Announcement for Request for Comment for: Antimicrobial Resistance Rapid, Point-of-Care Diagnostic Test Challenge, 31402-31404 [2015-13113]
Download as PDF
31402
Federal Register / Vol. 80, No. 105 / Tuesday, June 2, 2015 / Notices
including packaging grant
announcements and application kits.
Makes recommendations to the
Director/NIDILRR regarding allocation
of NIDILRR program funds for current
and future budget years. Coordinate and
collaborates with Office of Research
Sciences program staff in the
preparation of the annual spending plan
and facilitate the implementation of the
plan to ensure compliance with
established departmental guidance.
Provides administrative support in the
monitoring of grants and cooperative
agreements, and facilitates the
administrative execution of interagency
agreements.
Administers NIDILRR evaluation
activities to improve the effectiveness of
NIDILRR’s research activities. This
includes collaboration with NIDILRR’s
senior management to define and
facilitate the conduct of analyses of
program and budget data as well as
focused, special program evaluation
activities. In its evaluation function, it
coordinates with CPE to prepare
planning and evaluation documents
required by ACL, HHS, OMB and
Congress.
II. Delegations of Authority: All
delegations and re-delegations of
authority made to officials and
employees of affected organizational
components will continue in them or
their successors pending further redelegations.
III. Funds, Personnel and Equipment:
Transfer of organizations and functions
affected by this reorganization shall be
accompanied in each instance by direct
and support funds, positions, personnel,
records, equipment, supplies and other
resources.
Dated: May 27, 2015.
Sylvia M. Burwell,
Secretary.
[FR Doc. 2015–13351 Filed 6–1–15; 8:45 am]
BILLING CODE 4150–04–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
asabaliauskas on DSK5VPTVN1PROD with NOTICES
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
VerDate Sep<11>2014
17:26 Jun 01, 2015
Jkt 235001
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
Aging Special Emphasis Panel;
Mitochondrial ROS and Aging.
Date: July 9, 2015.
Time: 12:00 p.m. to 4:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institute on Aging,
Gateway Building, Suite 2C212, 7201
Wisconsin Avenue, Bethesda, MD 20892,
(Telephone Conference Call).
Contact Person: Elaine Lewis, Ph.D.,
Scientific Review Branch, National Institute
On Aging, Gateway Building, Suite 2C212,
MSC–9205, 7201 Wisconsin Avenue,
Bethesda, MD 20892, 301–402–7707,
elainelewis@nia.nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.866, Aging Research,
National Institutes of Health, HHS)
Dated: May 27, 2015.
Melanie J. Gray,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2015–13149 Filed 6–1–15; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Notice of Correction for
Announcement of Requirements and
Registration for: ‘‘Harnessing Insights
From Other Disciplines To Advance
Drug Abuse and Addiction Research’’
Challenge
The National Institutes of Health
(NIH) is correcting a notice previously
published in the Federal Register on
May 26, 2015 (80 FR 30084) and titled
‘‘Announcement of Requirements and
Registration for: ‘‘Harnessing Insights
From Other Disciplines To Advance
Drug Abuse and Addiction Research’’
Challenge.’’ The notice announced a
National Institute on Drug Abuse
(NIDA) challenge soliciting ideas on
how to adapt specialized knowledge
from other disciplines to inform new
directions and discoveries in drug abuse
and addiction research.
NIH is amending the submission date
for the challenge from June 22, 2015 to
June 30, 2015, the Judging period from
June 23, 2015–July 17, 2015 to July 1,
2015–July 24, 2015, and winners
announced date from July 30, 2015 to
August 6, 2015.
For further information about the
Challenge, please contact Emily
PO 00000
Frm 00054
Fmt 4703
Sfmt 4703
Einstein, Ph.D. Science Policy Branch,
NIDA, Phone 301–443–6071, email:
emily.einstein@nih.gov.
Dated: May 27, 2015.
Nora D. Volkow,
Director, National Institute on Drug Abuse
National Institutes of Health.
