Proposed Collection; 30-day Comment Request; Incident HIV/Hepatitis B Virus Infections in South African Blood Donors: Behavioral Risk Factors, Genotypes and Biological Characterization of Early Infection, 9471-9473 [2014-03547]
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Federal Register / Vol. 79, No. 33 / Wednesday, February 19, 2014 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2014–N–0001]
Society of Clinical Research
Associates—Food and Drug
Administration Clinical Trial
Requirements, Regulations,
Compliance, and Good Clinical
Practice; Public Workshop
AGENCY:
Food and Drug Administration,
HHS.
EMCDONALD on DSK67QTVN1PROD with NOTICES
ACTION:
Notice of public workshop.
The Food and Drug Administration
(FDA) is announcing the following
public workshop entitled ‘‘Educational
Conference Co-Sponsored With the
Society of Clinical Research Associates
(SoCRA).’’ The public workshop
regarding FDA’s clinical trial
requirements is designed to aid the
clinical research professional’s
understanding of the mission,
responsibilities, and authority of FDA
and to facilitate interaction with FDA
representatives. The program will focus
on the relationships among FDA and
clinical trial staff, investigators, and
institutional review boards (IRBs).
Individual FDA representatives will
discuss the informed consent process
and informed consent documents;
regulations relating to drugs, devices,
and biologics; as well as inspections of
clinical investigators, IRBs, and research
sponsors.
Date and Time: The public workshop
will be held on May 21 and 22, 2014,
from 8 a.m. to 5 p.m.
Location: The public workshop will
be held at the Sheraton Indianapolis at
Keystone Crossing, 8787 Keystone
Crossing, Indianapolis, IN 46240, 317–
846–2700.
Attendees are responsible for their
own accommodations. Please mention
SoCRA to receive the hotel room rate of
$109.00 plus applicable taxes (available
until April 20, 2014, or until the SoCRA
room block is filled).
Contact: Myra K. Casey, Food and
Drug Administration, 101 West Ohio St.,
Suite 500, Indianapolis, IN 46204, 317–
226–6500, ext. 104; or Society of
Clinical Research Associates (SoCRA),
530 West Butler Ave., Suite 109,
Chalfont, PA 18914, 800–762–7292 or
215–822–8644, FAX: 215–822–8633,
email: SoCRAmail@aol.com.
Registration: The registration fee will
cover actual expenses including
refreshments, lunch, materials and
speaker expenses. Seats are limited;
please submit your registration as soon
as possible. Workshop space will be
VerDate Mar<15>2010
16:15 Feb 18, 2014
Jkt 232001
filled in order of receipt of registration.
Those accepted into the workshop will
receive confirmation. The cost of the
registration is as follows: SoCRA
member, $575.00; SoCRA nonmember
(includes membership), $650.00;
Federal Government member, $450.00;
Federal Government nonmember,
$525.00; and FDA employee, free (fee
waived).
If you need special accommodations
due to a disability, please contact
SoCRA (see Contact) at least 21 days in
advance.
Extended periods of question and
answer and discussion have been
included in the program schedule.
SoCRA designates this education
activity for a maximum of 13.3
Continuing Education (CE) Credits for
SoCRA CE and continuing nurse
education (CNE). SoCRA designates this
live activity for a maximum of 13.3
American Medical Association
Physicians Recognition Award Category
1 Credit(s)TM. Physicians should claim
only the credit commensurate with the
extent of their participation. Continuing
Medical Education for physicians:
SoCRA is accredited by the
Accreditation Council for Continuing
Medical Education to provide
continuing medical education for
physicians. CNE for nurses: SoCRA is
accredited as a provider of CNE by the
American Nurses Credentialing Center’s
Commission on Accreditation.
Registration instructions: To register,
please submit a registration form with
your name, affiliation, mailing address,
telephone, fax number, and email, along
with a check or money order payable to
‘‘SoCRA’’. Mail to: SoCRA (see Contact
for address).
To register via the Internet, go to
https://www.socra.org/html/FDA_
Conference.htm. (FDA has verified the
Web site address, but we are not
responsible for any subsequent changes
to the Web site after this document is
published in the Federal Register).
Payment by major credit card is
accepted (Visa/MasterCard/AMEX
only). For more information on
registration, or for questions on the
public workshop, contact SoCRA (see
Contact).
