Externally-Led Patient-Focused Drug Development Meetings, 80776-80777 [2015-32476]
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80776
Federal Register / Vol. 80, No. 248 / Monday, December 28, 2015 / Notices
Therapeutic Equivalence Evaluations,’’
which is known generally as the
‘‘Orange Book.’’ Under FDA regulations,
drugs are removed from the list if the
Agency withdraws or suspends
approval of the drug’s NDA or ANDA
for reasons of safety or effectiveness or
if FDA determines that the listed drug
was withdrawn from sale for reasons of
safety or effectiveness (21 CFR 314.162).
A person may petition the Agency to
determine, or the Agency may
determine on its own initiative, whether
a listed drug was withdrawn from sale
for reasons of safety or effectiveness.
This determination may be made at any
time after the drug has been withdrawn
from sale, but must be made prior to
approving an ANDA that refers to the
listed drug (§ 314.161 (21 CFR 314.161)).
FDA may not approve an ANDA that
does not refer to a listed drug.
KYTRIL (granisetron hydrochloride)
tablets, EQ 1 mg and 2 mg base, are the
subject of NDA 020305, held by
Hoffmann-La Roche, Inc., and initially
approved on March 16, 1995. KYTRIL is
indicated for the prevention of nausea
and/or vomiting associated with initial
and repeat courses of emetogenic cancer
therapy, including high-dose cisplatin,
and for the prevention and treatment of
postoperative nausea and vomiting in
adults.
On April 30, 2012, Hoffman-La Roche
notified FDA that KYTRIL (granisteron
hydrochloride) tablets, EQ 1 mg and 2
mg base, were being discontinued, and
FDA moved the drug products to the
‘‘Discontinued Drug Product List’’
section of the Orange Book.
Kurt R. Karst, on behalf of Hyman,
Phelps & McNamara, P.C., submitted a
citizen petition dated May 27, 2015
(Docket No. FDA–2015–P–1898), under
21 CFR 10.30, requesting that the
Agency determine whether KYTRIL
(granisteron hydrochloride) tablets, EQ
1 mg and 2 mg base, were withdrawn
from sale for reasons of safety or
effectiveness.
After considering the citizen petition
and reviewing Agency records and
based on the information we have at this
time, FDA has determined under
§ 314.161 that KYTRIL (granisteron
hydrochloride) tablets, EQ 1 mg and 2
mg base, were not withdrawn for
reasons of safety or effectiveness. The
petitioner has identified no data or other
information suggesting that KYTRIL
(granisteron hydrochloride) tablets, EQ
1 mg and 2 mg base, were withdrawn for
reasons of safety or effectiveness We
have carefully reviewed our files for
records concerning the withdrawal of
KYTRIL (granisteron hydrochloride)
tablets, EQ 1 mg and 2 mg base, from
sale. We have also independently
VerDate Sep<11>2014
13:31 Dec 24, 2015
Jkt 238001
evaluated relevant literature and data
for possible postmarketing adverse
events. We have reviewed the available
evidence and determined that the
products were not withdrawn from sale
for reasons of safety or effectiveness.
Accordingly, the Agency will
continue to list KYTRIL (granisteron
hydrochloride) tablets, EQ 1 mg and 2
mg base, in the ‘‘Discontinued Drug
Product List’’ section of the Orange
Book. The ‘‘Discontinued Drug Product
List’’ delineates, among other items,
drug products that have been
discontinued from marketing for reasons
other than safety or effectiveness.
ANDAs that refer to KYTRIL
(granisteron hydrochloride) tablets, EQ
1 mg and 2 mg base, may be approved
by the Agency as long as they meet all
other legal and regulatory requirements
for the approval of ANDAs. If FDA
determines that labeling for this drug
product should be revised to meet
current standards, the Agency will
advise ANDA applicants to submit such
labeling.
Dated: December 21, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015–32496 Filed 12–24–15; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2015–N–0001]
Externally-Led Patient-Focused Drug
Development Meetings
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA or Agency) is
announcing the opportunity for
externally-led patient-focused drug
development meetings. The PatientFocused Drug Development (PFDD)
initiative is part of FDA’s commitments
under the fifth authorization of the
Prescription Drug User Fee Act (PDUFA
V). The PFDD initiative aims to more
systematically obtain the patient
perspective on specific diseases and
their treatments. FDA recognizes that
there are many more disease areas than
can be addressed in the planned FDA
meetings under PDUFA V. To help
expand the benefits of FDA’s PFDD
initiative, FDA welcomes patient
organizations to identify and organize
patient-focused collaborations to
generate public input on other disease
SUMMARY:
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Fmt 4703
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areas, using the process established
through Patient-Focused Drug
Development as a model.