[FR Doc. 2015–13348 Filed 6–1–15; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Announcement for Request for
Comment for: Antimicrobial
Resistance Rapid, Point-of-Care
Diagnostic Test Challenge
Authority: 15 U.S.C. 3719
The U.S. Department of
Health and Human Services (HHS)
intends to hold a prize competition in
which up to $20 million will be made
available, subject to the availability of
funds, for the delivery of one or more
successful rapid point-of-care
diagnostics that may be used by health
care providers to identify bacterial
infections. The National Institutes of
Health (NIH) and the Biomedical
Advanced Research and Development
Authority (BARDA) are sponsoring the
prize competition, and seek public
comments regarding the technical
criteria and performance characteristics
of the diagnostic(s) for which the
prize(s) will be offered.
DATES: Submission Period begins June 2,
2015, 9:00 a.m. EST. Submission Period
ends 5 p.m. EST July 17, 2015.
ADDRESSES: Comments can be sent to
https://www.challenge.gov.
FOR FURTHER INFORMATION CONTACT:
Robert W. Eisinger, Ph.D., National
Institutes of Health, Division of Program
Coordination, Planning, and Strategic
Initiatives, Telephone: 301–496–2229,
Email:Robert.eisinger@nih.gov.
SUPPLEMENTARY INFORMATION: On
September 18, 2014, the President
issued Executive Order 13676 on
Combating Antibiotic-Resistant Bacteria
(https://www.whitehouse.gov/the-pressoffice/2014/09/18/executive-ordercombating-antibiotic-resistant-bacteria)
and the Antimicrobial Resistance
Challenge was called for in the
accompanying White House Fact Sheet
https://www.whitehouse.gov/the-pressoffice/2014/09/18/fact-sheet-obamaadministration-takes-actions-combatantibiotic-resistan). The development
and use of rapid, point-of-care, and
innovative diagnostic tests for
SUMMARY:
E:\FR\FM\02JNN1.SGM
02JNN1
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Federal Register / Vol. 80, No. 105 / Tuesday, June 2, 2015 / Notices
identification and characterization of
resistant bacteria was a goal identified
in the National Strategy for Combating
Antibiotic-Resistant Bacteria released in
September 2014 (https://
www.whitehouse.gov/sites/default/files/
docs/carb_national_strategy.pdf) and
addressed in the National Action Plan
for Combating Antibiotic-Resistant
Bacteria released in March 2015
(https://www.whitehouse.gov/sites/
default/files/docs/national_action_
plan_for_combating_antibotic-resistant_
bacteria.pdf).
In conformance to the above
documents, the NIH and BARDA are
sponsoring a prize competition, and the
Food and Drug Administration (FDA)
and the Centers for Disease Control and
Prevention (CDC) are contributing
technical and regulatory expertise to
develop the award evaluation process.
The aim of the prize competition is to
incentivize the development of one or
more in vitro diagnostic tests that would
be of significant clinical and public
health utility to combat the
development and spread of antibiotic
resistant bacteria. For example, such a
diagnostic test could be used by health
care providers to identify bacterial
infections in patients to help guide their
decisions about the necessity of
prescribing antibiotics, and if so, which
antibiotics may be effective—thus
promoting antibiotic stewardship.
Another important diagnostic use could
be to facilitate clinical trials for new
antibacterial products by allowing for
the enrichment of patient populations
with specific infections, thus advancing
the development of new antibacterial
agents. The prize-winning diagnostic(s)
must exhibit a set of predefined
technical criteria and performance
characteristics based on the intended
use(s).
When exercising prize authority
under the America COMPETES Act,
agencies are to ‘‘consult widely both
within and outside the federal
Government’’ when developing prize
competitions. As such, HHS is seeking
input from the medical, public health,
and scientific communities; the
pharmaceutical and medical diagnostic
sectors; patients and other advocacy
groups; and the public at-large in order
to receive broad input on the type(s) of
diagnostic(s) that may be developed in
an appropriate time frame to be of
significant utility in combating the
development and spread of antibiotic
resistant bacteria.