The
public workshop helps fulfill the
Department of Health and Human
Services’ and FDA’s important mission
to protect the public health. The public
workshop will provide those engaged in
FDA-regulated (human) clinical trials
with information on a number of topics
concerning FDA requirements on
related informed consent, clinical
investigation requirements, IRB
SUPPLEMENTARY INFORMATION:
PO 00000
Frm 00016
Fmt 4703
Sfmt 4703
9471
inspections, electronic record
requirements, and investigator initiated
research. Topics for discussion include
the following: (1) The Role of the FDA
District Office Relative to the
Bioresearch Monitoring Program
(BIMO); (2) Modernizing FDA’s Clinical
Trials/BIMO Programs; (3) What FDA
Expects in a Pharmaceutical Clinical
Trial; (4) Medical Device Aspects of
Clinical Research; (5) Adverse Event
Reporting—Science, Regulation, Error,
and Safety; (6) Working with FDA’s
Center for Biologics Evaluation and
Research; (7) Ethical Issues in Subject
Enrollment; (8) Keeping Informed and
Working Together; (9) FDA Conduct of
Clinical Investigator Inspections; (10)
Investigator Initiated Research; (11)
Meetings with FDA: Why, When and
How; (12) Part 11 Compliance—
Electronic Signatures; (13) IRB
Regulations and FDA Inspections; (14)
Informed Consent Regulations; (15) The
Inspection is Over—What Happens
Next? Possible FDA Compliance
Actions; and (16) Question and Answer
Session/Panel Discussion.
FDA has made education of the drug
and device manufacturing community a
high priority to help ensure the quality
of FDA-regulated drugs and devices.
The public workshop helps to achieve
objectives set forth in section 406 of the
FDA Modernization Act of 1997 (21
U.S.C. 393), which includes working
closely with stakeholders and
maximizing the availability and clarity
of information to stakeholders and the
public. The public workshop also is
consistent with the Small Business
Regulatory Enforcement Fairness Act of
1996 (Pub. L. 104–121), as outreach
activities by Government Agencies to
small businesses.
Dated: February 12, 2014.
Leslie Kux,
Assistant Commissioner for Policy.
[FR Doc. 2014–03583 Filed 2–18–14; 8:45 am]
BILLING CODE 4160–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Proposed Collection; 30-day Comment
Request; Incident HIV/Hepatitis B Virus
Infections in South African Blood
Donors: Behavioral Risk Factors,
Genotypes and Biological
Characterization of Early Infection
Under the provisions of
Section 3507(a)(1)(D) of the Paperwork
Reduction Act of 1995, the National
Heart, Lung, and Blood Institute
(NHLBI), the National Institutes of
SUMMARY:
E:\FR\FM\19FEN1.SGM
19FEN1
EMCDONALD on DSK67QTVN1PROD with NOTICES
9472
Federal Register / Vol. 79, No. 33 / Wednesday, February 19, 2014 / Notices
Health (NIH) has submitted to the Office
of Management and Budget (OMB) a
request for review and approval of the
information collection listed below.
This proposed information collection
was previously published in the Federal
Register in Volume 78 on Friday,
November 8, 2013, and page 67175, and
allowed 60 days for public comment.
One public comment was received that
was a personal opinion regarding
protecting the safety of the American
blood donation system. The purpose of
this notice is to allow an additional 30
days for public comment. The National
Institutes of Health may not conduct or
sponsor, and the respondent is not
required to respond to, an information
collection that has been extended,
revised, or implemented on or after
October 1, 1995, unless it displays a
currently valid OMB control number.
Direct Comments to OMB: Written
comments and/or suggestions regarding
the item(s) contained in this notice,
especially regarding the estimated
public burden and associated response
time, should be directed to the: Office
of Management and Budget, Office of
Regulatory Affairs, OIRA_submission@
omb.eop.gov or by fax to 202–395–6974,
Attention: NIH Desk Officer.
Comments Due Date: Comments
regarding this information collection are
best assured of having their full effect if
received within 30 days of the date of
this publication.
FOR FURTHER INFORMATION CONTACT: To
obtain a copy of the data collection
plans and instruments or request more
information on the proposed project
contact: Simone Glynn, MD, Project
Officer/ICD Contact, Two Rockledge
Center, Suite 9142, 6701 Rockledge
Drive, Bethesda, MD 20892, or call 301–
435–0065, or Email your request,
including your address to: glynnsa@
nhlbi.nih.gov. Formal requests for
additional plans and instruments must
be requested in writing.
Proposed Collection: Incident HIV/
Hepatitis B virus (HBV) infections in
South African blood donors: Behavioral
risk factors, genotypes and biological
characterization of early infection, 0925New, the National Heart, Lung, and
Blood Institute (NHLBI), the National
Institutes of Health (NIH).