ADDRESSES: FDA recommends that
patient organizations who are interested
in conducting an externally-led PFDD
meeting initially engage with FDA by
submitting a letter of intent (LOI) to
patientfocused@fda.hhs.gov.
Submission details are outlined on
FDA’s Web site: https://www.fda.gov/
ForIndustry/UserFees/
PrescriptionDrugUserFee/
ucm453856.htm.
FOR FURTHER INFORMATION CONTACT:
Pujita Vaidya, Center for Drug
Evaluation and Research, Food and
Drug Administration, 10903 New
Hampshire Ave., Bldg. 51, rm. 1144,
Silver Spring, MD 20993–0002, 301–
796–0684.
SUPPLEMENTARY INFORMATION: As part of
its commitments under the Prescription
Drug User Fee Act reauthorization of
2012, FDA has taken several steps to
inform the benefit-risk assessments that
inform CDER’s regulatory decisions
concerning new drugs. Among these
efforts is the PFDD initiative that aims
to more systematically obtain the
patient perspective on specific diseases
and their treatments. FDA has
committed to obtaining the patient
perspective on at least 20 disease areas
during the course of PDUFA V. PFDD
meetings give FDA an important
opportunity to hear directly from
patients, patient advocates, and
caretakers about the symptoms that
matter most to them; the impact the
disease has on patients’ daily lives; and
patients’ experiences with currently
available treatments. The patient
perspective is critical in helping FDA
understand the context in which
regulatory decisions are made for new
drugs. This patient input can inform
FDA’s decisions and oversight both
during drug development and during
our review of a marketing application.
The Agency recognizes that there has
been growing external interest in
expanding efforts to gather patient input
in support of drug development and
evaluation. To help expand the benefits
of FDA’s PFDD initiative, FDA
welcomes patient organizations to
identify and organize patient-focused
collaborations to generate public input
on other disease areas, using the process
established through Patient-Focused
Drug Development as a model. An
externally-led PFDD meeting and any
resulting products (e.g., surveys or
reports) will not be considered FDAsponsored or FDA-endorsed, and FDA
does not guarantee specific involvement
in such meetings. However, FDA will be
E:\FR\FM\28DEN1.SGM
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Federal Register / Vol. 80, No. 248 / Monday, December 28, 2015 / Notices
open to participating in a well-designed
and well-conducted meeting on a caseby-case basis. Given the expanse of
diseases affecting the U.S. patient
population and the effort required to
conduct a successful PFDD meeting,
externally-led PFDD meetings should
target disease areas where there is an
identified need for patient input on
topics related to drug development.
FDA will determine its level of
participation in these meetings on an
individual basis, taking into account a
number of factors, including any
identified need for a better
understanding of patient perspective,
recent interactions with patient
stakeholders, proposed meeting details,
and FDA staff capacity. More
information regarding considerations to
take into account when deciding to plan
an externally-led PFDD meeting can be
found on this Web site: https://
www.fda.gov/ForIndustry/UserFees/
PrescriptionDrugUserFee/
ucm453856.htm.
FDA recommends that patient
organizations who are interested in
conducting an externally-led PFDD
meeting submit an LOI that
communicates (1) the value of the
proposed meeting in the context of drug
development for a particular disease
area, and (2) important details regarding
the meeting plan. Guidelines for
developing a letter of intent are
provided here: https://www.fda.gov/
downloads/ForIndustry/UserFees/
PrescriptionDrugUserFee/
UCM453857.pdf. Please submit the
letter of intent to patientfocused@
fda.hhs.gov. FDA’s CDER Office of
Strategic Programs will receive and
review the letter.
Dated: December 21, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015–32476 Filed 12–24–15; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
mstockstill on DSK4VPTVN1PROD with NOTICES
Agency Information Collection
Activities: Proposed Collection: Public
Comment Request
Health Resources and Services
Administration, HHS.
ACTION: Notice.