At this time, HHS is seeking
comments on the topics identified
below as they pertain to a rapid, pointof-care diagnostic test(s) that could be
developed in an appropriate time frame
VerDate Sep<11>2014
17:26 Jun 01, 2015
Jkt 235001
to be of significant clinical and public
health utility in combating the
development and spread of antibiotic
resistant bacteria. A prioritized list of 18
bacteria of highest concern can be found
in Table 3 of the National Action Plan
(https://www.whitehouse.gov/sites/
default/files/docs/national_action_
plan_for_combating_antibotic-resistant_
bacteria.pdf). The comment period will
be open for 45 days from the publication
of this request for information (RFI).
Input received during this 45-day
comment period and during the
subsequent public consultation will be
used by HHS to develop the technical
criteria and performance characteristics
of the diagnostic(s) for which the
prize(s) will be offered. The design of
the Challenge will take into account
previous guidance obtained in the
aforementioned National Strategy and
National Action Plan to combat
antibiotic resistant bacteria. Comments
can be submitted to the discussion
board for this Challenge accessible on
https://www.challenge.gov.
This web-based discussion board also
provides an open forum for discussion
of this prize competition. The online
community is open to the public and
will allow for a broad and interactive
discussion of the topics covered by this
RFI. This platform will allow users to
submit ideas about a desired diagnostic
test and to comment on the ideas that
have been submitted by others.
Comments may include, but are not
limited to, the following topic areas:
1. Purpose. The purpose(s) or
function(s) a rapid, point-of-care in vitro
diagnostic test that would be of
significant utility to the clinical and
public health communities in combating
antibiotic resistance. Comments may
reflect considerations about in vitro
diagnostic tests that distinguish between
bacterial and viral infections, or that
identify specific bacterial pathogens
and/or their drug susceptibility in
patients.
2. Characterizing drug susceptibility.
The development of an effective in vitro
diagnostic test that can identify whether
bacterial pathogens are resistant and/or
sensitive to certain clinically relevant
antibiotics, and thus would be of
significant utility in combating
antibiotic resistance. Examples may be
provided.
3. Sample matrix. The development of
an effective in vitro diagnostic test that
identifies pathogens by testing human
samples (e.g., blood, urine, sputum,
tissue fluid, multiple or other sample
specimens). Comments may include
what type or types of samples would be
most relevant in identifying pathogens
and/or antibiotic susceptibility.
PO 00000
Frm 00055
Fmt 4703
Sfmt 4703
31403
4. Speed. The development of an
effective in vitro diagnostic test that
rapidly produces results. Comments
may reflect considerations about what
would be the maximum acceptable
time-to-result for an in vitro diagnostic
test to be of significant utility (i.e., from
the time that a sample is collected from
a patient to the time that the result is
available to the healthcare provider).
5. Setting. The settings or venues in
which the proposed point-of-care in
vitro diagnostic test may be most needed
for combating antibiotic resistance.
6. Ease-of-use. The development of an
effective in vitro diagnostic test that is
easy to use. Recognizing that diagnostics
often require specialized equipment for
sample storage, processing and/or
analysis, comments also may include
considerations about how such
specialized equipment may affect an in
vitro diagnostic test’s ease of use or
otherwise limit its utility. Comments
also may include considerations about
the nature and extent of training that
would be necessary to operate and
obtain results from the proposed in vitro
diagnostic test.
7. Diagnostic performance. The
performance characteristics (e.g.,
sensitivity, specificity, positive
predictive value, and negative
predictive value) required of the
proposed in vitro diagnostic test in
order for it to have significant utility in
combatting antibiotic resistance.
8. Tradeoffs. Any inherent tradeoffs
associated with the performance
characteristics/parameters described in
connection with your previous
comments and priority of the
characteristics/parameters, if applicable.
9. Cost. The development of an
effective in vitro diagnostic test that is
not cost prohibitive for its intended
purpose. Cost and cost considerations
may include what price or price range
would be desirable to support the
widespread adoption of an in vitro
diagnostic test that will be effective in
combating antibiotic resistant bacteria.