Need and Use of Information
Collection: South Africa has one of the
highest burdens for HIV infection in the
world. The HIV epidemic in South
Africa is largely heterosexual, but risk
factors for infections can change and so
identifying factors that contribute to the
recent spread of HIV in a broad crosssection of the otherwise unselected
general population, such as blood
VerDate Mar<15>2010
16:15 Feb 18, 2014
Jkt 232001
donors, is highly important for
obtaining a complete picture of the
epidemiology of HIV infection in Africa.
Small previous studies suggest that the
risk factors for HIV among more recently
acquired (incident) infections in blood
donors may differ from those of more
distant (prevalent) infections. Similarly
risk factors for recently acquired HBV
may be different than for prevalent HBV
infections. The demographic and
behavioral risks associated with
incident HIV and incident HBV
infection have, as yet, not been formally
assessed in South African blood donors
using analytical study designs. Due to
the high rates of HIV and HBV infection
in South African blood donors, a better
understanding of these risk factors can
be used to modify donor screening
questionnaires so as to more accurately
exclude high-risk blood donors and
contribute to transfusion safety. Risk
factor data from this research may also
provide critical information for blood
banking screening strategies in other
countries.
This study which provides a
contemporary understanding of the
current risk profiles for HIV and
separately for HBV will also
prospectively monitor genetic
characteristics of recently acquired
infections through genotyping and drug
resistance profile testing, thus serving a
US, South African, and global public
health imperative to monitor the
genotypes of HIV and HBV that have
recently been transmitted. For HIV, the
additional monitoring of drug resistance
patterns in newly acquired infection is
critical to determine if currently
available antiretroviral medicines are
capable of combating infection. Because
the pace of globalization means these
infections can cross borders easily, these
study objectives have direct relevance
for HIV and HBV control in the U.S. and
globally. Further, the ability to identify
recent HIV infections provides a unique
opportunity to study the biology, host
response and evolution of HIV disease
at time points proximate to virus
acquisition. Genotyping and host
response information is scientifically
important not only to South Africa, but
to the U.S. and other nations since it
will provide a broader global
understanding of how to most
effectively manage and potentially
prevent HIV (e.g. through vaccine
development). Efforts to develop
vaccines funded by the National
Institutes of Health and other US-based
organizations may directly benefit from
the findings of this study.
The South African National Blood
Service (SANBS) uses both individual
donation Nucleic Acid Testing (ID–
PO 00000
Frm 00017
Fmt 4703
Sfmt 4703
NAT) and serology tests (either antibody
or antigen detection tests) to screen
blood donors for HIV and Hepatitis-B
Virus (HBV), among other infections. A
positive NAT test precedes HIV
antibody detection or HBV surface
antigen detection by days to weeks in
newly acquired HIV and HBV
infections. A combined testing strategy
using NAT and serology tests therefore
confers the ability to detect most acute
infections and discriminate between
recent (incident) and more remotely
acquired (prevalent) infection.
Additional tests that exploit antibody
maturation kinetics such as the HIV
Limiting Antigen Avidity assay (LAg
Avidity) can further assist to classify
persons with an HIV antibody positive
test as having a recently acquired
(incident) or longer-term (prevalent)
infection. Hepatitis B core antibody
(anti-HBc) testing of NAT-positive and
NAT and Hepatitis B Virus Surface
Antigen (HBsAg) positive HBV
infections allows classification of HBV
infections as recently acquired or
prevalent infections. Infections that are
anti-HBc negative are recently acquired
(incident).
Leveraging this ability to classify HIV
and HBV infections as incident or
prevalent leads to three study
objectives:
1. Objective 1 consists of evaluating
the risk factors associated with having
an incident HIV or HBV infection. To
that end, a frequency matched casecontrol study will be conducted with
two case groups: Incident HIV infected
blood donors and incident HBV infected
blood donors, respectively. Risk factors
in these two case groups will be
compared to the risk factors provided by
a group of controls (blood donors whose
infectious tests are all negative). Cases
and controls will be accrued from a
geographically diverse donor pool.
2. Objective 2 consists of
characterizing HIV clade and drug
resistance profiles and determining viral
loads in all cases of incident HIV
infection, as well as characterizing HBV
genotype and viral load in all incident
HBV infections.