AGENCY:
In compliance with the
requirement for opportunity for public
comment on proposed data collection
projects (Section 3506(c)(2)(A) of the
SUMMARY:
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Jkt 238001
Paperwork Reduction Act of 1995), the
Health Resources and Services
Administration (HRSA) announces
plans to submit an Information
Collection Request (ICR), described
below, to the Office of Management and
Budget (OMB). Prior to submitting the
ICR to OMB, HRSA seeks comments
from the public regarding the burden
estimate, below, or any other aspect of
the ICR.
DATES: Comments on this Information
Collection Request must be received no
later than February 26, 2016.
ADDRESSES: Submit your comments to
paperwork@hrsa.gov or mail the HRSA
Information Collection Clearance
Officer, Room 10C–24, Parklawn
Building, 5600 Fishers Lane, Rockville,
MD 20857.
FOR FURTHER INFORMATION CONTACT: To
request more information on the
proposed project or to obtain a copy of
the data collection plans and draft
instruments, email paperwork@hrsa.gov
or call the HRSA Information Collection
Clearance Officer at (301) 443–1984.
SUPPLEMENTARY INFORMATION: When
submitting comments or requesting
information, please include the
information request collection title for
reference.
Information Collection Request Title:
Sickle Cell Disease Treatment
Demonstration Program—Quality
Improvement Data Collection.
OMB No. 0915–xxxx–New
Abstract: In response to the growing
need for resources devoted to sickle cell
disease and other hemoglobinopathies,
the United States Congress, under
Section 712 of the American Jobs
Creation Act of 2004 (Pub. L. 108–357)
(42 U.S.C. 300b–1 note), authorized a
demonstration program for the
prevention and treatment of sickle cell
disease (SCD) to be administered by the
Maternal and Child Health Bureau
(MCHB) of the Health Resources and
Services Administration (HRSA) in the
U.S. Department of Health and Human
Services. The program is known as the
Sickle Cell Disease Treatment
Demonstration Program (SCDTDP). The
SCDTDP is designed to improve access
to services for individuals with sickle
cell disease, improve and expand
patient and provider education, and
improve and expand the continuity and
coordination of service delivery for
individuals with sickle cell disease and
sickle cell trait. The specific aims for the
program are threefold: (1) Increase the
number of providers treating persons
with sickle cell disease, (2) increase the
number of providers prescribing
hydroxyurea, and (3) increase the
number of providers knowledgeable
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about treating sickle cell disease as well
as increase the number of sickle cell
patients that are seen by providers
knowledgeable about sickle cell disease.
To achieve the goals and objectives of
the program, the SCDTDP uses quality
improvement (QI) methods in a
collective impact model which supports
cross-sector collaboration for achieving
measurable effects on major social
issues. The collective impact model
requires shared measurement which
facilitates tracking progress in a
standardized method in order to
promote learning and enhance
continuous improvement.
Need and Proposed Use of the
Information: The purpose of the
proposed data collection strategy is to
implement a system to monitor the
progress of MCHB-funded activities in
improving care and health outcomes for
individuals living with sickle cell
disease/trait and meeting the goals of
the SCDTDP. Each regional grantee site
will be asked to report on a core set of
evidence-based measures related to
healthcare utilization among
individuals with sickle cell disease and
the quality of care of the SCD
population.
The data collected for the Sickle Cell
Disease Treatment Demonstration
Program will consist of administrative
medical claims data collected from State
Medicaid Programs and Medicaid
Managed Care Organizations that
administer Medicaid on behalf of states.
The data is collected either for or by
State Medicaid offices for delivery of
services subject to Medicaid
reimbursement.
The data collection strategy will
provide an effective and efficient
mechanism to do the following: (1)
Assess the improvements in access to
care for sickle cell patients provided by
activities in the SCDTDP; (2) collect,
coordinate, and distribute data, best
practices, and findings from regional
grantee sites to drive improvement on
quality measures; (3) refine a common
model protocol regarding the prevention
and treatment of sickle cell disease; (4)
examine/address barriers that
individuals and families living with
sickle cell disease face when accessing
quality health care and health
education; (5) evaluate the grantees’
performance in meeting the objectives of
the SCDTDP; and (6) provide HRSA and
Congress with information on the
overall progress of the program.
