General and Plastic Surgery Devices Panel of the Medical Devices Advisory Committee; Notice of Meeting, 16684-16685 [2013-06167]
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Federal Register / Vol. 78, No. 52 / Monday, March 18, 2013 / Notices
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appropriate for one or the other
purpose.
• Knowledge of Intended Drug Target
and Pathway Pharmacology, Secondary
and Off-Target Pharmacology, and Drug
Target Distribution in Rats and Humans
Target and pathway related
mechanistic/pharmacologic and
understood secondary pharmacologic
characteristics can contribute to the
prediction of outcomes of
carcinogenicity studies and can improve
prediction of potential human
carcinogens. The CAD is expected to
convey a thorough and critical
assessment of the sponsor’s knowledge
of all such characteristics, including a
comprehensive literature review
specifically addressing carcinogenicity
risk. Examples of such data sources
include the following:
Æ Prior experience with other
molecules in the drug class
Æ Experience with human genetic
polymorphisms in the target or pathway
Æ Clinical trial data
Æ Genetically engineered rodent
models
Æ Unintended pharmacology
Æ Hormonal perturbation
Æ Targeted tissue genomic biomarker
measurements
• Genetic Toxicology Study Results
The criteria in ICH S2(R1) 3 will be
used to evaluate genetic toxicology data
using a weight-of-evidence approach.
• Histopathologic Evaluation of
Repeated-Dose Rat Toxicology Studies
Histopathologic risk factors of
neoplasia should be evaluated in the 6month chronic rat study. Findings seen
only in shorter-term repeated dose rat
toxicity studies are generally considered
of less value for 2-year rat study
outcome prediction, but should be
addressed. Histopathologic findings of
particular interest include cellular
hypertrophy, diffuse and/or focal
cellular hyperplasia, persistent tissue
injury and/or chronic inflammation,
preneoplastic changes, and tumors. It is
important to note that liver tumors are
observed at relatively high frequency in
the rat, sometimes with Leydig cell and
thyroid follicular cell tumors.
Hepatocellular hypertrophy associated
with increased liver weight often results
from hepatic enzyme induction, the
latter being a well-understood
mechanism of rodent specific
3 See the ICH guidance ‘‘S2(R1) Genotoxicity
Testing and Data Interpretation for Pharmaceuticals
Intended for Human Use,’’ available at https://
www.fda.gov/Drugs/
GuidanceComplianceRegulatoryInformation/
Guidances/default.htm or https://www.fda.gov/
BiologicsBloodVaccines/
GuidanceComplianceRegulatoryInformation/
Guidances/default.htm.
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15:16 Mar 15, 2013
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tumorigenesis at these sites with little
relevance to humans (Refs. 1 and 2).
• Exposure Margins in Chronic Rat
Toxicology Studies
A high exposure margin in a chronic
rat toxicology study absent of any
carcinogenic risk factors can provide
additional support for a carcinogenicity
study waiver. The inability to achieve
high exposure margins in a chronic rat
toxicology study because of limitations
of tolerability, pharmacology, or
absorption would not preclude a
carcinogenicity study waiver.
• Evidence of Hormonal Perturbation
Evidence of hormonal perturbation
should be considered from both
repeated-dose and reproductive
toxicology studies. Such evidence can
come from weight, gross and/or
microscopic changes in endocrine
organs, or parameters from reproductive
toxicology studies. Serum hormone
levels can be useful to address findings
but are not always essential.
• Immune Suppression
Immunosuppression can be a
causative factor for tumorigenesis in
humans. As such, immunotoxicological
parameters should be examined
according to the ICH S8 guidance.4
• Special Studies and Endpoints
Data from special stains, new
biomarkers, emerging technologies, and
alternative test systems can be
submitted with scientific rationale to
help explain or predict animal and/or
human carcinogenic pathways and
mechanisms when they would
contribute meaningfully.
• Results of Non-Rodent Chronic
Study
Assessment of carcinogenic risk
factors in the non-rodent toxicology
studies should be considered for human
risk assessment regardless of results in
the chronic rat study.
• Transgenic Mouse Study
A transgenic mouse carcinogenicity
study (usually rasH2 or p53+/¥ mouse)
is not required for the WOE argument.
However, if conducted on a case-by-case
basis, a transgenic mouse
carcinogenicity study can contribute to
the WOE.