10. Other characteristics. Additional
characteristics of the proposed in vitro
diagnostic test that would be of
significant value.
11. Key technologies. The specific
technologies or disciplines, current or
nascent, which would lend themselves
to the development of a successful in
vitro diagnostic test including, for
example, what special considerations,
advantages, and disadvantages may be
associated with each technology/
discipline. Comments on what
timeframe would be considered
reasonable for the development and
licensure of a successful in vitro
diagnostic test are also welcome.
E:\FR\FM\02JNN1.SGM
02JNN1
31404
Federal Register / Vol. 80, No. 105 / Tuesday, June 2, 2015 / Notices
12. Interest. Major factors that may
influence a person’s decision to
compete in the prize competition
described in this information request.
13. Use. Identification of who is likely
to purchase and/or use the type of in
vitro diagnostic tests being targeted by
this prize competition and how or
where such a purchaser or user is most
likely to use the in vitro diagnostic test.
Examples may be provided (e.g.,
patient/self-diagnosis, guiding
prescriptive decisions, etc.).
14. Barriers. Major barriers that may
impede development of the proposed in
vitro diagnostic test (e.g., technical or
research driven; financial or regulatory;
infrastructure or resource based).
Comments may reflect considerations
about what potential solutions, if any,
may be available to overcome such
barriers and the level of difficulty
associated with implementing any such
solution in the U.S. and/or globally.
Dated: May 26, 2015.
Lawrence A. Tabak,
Deputy Director, National Institutes of Health.
[FR Doc. 2015–13113 Filed 6–1–15; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Center for Scientific Review; Notice of
Closed Meetings
asabaliauskas on DSK5VPTVN1PROD with NOTICES
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; PAR–13–
080: Accelerating the Pace of Drug Abuse
Research Using Existing Data.
Date: June 16, 2015.
Time: 1:00 p.m. to 5:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institutes of Health, 6701
Rockledge Drive, Bethesda, MD 20892,
(Virtual Meeting).
Contact Person: George Vogler, Ph.D.,
Scientific Review Officer, Center for
Scientific Review, National Institutes of
VerDate Sep<11>2014
17:26 Jun 01, 2015
Jkt 235001
Health, 6701 Rockledge Drive, Room 3140,
MSC 7770, Bethesda, MD 20892, (301) 237–
2693, voglergp@csr.nih.gov.
This notice is being published less than 15
days prior to the meeting due to the timing
limitations imposed by the review and
funding cycle.
Name of Committee: Genes, Genomes, and
Genetics Integrated Review Group; Molecular
Genetics A Study Section.
Date: June 22–23, 2015.
Time: 8:30 a.m. to 6:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: Renaissance M Street Hotel, 1143
New Hampshire Avenue NW., Washington,
DC 20037.
Contact Person: Michael M, Sveda, Ph.D.,
Scientific Review Officer, Center for
Scientific Review, National Institutes of
Health, 6701 Rockledge Drive, Room 1114,
MSC 7890, Bethesda, MD 20892, 301–435–
3565, svedam@csr.nih.gov.
Name of Committee: Center for Scientific
Review Special Emphasis Panel; RFA–RM–
14–007: Nucleomics Tools.
Date: June 29, 2015.
Time: 8:00 a.m. to 6:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: Embassy Suites at the Chevy Chase
Pavilion, 4300 Military Road NW.,
Washington, DC 20015.
Contact Person: Thomas Beres, Ph.D.,
Scientific Review Officer, Center for
Scientific Review, National Institutes of
Health, 6701 Rockledge Dr. Rm. 5201, MSC
7840, Bethesda, MD 20892, 301–435–1175,
berestm@mail.nih.gov.
Name of Committee: Center for Scientific
Review Special Emphasis Panel; RFA–RM–
14–007: Nucleomics Tools.
Date: June 29, 2015.
Time: 8:00 a.m. to 6:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: Embassy Suites at the Chevy Chase
Pavilion, 4300 Military Road NW.,
Washington, DC 20015.