Likely Respondents: Four regional
grantee sites funded by HRSA under the
SCDTDP will be the respondents for this
data collection activity and submit
responses gathered from State Medicaid
E:\FR\FM\28DEN1.SGM
28DEN1
Agencies
[Federal Register Volume 80, Number 248 (Monday, December 28, 2015)]
[Notices]
[Pages 80776-80777]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-32476]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA-2015-N-0001]
Externally-Led Patient-Focused Drug Development Meetings
AGENCY: Food and Drug Administration, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing
the opportunity for externally-led patient-focused drug development
meetings. The Patient-Focused Drug Development (PFDD) initiative is
part of FDA's commitments under the fifth authorization of the
Prescription Drug User Fee Act (PDUFA V). The PFDD initiative aims to
more systematically obtain the patient perspective on specific diseases
and their treatments. FDA recognizes that there are many more disease
areas than can be addressed in the planned FDA meetings under PDUFA V.
To help expand the benefits of FDA's PFDD initiative, FDA welcomes
patient organizations to identify and organize patient-focused
collaborations to generate public input on other disease areas, using
the process established through Patient-Focused Drug Development as a
model.
ADDRESSES: FDA recommends that patient organizations who are interested
in conducting an externally-led PFDD meeting initially engage with FDA
by submitting a letter of intent (LOI) to patientfocused@fda.hhs.gov.
Submission details are outlined on FDA's Web site: https://www.fda.gov/ForIndustry/UserFees/PrescriptionDrugUserFee/ucm453856.htm.
FOR FURTHER INFORMATION CONTACT: Pujita Vaidya, Center for Drug
Evaluation and Research, Food and Drug Administration, 10903 New
Hampshire Ave., Bldg. 51, rm. 1144, Silver Spring, MD 20993-0002, 301-
796-0684.
SUPPLEMENTARY INFORMATION: As part of its commitments under the
Prescription Drug User Fee Act reauthorization of 2012, FDA has taken
several steps to inform the benefit-risk assessments that inform CDER's
regulatory decisions concerning new drugs. Among these efforts is the
PFDD initiative that aims to more systematically obtain the patient
perspective on specific diseases and their treatments. FDA has
committed to obtaining the patient perspective on at least 20 disease
areas during the course of PDUFA V. PFDD meetings give FDA an important
opportunity to hear directly from patients, patient advocates, and
caretakers about the symptoms that matter most to them; the impact the
disease has on patients' daily lives; and patients' experiences with
currently available treatments. The patient perspective is critical in
helping FDA understand the context in which regulatory decisions are
made for new drugs. This patient input can inform FDA's decisions and
oversight both during drug development and during our review of a
marketing application.
The Agency recognizes that there has been growing external interest
in expanding efforts to gather patient input in support of drug
development and evaluation. To help expand the benefits of FDA's PFDD
initiative, FDA welcomes patient organizations to identify and organize
patient-focused collaborations to generate public input on other
disease areas, using the process established through Patient-Focused
Drug Development as a model. An externally-led PFDD meeting and any
resulting products (e.g., surveys or reports) will not be considered
FDA-sponsored or FDA-endorsed, and FDA does not guarantee specific
involvement in such meetings. However, FDA will be
[[Page 80777]]
open to participating in a well-designed and well-conducted meeting on
a case-by-case basis. Given the expanse of diseases affecting the U.S.
patient population and the effort required to conduct a successful PFDD
meeting, externally-led PFDD meetings should target disease areas where
there is an identified need for patient input on topics related to drug
development. FDA will determine its level of participation in these
meetings on an individual basis, taking into account a number of
factors, including any identified need for a better understanding of
patient perspective, recent interactions with patient stakeholders,
proposed meeting details, and FDA staff capacity. More information
regarding considerations to take into account when deciding to plan an
externally-led PFDD meeting can be found on this Web site: https://www.fda.gov/ForIndustry/UserFees/PrescriptionDrugUserFee/ucm453856.htm.
FDA recommends that patient organizations who are interested in
conducting an externally-led PFDD meeting submit an LOI that
communicates (1) the value of the proposed meeting in the context of
drug development for a particular disease area, and (2) important
details regarding the meeting plan. Guidelines for developing a letter
of intent are provided here: https://www.fda.gov/downloads/ForIndustry/UserFees/PrescriptionDrugUserFee/UCM453857.pdf. Please submit the
letter of intent to patientfocused@fda.hhs.gov. FDA's CDER Office of
Strategic Programs will receive and review the letter.
Dated: December 21, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015-32476 Filed 12-24-15; 8:45 am]
BILLING CODE 4164-01-P