83_FR_7093 83 FR 7060 - Early Alzheimer's Disease: Developing Drugs for Treatment; Draft Guidance for Industry; Availability

83 FR 7060 - Early Alzheimer's Disease: Developing Drugs for Treatment; Draft Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 83, Issue 33 (February 16, 2018)

Page Range7060-7061
FR Document2018-03226

The Food and Drug Administration (FDA or Agency) is announcing the availability of a draft guidance for industry entitled ``Early Alzheimer's Disease: Developing Drugs for Treatment.'' This guidance is intended to assist sponsors in the clinical development of drugs for the treatment of the stages of sporadic Alzheimer's disease (AD) that occur before the onset of overt dementia. This guidance revises the draft guidance for industry entitled ``Alzheimer's Disease: Developing Drugs for the Treatment of Early Stage Disease'' issued February 8, 2013.

Federal Register, Volume 83 Issue 33 (Friday, February 16, 2018)
[Federal Register Volume 83, Number 33 (Friday, February 16, 2018)]
[Notices]
[Pages 7060-7061]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-03226]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2013-D-0077]


Early Alzheimer's Disease: Developing Drugs for Treatment; Draft 
Guidance for Industry; Availability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the availability of a draft guidance for industry entitled ``Early 
Alzheimer's Disease: Developing Drugs for Treatment.'' This guidance is 
intended to assist sponsors in the clinical development of drugs for 
the treatment of the stages of sporadic Alzheimer's disease (AD) that 
occur before the onset of overt dementia. This guidance revises the 
draft guidance for industry entitled ``Alzheimer's Disease: Developing 
Drugs for the Treatment of Early Stage Disease'' issued February 8, 
2013.

DATES: Submit either electronic or written comments on the draft 
guidance by May 17, 2018 to ensure that the Agency considers your 
comment on this draft guidance before it begins work on the final 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:

[[Page 7061]]

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-2013-D-0077 for ``Early Alzheimer's Disease: Developing Drugs for 
Treatment; Draft Guidance for Industry; Availability.'' 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, or Office 
of Communication, Outreach, and Development, Center for Biologics 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 71, Rm. 3128, 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: Billy Dunn, Center for Drug Evaluation 
and Research, Food and Drug Administration, 10903 New Hampshire Ave., 
Bldg. 22, Rm. 4339, Silver Spring, MD 20993-0002, 301-796-2250; or 
Stephen Ripley, Center for Biologics Evaluation and Research, Food and 
Drug Administration, 10903 New Hampshire Ave., Bldg. 71, Rm. 7301, 
Silver Spring, MD 20993-0002, 240-402-7911.

SUPPLEMENTARY INFORMATION:

I. Background

    FDA is announcing the availability of a draft guidance for industry 
entitled ``Early Alzheimer's Disease: Developing Drugs for Treatment.'' 
This draft guidance is intended to assist sponsors in the clinical 
development of drugs for the treatment of the stages of sporadic AD 
that occur before the onset of overt dementia. This draft guidance 
revises the draft guidance for industry entitled ``Alzheimer's Disease: 
Developing Drugs for the Treatment of Early Stage Disease'' issued 
February 8, 2013 (78 FR 9396), and reflects FDA's consideration of 
public comments on the draft guidance. This revision addresses FDA's 
current thinking regarding the selection of patients with early AD for 
enrollment into clinical trials and the selection of endpoints for 
clinical trials in these populations.
    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 developing 
drugs for the treatment of early Alzheimer's disease. 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 draft 
guidance is not subject to Executive Order 12866.

