83_FR_62815 83 FR 62582 - Noncirrhotic Nonalcoholic Steatohepatitis With Liver Fibrosis: Developing Drugs for Treatment; Draft Guidance for Industry; Availability

83 FR 62582 - Noncirrhotic Nonalcoholic Steatohepatitis With Liver Fibrosis: Developing Drugs for Treatment; Draft Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 233 (December 4, 2018)

Page Range62582-62583
FR Document2018-26333

The Food and Drug Administration (FDA or Agency) is announcing the availability of a draft guidance for industry entitled ``Noncirrhotic Nonalcoholic Steatohepatitis With Liver Fibrosis: Developing Drugs for Treatment.'' This draft guidance is intended to assist sponsors in the clinical development of drugs for the treatment of noncirrhotic nonalcoholic steatohepatitis (NASH) with liver fibrosis.

Federal Register, Volume 83 Issue 233 (Tuesday, December 4, 2018)
[Federal Register Volume 83, Number 233 (Tuesday, December 4, 2018)]
[Notices]
[Pages 62582-62583]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-26333]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2018-D-3632]


Noncirrhotic Nonalcoholic Steatohepatitis With Liver Fibrosis: 
Developing Drugs for Treatment; Draft Guidance for Industry; 
Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of availability.

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

SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
the availability of a draft guidance for industry entitled 
``Noncirrhotic Nonalcoholic Steatohepatitis With Liver Fibrosis: 
Developing Drugs for Treatment.'' This draft guidance is intended to 
assist sponsors in the clinical development of drugs for the treatment 
of noncirrhotic nonalcoholic steatohepatitis (NASH) with liver 
fibrosis.

DATES: Submit either electronic or written comments on the draft 
guidance by February 4, 2019 to ensure that the Agency considers your 
comment on this draft guidance before it begins work on the final 
version of the guidance.

ADDRESSES: You may submit comments on any guidance at any time as 
follows:

Electronic Submissions

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

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Dockets 
Management Staff, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2018-D-3632 for ``Noncirrhotic Nonalcoholic Steatohepatitis With 
Liver Fibrosis: Developing Drugs 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 the draft guidance to 
the Division of Drug Information, Center for Drug Evaluation and 
Research, Food and Drug Administration, 10001 New Hampshire Ave., 
Hillandale Building, 4th Floor, Silver Spring, MD 20993-0002. Send one 
self-addressed adhesive label to assist that office in processing your 
requests. See the SUPPLEMENTARY INFORMATION section for electronic 
access to the draft guidance document.

FOR FURTHER INFORMATION CONTACT: Evangela Covert, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 22, Rm. 5234, Silver Spring, MD 20993-0002, 301-
796-4075.

SUPPLEMENTARY INFORMATION:

I. Background

    FDA is announcing the availability of a draft guidance for industry 
entitled ``Noncirrhotic Nonalcoholic Steatohepatitis With Liver 
Fibrosis: Developing Drugs for Treatment.'' This draft guidance is 
intended to assist sponsors in the clinical development of drugs for 
the treatment of noncirrhotic NASH with liver fibrosis. The draft 
guidance also identifies knowledge gaps that represent important 
challenges in

[[Page 62583]]

the development of drugs for this indication. This draft guidance does 
not address the clinical development of drugs for the treatment of 
cirrhosis caused by NASH.
    This draft guidance is being issued consistent with FDA's good 
guidance practices regulation (21 CFR 10.115). The draft guidance, when 
finalized, will represent the current thinking of FDA on ``Non-
Cirrhotic Nonalcoholic Steatohepatitis with Liver Fibrosis: Developing 
Drugs 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 draft guidance refers to previously approved collections of 
information found in FDA regulations. These collections of information 
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 addressing 
investigational new drug applications and 21 CFR part 314 addressing 
new drug applications have been approved under OMB control numbers 
0910-0014 and 0910-0001, respectively. The collections of information 
in 21 CFR parts 50 and 56 (Protection of Human Subjects: Informed 
Consent; Institutional Review Boards) have been approved under OMB 
control number 0910-0755.

