Revised Recommendations for Reducing the Risk of Human Immunodeficiency Virus Transmission by Blood and Blood Products; Draft Guidance for Industry; Availability, 27973-27975 [2015-11690]
Download as PDF
Federal Register / Vol. 80, No. 94 / Friday, May 15, 2015 / Notices
will be posted to the docket at https://
www.regulations.gov.
IV. Electronic Access
Persons with access to the Internet
may obtain the document at https://
www.fda.gov/Drugs/Guidance
ComplianceRegulatoryInformation/
Guidances/default.htm, https://
www.fda.gov/BiologicsBloodVaccines/
GuidanceComplianceRegulatory
Information/default.htm, or https://
www.regulations.gov.
Dated: May 11, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015–11685 Filed 5–14–15; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2015–N–0001]
Food and Drug AdministrationAmerican Urological AssociationSociety of Urologic Oncology
Workshop on Partial Gland Ablation
for Prostate Cancer; Public Workshop
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice of public workshop.
The Food and Drug
Administration (FDA) is announcing the
following public workshop entitled
‘‘AUA–FDA–SUO Workshop on Partial
Gland Ablation for Prostate Cancer.’’
The topics to be discussed are the
technologies and imaging used in partial
gland ablation, and the design of
clinical trials to measure the most
appropriate endpoints for partial gland
ablation for prostate cancer. The
workshop will be part of the American
Urological Association (AUA) annual
meeting in New Orleans, LA.
DATES: The public workshop will be
held on Sunday, May 17, 2015, from 1
p.m. to 6 p.m.
ADDRESSES: The workshop will be held
at the New Orleans Ernest N. Morial
Convention Center, 900 Convention
Center Blvd., New Orleans, LA 70130.
Registration: Persons interested in
attending this workshop must register
online for the AUA annual meeting. The
facilities are limited and, therefore,
attendance may be limited. To register
for the workshop, please visit the AUA
Web site, https://www.aua2015.org/
register/.
If you need special accommodations
due to a disability, please contact Ms.
Susan Monahan, 301–796–5661, email:
susan.monahan@fda.hhs.gov.
mstockstill on DSK4VPTVN1PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
18:20 May 14, 2015
Jkt 235001
For more information on the
workshop, please visit FDA’s Medical
Devices News & Events—Workshops &
Conferences calendar at https://
www.fda.gov/MedicalDevices/
NewsEvents/WorkshopsConferences/
default.htm. (Select this workshop from
the posted events list.) No commercial
or promotional material will be
permitted to be presented or distributed
at the workshop.
Transcripts: Please be advised that as
soon as a transcript is available, it will
be accessible at https://
www.regulations.gov. It may be viewed
at the Division of Dockets Management
between 9 a.m. and 4 p.m. A transcript
will also be available in either hardcopy
or on CD–ROM, after submission of a
Freedom of Information request. Written
requests are to be sent to the Division
of Freedom of Information (ELEM–
1029), Food and Drug Administration,
12420 Parklawn Dr., Element Bldg.,
Rockville, MD 20857. A link to the
transcripts will also be available on the
Internet at https://www.fda.gov/
MedicalDevices/NewsEvents/
WorkshopsConferences/default.htm
(select this workshop from the posted
events list), approximately 45 days after
the workshop.
FOR FURTHER INFORMATION CONTACT: John
Baxley, Center for Devices and
Radiological Health, Food and Drug
Administration, 10903 New Hampshire
Ave., Bldg. 66, Rm. G210, Silver Spring,
MD 20993, 301–796–6549, email:
john.baxley@fda.hhs.gov.
SUPPLEMENTARY INFORMATION:
I. Background
FDA’s Center for Devices and
Radiological Health, the AUA, and the
Society of Urologic Oncology (SUO) are
cosponsoring this workshop. The
purpose is to provide a forum to discuss
the development of products that ablate
prostatic tissue, particularly products
that target ablation to regions of known
cancer while intentionally sparing the
remainder of the prostate from
treatment.