II. Electronic Access

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

    Dated: February 12, 2018.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2018-03226 Filed 2-15-18; 8:45 am]
BILLING CODE 4164-01-P



                                               7060                          Federal Register / Vol. 83, No. 33 / Friday, February 16, 2018 / Notices

                                               heading of this document, into the                      device had undergone a regulatory                     comply with all the requirements of
                                               ‘‘Search’’ box and follow the prompts                   review period and that the approval of                § 60.30, including but not limited to:
                                               and/or go to the Dockets Management                     HYMOVIS represented the first                         Must be timely (see DATES), Must be
                                               Staff, 5630 Fishers Lane, Rm. 1061,                     permitted commercial marketing or use                 filed in accordance with § 10.20, must
                                               Rockville, MD 20852.                                    of the product. Thereafter, the USPTO                 contain sufficient facts to merit an FDA
                                               FOR FURTHER INFORMATION CONTACT:                        requested that FDA determine the                      investigation, and must certify that a
                                               Beverly Friedman, Office of Regulatory                  product’s regulatory review period.                   true and complete copy of the petition
                                               Policy, Food and Drug Administration,                   II. Determination of Regulatory Review                has been served upon the patent
                                               10903 New Hampshire Ave., Bldg. 51,                     Period                                                applicant. (See H. Rept. 857, part 1, 98th
                                               Rm. 6250, Silver Spring, MD 20993,                                                                            Cong., 2d sess., pp. 41–42, 1984.)
                                                                                                          FDA has determined that the                        Petitions should be in the format
                                               301–796–3600.
                                                                                                       applicable regulatory review period for               specified in 21 CFR 10.30.
                                               SUPPLEMENTARY INFORMATION:                              HYMOVIS is 1,845 days. Of this time,
                                                                                                       1,665 days occurred during the testing                   Submit petitions electronically to
                                               I. Background
                                                                                                       phase of the regulatory review period,                https://www.regulations.gov at Docket
                                                  The Drug Price Competition and                                                                             No. FDA–2013–S–0610. Submit written
                                                                                                       while 180 days occurred during the
                                               Patent Term Restoration Act of 1984                                                                           petitions (two copies are required) to the
                                                                                                       approval phase. These periods of time
                                               (Pub. L. 98–417) and the Generic                                                                              Dockets Management Staff (HFA–305),
                                                                                                       were derived from the following dates:
                                               Animal Drug and Patent Term                                1. The date an exemption under                     Food and Drug Administration, 5630
                                               Restoration Act (Pub. L. 100–670)                       section 520(g) of the Federal Food, Drug,             Fishers Lane, Rm. 1061, Rockville, MD
                                               generally provide that a patent may be                  and Cosmetic Act (FD&C Act) (21 U.S.C.                20852.
                                               extended for a period of up to 5 years                  360j(g)) involving this device became                   Dated: February 12, 2018.
                                               so long as the patented item (human                     effective: August 11, 2010. The                       Leslie Kux,
                                               drug product, animal drug product,                      applicant claims that the investigational             Associate Commissioner for Policy.
                                               medical device, food additive, or color                 device exemption (IDE) required under
                                               additive) was subject to regulatory                                                                           [FR Doc. 2018–03229 Filed 2–15–18; 8:45 am]
                                                                                                       section 520(g) of the FD&C Act for
                                               review by FDA before the item was                       human tests to begin became effective
                                                                                                                                                             BILLING CODE 4164–01–P