III. Electronic Access

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

    Dated: November 29, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-26333 Filed 12-3-18; 8:45 am]
 BILLING CODE 4164-01-P



     62582                       Federal Register / Vol. 83, No. 233 / Tuesday, December 4, 2018 / Notices

     § 60.30, including but not limited to:                  Comments submitted electronically,                    claimed confidential information
     Must be timely (see DATES), must be                     including attachments, to https://                    redacted/blacked out, will be available
     filed in accordance with § 10.20, must                  www.regulations.gov will be posted to                 for public viewing and posted on
     contain sufficient facts to merit an FDA                the docket unchanged. Because your                    https://www.regulations.gov. Submit
     investigation, and must certify that a                  comment will be made public, you are                  both copies to the Dockets Management
     true and complete copy of the petition                  solely responsible for ensuring that your             Staff. If you do not wish your name and
     has been served upon the patent                         comment does not include any                          contact information to be made publicly
     applicant. (See H. Rept. 857, part 1, 98th              confidential information that you or a                available, you can provide this
     Cong., 2d sess., pp. 41–42, 1984.)                      third party may not wish to be posted,                information on the cover sheet and not
     Petitions should be in the format                       such as medical information, your or                  in the body of your comments and you
     specified in 21 CFR 10.30.                              anyone else’s Social Security number, or              must identify this information as
        Submit petitions electronically to                   confidential business information, such               ‘‘confidential.’’ Any information marked
     https://www.regulations.gov at Docket                   as a manufacturing process. Please note               as ‘‘confidential’’ will not be disclosed
     No. FDA–2013–S–0610. Submit written                     that if you include your name, contact                except in accordance with 21 CFR 10.20
     petitions (two copies are required) to the              information, or other information that                and other applicable disclosure law. For
     Dockets Management Staff (HFA–305),                     identifies you in the body of your                    more information about FDA’s posting
     Food and Drug Administration, 5630                      comments, that information will be                    of comments to public dockets, see 80
     Fishers Lane, Rm. 1061, Rockville, MD                   posted on https://www.regulations.gov.                FR 56469, September 18, 2015, or access
     20852.                                                    • If you want to submit a comment                   the information at: https://www.gpo.gov/
                                                             with confidential information that you                fdsys/pkg/FR-2015-09-18/pdf/2015-
       Dated: November 28, 2018.
                                                             do not wish to be made available to the               23389.pdf.
     Leslie Kux,                                             public, submit the comment as a                          Docket: For access to the docket to
     Associate Commissioner for Policy.                      written/paper submission and in the                   read background documents or the
     [FR Doc. 2018–26290 Filed 12–3–18; 8:45 am]             manner detailed (see ‘‘Written/Paper                  electronic and written/paper comments
     BILLING CODE 4164–01–P                                  Submissions’’ and ‘‘Instructions’’).                  received, go to https://
                                                             Written/Paper Submissions                             www.regulations.gov and insert the
                                                                                                                   docket number, found in brackets in the
     DEPARTMENT OF HEALTH AND                                   Submit written/paper submissions as
                                                                                                                   heading of this document, into the
     HUMAN SERVICES                                          follows:
                                                                                                                   ‘‘Search’’ box and follow the prompts
                                                                • Mail/Hand delivery/Courier (for
     Food and Drug Administration                                                                                  and/or go to the Dockets Management
                                                             written/paper submissions): Dockets
                                                                                                                   Staff, 5630 Fishers Lane, Rm. 1061,
     [Docket No. FDA–2018–D–3632]                            Management Staff (HFA–305), Food and
                                                                                                                   Rockville, MD 20852.