The majority of cases of prostate
cancer diagnosed in the United States
represent low risk, organ-confined
disease, which may be overtreated if
conventional treatment methods (i.e.,
radical prostatectomy and whole gland
radiation therapy) are employed. Over
the past decade, partial gland ablation
therapies have emerged as treatment
alternatives that can spare patients from
many of the undesired side effects
associated with standard, radical
treatment. However, multiple challenges
currently impede the adoption of partial
gland ablation technologies, including
PO 00000
Frm 00089
Fmt 4703
Sfmt 4703
27973
the long natural history associated with
this disease, imprecision in accurately
diagnosing and targeting the tumor
regions, and the lack of validated
biomarkers or surrogate endpoints to
establish clinical benefit in a reasonable
period of time.
The purposes of this public workshop
are to: (1) Foster collaboration and
receive input from experts within the
scientific community; (2) obtain input
from various stakeholders including
patients, investigators and industry
regarding the development of minimally
invasive devices to ablate prostatic
tissue; (3) foster clinical research; (4)
discuss strategies to accelerate
anticancer device development; and (5)
provide transparency via a public forum
regarding the regulatory challenges of
developing products for management of
patients with localized prostate cancer.
II. Topics for Discussion at the Public
Workshop
The following topics will be
discussed at this workshop:
• Regulatory issues in partial gland
ablation for prostate cancer;
• overview of technology and
consensus reports;
• the use of imaging and biopsy for
patient selection and treatment
targeting; and
• the design of clinical trials to
measure cancer-specific and patientcentered outcomes.
The workshop will consist of formal
presentations examining these
regulatory, scientific and clinical topics,
followed by panel discussion. During
panel discussion, there will also be the
opportunity for public participation and
input.
Dated: May 12, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015–11897 Filed 5–13–15; 11:15 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2015–D–1211]
Revised Recommendations for
Reducing the Risk of Human
Immunodeficiency Virus Transmission
by Blood and Blood Products; Draft
Guidance for Industry; Availability
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA or Agency) is
SUMMARY:
E:\FR\FM\15MYN1.SGM
15MYN1
mstockstill on DSK4VPTVN1PROD with NOTICES
27974
Federal Register / Vol. 80, No. 94 / Friday, May 15, 2015 / Notices
announcing the availability of a draft
document entitled ‘‘Revised
Recommendations for Reducing the Risk
of Human Immunodeficiency Virus
Transmission by Blood and Blood
Products; Draft Guidance for Industry.’’
The draft guidance document provides
blood establishments that collect blood
or blood components, including Source
Plasma, with revised donor deferral
recommendations for individuals at
increased risk for transmitting human
immunodeficiency virus (HIV)
infection. The draft guidance document
recommends corresponding revisions to
donor education materials, donor
history questionnaires and
accompanying materials, along with
revisions to donor requalification and
product management procedures. The
document also incorporates certain
other recommendations related to donor
education materials and testing
contained in the memorandum to blood
establishments entitled, ‘‘Revised
Recommendations for the Prevention of
Human Immunodeficiency Virus (HIV)
Transmission by Blood and Blood
Products,’’ dated April 23, 1992 (1992
blood memo). The draft guidance, when
finalized, is intended to supersede the
1992 blood memo.
DATES: Although you can comment on
any guidance at any time (see 21 CFR
10.115(g)(5)), to ensure that the Agency
considers your comment on this draft
guidance before it begins work on the
final version of the guidance, submit
either electronic or written comments
on the draft guidance by July 14, 2015.
ADDRESSES: Submit written requests for
single copies of the draft guidance to the
Office of Communication, Outreach and
Development, Center for Biologics
Evaluation and Research (CBER), 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 the office in processing your
requests. The draft guidance may also be
obtained by mail by calling CBER at 1–
800–835–4709 or 240–402–7800. See
the SUPPLEMENTARY INFORMATION section
for electronic access to the draft
guidance document.
Submit electronic comments on the
draft guidance 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.