                                               marketed. Under these acts, a product’s                 on January 7, 2011. However, FDA
                                               regulatory review period forms the basis                records indicate that the IDE was
                                               for determining the amount of extension                                                                       DEPARTMENT OF HEALTH AND
                                                                                                       determined substantially complete for                 HUMAN SERVICES
                                               an applicant may receive.                               clinical studies to have begun on August
                                                  A regulatory review period consists of               11, 2010, which represents the IDE                    Food and Drug Administration
                                               two periods of time: A testing phase and                effective date.
                                               an approval phase. For medical devices,                    2. The date an application was
                                               the testing phase begins with a clinical                                                                      [Docket No. FDA–2013–D–0077]
                                                                                                       initially submitted with respect to the
                                               investigation of the device and runs                    device under section 515 of the FD&C                  Early Alzheimer’s Disease: Developing
                                               until the approval phase begins. The                    Act (21 U.S.C. 360e): March 2, 2015.                  Drugs for Treatment; Draft Guidance
                                               approval phase starts with the initial                  FDA has verified the applicant’s claim                for Industry; Availability
                                               submission of an application to market                  that the premarket approval application
                                               the device and continues until                          (PMA) for HYMOVIS (PMA P150010)                       AGENCY:    Food and Drug Administration,
                                               permission to market the device is                      was initially submitted March 2, 2015.                HHS.
                                               granted. Although only a portion of a                      3. The date the application was
                                               regulatory review period may count                      approved: August 28, 2015. FDA has                    ACTION:   Notice of availability.
                                               toward the actual amount of extension                   verified the applicant’s claim that PMA
                                               that the Director of USPTO may award                    P150010 was approved on August 28,                    SUMMARY:   The Food and Drug
                                               (half the testing phase must be                         2015.                                                 Administration (FDA or Agency) is
                                               subtracted as well as any time that may                    This determination of the regulatory               announcing the availability of a draft
                                               have occurred before the patent was                     review period establishes the maximum                 guidance for industry entitled ‘‘Early
                                               issued), FDA’s determination of the                     potential length of a patent extension.               Alzheimer’s Disease: Developing Drugs
                                               length of a regulatory review period for                However, the USPTO applies several                    for Treatment.’’ This guidance is
                                               a medical device will include all of the                statutory limitations in its calculations             intended to assist sponsors in the
                                               testing phase and approval phase as                     of the actual period for patent extension.            clinical development of drugs for the
                                               specified in 35 U.S.C. 156(g)(3)(B).                    In its application for patent extension,              treatment of the stages of sporadic
                                                  FDA has approved for marketing the                   this applicant seeks 938 days of patent               Alzheimer’s disease (AD) that occur
                                               medical device HYMOVIS. HYMOVIS is                      term extension.                                       before the onset of overt dementia. This
                                               indicated for the treatment of pain in                                                                        guidance revises the draft guidance for
                                               osteoarthritis of the knee in patients                  III. Petitions                                        industry entitled ‘‘Alzheimer’s Disease:
                                               who have failed to respond adequately                      Anyone with knowledge that any of                  Developing Drugs for the Treatment of
                                               to conservative non-pharmacologic                       the dates as published are incorrect may              Early Stage Disease’’ issued February 8,
                                               therapy and to simple analgesics.                       submit either electronic or written                   2013.
                                               Subsequent to this approval, the USPTO                  comments and, under 21 CFR 60.24, ask
                                                                                                                                                             DATES:  Submit either electronic or
                                               received a patent term restoration                      for a redetermination (see DATES).
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                                                                                                                                                             written comments on the draft guidance
                                               application for HYMOVIS (U.S. Patent                    Furthermore, as specified in § 60.30 (21
                                                                                                                                                             by May 17, 2018 to ensure that the
                                               No. 7,863,256) from Fidia Farmaceutici                  CFR 60.30), any interested person may
                                                                                                                                                             Agency considers your comment on this
                                               S.p.A., and the USPTO requested FDA’s                   petition FDA for a determination
                                                                                                                                                             draft guidance before it begins work on
                                               assistance in determining this patent’s                 regarding whether the applicant for
                                                                                                                                                             the final version of the guidance.
                                               eligibility for patent term restoration. In             extension acted with due diligence
                                               a letter dated September 26, 2016, FDA                  during the regulatory review period. To               ADDRESSES: You may submit comments
                                               advised the USPTO that this medical                     meet its burden, the petition must                    on any guidance at any time as follows:


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                                                                             Federal Register / Vol. 83, No. 33 / Friday, February 16, 2018 / Notices                                                 7061