Contact Person: David Balasundaram,
Ph.D., Scientific Review Officer, Center for
Scientific Review, National Institutes of
Health, 6701 Rockledge Drive, Room 5189,
MSC 7840, Bethesda, MD 20892, 301–435–
1022, balasundaramd@csr.nih.gov.
Name of Committee: Genes, Genomes, and
Genetics Integrated Review Group; Genetics
of Health and Disease Study Section.
Date: June 29–30, 2015.
Time: 8:30 a.m. to 3:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: Hotel Monaco Alexandria, 480 King
Street, Alexandria, VA 22314.
Contact Person: Cheryl M. Corsaro, Ph.D.,
Scientific Review Officer, Center for
Scientific Review, National Institutes of
Health, 6701 Rockledge Drive, Room 2204,
MSC 7890, Bethesda, MD 20892, (301) 435–
1045, corsaroc@csr.nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.306, Comparative Medicine;
93.333, Clinical Research, 93.306, 93.333,
93.337, 93.393–93.396, 93.837–93.844,
93.846–93.878, 93.892, 93.893, National
Institutes of Health, HHS)
PO 00000
Frm 00056
Fmt 4703
Sfmt 4703
Dated: May 27, 2015.
Melanie J. Gray,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2015–13144 Filed 6–1–15; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Heart, Lung, and Blood
Institute; 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: National Heart, Lung,
and Blood Institute Special Emphasis Panel;
Stem Cell-Derived Blood Products.
Date: June 18, 2015.
Time: 1:30 p.m. to 5:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: Hilton Crystal City, 2399 Jefferson
Davis Hwy., Arlington, VA 22202.
Contact Person: Tony L. Creazzo, Ph.D.,
Scientific Review Officer, Office of Scientific
Review/DERA, National Heart, Lung, and
Blood Institute, 6701 Rockledge Drive, Room
7180, Bethesda, MD 20892–7924, 301–435–
0725, creazzotl@mail.nih.gov.
Name of Committee: National Heart, Lung,
and Blood Institute Special Emphasis Panel;
Stem Cell-Derived Blood Products.
Date: June 18, 2015.
Time: 12:30 p.m. to 1:30 p.m.
Agenda: To review and evaluate grant
applications.
Place: Hilton Crystal City, 2399 Jefferson
Davis Hwy., Arlington, VA 22202.
Contact Person: Tony L. Creazzo, Ph.D.,
Scientific Review Officer, Office of Scientific
Review/DERA, National Heart, Lung, and
Blood Institute, 6701 Rockledge Drive, Room
7180, Bethesda, MD 20892–7924, 301–435–
0725, creazzotl@mail.nih.gov.
Name of Committee: National Heart, Lung,
and Blood Institute Special Emphasis Panel;
Stem Cell-Derived Blood Products.
Date: June 19, 2015.
Time: 8:30 a.m. to 5:30 p.m.
Agenda: To review and evaluate grant
applications.
Place: Hilton Crystal City, 2399 Jefferson
Davis Hwy., Arlington, VA 22202.
E:\FR\FM\02JNN1.SGM
02JNN1
Agencies
[Federal Register Volume 80, Number 105 (Tuesday, June 2, 2015)]
[Notices]
[Pages 31402-31404]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-13113]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
National Institutes of Health
Announcement for Request for Comment for: Antimicrobial
Resistance Rapid, Point-of-Care Diagnostic Test Challenge
Authority: 15 U.S.C. 3719
SUMMARY: The U.S. Department of Health and Human Services (HHS) intends
to hold a prize competition in which up to $20 million will be made
available, subject to the availability of funds, for the delivery of
one or more successful rapid point-of-care diagnostics that may be used
by health care providers to identify bacterial infections. The National
Institutes of Health (NIH) and the Biomedical Advanced Research and
Development Authority (BARDA) are sponsoring the prize competition, and
seek public comments regarding the technical criteria and performance
characteristics of the diagnostic(s) for which the prize(s) will be
offered.
DATES: Submission Period begins June 2, 2015, 9:00 a.m. EST. Submission
Period ends 5 p.m. EST July 17, 2015.
