International Conference on Harmonisation; Guidance on Q3D Elemental Impurities; Availability, 54566-54567 [2015-22835]
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54566
Federal Register / Vol. 80, No. 175 / Thursday, September 10, 2015 / Notices
an exception to the prohibition against
expansion of facility capacity. As
required by the November 30, 2011final
rule and our public guidance
documents, HBC submitted the data and
certifications necessary to demonstrate
that it satisfies the criteria to qualify as
a high Medicaid facility. In accordance
with section 1877(i)(3) of the Act, we
have granted HBC’s request for an
exception to the expansion of facility
capacity prohibition based on the
following criteria:
• HBC is not the sole hospital in Vigo,
Indiana, the county in which it is
located;
• HBC certified that it does not
discriminate against beneficiaries of
Federal health care programs and does
not permit physicians practicing at the
hospital to discriminate against such
beneficiaries; and
• With respect to each of the 3 most
recent fiscal years for which data were
available as of the date HBC submitted
its request, it has an annual percentage
of total inpatient admissions under
Medicaid that is estimated to be greater
than such percentage with respect to
such admissions for any other hospital
located in Vigo County, Indiana, the
county in which it is located.
Our approval grants HBC’s request to
add a total of 44 beds. Pursuant to
§ 411.362(c)(6), the expansion may
occur only in facilities on the hospital’s
main campus and may not result in the
number of operating rooms, procedure
rooms, and beds for which HBC is
licensed to exceed 200 percent of its
baseline number of operating rooms,
procedure rooms, and beds. HBC
certified that its baseline number of
operating rooms, procedure rooms, and
beds is 44. Accordingly, we find that
granting an additional 44 beds will not
exceed the limitation on a permitted
expansion.
mstockstill on DSK4VPTVN1PROD with NOTICES
IV. Collection of Information
Requirements
This document does not impose
information collection requirements,
that is, reporting, recordkeeping or
third-party disclosure requirements.
Consequently, there is no need for
review by the Office of Management and
Budget under the authority of the
Paperwork Reduction Act of 1995 (44
U.S.C. 3501 et seq.).
Dated: August 18, 2015.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. 2015–22856 Filed 9–9–15; 8:45 am]
BILLING CODE 4120–01–P
VerDate Sep<11>2014
17:28 Sep 09, 2015
Jkt 235001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2013–D–1156]
International Conference on
Harmonisation; Guidance on Q3D
Elemental Impurities; Availability
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA) is announcing the
availability of a guidance entitled ‘‘Q3D
Elemental Impurities.’’ The guidance
was prepared under the auspices of the
International Conference on
Harmonisation of Technical
Requirements for Registration of
Pharmaceuticals for Human Use (ICH).
The guidance establishes permitted
daily exposures for 24 elements in drug
products based on evaluation of toxicity
data. Permitted daily exposures are
provided for each element by three
routes of administration—oral,
parenteral and inhalation. The guidance
also provides for a risk-based approach
to assessing the likelihood that
elemental impurities with established
permitted daily exposures will be
present in a pharmaceutical product.
The guidance is intended to provide a
harmonized approach to control of
elemental impurities in pharmaceutical
products in order to avoid the
uncertainty and duplication of work
that results from different requirements
in different ICH regions.
DATES: Submit either electronic or
written comments on Agency guidances
at any time.
ADDRESSES: Submit written requests for
single copies of the guidance to the
Division of Drug Information (HFD–
240), Center for Drug Evaluation and
Research, Food and Drug
Administration, 10001 New Hampshire
Ave., Hillandale Building, 4th Floor,
Silver Spring, MD 20993, or 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 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 guidance
document.
Submit electronic comments on the
guidance to https://www.regulations.gov.
SUMMARY:
PO 00000
Frm 00056
Fmt 4703
Sfmt 4703
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:
Regarding the guidance: John Kauffman,
Center for Drug Evaluation and
Research, Food and Drug
Administration, 645 S. Newstead Ave.,
St. Louis, MO 63110, 314–539–2168;
Regarding the ICH: Michelle Limoli,
CBER International Programs, Food and
Drug Administration, 10903 New
Hampshire Ave., Bldg. 71, Rm. 7212,
Silver Spring, MD 20993–0002, 301–
796–8377.