                                               Electronic Submissions                                  with a heading or cover note that states              Drug Administration, 10903 New
                                                 Submit electronic comments in the                     ‘‘THIS DOCUMENT CONTAINS                              Hampshire Ave., Bldg. 71, Rm. 7301,
                                               following way:                                          CONFIDENTIAL INFORMATION.’’ The                       Silver Spring, MD 20993–0002, 240–
                                                 • Federal eRulemaking Portal:                         Agency will review this copy, including               402–7911.
                                               https://www.regulations.gov. Follow the                 the claimed confidential information, in
                                                                                                       its consideration of comments. The                    SUPPLEMENTARY INFORMATION:
                                               instructions for submitting comments.
                                               Comments submitted electronically,                      second copy, which will have the                      I. Background
                                               including attachments, to https://                      claimed confidential information
                                               www.regulations.gov will be posted to                   redacted/blacked out, will be available                  FDA is announcing the availability of
                                               the docket unchanged. Because your                      for public viewing and posted on                      a draft guidance for industry entitled
                                               comment will be made public, you are                    https://www.regulations.gov. Submit                   ‘‘Early Alzheimer’s Disease: Developing
                                               solely responsible for ensuring that your               both copies to the Dockets Management                 Drugs for Treatment.’’ This draft
                                               comment does not include any                            Staff. If you do not wish your name and               guidance is intended to assist sponsors
                                               confidential information that you or a                  contact information to be made publicly               in the clinical development of drugs for
                                               third party may not wish to be posted,                  available, you can provide this                       the treatment of the stages of sporadic
                                               such as medical information, your or                    information on the cover sheet and not                AD that occur before the onset of overt
                                               anyone else’s Social Security number, or                in the body of your comments and you                  dementia. This draft guidance revises
                                               confidential business information, such                 must identify this information as                     the draft guidance for industry entitled
                                               as a manufacturing process. Please note                 ‘‘confidential.’’ Any information marked              ‘‘Alzheimer’s Disease: Developing Drugs
                                               that if you include your name, contact                  as ‘‘confidential’’ will not be disclosed             for the Treatment of Early Stage
                                               information, or other information that                  except in accordance with 21 CFR 10.20                Disease’’ issued February 8, 2013 (78 FR
                                               identifies you in the body of your                      and other applicable disclosure law. For
                                                                                                                                                             9396), and reflects FDA’s consideration
                                               comments, that information will be                      more information about FDA’s posting
                                                                                                                                                             of public comments on the draft
                                               posted on https://www.regulations.gov.                  of comments to public dockets, see 80
                                                                                                       FR 56469, September 18, 2015, or access               guidance. This revision addresses FDA’s
                                                 • If you want to submit a comment                                                                           current thinking regarding the selection
                                               with confidential information that you                  the information at: https://www.gpo.gov/
                                                                                                       fdsys/pkg/FR-2015-09-18/pdf/2015-                     of patients with early AD for enrollment
                                               do not wish to be made available to the                                                                       into clinical trials and the selection of
                                               public, submit the comment as a                         23389.pdf.
                                                                                                          Docket: For access to the docket to                endpoints for clinical trials in these
                                               written/paper submission and in the                                                                           populations.
                                               manner detailed (see ‘‘Written/Paper                    read background documents or the
                                               Submissions’’ and ‘‘Instructions’’).                    electronic and written/paper comments                    This draft guidance is being issued
                                                                                                       received, go to https://                              consistent with FDA’s good guidance
                                               Written/Paper Submissions                               www.regulations.gov and insert the                    practices regulation (21 CFR 10.115).
                                                 Submit written/paper submissions as                   docket number, found in brackets in the               The draft guidance, when finalized, will
                                               follows:                                                heading of this document, into the                    represent the current thinking of FDA