References
The following references have been
placed on display in the Division of
Dockets Management (see ADDRESSES)
and may be seen by interested persons
4 See the ICH guidance ‘‘S8 Immunotoxicity
Studies for Human Pharmaceuticals,’’ available at
https://www.fda.gov/Drugs/
GuidanceComplianceRegulatoryInformation/
Guidances/default.htm or https://www.fda.gov/
BiologicsBloodVaccines/
GuidanceComplianceRegulatoryInformation/
Guidances/default.htm.
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between 9 a.m. and 4 p.m., Monday
through Friday, and are available
electronically at https://
www.regulations.gov.
1. Cook, J.C., G.R. Klinefelter, J.F. Hardisty,
et al., ‘‘Rodent Leydig Cell Tumorigenesis:
A Review of the Physiology, Pathology,
Mechanisms and Relevance to Humans’’,
Critical Reviews in Toxicology, vol. 29, pp.
169–261, 1999.
2. McClain, R.M., ‘‘The Significance of
Hepatic Microsomal Enzyme Induction and
Altered Thyroid Function in Rats:
Implications for Thyroid Gland
Neoplasia’’, Toxicologic Pathology, vol. 17,
pp. 294–306, 1989.
Dated: March 12, 2013.
Leslie Kux,
Assistant Commissioner for Policy.
[FR Doc. 2013–06145 Filed 3–15–13; 8:45 am]
BILLING CODE 4160–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2013–N–0001]
General and Plastic Surgery Devices
Panel of the Medical Devices Advisory
Committee; Notice of Meeting
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
This notice announces a forthcoming
meeting of a public advisory committee
of the Food and Drug Administration
(FDA). The meeting will be open to the
public.
Name of Committee: General and
Plastic Surgery Devices Panel of the
Medical Devices Advisory Committee.
General Function of the Committee:
To provide advice and
recommendations to the Agency on
FDA’s regulatory issues.
Date and Time: The meeting will be
held on May 2, 2013, from 8 a.m. to 6
p.m.
Location: Hilton Washington DC
North/Gaithersburg, Salons A, B, C and
D, 620 Perry Pkwy., Gaithersburg, MD
20877. The hotel’s telephone number is
301–977–8900.
Contact Person: Jamie Waterhouse,
Center for Devices and Radiological
Health, Food and Drug Administration,
10903 New Hampshire Ave., Silver
Spring, MD 20993, or FDA Advisory
Committee Information Line, 1–800–
741–8138 (301–443–0572 in the
Washington, DC area). A notice in the
Federal Register about last minute
modifications that impact a previously
announced advisory committee meeting
cannot always be published quickly
E:\FR\FM\18MRN1.SGM
18MRN1
pmangrum on DSK3VPTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 52 / Monday, March 18, 2013 / Notices
enough to provide timely notice.
Therefore, you should always check the
Agency’s Web site at https://
www.fda.gov/AdvisoryCommittees/
default.htm and scroll down to the
appropriate advisory committee meeting
link, or call the advisory committee
information line to learn about possible
modifications before coming to the
meeting.
Agenda: On May 2, 2013, the
committee will discuss, make
recommendations and vote on
information related to the premarket
´
approval application for the Juvederm
Voluma XC sponsored by Allergan, Inc.
´
Juvederm Voluma XC is a dermal filler
comprised of hyaluronic acid with
´
lidocaine. Juvederm Voluma XC is
indicated for deep (dermal/
subcutaneous and/or submuscular/
supraperiosteal) implantation to restore
lost volume in the mid-face for aesthetic
improvement.
FDA intends to make background
material available to the public no later
than 2 business days before the meeting.
If FDA is unable to post the background
material on its Web site prior to the
meeting, the background material will
be made publicly available at the
location of the advisory committee
meeting, and the background material
will be posted on FDA’s Web site after
the meeting. Background material is
available at https://www.fda.gov/
AdvisoryCommittees/Calendar/
default.htm. Scroll down to the
appropriate advisory committee meeting
link.
Procedure: Interested persons may
present data, information, or views,
orally or in writing, on issues pending
before the committee. Written
submissions may be made to the contact
person on or before April 25, 2013. Oral
presentations from the public will be
scheduled between approximately 1
p.m. and 2 p.m. on May 2, 2013. Those
individuals interested in making formal
oral presentations should notify the
contact person and submit a brief
statement of the general nature of the
evidence or arguments they wish to
present, the names and addresses of
proposed participants, and an
indication of the approximate time
requested to make their presentation on
or before April 12, 2013. Time allotted
for each presentation may be limited. If
the number of registrants requesting to
speak is greater than can be reasonably
accommodated during the scheduled
open public hearing session, FDA may
conduct a lottery to determine the
speakers for the scheduled open public
hearing session. The contact person will
notify interested persons regarding their
request to speak by April 16, 2013.