SUPPLEMENTARY INFORMATION:
I. Background
In recent years, many important
initiatives have been undertaken by
regulatory authorities and industry
associations to promote international
harmonization of regulatory
requirements. FDA has participated in
many meetings designed to enhance
harmonization and is committed to
seeking scientifically based harmonized
technical procedures for pharmaceutical
development. One of the goals of
harmonization is to identify and then
reduce differences in technical
requirements for drug development
among regulatory agencies.
ICH was organized to provide an
opportunity for tripartite harmonization
initiatives to be developed with input
from both regulatory and industry
representatives. FDA also seeks input
from consumer representatives and
others. ICH is concerned with
harmonization of technical
requirements for the registration of
pharmaceutical products among three
regions: The European Union, Japan,
and the United States. The six ICH
sponsors are the European Commission;
the European Federation of
Pharmaceutical Industries Associations;
the Japanese Ministry of Health, Labour,
and Welfare; the Japanese
Pharmaceutical Manufacturers
Association; the Centers for Drug
Evaluation and Research and Biologics
Evaluation and Research, FDA; and the
Pharmaceutical Research and
Manufacturers of America. The ICH
Secretariat, which coordinates the
preparation of documentation, is
provided by the International
Federation of Pharmaceutical
Manufacturers Associations (IFPMA).
The ICH Steering Committee includes
representatives from each of the ICH
sponsors and the IFPMA, as well as
observers from the World Health
Organization, Health Canada, and the
European Free Trade Area.
E:\FR\FM\10SEN1.SGM
10SEN1
Federal Register / Vol. 80, No. 175 / Thursday, September 10, 2015 / Notices
In the Federal Register of October 23,
2013 (78 FR 63219), FDA published a
notice announcing the availability of a
draft guidance entitled ‘‘Q3D Elemental
Impurities.’’ The notice gave interested
persons an opportunity to submit
comments by December 23, 2013.
After consideration of the comments
received and revisions to the guidance,
a final draft of the guidance was
submitted to the ICH Steering
Committee and endorsed by the three
participating regulatory agencies on
December 16, 2014.
The guidance establishes permitted
daily exposures for 24 elements in drug
products and provides for a risk-based
approach to assessing the likelihood
that elemental impurities with
established permitted daily exposures
will be present in a pharmaceutical
product. In response to comments on
the draft guidance, several changes were
made to the final guidance including
clarifying the scope, reevaluation of
some permitted daily exposures based
on new toxicology data, simplification
of the classification scheme for
elemental impurities, and clarifying the
examples to illustrate certain concepts
within the guidance.
This guidance is being issued
consistent with FDA’s good guidance
practices regulation (21 CFR 10.115).
The guidance represents the current
thinking of FDA on Q3D elemental
impurities. It does 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. Comments
Interested persons may submit either
electronic comments regarding this
document to https://www.regulations.gov
or written comments to the Division of
Dockets Management (see ADDRESSES). It
is only necessary to send one set of
comments. Identify comments with the
docket number found in brackets in the
heading of this document. Received
comments may be seen in the Division
of Dockets Management between 9 a.m.
and 4 p.m., Monday through Friday, and
will be posted to the docket at https://
www.regulations.gov.
mstockstill on DSK4VPTVN1PROD with NOTICES
III. Electronic Access
Persons with access to the Internet
may obtain the document at https://
www.regulations.gov, https://
www.fda.gov/Drugs/Guidance
ComplianceRegulatoryInformation/
Guidances/default.htm, or https://
www.fda.gov/BiologicsBloodVaccines/
GuidanceCompliance
VerDate Sep<11>2014
17:28 Sep 09, 2015
Jkt 235001
RegulatoryInformation/Guidances/
default.htm.
Dated: September 4, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015–22835 Filed 9–9–15; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2015–N–3172]
Osteoporosis Drug Development;
Public Workshop; Request for
Comments
AGENCY:
Food and Drug Administration,
HHS.
Notice of public workshop;
request for comments.
ACTION:
The Food and Drug Administration’s
(FDA or Agency) Division of Bone,
Reproductive, and Urologic Products in
the Center for Drug Evaluation and
Research is announcing a public
workshop entitled ‘‘Osteoporosis Drug
Development: Moving Forward.’’ The
purpose of this workshop is to seek
input from experts on scientific issues
important to clinical development of
drugs and therapeutic biologics
intended to treat osteoporosis. During
the workshop, attendees will discuss
potential surrogate endpoints and the
endpoints’ ability to predict clinical
benefit.