                                                 • Mail/Hand delivery/Courier (for                     ‘‘Search’’ box and follow the prompts                 on developing drugs for the treatment of
                                               written/paper submissions): Dockets                     and/or go to the Dockets Management                   early Alzheimer’s disease. It does not
                                               Management Staff (HFA–305), Food and                    Staff, 5630 Fishers Lane, Rm. 1061,                   establish any rights for any person and
                                               Drug Administration, 5630 Fishers                       Rockville, MD 20852.                                  is not binding on FDA or the public.
                                               Lane, Rm. 1061, Rockville, MD 20852.                       You may submit comments on any                     You can use an alternative approach if
                                                 • For written/paper comments                          guidance at any time (see 21 CFR
                                                                                                                                                             it satisfies the requirements of the
                                               submitted to the Dockets Management                     10.115(g)(5)).
                                                                                                                                                             applicable statutes and regulations. This
                                               Staff, FDA will post your comment, as                      Submit written requests for single
                                                                                                       copies of the draft guidance to the                   draft guidance is not subject to
                                               well as any attachments, except for                                                                           Executive Order 12866.
                                               information submitted, marked and                       Division of Drug Information, Center for
                                               identified, as confidential, if submitted               Drug Evaluation and Research, Food                    II. Electronic Access
                                               as detailed in ‘‘Instructions.’’                        and Drug Administration, 10001 New
                                                 Instructions: All submissions received                Hampshire Ave., Hillandale Building,                    Persons with access to the internet
                                               must include the Docket No. FDA–                        4th Floor, Silver Spring, MD 20993–                   may obtain the draft guidance at https://
                                               2013–D–0077 for ‘‘Early Alzheimer’s                     0002, or Office of Communication,                     www.fda.gov/Drugs/Guidance
                                               Disease: Developing Drugs for                           Outreach, and Development, Center for                 ComplianceRegulatoryInformation/
                                               Treatment; Draft Guidance for Industry;                 Biologics Evaluation and Research,                    Guidances/default.htm, https://
                                               Availability.’’ Received comments will                  Food and Drug Administration, 10903                   www.fda.gov/BiologicsBloodVaccines/
                                               be placed in the docket and, except for                 New Hampshire Ave., Bldg. 71, Rm.                     GuidanceComplianceRegulatory
                                               those submitted as ‘‘Confidential                       3128, Silver Spring, MD 20993–0002.                   Information/default.htm, or https://
                                               Submissions,’’ publicly viewable at                     Send one self-addressed adhesive label                www.regulations.gov.
                                               https://www.regulations.gov or at the                   to assist that office in processing your
                                                                                                                                                               Dated: February 12, 2018.
                                               Dockets Management Staff between 9                      requests. See the SUPPLEMENTARY
                                                                                                       INFORMATION section for electronic                    Leslie Kux,
                                               a.m. and 4 p.m., Monday through
                                               Friday.                                                 access to the draft guidance document.                Associate Commissioner for Policy.
                                                 • Confidential Submissions—To                         FOR FURTHER INFORMATION CONTACT:                      [FR Doc. 2018–03226 Filed 2–15–18; 8:45 am]
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                                               submit a comment with confidential                      Billy Dunn, Center for Drug Evaluation                BILLING CODE 4164–01–P
                                               information that you do not wish to be                  and Research, Food and Drug
                                               made publicly available, submit your                    Administration, 10903 New Hampshire
                                               comments only as a written/paper                        Ave., Bldg. 22, Rm. 4339, Silver Spring,
                                               submission. You should submit two                       MD 20993–0002, 301–796–2250; or
                                               copies total. One copy will include the                 Stephen Ripley, Center for Biologics
                                               information you claim to be confidential                Evaluation and Research, Food and


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Document Created: 2018-02-16 00:55:44
Document Modified: 2018-02-16 00:55:44
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 May 17, 2018 to ensure that the Agency considers your comment on this draft guidance before it begins work on the final version of the guidance.
ContactBilly Dunn, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 22, Rm. 4339, Silver Spring, MD 20993-0002, 301-796-2250; or Stephen Ripley, Center for Biologics Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 71, Rm. 7301, Silver Spring, MD 20993-0002, 240-402-7911.
FR Citation83 FR 7060 

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