3. Objective 3 consists of following
persons with incident and ‘‘elite
controller’’ HIV infections prospectively
for three additional visits at 2, 3, and 6
months following the index positive
test(s). The term ‘‘elite controllers’’
refers to those who are HIV antibody
positive, but with undetectable viral
RNA (NAT negative) who are believed
to have a natural ability to control viral
replication without therapy. These
studies will be useful in identifying
appropriate HIV drug therapy regimens
for this condition, as well as strategies
E:\FR\FM\19FEN1.SGM
19FEN1
9473
Federal Register / Vol. 79, No. 33 / Wednesday, February 19, 2014 / Notices
for producing an effective HIV vaccine,
which has eluded 30 years of HIV
research.
OMB approval is requested for 3
years. There are no costs to respondents
other than their time. The total
estimated annualized burden for
Objectives 1 and 2 will be 395 hours for
483 respondents (participants). The total
estimated annualized burden for
Form name
Number of
respondents
Type of respondent
Objectives 1 and 2 consent form .........................
Objectives 1 and 2—ACASI Questionnaire .........
Objective 3 consent form—Year 1 .......................
Objective 3—Clinical Follow-up Questionnaire—
Year 1 *.
Objective 3 consent form*—Year 2 ......................
Objective 3—Clinical Follow-up Questionnaire—
Year 2 *.
Adult
Adult
Adult
Adult
Donors
Donors
Donors
Donors
Objective 3 will be 32 hours for 35
respondents.
Number of
responses per
respondent
Average
burden per
response
(in hours)
Total annual
burden hour
.................
.................
.................
.................
483
483
35
35
1
1
1
4
15/60
34/60
15/60
10/60
121
274
9
23
Adult Donors .................
Adult Donors .................
35
35
1
4
15/60
10/60
9
23
* The Objective 3 respondents are a subset of the respondents included in Objectives 1 and 2.
Dated: February 3, 2014.
Keith Hoots,
Director, Division of Blood Diseases and
Resources, National Heart, Lung, and Blood
Institute, NIH.
Dated: February 6, 2014.
Lynn Susulske,
NHLBI Project Clearance Liaison, National
Institutes of Health.
[FR Doc. 2014–03547 Filed 2–18–14; 8:45 am]
BILLING CODE 4140–01–P
Place: National Institute on Alcohol Abuse
and Alcoholism, 5635 Fishers Lane,
(Teleconference), Rockville, MD 20852.
Contact Person: Ranga Srinivas, Ph.D.,
Chief, Extramural Project Review Branch
EPRB, NIAAA, National Institutes of Health,
5365 Fishers Lane, Room 2085, Rockville,
MD 20852, (301) 451–2067, srinivar@
mail.nih.gov.
(Catalogue of Federal Domestic Assistance
Program No. 93.273, Alcohol Research
Programs; National Institutes of Health,
HHS).
Dated: February 12, 2014.
Carolyn A. Baum,
Program Analyst, Office of Federal Advisory
Committee Policy.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[FR Doc. 2014–03515 Filed 2–18–14; 8:45 am]
National Institutes of Health
BILLING CODE 4140–01–P
EMCDONALD on DSK67QTVN1PROD with NOTICES
National Institute on Alcohol Abuse
and Alcoholism; Notice of Closed
Meeting
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended (5 U.S.C. App.), notice is
hereby given of the following meeting.
The meeting will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: National Institute on
Alcohol Abuse and Alcoholism Special
Emphasis Panel; NIAAA Member Conflict
Application—Neurosciences.
Date: March 4, 2014.
Time: 12:00 p.m. to 3:00 p.m.
Agenda: To review and evaluate grant
applications.
VerDate Mar<15>2010
16:15 Feb 18, 2014
Jkt 232001
Emphasis Panel; NIAAA Member Conflict
Applications—Biomedical Sciences.
Date: March 10, 2014.
Time: 2:00 p.m. to 5:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institute on Alcohol Abuse
and Alcoholism, 5635 Fishers Lane,
(Teleconference), Rockville, MD 20852.
Contact Person: Ranga Srinivas, Ph.D.,
Chief, Extramural Project Review Branch
EPRB, NIAAA, National Institutes of Health,
5365 Fishers Lane, Room 2085, Rockville,
MD 20852, (301) 451–2067, srinivar@
mail.nih.gov.
(Catalogue of Federal Domestic Assistance
Program No. 93.273, Alcohol Research
Programs; National Institutes of Health, HHS)
Dated: February 12, 2014.