FOR FURTHER INFORMATION CONTACT:
Valerie A. Butler, Center for Biologics
Evaluation and Research, Food and
Drug Administration, 10903 New
Hampshire Ave., Bldg. 71, Rm. 7301,
VerDate Sep<11>2014
18:20 May 14, 2015
Jkt 235001
Silver Spring, MD 20993–0002, 240–
402–7911.
SUPPLEMENTARY INFORMATION:
I. Background
FDA is announcing the availability of
a draft document entitled ‘‘Revised
Recommendations for Reducing the Risk
of Human Immunodeficiency Virus
Transmission by Blood and Blood
Products; Draft Guidance for Industry.’’
The emergence of Acquired Immune
Deficiency Syndrome (AIDS) in the
early 1980s and the recognition that it
could be transmitted by blood and blood
products had profound effects on the
U.S. blood system. Although initially
identified in men who have sex with
men (MSM) and associated with maleto-male sexual contact, AIDS was soon
noted to be potentially transmitted by
transfusion of blood components, and
by infusion of clotting factor
concentrates in individuals with
hemophilia. Beginning in 1983, the
FDA, issued recommendations for
providing donors with education
material on risk factors for AIDS and for
deferring donors with such risk factors
in an effort to prevent transmission of
AIDS (later understood to be caused by
HIV) by blood and blood products.
Since September 1985, FDA has
recommended that blood establishments
indefinitely defer male donors who have
had sex with another male, even one
time, since 1977, due to the strong
clustering of AIDS illness in the MSM
community and the subsequent
discovery of high rates of HIV infection
in that population. On April 23, 1992,
FDA issued the 1992 blood memo,
which contains the current
recommendations regarding the deferral
for MSM, as well as the deferral
recommendations for other persons with
behaviors associated with high rates of
HIV exposure, namely commercial sex
workers, intravenous drug users, and
certain other individuals with other risk
factors.
The use of donor education material,
specific deferral questions and advances
in HIV donor testing have reduced the
risk of HIV transmission from blood
transfusion from about 1 in 2500 units
prior to HIV testing to a current
estimated residual risk of about 1 in
1.47 million transfusions. During the
period from 1997 to 2014, FDA and the
Department of Health and Human
Services (HHS) held a number of public
meetings, including scientific
workshops and meetings of the Blood
Products Advisory Committee and the
HHS Advisory Committee on Blood
Safety and Availability to further review
evidence and discuss FDA’s blood
donor deferral policies to reduce the
PO 00000
Frm 00090
Fmt 4703
Sfmt 4703
risk of transmission of HIV by blood and
blood products. Studies that might
support a policy change were carried
out by the Public Health Service
agencies in 2011–2014. A policy change
to the blood donor deferral period for
MSM from indefinite deferral to 1 year
since the last sexual contact was
announced by the FDA Commissioner
in December 2014. The draft guidance,
when finalized, will implement that
policy change.
In addition to providing donor
deferral recommendations for
individuals at increased risk for
transmitting HIV infection, the draft
guidance document incorporates certain
recommendations contained in the 1992
blood memo. Certain other
recommendations from the 1992 blood
memo have not been included in the
draft guidance document because they
have become outdated over time,
superseded by subsequent regulations or
guidance documents, or have been
incorporated into other guidance
documents. However, to ensure that the
final guidance document provides
comprehensive recommendations for
reducing the risk of HIV transmission by
blood and blood products, we invite
comments on the recommendations
contained in the 1992 blood memo that
have not been included in the draft
guidance. Further, the draft guidance
does not provide a specific list of
recommended signs and symptoms
associated with HIV for inclusion in the
donor education materials. We invite
comments and the submission of data
on what specific signs and symptoms
associated with HIV infection would be
most appropriate for inclusion in
education material in the blood donor
setting. The draft guidance, when
finalized, is intended to supersede the
1992 blood memo.
The 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 ‘‘Revised Recommendations for
Reducing the Risk of Human
Immunodeficiency Virus Transmission
by Blood and Blood Products.’’ 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.
II. Paperwork Reduction Act of 1995
The draft guidance refers to
previously approved collections of
information found in FDA regulations.