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Persons attending FDA’s advisory
committee meetings are advised that the
Agency is not responsible for providing
access to electrical outlets.
FDA welcomes the attendance of the
public at its advisory committee
meetings and will make every effort to
accommodate persons with physical
disabilities or special needs. If you
require special accommodations due to
a disability, please contact AnnMarie
Williams, Conference Management
Staff, at
AnnMarie.Williams@fda.hhs.gov, 301–
796–5966, at least 7 days in advance of
the meeting.
FDA is committed to the orderly
conduct of its advisory committee
meetings. Please visit our Web site at
https://www.fda.gov/
AdvisoryCommittees/
AboutAdvisoryCommittees/
ucm111462.htm for procedures on
public conduct during advisory
committee meetings.
Notice of this meeting is given under
the Federal Advisory Committee Act (5
U.S.C. app. 2).
Dated: March 12, 2013.
Jill Hartzler Warner,
Acting Associate Commissioner for Special
Medical Programs.
[FR Doc. 2013–06167 Filed 3–15–13; 8:45 am]
BILLING CODE 4160–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2013–N–0233]
Impax Laboratories, Inc.; Withdrawal of
Approval of Bupropion Hydrochloride
Extended-Release Tablets, 300
Milligrams
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA) is withdrawing
approval of Bupropion Hydrochloride
(HCl) Extended-Release Tablets, 300
Milligrams (mg) (Bupropion HCl
Extended-Release Tablets 300 mg),
under Abbreviated New Drug
Application (ANDA) 77–415, held by
Impax Laboratories, Inc. (Impax), 30831
Huntwood Ave., Hayward, CA 94544,
and marketed under the name
BUDEPRION XL. Impax has voluntarily
requested that approval for this product
be withdrawn and waived its
opportunity for a hearing.
DATES: Effective March 18, 2013.
FOR FURTHER INFORMATION CONTACT:
Carolina M. Wirth, Center for Drug
SUMMARY:
PO 00000
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16685
Evaluation and Research, Food and
Drug Administration, 10903 New
Hampshire Ave., Bldg. 51, Rm. 6282,
Silver Spring, MD 20993–0002, 301–
796–3602.
SUPPLEMENTARY INFORMATION: FDA
approved ANDA 77–415 for Bupropion
HCl Extended-Release Tablets 300 mg
(marketed under the name BUDEPRION
XL) on December 15, 2006 pursuant to
section 505(j) of the Federal Food, Drug,
and Cosmetic Act (FD&C Act) (21 U.S.C.
355(j)). Bupropion HCl ExtendedRelease Tablets 300 mg was indicated
for the treatment of major depressive
disorder. On September 27, 2012, FDA
requested that Impax voluntarily
withdraw its Bupropion HCl ExtendedRelease Tablets 300 mg from the market
after results of an FDA-sponsored
bioequivalence study showed that
Impax’s Bupropion HCl ExtendedRelease Tablets 300 mg are not
therapeutically equivalent to the 300-mg
strength of the reference listed drug. In
a letter dated September 30, 2012,
Impax requested that FDA withdraw
approval of the 300-mg strength of
Bupropion HCl Extended Release
Tablets, approved under ANDA 77–415,
pursuant to § 314.150(d) (21 CFR
314.150(d)). In that letter, Impax also
waived its opportunity for a hearing.
The Agency acknowledged Impax’s
requests in a letter dated November 2,
2012.
Therefore, under section 505(e) of the
FD&C Act (21 U.S.C. 355(e)) and
§ 314.150(d), and under authority
delegated by the Commissioner to the
Director, Center for Drug Evaluation and
Research, approval of the 300-mg
strength of Bupropion HCl ExtendedRelease Tablets under ANDA 77–415 is
withdrawn (see DATES). Distribution of
this product in interstate commerce
without an approved application is
illegal and subject to regulatory action
(see sections 505(a) and 301(d) of the
FD&C Act (21 U.S.C. 355(a) and 331(d)).
Dated: March 12, 2013.
Leslie Kux,
Assistant Commissioner for Policy.
[FR Doc. 2013–06144 Filed 3–15–13; 8:45 am]
BILLING CODE 4160–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Indian Health Professions Preparatory,
Indian Health Professions Pregraduate, and Indian Health
Professions Scholarship Programs
Announcement Type: Initial.