Carolyn A. Baum,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2014–03514 Filed 2–18–14; 8:45 am]
BILLING CODE 4140–01–P
National Institutes of Health
National Institute on Alcohol Abuse
and Alcoholism; Notice of Closed
Meeting
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended (5 U.S.C. App.), notice is
hereby given of the following meeting.
The meeting will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: National Institute on
Alcohol Abuse and Alcoholism Special
PO 00000
Frm 00018
Fmt 4703
Sfmt 4703
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Institute on Aging; Notice of
Closed Meeting
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended (5 U.S.C. App.), notice is
hereby given of the following meeting.
The meeting will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
E:\FR\FM\19FEN1.SGM
19FEN1
Agencies
[Federal Register Volume 79, Number 33 (Wednesday, February 19, 2014)]
[Notices]
[Pages 9471-9473]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-03547]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
National Institutes of Health
Proposed Collection; 30-day Comment Request; Incident HIV/
Hepatitis B Virus Infections in South African Blood Donors: Behavioral
Risk Factors, Genotypes and Biological Characterization of Early
Infection
SUMMARY: Under the provisions of Section 3507(a)(1)(D) of the Paperwork
Reduction Act of 1995, the National Heart, Lung, and Blood Institute
(NHLBI), the National Institutes of
[[Page 9472]]
Health (NIH) has submitted to the Office of Management and Budget (OMB)
a request for review and approval of the information collection listed
below. This proposed information collection was previously published in
the Federal Register in Volume 78 on Friday, November 8, 2013, and page
67175, and allowed 60 days for public comment. One public comment was
received that was a personal opinion regarding protecting the safety of
the American blood donation system. The purpose of this notice is to
allow an additional 30 days for public comment. The National Institutes
of Health may not conduct or sponsor, and the respondent is not
required to respond to, an information collection that has been
extended, revised, or implemented on or after October 1, 1995, unless
it displays a currently valid OMB control number.
Direct Comments to OMB: Written comments and/or suggestions
regarding the item(s) contained in this notice, especially regarding
the estimated public burden and associated response time, should be
directed to the: Office of Management and Budget, Office of Regulatory
Affairs, OIRA_submission@omb.eop.gov or by fax to 202-395-6974,
Attention: NIH Desk Officer.
Comments Due Date: Comments regarding this information collection
are best assured of having their full effect if received within 30 days
of the date of this publication.
FOR FURTHER INFORMATION CONTACT: To obtain a copy of the data
collection plans and instruments or request more information on the
proposed project contact: Simone Glynn, MD, Project Officer/ICD
Contact, Two Rockledge Center, Suite 9142, 6701 Rockledge Drive,
Bethesda, MD 20892, or call 301-435-0065, or Email your request,
including your address to: glynnsa@nhlbi.nih.gov. Formal requests for
additional plans and instruments must be requested in writing.
Proposed Collection: Incident HIV/Hepatitis B virus (HBV)
infections in South African blood donors: Behavioral risk factors,
genotypes and biological characterization of early infection, 0925-New,
the National Heart, Lung, and Blood Institute (NHLBI), the National
Institutes of Health (NIH).
Need and Use of Information Collection: South Africa has one of the
highest burdens for HIV infection in the world. The HIV epidemic in
South Africa is largely heterosexual, but risk factors for infections
can change and so identifying factors that contribute to the recent
spread of HIV in a broad cross-section of the otherwise unselected
general population, such as blood donors, is highly important for
obtaining a complete picture of the epidemiology of HIV infection in
Africa. Small previous studies suggest that the risk factors for HIV
among more recently acquired (incident) infections in blood donors may
differ from those of more distant (prevalent) infections. Similarly
risk factors for recently acquired HBV may be different than for
prevalent HBV infections. The demographic and behavioral risks
associated with incident HIV and incident HBV infection have, as yet,
not been formally assessed in South African blood donors using
analytical study designs. Due to the high rates of HIV and HBV
infection in South African blood donors, a better understanding of
these risk factors can be used to modify donor screening questionnaires
so as to more accurately exclude high-risk blood donors and contribute
to transfusion safety. Risk factor data from this research may also
provide critical information for blood banking screening strategies in
other countries.