                                                             Drug Administration, 5630 Fishers
                                                                                                                      You may submit comments on any
     Noncirrhotic Nonalcoholic                               Lane, Rm. 1061, Rockville, MD 20852.
                                                                • For written/paper comments                       guidance at any time (see 21 CFR
     Steatohepatitis With Liver Fibrosis:                                                                          10.115(g)(5)).
     Developing Drugs for Treatment; Draft                   submitted to the Dockets Management
                                                             Staff, FDA will post your comment, as                    Submit written requests for single
     Guidance for Industry; Availability                                                                           copies of the draft guidance to the
                                                             well as any attachments, except for
     AGENCY:    Food and Drug Administration,                information submitted, marked and                     Division of Drug Information, Center for
     HHS.                                                    identified, as confidential, if submitted             Drug Evaluation and Research, Food
     ACTION:   Notice of availability.                       as detailed in ‘‘Instructions.’’                      and Drug Administration, 10001 New
                                                                Instructions: All submissions received             Hampshire Ave., Hillandale Building,
     SUMMARY:   The Food and Drug                            must include the Docket No. FDA–                      4th Floor, Silver Spring, MD 20993–
     Administration (FDA or Agency) is                       2018–D–3632 for ‘‘Noncirrhotic                        0002. Send one self-addressed adhesive
     announcing the availability of a draft                  Nonalcoholic Steatohepatitis With Liver               label to assist that office in processing
     guidance for industry entitled                          Fibrosis: Developing Drugs for                        your requests. See the SUPPLEMENTARY
     ‘‘Noncirrhotic Nonalcoholic                             Treatment.’’ Received comments will be                INFORMATION section for electronic
     Steatohepatitis With Liver Fibrosis:                    placed in the docket and, except for                  access to the draft guidance document.
     Developing Drugs for Treatment.’’ This                  those submitted as ‘‘Confidential                     FOR FURTHER INFORMATION CONTACT:
     draft guidance is intended to assist                    Submissions,’’ publicly viewable at                   Evangela Covert, Center for Drug
     sponsors in the clinical development of                 https://www.regulations.gov or at the                 Evaluation and Research, Food and
     drugs for the treatment of noncirrhotic                 Dockets Management Staff between 9                    Drug Administration, 10903 New
     nonalcoholic steatohepatitis (NASH)                     a.m. and 4 p.m., Monday through                       Hampshire Ave., Bldg. 22, Rm. 5234,
     with liver fibrosis.                                    Friday.                                               Silver Spring, MD 20993–0002, 301–
     DATES: Submit either electronic or                         • Confidential Submissions—To                      796–4075.
     written comments on the draft guidance                  submit a comment with confidential                    SUPPLEMENTARY INFORMATION:
     by February 4, 2019 to ensure that the                  information that you do not wish to be
     Agency considers your comment on this                   made publicly available, submit your                  I. Background
     draft guidance before it begins work on                 comments only as a written/paper                         FDA is announcing the availability of
     the final version of the guidance.                      submission. You should submit two                     a draft guidance for industry entitled
     ADDRESSES: You may submit comments                      copies total. One copy will include the               ‘‘Noncirrhotic Nonalcoholic
     on any guidance at any time as follows:                 information you claim to be confidential              Steatohepatitis With Liver Fibrosis:
                                                             with a heading or cover note that states              Developing Drugs for Treatment.’’ This
     Electronic Submissions                                  ‘‘THIS DOCUMENT CONTAINS                              draft guidance is intended to assist
       Submit electronic comments in the                     CONFIDENTIAL INFORMATION.’’ The                       sponsors in the clinical development of
     following way:                                          Agency will review this copy, including               drugs for the treatment of noncirrhotic
       • Federal eRulemaking Portal:                         the claimed confidential information, in              NASH with liver fibrosis. The draft
     https://www.regulations.gov. Follow the                 its consideration of comments. The                    guidance also identifies knowledge gaps
     instructions for submitting comments.                   second copy, which will have the                      that represent important challenges in