E:\FR\FM\18MRN1.SGM
18MRN1
Agencies
[Federal Register Volume 78, Number 52 (Monday, March 18, 2013)]
[Notices]
[Pages 16684-16685]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-06167]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA-2013-N-0001]
General and Plastic Surgery Devices Panel of the Medical Devices
Advisory Committee; Notice of Meeting
AGENCY: Food and Drug Administration, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
This notice announces a forthcoming meeting of a public advisory
committee of the Food and Drug Administration (FDA). The meeting will
be open to the public.
Name of Committee: General and Plastic Surgery Devices Panel of the
Medical Devices Advisory Committee.
General Function of the Committee: To provide advice and
recommendations to the Agency on FDA's regulatory issues.
Date and Time: The meeting will be held on May 2, 2013, from 8 a.m.
to 6 p.m.
Location: Hilton Washington DC North/Gaithersburg, Salons A, B, C
and D, 620 Perry Pkwy., Gaithersburg, MD 20877. The hotel's telephone
number is 301-977-8900.
Contact Person: Jamie Waterhouse, Center for Devices and
Radiological Health, Food and Drug Administration, 10903 New Hampshire
Ave., Silver Spring, MD 20993, or FDA Advisory Committee Information
Line, 1-800-741-8138 (301-443-0572 in the Washington, DC area). A
notice in the Federal Register about last minute modifications that
impact a previously announced advisory committee meeting cannot always
be published quickly
[[Page 16685]]
enough to provide timely notice. Therefore, you should always check the
Agency's Web site at https://www.fda.gov/AdvisoryCommittees/default.htm
and scroll down to the appropriate advisory committee meeting link, or
call the advisory committee information line to learn about possible
modifications before coming to the meeting.
Agenda: On May 2, 2013, the committee will discuss, make
recommendations and vote on information related to the premarket
approval application for the Juv[eacute]derm Voluma XC sponsored by
Allergan, Inc. Juv[eacute]derm Voluma XC is a dermal filler comprised
of hyaluronic acid with lidocaine. Juv[eacute]derm Voluma XC is
indicated for deep (dermal/subcutaneous and/or submuscular/
supraperiosteal) implantation to restore lost volume in the mid-face
for aesthetic improvement.
FDA intends to make background material available to the public no
later than 2 business days before the meeting. If FDA is unable to post
the background material on its Web site prior to the meeting, the
background material will be made publicly available at the location of
the advisory committee meeting, and the background material will be
posted on FDA's Web site after the meeting. Background material is
available at https://www.fda.gov/AdvisoryCommittees/Calendar/default.htm. Scroll down to the appropriate advisory committee meeting
link.
Procedure: Interested persons may present data, information, or
views, orally or in writing, on issues pending before the committee.
Written submissions may be made to the contact person on or before
April 25, 2013. Oral presentations from the public will be scheduled
between approximately 1 p.m. and 2 p.m. on May 2, 2013. Those
individuals interested in making formal oral presentations should
notify the contact person and submit a brief statement of the general
nature of the evidence or arguments they wish to present, the names and
addresses of proposed participants, and an indication of the
approximate time requested to make their presentation on or before
April 12, 2013. Time allotted for each presentation may be limited. If
the number of registrants requesting to speak is greater than can be
reasonably accommodated during the scheduled open public hearing
session, FDA may conduct a lottery to determine the speakers for the
scheduled open public hearing session. The contact person will notify
interested persons regarding their request to speak by April 16, 2013.
Persons attending FDA's advisory committee meetings are advised
that the Agency is not responsible for providing access to electrical
outlets.
FDA welcomes the attendance of the public at its advisory committee
meetings and will make every effort to accommodate persons with
physical disabilities or special needs. If you require special
accommodations due to a disability, please contact AnnMarie Williams,
Conference Management Staff, at AnnMarie.Williams@fda.hhs.gov, 301-796-
5966, at least 7 days in advance of the meeting.
FDA is committed to the orderly conduct of its advisory committee
meetings. Please visit our Web site at https://www.fda.gov/AdvisoryCommittees/AboutAdvisoryCommittees/ucm111462.htm for procedures
on public conduct during advisory committee meetings.
Notice of this meeting is given under the Federal Advisory
Committee Act (5 U.S.C. app. 2).
Dated: March 12, 2013.
Jill Hartzler Warner,
Acting Associate Commissioner for Special Medical Programs.
[FR Doc. 2013-06167 Filed 3-15-13; 8:45 am]
BILLING CODE 4160-01-P