These collections of information are
subject to review by the Office of
Management and Budget (OMB) under
E:\FR\FM\15MYN1.SGM
15MYN1
Federal Register / Vol. 80, No. 94 / Friday, May 15, 2015 / Notices
the Paperwork Reduction Act of 1995
(44 U.S.C. 3501–3520). The collections
of information in 21 CFR 601.12 have
been approved under OMB control
number 0910–0338; the collections of
information in 21 CFR 606.171 have
been approved under OMB control
number 0910–0458; and the collections
of information in 21 CFR 610.46, 630.6,
640.3 and 640.63 have been approved
under OMB control number 0910–0116.
III. Comments
The draft guidance is being
distributed for comment purposes only
and is not intended for implementation
at this time. 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.
IV. Electronic Access
Persons with access to the Internet
may obtain the draft guidance at either
https://www.fda.gov/BiologicsBlood
Vaccines/GuidanceCompliance
RegulatoryInformation/Guidances/
default.htm or https://
www.regulations.gov.
[FR Doc. 2015–11690 Filed 5–14–15; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2014–N–0487]
mstockstill on DSK4VPTVN1PROD with NOTICES
Agency Information Collection
Activities; Announcement of Office of
Management and Budget Approval;
Generic Clearance for the Collection of
Qualitative Feedback on Food and
Drug Administration Service Delivery
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA) is announcing
that a collection of information entitled,
‘‘Generic Clearance for the Collection of
Qualitative Feedback on Food and Drug
SUMMARY:
VerDate Sep<11>2014
18:20 May 14, 2015
Jkt 235001
Dated: May 11, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015–11689 Filed 5–14–15; 8:45 am]
This meeting is thus intended to provide an
update to all interested stakeholders on U.S.
Global Code implementation efforts to date
and to provide a forum for questions on
activities related to implementation of the
Global Code.
The meeting will be open to the public as
indicated above, with attendance limited to
space available. Individuals who plan to
attend and need special assistance, such as
sign language interpretation or other
reasonable accommodations, should notify
within their RSVP at least 10 business days
prior to the meeting. Foreign nationals
planning to attend the session in person will
require additional paperwork for security
clearance and that this clearance process
requires a minimum of 10 business days.
RSVP: Due to security restrictions for entry
into the HHS Humphrey Federal Building,
we will need to receive RSVPs for this event.
Please send your full name and organization
to us.who.irhp@hhs.gov. If you are not a U.S.
citizen, you must RSVP no later than May
26th, 2015. Please note this in the subject
line of your RSVP, and our office will contact
you to gain additional biographical
information for your clearance. For U.S.
citizens, please RSVP no later than Friday,
June 3rd, 2015. Written comments are
welcome and encouraged, even if you are
planning to attend in person. Please send
these to the email address: us.who.irhp@
hhs.gov.
Dated: May 7, 2015.
Jimmy Kolker,
Assistant Secretary for Global Affairs,
Department of Health and Human Services.
[FR Doc. 2015–11785 Filed 5–14–15; 8:45 am]
BILLING CODE 4150–38–P
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
U.S. National Authority for the WHO
Global Code of Practice on the
International Recruitment of Health
Personnel; Notice of Public Meeting
Dated: May 11, 2015.
Leslie Kux,
Associate Commissioner for Policy.
AGENCY:
Administration Service Delivery’’ has
been approved by the Office of
Management and Budget (OMB) under
the Paperwork Reduction Act of 1995.
FOR FURTHER INFORMATION CONTACT: FDA
PRA Staff, Office of Operations, Food
and Drug Administration, 8455
Colesville Rd., COLE–14526, Silver
Spring, MD 20993–0002, PRAStaff@
fda.hhs.gov.
SUPPLEMENTARY INFORMATION: On
September 24, 2014, the Agency
submitted a proposed collection of
information entitled, ‘‘Generic
Clearance for the Collection of
Qualitative Feedback on Food and Drug
Administration Service Delivery’’ to
OMB for review and clearance under 44
U.S.C. 3507. An Agency may not
conduct or sponsor, and a person is not
required to respond to, a collection of
information unless it displays a
currently valid OMB control number.