ADDRESSES: Comments can be sent to https://www.challenge.gov.
FOR FURTHER INFORMATION CONTACT: Robert W. Eisinger, Ph.D., National
Institutes of Health, Division of Program Coordination, Planning, and
Strategic Initiatives, Telephone: 301-496-2229,
Email:Robert.eisinger@nih.gov.
SUPPLEMENTARY INFORMATION: On September 18, 2014, the President issued
Executive Order 13676 on Combating Antibiotic-Resistant Bacteria
(https://www.whitehouse.gov/the-press-office/2014/09/18/executive-order-combating-antibiotic-resistant-bacteria) and the Antimicrobial
Resistance Challenge was called for in the accompanying White House
Fact Sheet https://www.whitehouse.gov/the-press-office/2014/09/18/fact-sheet-obama-administration-takes-actions-combat-antibiotic-resistan).
The development and use of rapid, point-of-care, and innovative
diagnostic tests for
[[Page 31403]]
identification and characterization of resistant bacteria was a goal
identified in the National Strategy for Combating Antibiotic-Resistant
Bacteria released in September 2014 (https://www.whitehouse.gov/sites/default/files/docs/carb_national_strategy.pdf) and addressed in the
National Action Plan for Combating Antibiotic-Resistant Bacteria
released in March 2015 (https://www.whitehouse.gov/sites/default/files/docs/national_action_plan_for_combating_antibotic-resistant_bacteria.pdf).
In conformance to the above documents, the NIH and BARDA are
sponsoring a prize competition, and the Food and Drug Administration
(FDA) and the Centers for Disease Control and Prevention (CDC) are
contributing technical and regulatory expertise to develop the award
evaluation process.
The aim of the prize competition is to incentivize the development
of one or more in vitro diagnostic tests that would be of significant
clinical and public health utility to combat the development and spread
of antibiotic resistant bacteria. For example, such a diagnostic test
could be used by health care providers to identify bacterial infections
in patients to help guide their decisions about the necessity of
prescribing antibiotics, and if so, which antibiotics may be
effective--thus promoting antibiotic stewardship. Another important
diagnostic use could be to facilitate clinical trials for new
antibacterial products by allowing for the enrichment of patient
populations with specific infections, thus advancing the development of
new antibacterial agents. The prize-winning diagnostic(s) must exhibit
a set of predefined technical criteria and performance characteristics
based on the intended use(s).
When exercising prize authority under the America COMPETES Act,
agencies are to ``consult widely both within and outside the federal
Government'' when developing prize competitions. As such, HHS is
seeking input from the medical, public health, and scientific
communities; the pharmaceutical and medical diagnostic sectors;
patients and other advocacy groups; and the public at-large in order to
receive broad input on the type(s) of diagnostic(s) that may be
developed in an appropriate time frame to be of significant utility in
combating the development and spread of antibiotic resistant bacteria.
At this time, HHS is seeking comments on the topics identified
below as they pertain to a rapid, point-of-care diagnostic test(s) that
could be developed in an appropriate time frame to be of significant
clinical and public health utility in combating the development and
spread of antibiotic resistant bacteria. A prioritized list of 18
bacteria of highest concern can be found in Table 3 of the National
Action Plan (https://www.whitehouse.gov/sites/default/files/docs/national_action_plan_for_combating_antibotic-resistant_bacteria.pdf).
The comment period will be open for 45 days from the publication of
this request for information (RFI). Input received during this 45-day
comment period and during the subsequent public consultation will be
used by HHS to develop the technical criteria and performance
characteristics of the diagnostic(s) for which the prize(s) will be
offered. The design of the Challenge will take into account previous
guidance obtained in the aforementioned National Strategy and National
Action Plan to combat antibiotic resistant bacteria. Comments can be
submitted to the discussion board for this Challenge accessible on
https://www.challenge.gov.
This web-based discussion board also provides an open forum for
discussion of this prize competition. The online community is open to
the public and will allow for a broad and interactive discussion of the
topics covered by this RFI. This platform will allow users to submit
ideas about a desired diagnostic test and to comment on the ideas that
have been submitted by others.
