissions’’ and ‘‘Instructions’’).                       Docket: For access to the docket to                  This information collection supports
                                                                                                      read background documents or the                      reporting and recordkeeping found in
                                              Written/Paper Submissions                               electronic and written/paper comments                 Agency guidance. Under parts 312 and
                                                Submit written/paper submissions as                   received, go to https://                              812 (21 CFR parts 312 and 812),
                                              follows:                                                www.regulations.gov and insert the                    sponsors are required to provide


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                                              61648                        Federal Register / Vol. 83, No. 231 / Friday, November 30, 2018 / Notices

                                              appropriate oversight of their clinical                   and biological products, medical                      recordkeeping provisions cover general
                                              investigations to ensure adequate                         devices, and combinations thereof. The                elements. The guidance discusses other
                                              protection of the rights, welfare, and                    guidance describes strategies for                     elements sponsors and investigators
                                              safety of human subjects and to ensure                    monitoring activities performed by                    should consider and include in
                                              the quality and integrity of the resulting                sponsors or by contract research                      developing a monitoring plan. As
                                              data submitted to FDA. As part of this                    organizations (CROs) that focus on the                explained in the guidance,
                                              oversight, sponsors of clinical                           conduct, oversight, and reporting of                  documentation of monitoring should
                                              investigations are required to monitor                    findings of an investigation by clinical              include sufficient detail to allow
                                              the conduct and progress of their                         investigators. The guidance also                      verification that the monitoring plan
                                              clinical investigations. The regulations                  recommends strategies that reflect a
                                                                                                                                                              was followed. The plan should provide
                                              do not specify how sponsors are to                        risk-based approach to monitoring that
                                                                                                                                                              adequate information to those involved
                                              conduct monitoring of clinical                            focuses on critical study parameters and
                                              investigations and are, therefore,                        relies on a combination of monitoring                 with monitoring to effectively carry out
                                              compatible with a range of approaches                     activities to oversee a study effectively.            their duties. All sponsor and CRO
                                              to monitoring.                                            Finally, the guidance specifically                    personnel who may be involved with
                                                 Accordingly, we developed the                          encourages greater reliance on                        monitoring (including those who review
                                              guidance document entitled, ‘‘Guidance                    centralized monitoring methods where                  appropriate action, determine
                                              for Industry—Oversight of Clinical                        appropriate.                                          appropriate action, or both) regarding
                                              Investigations: A Risk-Based Approach                        Information collections for reports                potential issues identified through
                                              to Monitoring.’’ The guidance is                          and records associated with clinical                  monitoring should review the
                                              intended to assist sponsors of clinical                   investigations under parts 312 and 812                monitoring plan.
                                              investigations in developing strategies                   are currently approved under OMB                        We estimate the burden of this
                                              for risk-based monitoring and plans for                   control numbers 0910–0014 and 0910–                   collection of information as follows:
                                              clinical investigations of human drug                     0078 respectively. These reporting and

                                                                                           TABLE 1—ESTIMATED ANNUAL RECORDKEEPING BURDEN 1
                                                                                                                                            Number of                              Average
                                                                                                                       Number of                            Total Annual
                                                                           Activity                                                        records per                            burden per    Total hours
                                                                                                                     recordkeepers                            Records
                                                                                                                                          recordkeeper                          recordkeeping

                                              Documentation included in comprehensive monitoring plan                                88               1.5              132                  4            528
                                                 1 There   are no capital costs or operating and maintenance costs associated with this collection of information.


                                                Based on a review of the information                    SUMMARY:    The Food and Drug                         comment will be made public, you are
                                              collection, we have made no                               Administration (FDA or Agency) is                     solely responsible for ensuring that your
                                              adjustments to our burden estimate. We                    announcing the availability of the draft              comment does not include any
                                              estimate 88 sponsors will develop 132                     guidance for industry and FDA staff                   confidential information that you or a
                                              comprehensive monitoring plans in                         entitled ‘‘Blood Glucose Monitoring                   third party may not wish to be posted,
                                              accordance with the guidance. We                          Test Systems for Prescription Point-of-               such as medical information, your or
                                              believe the associated burden for each                    Care Use.’’ This draft guidance                       anyone else’s Social Security number, or
                                              plan is approximately 4 hours and                         document describes studies and criteria               confidential business information, such
                                              includes the time necessary to develop,                   that FDA recommends be used when                      as a manufacturing process. Please note
                                              and amend as appropriate, the                             submitting premarket notifications                    that if you include your name, contact
                                              monitoring plan.                                          (510(k)s) for blood glucose monitoring                information, or other information that
                                                Dated: November 26, 2018.                               systems (BGMSs) that are for                          identifies you in the body of your
                                              Leslie Kux,
                                                                                                        prescription point-of-care use. This draft            comments, that information will be
                                                                                                        guidance is not final nor is it in effect             posted on https://www.regulations.gov.
                                              Associate Commissioner for Policy.
                                                                                                        at this time.                                           • If you want to submit a comment
                                              [FR Doc. 2018–26032 Filed 11–29–18; 8:45 am]
                                                                                                        DATES: Submit either electronic or                    with confidential information that you
                                              BILLING CODE 4164–01–P
                                                                                                        written comments on the draft guidance                do not wish to be made available to the
                                                                                                        by February 28, 2019 to ensure that the               public, submit the comment as a
                                              DEPARTMENT OF HEALTH AND                                  Agency considers your comment on this                 written/paper submission and in the
                                              HUMAN SERVICES                                            draft guidance before it begins work on               manner detailed (see ‘‘Written/Paper
                                                                                                        the final version of the guidance.                    Submissions’’ and ‘‘Instructions’’).
                                              Food and Drug Administration                              ADDRESSES: You may submit comments                    Written/Paper Submissions
                                                                                                        on any guidance at any time as follows:
                                              [Docket No. FDA–2013–D–1445]                                                                                      Submit written/paper submissions as
                                                                                                        Electronic Submissions                                follows:
                                              Blood Glucose Monitoring Test                               Submit electronic comments in the                     • Mail/Hand Delivery/Courier (for
                                              Systems for Prescription Point-of-Care                    following way:                                        written/paper submissions): Dockets
amozie on DSK3GDR082PROD with NOTICES1




                                              Use; Draft Guidance for Industry and                        • Federal eRulemaking Portal:                       Management Staff (HFA–305), Food and
                                              Food and Drug Administration Staff;                       https://www.regulations.gov. Follow the               Drug Administration, 5630 Fishers
                                              Availability                                              instructions for submitting comments.                 Lane, Rm. 1061, Rockville, MD 20852.
                                              AGENCY:      Food and Drug Administration,                Comments submitted electronically,                      • For written/paper comments
                                              HHS.                                                      including attachments, to https://                    submitted to the Dockets Management
                                                                                                        www.regulations.gov will be posted to                 Staff, FDA will post your comment, as
                                              ACTION:   Notice of availability.
                                                                                                        the docket unchanged. Because your                    well as any attachments, except for


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Document Created: 2018-11-30 04:35:55
Document Modified: 2018-11-30 04:35:55
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.
DatesSubmit either electronic or written comments on the collection of information by January 29, 2019.
ContactDomini Bean, Office of Operations, Food and Drug Administration, Three White Flint North, 10A-12M, 11601 Landsdown St., North Bethesda, MD 20852, 301-796-5733, [email protected]
FR Citation83 FR 61646 

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