OMB has now approved the information
collection and has assigned OMB
control number 0910–0697. The
approval expires on November 30, 2017.
A copy of the supporting statement for
this information collection is available
on the Internet at https://
www.reginfo.gov/public/do/PRAMain.
27975
National Institutes of Health
Time and date: Meeting will be held on
June 10th, 2015, 10:00 a.m. to 12:00 p.m.
EDT.
Place: Room 405A, U.S. Department of
Health & Human Services, 200 Independence
Ave. SW., Washington, DC 20201.
Status: Open, but requiring RSVP to
us.who.irhp@hhs.gov by June 3rd, 2015.
Purpose: The purpose of the World Health
Organization (WHO) Global Code of Practice
on International Recruitment of Health
Personnel (Global Code) is ‘‘to establish and
promote voluntary principles and practices
for the ethical international recruitment of
health personnel and to facilitate the
strengthening of health systems.’’ The United
States Government has designated the Office
of Global Affairs (OGA) and the Health
Resources and Services Administration
(HRSA) as co-National Authority to be the
point of contact for implementation
activities. The Global Code encourages WHO
member states to cooperate with all relevant
stakeholders in their implementation efforts.
PO 00000
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Center for Scientific Review; Notice of
Closed Meetings
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 meetings.
The meetings 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: Center for Scientific
Review Special Emphasis Panel;
Collaborative Applications: Behavioral
Genetics and Epidemiology.
Date: June 2–3, 2015.
Time: 8:30 a.m. to 5:00 p.m.
E:\FR\FM\15MYN1.SGM
15MYN1
Agencies
[Federal Register Volume 80, Number 94 (Friday, May 15, 2015)]
[Notices]
[Pages 27973-27975]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-11690]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA-2015-D-1211]
Revised Recommendations for Reducing the Risk of Human
Immunodeficiency Virus Transmission by Blood and Blood Products; Draft
Guidance for Industry; Availability
AGENCY: Food and Drug Administration, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Food and Drug Administration (FDA or Agency) is
[[Page 27974]]
announcing the availability of a draft document entitled ``Revised
Recommendations for Reducing the Risk of Human Immunodeficiency Virus
Transmission by Blood and Blood Products; Draft Guidance for
Industry.'' The draft guidance document provides blood establishments
that collect blood or blood components, including Source Plasma, with
revised donor deferral recommendations for individuals at increased
risk for transmitting human immunodeficiency virus (HIV) infection. The
draft guidance document recommends corresponding revisions to donor
education materials, donor history questionnaires and accompanying
materials, along with revisions to donor requalification and product
management procedures. The document also incorporates certain other
recommendations related to donor education materials and testing
contained in the memorandum to blood establishments entitled, ``Revised
Recommendations for the Prevention of Human Immunodeficiency Virus
(HIV) Transmission by Blood and Blood Products,'' dated April 23, 1992
(1992 blood memo). The draft guidance, when finalized, is intended to
supersede the 1992 blood memo.
DATES: Although you can comment on any guidance at any time (see 21 CFR
10.115(g)(5)), to ensure that the Agency considers your comment on this
draft guidance before it begins work on the final version of the
guidance, submit either electronic or written comments on the draft
guidance by July 14, 2015.
ADDRESSES: Submit written requests for single copies of the draft
guidance to the Office of Communication, Outreach and Development,
Center for Biologics Evaluation and Research (CBER), 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
the office in processing your requests. The draft guidance may also be
obtained by mail by calling CBER at 1-800-835-4709 or 240-402-7800. See
the SUPPLEMENTARY INFORMATION section for electronic access to the
draft guidance document.
Submit electronic comments on the draft guidance 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.