Date and Time: The workshop will be
held on November 4, 2015, from 8 a.m.
to 5 p.m. Registration to attend the
workshop must be received by October
21, 2015. See the SUPPLEMENTARY
INFORMATION section for information on
how to register for this workshop.
Submit electronic or written comments
by October 7, 2015.
Location: The workshop will be held
at the FDA White Oak Campus, 10903
New Hampshire Ave., Bldg. 31
Conference Center, in Sections B and C
of the Great Room (Rm. 1503), Silver
Spring, MD 20993–0002. Entrance for
the workshop participants (non-FDA
employees) is through Building 1, where
routine security check procedures will
be performed. For more information on
parking and security procedures, please
refer to https://www.fda.gov/AboutFDA/
WorkingatFDA/BuildingsandFacilities/
WhiteOakCampusInformation/
ucm241740.htm.
Contact Person: Samantha Bell,
Center for Drug Evaluation and
Research, Food and Drug
Administration, 10903 New Hampshire
PO 00000
Frm 00057
Fmt 4703
Sfmt 4703
54567
Ave., Bldg. 22, Rm. 5379, Silver Spring,
MD 20993–0002, 301–796–9687, email:
Samantha.Bell@fda.hhs.gov.
SUPPLEMENTARY INFORMATION:
I. Background
FDA is announcing a public
workshop entitled ‘‘Osteoporosis Drug
Development: Moving Forward.’’ The
Agency will engage experts in
osteoporosis to address challenging
issues related to osteoporosis drug
development. Workshop sessions will
include discussions on the indication
language, target populations for
treatment and prevention of
osteoporosis, and phase 3 clinical trial
design issues. The afternoon discussion
session will focus on surrogate
endpoints for fracture and the
requirements for validation of a
surrogate endpoint. This workshop is
part of the Agency’s program to
facilitate the development of surrogate
endpoints, clinical endpoints, and other
scientific methods for predicting
clinical benefit, in accordance with
section 901 of the Food and Drug
Administration Safety and Innovation
Act, signed into law on July 9, 2012,
which is titled ‘‘Enhancement of
Accelerated Patient Access to New
Medical Treatments.’’
II. Participation in the Public
Workshop
A. Registration and Requests for Oral
Presentations
There is no fee to attend the public
workshop, but attendees should register
in advance. Space is limited and
registration will be on a first-come, firstserved basis. Persons interested in
attending this workshop must register
online at Osteoporosis_Workshop@
fda.hhs.gov on or before October 21,
2015. When registering, please provide
complete contact information for each
attendee, including name, title,
affiliation, address, email address, and
telephone number. For those without
Internet access, please contact Samantha
Bell (see Contact Person) to register. If
you need special accommodations due
to a disability, please contact Samantha
Bell (see Contact Person) at least 7 days
in advance.
The afternoon session will have an
open public hearing. Interested persons
may present data, information, or views,
orally or in writing, on issues related to
osteoporosis drug development. Those
individuals interested in making formal
oral presentations should notify the
contact person and submit the following
information on or before October 21,
2015: A brief statement of the general
nature of the evidence or arguments
E:\FR\FM\10SEN1.SGM
10SEN1
Agencies
[Federal Register Volume 80, Number 175 (Thursday, September 10, 2015)]
[Notices]
[Pages 54566-54567]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-22835]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA-2013-D-1156]
International Conference on Harmonisation; Guidance on Q3D
Elemental Impurities; Availability
AGENCY: Food and Drug Administration, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Food and Drug Administration (FDA) is announcing the
availability of a guidance entitled ``Q3D Elemental Impurities.'' The
guidance was prepared under the auspices of the International
Conference on Harmonisation of Technical Requirements for Registration
of Pharmaceuticals for Human Use (ICH). The guidance establishes
permitted daily exposures for 24 elements in drug products based on
evaluation of toxicity data. Permitted daily exposures are provided for
each element by three routes of administration--oral, parenteral and
inhalation. The guidance also provides for a risk-based approach to
assessing the likelihood that elemental impurities with established
permitted daily exposures will be present in a pharmaceutical product.