Comments may include, but are not limited to, the following topic
areas:
1. Purpose. The purpose(s) or function(s) a rapid, point-of-care in
vitro diagnostic test that would be of significant utility to the
clinical and public health communities in combating antibiotic
resistance. Comments may reflect considerations about in vitro
diagnostic tests that distinguish between bacterial and viral
infections, or that identify specific bacterial pathogens and/or their
drug susceptibility in patients.
2. Characterizing drug susceptibility. The development of an
effective in vitro diagnostic test that can identify whether bacterial
pathogens are resistant and/or sensitive to certain clinically relevant
antibiotics, and thus would be of significant utility in combating
antibiotic resistance. Examples may be provided.
3. Sample matrix. The development of an effective in vitro
diagnostic test that identifies pathogens by testing human samples
(e.g., blood, urine, sputum, tissue fluid, multiple or other sample
specimens). Comments may include what type or types of samples would be
most relevant in identifying pathogens and/or antibiotic
susceptibility.
4. Speed. The development of an effective in vitro diagnostic test
that rapidly produces results. Comments may reflect considerations
about what would be the maximum acceptable time-to-result for an in
vitro diagnostic test to be of significant utility (i.e., from the time
that a sample is collected from a patient to the time that the result
is available to the healthcare provider).
5. Setting. The settings or venues in which the proposed point-of-
care in vitro diagnostic test may be most needed for combating
antibiotic resistance.
6. Ease-of-use. The development of an effective in vitro diagnostic
test that is easy to use. Recognizing that diagnostics often require
specialized equipment for sample storage, processing and/or analysis,
comments also may include considerations about how such specialized
equipment may affect an in vitro diagnostic test's ease of use or
otherwise limit its utility. Comments also may include considerations
about the nature and extent of training that would be necessary to
operate and obtain results from the proposed in vitro diagnostic test.
7. Diagnostic performance. The performance characteristics (e.g.,
sensitivity, specificity, positive predictive value, and negative
predictive value) required of the proposed in vitro diagnostic test in
order for it to have significant utility in combatting antibiotic
resistance.
8. Tradeoffs. Any inherent tradeoffs associated with the
performance characteristics/parameters described in connection with
your previous comments and priority of the characteristics/parameters,
if applicable.
9. Cost. The development of an effective in vitro diagnostic test
that is not cost prohibitive for its intended purpose. Cost and cost
considerations may include what price or price range would be desirable
to support the widespread adoption of an in vitro diagnostic test that
will be effective in combating antibiotic resistant bacteria.
10. Other characteristics. Additional characteristics of the
proposed in vitro diagnostic test that would be of significant value.
11. Key technologies. The specific technologies or disciplines,
current or nascent, which would lend themselves to the development of a
successful in vitro diagnostic test including, for example, what
special considerations, advantages, and disadvantages may be associated
with each technology/discipline. Comments on what timeframe would be
considered reasonable for the development and licensure of a successful
in vitro diagnostic test are also welcome.
[[Page 31404]]
12. Interest. Major factors that may influence a person's decision
to compete in the prize competition described in this information
request.
13. Use. Identification of who is likely to purchase and/or use the
type of in vitro diagnostic tests being targeted by this prize
competition and how or where such a purchaser or user is most likely to
use the in vitro diagnostic test. Examples may be provided (e.g.,
patient/self-diagnosis, guiding prescriptive decisions, etc.).
14. Barriers. Major barriers that may impede development of the
proposed in vitro diagnostic test (e.g., technical or research driven;
financial or regulatory; infrastructure or resource based). Comments
may reflect considerations about what potential solutions, if any, may
be available to overcome such barriers and the level of difficulty
associated with implementing any such solution in the U.S. and/or
globally.
Dated: May 26, 2015.
Lawrence A. Tabak,
Deputy Director, National Institutes of Health.
[FR Doc. 2015-13113 Filed 6-1-15; 8:45 am]
BILLING CODE 4140-01-P