The Food and Drug Administration (FDA) is announcing the renewal of the Pulmonary-Allergy Drugs Advisory Committee by the Commissioner of Food and Drugs (the Commissioner). The ...
The Food and Drug Administration (FDA) is announcing the renewal of the Pulmonary-Allergy Drugs Advisory Committee by the Commissioner of Food and Drugs (the Commissioner). The Commissioner has determined that it is in the public interest to renew the Pulmonary-Allergy Drugs Advisory Committee for an additional 2 years beyond the charter expiration date. The new charter will be in effect until the May 30, 2028, expiration date.
DATES:
Authority for the Pulmonary-Allergy Drugs Advisory Committee will expire on May 30, 2026, unless the Commissioner formally determines that renewal is in the public interest.
FOR FURTHER INFORMATION CONTACT:
Advisory Committee Oversight and Management Staff, Office of the Chief Scientist, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 1, Rm. 3215, Silver Spring, MD 20993-0002, (301) 796-8220,
ACOMSSubmissions@fda.hhs.gov.
SUPPLEMENTARY INFORMATION:
Pursuant to 41 CFR 102-3.65 and approval by the Department of Health and Human Services and by the General Services Administration, FDA is announcing the renewal of the Pulmonary-Allergy Drugs Advisory Committee (the Committee). The Committee is a discretionary Federal advisory committee established to provide advice to the Commissioner. The Committee advises the Commissioner or designee in discharging responsibilities as they relate to helping to ensure safe and effective drugs for human use and, as required, any other product for which FDA has regulatory responsibility.
The Committee reviews and evaluates available data concerning the safety and effectiveness of marketed and investigational human drug products for use in the treatment of pulmonary disease and diseases with allergic and/or immunologic mechanisms and makes appropriate recommendations to the Commissioner.
The Committee shall consist of a core of at least six voting members including the Chair. Subject to legal and regulatory requirements, members and the Chair are selected by and serve at the discretion of the Commissioner or designee. Each member, including the Chair, will be selected from among authorities knowledgeable in the fields of pulmonary medicine, allergy, clinical immunology, and epidemiology or statistics.
Members will be invited to serve for terms of up to four years, or for less time at the discretion of the Commissioner or designee. Non-Federal members of this committee will serve as Special Government Employees or representatives. Federal members will serve as Regular Government Employees or Ex-Officios.
In addition to the voting members, the Commissioner or designee may identify consumer and/or industry representatives to join the Committee (or serve as alternate representatives) as non-voting representative member(s), via a process consistent with legal and regulatory requirements. Individuals currently employed at FDA-regulated companies, such as pharmaceutical and medical device manufacturers, shall not be selected to serve as members of the Committee unless this Committee is expected to address issues for which inclusion of an industry representative is required by statute. If this Committee includes an industry representative, the Commissioner or designee will determine whether to invite them to participate in meetings on a case-by-case basis, according to applicable legal and regulatory requirements.
The Commissioner or designee shall have the authority to select members of other scientific and technical FDA advisory committees to serve temporarily as voting members and to designate Special Government Employees to serve temporarily as voting members when: (1) expertise is required that is not available among current voting standing members of the Committee (when additional voting members are added to the Committee to provide needed expertise, a quorum will be based on the combined total of regular and added members), or (2) to comprise a quorum when, because of unforeseen circumstances, a quorum is or will be lacking.
A quorum for the Committee is a majority of the current voting members present at the time, provided that FDA may specify a quorum that is less than a majority of the current voting members because of the size of the Committee and the variety in the types of issues that it will consider, or other reason determined appropriate in accordance with legal and regulatory requirements. 21 CFR 14.22(d).
If functioning as a medical device panel, an additional non-voting representative member of consumer interests and an additional non-voting representative member of industry interests will be included in addition to the voting members.
Members appointed to an advisory committee serve for the duration of the committee, or until their terms expire, they resign, or they are removed from membership by the Commissioner or designee. Committee members' terms may be ended prior to their date of expiration, for reasons determined to be good cause. Good cause includes excessive absenteeism from committee meetings, a demonstrated bias that interferes with the ability to render objective advice, failure to abide by established procedures, or violation of other applicable rules and regulations.
Renewal Requirements and Justification:
The Commissioner has determined that renewal of the Pulmonary-Allergy Drugs Advisory Committee is in the public interest. This determination is based on the Committee's essential role in providing independent expert advice on the safety and effectiveness of marketed and investigational human drug products for use in the treatment of pulmonary disease and diseases with allergic and/or immunologic mechanisms, the continued need for specialized expertise in this therapeutic area, and the Committee's demonstrated value in supporting FDA's regulatory mission. The following information supports this determination in accordance with applicable legal and regulatory requirements.
Public Interest Determination
Pursuant to 41 CFR 102-3.60(a), to establish, renew, reestablish, or merge a discretionary (agency discretion) advisory committee, an agency must first consult with the General Services Administration's Committee Management Secretariat (the Secretariat) and, as part of the consultation, provide a written public interest determination
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approved by the head of the agency to the Secretariat with a copy to the Office of Management and Budget. In addition, pursuant to 41 CFR 102-3.35, an agency shall follow the same consultation process and document in writing the same determination of need before creating a subcommittee under a discretionary committee that is not made up entirely of members of a parent advisory committee.
Information on the following factors for the committee is provided to the Secretariat to demonstrate that renewing the committee is in the public interest:
1.
Annual budget:
Annual budget and expected costs: $123,187.
a.
Federal personnel on a full-time equivalent (FTE) basis:
The estimate person years of Federal staff support required is 0.10 at an estimated annual cost of $19,979.
b.