The guidance is intended to provide a harmonized approach to control of
elemental impurities in pharmaceutical products in order to avoid the
uncertainty and duplication of work that results from different
requirements in different ICH regions.
DATES: Submit either electronic or written comments on Agency guidances
at any time.
ADDRESSES: Submit written requests for single copies of the guidance to
the Division of Drug Information (HFD-240), Center for Drug Evaluation
and Research, Food and Drug Administration, 10001 New Hampshire Ave.,
Hillandale Building, 4th Floor, Silver Spring, MD 20993, or 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 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 guidance document.
Submit electronic comments on the 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: Regarding the guidance: John Kauffman,
Center for Drug Evaluation and Research, Food and Drug Administration,
645 S. Newstead Ave., St. Louis, MO 63110, 314-539-2168;
Regarding the ICH: Michelle Limoli, CBER International Programs,
Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 71, Rm.
7212, Silver Spring, MD 20993-0002, 301-796-8377.
SUPPLEMENTARY INFORMATION:
I. Background
In recent years, many important initiatives have been undertaken by
regulatory authorities and industry associations to promote
international harmonization of regulatory requirements. FDA has
participated in many meetings designed to enhance harmonization and is
committed to seeking scientifically based harmonized technical
procedures for pharmaceutical development. One of the goals of
harmonization is to identify and then reduce differences in technical
requirements for drug development among regulatory agencies.
ICH was organized to provide an opportunity for tripartite
harmonization initiatives to be developed with input from both
regulatory and industry representatives. FDA also seeks input from
consumer representatives and others. ICH is concerned with
harmonization of technical requirements for the registration of
pharmaceutical products among three regions: The European Union, Japan,
and the United States. The six ICH sponsors are the European
Commission; the European Federation of Pharmaceutical Industries
Associations; the Japanese Ministry of Health, Labour, and Welfare; the
Japanese Pharmaceutical Manufacturers Association; the Centers for Drug
Evaluation and Research and Biologics Evaluation and Research, FDA; and
the Pharmaceutical Research and Manufacturers of America. The ICH
Secretariat, which coordinates the preparation of documentation, is
provided by the International Federation of Pharmaceutical
Manufacturers Associations (IFPMA).
The ICH Steering Committee includes representatives from each of
the ICH sponsors and the IFPMA, as well as observers from the World
Health Organization, Health Canada, and the European Free Trade Area.
[[Page 54567]]
In the Federal Register of October 23, 2013 (78 FR 63219), FDA
published a notice announcing the availability of a draft guidance
entitled ``Q3D Elemental Impurities.'' The notice gave interested
persons an opportunity to submit comments by December 23, 2013.
After consideration of the comments received and revisions to the
guidance, a final draft of the guidance was submitted to the ICH
Steering Committee and endorsed by the three participating regulatory
agencies on December 16, 2014.
The guidance establishes permitted daily exposures for 24 elements
in drug products and provides for a risk-based approach to assessing
the likelihood that elemental impurities with established permitted
daily exposures will be present in a pharmaceutical product. In
response to comments on the draft guidance, several changes were made
to the final guidance including clarifying the scope, reevaluation of
some permitted daily exposures based on new toxicology data,
simplification of the classification scheme for elemental impurities,
and clarifying the examples to illustrate certain concepts within the
guidance.
This guidance is being issued consistent with FDA's good guidance
practices regulation (21 CFR 10.115). The guidance represents the
current thinking of FDA on Q3D elemental impurities. It does 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. Comments
Interested persons may submit either electronic comments regarding
this document to https://www.regulations.gov or written comments to the
Division of Dockets Management (see ADDRESSES). It is only necessary to
send one set of comments. Identify comments with the docket number
found in brackets in the heading of this document. Received comments
may be seen in the Division of Dockets Management between 9 a.m. and 4
p.m., Monday through Friday, and will be posted to the docket at https://www.regulations.gov.
III. Electronic Access
Persons with access to the Internet may obtain the document at
https://www.regulations.gov, https://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/default.htm, or
https://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/Guidances/default.htm.
Dated: September 4, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-22835 Filed 9-9-15; 8:45 am]
BILLING CODE 4164-01-P