Human Immunodeficiency Virus Patient-Focused Drug Development and Human Immunodeficiency Virus Cure Research; Reopening of Comment Period, 46969-46970 [2013-18630]

Download as PDF Federal Register / Vol. 78, No. 149 / Friday, August 2, 2013 / Notices C. How much will this fee be? The fee is based on the number of direct hours spent on taking action in response to the firm’s failure to comply with a recall order. Types of activities could include conducting recall audit checks, reviewing periodic status reports, analyzing the status reports and the results of the audit checks, conducting inspections, traveling to and from locations, and monitoring product disposition. The direct hours spent on each such recall will be billed at the appropriate hourly rate shown in table 2 of this document. V. How must the fees be paid? An invoice will be sent to the responsible party for paying the fee after FDA completes the work on which the invoice is based. Payment must be made within 90 days of the invoice date in U.S. currency by check, bank draft, or U.S. postal money order payable to the order of the Food and Drug Administration. Detailed payment information will be included with the invoice when it is issued. VI. What are the consequences of not paying these fees? Under section 743(e)(2) of the FD&C Act, any fee that is not paid within 30 days after it is due shall be treated as a claim of the U.S. Government subject to provisions of subchapter II of chapter 37 of title 31, United States Code. Dated: July 29, 2013. Leslie Kux, Assistant Commissioner for Policy. BILLING CODE 4160–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA–2013–N–0473] Human Immunodeficiency Virus Patient-Focused Drug Development and Human Immunodeficiency Virus Cure Research; Reopening of Comment Period Food and Drug Administration, HHS. ACTION: Notice; reopening of comment sroberts on DSK5SPTVN1PROD with NOTICES period. The Food and Drug Administration (FDA) is reopening the comment period for the notice of public meeting entitled ‘‘Human Immunodeficiency Virus (HIV) PatientFocused Drug Development and HIV Cure Research,’’ published in the SUMMARY: VerDate Mar<15>2010 19:46 Aug 01, 2013 Jkt 229001 Submit either electronic or written comments to the docket by September 3, 2013. DATES: Submit electronic comments to https:// www.regulations.gov. Submit written comments to the Division of Dockets Management (HFA–305), Food and Drug Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852. All comments should be identified with the docket number found in brackets in the heading of this document. ADDRESSES: FOR FURTHER INFORMATION CONTACT: Pujita Vaidya, Center for Drug Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Rm. 1170, Silver Spring, MD 20993–0002, 301– 796–0684, FAX: 301–847–8443, email: Pujita.Vaidya@fda.hhs.gov. SUPPLEMENTARY INFORMATION: I. Background In the Federal Register of May 21, 2013 (78 FR 29755), FDA announced the notice of public meeting entitled ‘‘HIV Patient-Focused Drug Development and HIV Cure Research.’’ In that notice, FDA requested public comment on specific questions regarding patients’ perspective on current approaches to managing HIV, symptoms experienced because of HIV or its treatment, and issues related to HIV cure research. Interested persons were given until July 14, 2013, to comment on the questions. The Agency is reopening the comment period until September 3, 2013 to allow interested persons additional time to submit comments. [FR Doc. 2013–18622 Filed 8–1–13; 8:45 am] AGENCY: Federal Register of May 21, 2013 (78 FR 29755). In that notice, FDA requested public comment regarding patients’ perspective on current approaches to managing HIV, symptoms experienced because of HIV or its treatment, and issues related to HIV cure research. FDA is reopening the comment period to allow interested persons additional time to submit comments. II. Specific Questions for Public Comment As part of Patient-Focused Drug Development, FDA is gathering input from HIV patients and patient advocates on current approaches to managing HIV, symptoms experienced because of HIV or its treatment, and issues related to HIV cure research. FDA is interested in receiving patient input that addresses the following questions. PO 00000 Frm 00065 Fmt 4703 Sfmt 4703 46969 Topic 1: Patients’ Perspective on Current Approaches to Managing HIV and on Symptoms Experienced Because of HIV or Its Treatment 1. What are you currently doing to help manage your HIV and any symptoms you experience because of your condition or other therapies? (Examples may include prescription medicines, over-the-counter products, and nondrug therapies such as diet modification.) a. What specific symptoms do your therapies or treatments address? b. How long have you been on treatment and how has your treatment regimen changed over time? 2. How well does your current treatment regimen treat any significant symptoms of your condition? a. How well have these treatments worked for you as your condition has changed over time? b. Are there symptoms that your current regimen does not address at all or does not treat as well as you would like? 3. What are the most significant downsides to your current therapies or treatments, and how do they affect your daily life? (Examples of downsides could include bothersome side effects, physical change to your body because of treatment, going to the hospital for treatment.) 4. Of all the symptoms that you experience because of your condition or because of your therapy or treatment, which one to three symptoms have the most significant impact on your life? (Examples could include diarrhea, insomnia, difficulty concentrating, etc.) • Are there specific activities that are important to you but that you cannot do at all or as fully as you would like because of your condition? (Examples of activities may include sleeping through the night, daily hygiene, driving, etc.) 5. Assuming there is currently no complete cure for your condition, what specific things would you look for in an ideal therapy or treatment to manage your condition? Topic 2: Patients’ Perspectives on HIV Cure Research 1. What do you believe are the benefits of participating in an HIV cure research study? 2. What would motivate you to participate or to not participate in an HIV cure research study? 3. What risks would you find unacceptable for participating in an HIV cure research study and why? (Examples of risks that may be associated with participation in an HIV cure research study include common E:\FR\FM\02AUN1.SGM 02AUN1 46970 Federal Register / Vol. 78, No. 149 / Friday, August 2, 2013 / Notices side effects such as nausea and fatigue, and less common but serious adverse events such as blood clots, infection, seizures, and cancer.) 