This study which provides a contemporary understanding of the
current risk profiles for HIV and separately for HBV will also
prospectively monitor genetic characteristics of recently acquired
infections through genotyping and drug resistance profile testing, thus
serving a US, South African, and global public health imperative to
monitor the genotypes of HIV and HBV that have recently been
transmitted. For HIV, the additional monitoring of drug resistance
patterns in newly acquired infection is critical to determine if
currently available antiretroviral medicines are capable of combating
infection. Because the pace of globalization means these infections can
cross borders easily, these study objectives have direct relevance for
HIV and HBV control in the U.S. and globally. Further, the ability to
identify recent HIV infections provides a unique opportunity to study
the biology, host response and evolution of HIV disease at time points
proximate to virus acquisition. Genotyping and host response
information is scientifically important not only to South Africa, but
to the U.S. and other nations since it will provide a broader global
understanding of how to most effectively manage and potentially prevent
HIV (e.g. through vaccine development). Efforts to develop vaccines
funded by the National Institutes of Health and other US-based
organizations may directly benefit from the findings of this study.
The South African National Blood Service (SANBS) uses both
individual donation Nucleic Acid Testing (ID-NAT) and serology tests
(either antibody or antigen detection tests) to screen blood donors for
HIV and Hepatitis-B Virus (HBV), among other infections. A positive NAT
test precedes HIV antibody detection or HBV surface antigen detection
by days to weeks in newly acquired HIV and HBV infections. A combined
testing strategy using NAT and serology tests therefore confers the
ability to detect most acute infections and discriminate between recent
(incident) and more remotely acquired (prevalent) infection. Additional
tests that exploit antibody maturation kinetics such as the HIV
Limiting Antigen Avidity assay (LAg Avidity) can further assist to
classify persons with an HIV antibody positive test as having a
recently acquired (incident) or longer-term (prevalent) infection.
Hepatitis B core antibody (anti-HBc) testing of NAT-positive and NAT
and Hepatitis B Virus Surface Antigen (HBsAg) positive HBV infections
allows classification of HBV infections as recently acquired or
prevalent infections. Infections that are anti-HBc negative are
recently acquired (incident).
Leveraging this ability to classify HIV and HBV infections as
incident or prevalent leads to three study objectives:
1. Objective 1 consists of evaluating the risk factors associated
with having an incident HIV or HBV infection. To that end, a frequency
matched case-control study will be conducted with two case groups:
Incident HIV infected blood donors and incident HBV infected blood
donors, respectively. Risk factors in these two case groups will be
compared to the risk factors provided by a group of controls (blood
donors whose infectious tests are all negative). Cases and controls
will be accrued from a geographically diverse donor pool.
2. Objective 2 consists of characterizing HIV clade and drug
resistance profiles and determining viral loads in all cases of
incident HIV infection, as well as characterizing HBV genotype and
viral load in all incident HBV infections.
3. Objective 3 consists of following persons with incident and
``elite controller'' HIV infections prospectively for three additional
visits at 2, 3, and 6 months following the index positive test(s). The
term ``elite controllers'' refers to those who are HIV antibody
positive, but with undetectable viral RNA (NAT negative) who are
believed to have a natural ability to control viral replication without
therapy. These studies will be useful in identifying appropriate HIV
drug therapy regimens for this condition, as well as strategies
[[Page 9473]]
for producing an effective HIV vaccine, which has eluded 30 years of
HIV research.
OMB approval is requested for 3 years. There are no costs to
respondents other than their time. The total estimated annualized
burden for Objectives 1 and 2 will be 395 hours for 483 respondents
(participants). The total estimated annualized burden for Objective 3
will be 32 hours for 35 respondents.
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Form name Type of Number of responses per per response Total annual
respondent respondents respondent (in hours) burden hour
----------------------------------------------------------------------------------------------------------------
Objectives 1 and 2 consent Adult Donors.... 483 1 15/60 121
form.
Objectives 1 and 2--ACASI Adult Donors.... 483 1 34/60 274
Questionnaire.
Objective 3 consent form--Year Adult Donors.... 35 1 15/60 9
1.
Objective 3--Clinical Follow- Adult Donors.... 35 4 10/60 23
up Questionnaire--Year 1 *.
Objective 3 consent form*-- Adult Donors.... 35 1 15/60 9
Year 2.
Objective 3--Clinical Follow- Adult Donors.... 35 4 10/60 23
up Questionnaire--Year 2 *.
----------------------------------------------------------------------------------------------------------------
* The Objective 3 respondents are a subset of the respondents included in Objectives 1 and 2.
Dated: February 3, 2014.
Keith Hoots,
Director, Division of Blood Diseases and Resources, National Heart,
Lung, and Blood Institute, NIH.
Dated: February 6, 2014.
Lynn Susulske,
NHLBI Project Clearance Liaison, National Institutes of Health.
[FR Doc. 2014-03547 Filed 2-18-14; 8:45 am]
BILLING CODE 4140-01-P