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                                 Federal Register / Vol. 83, No. 233 / Tuesday, December 4, 2018 / Notices                                          62583

     the development of drugs for this                       DEPARTMENT OF HEALTH AND                              anyone else’s Social Security number, or
     indication. This draft guidance does not                HUMAN SERVICES                                        confidential business information, such
     address the clinical development of                                                                           as a manufacturing process. Please note
     drugs for the treatment of cirrhosis                    Food and Drug Administration                          that if you include your name, contact
     caused by NASH.                                         [Docket No. FDA–2015–N–3815]                          information, or other information that
                                                                                                                   identifies you in the body of your
       This draft guidance is being issued
                                                             Agency Information Collection                         comments, that information will be
     consistent with FDA’s good guidance                                                                           posted on https://www.regulations.gov.
                                                             Activities; Proposed Collection;
     practices regulation (21 CFR 10.115).                                                                           • If you want to submit a comment
                                                             Comment Request; Electronic
     The draft guidance, when finalized, will                                                                      with confidential information that you
                                                             Submission of Medical Device
     represent the current thinking of FDA                   Registration and Listing                              do not wish to be made available to the
     on ‘‘Non-Cirrhotic Nonalcoholic                                                                               public, submit the comment as a
     Steatohepatitis with Liver Fibrosis:                    AGENCY:    Food and Drug Administration,              written/paper submission and in the
     Developing Drugs for Treatment.’’ It                    HHS.                                                  manner detailed (see ‘‘Written/Paper
     does not establish any rights for any                   ACTION:   Notice.                                     Submissions’’ and ‘‘Instructions’’).
     person and is not binding on FDA or the                                                                       Written/Paper Submissions
                                                             SUMMARY:    The Food and Drug
     public. You can use an alternative                      Administration (FDA or Agency) is
     approach if it satisfies the requirements                                                                        Submit written/paper submissions as
                                                             announcing an opportunity for public                  follows:
     of the applicable statutes and                          comment on the proposed collection of                    • Mail/Hand delivery/Courier (for
     regulations. This guidance is not subject               certain information by the Agency.                    written/paper submissions): Dockets
     to Executive Order 12866.                               Under the Paperwork Reduction Act of                  Management Staff (HFA–305), Food and
     II. Paperwork Reduction Act of 1995                     1995 (PRA), Federal Agencies are                      Drug Administration, 5630 Fishers
                                                             required to publish notice in the                     Lane, Rm. 1061, Rockville, MD 20852.
       This draft guidance refers to                         Federal Register concerning each                         • For written/paper comments
     previously approved collections of                      proposed collection of information,                   submitted to the Dockets Management
     information found in FDA regulations.                   including each proposed extension of an               Staff, FDA will post your comment, as
     These collections of information are                    existing collection of information, and               well as any attachments, except for
     subject to review by the Office of                      to allow 60 days for public comment in                information submitted, marked and
     Management and Budget (OMB) under                       response to the notice. This notice                   identified, as confidential, if submitted
     the Paperwork Reduction Act of 1995                     solicits comments on information                      as detailed in ‘‘Instructions.’’
     (44 U.S.C. 3501–3520). The collections                  collection associated with electronic                    Instructions: All submissions received
     of information in 21 CFR part 312                       submission of medical device                          must include the Docket No. FDA–
                                                             registration and listing.                             2015–N–3815 for ‘‘Agency Information
     addressing investigational new drug
                                                             DATES: Submit either electronic or                    Collection Activities; Proposed
     applications and 21 CFR part 314
                                                             written comments on the collection of                 Collection; Comment Request;
     addressing new drug applications have
                                                             information by February 4, 2019.                      Electronic Submission of Medical
     been approved under OMB control                                                                               Device Registration and Listing.’’
                                                             ADDRESSES: You may submit comments
     numbers 0910–0014 and 0910–0001,                                                                              Received comments, those filed in a
     respectively. The collections of                        as follows. Please note that late,
                                                             untimely filed comments will not be                   timely manner (see ADDRESSES), will be
     information in 21 CFR parts 50 and 56                                                                         placed in the docket and, except for
                                                             considered. Electronic comments must
     (Protection of Human Subjects:                                                                                those submitted as ‘‘Confidential
                                                             be submitted on or before February 4,
     Informed Consent; Institutional Review                  2019. The https://www.regulations.gov                 Submissions,’’ publicly viewable at
     Boards) have been approved under OMB                    electronic filing system will accept                  https://www.regulations.gov or at the
     control number 0910–0755.                               comments until 11:59 p.m. Eastern Time                Dockets Management Staff between 9
     III. Electronic Access                                  at the end of February 4, 2019.                       a.m. and 4 p.m., Monday through
                                                             Comments received by mail/hand                        Friday.
       Persons with access to the internet                   delivery/courier (for written/paper                      • Confidential Submissions—To
     may obtain the draft guidance at either                 submissions) will be considered timely                submit a comment with confidential
     https://www.fda.gov/Drugs/                              if they are postmarked or the delivery                information that you do not wish to be
     GuidanceComplianceRegulatory                            service acceptance receipt is on or                   made publicly available, submit your
     Information/Guidances/default.htm or                    before that date.                                     comments only as a written/paper
     https://www.regulations.gov.                                                                                  submission. You should submit two
                                                             Electronic Submissions                                copies total. One copy will include the
       Dated: November 29, 2018.                               Submit electronic comments in the                   information you claim to be confidential
     Leslie Kux,                                             following way:                                        with a heading or cover note that states
     Associate Commissioner for Policy.                        • Federal eRulemaking Portal:                       ‘‘THIS DOCUMENT CONTAINS
     [FR Doc. 2018–26333 Filed 12–3–18; 8:45 am]             https://www.regulations.gov. Follow the               CONFIDENTIAL INFORMATION.’’ The
     BILLING CODE 4164–01–P
                                                             instructions for submitting comments.                 Agency will review this copy, including
                                                             Comments submitted electronically,                    the claimed confidential information, in
                                                             including attachments, to https://                    its consideration of comments. The
                                                             www.regulations.gov will be posted to                 second copy, which will have the
                                                             the docket unchanged. Because your                    claimed confidential information
                                                             comment will be made public, you are                  redacted/blacked out, will be available
                                                             solely responsible for ensuring that your             for public viewing and posted on
                                                             comment does not include any                          https://www.regulations.gov. Submit
                                                             confidential information that you or a                both copies to the Dockets Management
                                                             third party may not wish to be posted,                Staff. If you do not wish your name and
                                                             such as medical information, your or                  contact information to be made publicly


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Document Created: 2018-12-04 00:42:38
Document Modified: 2018-12-04 00:42:38
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of availability.
DatesSubmit either electronic or written comments on the draft guidance by February 4, 2019 to ensure that the Agency considers your comment on this draft guidance before it begins work on the final version of the guidance.
ContactEvangela Covert, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 22, Rm. 5234, Silver Spring, MD 20993-0002, 301- 796-4075.
FR Citation83 FR 62582 

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