4. In certain HIV cure research studies, you would be asked to stop any other HIV medications that you are currently taking. How would this affect your decision whether to participate in an HIV cure research study? 5. The process of informed consent is an important way for the researchers to communicate the purpose of an HIV research study, as well as its expected benefits and potential risks, so that people can make an informed decision whether to participate in the study. a. How should the informed consent clearly communicate to you the purpose of an HIV cure research study, particularly when a study is designed only to provide scientific information that could guide future research and development of treatments? b. How should the informed consent clearly communicate to you the potential benefits of an HIV cure research study? In particular, how should the informed consent describe benefit when we do not think that participants in the study may gain any direct health benefits? c. How should informed consent communicate clearly to you the potential risks of participating in an HIV cure research study? In particular, how should the informed consent describe a study if there is very limited understanding about how the medications or interventions may affect participants or what are the potential risks of those interventions or medications? d. Is there any other information that you would find helpful when deciding whether to enter an HIV cure research study? 6. What else do you want FDA to know about HIV Cure Research from your perspective? sroberts on DSK5SPTVN1PROD with NOTICES III. How To Submit Comments Interested persons may submit either electronic comments regarding this document to https://www.regulations.gov or written comments to the Division of Dockets Management (see ADDRESSES). It is only necessary to send one set of comments. Identify comments with the docket number found in brackets in the heading of this document. Received comments may be seen in the Division of Dockets Management between 9 a.m. and 4 p.m., Monday through Friday, and will be posted to the docket at https:// www.regulations.gov. VerDate Mar<15>2010 18:55 Aug 01, 2013 Jkt 229001 Dated: July 29, 2013. Leslie Kux, Assistant Commissioner for Policy. [FR Doc. 2013–18630 Filed 8–1–13; 8:45 am] BILLING CODE 4160–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA–2013–N–0007] Medical Device User Fee Rates for Fiscal Year 2014 AGENCY: Food and Drug Administration, HHS. ACTION: Notice. The Food and Drug Administration (FDA) is announcing the fee rates and payment procedures for medical device user fees for fiscal year (FY) 2014. The Federal Food, Drug, and Cosmetic Act (the FD&C Act), as amended by the Medical Device User Fee Amendments of 2012, which was signed by the President on July 9, 2012 (MDUFA III), authorizes FDA to collect user fees for certain medical device submissions and annual fees both for certain periodic reports and for establishments subject to registration. The FY 2014 fee rates are provided in this document. These fees apply from October 1, 2013, through September 30, 2014. To avoid delay in the review of your application, you should pay the fee before or at the time you submit your application to FDA. The fee you must pay is the fee that is in effect on the later of the date that your application is received by FDA or the date your fee payment is recognized by the U.S. Treasury. If you want to pay a reduced small business fee, you must qualify as a small business before you make your submission to FDA; if you do not qualify as a small business before you make your submission to FDA, you will have to pay the higher standard fee. This document provides information on how the fees for FY 2014 were determined, the payment procedures you should follow, and how you may qualify for reduced small business fees. FOR FURTHER INFORMATION CONTACT: For information on Medical Device User Fees: Visit FDA’s Web site at https:// www.fda.gov/mdufa. For questions relating to this notice: David Miller, Office of Financial Management (HFA–100), Food and Drug Administration, 1350 Piccard Dr., Rockville, MD 20850, 301–796–7103. SUPPLEMENTARY INFORMATION: SUMMARY: PO 00000 Frm 00066 Fmt 4703 Sfmt 4703 I. Background Section 738 of the FD&C Act (21 U.S.C. 379j) establishes fees for certain medical device applications, submissions, supplements, and notices (for simplicity, this document refers to these collectively as ‘‘submissions’’ or ‘‘applications’’); for periodic reporting on class III devices; and for the registration of certain establishments. Under statutorily defined conditions, a qualified applicant may receive a fee waiver or may pay a lower small business fee. (See 21 U.S.C. 379j(d) and (e).) Additionally, the Secretary of Health and Human Services (the Secretary) may, at the Secretary’s sole discretion, grant a fee waiver or reduction if the Secretary finds that such waiver or reduction is in the interest of public health. (See 21 U.S.C. 379j(f).) Under the FD&C Act, the fee rate for each type of submission is set at a specified percentage of the standard fee for a premarket application (a premarket application is a premarket approval application (PMA), a product development protocol (PDP), or a biologics license application (BLA)). The FD&C Act specifies the base fee for a premarket application for each year from FY 2013 through FY 2017; the base fee for a premarket application received by FDA during FY 2014 is $252,960. From this starting point, this document establishes FY 2014 fee rates for other types of submissions, and for periodic reporting, by applying criteria specified in the FD&C Act. The FD&C Act specifies the base fee for establishment registration for each year from FY 2013 through FY 2017; the base fee for an establishment registration in FY 2014 is $3,200. There is no reduction in the registration fee for small businesses. Each establishment that is registered (or is required to register) with the Secretary under section 510 of the FD&C Act (21 U.S.C. 360) because such establishment is engaged in the manufacture, preparation, propagation, compounding, or processing of a device is required to pay the annual fee for establishment registration. II. Revenue Amount for FY 2014 The base revenue amount for FY 2014 is $112,580,497, as set forth in the statute prior to the inflation adjustment. MDUFA directs FDA to use the yearly revenue amount as a starting point to set the fee rates for each fee type. The fee calculations for FY 2014 are described in this document. E:\FR\FM\02AUN1.SGM 02AUN1