FOR FURTHER INFORMATION CONTACT: Valerie A. Butler, 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 document entitled
``Revised Recommendations for Reducing the Risk of Human
Immunodeficiency Virus Transmission by Blood and Blood Products; Draft
Guidance for Industry.'' The emergence of Acquired Immune Deficiency
Syndrome (AIDS) in the early 1980s and the recognition that it could be
transmitted by blood and blood products had profound effects on the
U.S. blood system. Although initially identified in men who have sex
with men (MSM) and associated with male-to-male sexual contact, AIDS
was soon noted to be potentially transmitted by transfusion of blood
components, and by infusion of clotting factor concentrates in
individuals with hemophilia. Beginning in 1983, the FDA, issued
recommendations for providing donors with education material on risk
factors for AIDS and for deferring donors with such risk factors in an
effort to prevent transmission of AIDS (later understood to be caused
by HIV) by blood and blood products.
Since September 1985, FDA has recommended that blood establishments
indefinitely defer male donors who have had sex with another male, even
one time, since 1977, due to the strong clustering of AIDS illness in
the MSM community and the subsequent discovery of high rates of HIV
infection in that population. On April 23, 1992, FDA issued the 1992
blood memo, which contains the current recommendations regarding the
deferral for MSM, as well as the deferral recommendations for other
persons with behaviors associated with high rates of HIV exposure,
namely commercial sex workers, intravenous drug users, and certain
other individuals with other risk factors.
The use of donor education material, specific deferral questions
and advances in HIV donor testing have reduced the risk of HIV
transmission from blood transfusion from about 1 in 2500 units prior to
HIV testing to a current estimated residual risk of about 1 in 1.47
million transfusions. During the period from 1997 to 2014, FDA and the
Department of Health and Human Services (HHS) held a number of public
meetings, including scientific workshops and meetings of the Blood
Products Advisory Committee and the HHS Advisory Committee on Blood
Safety and Availability to further review evidence and discuss FDA's
blood donor deferral policies to reduce the risk of transmission of HIV
by blood and blood products. Studies that might support a policy change
were carried out by the Public Health Service agencies in 2011-2014. A
policy change to the blood donor deferral period for MSM from
indefinite deferral to 1 year since the last sexual contact was
announced by the FDA Commissioner in December 2014. The draft guidance,
when finalized, will implement that policy change.
In addition to providing donor deferral recommendations for
individuals at increased risk for transmitting HIV infection, the draft
guidance document incorporates certain recommendations contained in the
1992 blood memo. Certain other recommendations from the 1992 blood memo
have not been included in the draft guidance document because they have
become outdated over time, superseded by subsequent regulations or
guidance documents, or have been incorporated into other guidance
documents. However, to ensure that the final guidance document provides
comprehensive recommendations for reducing the risk of HIV transmission
by blood and blood products, we invite comments on the recommendations
contained in the 1992 blood memo that have not been included in the
draft guidance. Further, the draft guidance does not provide a specific
list of recommended signs and symptoms associated with HIV for
inclusion in the donor education materials. We invite comments and the
submission of data on what specific signs and symptoms associated with
HIV infection would be most appropriate for inclusion in education
material in the blood donor setting. The draft guidance, when
finalized, is intended to supersede the 1992 blood memo.
The 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 ``Revised
Recommendations for Reducing the Risk of Human Immunodeficiency Virus
Transmission by Blood and Blood Products.'' 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.
II. Paperwork Reduction Act of 1995
The draft guidance refers to previously approved collections of
information found in FDA regulations. These collections of information
are subject to review by the Office of Management and Budget (OMB)
under
[[Page 27975]]
the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3520). The
collections of information in 21 CFR 601.12 have been approved under
OMB control number 0910-0338; the collections of information in 21 CFR
606.171 have been approved under OMB control number 0910-0458; and the
collections of information in 21 CFR 610.46, 630.6, 640.3 and 640.63
have been approved under OMB control number 0910-0116.
III. Comments
The draft guidance is being distributed for comment purposes only
and is not intended for implementation at this time. 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.
IV. Electronic Access
Persons with access to the Internet may obtain the draft guidance
at either https://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/Guidances/default.htm or https://www.regulations.gov.
Dated: May 11, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-11690 Filed 5-14-15; 8:45 am]
BILLING CODE 4164-01-P