Other Federal internal costs:
The anticipated total value in dollars of other internal costs, such as costs associated with IT and supplies for meetings, is $63,849.
c.
Proposed payments to members:
The estimated annual payment to members is $7,447.
d.
Proposed number of members:
The anticipated number of members is 6.
e.
Reimbursable costs:
The estimated annual reimbursable costs, including travel and related expenses for members, is $24,466.
2.
If applicable, the total dollar value of grants expected to be recommended during the fiscal year:
N/A.
3.
Criteria for selecting members to ensure the committee has the necessary expertise and fairly balanced membership:
Ensuring Necessary Expertise:
Members must have background, education, and experience commensurate with the committee's function of advising FDA on the existing and relevant evidence of benefits and risks of marketed and investigational human drug products for use in pulmonary disease, diseases with allergic and/or immunologic mechanisms, and related specialties. Scientific and technical competence is critical. Nominees should be acknowledged experts with demonstrated skills in critical evaluation of data and effective communication. As outlined in the committee charter, the membership should include authorities knowledgeable in the fields of pulmonary medicine, allergy, clinical immunology, and epidemiology or statistics and related specialties, as well as needed consumer and industry representation. FDA also follows the requirements in section 505(n)(3) regarding membership of drug product advisory committees. (21 U.S.C. 355(n)(3)).
Ensuring Fair Balance:
Appointments are made without discrimination. The committee is reviewed in totality for balance, characterized by inclusion of necessary knowledge, insight, and scientific perspective from the relevant community or expertise area. Nominations are sought from all geographic locations within the United States and its territories, and from diverse sources including professional and scientific societies, academia, government agencies, industry and trade associations, consumer and patient organizations, and current Agency staff.
4.
List of all other Federal advisory committees of the agency:
FDA Maintains the following Federal advisory committees:
Anesthetic and Analgesic Drug Products Advisory Committee
Antimicrobial Drugs Advisory Committee
Blood Products Advisory Committee
Cardiovascular and Renal Drugs Advisory Committee
Cellular Tissue and Gene Therapies Advisory Committee
Dermatologic and Ophthalmic Drugs Advisory Committee
Device Good Manufacturing Practice Advisory Committee
Digital Health Advisory Committee
Drug Safety and Risk Management Advisory Committee
Endocrinologic and Metabolic Drugs Advisory Committee
Gastrointestinal Drugs Advisory Committee
Genetic and Metabolic Disease Advisory Committee
Medical Devices Advisory Committee
National Mammography Quality Assurance Advisory Committee (Administratively Inactive)
Nonprescription Drugs Advisory Committee
Obstetrics, Reproductive and Urologic Drugs Advisory Committee
Oncologic Drugs Advisory Committee
Patient Engagement Advisory Committee
Pediatrics Advisory Committee
Peripheral and Central Nervous System Advisory Committee
Pharmacy Compounding Advisory Committee
Pharmacy Compounding Drugs AC
Psychopharmacologic Drugs Advisory Committee
Risk Communication Advisory Committee (Administratively Inactive)
Science Board to the Food and Drug Administration
Technical and Electronic Products Safety Standards Advisory Committee
Tobacco Products Scientific Advisory Committee
5.
Justification that the information or advice provided by the Federal advisory committee or subcommittee is not available from another Federal advisory committee, another Federal Government source, or any other more cost-effective and less burdensome source:
The Pulmonary-Allergy Drugs Advisory Committee provides independent expert advice to FDA on the safety and effectiveness of marketed and investigational human drug products for use in the treatment of pulmonary disease and diseases with allergic and/or immunologic mechanisms.
The topics considered by the Pulmonary-Allergy Drugs Advisory Committee require specialized expertise in the practice of pulmonology, allergy, immunology, and related specialties that is not within the primary scope of other FDA advisory committees. Potential topics that may need committee input include products related to the topics outlined in Section (6) below. These and other issues cannot be appropriately addressed by another standing committee without diminishing the depth and relevance of the expert input provided to the Agency.
6.
If the consultation is a committee renewal, a summary of the previous accomplishments of the committee and the reasons it needs to continue:
Summary of Previous Accomplishments:
In 2023, the committee discussed new drug application (NDA) 214697, for epinephrine nasal spray, submitted by ARS Pharmaceuticals Inc., for the proposed indication of emergency treatment of allergic reactions (Type I) including anaphylaxis in adults and children ≥30 kilograms. Their recommendations informed FDA's decision to approve Neffy (epinephrine nasal spray) as the first nasal spray for the treatment of anaphylaxis.
The PADAC did not meet in 2025, however the topics on which the committee may be necessary are the following:
Treatment for asthma
Treatment for chronic obstructive pulmonary disease
Pulmonary fibrosis
Pulmonary hypertension
Atopic Dermatitis/Eczema
Food allergies
Drug allergies
Anaphylaxis
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7.
Explanation of why the committee/subcommittee is essential to the conduct of agency business:
Reasons for Continuation:
The committee plays a critical role in enabling FDA to meet the requirements of sections 505(n)(1) and (s)(1) of the Federal Food, Drug, and Cosmetic Act by providing expert scientific advice and recommendations. Without the Pulmonary-Allergy Drugs Advisory Committee, FDA's ability to obtain external expert input on issues related to the approval and regulation of the safety and effectiveness of marketed and investigational human drug products for use in the treatment of pulmonary disease and diseases with allergic and/or immunologic mechanisms would be significantly limited.
In conclusion, this public interest determination documents that renewing the committee is in the public interest, essential to the conduct of agency business, and that the information to be obtained is not already available through another advisory committee or source within the Federal Government.