Agencies

[Federal Register Volume 78, Number 149 (Friday, August 2, 2013)]
[Notices]
[Pages 46969-46970]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-18630]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2013-N-0473]


Human Immunodeficiency Virus Patient-Focused Drug Development and 
Human Immunodeficiency Virus Cure Research; Reopening of Comment Period

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice; reopening of comment period.

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

SUMMARY: The Food and Drug Administration (FDA) is reopening the 
comment period for the notice of public meeting entitled ``Human 
Immunodeficiency Virus (HIV) Patient-Focused Drug Development and HIV 
Cure Research,'' published in the Federal Register of May 21, 2013 (78 
FR 29755). In that notice, FDA requested public comment regarding 
patients' perspective on current approaches to managing HIV, symptoms 
experienced because of HIV or its treatment, and issues related to HIV 
cure research. FDA is reopening the comment period to allow interested 
persons additional time to submit comments.

DATES: Submit either electronic or written comments to the docket by 
September 3, 2013.

ADDRESSES: Submit electronic comments to https://www.regulations.gov. 
Submit written comments to the Division of Dockets Management (HFA-
305), Food and Drug Administration, 5630 Fishers Lane, Rm. 1061, 
Rockville, MD 20852. All comments should be identified with the docket 
number found in brackets in the heading of this document.

FOR FURTHER INFORMATION CONTACT: Pujita Vaidya, Center for Drug 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 51, Rm. 1170, Silver Spring, MD 20993-0002, 301-
796-0684, FAX: 301-847-8443, email: Pujita.Vaidya@fda.hhs.gov.

SUPPLEMENTARY INFORMATION:

I. Background

    In the Federal Register of May 21, 2013 (78 FR 29755), FDA 
announced the notice of public meeting entitled ``HIV Patient-Focused 
Drug Development and HIV Cure Research.'' In that notice, FDA requested 
public comment on specific questions regarding patients' perspective on 
current approaches to managing HIV, symptoms experienced because of HIV 
or its treatment, and issues related to HIV cure research. Interested 
persons were given until July 14, 2013, to comment on the questions. 
The Agency is reopening the comment period until September 3, 2013 to 
allow interested persons additional time to submit comments.

II. Specific Questions for Public Comment

    As part of Patient-Focused Drug Development, FDA is gathering input 
from HIV patients and patient advocates on current approaches to 
managing HIV, symptoms experienced because of HIV or its treatment, and 
issues related to HIV cure research. FDA is interested in receiving 
patient input that addresses the following questions.

Topic 1: Patients' Perspective on Current Approaches to Managing HIV 
and on Symptoms Experienced Because of HIV or Its Treatment

    1. What are you currently doing to help manage your HIV and any 
symptoms you experience because of your condition or other therapies? 
(Examples may include prescription medicines, over-the-counter 
products, and nondrug therapies such as diet modification.)
    a. What specific symptoms do your therapies or treatments address?
    b. How long have you been on treatment and how has your treatment 
regimen changed over time?
    2. How well does your current treatment regimen treat any 
significant symptoms of your condition?
    a. How well have these treatments worked for you as your condition 
has changed over time?
    b. Are there symptoms that your current regimen does not address at 
all or does not treat as well as you would like?
    3. What are the most significant downsides to your current 
therapies or treatments, and how do they affect your daily life? 
(Examples of downsides could include bothersome side effects, physical 
change to your body because of treatment, going to the hospital for 
treatment.)
    4. Of all the symptoms that you experience because of your 
condition or because of your therapy or treatment, which one to three 
symptoms have the most significant impact on your life? (Examples could 
include diarrhea, insomnia, difficulty concentrating, etc.)
     Are there specific activities that are important to you 
but that you cannot do at all or as fully as you would like because of 
your condition? (Examples of activities may include sleeping through 
the night, daily hygiene, driving, etc.)
    5. Assuming there is currently no complete cure for your condition, 
what specific things would you look for in an ideal therapy or 
treatment to manage your condition?

Topic 2: Patients' Perspectives on HIV Cure Research

    1. What do you believe are the benefits of participating in an HIV 
cure research study?
    2. What would motivate you to participate or to not participate in 
an HIV cure research study?
    3. What risks would you find unacceptable for participating in an 
HIV cure research study and why? (Examples of risks that may be 
associated with participation in an HIV cure research study include 
common

[[Page 46970]]

side effects such as nausea and fatigue, and less common but serious 
adverse events such as blood clots, infection, seizures, and cancer.)
    4. In certain HIV cure research studies, you would be asked to stop 
any other HIV medications that you are currently taking. How would this 
affect your decision whether to participate in an HIV cure research 
study?
    5. The process of informed consent is an important way for the 
researchers to communicate the purpose of an HIV research study, as 
well as its expected benefits and potential risks, so that people can 
make an informed decision whether to participate in the study.
    a. How should the informed consent clearly communicate to you the 
purpose of an HIV cure research study, particularly when a study is 
designed only to provide scientific information that could guide future 
research and development of treatments?
    b. How should the informed consent clearly communicate to you the 
potential benefits of an HIV cure research study? In particular, how 
should the informed consent describe benefit when we do not think that 
participants in the study may gain any direct health benefits?
    c. How should informed consent communicate clearly to you the 
potential risks of participating in an HIV cure research study? In 
particular, how should the informed consent describe a study if there 
is very limited understanding about how the medications or 
interventions may affect participants or what are the potential risks 
of those interventions or medications?
    d. Is there any other information that you would find helpful when 
deciding whether to enter an HIV cure research study?
    6. What else do you want FDA to know about HIV Cure Research from 
your perspective?

III. How To Submit Comments

    Interested persons may submit either electronic comments regarding 
this document to https://www.regulations.gov or written comments to the 
Division of Dockets Management (see ADDRESSES). It is only necessary to 
send one set of comments. Identify comments with the docket number 
found in brackets in the heading of this document. Received comments 
may be seen in the Division of Dockets Management between 9 a.m. and 4 
p.m., Monday through Friday, and will be posted to the docket at https://www.regulations.gov.

    Dated: July 29, 2013.
Leslie Kux,
Assistant Commissioner for Policy.
[FR Doc. 2013-18630 Filed 8-1-13; 8:45 am]
BILLING CODE 4160-01-P
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